Saturday, June 30, 2007

Irony



Even "funnier (so to speak)..... I got a ticket last week. Yes, I moaned about it to both guys while admitting I deserved the ticket I did gripe that there was no probation offered by that judge. This is while we were traveling to another part of the state. Yes, I was speeding. Yes, I deserved it..... but rats, I was trying to get away from a group of trucks. Makes no difference, I'm sure they get sick of hearing excuses so I basically didn't offer one when I was stopped. It just reminds me of when patients hit their call light to get you to come into the room when they can see you looking at them and they could just wave you in (yeah, a lady came out to the desk today - the glassed ICU room was facing me, the pt told her to come back in he would just hit the call light even though she was at my desk asking me a question I would need the chart for the answer). Sorry, I digress...... Anyway, whining should only be for fun, never serious.

Anyway..... I loved the irony and I enjoyed the patients.

Tuesday, June 26, 2007

Time


I haven't blogged in awhile, life has been getting in the way. Nothing special, just stuff. Maybe it's being out of the daily routine, not doing school with the kid. Maybe it's just being tired.

Had to take spouse to a larger city for a checkup on his eye. He has, this is what the doc calls it, a mole on the edge of the cornea. We go once a year to make sure that it doesn't grow. This particular day spouse was not feeling well so I drove. Unfortnately we had to make an unscheduled stop to met one of our fine state troopers. Unstead of pointing to the specimen in the back seat and saying I was on my way to a specialist (he looked dead) I just made no excuse at all. I figure these guys are as sick of whiners as I get. It will cost me $130, some pride, oh, and the judge doesn't offer probation, nor do they take personal checks. So it goes on my beautiful record.

Lately I've been pondering my life and what if I had been raised here or there or done this or that. I'm late 40's, I think this is natural. I'm not unhappy with my life, just wonder. Then I wonder if when we are in heaven if we get to enjoy things maybe we didn't here. Unending Ben and Jerry's without weight gain, riding horses across the prairie, just stuff....... Is it foolish to consider these things? I mean, I'm all for unending praise of Jesus around the throne, don't get me wrong, and I suppose we won't even think about such things, but I wonder. Oh foolish me. Oh well. Off to met more state troopers, #3 son needs his drivers license and we must go to their hidey hole. Yesterday they were pissed off, maybe today will be better.

Monday, June 11, 2007

Reports of My Death Are Only Hopeful

Okay, I'm not dead. I'm tired. I haven't been reading any blogs much, I haven't had energy to think about what is going on around me. I had hoped today to play catch up, but alas, life caught up. I probably should have done this last night when I wasn't sleeping, but I was too busy focusing on stuff that I can't control. So, needless to say nothing has been writen.

I will say, I am still stunned from hearing a patients father tell me (and administration when he complained about me) that he didn't care what we (oh, said this to the doctor that told him we wanted his daughter sedated) that if he "wanted to wake her up he would, and it didn't matter if it was not in her best interest!" I was also instructed in new tattoo care.

When you get in situations, you have to seperate the patient from the family. I liked the patient, of course, I like most people when they are properly sedated with ativan, versed, haldol, or geodon.

I'm going to now carry my anemic blood, my ear with the effusion (oh, I had a checkup today), and my tired booty to bed. I have to work tomorrow and I expect someone will expect me to actually earn my money. I will have a lot to say when I finally sit down and sort it out.

Saturday, June 02, 2007

Overheard



Picture this: Intensive Care Unit. Patient in bed...... screaming:

CODE BLUE!!!

CODE BLUE!!!
CODE BLUE!!!
CODE BLUE!!!
CODE BLUE!!!

Over and Over.......

Families think we don't care as we call out to her: "Stop!! You're upsetting the other patients!!"

Have I mentioned I love Haldol and Geodon????

Tuesday, May 29, 2007

Celebration


The fact is, our boys are growing up. The oldest son's best friend got married this weekend. Graduated college, and now married. It won't be long until the groom is one of mine. ***sigh***

The bride was delightful, family was awesome. We had to go out of town for the wedding and were able to stay onsight at the colleg campus. The grooms family has had a tough year and friends came to show support and celebrate. It was great!!

Isn't it wonderful when we come together, love one another and rejoice!! This family has been close to us since the oldest boys were toddlers. They have celebrated everything together and I'm so excited that we were able to partake.

The Funeral


I got a message from a friend last week, her mother had become ill suddenly and passed away. I was stunned, the first I heard of it and it was over. I initially thought that I had missed everything, but then began to realize that the funeral had not happened. The morning of the funeral I realized that as I was typing a letter to her about how hard it was for me when my dad died, and how lonely you feel in the midst of the people, that I could tell her this in person.

The thing is, you couldn't just up and go, this place was a couple of hours away. But when I thought about completing the letter about how I understood what she was going though, I realized I could hug her instead. The drive was good, I had time to reflect on many things. It was one of those where you drive like crazy on the interstate, then you get to drive in the country. This state, in late spring, is beautiful. Yeah, what a sacrifice: I got to be away from town, alone.

One thing people don't know how to do is to just be. It's a helping word: be. Sometimes there are no words, you just are there. I had no great thoughts for my friend, I'm not "puffing" myself up. I remembered the pain when my parents died, and I came. If there was wisdom to impart, others did it. I just wanted to be there for her.

This woman died in the house she was born in, she decorated the cemetry before she died. She raised wonderful children and was keeping her grandson while her son was in Iraq. She had a faithful old dog that will be lost without her. Moments of wandering around, there is a river that flows behind her home, one that is popular with canoeist. It was a simple funeral, yet it spoke volumes. I never met her, but I would have been honoured to call her a friend. I wish I could effectively describe what I felt, but words limit me. There was a certain amount of mourning, because she will be missed, but it was a celebration of a life that was not wasted.

Maybe that's it...... a life that was not wasted. How much time do we waste, but what is wasted time? Is it a waste to sit and read, to enjoy just "being" with someone and not doing? Is it a waste if you don't solve the worlds problems, but you are faithful to the people around you? Is it a waste to live a simple life, one that surely Hollywood would make fun of, yet you have a simple faith that God is eternal and we are not?

I envy those that can do that. Can realize we are not to waste what God has given us. To enjoy the time together, to enrich our minds and souls, to give to others as we have been given. To be forgiven, to forgive, to love, to be loved.

I suspect this kind lady is in heaven, enjoying the presence of God and seeing the tears wept in her honour. She probably wonders why they cry for her, but she has surely shed tears as they do.

Rest now my friend, this is your legacy. And I thank you that you allowed me to come and see this part of your life. Don't hide what and who you are. I know you were surprised by my presence, but you would have surely come for me. You were taught by your mom friendship, and this is who you are. Friends love each other, they can just "be" there, and when you need to safely cry, now or in a year, I'll be there if you need me. Funny thing, you accepted me at a time when I was weak and loved me, and should you need me, I'll be there for you. Go sit at the river, think eternal, and know you are loved.

Monday, May 21, 2007

Pearls.......


I'm putting the following link here, what I'm requesting is that you pick the character from Pearls that best suits you, BUT that you also pick the character that best suits me.

http://www.comics.com/comics/pearls/html/cast_PearlSwine.html

I can't wait.........

Sunday, May 20, 2007

Drama


This last week has been interesting. Work was, well, fascinating. We weren't that busy for once, and well, the nurses and staff had spring fever. I wear a stuffed figure of a character on my stetoscope, they keep stealing it. They were hilarious. We actually got to destress. Nice, probably won't happen again in a long time. Even the docs were pulling jokes on each other.

Okay, I must tell. Once there was a surgeon that was asked to help do a trach. I won't say at what level training he was to protect his innocence. So the pulmonologist, the RT and the surgeon are at the bedside ready to start when the surgeon whips out instructions. Well, see one, do one, teach one........

Recently same pulmonologist and RT are getting ready to do a trach, surgeon (a well trained surgeon that has a great sense of humour) pulls out instructions from his pocket. Pulmonologist screams..... "YOU!!!" at the RT who is rollong over laughing. Pulmonologist is now seeking revenge........

On another note, stress has been high at the church, but I think we are on the down side of it now. Okay, we are leaving, now sheeps without a pastor. But so much good has come from it that I believe God will redeem the day.

And I want to thank my blogging buddies here, it's nice to know that our hearts touch even when we don't know each other. I hear "Fiddler on the Roof" so I'm out of here.......

Super Villian

I took a Super Villian quiz for a friend of mine. I'm not into these things, but I did find the questions interesting. I didn't realize "motherly" would be a question. I think I can understand most of the answers. So, here it is.


You are Mr. FreezeMr. Freeze
--------------------------------------------------------------------------------
68%
The Joker
--------------------------------------------------------------------------------
67%
Dr. Doom
--------------------------------------------------------------------------------
67%
Riddler
--------------------------------------------------------------------------------
64%
Lex Luthor
--------------------------------------------------------------------------------
52%
Two-Face
--------------------------------------------------------------------------------
52%
Venom
--------------------------------------------------------------------------------
51%
Poison Ivy
--------------------------------------------------------------------------------
50%
Apocalypse
--------------------------------------------------------------------------------
46%
Juggernaut
--------------------------------------------------------------------------------
44%
Dark Phoenix
--------------------------------------------------------------------------------
44%
Magneto
--------------------------------------------------------------------------------
39%
Catwoman
--------------------------------------------------------------------------------
37%
Mystique
--------------------------------------------------------------------------------
36%
Kingpin
--------------------------------------------------------------------------------
33%
Green Goblin
--------------------------------------------------------------------------------
28%
You are cold and you think everyone else should be also, literally.

Wednesday, May 16, 2007

Ouch


I've been busy with real life lately and haven't written much or read much on the blogs. Much to my surprise, I went to Fat Doctor's blog today to find out that she is closed down. Seems a co-worker buster her out to the boss. The boss was fine about it, but it really bites. I guess for FD it was much like having your diary read over the loudspeaker.

So many people are amazed that we blog. What do you say? What if your boss finds out? What if a patient recognizes themselves? First of all, you would have to be more paranoid than I am to recognize yourself. Seriously, of all the people in the blogging world do you think you are special enough to make the interesting stuff you read on here? Come on.... and then you have to realize that so much is embellished to make it interesting, well, Jerry Springer has some openings.

My boss..... she wouldn't be happy, but methinks she would get over it. I think too that she recognizes creative writing. However, I don't want to push it. I do love my job.

I'm sorry FD, I really am. You have shared so much with us, we've walked down many things with you. I'm still touched by the death of one of the bloggers, I never knew her, but yet, I did. Somewhat better than some folks I see on a regular basis. Why is that? Because she opened up her thoughts for us to see, something we don't trust those close to us to do.

Alas, real life calls. I have much to do before going to throw myself before the patients and families tomorrow. See if I have any sanity left.

Wednesday, May 09, 2007

Patient Wisdom



I love patients, they have such "interesting" tidbits. Today I was informed that putting a rubber band in the patients hair will induce seizures.

There are days that the families help us do our jobs, they tell us how to give the meds, they tell us how to pull up the patient in the bed. They help us manage our time, because we so often sit around and do nothing (this is usually when at 5pm I'm writing my 9am assessment that I couldn't write because I was bathing the pt and giving meds, talking to the doctor about what we need or what has happened, u know.

I remember my mom was worried about me reaching over my head when I was pregnant because I might strangle the baby. But then, I freaked out when I ran into an electric fence because I was afraid I might electricute the baby. Ah, the days of going to the family doctor with the baby and asking if having the car windows down were the reason he had ear infections. He was sooooo patient with me.

We learn, we grow, we teach. Of course, we snicker behind the closed doors....

Saturday, May 05, 2007

Is It Obsessive?


If you wake up at 12:45 am and call work about something you forgot to do, is that too obsessive?

That was the second phone call. Some have called me "work boundary challenged." Can I charge them for that time? Oh dear.

Saturday, April 28, 2007

She Knows It's Coming


Okay, I show up for work in the ICU Thursday.... my orientee is sitting in a chair. Ha you say, so..... So this gal never sits, she is usually 30 minutes early for work, has report underway, makes me look terrible all the time. So I'm thinking, what's wrong......

We start report. Now, I'm not the most observant person in the unit, but I could even tell Zippy ain't feeling so good. First clue, she can't finish a sentence without having to stop for a breath (and when the sentence is "No, I'll stay." it isn't a good sign). Second clue, I've seen pt's that have better colour than she had (you can include 1/2 dead pts in that), third, my co-workers all said she was sick.

Give her credit, Zippy was determined to work!! She refused to go the ER, she said she couldn't drive home, she was gonna work. We had a balloon pump pt and something else, nothing serious. I kept telling her that it was fine for her to stay, when she passed out we could do anything we wanted (the chaplain later told me that this statement was pivotal in her relenting to care while she could control some of it). When she was trying to give the 9am meds and couldn't get the meds down the NG tube and realized that someone would have to help with that - she thought it was stopped up, reality was she was too weak to push the meds, it flushed easily with the healthy nurse. She finally said that maybe she would go to the ER. I knew there was no way this gal was going in a wheelchair, but her audible wheezes were unnerving to me as we walked down to the ER (yeah, not very observant, I didn't hear them with all the racket in the unit, in the hallway, oh my!) And of course, she was breathing 37 times a minute.

I also work in the ER pool, so I was hoping that would speed things up for us, alas, not to be. We got back rather quickly but getting respiratory was a little slow. I went back and forth (I was charge in our unit, hated to be gone long) and Zippy was in good hands. However after her 1 hour updraft and CXR her sat on room air was 85%. I suggested maybe O2 would be in order, but didn't put it on in case they wanted gasses. Epi and steroids were given, and she ended up on 40% veni mask. Long story short(er), she got admitted to ICU for bilateral PE's (blood clots). Two days later she is doing much better, I did manage to care for HER patients without killing any of them, and she is ALMOST cooperating with her care.

I can't tell you how scared I was. We lost a blogger in the fall to this, of course I've seen pts die with it, one of our nurses mom died with one (sorry babe - I know it still hurts and I know you were very scared), and I'm quite attached to the girl. I'm hoping that Zippy will take this serious, will actually cooperate with the docs (we did hand pick them), and will heal quickly. After all, I am having to do my own work, God save the patients!!!!

Tagged - Why I Blog



Survival - I've found that my survival depends on being able to look at most situations and to see if I can make someone laugh when I retell it. I now find myself thinking during the day about how to tell this without violating HIPPA or my friends confidence.

Interaction - I live a fairly sheltered life, seriously!! I love hearing how others respond to what I say and think. There are a few of you out there that have responded so kindly to me, but I also like to challenge main stream thought (except for when I want you to come to the main stream).

Venting - 100% O2..... I try to keep myself out of trouble by changing enough that the idiots won't recognize themselves or the suits either. I have totally refrained, well, most of the time refraned from trashing someone that gives me a paycheck. But come on, there are sooooo many times I just want to scream, "you may have imprinted your image on my forehead, you may give me a paycheck, but I can't keep saying over and over that you 'really' care about my staff when you have everything you need and we don't" and we could go on from there but I suspect most of my readers know what I'm talking about.

Dreams - I finally spoke the words today to a friend, "I would really like to be a children's book reviewer." Possibly even a writer. No, that's not true. I would really love to be a writer. So this is a way for me to fulfill some of that. (I would be really good as a kids book reviewer though).

Freedom- I can talk all day in here without being interrupted once. I can tell the story, edit the story, jazz the story, but you can't stop me *giggle*. This is so freeing.

Tuesday, April 24, 2007

Too Bummed To Blog


I've not written anything, been busy attending to things belonging to a higher power. This is not the first time I've been involved in a church that was imploding, but this time I'm more detached. It's sad really. Why, why, why? Because we are but frail humans with a sin nature. Now, not everyone believes that, it's okay, but I've seen enough sin nature to convince me. Otherwise, how do you explain the news and what people do to each other.

Today was a new low. Everytime I try to type something about this, I can't. I think I need to leave it at that. Fortunately, this time my source isn't the church, it's the rock. And I hope and pray that I not take my eyes off the rock.

Maybe when I go back to work Thursday the patients will give me something to laugh at.

Sunday, April 22, 2007

The Call


The man called asking about his dad. I took the call from the hostess. He hadn't talked to a nurse in about a week. My first question is usually tell me what you know, so I know how to fill in the blanks. He couldn't understand why dad wasn't getting better. It's a safe bet in my unit to discuss heart failure and fluid in the lungs. I educated, read the pet scan results, went through the mans history (and in a unit aren't they all the same??), looked up CT results. I explained about the surgery on Monday (lung biopsy). He still wasn't getting it why dad isn't any better. I'm finally going "look, he's 83 years old, the parts wear out!" "No he's not, he's 72." I'm sure of this one, after all, I can read, "He's 83, right here on the chart." Then I reinterate about the family meeting and how Jim Bob, Sue Bob and his mom were talking with the doctors when he goes, "Who's Jim Bob?" Duh, I say, "Your brother!" Thinking how bad is this connection (in my defense, the phone had been breaking up). "No, my brother is Mark Bob!" Sadly, 47 minutes and 30 seconds into this call I ask, "Who is your family?" It's the Symthe family, I had been telling him about the Smuth family......

You must understand, I had been tired, hungry, and the last part of the talk a little exasperated. My staff is now rolling on the floor as I tell one of them that this call is actually for them...... Could they please talk to the man who surely (and maybe rightfully) thinks I'm an idiot. Needless to say the HIPPA police will probably take me away when I go back......

Naked Patients



First might I say, why is the only patients that want to be naked are the ones we don't want to look at??? *sudder*

Overheard: "Now Mr. Smith, why do you keep taking your clothes off?" said the cute young nurse.

"Because I breathe better naked!" was the hasty reply.

Friday, April 20, 2007

Why


Yet again the patient didn't make it. I don't know the details, I wasn't there, but I got to clean up the emotions after. He was only a few years older than me with a preteen child. My staff was upset, they weren't expecting it. Yes, he was on a balloon pump, but geez, we see a lot of people recover after that. So why are we so surprized that this one didn't make it? Because we do our job well. He talked, laughed and joked up until he coded.

Why do we walk away from these cases saying, "what did I miss" "could I have done something different". Because we are exactly what a nurse should be. We care. This was OUR patient, he deserved the best and we gave it to him. We tried. Fifty years ago he wouldn't have had this chance, actually more like 15 years ago. We give good care. And because of that, we cry, we have bad dreams, we analyze every move we made. And I hope we never stop.

I hope if I ever do become the patient my nurse cares enough to cry at times, that she or he would think of each move they make. This time it's a healthy cry. We lost, but with the process of reviewing what we did, we also gain a respect of the fact that our patients, even when the laugh and joke, are very sick. And they need us, to be there for them.

Friday, April 13, 2007

Amazing Grace



We all left home tonight, three seperate vehicles. I only anticipated seeing one child at the concert, instead all of us were there. How strange that we, having children of this age (early twenties, teenager) should all end up at a choral concert at a church that none of us attends on a Friday night. The music was beautiful, this choir and orchastra will be leaving next week to travel to England to sing at the church where John Newton wrote most of his hymns.

It is Amazing Grace

Tuesday, April 10, 2007

Jellybeans


I like them, a lot. I'm type II diabetic, had a drug rep dinner tonight with dessert. I have a bag of jellybeans in my room. I want them, yet I know I should not.

Blast the evel (can't remember what movie that is a quote from) nurse that recently gave me jellybeans and reminded me how much I love them. The evil little things, so full of favor. So tempting....

Know what makes me do better control..... looking at patients. I don't want to be one. I constantly am reminded that I must exercise, eat better, so that I'm not a patient and that I can live to see my grandchildren grow up and marry. This would be the grandchildren that are not only not on the way but of the children that aren't married (only one is dating currently).

Anyway, maybe one jellybean...... maybe not.