MGS RADAR

…what a freaking PiCCO Line is and how to set it up!

…what a Swan-Ganz-Cathether does!

….how to prep an arterial line!
…all emergency medications used in case of Resus!

…how to interpret an ECG quickly!

…what the fuck BiPAP and CPAP does!

…the different forms of enteral nutrition!

…the differential diagnoses for chest pain!

Three weeks to go!!!

Stephan

["If liberty means anything at all it means the right to tell people what they do not want to hear!"]

I still have no reference about popular metal music which puts itself in the shade of publicity by putting scandals or some kind of stylish understatement IN FRONT of their actual music (You know, I’m a nurse ; I define myself by fixing SHIT not other things) and I never liked the popularity of Slipknot , despite they have some good pieces of music around. Maybe it’s about the fans, I don’t like the fans of the band, but future articles will follow about this topic.

In my countless searches around Youtube I found some interviews of Slipknot Members without masks and I was amazed how deep and real these guys are in these interviews. Some of them share the same opionions, take a look into this philosophy

BY THE WAY

MySpace SUCKS ass and I’m no longer a member of this piece of shit!

Stephan

["If liberty means anything at all it means the right to tell people what they do not want to hear!"]

The countdown is on! Next week I am leaving for Munich to start an internship within an automotive company to finalise my Business Management studies. This is the second compulsory internship I am absolving, so there are chances to draw from experiences made, however some new challenges arise as well. For instance: A strange language, cultural differences, a different climate… or to sum it up with one word: Bavaria. Geographically London is even closer by roughly 150km than Munich is from Schwalmal - the hometown I’ll be leaving once again for about six months.

As I remain in the country several factors change:

The subjective feeling of distance is, despite the actual higher distance, smaller. This starts with university, which demands personal presence during mid-internship and closing presentations, over the company that has provided me with a contract just days before the planned start and of course my own feeling that is being reinforced by these circumstances. Just as it is by the frequent “See you in Munich” statements made by friends or myself.

Unpleasently the bureaucratic obstacles appear to be higher this time. I need to get all kinds of papers (even as a German national it is definitely more than for the internship in the UK). But once again the Internet saved the day and nowadays - very much to my positive surprise - even local authorities react quickly on requests communictaed online.

What is also different: I’ll be taking a car, now I can finally say my car, with me. In contrast to London I have a company owned flat already reserved - from the hoods of Elephant & Castle to Munich’s city centre. Both apartments were / are ridiculously expensive, but the jump in living standards is pretty much from “Your flat has been visited by pest control - Do not touch the poison traps!” to “The cleaning lady comes onces a week”.

Aaaaaaand: Although I miss a bit the minimalistic shopping experience of Britain’s Argos shops I am able to buy some basics of the classic relocating student beforehand. In this website’s recent tradition of shopping spree results I hereby proudly present: The cheapest home appliance and electronic articles in Mönchengladbach town aka “Dollar Menu appliances”

	Both electric kettle (9,99EUR) and toaster (9,99EUR) were a low price deal my mom noticed in Real’s weekly advertisements. Tested them yesterday night and should surive a half year term of duty.
	I am curious about the toaster as I had a very similiar model while being in England. The first one only survived roughly three months after the successful extraction of bagel remainings usinga fork. (Kids! If you try this at home: Pull the toaster’s plug first!) Keeping the functionality of the toaster was a secondary goal that has not been achieved.
	Instead of wasting money on cable television I put my faith in the fairly newly launched terrestrial Digital Video Broadcasting service. Let’s just hope this 14,99EUR baby from MediaMarkt is good enough for reception in Munich. Once again: As long as it is going to survive six months I am happy.
	If you can’t beat them, join them. I take the freedom to say that MGS-Radar has - in unison - a critical opinion on the idea of reducing particles in so called “Environmental Zones” by means of applying a traffic light colour system. Munich has introduced in 2008 the obligation for car drivers to equip their cars with these stickers (5EUR please). As driving every once in a while into an environmental zone is one thing and actually living there, thus keeping the car in this zone at all times, is another I can now proudly call my old Diesel to be a member of the worst category. It will be banned in the city center by the end of this year - luckily after I will have completed the internship.
	I am not gonna deny it, although I am going to work for a different car maker very soon - I am a bit proud of the old Ford, who served me well over the last couple of years. Just last week-end I added another 1.000km to the distance recorder, which now displays some number above 245.000km. Only the glow plugs needed to be replaced after too many years of operation for a total cost of 80EUR. During the replacement the mechanic noticed that the connecting cable was completely rotten, which means that the Diesel engine was starting without the help of the four fellas - despite the harshest winter with temperatues reaching below -10C° we had for quite some time. I am quoting the guys from the repair shop: For an engine of this age it must be in terrific shape!

Now bring me, the cattle, toaster and all the other stuff safely down to Munich old Ford!

Daniel

Again something about things you wear in the winter…as you can see in my series , the first item was the “Buff Cyclone” and I lost mine on New Years Eve , but I took me only 2 days to re-buy it.

My Glove Philosophy:

I live in not the warmest climate on earth but also not the coldest. The last winters were harder than usual but most of the time I have to deal with winter temperatures around -5°C to +5°C.

No matter what glove you choose, if you have FINGER gloves which means you put every fingers in one desired sheath, you will get cold fingers. The blood flow in your fingers is not high enough and they are too far away from the body that they can withstand a cold climate for a long time. It depends on the temperature but be sure, that even in the thickest gloves you will have cold fingers. If you choose mittens you don’t have this problems.

I don’t like and I even hate putting out my gloves for tasks that require dexterity. If you choose thick gloves, you need to put them out for opening your car or your door or just manipulating the radio in your car. That rules out wool or fleece gloves for me, I have them and I wear them but generally in very cold climate.

So my requirement is, that I don’t have to put out my gloves that often and I choose to have a solution between protection from the cold and dexterity.

The third thing to talk about is protection. I personally like to wear gloves while working. I play drums for over 8 years which put a really big strain on my hands. I also had numerous cuts from my cats and unskillfull handling of blades. I also use desinfectant regulary which puts my skin and my hands to a VERY high level of irritation. I also had a very nasty cut in my index finger in August 2009.

The healing took very long and I still don’t have a very good feeling in my index finger because they was nerve damage.Also the scar tissue hurts if I want to apply big pressure. So this was a lesson about protecting my hands, I need them for my work.

So, the test about the HATCH KED 100 Cut resistant glove.

Hatch gloves are VERY expensive in Germany, but if you buy them overseas over ebay or someting similar you can get them to very nice prices EVEN if you include shipping. So I did and I payed 25 € over PayPal.

I put my gloves on and I was suprised about the warmth and the feeling in them. At first they were VERY stiff, but they wore out by using them. The glove is very tight on the skin and the goat-leather (I guess it’s goat) gives you a very good feeling an protection.

During cold and wet conditions (Welcome to Germany!) they are in their field of expertise. You get absolutely NO moisture inside your palm, even if you touch wet objects like roofs of a car or bushes that are wet.

They are cut resistant and have a Kevlar lining inside the glove…I’m not quite sure how much I can rely on the CUT RESISTANT by hatch. I don’t think that a full stab with a very sharp knife will protect my hands from getting bloodless. I don’t want to test it out, and cut resistance wasn’t one of my options. - It was just included and I bought them because of the price.
Rough handling with these gloves, persons or sharp objects works very good because of the big friction you have, but the thumb is strange to me and doesn’t fit very well, don’t know why.

CRITICAL COMMENTS

The gloves are very SHORT IMO, the last part which you expect to go over your base of the hand just ends at the end of the palm, which is a little bit TOO short for winter-used gloves. The positive aspect in this is , that you have a better range of movement, but if it rains or snows something of this will get into your glove, nasty thing.

All in all, I tried out gloves from Mammuth(C) for over 50€, and in comparison to my police duty gloves they sucked. Very minimal dexterity, if fleece is wet - you don’t have to worry about getting warm anyhow. So, please buy Hatch Gloves (They tend to make great products!)

Stephan

["If liberty means anything at all it means the right to tell people what they do not want to hear!"]

Next month I’ll be commuting again, thanks to an internship in Munich. Mental note to myself and others:

• Lads! Don’t forget to put on your trousers in the morning!
• And dudes: Don’t forget your pants either!

This could be quite emberassing, nevertheless brilliant fun!

More on the ImprovEverwyhere website!

Daniel

If you think Diarrhea is nothing to bother and nothing but a symptom or sign, you are WAY wrong…it can…no wrong it WILL fuck you up if it will last LONG and it is dangerous…but no tears and fears - It can be handled without beeing a physician.

Why do I write this article?
First of all, I’m an official victim of Diarrhea…I catch it up at least once a year since I work with infectious patients OR I was getting fucked by a homojock Kebap - Maker - Idiot with lack of hygiene in his meatshed.

I also hear a lot of childish - half knowledge - cowfarm alike - rumors about dealing with Diarrhea…even in the internet on professional webpages which give actual medical ADVICES to people without any medical backround.

I spare you the routine disclaimer, I mean why should I point out that you should catch up professional medical advice and that this isn’t something you should transfer 100% to your case of bad luck?  Thats common sense and even medical disclaimers won’t let this show up in front of the idiots that got and will get killed becaused they tried to cure SEVERE illnesses just by wikipedia (nothing AGAINST wikipedia, I absolutely HATE Wikipedia-Credibility-Bashing - It’s just about the stupid shitbags putting medical advice into practice without load up their brains from a hybernating status.)

If some of my former or future employers will read this, see it as a part of small nursing science research shit. I mean I’m not the new Nancy Roper, but hands down I know something about Diarrhea. It’s still an advance if some of my employers is smart enough to understand the language I tend to write in, but no offense!

No make anything clear, I’m speaking about a short !(1 day to 4, maybe 5 days depending on your system)  diarrhea which is probably from eating something bad or having an infection in your intenstines. Now comes the bad part which is part of my job: Take a look at the diarrhea if it’s anything than fluid shit or something inside (slime, blood, something you might not really identify as old food) this mess must be reviewed by a physician!!!

Also I’m just speaking about diarrhea alone. They are common symptoms like nausea, general sick-feeling (like you have a flu) vomiting, light general stomach-pain and sometimes high temperature. If they are symptoms present which can’t be related to the diarrhea itself or the effects of this –> Physician

THE PRACTICAL PART FOR HELPING YOURSELF STARTS HERE
What causes diarrhea ?

For the average diarrhea it really doesn’t matter which bacteria or which virus exclusevely infected your intestines.  It doesn’t matter!

Does antibiotics help in case of diarrhea ?

I see some physicians prescribing masses of antibiotics against diarrhea, but the guidelines do not see the clinical outcome in this step. This might be a point of discussion for medical experts, but I see it rarely and in case I see it - never helped. Period.

What is the best medication against diarrhea?

Loperamide
I would personally not recommend loperamid in case of in infectious diarrhea…only in cases where you need to buy some time to get yourself in a calm position to heal, but loperamide and any other stuff like this will lower your peristaltic - bowel - movement of and you might give the possible virus or bacteria the best place to establish himself in your system. 37°Celsius - No bowel movement - Wet and dark condition PERFECT for developing of bacterias and viruses. This means the medication loperamide will actually make your diarrhea last LONGER.

Saccharomyces cerevisiae (Yeast) is something very nature and it hasn’t got many side effects, no relevant to me I think. It will re-establish the intenstinal flora in your colon and it will fight the bacteria. It helped me very often and also you can take this as a PRECAUTION a week before a flight to turkey or egypt OR you know that you’ve eaten something from the east that tasted not very good. Take it, it won’t bother you that much except some well…sounds and flavor.

This is basicly the BASIC medical treatment of diarrhea, if you are not interested in the whole understanding part you start here.

This is my flowchart like “MGS RADAR Diarrhea Treatment Scheme”
CAUTION: Brain must be used by application!

• If you have the first Diarrhea like stool and no other symptoms that may lead to a serious shit (take the word!) LIKE stomach mumbling or a “different” feeling in the guts, you start preparing but you should not call the cavalry ! One time can happen!
• If you got some strange feeling that this might last longer OR you have the second occur of diarrhea take exactly ONE pill of loperamide + 2 - 3 pills of  Saccharomyces cerevisiae (Perenterol etc.)
• In the first two days take 2 pills of Saccharomyces cerevisiae three times a day after the third day and if the symptoms are weakened take one tablet three times a day until you got exactly one week after the first occur of diarrhea
• Go to the local supermarket and buy:
  - Three bottles of Powerade or similar like Isostar (without bubbles, with sugar and with electrolytes, they need to be isotonic!!! NO ENERGY DRINKS!) The Powerade is the base of your re-hydration it works very fast and very well to my experience
  - Lots of salty stuff like Potato Chips, something that you really like
  - Buy lots of water without carbonide and with some taste in it, so that you can consume masses of water.
• You go home and consume the bottles of powerade in a row, after that you need to drink at least 2 liters of water, if you are able to do more drink like a moron!
• Eat the salty stuff whenever you feel like it
• The keypoint behind this is, if you are hydrated very well the side symptoms like weakness should be lowered to a point on which you can keep alive daily tasks, but KEEP A LOW PROFILE . You gotta imagine your body has a large wound and it may lose MUCH fluid.
• You should keep hydrated like this at least for a week
• Now comes the part which many people don’t aggree with, THERE IS NO REASON TO STOP EATING NORMAL FOOD. You can eat a light version of your normal stuff, but if you feel very good there is NO REASON to stop eating.
• Avoid food like: Whitebread, ANY FASTFOOD, eating outside, very sweet things, FAT FOOD, Salad, EGG
• food to like: Fruits in general, Carrottes, Apples, BANANAS, Potatoes
• Don’t drink alcohol, it’s a rollercoaster for your digestive system
• Use common sense!!

Be safe!

Stephan

["If liberty means anything at all it means the right to tell people what they do not want to hear!"]

What an icy, and for me personally busy start into the new year! I hope y’all made it through well into the new year, despite the blizzard-like conditions on the continent.

Thanks to a couple of internship application talks and the current exam period I am flying below the radar. Just to remain visible every now and then I want to share this beautiful prose I just discovered on last year’s Controlling exam:

“Calculate divisional earnings after corporate overhead allocations using divisional earnings before corporate overhead allocations as the allocation base.”

Controllers don’t write speeches, they calculate!

The showdown tomorrow morning for this year’s exam IS ON!

Daniel

Stephan

["If liberty means anything at all it means the right to tell people what they do not want to hear!"]

Carnival is not fun, it is not the best time or the fourth season of the year. It’s a big fuck for me everytime it’s coming close and passing by…There is a multicasual approach to my hate and disgust collected over the time.

I was however a member of the fun club…years ago! I was one of the dickheads squirming around a spot, partly desorientated by cheap but tough booze. Yeah try to imagine the stories of your youth by taking part of carnival, beeing drunk one, maybe two times…okay maybe three times in this short 5 day time window. Guess what, in my best times with Padde and Mamerio around, we started drinking at school at 10am during the geography class, took part of the internal event (Which SUCKED, motherfuckers from THIS SCHOOL IT SUCKED because the fucking cunts from there started to make an educational sense of this shit…) and the rest was pure foolish will to PARTY HARD.
One time I was part of the STUDENT COUNCIL (one, maybe two cool people around this council, the rest was a bunch of stupid underfucked backstabbing cunts) I took part of the organization, fucked it all up by not playing the game because I don’t want this shit on my C.V….true thing is I sabotaged the event by letting “phrase-sheets” dissapear and let the bloke from the music technique play the wrong music (Nothing too obvious) , as the fun was over I dissapeared in the shadows)

But to get back here, you think you got a hard time carnival by getting drunk 3 times in 5 days? Don’t waste my time with this shit…again with Padde and Mamerio we started at Thursday 10am Nato Time and boozed our way till 3pm. Then we met again, partly drunk to join a stupid tent-party where I puked in two glasses and scared two pals down the hall by running after them with parts of a bench. I slept at Mamerios place I think and we tried to sanitize our morning-pain with nothing as plain as beer, to start hustlin’ over a private party at Friday 8pm. Again, we wasted ourselves, but started again at 10am on Saturday. We just put some fuel on the yesterday’s flames and we were right on the game. I remember drinking a mixture of whatsoever drinks from a fuel-canister…off to a private party at the same Saturday still wasted and got trewn out because I cracked an egg over the face of some asshole trying to impress me with his non-existend gangsta skills. On Sunday, the high - fest of the week in Brempt was present, we ran out of cash but organized ourselves some shit and got wasted, rather thrown out of the tent again. On monday we were broke, but nothing stopped us from walking 6km to Dülken fueled by pure fun,evil sin  and cheap whine. Again a day without much money left and cheap booze is nothing to be fond of.

We were young and we were REALLY stupid, but we tried to push ourselves out to the maximum. We hassled some guys and girls but only the ones that deserved true punishment for theirselves.

If you compare this to the generation of young drinkers today, they are all a bunch of whining suckers, trying to outbreak their parental over-control by DRINKING alcohol…just to set a statement or whatever.

We took responsibility for our own shit. We organized the alcohol, we organized a ride but mostly we were just fucking BROKE so we had to walk to the events of the day and we dealt with the shit in our own way. Every cent I spent during that days was my own money, in case something wrent wrong we just started to pull ourselves out of the shit. Parents offered us a ride, many times we just adjourned the offer (though sometimes we were too wasted to reject, hands down…still got enough credibility!) It was a small game, but we played a small game…I admit that.

Todays youn-guns are over-archievers. They just see drinking and alcohol as a part of their “educational” process. “Trying out things!” or “Just try to set the line” Something to write into your C.V. and something you need to discuss with your mother (maybe together with his son/daughter in HER/HIS favourite club-location dressed like a whore) so it doesn’t affect your overall process…and with that they just pull more idiots down, making something highly criminal out of youth…..Come on guys!

Todays drinking kids just drink to reach a balcony…a balcony from which they can see things too far away from their parental control psychosis. And the only chance to take a look on that is an outbreak, booze yourself to near-coma or make the smal Hulk out of you….”What are you looking at?” “You looked at my girlfriend?” Just raise impulses to proove you still got testosteron in your testicles. Because your psycho-parents try to numb you from anything. How ridiculous is THIS?

We drank because we liked it. We drank because we were young and we still know how to let the cages rattle. We were honourable enough to hide our self-destruction from our parents, because we know how to cover up our issues without bothering or hurting other people around them. And nothing, I repeat…NOTHING of the hundred of stupid acts including jumping from a fairly high tree down to a carport nearly destroying the whole thing (as you may notice…drunk as shit) or destroying numerous gardens of people because we wanted to take a short cut (An early form of PARCOURS…but not as “balletic” and “graceful” ….just pure violence) is something to be really proud of. Maybe you can impress some blokes who didn’t had a life but this is it. No matter how drunk you were, no matter how many times you puked…nothing to be proud off or nothing intelectual with educational factors. Just stupid shit drinking!

Also as a nurse, I see many victims of carnival…many young-motherfuckers who try to fuck the nurses and doctors over with violence, bragging, puking, spitting, biting and whining around. We are the sweepers of the fucked up…they lost the game, Alcohol again won. But not many of the young-guns can actually accept that they LOST the game…the game is over and this is the sweeper zone of the lost. While many of their buddies have good time, they lie around on the floors , bedded in their own excrements, their parents are coming over…the game is over. But they don’t accept the lost, they try to make their point, at the wrong place and wrong time and (now comes the worst part) take up ressources like ambulances, paramedics, nurses, doctors and even housekeeping staff. Many people need these RARE ressources (today, they are RARE!) but they are taking it because they want to win in the overtime.

I mean, these problems are not new…but the number and the “way” of the problems are new. The increasing number of violent young MOTHERFUCKERS with actually no medical problems at all is a problem, at least for me. Try to fuck me over during a nightshift on carnival…just try it out!
Everybody has a right to be stupid…everybody has a right to be sweeped…everybody has the right to be dragged up by the paramedics and sobered by the nurses. But let us stay to the actual medical problem, not the numbed-violence-parental-control-scheme or anything else twisted fuckover you bother the hospitals with.

Carnival just lost its bright and coloured fun, it’s not the same anymore !

Stephan

["If liberty means anything at all it means the right to tell people what they do not want to hear!"]

I always was a wearer of scarves…I really recognized early that you loose much warmth in winter over your neck area. After I saw a commercial in England way back in 2005 (Brighton) I was amazed by the easy principle of BUFF HEADWEAR which is explained in this old, but very explaining video

I use the Original Buff even today in “not so cold” conditions or “very warm” conditions because I don’t like the sun screening on my head. It was VERY good in Greece for example
(Look here HERE or HEEERE for some excerpts)

If you look at this site you can see the function of the Cyclone Buff, which is the better-suited version of the WINTER-Buff because it has windstopper membranes and well it is thicker than the WINTER-Buff shown in this video.

The original Buff will cost about 14€ and the Cyclone Buff with 37€ is a bigger, but VALUABLE investment…I don’t recommend you the HAT/HAD - copies or the cheap ones, they SUCK!

I have to say I don’t like the options of wearing a Polar Buff in the head, because in THIS case you don’t have something around your neck. It makes sense if you have MULTIPLE Buffs around but in this case you just can pull it up and wear a beanie…

Stephan

["If liberty means anything at all it means the right to tell people what they do not want to hear!"]