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poop beetle: I've ordered a Littman
8.2005
I've ordered the Cadillac of stethoscopes. Any Littman is supposed to be vastly superior to any other brand, but my manager said go for the Cardiac II or don't bother.
Thing is I can't find the Cardiac II. It's now the Cardiac III or the Cardiac Grand Master.
I don't want to show up with a stethoscope that will seem wildly too advanced for a beginner, but I'm more afraid of not learning the heart sounds.
Lub Dub is the obvious one. It's the one you will hear with anyone breathing, speaking, "perfusing" along nicely
Take a moment, especially is you've felt a little down lately, if you're wondering where you're going or what it all means- do yourself a favor and congratulate yourself for the fine job you're doing perfusing.
Lub Dub, lub dub, lub dub- (oh, crap I'm late! Lubdublubdublub . . . etc.).
I never get bored with this idea.
Some other sounds I'll need to learn to identify are "whooshes", "gallops" and "murmers". There's an S3 sound I've read about- I got no idea what that's referring to.
I have listened to heart beats that sounded irregular- something along the line of lub dub lub dub ahh. . lubdub. . . alubbity dub. At times I've felt this at pulse points. If I were to chart it honestly I'd write "there's something funky going on there".
With my Littman I'm hoping to get more specific. I'm hoping to listen to something and be able to describe it to someone and they will tell me, "that's a gallop", "that's a valve that's not closing all the way".
Kind of like what happens with small kids when they're learning colors, when they've learned there are names for different colors- "that's blue", "that's pink".
I'm wearing green pants now. From now until things change drastically, I'm hunter or forest green on the bottom.
I've figured out the need to go for an easy access bow tie with the scrub pants. Sure it seems a little chancy, too easy to hook a bow loop on something and suddenly your pants are around your ankles, but the alternative is spending one's break in a bathroom stall, working to untie the forest green pant knot.
I am wearing bright, odd colors on top. I refuse to consider cartoon characters or hearts (I did see a snazzy jacket with pictures of Elvis all over it- but that seems a little too much at the moment).
Green is the new neutral. To make it seem more neutral it seems necessary to pair it with purple and yellow and turquoise t-shirts under jackets patterned with flowers and butterflies with lots and lots of pockets. This is professional dress.
My signature is now a legal seal on a legal document. I've signed it a few times and I still stop and hesitate. All through school we'd sign our name and follow up with a big long cumbersome line of initials that meant we were students and from a particular school. There was never enough room in the box for all those descriptive initials and our status as underlings seemed apparent in how messy and invasive our signatures were.
Now, I sign, " Me, R.N." (or maybe it's Me, RN). I've got to remember to find out if I add periods or not.
