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Tales from the Field | Betsy Freeman, Nurse Midwife in Nigeria

January 8th, 2012 by Nurse Talk
Photo Credit Joe Carey

Nigerian children Photo credit Joe Carey

Founded by Christy Turlington Burns, Every Mother Counts is an advocacy and mobilization campaign to increase support for maternal and child health. They have created a new blog series called Tales From the Field stories from the front line where inspiring and dedicated people can share their experiences. The first installments feature Betsy Freeman, a nurse midwife who has spent the past 10 years working with underserved women, both in New York City and throughout Africa. They are heartrending:

I am two months into my six-month mission in northern Nigeria. My world here is small: base, hospital, base. I walk the path between them several times a day. At night our beat up Land Rover shuttles me back and forth bleary eyed. We work six days a week and I’m on call for two nights as well. Most calls I’m at the hospital for most of the night.

Our two main services here are emergency obstetrics and obstetric fistula repair. I spend my days and nights supervising the local midwives and managing the emergencies that come through the door. I have to step back from the experience from time to time.

It is, in a word, mind-blowing. Here’s a snapshot….

Last night I’m on call after working my usual day shift. I get called in around 11pm because there is an eclamptic patient who has blood pressures of 220/140, already being treated with magnesium sulfate. We give her hydralazine to bring the pressure down. She is fully dilated but comatose so we do a vacuum delivery with fundal pressure to get the baby out. As we are doing this delivery, I watch as the patient beside her, a postpartum eclamptic also starts seizing, also already on magnesium. We turn to her for five minutes push more mag, then the other one has a full on postpartum hemorrhage. We get both of them stabilized and I leave the hospital for about 30 minutes. Just as I’m turning off the light to go to bed, they call me back in.

This time I arrive to a woman sitting up in bed in respiratory distress. She is sweating, incredibly anxious, and has a hemoglobin of 1.7; she’s in pulmonary edema. Her oxygen saturation is 50% on oxygen. We give her lasix, blood, then more lasix. We roll her to our ICU, which is essentially a room very similar just down the hall. She lies next to the woman who is status post uterine rupture and hysterectomy and the postpartum para 16 (that’s 16 pregnancies!) who has malaria and typhoid and a suspicious chest infection. I’m home by 2am and have dreams all night about triage.

Read more about Betsy’s experiences or if you are someone you know would like to contribute to “Tales From the Field” you can submit your essay to info@everymothercounts.org. Every Mother Counts seeks to engage new audiences to better understand the challenges and the solutions while encouraging them to take action to improve the lives of girls and women worldwide.

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Rick Santorum is Wrong | 44,000 +/- People DO Die Each Year From Lack of Health Insurance

January 7th, 2012 by Nurse Talk

Rep. Alan Grayson, former US Congressman, wrote in the Huffington Post this week, Rick Santorum is Wrong. As reported by ABC News, in a speach at Christian college, a student citing a Harvard study published in the American Journal of Public Health, asked Santorum how he thinks God feels about all those Americans dying because they lack health insurance. Rick Santorum “replied, “I reject that number completely, that people die in America because of lack of health insurance.”

According to the study, 44,789 Americans die each year because they have no health insurance. That’s 1 out of every 6 Americans. Rep. Grayson put it this way, “If you take two Americans who are physically identical — same age, same gender, same race, same weight, same smoking history — and one of them has health insurance and one does not, then the one without health insurance is 40 percent more likely to die each year.”

Public health care option naysayers like to point out that people are not turned away at an emergency room. Grayson says, “I ask them to show me an emergency room that will provide chemotherapy to a cancer victim. There isn’t one.” He continues:

To answer that challenge, I started a website called www.NamesOfTheDead.com. I invited surviving family and friends to tell me about people whom they had loved and lost, because they had no health coverage. And they did — thousands of them.

Every single other industrialized country in the entire world has universal health care. Why can’t we? How many more people have to die? How many more sacrifices on the altar of Almighty Greed?

Any health care system that denies necessary care on the basis of wealth is evil. It doesn’t matter how you micromanage it, or tinker with it. It’s evil.

When Justice Harry Blackmun began voting against death in every death penalty case, he gave this simple and eloquent explanation: “From this day forward, I no longer shall tinker with the machinery of death.”

We need to reach the same kind of realization in health care. Forget about the tinkering. This is America, not Myanmar. People who are sick need to be able to see a doctor. Because we are human beings, not cattle. End of story.

Read Grayson’s whole article and the study for yourself and share the facts widely.

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Why Do Nurses Join Unions? Because They Can

January 6th, 2012 by Nurse Talk

By John Commins, for HealthLeaders Media, January 3, 2012

Lost for many observers in last month’s end-of-the-year hullabaloo was the annual Gallup Honesty and Ethics Survey which by a wide margin again ranked nursing as the most honest and ethical profession.

The survey found that 81% of Americans believe that nurses have “very high” or “high” honesty and ethical standards. It marks the 11th straight year—and the 12th time in 13 years—that nursing led all professions in the survey. Gallup says the only time nurses haven’t top the list since they were included in 1999 was in 2001 after the 9/11 terror attacks, when firefighters were ranked No. 1.

Not surprisingly, National Nurses United is well aware of the survey results and appears poised to capitalize on that hard-earned public regard.

“We hold that trust as a sacred bond with our patients and our communities,” Karen Higgins, RN, co-president of National Nurses United, said in a media release. “Patients and their families expect nurses to fight for them at the bedside, even when it conflicts with the profit motive of far too many hospital managers, insurance companies, and others in the healthcare industry who put the bottom line above patient interest.”

“For nurses, that obligation also goes beyond the bedside,” Higgins continued, citing the NNU campaign for “sweeping changes to heal our communities and nation, with a program for a Main Street Contract for America premised on jobs with dignity, healthcare for all, a safe environment, and support for public education.”

The union is also pushing for a Robin Hood tax on financial transactions to be levied against “Wall Street banks and other financial firms who created the current pain and suffering in our communities….”

NNU has smart, tough leaders and compelling “us-versus-them” and “patient-first” messages that resonate not only with the nurses they hope to organize, but with tens of millions of Americans who play by the rules and still feel like they’re getting a raw deal.

The union has gained considerable success and notice since it consolidated the California Nurses Association/National Nurses Organizing Committee, United American Nurses, and Massachusetts Nurses Association in December 2009. The “super union” now boasts more than 150,000 members within a national network and has won most —if not all—of the organizing efforts it has undertaken.

Savvy leadership and a compelling message—while important—are not the only keys to NNU’s success. Seasoned and tough leaders can be found in other unions that have not fared as well. In 2010, only 11.9% of the U.S. workforce was unionized, down from 12.3% in 2009. Unions have seen a mostly steady decline in membership since 1954, when about 28% of the workforce was organized, according to the Bureau of Labor Statistics.

Union supporters believe that more U.S. workers would join unions if they could. They don’t, the explanation goes, because these workers haven’t the leverage to bargain with management, especially in a weak economy plagued by high unemployment.

The frustrations and pressures that nurses encounter on the job can be shared with workers in other sectors from agriculture to retail to heavy industry. Bad bosses, declining wages, and benefits, job instability and lousy hours are not unique to a particular sector.

Nurses, however, know they are in high demand. They know they are not easily replaced. They know their skills—for the most part—cannot be outsourced. Because of all that, they know they don’t have to tolerate a dysfunctional workplace. They can vote with their feet and find a new job elsewhere, or they can vote to organize.

NNU’s success suggests that when workers are given the chance to organize, usually they will. That annoys a lot of people who want to believe that unions are no longer needed in this era of enlightened management.

Instead, union successes are dismissed as some sort of trickery such as heavy-handed organizing efforts that pressure non-affiliated workers to join. How else to explain the failure of management to contain NNU’s organizing efforts, other than to acknowledge the failure of management?

If NNU’s only purpose were to increase dues-paying membership, as some critics suggest, that is not necessarily a grand deception on its part, and it does not explain their success. Nor is it explained by the suggestion that unions now hold some momentary advantage thanks to a temporarily pro-labor tilt on the National Labor Relations Board.

The explanation is simple. NNU is succeeding because many nurses—like many workers in many sectors—believe that nobody else in a position of power and influence is looking out for them. The only difference is that nurses are in a position to do something about it.

John Commins is an editor with HealthLeaders Media. He can be reached at jcommins@healthleadersmedia.com.

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A Personal Account of Alzheimer’s. Donna Smith with a Look Back on 2011. Comedian Lynn Ruth Miller Unplugged and Out of Control. Hiatal Hernias.

January 5th, 2012 by Pattie Lockard

Happy New Year from all of us at Nurse Talk…where laughter is the best medicine.

So much happened this past year: nurses joined the protests in Madison, Wisconsin; went on to the nation’s capitol to march outside the U.S. Chamber of Commerce; hit Wall Street to demand a transaction tax—before Occupy even pitched a tent; announced the Main Street Contract; fought for RN-patient ratios; joined world leaders at the G-20 summit in Cannes; and 20,000 RNs staged a one-day walk-out against Sutter Health Corp. in Northern California…whew! And all the while spending 40+ hours a week caring for their patients. Not a surprise that for 1th straight year—and the 12th time in 13 years the Gallup Honesty and Ethics Survey again ranked nursing as the most honest and ethical profession by a wide margin.

Cheers to the nurses!

Barbara Taylor Vaughan with her daughter and caregiver, Melissa.

On the show this week…Casey reads from a blog post—a first hand account of what it is like to know you have Alzheimer’s written by 89 year old Barbara Taylor Vaughan, Putting A Face on Alzheimer’s. Barbara started a Facebook page to facilitate an open dialog about the disease. She  hopes educating others will inspire them to volunteer to help ease the suffering of those with the disease, families and caregivers. Host Casey has also had first hand experience with Alzheimer’s and knows the heartbreak all too well. Her mother (who was an RN) died of Alzheimer’s in 2009.

AND…She has been hailed as the “Meryl Streep of nurse activism”, our great friend and D.C. correspondent Donna Smith adds color commentary and perspective to our 2011 year in review.

Lynn Ruth Miller

Lynn Ruth Miller

If there were a radio jail…we’d be in it! After comedian Lynn Ruth Miller gets together with Casey and Dan—there “is” no “is” left in “is”! Lynn Ruth makes some predictions for 2012 and that is where the mischief begins! For the record I did my best to intervene—as did our sound designer. The bleep button only goes so far.

Coming up in 2012—Nurse Talk Live…on stage! Yes, that is what we said. Cameras in the studio? Yes, that is what we said!

We want to hear from you—feedback, ideas about guests or topics. Pattie@nursetalksite.com. Check out our blog at or visit our Facebook page.

You can listen every week in the Boston area on station WWZN 1510AM every Saturday at 11 am EST or live stream at www.revolutionboston.com and in the San Francisco Bay area Sundays at 2PM PST on KNEW 960AM or live stream at www.960knew.com. Check out the iHeartRadio app for free and live custom radio. You can also download and listen to any show anytime here at NurseTalkSite.com or on iTunes. Like us on Facebook, and you can listen there too.

Remember, laughter is the best medicine.

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A Chance to Give from the Heart | The Importance of Bedside Manner in Health Care

January 4th, 2012 by Bobbi McCarthy, RN
Bobby McCarthy

Author, Bobbi McCarthy

The ER was in a rare state of calm…several patients being tended to but NO chaos!!  I was assigned to the patient coming in by Delta~ I prepped the room and waited. The patient arrived, awake but tearful.  His wife was with him. It seems the patient was having pain in an area that he hadn’t had pain in a while—his cancer treatments had been over for several months—he is awaiting a second opinion. His complaints were pain, loss of appetite, and dry mouth.

As I cared for him he talked to me. He told me of his life, many children and several new grandchildren, how he and his wife cared for his ailing father who recently had passed away.  He cried, a lot.

He began to tell me how he felt failed by the caregivers in his cancer care.  He shared with me that he only saw the primary doc 4 times in his many months of treatment and that he was seen by varying other PA’s or NP’s.  He was very upset over the “many times the doc would see him in the waiting room and just walk by, without a handshake or a how are you?”  We talked about this…he told me that very few of his doctors and nurses had the “gift” of bedside manner.  “So many nurses and doctors just see me as a pain in the ass and someone to rob them of their time.”

Two liters of saline, pain meds and many minutes of hand holding at the bedside garnered me the real reason for his ailing health.  Four days ago his 2 teenage grandsons were killed in a car accident…Christmas day. (I do have his permission to talk about this.)  The tears would not stop…his pain increased…but he continued to tell me about them.  His wife sat off to the side, wiping her own tears.

I was granted an unusual amount of time to spend with this man that night in the ER.  He needed me; he needed my hand, my heart and my time.  I thanked God several times while this man was talking to me—for the gift of time. Time is so unusual in the ER…but this is the treatment that this man needed.  Sure the narcotics and the fluid replacement helped…but it was the human experience that made the difference.

When he was in the wheelchair ready to be discharged home he hugged me and looked me in the eye and thanked me for my “bedside manner” and for “caring about what happened to me.” “You, my dear, have the gift of bedside manner,” he told me.  It was my turn to shed a couple of tears!

I don’t tell this experience to toot my own horn.  I tell it because it is such a powerful example to me of what you see at first is not usually what the problem really is, and how important it is for patients to feel cared about by their providers. It is a rare blessing for my ER gang to have the minutes they need to sit with a patient and have the time to establish a relationship so that the patient feels comfortable enough to share the real reason they are ill. Unless we have to intervene with life saving measures initially, we need to remember that they need our presence first…

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Are You On Fire?

January 2nd, 2012 by Amanda Trujillo, RN, MSN

Much like a forest fire, our spirits can experience a natural disaster.

A forest fire is destructive and dangerous, it wipes out all that is good and healthy and beautiful. It exerts its power and overwhelms everything in its path.

In nursing many of us come to a point in our career where the fire has overwhelmed our soul and we haven’t realized it or stopped to take a moment to appreciate the toxicity of the smoke surrounding us. We may fail to do the important growth work that is so integral to how we care for others. We forget to periodically evaluate our own forest—to look for the old and the brittle, the dry bushes, the dry earth, the lack of flora.

When we care for others it is so easy to forget what your forest looked like when you began your walk on the nursing trail. Our time is devoted to service for thirty six hours and then we go home for four days and spend half of that catching up on sleep and then the rest of it running around like mad to get all of our errands taken care of, the bills paid, the kids to where they need to be. Keeping our insides nourished is not on the priority list.

Combustion in nursing can have many causes. There are issues innate to the work. We care for our fellow man…and care….and care…and care some more. At the end of the day…or six years…or twenty years, we may have lost the vitality and possibility that were once in abundance in our own forests. The shady trees are gone, the creeks have emptied of fish and water. As he does in nature, man can keep taking until everything is gone and then stand before a desert and wonder what happened. Our patients take from us—our strength, our love, our hope, our compassion, our patience and they forget (as do we) that our resources can run dry.

If  you’ve taken a look inside and realized there’s only a desert left…well then, it’s time to plop down in the middle of that desert and look around you for signs of life. It’s there, and when you find it you will know what to do to grow your forest again. Is it time for a change in nursing specialty? Are you passionate about educating nurses or people? Maybe you’ve been ignoring the desire to get involved and learn more about nurse politics. Whatever that little piece of greenery inside of you is—don’t underestimate its strength and possibility.

Not only can we be drained by caring for patients, we drain each other by the way we treat one another. Humans are very good at setting fires not just in nature but on the inside of each other. Nurses are experts. If rangers knew about us we’d be banned from natural parks all around the country. Instead of helping to put out fires within each other to save the good things and help them grow stronger—we may throw matches in the middle of the beauty and watch destruction happen.

It’s called HORIZONTAL VIOLENCE…STOP!…. Look at the nurse next to you and don’t look at him or her as merely a person, but as a very important part in the balance in nature. When you do this it’s a reminder that all living things need nourishment and careful attention and handling. What can you do to add to another nurse’s forest so it flourishes? Make an effort to discover something new about the nurse next to you. What’s unique about them? As you would stop and admire a rare flower on a trail, admire the something new and different about the nurse sitting next to you. “Wow, look at this rare flower, there aren’t any others like it! How cool is this!” SHARE admiration with the nurse next to you. You’ve just now made a small contribution to their spirit and to the resources he or she will have to provide care to others.

Amid the destruction, fires also clear away what is no longer useful. They can be a source of renewal. They rid the earth of the old so that creation can begin again. Where there is destruction and ruin there is also the possibility of creation. Things may never grow back the same or in the same place, maybe there will be some completely different species of plants that crop up that have never been seen before. There is beauty in a recreating oneself after a fire, reevaluating the remnants, deciding what’s necessary to keep and what’s necessary to “let go.” Our work as humans is not static. Life and change are one in the same. You will change, your heart will change, your colleagues will change, and your dreams and goals pertaining to nursing will change. We don’t have control of change, for the most part. But as nurses we can put out the forest fire burning its way through our profession.

The next time you are at work, GET OVER the workplace politics, the gossip, who is answering the most call lights or who is getting the best assignments, who got to be resource nurse for two days in a row, or who took five minutes too long on their lunch break. These are the matches and the gasoline in our profession. When you find yourself engaging in these behaviors—remember you have the power to save and nourish the forest around you or the power to contribute to its destruction and the depletion of your own inner forest. It takes a few seconds to water a plant or flower at your house. If we all took just a few seconds a day to provide some water and nourishment and soil to one another as nurses…just imagine how insanely, blindingly, beautiful our forest would be…and its future.

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Happy New Year!

December 31st, 2011 by Pattie Lockard

Happy New Year. We wish you lots of laughter and renewal in 2012. We will do our best to contribute toward the tickling of your funny bone. Take on caring for yourselves as well as your patients. We liked a post by our Facebook friend, Nurses Interrupted with some ideas on how to make microchanges to help transform the workplace through transforming our relationships with one another:

Ask yourself this question before you go in for a shift: “When was the last time I put my hand on someone’s shoulder and told them thank you?” Its okay to nurse each other—it just takes a simple touch, making eye contact, a smile of reassurance—all those things take just a moment in time, but they have the power of changing your workplace…and your profession. You never know who might *really need* that reassuring human contact from a colleague…

On the show this week we replay of our interview with Dr. Connie Mariano who was nominated to the rank of Rear Admiral by President Bill Clinton and eventually served as the White House Physician for President Clinton and President George W. Bush. She has written a wonderful book called The White House Doctor, a riveting look into the personal lives of our presidents. Dr Mariano has also achieved an impressive list of “firsts” that include being:

  • the first military woman to become the White House Physician to the President,
  • the first woman Director of the White House Medical Unit, and
  • the first Filipino American in US history to become a Navy Rear Admiral!
The White House Doctor by Dr. Connie Mariano

The White House Doctor by Dr. Connie Mariano

NURSE TALK IS GROWING…GROW WITH US. ADVERTISE to our active and engaged audience. Email to reserve your spot on the air or online: pattie@nursetalksite.com.

You can listen in the Boston area on station WWZN 1510AM every Saturday at 11 am EST or live stream at www.revolutionboston.com. Our San Francisco Bay area station is the same, but with new call letters: we broadcast on Sundays at 2PM PST on KNEW 960AM or live stream at www.960KNEW.com. You can also download and listen to any show anytime here at NurseTalkSite.com or on iTunes. Like us on Facebook, and you can listen there too.

 

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A Heavy Heart | Where’s the Moral Compass for Informing End Stage Patients?

December 28th, 2011 by Bobbi McCarthy, RN
Breakwater, Photo credit: Johnny Berg

Fighting the fight is all well and good until the fight needs to be ended…ended in time to allow for time…

I cannot get into specifics but I have a question for all of you fellow nurses. What do you do when you have a patient that is young, experiencing end stage metastatic cancer and they do not know it. The oncologist has not given them the realistic and total picture of their disease process NOR have they been given the tools to deal with the fact that the treatment they are undergoing IS NOT WORKING.

I worked in hospice many years ago and I had a bitter taste in my mouth then, as I do now, when the oncologist continues to throw one chemo/radiation therapy after another at a person who is just getting worse… and then they die in the midst of treatment and everyone around them, including often times their children and spouse are left with the thoughts of “but they were getting better….the doctor said the treatment was hopeful.”

While I was a nurse in the hospice world I had a voice and I could council my patients as they directed me to…I could also have a voice with the team that was treating the patient. I often feel left out in the wind while working these people in the ER. My role as the ER nurse is to deal with the situational issues that arise with this patient population, not to have a role in their treatment plan. I feel like I’m standing in the corner of the room with duct tape on my mouth and my hands tied behind my back…watching from afar as this confused, sick and often times dying patient enters our doors and needs help…and the most sickening part is they and their families are so unaware of what is truly happening.

As a nurse we have the obligation to provide the total and holistic range of care that each of our patients needs and deserves…I cannot help but wonder where the moral compass points on this issue for both nursing and with the medical professionals who treat these types of patients. The “never give in and never say die” attitude with which many oncologists practice is all fine and good to encourage hope and strength in the patient population, but when is it okay to tell the patient the truth from the facts of their case… I know that it is a struggle of thought that when you tell the facts…the patient may lose the will to fight or may give up…but what if that patient and their family needs that information to stop the insanity and come together for some last weeks of time with saying goodbye?

Each person that we come in contact with has the right to be told the truth of their situation…and sometimes that truth is, “we have done all we can do and now we need to make you as comfortable as possible so you have some good weeks left to be with your family, free from treatment and free from pain, to have the strength and mind to say goodbye. Fighting the fight is all well and good until the fight needs to be ended…ended in time to allow for time…

What is your experience?

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Lending A Hand | A Nurse’s Occupational Hazard

December 26th, 2011 by JoAnn Spears RN, MPA

Before I was a nurse, I had occasion to be a young patient.

I had a brief but painful procedure to undergo. My nurse was named Anne. She told me that if it hurt, I should just go ahead and scream.

It was nighttime, and all the other patients on the floor were asleep. It must have been the incipient psych nurse coming out in me; I was determined that those other patients not be woken up.

“I’m not going to scream,” I said gamely.

“Well, then, here’s my hand, squeeze it really tight if you need to,” Anne said, resting her right hand in mine.

I needed to, all right. I squeezed really hard, and I screamed anyway, waking all the other patients and probably a couple of the dead down in morgue, not to mention shattering a few glass pipettes down in the lab. I also suspect that I broke a couple of small, unnamed bones in Anne’s hand; as soon as it was all over, I could see that it was already turning purple.

I remembered Anne when I was a student doing a rotation through a same-day surgery unit. They were preparing to do an I&D on a man with a badly suppurating scrotal abscess. It was a dead heat as to what was absolutely the worst thing about the situation: the sight, the smell, or the man’s embarrassment at having a skinny little nursing student in the room. I remembered Anne, gave the man my hand, and told him to squeeze it if it hurt.

It had to have hurt him, bad. He squeezed my hand, hard. Really hard. Hard enough to keep himself from screaming. The fact that he was able to endure the pain in silence seemed to give the man some of his dignity back. The fact that I hadn’t flinched in spite of a badly bruised hand somehow righted my own undignified scream of years before.

Lots of research has been done about the occupational hazards of nursing. Back injuries in our Orthopedic colleagues. Workplace violence experienced by our ED sisters and brothers. Teratogen exposure faced by our Oncology nurses. The effects of shiftwork on the graveyard crew and the Baylor cohort.

I don’t think anybody’s ever put any research effort into our hands, though. Since the ‘squeeze my hand’ thing is so intuitive and universal in nursing, I think it bears investigating. Maybe we could all volunteer our hands for X-ray, and see how many of us are carrying around old fractures of our phalanges, carpals, metacarpals, and sesamoids. I have a feeling that many of us would turn up positive for Big Squeeze Syndrome.

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This Week: Bonus Podcast on Sutter California and Long Beach Memorial Walk-out and Best of Nurse Talk

December 21st, 2011 by Pattie Lockard

This week we have a special bonus podcast with Sharon Tobin, RN and 23 year ICU veteran at SUTTER MILLS PENINSULA HOSPITAL talks with Nurse Talk about the upcoming one day walk-out at Sutter hospitals in California. What has happened to big hospitals? Sharon says Mills Peninsula in Burlingame was once a wonderful community hospital, is now a shadow of its former self. LISTEN TO FIND OUT MORE ABOUT THE ONE DAY WALK-OUT AGAINST SUTTER SET FOR THURSDAY, DECEMBER 22.

Happy holidays to you all. We are rewinding one of our best this week while wield the hot glue gun with care to finish up our last-minute gifts. Plus, we think its important to keep asking, “Who’s Your Doctor’s Daddy?

Our friend and Capitol Hill correspondent Donna Smith (legislative organizer for National Nurses United) says that while healthcare giants buying up hospitals is not new…now they’re also buying up the doctors. This in and of itself doesn’t seem too surprising…but Donna tells us the reasons all of it is disturbing, confusing and something everyone should know about. Do you know who owns the medical facility you have or will be treated in? Do you understand the paperwork you sign when you are admitted to a hospital or clinic? Check it out.

RN, MBA Patricia Raya and Corine Mogenis

RN, MBA Patricia Raya and Corine Mogenis

AND we have powerhouse medical paralegal and co-author Corine Mogenis with us to talk about a new book she and partner RN, MBA Patricia Raya have written called Medical Tips from the Inside: Things You Need to Know. This book is a must have and includes topics such as, how and why you should get medical tests from your doctors, the patients bill of rights, having an advocate with you, what to do if you are diagnosed with a serious illness and much more. Corine steps up with vital information during her conversation with Casey and Dan.

Plus all the other craziness…news, Square Needle Award, Phobia of the Week, and email questions. What’s the difference between a head cold and a chest cold? It may seem obvious but…Listen in.

You can listen in the Boston area on station WWZN 1510AM every Saturday at 11 am EST or live stream at www.revolutionboston.com and in the San Francisco Bay area Sundays at 2PM PST on Green 960AM or live stream at www.green960.com. You can also download and listen to any show anytime here at NurseTalkSite.com or on iTunes. Like us on Facebook, and you can listen there too. Remember “laughter is the best medicine!”

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