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Messages By: oregonboysmom

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upset
April 1, 2008, 9:17 pm PDT

Notes from a hospital nurse

After this show I will be even more vigilant than I am with my handwashing/"foaming". I have a good knowledge of MRSA but hearing about the child that died made me cry.

 

In the ER I see patients EVERY day that come in with "spider bites" that are infected. Many of these people are touching them while describing their problem. I ask them if they have been "messing with" the wounds and most say yes. Many have been trying to incise/drain at home with needles and who know what. So their hands with the bacteria are who knows where in the community. I am frequently told the whole family has it and they don't know why...........duh! These same people are coming in and visiting people in the hospital.

 

Hospital acquired MRSA is rampant as you all know now. At our hospital anyone that has it has their chart "tagged". Next time they are admitted they go into isolation until they have three (I think) clear swabs from their nose, axilla and groin. It is hard on the families, especially to have to gown up to visit their loved ones, especially the elderly.

 

We have foam containers outside all of the rooms in our ER. When a patient comes into me with  an abscess the first thing I do is give them some foam for their hands and some for me (a little foaming party) before I put my hands or equipment on them. They are sitting in the waiting room, their infected kids running around touching everything; you get the picture.

 

A lot of the patients we see with Community Acquired MRSA are the uninsured; they of course can't see a primary doctor and are usually pretty bad when they come to us because of the cost. So they have been out spreading it for quite a while., living in cramped quarters, many are hygiene challenged. I have said for 30 years that there should be "hygiene stamps" (like food stamps) That is one of the last thing people with little money can purchase.

 

 

 

Here is a question for you..................in studies of handwashing in the hospitals who is the worst about washing their hands between patients and procedures?  Surprise, surprise it is the Physicians. They go from patient to patient, carrying charts, touching the patients.

 

If you are in the hospital ask your nurse or Dr. ......did you foam or wash your hands before coming in to see me? Don't be embarrassed...just do it. Your life may depend on it. I might even refuse anyone's touch if they were not wearing gloves!!

 

All that school cleaning is impressive but it only lasts until the next person comes by and leaves more bacteria on the clean area. I guess we need time released cleaning agents.

 

I must say I was disappointed to see Dr. Sears palpating that child's wound with an ungloved hand-yuk. I am guessing (hoping) it was healed but it was still creepy to see.

 

We human beings have done this to ourselves by our demands for antibiotics for every sniffle and not finishing the ones prescribed.

 

Foam out people!

 

 

 
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April 1, 2008, 9:19 pm PDT

notes from a hospital nurse

Oh, yea I forgot to say~another place we see a lot is in the pubic area..........the ones that have been shaved and waxed. Anytime you interrupt the integrity of the skin you are inviting into your body what ever bacteria is in the neighborhood.

 

foam on~!

 
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April 1, 2008, 9:28 pm PDT

04/01 The Superbug

Quote From: mommyrock

We had never heard of this super bug.  Or at least we hadn't heard it called MRSA.  My sister would break out in these open wounds.  We thought she was getting infections from cutting herself shaving or something.  She went to the doctor to have it drained and then back again and then more break outs.  That was 3 years ago and I just found out maybe 6 months ago while taking her to the ER for a wound on her leg that was so painful she couldn't walk that what she had was MRSA.  I guess she's known for a while that is what it's called, but the doctors never made a big enough fuss about it to cause her to think she should be letting her family know.  Here's the scary thing.  My sister gets very serious in grown toe nails and goes bi weekly to have pedicures done on her feet to have them dig out the in grown nails.  If they accidentally cut her while digging out the nail, the bug has not spread.  So if the next person gets cut with the same tool, they will be infected.  I'm sure most of us know that nail salons aren't always the most overly sterile.  But even if they were...hospitals are supposedly the most sterile places and that is where my sister contracted this bug.

We determined that my sister contracted MRSA in a hospital while having surgery on her wrist from a work related injury.  I have to be honest and say that I lived with my sister for a year and shared a bathroom with her while she had it and I never contracted it.  So it's hard to know how freaked out about this that I should be.

It's just frustrating that there is no answer.  The people who have it must feel like lepers or something.  And those who don't (like me) feel guilty for wanting to be hyper vigilant to make sure myself or my children don't get it.  My sister has no kids and loves having my daughter over to her house for slumber parties and every time the MRSA is always in the forefront of my mind.  If my daughter has any type of open wound, I make up some excuse that she can't go.  Because I don't want to come right out and tell my sister the reason why my daughter can't come over.  If the solution for prevention is really as simple as washing hands, then how are people getting it from hospitals?  So what is the solution for preventing it from spreading.  How do we keep our family safe without ostracizing one of our family members who has it.

On a more positive note, my other sister is a Licensed Vocational Nurse and she works in Folsom Prison.  So she deals with MRSA on a daily basis.  She just got finished telling me that the media makes a bigger deal out of it than needs be.  She said as long as the person who has it is keeping clean, covering the wound(s), and taking the prescribed meds then the risk of that person spreading it is minimal. 

Sorry, but I just don't think there are enough definitive answers about this and it seems like the power of whether is spreads or not is in the hands of those who already have it.  I'm only 29, so as long as I've known about AIDS, it's kind of been no big deal.  But I'd imagine that when the general public started to first hear about AIDS that what I am feeling right now about MRSA is what people felt about AIDS.  Those who have it have all the control.

People are getting it from hospitals because of poor handwashing between patients!  Also from visitors that are touching the sick patients and all sorts of other places. Visualize an elderly patient walking down the hall; holding on to a handrail that has been touched by someone with MRSA on their hands.

 

I don't know where the myth comes from that hospitals are the most sterile place........that is where all the sick and infected people are. People let their children run barefoot and roll around on the floors in the waiting room. No matter how good the housekeepers are it is only clean until someone comes along and leaves more bacteria there.

 

foam on!

 
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surprised
April 1, 2008, 9:35 pm PDT

I disagree with the disagreement :)

Quote From: poncki

I am sorry to disagree with you.  I also have a very close member in my family who is in the medical field.  If they have a patient/referral that really needs to be seen (as in Stephanie's case) and they are overbooked already, they make time to see the patient, if it be before office hours or after or whenever they can get the patient in.  That patient is seen and I mean ASAP.  Sorry to say that is NOT NORMAL, more like insane for a doctor to run his practice in that manner.

 

An added note....I myself have worked in hospitals for many years.  I made appointments on a daily basis for many of our doctors.  Never would we have a patient wait a month for an appointment that needs immediate attention, as in Stephanie's case. 

 

Thank you Dr. Phil for getting help for this girl and soon.

I have to disagree with the person who disagreed first! Stephanie has a CHRONIC  problem with her MRSA and has been aggressively treated. She has been referred to an "infectious disease specialist" for a chronic problem, not an acute (emergency) one. One month is not an uncommon time to wait for an appointment with a specialist.  It does seem like a referral might have been made sooner; but we don't know the details of her course of treatment, has her Dr. consulted by phone with another etc.
 
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April 10, 2008, 12:19 am PDT

Re: germaphobic

Beyond the psychologic implications of the OCD and the affect on her daughter is the health risk for herself and family. Excessive use of antibacterial agents cause breakdown of what is called the "acid mantle layer" that protects you from infection. Chapping and cracks are like a wide open door for bacteria which can cause infections........................remember the show on MRSA everyone?

 

I raised two boys that were into everything and I only had anti bacterial soap in the bathroom used by their friends. The bacteria is cleaned off the hands and whatever by the friction of the soap and water; antibacterial agents not needed. I do use liquid soap in the pump dispensers because I think the bars are disgusting when used by multiple people. Sometimes it is hard to find just plain soap.

 

In the hospital I use the antibacterial foam for but I don't use the antibacterial soap and water because it wreaks havoc on my skin when used at least 40 times per shift.

 

foam on people!

 
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ecstatic
April 10, 2008, 12:27 am PDT

Great comment

Quote From: goodwife2

Please have compassion for little Jaya's mom!!! She is doing the best she can. THE TWO OF THEM NEED MARRIAGE COUNSLING BEFORE THEY EVEN TRY TO COME TO A DECISION ABOUT JAYA!!          She is the one who has found, met with and gotten the information about her son's condition. Her husband has left her alone with tis heatbreaking decision. When I gave birth to my son premeturely we were faced with many medical issues. My husband stopped talking to me as if it was my fault. My son was blind and I was left to seek medical opinions, treatment on my own. I wanted him to be a part of our decision making but he was MIA. At a time when I needed him he wasn't there. I finally 3 years later, got him in to marriage counsling . Our marriage is hanging on a thread as we deal with all the resentment and hurt we both have. I pray the two of you find a good marriage counsler. Precious jaya's needs both his mother and father!!

This couple most definitely need some counseling to save their marriage. Working as a Pediatric Nurse for the first 15 years of my career I saw numerous marriages torn apart by chronic illnesses and congenital problems. Back "in the day" counseling for these issues was not common but I imagine it should be now. It breaks my heart to hear an obviously bright 3 year old even talking about cutting off his legs. Way too much information and involvement for him.  He will grow up to be an emotional wreck if his parents don't get on the same page and work as a team on this.

 

p.s. Love ya Dr. Phil but I can't believe you called him  the cutest "thing"...know you didn't mean it that way but it jumped out at me

 
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April 10, 2008, 12:33 am PDT

I coulda had Einstein children!

Quote From: fromthesquare

That doctor better watch what he says next time, huh?  I breast fed until my babies got teeth- 'Nough said!

Both of my sons breast fed for only about 5 months, their choice. They are very intelligent college students; imagine if I could have kept them breast feeding for another 4-5 years-they could have finished college by the time they were `16 and saved me a lot of money; cause someone probably would have paid for it instead of their dad and I and they would be supporting us now instead of us supporting them!!!  Darn I wish I would have know that 20 years ago.

 

I am going to pass this new found 'learnin along to my pregnant daughter in law!

 
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sad
April 10, 2008, 12:38 am PDT

Don't judge the mom

Quote From: youngphyllis

My heart goes out to little Jaya.  I cried watching him on he program and dreamed about him last night.  I can't believe this mother would even consider removing his little legs.  I wish there was something I could do to help but now I know my prayers are the only answer for his legs to be saved and I know that the future will prove this mother wrong in her desire.  I still believe in miracles!!

This mom is trying to make a decision with the information she has researched and should not be judged at all much less harshly. What a difficult decision to even consider but done with love and the purest intentions I would think.

 
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April 10, 2008, 12:41 am PDT

who wears the pants?

Quote From: danaj516

I think I joined many people watching about this little boy whose mother wants to amuptate his legs.  My first reaction was  "What is wrong with this woman?"  I think she needs counseling to help her work through her problems, for indeed she has a few.  She stated that it was a lot of work to care for the child;  if he has no legs, the work will increase.  She appeared to be an inflexible person, wanting only what she wants and not what's best for the child.  She reminds me of a child throwing a temper tantrum for not getting their way.  OR...could be she wants the child to be permanently disabled so she can get the sympathy of others.  Seems to me she needs to pay attention to how the child uses his legs, which he does.  Can't you get the child affiliated with March of Dimes or St Judes to provide him with therapy and equipment to help the legs strengthen and eventually walk?  I think the potential is there, and it would be well worth the time and effort on everyone's part.  The other thing I thought about when I watched this segment of the show was....who actually wears the pants in that house?  I HOPE that Dr Phil's show will follow up on this child.  He deserves a better chance than his mother wants to give him.

HELLO............ARE WE BACK IN THE 50s HERE? I can't even believe I am seeing that in print in this day and age!
 
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April 10, 2008, 12:49 am PDT

Responsible parent?

I will take Dr. Phil at his word that Alisa is a "nice person" based on all the info he has on her that he didn't share in the program but I can't believe he used the phrase "responsible parent". As he  always says "children learn what they live" and she made a point to raise a daughter that disrespects and verbally abuses her father. I am guessing he isn't shoving the several thousand calories per day required  to maintain her weight down her throat. Brings new meaning to the word dysfunctional.
 

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