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Frank's Sign

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Frank's Sign - The diagonal earlobe crease as a predictor of heart disease and stroke.
by Nurse Eric
This article is intended for educational purposes only.


Introduction
Since starting my career as a nurse in 2012 I've been intrigued by the bedside physical assessment signs that point to inward disease because I believe that a nurse who can identify problems before they become deadly can save lives. 

Here's a link to a video I made telling the story of how I learned about Frank's Sign. https://youtu.be/TNUjMi_f0DI




Take a look at this comment I received on this video about Frank's Sign. I think it's incredible that someone followed through to get a CT scan because of what they saw in their earlobes. Look at what it said. It's good he followed through.




Frank's sign is one of those outward signs that can point to some big problems. Think of it like the canary in the coal mine. Poor canaries! 

Coronary Artery Disease and Risk for Stroke are both associated with the…

Healthy At Every Size #HAES

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Have you heard about Healthy At Every Size?
Well, it's time for another awakening.


Look, Healthy At Every Size doesn't mean that everyone is healthy at every size, it means you can't assume someone's health by their body size. 
This might remind you of how Black Lives Matter doesn't mean that only Black lives matter, it means that All lives can't matter until Black Lives Matter.
I see so much body size bias talk in the hospital as a nurse and I'll be honest, I've been guilty of it myself. 
I've been challenging my bias over the last four months since I first heard about the HAES movement.
I'm working on reprogramming my language as it is so influenced by diet, weight loss and body size bias in our culture. But...
One of the goals of the movement is to be a movement that, "Challenges scientific and cultural assumptions;" about health and body size.
I'm starting to see that my assumptions didn't have a strong basis in reality.
One example…

Love Wins

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True story: 


My patient was a young family man who was very afraid about what had happened to him. 
We went down for a scan and he was terrified. 
Visibly emotional, he asked if anyone was a Christian who could pray for him out loud. 
One person said they were and said they were praying for him silently. 
He kept asking for someone to put hands on him and pray out loud. 
This seemed to make everyone in the room initially uncomfortable. 
I'm pretty sure I was the only ex Evangelical Christian turned Humanist Atheists in the room.  
That being said, I saw my role as nurse to care for my patient. 
I put my hand over his heart and said, "Dear heavenly father, (patient name can't be disclosed per HIPAA) is very anxious about this scan. Please help him overcome his anxiety, give him peace and help him to be brave right now. Give him a positive outcome to the scan so that he will be able to return to his wife and children who love him and miss him dearly. In your name we pray. Amen."…

Plenty of Science to Support Masks to Slow the Spread of COVID 19

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Plenty of Science to Support Masks to Slow the Spread of COVID 19


The purpose of this article is to demonstrate the science behind the wisdom of the recommendation to wear cloth face coverings or other appropriate masks when social distancing is not possible during a pandemic like COVID 19 where the disease is spread through respiratory droplets.
The wisdom is derived from two main concepts; 1. Asymptomatic and pre-symptomatic spread are significant sources of spread of COVID 19 and; 2. Cloth face masks safely provide a significant level of protection from respiratory droplets thereby reducing the spread. 

Asymptomatic Spread; Viral Load; Contact Tracing
Rothe C, Schunk M, Sothmann P, et al. Transmission of 2019-nCoV Infection from an Asymptomatic Contact in Germany. The New England journal of medicine. 2020;382(10):970-971. PMID: 32003551external iconhttps://pubmed.ncbi.nlm.nih.gov/32003551/
Asymptomatic Viral Load
Zou L, Ruan F, Huang M, et al. SARS-CoV-2 Viral Load in Upper Respiratory S…

An Uncomfortable COVID 19 Truth in Arizona

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The truth is sometimes uncomfortable. 
So be it.
I've adapted a message created by a fellow nurse that had to be taken down because they were receiving threats. 
It needs to be shared especially now since our numbers are spiking in Arizona.
I've pixelated the photo because a group of people has turned their anger on those of us who tell our truth about what we see on the front lines.
To all of you who are supporting us by following the CDC and WHO guidelines, Thank You!
Love Health and Solidarity ♥️😷✊🏻
Nurse Eric
Here it goes...
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Hello! 
Welcome to our ICU. 
Now that Arizona has royally failed in efforts for a safe reopening and you all are out exercising your constitutional rights to spread COVID I just wanted to introduce you to the welcoming crew. 
(Not pictured are our amazing RT and lines team)
We have your badass intensivist that will elegantly put a central line in your jugular vein while we briskly work to …

Dear Mom - A commentary on the Candice Owen video attacking George Floyd

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Dear Mom,

I know this looks convincing and legit because Candice Owens is black, articulate, passionate and it looks like she did her research because she brings "facts" to the argument but I have some concerns I'd like you to take into consideration. #candiceowens

First, let me start by saying that I consider myself a good listener.

As a nurse, I actively work to identify when my biases are influencing the way I assess things so I've developed a number of ways to evaluate situations that allow me to take a step back and see reality as objectively as possible.

I have worked to understand logic and fallacies in debate, I've learned how to interpret statistics in my nursing courses and I study body language because as a nurse, sometimes people lie to me and knowing whether to be cautious with the information I gather can be really helpful in developing a solid plan of care.

So, just so you know, I watched the whole thing with an open mind twice and I have some thoughts …