Increasing PAP pressure for flow limitation?

Moderators: labman2, respbarb

huh

Postby labman2 » Mon Feb 28, 2011 3:17 am

Not an art form?

I wish it WAS one size fits all,one rule all the time, but, it is not.

If it was , it would be easier to train "my people" :wink: (i am really messin with ya now!)
:lol:

PS- Here is an article for you!
http://www.ncbi.nlm.nih.gov/pubmed/17410392
User avatar
labman2
Moderator
 
Posts: 2942
Joined: Mon Aug 29, 2005 5:48 pm
Location: LONG ISLAND NY

Postby Canadian Sleep Tech » Sat Mar 05, 2011 1:06 pm

[quote="zman"]I see a bunch of comments in this forum with "my techs" and "your techs."

Please, you pompous egocentric biotches!

You do not own your technologists, nor their eyes and their ears.

blah blah blah,

who with problems of nocturia was balanced over your cornflakes?
No one here is suggesting that they own anyone, emancipation took care of that around 1863, or the time somno started in sleep. :lol: :P :P
The term "my staff etc" is used generically to mean part of a team and many in positions of leadership in this field have done so because they are passionate about the field and take ownership of what they do and whom they are associated with, upto and incuding as posted in another area here loaning monies to fellow members of the team to take board exams. The only area of pompousness being exhibited here is your own....
Now go get a good nights sleep and feel better in the morning
Canadian Sleep Tech
Member
 
Posts: 209
Joined: Thu Apr 16, 2009 11:13 pm
Location: Vancouver, Canada

Postby JCodling » Sun Mar 06, 2011 4:12 am

Wow of all topics I can not believe this one is getting so heated. First thing is I raise for flow limitations because I am told to. If my MD says do it, (as long as I don't believe it will hurt the pt) I damn well do it. If you don't like it, go somewhere else. If you think you boss is an idiot, go somewhere else. I'm not so arrogant to believe I am smarter then doctors or managers or even somno for that matter. I could offer advice in certain areas that maybe they don't know as well but I didn't sit in class for 8yrs. Documentation is the key in this feild. If you don't want to bring the pressure up higher put it in the study in reason form. If you raise for flow limitation put it in reason form. The doctor is not running the study, have faith that them or the scoring tech will look at your comments. "I raised the pressure to 12cm for flow limitations but I think the patient was better at 10cm". Slamming your employers and or doctors is just down right dirty.

And BTW I had to google ativan. Man I feel stupid. :cry:
JCodling
Member
 
Posts: 123
Joined: Fri Mar 19, 2010 8:54 am

Postby bduce » Fri Mar 25, 2011 12:00 am

z man
the corollary of your comments about "my techs" and "your techs" is that does it mean you cannot refer to your supervisor and "my boss" as well? Surely you do not own your boss, his beliefs, his eyes etc etc etc. It is a turn of phrase. But I bet you do refer to your boss as "my boss"or "my medical director". which of course would be hypocritical if you did, especially after that little pontification.

Maybe you need a bex and lie down. Perhaps a cup of warm milk too.

JCodling
Sorry man, you cannot say "my MD's". you do not own there eyes and ears. Be prepared to be flamed by z man. :P
User avatar
bduce
Senior Member
 
Posts: 1058
Joined: Fri Oct 20, 2006 10:27 pm
Location: Brisbane, Australia

Postby wakingupinvegas » Thu Sep 01, 2011 6:10 am

zman wrote:I see a bunch of comments in this forum with "my techs" and "your techs."

Please, you pompous egocentric biotches!

You do not own your technologists, nor their eyes and their ears.

They are associates who are there to provide their applied skill and knowledge in a team effort to diagnose and treat sleep disorders.

A lot of managers are not necessarily the brightest or the most talented of the lot. They may have excellent schmooze skills. They may be at the right place at the right time for the job. There are many ways that these people arrive into a position of leadership.

It is so damn annoying to hear one speak of others with that apparent sense of ownership.

The corporate minded Nazis are taking over our country and people think nothing of talking like that. If you are a manager who speaks of "your" people then you are a sorry azz person who needs a little bit of an attitude adjustment and reality check.

Furthermore, titration is not an "art form." We deal in science, not art. Want Art? Go to the opera or museum on your time off, paint, sculpt, sing, or dance.

Adopt a titration protocol written to conform to what the sleep specialist requires to make the best decisions. Then, just follow the protocol. If an exception is made, then document a valid reason for any deviation from the clearly written protocol.

Its that simple. If there are uncertain rules then the physicians are doing a poor job in communicating and interfacing with the managers, or the managers need to better communicate and educate the TECHNOLOGISTS of the stated protocol and objectives.

It is my understanding that flow restriction does need to be addressed. When I see it, I also see micro arousals that correlate with the respiration. I see it with my OWN eyes.


hahaha...I do agree with you in some parts!!! I have a "manager" that has the worlds best schoomez skills!!!! He needs to get an academy award!!!
User avatar
wakingupinvegas
Member
 
Posts: 44
Joined: Thu Jun 03, 2010 9:30 am
Location: Las Vegas,NV

Postby somnus diabolus » Thu Sep 01, 2011 6:20 am

A New Convert wrote:
zman wrote:Furthermore, titration is not an "art form." We deal in science, not art. Want Art? Go to the opera or museum on your time off, paint, sculpt, sing, or dance.
[/qoute]

LOL. The hell it isn't.


You train a new tech on bilevel using "If THIS then THAT" and tell me that it isn't an art.


Does that mean I have to call you an artist? This is my coworker....he's quite the artist. Yeah, I'm on board with that
User avatar
somnus diabolus
Senior Member
 
Posts: 480
Joined: Sat Sep 11, 2010 8:52 am
Location: North Carolina

Postby A New Convert » Mon Sep 05, 2011 4:31 am

somnus diabolus wrote:
A New Convert wrote:
zman wrote:Furthermore, titration is not an "art form." We deal in science, not art. Want Art? Go to the opera or museum on your time off, paint, sculpt, sing, or dance.
[/qoute]

LOL. The hell it isn't.


You train a new tech on bilevel using "If THIS then THAT" and tell me that it isn't an art.


Does that mean I have to call you an artist? This is my coworker....he's quite the artist. Yeah, I'm on board with that


The Artist Formerly Known as Your Boss
A New Convert
Member
 
Posts: 256
Joined: Sun Jan 29, 2006 7:36 am
Location: Raleigh, NC

Postby tiredjohnny1 » Mon Sep 05, 2011 5:51 am

bduce wrote:z man
the corollary of your comments about "my techs" and "your techs" is that does it mean you cannot refer to your supervisor and "my boss" as well? Surely you do not own your boss, his beliefs, his eyes etc etc etc. It is a turn of phrase. But I bet you do refer to your boss as "my boss"or "my medical director". which of course would be hypocritical if you did, especially after that little pontification.

Maybe you need a bex and lie down. Perhaps a cup of warm milk too.

JCodling
Sorry man, you cannot say "my MD's". you do not own there eyes and ears. Be prepared to be flamed by z man. :P


BDuce this made me laugh!
User avatar
tiredjohnny1
Senior Member
 
Posts: 929
Joined: Mon Apr 07, 2008 5:58 pm
Location: Florida

Postby bduce » Tue Sep 06, 2011 10:25 am

TiredJohnny
Mate, I was just waiting for him to say "you took my words out of context". What your words? Did you create them? Do you own them? Blah blah blah

Glad somebody gets a laugh out of my verbal diarrhea! :D
User avatar
bduce
Senior Member
 
Posts: 1058
Joined: Fri Oct 20, 2006 10:27 pm
Location: Brisbane, Australia

Previous

Return to Tricks of the Trade

Who is online

Users browsing this forum: No registered users and 2 guests

cron