Dermatology Practice Of The Carolinas: Fill & Download for Free

There's no doubt that when you're working in the medical field, you see a lot of strange things—after all, dealing intimately with people means dealing with human bodies and, yes, bodily functions. And probably no one knows this better than nurses. Their job isn't just making sure patients are comfortable and healthy; they're also a medical expert, waiter, alarm clock, caretaker, cleaning person, dietitian, unofficial therapist, and counselor, all rolled into one—which can lead to some interesting situations.We asked nurses around the country to share their craziest tales of patient care. (Want to pick up some healthier habits? Sign up to get healthy living tips, weight loss inspiration, slimming recipes, and more delivered straight to your inbox!)RELATED: 10 Things Nurses Wish You'd Stop Doing1. Secret fast-food stash"I was checking my patient's blood sugar, and it was extremely high. The doctors ordered her a low-carb, no-sugar diet, and I had seen what she had eaten throughout the day, none of which should have hiked up her levels. Every day, no matter how much we controlled her diet and insulin, her sugar would shoot up. The doctors and I could not figure it out. One day I was giving her a bed bath, and I lifted off her gown. Hidden deep in the crevices between her thighs and her stomach was fried rice and bits of chicken wings. We found out that her son had been visiting and sneaking in fast food." –Rebecca Lee, R.N., New York City2. Late-night adventure"I was working as a staff nurse on a cardiac telemetry floor. It was late, and we were monitoring a man's heart for the cause of his arrhythmia (abnormal heartbeat). His alarms went off at 10:30 p.m. while a visitor was in his room. Upon entering the room to check on him, I immediately saw the cause and charted, 'Patient engaged in intimate behavior.' I never heard the end of it from our cardiologists." –Jennie E. Johnson, R.N., Coeur d'Alene, Idaho3. Unusual bonding experience"I'm a nurse at a dermatology practice and have a patient who gets cosmetic work done. Normally this procedure could be done in one visit, but she likes to break up her treatment into several visits and bring her boyfriend with her. She said it's time they could spend together without getting caught by her husband!" –Joanne Shellock, licensed practical nurse, New York City4. A glutton for punishment"I was working with a Middle Eastern gentleman when I was in nursing school. He was a post-surgical patient who had spinal surgery due to a car accident. After talking to him for a bit, he shared with me that his family had quite a bit of money: He owned several horses, race cars, and even baby cheetahs. I was a little skeptical, but he showed me some videos of the cheetahs playing with his dog and some pictures of his horses. He went on to tell me how he rode horses and was an amateur race-car driver. He actually previously injured his back falling off a horse and had to get surgery for it. This was his second back surgery, after totaling his car in the race. To my surprise, he said he was looking forward to racing again as soon as he recovered." –Luke L., R.N., Greensboro, North Carolina (Here are the five best moves to prevent and ease back pain.)5. A real flirt"I was giving an elderly patient a bed bath. He was almost 90 years old, not completely oriented, and could not move well on his own. I had turned him over onto his side so I could wash his backside. He then said, "Best butt you've seen all day, eh?'" –Rebecca (Need help flirting? Your five biggest flirting hang-ups—solved.)6. Will travel for booze"I took care of a patient who had an active social life but had to be hospitalized and hooked up to an IV with an IV pole for long periods of time. One day while taking care of him, I came into his room to give him some medication and found his bed empty. Thinking he took a walk, I checked back later. When it was long past the time he needed his medication, I began asking other hospital staff to help me locate him, perhaps in the cafeteria or lobby of the hospital. An elderly man who was waiting for a loved one in the lobby told us that he had seen a patient with similar description load his IV pole into the back of a truck and climb in and take off. Using some knowledge of all of the stories this patient told us, our security guards found him sitting with his buddy at a local bar enjoying a cocktail while tethered to his IV pole. He was assisted back to the hospital, and I tucked him back in bed while he smiled about his 'outing.'" –Mary Meyer, R.N., Minneapolis7. Missing the mark"When I was teaching freshmen nurses, one of the students was very nervous to give her first live injection even though she had practiced and was cleared in the lab. I was at her side to guide her as she started to dart her needle toward the patient's hip, but she hesitated and said, 'I can't.' I told her she could. Round two, she froze again. On the third round, as she started the motion I said quietly, 'Do it.' She did! Then we heard a low hiss. She totally missed the patient and had injected the patient's therapeutic air mattress." –Benjamin Evans, R.N., New Jersey State Nurses Association president elect8. Running wild"I had a 6-foot, 300-pound female patient. She had to be closely watched because she would run away from you without any notice. One time, she stripped off all of her clothes and took off running in the hallway. I was documenting at the nurse's station, when all of a sudden, I see my patient completely naked, sprinting around the entire unit, with two people frantically chasing after her. It took a good 10 minutes and three people to finally stop her!" –Rebecca

Yes, he can. But the tendency is to get specialized.Here's a list of veterinary specialties recognized by the American Board of Veterinary Specialties, with very simple descriptions of what these specialists do.Anesthesia: veterinarians who focus on making sure animals feel less or no pain associated with veterinary proceduresAnimal Welfare: veterinarians with specialized training and experience in animal welfareBehavior: veterinarians with additional training in animal behaviorDentistry: veterinarians who perform procedures on animals' teethDermatology: veterinarians who study diseases and conditions of the skinEmergency and Critical Care: the "ER docs" and intensive care specialistsInternal Medicine, which includes specialties inCardioloy: the study of diseases and conditions of the heart and circulatory systemNeurology: the study of diseases of the brain, spinal cord and other parts of the nervous systemOncology: the study of tumors and cancerLaboratory Animal Medicine: veterinarians working in research or in practice, making sure that laboratory animal species (rabbits, rats, mice, etc.) receive proper care.Microbiology: veterinarians who study viruses, bacteria, fungi, etc.Nutrition: veterinarians working to make sure that animals' diets meet their body's needs for nutrientsOphthalmology: veterinarians studying diseases and conditions of the eyePathology: veterinarians studying disease in animalsPharmacology: veterinarians studying how medications/drugs affect animalsPoultry Veterinarians: veterinarians who work with chickens, turkeys and/or ducks, usually in food production settingsPreventive Medicine: veterinarians who study how diseases are spread and how they can be preventedRadiology: veterinarians who focus on the study of x-ray, ultrasound, computed tomography (often called CAT scans), magnetic resonance imaging (MRI), and other imaging procedures that allow us to see "inside" an animal's bodySports Medicine and Rehabilitation: veterinarians who focus on returning animals to normal function after injury, lameness, illness or surgerySurgery: veterinarians who specialize in performing surgery. A certified surgeon will be certified in either small animal surgery or large animal surgery. Within these groups, many surgeons will focus their work in one of these two subcategories but are not limited to them:Orthopedics: these surgeons focus on bones, joints, ligaments, tendons, etc. of the body's skeletal systemSoft Tissue surgery: these surgeons focus more on the internal organs and non-bone tissues of the bodyTheriogenology: veterinarians who specialize in animal reproductionToxicology: veterinarians who study the effects of poisons and other toxic products on the body (and how to treat animals affected by these toxins)Veterinary Practitioners: veterinarians in clinical practice who have additional training and expertise in certain animal speciesAvian Practice (birds)Equine Practice (horses)Beef Cattle Practice (cattle raised for meat)Feline Practice(cats)Canine/Feline Practice (dogs and cats)Exotic Companion Mammal Practice (ferrets, rabbits, mice, rats and other small mammals often kept as pets)Food Animal Practice (cattle and pigs)Dairy Practice (cows that produce milk)Reptile and Amphibian Practice (snakes, lizards, salamanders, turtles, etc.)Swine Health Management (pigs)Zoological Medicine: veterinarians who work with zoo collection animals, free-living wildlife, aquatic species and companion zoological animals

If you’re trying to determine the difference between an MD and a DO, you almost certainly fit into one of two categories. You’re either a student considering a career in medicine or a patient wondering if a doctor with DO credentials is equally qualified to treat you as MD. Regardless of which category you fit in, this article will explain how D.O.’s differ from M.D.’s. But first, let’s quickly define a few terms.What is an MD?When most people think of a physician, they’re thinking of an M.D. – standing for Medical Doctor or Doctor of Medicine. MD’s practice a form of medicine called allopathic. James Whorton, the man credited with coining the phrase, explained that Doctors of Medicine (M.D.’s) use treatments that affect someone who’s ill differently than someone who’s healthy. For example, an antibiotic taken by someone without a bacterial infection would not improve his or her health.Medical Doctors (MDs) in the United States attend medical schools accredited by the Liaison Committee on Medical Education (LCME).What is a DO?Short for Osteopathic Doctor, DO’s receive their medical degree from a U.S. osteopathic school. Unlike MD’s, a DO is accredited by the American Osteopathic Associate Commission within the Osteopathic College Accreditation (COCA).D.O.’s are trained to have a more holistic approach to medicine and follow a medical philosophy called osteopathic medicine. DO’s are trained to consider a patient’s environment, nutrition, and body system as a whole when diagnosing and treating medical conditions.For example, they’re required to take an additional 200 hours of training in osteopathic manipulative medicine – the practice of manipulating musculoskeletal tissue to relieve pain – versus an MD which would, in theory, suggest taking pain relievers.Similarities between MD’s & DO’sBoth MD and DO physicians base diagnosis and treatment recommendations on scientifically-proven conclusions.Attend 4 years of medical school, plus a residency program ranging from 3-7 yearsAre licensed by the same state licensing boards, i.e. both MDs and DOs must meet the same requirements to practice medicineCan practice medicine in all 50 states.Are found in every type of specialty medicine.Follow the same undergraduate academic path – a bachelor’s degree, Pre Med coursework, and taking the MCATPrimary Differences between DOs & MDsMedical students attending osteopathic schools (DOs) must take an additional 200 hours of training learning manipulation techniques of the musckeloskeltial system.DO physicians tend to be primary care physicians, whereas U.S.M.D.’s tend to specialize in more specific types of medicine (Dermatology, Cardiology, Orthopedics, etc.)In the United States, 67.4% of active physicians are M.D.s vs. 7.3% which are D.O.s (The remaining 24.2% received their degree from a medical school outside of the United States.)DO students take the Comprehensive Medical Licensing Examination (COMLEX). MD medical students take the United States Medical Licensing Exam (USMLE).MD.’s tend to practice medicine in urban, metropolitan areas. D.O.’s are most prevalent in rural areas.DO vs MD Salary: Do MDs Make More Money Than DOs?Technically, a DO’s salary is no less than an MD’s salary. In other words, a doctor’s annual salary is determined by a number of factors, primarily their field of specialization (radiologists, plastic surgeon, cardiologists, family medicine, etc.). Whether or not a practicing physician is a DO or MD is not one of these factors.However, if you look at the raw data, you’ll notice the average annual wages of an MD are slightly higher than a DO. This statistic is misleading. MD’s tend to earn larger salaries, because they tend to specialize, attend school for several additional years, and live in metropolitan areas where the cost of living is much higher; not because the initials after their name are MD rather than DO.This map explains the DO vs MD salary debate. As you can see, DOs tend to practice in states dominated by rural communities. The cost of living in a particular city is one of the biggest factors in determining one’s salary. So, by nature, if MDs tend to live in large, metropolitan areas (near major hospitals), then they will generally have higher salaries.Residency for MDs vs Residency for DOs – Do MDs or DOs Have Higher Acceptance Rates?Generally speaking, the acceptance rates of DOs to highly competitive MD residency programs are lower. The exception to this is highly competitive primary care residency programs, where DOs have equal acceptance rates as MDs. Although some MD residency programs will accept the COMLEX test scores, most require DO students also take the USMLE in addition to the COMLEX.DO vs MD FAQs Answered by DoctorsPeople seem to have a lot of specific questions about the differences between MDs and DOs. If you have any additional questions, ask them in the comments and a doctor will answer you directly!Can DOs write prescriptions?A DO is licensed just like an MD. As such, a DO can write any prescription an MD can.Which is more difficult to obtain, a D.O. or an M.D.?Becoming an MD or a DO both require an exceptional amount of drive, tenacity, and intelligence. D.O. programs actually have lower acceptance rates than M.D. programs. And, DO’s are required to take an additional 200 hours of coursework. But, in all honesty, neither track is more or less difficult. It’s more important to determine which is most inline with your personal and professional goals.Do DOs have lower MCAT scores?The average matriculant MCAT score for DO’s is 25.31, whereas the average MCAT score for MD matriculants is 31.4.You can find an interesting spreadsheet on the average MCAT scores and preference of DO vs MD by state here.What do all of these Acronyms Mean?AAMC – Association of American Medical CollegesACGME – Accreditation Council for Graduate Medical EducationAMA – American Medical AssociationAOA – American Osteopathic AssociationCOCA – Commission on Osteopathic College AccreditationD.O. Doctor of Osteopathic MedicineGME Graduate medical educationIMG International medical graduateLCME – Liaison Committee on Medical EducationM.D. Doctor of MedicineHistory of MDs & DOsEarly medical education wasn’t as formalized as you might think. For example, surgeons and physicians were considered entirely different careers.Also interesting, medical students were taught almost exclusively through lectures (without any real interaction with patients).However, medical education eventually became more structured, giving way to formalization of the Medical Doctor (MD) and Osteopathic Doctors (DO) as we know them today.History of MDsSome argue the history of the medical doctor degree started began when the American Medical Association was founded (1845). The AMA is credited with establishing modern educational standards and curriculum for the degree of Doctor of Medicine, including:3 year curriculum2 six month lecture-based semesters3 month medical dissection lab6 month attendance at a hospitalHowever, most historians assert the formal model of MD education was established at John Hopkins – nearly 80 years later – when Dr. William Osler introduced the idea of clerkship. For the first time, medical students were given real, hands-on experience under the eye of an experienced doctor. Over the years, the MD program continued to evolve into the current, four-year degree program for MDs.When this article was written, there were 141 accredited, MD-granting university and 31 DO-granting medical schools in the United States. Today there are three additional DO-granting schools.History of Osteopathic Medicine (DOs)Andrew Taylor Still was the father of osteopathy. A frontier physician, Still became disillusioned with allopathic medicine when his children died from meningitis.Still developed a theory based on the comparison of the human body to a machine. He argued that the human body functions well if it’s mechanically sound. And, it’s the physician’s role to improve its mechanical functioning.Only five years after forming the American School of Osteopathy in 1892, Still had over 700 students. (Unlike MD’s, women and minorities were encouraged to become professional physicians from the start.)During the 1900s, Still and his disciples continually proved the validity of the osteopathic approach. In 1973 their persistence was rewarded, and DOs were officially given full rights to practices in all states.Today, DOs are respected among MDs as equally capable and educated medical professionals.Additional Facts & Statistics MDs & DOsDOs historically have been concentrated in the Northeast and Midwest.DOs tendency to practice in rural areas as can be seen by the states with the largest growth in DOs – South Dakota, Wyoming, Utah, North Carolina, Minnesota, Oregon, Louisiana, Tennessee, and Idaho.4% of DOs are women and 49% of DOs actively practicing medicine for less than 9 years are women.17,937 DOs are enrolled in postdoctoral training, 46% of which are in AOA programs and 54% of which are in AGME programsSummary: Understanding DO vs MDIn the United States, doctors are either an MD (allopathic doctor) or DO (osteopathic doctor). For patients, there’s virtually no difference between treatment by a DO vs MD. In other words, you should be equally comfortable if your doctor is an M.D. or a D.O. For those pursuing a career in medicine, hopefully this article has helped your quest to become a licensed physicianVisit our sitenews-world24.com-The ultimate resource for sports news,health tips,food recipeStrange World