They say that time dulls the memory of painful experiences. For the most part, it's true. Before I had my partial hysterectomy, I had the wonderful(tongue in cheek) experience of several ovarian cyst ruptures. I could almost set my watch and predict when they would occur. The very first one that I had as a 16 year old woke me from a sound sleep and I thought my appendix had ruptured. I was put on birth control pills to control them and it worked for a while.
Time went by and I also developed uterine fibroids so I was scheduled for a partial hysterectomy and I tried to talk the doc into a total but he wouldn't "put me into menopause" at 35. So when I awoke, he was happy to tell me that he had cleaned up a large hemorrhagic cyst on the left one and decided to leave it in there. I KNEW that it would come back to haunt me.
The pain almost made me want to throw up and I had to lay in a hot bath for an hour and then go straight to bed. Another one like that and I will consider yanking the left ovary as well. Thank goodness I have only had 3 or 4 major blowouts in the last 6 years.
Being a female provider makes me much more sympathetic to abdominal pain complaints regarding ovarian cysts and I try to educate my female patients to mark their calendars so that they can help me diagnose them.
Ohhhh the aaaa---goooo---neeey!
Sunday, March 21, 2010
Friday, March 12, 2010
Controlled Substance For ARNPs In Florida Once Again Up For Vote
S188 GENERAL BILL by Bennett (Similar H 0677)
Advanced Registered Nurse Practitioners [SPSC]; Redefines the term
"practitioner" for purposes of the Florida Comprehensive Drug Abuse
Prevention and Control Act to include advanced registered nurse
practitioners. EFFECTIVE DATE: Upon becoming law.
10/05/09 SENATE Filed
12/09/09 SENATE Referred to Health Regulation; Criminal Justice
03/02/10 SENATE Introduced, referred to Health Regulation; Criminal Justice
-SJ 00022
Once again, the Florida Senate is voting on whether or not Nurse Practitioners can have prescriptive authority for controlled substances. I'm not sure what it means to be referred to Health Regulation; Criminal Justice but I hope that it gets passed this year.
One of the things that slows down my practice is the fact that I must call in prescriptions needed for my patients under my collaborating MD. Because he only works one day a week, it makes his job a bit harder because he has to sit and review my charts that I have called in over the week prior. Most of the patients he is familiar with so it's a nuisance but he has to review all of the documentation such as MRIs and such too besides trying to see his own patients. Through working with me he knows that I screen very well against drug seekers and actually am tighter about giving narcotics than he is.
I sometimes forget to call in the scripts because I am so busy moving onto other patients and the office nurse has to backtrack for me and call the patient to let them know that it was done. I also have to stay late on Fridays to make sure that everyone is covered so that I don't get calls over the weekend for narcs and not having their chart at home.
Anyone know anything more about the bill's status, keep us updated!
Advanced Registered Nurse Practitioners [SPSC]; Redefines the term
"practitioner" for purposes of the Florida Comprehensive Drug Abuse
Prevention and Control Act to include advanced registered nurse
practitioners. EFFECTIVE DATE: Upon becoming law.
10/05/09 SENATE Filed
12/09/09 SENATE Referred to Health Regulation; Criminal Justice
03/02/10 SENATE Introduced, referred to Health Regulation; Criminal Justice
-SJ 00022
Once again, the Florida Senate is voting on whether or not Nurse Practitioners can have prescriptive authority for controlled substances. I'm not sure what it means to be referred to Health Regulation; Criminal Justice but I hope that it gets passed this year.
One of the things that slows down my practice is the fact that I must call in prescriptions needed for my patients under my collaborating MD. Because he only works one day a week, it makes his job a bit harder because he has to sit and review my charts that I have called in over the week prior. Most of the patients he is familiar with so it's a nuisance but he has to review all of the documentation such as MRIs and such too besides trying to see his own patients. Through working with me he knows that I screen very well against drug seekers and actually am tighter about giving narcotics than he is.
I sometimes forget to call in the scripts because I am so busy moving onto other patients and the office nurse has to backtrack for me and call the patient to let them know that it was done. I also have to stay late on Fridays to make sure that everyone is covered so that I don't get calls over the weekend for narcs and not having their chart at home.
Anyone know anything more about the bill's status, keep us updated!
Subscribe to:
Posts (Atom)
