Friday, July 31, 2009
We ge down to CT without a hitch. Once there, I move to the other side to the bed to arrange IV lines and such for a safe transfer from the ICU bed to the CT scanner. That is when the very sweet patient transporter starts pushing the bed. Right over the top of my right foot. The ICU bed that weighs as much as a car, without the squishy air-filled tires.
But I am a trooper. I stay, balanced on one leg, bagging the patient until the ordeal is over, then hobble to the ER for x-rays. This is where I learn that the male RNs in the ER really are knights in shining armor. Poor Ben gets down on his knees and takes my shoe and sock off. My rubbery shoe. After working 11 out of 12 hours. And he says nothing, even tough I am crying and blubbering about smelly feet and stubbly ankles. Then Steve comes in to make sure I can walk on crutches. Don't even get me started on Norm, the security guard who wheeled me into my room and filled out the incident report for me. They are all angels. You just can't see their wings through the scrubs they wear.
As for me? Outlook not so good. I am on crutches. I am off of work, which I hate. The employee health nurse was teasing me about my control issues and workaholic tendencies. She asked me if I was taking my pain meds, and I told her no, that they drug me up, and she laughed and said that it is because they make me lose control of the situation and sleep. She's probably right. So for at least this week and next, I am just a student.
And I am bored.
Wednesday, July 22, 2009
I love this commercial.
Okay so what's up in my world? The same. Work and school and homework and just a little sleep thrown in. And now working out again. Back to the grind in the gym. I started back last Thursday. I have already lost 10 more pounds and almost 4 inches of of my waist. Go me!
Though I love swimming, the pool hasn't bee my friend recently. Read about it here.
Wednesday, July 15, 2009
Wednesday, July 8, 2009
By far my favorite pic of the entire trip. The goat kept trying to eat Evan's shirt, so Evan would giggle and step away, then try to pet it again. Each time, it would get a mouth full. It didn't tear the shirt, but it did give me a great photo op.
Too cute for words.
This damned thing. I was leaning over the glass, trying to get a good shot of the sea lion that was underwater playing with a ball. All of the sudden, this #$%^& popped it's head up at me, scaring me to death. Note that the camera was not zoomed for this pic!
Lucy wouldn't wake up for me and I was very disappointed. (See below.)
Awwww. Lucy the Baby Bearcat. Sponsored by the University of Cincinnati. Go figure.
The seductive ape. I kindly left the other one out of the pic, who was showing its hand in its mouth repeatedly. I had just said "What is it, bulimic?" when it purged its food into its hand to feed its baby. Disgusting.
This is "Francois". Some type of monkey that had Francois in it's name. It had a faux-hawk and white muttonchops, and was the coolest monkey ever.
I don't know what in the hell this thing was, but when we went to walk away, it made some weird crying sound until we came back.
The polar bear insisted on showing me nothing more than his browneye as he ate his lunch.
I think John was making funny faces behind me.
So peaceful here. I didn't want to leave this spot.
The big one and the little one take a break to eat popcorn.
I have this horrendous phobia of snakes. Just walking into the reptile house was a huge step in conquering my fear. And it was packed too. As I looked at the snakes through the glass, I was sizing people up to see how much effort it would take to knock them out of my way if I needed to make a break for it. Then I saw this S.O.B.....
Evan kept calling this rhinoceros "Clyde". I have no idea where he got that name.
Evan poses with the likeness of his father.
Is that the Fergie family? Mom, Dad, and Evan.....
The gorillas were pensive.
The bearcat would not be still for her photo shoot. I swear I stood there for about 15 minutes trying to get a good shot. No wonder UC thinks this is a good mascot....stubborn as hell!
I think I interrupted the sexy time of the "Giant Bait", as my hillbilly husband called them.
These lizards were looking at me.
The lemurs. This is when Evan screamed "Look, Mommy, it's Zoboomafoo!"
Monday, July 6, 2009
So fast forward a couple of days later. I think it was a McDonald's we were at for breakfast. For the umpteenth time that day, I caught little Evan scratching his nether regions. He never does that. Well, being that he is getting older and more aware that Mommy is girl, I sent John into the bathroom with him to inspect. Yep, you guessed it! He had a tick fully embedded.... there! So John tries to get it out, to no avail. I call the doctor, and she is going to get a male colleague to get it out if I will just stop by the office. At this news, Evan starts wailing. He doesn't want the doctor to do this. So I call the in-laws. They're country people and know more about this crap than I do. My father-in-law tells me to hold a match to it. Seriously? Did he even hear where I told him it was on Evan's body???? But the heat idea....hmmmm. So I get Evan in a hot shower, hoping it will back out enough to get the sucker out. Of course not.
I have no idea how I did it, but I managed to convince the kid to let me have a crack at it. I hope no neighbors were looking through the windows, because I had to have my son lay on the floor, and I had to get my face very close to see what I was doing. But armed with nothing but a pair of tweezers, I got the damned tick out. Ewww. The entire time, Evan was whimpering about the "ball surgery".
So here we are a month later. The spot where the tick was located looks awful. And Evan has developed this horrific rash all over the lower half of his body. We have tried every over-the-counter cream there is, from anti-inflammatories to anti-fungals. Nothing is fixing this rash. A week later, when it is actually worse, we take him to the doctor.
My child has lyme disease. So now we are on a one-month, three-times-a-day course of antibiotics. So much for summer!
Friday, July 3, 2009
I immersed myself in kid lit. I had to see what the fuss was over, and now I see. I finished Eclipse late last night and am now reading Breaking Dawn of Stephanie Meyer's Twilight series. This is the last book, then I can go back to big-girl books.
Wednesday, July 1, 2009
A Patient is completely alert and oriented. She is intubated and has been on a ventilator for days, thought the initial problem had nothing to do with her lungs. Now she is awake and demanding to be extubated through hand gestures. Her vital signs look amazing. She has an order for a wean in the morning. But she insists on now. The family is called in to speak with her, and the family agrees with the idea of honoring her wishes. Her doctor, on the other hand, did not give the order, but did not tell us not to extubate, either, but simply made the statement that extubation would be at her wish and not his order. You put her on a t-piece and monitor her. There is absolutely no change in vital signs for 2 hours. You get a blood gas, and it is textbook-perfect. What do you do?
I'll tell you what I did. I pulled the damned tube, documenting heavily on her stability and the family and patient's wishes. Apparently, this has been the talk of the MICU. My director, critical care coordinator, and supervisor have commended my actions, saying I did exactly what I should have done in that situation. The director has even gone so far as to copy my charting to place in my personnel file along with a typed commendation from him. Only one pulmonologist has said anything. She wanted to know if it is "standard practice to extubate a patient in the middle of the night without a physician's order". Absolutely not. But to honor a patient's wishes while safely monitoring the patient's cardiopulmonary status...My intent throughout the whole ordeal was to watch for anything that would indicate that she would not be able to handle extubation. Had anything come up, I would have immediately had a discussion with the family regarding my concern. But nothing did. I could find no reason to leave her intubated against their wishes. And the outcome has been phenomenal. She hasn't needed so much as a breathing treatment since I did the deed.
So my Big Boss is recognizing me, stating that I have done a tremendous job for the hospital since I have been employed with them. Up until recently, I didn't even know if he knew that I work for him. But according to a phone conversation this morning, he has been getting a lot of positive feedback about me. Kind of makes my ears burn a little bit, wondering what has been said and when. But overall, it feels great to have your hard work recognized.