Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL

A DNP who is looking forward to flying on my own! Also, follow me for tips to elevate your essential oils.

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

Over the weekend I learned how to read EEGs. There something magical about being able to read someone’s thoughts.

Another Doc couldn’t contain their excitement when they were on the monitor and just started thrashing around and grunting. I mean just look at those thoughts!

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

J-point elevation is such an oddity to me.

Case in point, last night a sweaty 68 yo farmer came in with severe heart burn. Of course the triage tech did an unnecessary EKG. A GI cocktail and 8mg of dilaudid later, he’s ready to go!

Stop triage orders! They only cause confusion!

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

As it warms up, remember snakes are coming out. Please carry Benadryl, a tourniquet, and a suction kit when hiking. Having the medical director of Venom 1 & 2 on speed dial like @benabo is a huge plus!

Be safe and stay indoors!

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

Dear PhDs, please leave diagnosing patients to healthcare professionals. With the exception of Reiki practitioners, we actually touch our patients.

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

Those thinking about getting your DNP, now is the time! In 3 to 4 years there won’t be enough emergency residents to take jobs.

Get that 18 months online and 500 hours done now and beat them to the punch! With TikTok to guide the way, we’re going to take over!

Muhahahahaha.

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

@MBrigmon @RBeaverDO @ErinMcCreary Ugh. Have they never heard of Gorillicillin?!? Vanco, ceftiraxone, meropenum, and gorillicillin will do just fine. Must be a PA doing the medical advising.

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

@Genericspicy Wait? How did you know that? Was I talking with you?!?

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

Ugh, why are ICU docs always so rude?!?

50 yo woman with a big PE. Started O2 and 10mg morphine for SOB. They felt better. Waiting for transfer.

2 hours later they get worse. Time for TXA! ICU doc wouldn’t even let me order it!

Just take the transfer and let me do my job! 🤬

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

@JuanCLarach1 No. Sea level.

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

60 yo M with so much shoulder pain he couldn’t breath well. 10mg dilaudid and some toradol fixed him right up. Some PT should do the trick!

Weirdly, in all my year in emergency medicine, I have never seen such weird j point elevation. EKGs are still so odd to me.

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

@MedicalMoFo Great idea! Reduce that inflammation!

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

@deepfriedlard

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

As an ER doctor, I just can’t anymore with the disrespect. I called a consult to the local baker at 1am to see how someone just falls on a jar of honey. They just hung up!

I mean seriously. This is a 1 in a million fall. Guess I’ll see if Yogi is available to retrieve it.

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

This note is fantastic! Short, to the point, and legible. Strong work by a fellow DNP!

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

Has anyone used ChatGPT to pass their online fellowships yet? I’m thinking about adding a few more letters to my name, but I’d prefer to maintain my fabulous lifestyle. This new IA thing looks like the perfect solution. Thanks!

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

Quick twitter poll.

25 yo M came in with a change in his voice and feeling like something is stuck in his throat. He looks fine. Healthy, but likes his cocaine. A biopsy was needed with how it looked, so I cut it out.

It’s now bleeding…a lot. Like A LOT. So what do I do now?

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

I commend this fantastic Doctor practicing healthcare and asking for help. I mean who really knows how to treat a low sodium off the top of their head? I’m so glad we have Facebook and Medscape to help find the answers.

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

6 semesters?!? That crazy. You can do it way faster and still call yourself doctor.

These programs are huge rip off of your time. 18 months online or bust!

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

With this tripledemic and lack of progress with my clinic being able to add psilocybin as an adjunct to ketamine and adderall treatments, I’m getting burnt out. It’s time to switch from the ED and go do Peds ICU. Kids, especially quiet kids, are so much fun. It’ll be a fun break.

[Dr. Karen Miley DNP, LPN, LVN, CCN, ESP, RBF, ROFL @miley_dnp]

While doing a pelvic exam, I found a glass eye staring back at me. Apparently the patient put it there for safe keeping, but can’t get it out.

When I called ophtho, I heard a parrot in the background screaming “send it to clinic!”

No birdie, this needs out now!