Filed under: epidemic, hospital, hospital social work, MSW, social work, social work ethics, social work practice, Uncategorized | Tags: crank, ice, meth, methamphetamines
So, I saw a patient today that could only be described as “a little meth-y.” For the uninitiated, I’m talking about a person who likely has used methamphetamines in the last couple of weeks or maybe had been using very heavily within the last year.
The person didn’t have any of the behavioral characteristics of meth use, but just had that look that I’ve come to know. The person may only be in their early 30’s but can look closer to 50, their skin has an appearance that can only be described as “rough.”
Anyway, anyone who has much exposure to people who abuse methamphetamines knows what I’m talking about. My struggle today was how to document clearly what I am talking about. It is easy to just say, “The patient had the appearance of somewhat who uses methamphetamines.” But, is that enough? Would anyone know what I’m talking about??
Thoughts from any one of my 6 readers??
Filed under: asthma, epidemic, family life, home life, hospital, husbands | Tags: H1N1, vaccines
So, the H1N1 vaccine is supposed to be rolled out soon, I guess within a month or so. At my place of employment, it will not be required, but strongly recommended. We’ve been told that it’s pretty likely that if we choose not to get the vaccine, we’ll be required to wear a mask while in patient care areas, at all times.
So, I have some time to decide whether or not to get the vaccine for myself. Two of my co-workers and my supervisor have said that they will not get the vaccine due to fears about Guillain-Barre Syndrome. I am unsure what I’ll do for myself.
Certainly the thought of trying to do my job through a mask every day for the next several months has very little appeal. And the thought of being exposed to H1N1 has very little appeal. My children are both in the high risk groups. That being said, I’m certainly more concerned about The D getting H1N1 than his older brother The G.
It’s hard to sort out the truth from the hype on this matter. I had to go to a committee meeting a couple of weeks ago where our infectious disease specialist spoke. At that point, I would have pulled down my pants in front of the whole group in order to get the vaccine. The whole point of his presentation was that we could expect a lot of sick children and what were we going to do about it? Basically the metropolitan area hospitals where most of the critically ill children go have said, “Well, when we’re full, we’re full.” Having already been through the experience of waiting for a doctor to find a PICU bed for my child, well, let’s just say his little presentation pushed a lot of buttons for me. But, having had time to think about this new vaccine, I’m not so sure.
The pros would be protecting myself and my family and patients. The cons… possibly getting a horrible neurological syndrome or some other bad side effect. Hmmmm….
The Husband has put his foot down on this subject. He has made it very clear that he does not want anyone in the family to get the new vaccine. And I’m just not sure what I’m going to do.