Monday, October 20, 2008
Monday, October 6, 2008
Give me a break!!
"Respirtory, this is IE."
I need a breathing treatment in ER bed 2.
So, I wander over to the ER, and pull the chart for bed 2.
51yo female; cheif complaint - pneumonia x 3 months; vital wnl; in bold letters, I read, IS A DAILY HEROIN USER.
Great.
"Hi, DHU (daily heroin user), my name is IE from respiratory. I
have a breathing treatment for you."
"I got pneumonia for 3 months. cough. cough. I just finished a course
of antibiotics that didn't do nutin. cough. cough. I think I need to admitted
for IV antibiotics. cough. cough."
"Okay, here's your tx, let me take a listen....take a deep breath."
Now this lady was a clear as clear can be. But 'coughing' up a storm.
"How do I sound?" she asks me.So I promptly found her nurse and informed him of our conversation.
"Not too bad for having pnuemonia for 3 months."
"Oh," she says, "well can you make it worse than it is so they will admit
me?"
"Seriously? Just sit there and take your treatment and I'll be back
in a few minutes."
Fast forward 10 minutes, I go to take DHU's tx off.
"Now what? Aren't you gonna give me some antibiotics? And pain meds?
This pneumonia is giving me alot of pain. At least a 9."
Now how did I know this was coming????
"Now you will wait for radiology for a chest xray and probably
another breathing treatment or too."
"Hhhmmmtt. I couldda done this at home."
Don't let the door hit ya....
Sunday, October 5, 2008
Oh the pain!!!
my knee playing soccer, broken my arm three times, suffer from chronic
pain which will require a hysterectomy (thanks to the crappiest doctor
ever) as soon as I work up the nerve to be cut wide open.
But last night, wow!
We went out to eat at the local yummy pizza place. The tables and
floors are a little sticky, but the pizza is awesome.
My daughter spilled her drink all over the place. As I started to
stand up, my foot slipped out from under me and right under the base
of the table. Since it doesn't really get cold in southern California,
I was wearing flip flops.
My poor index toe slid right under the table and the nail was lifted
up. I tried not to make a scene, but tears instantly welled up. Holy
crap, did it hurt. I looked down, toenail still there, but now it's
bleeding.
Now I love blood and guts, but not my own. I'm kindof freaked out, so
I just asked for a bag of ice & poured peroxide all over it when I got
home. The nail is cracked & loose, but I'm afraid to try & remove it,
so I just covered it up & took a motrin.
Oh, I know what I'll do, call 911. Then the er doc can take care of it
for me. Oh!!! Maybe I can get a shot of dilaudid too. The pain is
definetly an 11.
;)
Monday, September 29, 2008
Dead girl walking
61 yo female outside smoking with her friend complains of chest pain &
collapses. Paramedics get there within 5 minutes & begin CPR. It takes
them exactly 30 minutes to get to the hospital. In that time, she
gets...
Epi x 4
Atro x 1
Ami x 1
& is defib'd 4 times. She goes from
Vfib to pea to asystole back to vfib to jr.
Now she is in our er. We take over CPR. Here she gets...
Epi x 4
Defib'd 3 more times
Still nothing. So they decided to stop & everyone leaves the room.
A minute or two later, a nurse goes back into her room & guess what?!?!
She's alive!!!
The doctor gives her a grim prognosis & the family makes her a dnr.
Four days on the vent, weaned & extubated.
She is currently on tele on the floor. Absolutely fine neuro-wise. She
can't believe what happened.
She does, however, complain of sternal pain where her chest is
bruised :)
Small price to pay for life.
Wednesday, September 24, 2008
Monday, September 22, 2008
I am old
My father in law does it all day long...
Night shift does it during report...
And now I do it too...
I have found myself closing my eyes to catch a 2 or 3 minute nap when
there is some down time.
I only knew old people to do it. I guess my life is catching up to me.
A husband, 3 kids, 3 dogs and a full time job.
I am old...ok, ok, maybe just exhausted.
34 isn't THAT old
Sunday, September 21, 2008
Concern from a 'nobody'
'nobody' to 'rich and famous'.
I went to high school with a now famous politician. A semi famous
model. A few pro football players. An awesome pro baseball player who
is the pride & joy of my high school. I saw Gwen Stephani of No Doubt
once at a Japanese resturant in the oc. I saw Mark McGuire once at the
gym.
I also was friends with Travis Barker of Blink 182 way before he was
famous. I haven't seen or talked to him in 10 years or so, so I can't
say we are friends, but we were & I am concerned & worried.
He was just in a plane crash in South Carolina & is now in a burn
center in Augusta, GA in critical, but stable condition. 4 died, 2
survived.
When I worked at Big University Hospital, they had the only burn unit
in the county. My least favorite place to work, BICU. Holding an ETT
during hydro is torture for me. I can't stand the smell & the torture
the patients go through. Unbearable A burn nurse has my uttmost
respect. I could never do what they do.
Anyways, the long road ahead Travis now has ahead of him. I have seen
it. My heart breaks for him & his family.
If any of you work where he is at, I know, I know, hipaa, blah, blah.
Take good care of him.
This 'nobody' RT wishes she could take care of her former 'nobody'
friend.