Doctors Order 1994-2023 Form
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FAQs doctor order form
Have you ever gone to the doctor and they ordered a nurse to do a blood draw only to find out they stuck a needle in and around your arm long enough to fill 5 test tubes of blood but they didn't even get a drop (I always turned to look away)?“Have you ever gone to the doctor and they ordered a nurse to do a blood draw only to find they stuck a needle in and around your arm long enough to fill 5 test tubes of blood but they didn't even get a drop (I always look away)?”I'm going to answer your question with a question initially.Why on earth would a nurse do that? What would s/he achieve by doing that? The answer, nothing. A nurses duty is to care for and protect their patient, not ordering required tests does not achieve this.Of the many nurses I have met, none of them would even consider doing something like that. If a patient requires blood tests, blood must be drawn. If no blood is taken when it should be, the nurse in charge of that patient will likely get in trouble as they're failing to provide the required care/treatment of their patient. This is medical neglect, nurses can loose their licence and go to jail for something like this.So, No. A nurse would not pretend to take blood from a patient for any conceivable reason.
Has anyone been born without a brain?In the literal sense, yes. Cases like that are called hydranencephaly, where the hemispheres don't develop. These concern mainly kids, and I have a slight aversion for showcasing kids in such a manner. A notable example is shown below. This is an image of a child born with only a brain stem, he was born in 2013 so there’s little to say about what he can or can’t do, but most likely he will have quite some problems in life (if he makes it, since many of these kids don’t grow that old).The oldest that these kids get is a few years, with exceptions that grow to be 6 or 10. Functionally they tend to be very limited.Hydrocephalus is a different scenario where the brain is filled with fluid. Here the presence of fluid is devastating to the surrounding tissue. In the case below the mother was told three months into the pregnancy that her son had an array of health issues. Among those issues was spina biffida and hydrocephalus. This child was born with just 2% healthy tissue. The parents were told that survival was unlikely, were offered termination, and they were pretty much looking at coffins.But against all odds this one made an astonishing recovery. After three years of not knowing if he'd survive a check up revealed the brain bounced back and is now fully functional, albeit having some disability. The recovery is thought to be largely caused by the relief of pressure when the fluid build up was shunted.In a less literal sense, we can broaden this to see to what extent humans can function with the loss of brain matter. If the brain gets time to cope with the loss gradually, rather than sudden damage or never having it in the first place, things turn out differently. This last case isn't a child.There once was a 44 year old man in France who had some muscle weakness in his left leg. He couldn't find a cause and was rather uncomfortable, so he decided to go to the local hospital for help. The man led a normal life, was a civil servant, had a wife and two kids. There was nothing peculiar about him, except one thing. As an infant he had hydrocephalus (water on the brain), this was treated using a shunt that was removed when he was 14.Perhaps this wasn't very successful, it had been 30 years. So to be safe the doctors ordered CT and MRI scans and found this.Literally a head filled with water. The black areas should look like the image to the right, but instead are filled with Cerebrospinal fluid. All areas were shrunken down into the strip along the outside.This case, and the ones before, defy everything known about what it takes to be alive. Sure this man wasn't a genius with an IQ of 75, but he was functioning quite well. He had memory, speech, emotion, thoughts, the whole shebang.His case shows the incredible plasticity of the brain. If so much damage was done in a short time the brain wouldn't be able to cope and you'd die. But this case most likely took years and years to develop, giving the brain ample time to adjust and rewire essential functions. The second case shows how durable the brain actually is, bouncing back from 2% to fully functional in a few years.It's quite extraordinary if you ask me, showing off the power and adaptability of biological systems.Reference http://www.thelancet.com/journal...
What do doctors wish patients knew?Plenty.FirstDo I seem to be trying really hard to convince you to let me prescribe your teenage daughter birth control? Maybe your daughter complains of irregular or painful periods?I know you filled out her health history and wrote that she’s never been sexually active, but when I brought her to the bathroom for a urine sample I asked her in private. She’s been sexually active for a year and using condoms inconsistently. She has no plans on telling you this, but she definitely needs birth-control.So let me give it to her for her painful menses. Remember, most girls do not talk to their mothers about their plans to become sexually active.On a related note, please do not yell at me for ordering “unnecessary” gonorrhea and chlamydia testing on your daughter. I probably have an excellent reason for ordering it.SecondYes, I use an electronic medical record system. No, it is not the same system used by your primary care physician, or your endocrinologist, or the two different ERs you’ve been to recently, and they do not speak to one another. Please don’t chew out my nurse when she asks you which medications you take because “I’ve already filled that out at my other doctors office!”ThirdNo one cares whether you shave or wax your pubic hair. There is zero need to apologize if you didn’t. I’m not sure when everybody decided this was mandatory, but it (anecdotally at least) seems to be increasing the frequency that we see vulvar abscesses.FourthIt’s not always a yeast infection.So you’ve had vulvar burning for two weeks and have tried two rounds of monistat with no relief. Now you're calling my nurse requesting a “yeast pill”.It’s not always yeast. In one study, women were only able to accurately self diagnose a yeast infection 40 to 50% of the time.It’s often inflammation from an allergic response to a strongly perfumed detergent or soap or fabric softener. Sometimes it’s an allergy to all the topical stuff that you were putting on it (like monistat or steroids).Sometimes it’s bacterial vaginosis. A reasonable amount of time it’s a herpes outbreak (and you didn’t even know you had herpes).Speaking of herpes, it’s really, really, really common. Much more common than you imagine.FifthOh, and it’s not always your thyroid either.Many patients complain of fatigue and weight gain. Many are convinced that it is their thyroid despite all laboratory evidence to the contrary. So they keep asking for increasingly expensive and specialized thyroid testing.SixthThis one is for the husbands and partners of my patients.I can’t “check her hormones” and find a simple solution that will make her want to have sex with you. Sexual desire in women is very multi-factorial. If a woman is tired, overworked, resentful, etc, sexual desire is one of the first things to go. Even in ideal relationships, one study showed that after a woman had been with a sexual partner for five years or more, her spontaneous sexual desire drops to about half of what it was in the beginning.We do have a new (and only) medication for hypoactive sexual desire disorder in women, but the last time I prescribed it to a patient it was going to cost her $1000 at the pharmacy. She laughed in the face of the pharmacist and walked out. So I think most people can forget that option for now.SeventhFacebook is not a super accurate source for medical information.I’m sure someone out there had an absolutely horrific experience with an IUD (and that’s the person most likely to write about it) but it’s my job to try to put all of the risks and benefits in perspective for you. It’s more useful to look at the experience of 10,000 people taking a certain medication rather than just one.Also, lemons don’t cure cancer.EighthI get no kickbacks of any kind for prescribing any particular medication and especially not for vaccinating. I keep seeing this meme on Facebook claiming doctors have a compelling financial interest in giving vaccines. I’m still waiting on my check.FinallyYou and I have the same goals. I want for you to be healthy, I want the medical problem you’re having to resolve, I want you to have a safe delivery etc.But I make mistakes. Sometimes my first impression is wrong. Some of the medical information I tell you is wrong (only no one knows it yet).I want you to know that I only want good things for you, and I’ll do my best to get you there within the current limits of medical understanding.
Which MCU movies can be watched as a standalone (without watching any other MCU movie)?This answer is not binary. With the exception of three movies, all the MCU films rely on previous ones one way or the other.I have made a comprehensive chart here. From top to bottom, ordered by release date.All the arrows connect a lower movie to an upper one. If a movie does not connect with any higher movies, it is independent.A dotted arrow means the lower movie references the upper one, but not in a way that signNowly influences the plot. You can probably watch the lower one without the upper one.A dashed arrow means the lower movie relies on the upper one in a plot-influencing manner, but nothing that cannot be explained in a few words. Depending on how well you can fill out knowledge gaps with your imagination, you may or may not want to see the lower movie before the upper one.If you liked The Last Jedi, you may be more able to watch the lower movie before the upper one.A solid arrow means the lower movie is a direct sequel to the upper movie. You will not get things if you don’t see the top one, and it may signNowly influence your experience.As you can see, the only three movies that do not rely on previous movies at all are Iron Man (the original MCU movie), Guardians of the Galaxy, and Doctor Strange. The ones that merely reference earlier movies include The Incredible Hulk, Captain America, Thor, Ant-Man. If you’re good with filling in some gaps yourself (or have MCU-knowledgeable friends to help you out), you can also watch The Avengers, Spider-Man: Homecoming, and Black Panther.Edit: added a reference from Winter Soldier to Avengers, and re-lined Ant-Man.
How was your experience of medical exam after IES interview?Well, our (ESE 2014 Batch) medical examination was conducted after the interview and before the declaration of the final result. The medical centers were allocated based on the permanent address mentioned in DAF. Before 2014, they used to conduct medical examination after the declaration of the final result. There is no difference between them, just different timings and it is conducted only once. My ESE interview was on 22nd January 2015, and after the interview got over I was thinking of hanging out with some friends there for some days but after a day or two we all got a mail mentioning the dates and venues of our medical examination. It was quite frustrating and surprising for us. Mine was scheduled on 2nd Feb, 2015 at Central Hospital, Maligaon, Guwahati. So I had to book tickets soon (obviously tatkal), came from Delhi to Kolkata and then headed for Guwahati. I signNowed Maligaon on 2nd Feb at 2am. It was quite chilly outside. I was too tired to move, was sleepy too. I could not see any means of transportation outside the station at that time. So I kept on waiting at the station and at last there it was, a rickshaw. I told him to take me to a nearby hotel and he acknowledged so by nodding. He took me to a hotel, yes it was closed at that time, called them, no one picked up. Then another, no vacant bed. Then another, same story. I told him to leave (he already did more than what was he asked to) when I found some policemen there on the roadside and decided to ask them for help. I told them my purpose of visit. They were quite cooperative and helped me find a decent hotel nearby the Central Hospital. So it was almost 5am when I signNowed the hotel and I dozed off instantly. Could not sleep more though, had to wake up soon enough as the reporting time was 9am. Woke up, freshened up, drank a lot of water ( just to make sure urine test goes well :D ) and had some light breakfast. I took a huge water bottle with me and headed for the hospital. signNowed the hospital at 8.46 am (yes, that was the exact time ) and saw some of the candidates were already there at the hospital premises. Some came alone, some came with their parents. We 9 were present there for medical examination that day. Slowly we started interacting with one another and were discussing what might gonna happen in the medical test in a light mood. Little did we know that the administration was gonna give us a hard time. Sometime later we figured out that medical examination was never scheduled at Maligaon Central Hospital before. That was the first time and as a result the concerned administration was quite messy and inefficient. We kept on waiting, lunch time was over and they were still busy with the paper work and all. Time was 4pm, still nothing. We all got angry, agitated, frustrated to the core and approached the medical officer there. He seemed least bothered about the delay. And the first two words out of his mouth, just dumbfounded us. "Come tomorrow". Like seriously? We had booked our respective train/flight return tickets for the same day. Who'd compensate for that? After a short discussion we decided to call the railway board and told them about the whole scenario. The response from the railway board was quite satisfying, they understood our problem and gave us assurance of prompt action. And yes! It did work. It was 4.40 pm and the medical officer came to us and assured that the medical examination would happen that day itself. So after all those hassles and infinite waiting period our medical examination started at 5pm. What a sigh of relief! We filled up some forms and completed the necessary paperwork. First test was x-ray. It was over in a jiffy. 2nd test was urine test (disgusting and dirty bathroom, felt like vomiting). 3rd test was physical fitness test(height, weight(tip: underweight people stuff yourself with enough food and water ;) :) , chest expansion, BP and all) . 4th was ENT test. Then last and the most important, the Eye Test which was quite exhaustive. And it all got over by 7pm. Just a few phone calls to the railway board made all that possible. So after our medical examination got over, the medical officer called us to his office and apologized to all of us for the inconvenience. He also assured us his further assistance in case we needed any. So we left the hospital at around 7.30pm after completing the final paperwork and leaving our contact for further communication. Yes it was quite a long day for all of us!P.S: 5 out of 9 candidates were in the final list of ESE-2014 :)
What is the most embarrassing thing you have done while under the influence of alcohol or drugs?Wow... A lot to choose from. I'll go with one that I don't often share with people though. At least, I don't share the ENTIRE story with everyone.Shortly after getting out of the army I was really out of control. This was a point when I was still denying that I had a problem, still had some money and was still being prescribed hundreds of oxycontins (the real ones) and oxycodones every month. And I was partying and going nuts because if I wasn't high, not only did I hurt physically but, reality caught up to me quickly.One day I was house sitting for my parents when they were out of town. I called and asked if I could BBQ and have a couple friends over. Sure, no problem.Well, I slammed a couple beers, railed a few oxycontins, slammed some more beers, railed some more oxycontins and don't remember the rest of the night.My friends filled me in the next day.I punched out one of the windows in the house for no apparent reason. I hit on my friends little sister. I started body slamming people for fun and when several of my friends decided it may be a good idea to just knock me out for the rest of the night, for my safety and everyone elses, they forgot to take into account that I just got out of the army and was still in great shape and all the extra training I had in hand to hand stuff because of who I worked with. And the fact I was on so much painkillers that I was not feeling any pain. So eventually they stopped and just left me alone.Then I got the guns out. I shot all kinds of things in the back yard and back field. Thankfully, my parents live way out in the country surrounded by woods. But, I shot in half several trees. Shot holes in some decorative things. Shot the legs off a swing set. It's fortunate that I didn't hurt or kill anyone.I also smashed several pictures in the house. I'm sure that's from some deep seeded resentment somewhere. I don't know.I then got naked and ran around the house, or rather crawled I guess and tried to hump everything. Everything from the floor to the doors.Of all of that, I only remember drinking a beer at the beginning of the night and railing a couple oxycontins.The next thing I remember was what embarrassed me the most until I heard the rest of the stories years later. I woke up face down on the kitchen floor in one of the largest piles of vomit I've ever seen and an even larger pile of diarrhea all over the kitchen floor.I crawled to the bathtub, hungover and still a little drunk and ran a bath and laid in my own filth. Then I heard the voice of a girl I'd had a crush on since kindergarten. She had heard what happened and stopped by to check on me. Yeah, she saw the kitchen. Then me in the tub in my own filth. No blaming the dog there. I deserved every bit of shame I felt.Many may see that incident as a wake up call. Nope. I saw it as one more thing to burry. I just lost control is all. Just need to limit myself a little better. Cut back on the alcohol. Even my friends begging me to get help didn't do it.Help for what? I didn't have a problem....Hindsight is 20/20 as they say. I can tell these stories now in hopes that others may read them and avoid my mistakes. Learn from them.Hope everyone is doing well! Take care!
What are some brain hacks that a neuroscientist or a psychologist knows that most people don't?You can rewire your brain!This is possible due to Neuroplasticity.Neuroplasticity refers to changes in neural pathways and synapses which are due to changes in behavior, environment and neural processes, as well as changes resulting from bodily injury To be honest, the brain is a dynamic entity undergoing changes all the time. As you read this innocent sentence, some neurons in your brain have fired and some synapses have become stronger. Voila! Your brain has been rewired a bit. But I am not talking about these sort of 'boring' changes which occur all the time.What if I told you, your actions can physically alter your brain? Some parts become larger than usual while some parts begin performing tasks they normally don't?László Polgár is the father of the famous "Polgár sisters": Judit, Susan and Sofia. He is an expert in chess and believed that "geniuses are made, not born". Before he had any children, he wrote a book entitled Bring Up Genius!, and sought a wife to help him carry out his experiment. He found one in Klara, a schoolteacher. He home-schooled their three daughters, primarily in chess, and all three went on to become strong players. Susan Polgar became the first female to earn the Grandmaster title.Because of her intense training, her brain had encoded chess board configurations and she was able to not only recognize these configurations but also what moves she had to do from there to win. Show her a random chess board setup that is infrequent her brain is just as slow as normal chess players. So what was happening? A scan of her brain activity showed she was using the part of the brain that recognizes faces to identify chess board configurations. This part of the brain is really developed in humans and face recognition is something humans are really good at. The hours of practice she had put in playing and studying chess had radically changed ho she used her brain to play it.Some of you might be thinking that it was because she got her training from childhood that she was able to become an expert and this fact is useless to someone older.Not really. Recent studies have shown although neuroplasticity declines it still can be made use of in older ages.The Sea Gypsies are a seafaring people who spend a great deal of their time in boats off the coast of Myanmar and Thailand, have unusual underwater vision -- twice as good as Europeans. This has enabled Mokens to gather shellfish at great depths without the aid of scuba gear. How do the Moken do this? They constrict their pupils by 22 percent. The brain orders the body to adapt to suite its needs. Another example of neuroplasticity has been found in London taxi drivers. A cab driver's hippocampus -- the part of the brain that holds spatial representation capacity -- is measurably larger than that of a bus driver. [from Neuroplasticity: You Can Teach An Old Brain New Tricks ]As children we have lots of free time and our brain is really quick to grasp new skills and ideas. To make signNow changes to the brain as grown ups one needs to exercise it regularly and focus on really specific tasks like learning to play the guitar or solve spatial puzzles. Because of the constraints of being social and other reasons, people miss out on this. It has been observed that spiritual leaders and prisoners of war have been able to develop extra-cognitive skills simply because of the immense amount of time they put in meditation, mental exercises and thought experiments. Plasticity can also be observed in the brains of bilinguals (Mechelli et al., 2004). It looks like learning a second language is associated with structural changes in the brain: the left inferior parietal cortex is larger in bilingual brains than in monolingual brains.I'll end with some interesting bits from The Brain that Changes ItselfLearning and brain exercises slow age-related mental declines. For example, education necessitates extra branches among neurons to accommodate the new information; new branching increases the volume and thickness of the brain that would otherwise decline with age.Physical exercise promotes the creation of new neurons in the brain. Yet another reason to start that walking program.Specifically designed brain exercises have been shown to improve brain function in children and adults with learning disabilities.The brain undergoes measurable, physical changes as we think. Computer technology can now use these measurements and changes to allow paralyzed people to moves objects with their thoughts.Researchers at UCSD have used imagination and illusion to restructure brain maps and ‘trick” the brain into managing phantom pain and some forms of chronic pain.Performance can be improved through visualization because action and imagination can activate the same parts of the brain. People have learned to play the piano or achieve greater results in athletic endeavors through mental practice. Is it time to visualize eating a nice salad?[from Neuroplasticity Research Shows “Old Dogs” Can Learn New Tricks!]
What are some sarcastic one liners?Bombing for peace is like fucking for virginity.Do it with passion, else why even try?Don’t confuse having a job with having a life.Not everything that happens on social media is real.When money talks, everybody listens.Never do the same mistake twice, unless he/she is really hot.You are never too old to be young.Genius has its limitations, stupidity knows no bounds.Nothing in life is 100% fair & pure, except a mother’s love for her child.The best thing about the people who suggest war is that they’ve never fought one in their entire life.Nothing works until you do.If you want to keep something secret, then just don’t talk about it.It’s okay to miss a birthday, anniversary, wedding. It’s not okay to miss a funeral.Never think of yourself to be irreplaceable. You have no idea how the world functions.Heroes come & go, legends remain forever.Don’t long for appreciation, earn it.If you think your boss doesn’t appreciate your work, try taking a leave.Never measure a man’s worth by his salary.Don’t announce before you achieve.Asking the right questions is more important than answering them.If you really want it that bad, you’ll find a way.Never think of yourself as the best, even if you really are.The best temple is your mother’s feet.If you’re helping someone with an intention of seeking favor, don’t count it as HELP.Be proud, not arrogant.Read as much as you can, all you can.Before you point fingers, try to be in that person’s shoes.Treat everyone with respect & you shall be remembered for good.When an old man dies, a library burns to the ground.No matter what the economy of the jungle is, a lion never eats grass.You’re nothing but a piece of flesh. Don’t overestimate yourself.Take care of your body, it’s the only thing you’ll live in forever.When time is wrong, even jelly breaks your teeth.Eating a lot of fruits causes HEALTH.The best thing about PAIN is that it demands to be felt.The best teacher is your last MISTAKE.Better than 1000 days of diligent study, is 1 day with a great teacher.Don’t look where you fell, look where you slipped.Your father ain’t an ATM, stop treating him like one.Thinking is difficult, that’s why most people judge.You can never SPEAK well if you don’t LISTEN well enough.If you can’t change something, stop complaining about it.Respect time, it ain’t coming back!You can call yourself a sportsman only if you can accept defeat gracefully.If you want something to be done your way, get that ass moving.If it’s worth doing, then it’s worth doing well.If the rhythm of the drumbeats changes, the dance steps must adapt.Don’t argue with a fool, you’ll never win.Before you act, THINK.If you win, say nothing. If you lose, say less.The grass is always greener on the other side.No one hits as hard as LIFE.Beauty may be dangerous, but intelligence is lethal.Show me your garden, and I shall tell you who you are.Humility will cost you nothing.Nothing, absolutely nothing, beats experience.When you compare 2 entities, you insult both of them.If you shave off your beard for a girl, you don’t deserve either.All humans die. I’m not sure whether all of them LIVE.The easiest thing to find is a MISTAKE in someone else’s work.If you can take criticism head-on, trust me, you’ve arrived in life.Not all things in life deserve your attention.Every boxer has a plan until he gets punched.Being ALONE & being LONELY are 2 different things.Just have a little faith…Some of the above-mentioned lines are quotes by greats. I mentioned it since I don’t wish to take credit for someone else’s work.
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What is a Dr release?A doctor's release form to return to work is proof that the doctor has treated the delegate and discharged him for work now. ... It is important to show the doctor release form when an employee or student returns to work or school after an ailment.