tag:blogger.com,1999:blog-7423880838207203660.post6078705499242246977..comments2024-01-10T09:56:49.324-05:00Comments on Respiratory Therapy Cave: The 21 biggest myths about respiratory therapyRick Freahttp://www.blogger.com/profile/01132949384071592216noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-7423880838207203660.post-3902568554906091352014-01-07T10:35:21.767-05:002014-01-07T10:35:21.767-05:00...Many, Many Times, Nebulizers Are FRivolously or......Many, Many Times, Nebulizers Are FRivolously ordered By ARNP, residents, PA's, And Hospitalists Who Have Way Less Understanding Of AnyIf This, Yet Feel Its A Safe Enough And Harmless order That Wouldn't Hurt. Ughh!!!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7423880838207203660.post-42240458462223716732013-11-14T10:30:43.094-05:002013-11-14T10:30:43.094-05:00Also, taking up a respiratory therapist's time...Also, taking up a respiratory therapist's time giving a treatment that's not needed takes away time from someone who does need attention. <br /><br />Also, and I'd like to see a study on this, when an RT is burned out at the end of a day due to too many frivolous therapies, it diminishes his ability to make good decisions at the end of his shift. A burned out therapist is not always at the top of his game. This, in my opinion, may work to the detriment of good patient care. A burned out RT who is grumbling and griping at yet another useless ventolin order is probably not good for public relations either. <br /><br />Now, these are simply thoughts. Although in all the years I've communicated such thoughts, I have never had anyone come up with a counter argument. Not one person has ever come up with any facts to prove that ventolin is needed for CHF, pneumonia, cancer, pleural effusion, and other lung diseases that provide asthma like symptoms. <br /><br />I have had many doctors say things llike, "I think that ventolin helps with heart failure." I ask this doctor, "Do you have the evidence to support this claim, or is it just a feeling?" Never has a doctor proffered any evidence. <br /><br />This, in my opinion, is no better than treating diseases the primitive way with a medicine man dancing, rattling his shakers, beating his drums, and chanting incantations. Rick Freahttps://www.blogger.com/profile/01132949384071592216noreply@blogger.comtag:blogger.com,1999:blog-7423880838207203660.post-35141824461332749572013-11-14T07:50:46.391-05:002013-11-14T07:50:46.391-05:00It's actually a fallacy that ventolin causes n...It's actually a fallacy that ventolin causes no harm. We must not for get the s-isomer, which has been proven to cause inert bronchspasm. The more you take the medicine, the more you need it. It's an endless cycle. <br /><br />I do see your point though. Patients do get the psychological benefit of thinking we're doing something, and the company of an RT. <br /><br />Yet this has been a problem that has plagued the entire history of medicine, is that most medicine has no benefit other than psychological. Ventolin, like charms, amulets, prayers, and incantations of the primitive world, provides nothing more than the best remedy of all time: HOPE. <br /><br />In other words, there are times when Ventolin has a real scientific benefit to the patients who receive it. The other 90% of patients receive nothing more than mythical benefits. <br /><br />Does this "mythical benefit" and "false hope" justify the $120 it costs insurance companies for every treatment given. <br /><br />Think of it this way, you give a treatment that's not needed every four hours, that's $720 a day, and $5,040 in a week. Is that price worth hope? Rick Freahttps://www.blogger.com/profile/01132949384071592216noreply@blogger.comtag:blogger.com,1999:blog-7423880838207203660.post-45120750125852417532013-11-13T22:50:45.077-05:002013-11-13T22:50:45.077-05:00#1: do no harm. I can't speak for all rts, but...#1: do no harm. I can't speak for all rts, but most of my pts improve with the therapy given. Some pts despite all efforts whether mythical or not do not. I've never killed anyone with an albuterol. Sure, some docs think it cures everything, but it can make people feel better even if its just in their head. Now lets talk nurses overmedicating and rts having to fix their mistakesAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7423880838207203660.post-75542381236594826922011-06-18T11:20:17.751-04:002011-06-18T11:20:17.751-04:00It's funny how theories become facts. Rather,...It's funny how theories become facts. Rather, it's not funny really. Despite the myth status, we RTs have to do what we're told, and therefore aid and abet the myths.Rick Freahttps://www.blogger.com/profile/01132949384071592216noreply@blogger.comtag:blogger.com,1999:blog-7423880838207203660.post-86368870163539713462011-06-18T00:28:24.930-04:002011-06-18T00:28:24.930-04:00My RT teacher was just telling us yesterday to not...My RT teacher was just telling us yesterday to not give oxygen to CO2 patients. That their brains will think they are ok and make them quit breathing! lol..Anonymousnoreply@blogger.com