I just finished over a year doing registry work all over SoCal. Last year was my 25th year in medical arts on purpose, my 20th year as an RN, and my 15th year in the ED. And despite that, I'm probably going to be forced by circumstances to continue my medical education.
And I finally have some free time for this, and for that.
So if I'm going to be tortured with more formal schooling, I'm dragging anyone listening along for the ride, not least of which because the best way to learn something is to teach it.
And blog boredom has overtaken me, so along with the other topics, it's probably time to download some of a fair lifetime-sized chunk of medical wisdom and experience.
I have a nagging feeling some of you out there are going to need it, and sooner rather than later. This isn't the first time I've done this here, and it won't be the last.
As a few dozen prior missives here would document.
So let's start with the Welcome To New Students.
For whatever reason, boredom, necessity, local or regional disaster, zombie apocalypse, fascination with the idea, or simply being the only one not all f**ked up by present circumstances, you're embarking on the care of others.
1) Thanks, from your patients and their significant others, if you do it right.
2) Woe unto you, from same, and their lawyers, if you don't.
3) Are you sure you're up to the task? Really sure??
4) Attendance at these lectures conveys no license to practice.
4a) Nota bene: Protestations contrary to #4 from anyone will be greeted with derision, and mocked mercilessly, including if called to testify in open court.
5) Actual attendance at certified institutions and passing actual examinations does.
6) Do 5, with all due haste and diligence.
7) You really sure you want to do this stuff?
8) Those of us in the field are not necessarily impressed, but we'll see how you do, and if you're still here after s**t gets real for you, we'll be much more impressed, and actually inclined to share and help you out. Pinky swear.
9) Nothing you've ever seen, anywhere, in any movie or TV, is probably anything like how it really is.
10) Your first homework assignment is to write #9 above in your head, 100 times, until you can repeat it from memory.
11) Sometimes, accidentally, it can come close. But by the time you can tell, you don't need anyone else to tell you when they're getting it right.
My intention is not to tell you everything. I don't know everything. There's neither the time, nor the room in my head, for all that. But what I do know, I know pretty damn well. I've been a first responder, EMT, registered nurse, medical instructor and educator, for pretty much half my life. That and five bucks gets me a large cup of whatever at Starbucks. I've worked with some pretty stellar physician assistants, physicians, and surgeons, and a whole lot of awesomely incredible nurses and medical techs. I have fought and bled to save people's lives, and gotten to the point that other people I respect think I know WTF I'm doing, most days and times. And that's worth more than 25 feet of diplomas and certificates. (I have those too. Big whoop.)
I am not a trauma surgeon, or a former 18D. But I promise you I've had my arms up to the elbows in more open chests of other people than you probably have, and curiously, at that point, no one usually asks you for your license and certifications.
Before we start, you may wish to reconsider bothering. Feel free to bypass these little features if you decide you don't need them, or simply don't care.
You would also do well to take a peek back in time and look up my prior offerings.
They are not graven on stone, but I think they'll help most reasonably intelligent people.
I am not infallible, and I have a far dimmer opinion of myself and my skills, based on actual experience, than anything you can pass along here, so if you think I have it all wrong, or I'm being too harsh about anything, I sincerely and humbly urge you to get over it.
That's all for now.
Get a good rest.
Lectures will be most every day, and weekly at minimum, because otherwise my procrastination-fu will probably keep me from ever getting this going, or continuing it.
Class starts tomorrow.