Friday, May 12, 2017

Another one bites the dust

You might recall Lazy Nurse.  Well, like all lazy nurses, she left to take a job for better pay.  Buh-bye.

She will not be missed, and I doubt that she will be rehired when she quits her current job at Big City Monster ER, where she will not last long, I'm betting.  

They will eat her for lunch, she and her Lazy Nurse ways.  

Wednesday, May 10, 2017


This is the tale of the toughest man I ever met, a 90 something who fell off a ladder.  Yes, a ladder.  Why a 90 year old would be on a ladder defies the imagination as well as gravity, but understandable knowing that he also still rides a motorcycle.  He was in amazing shape, a wiry muscular frame and sharp as a tack.  With piercing blue eyes, he saw everything and used everyone's name.

The fall dislocated his shoulder.  After a difficult series of manipulations with minimal medication, at his request, he shrugged the whole thing off like it was no big deal.  He was chatty and engaging.  He  wore a WWII service cap.  My partner asked him about his service, and he told us the where and when he had served.  Her recounted the story of his most memorable WW2 experience like it happened yesterday, and not over 70 years ago.

"You see a lot of things.  You think about them every day".

I was riveted as I rested my arms on the side rails and leaned in to catch every word.  B, my partner, was on the other side of the cot,  equally attentive.  Without taking my eyes off him I slowly reached my hand toward the monitor to silence the alarm as he quietly told about his closest call, an explosion that destroyed his hearing but left him otherwise physically intact.

"The other man (note he did not refer to him as the enemy) was as close as you and I were.  I had my gun.  He had a grenade.  We looked each other in the eye, that look... we each knew what the other was thinking.  In that second we both knew that he had to kill himself to kill me.  As he opened his hand, I launched myself backwards.  It was miraculous, I came out of it not hurt...but with a lot of him on me."

How do you get past something like that?

You live to age 90, being grateful every day for your life, and living it to the fullest by riding motorcycles and falling off ladders.  And teaching life lessons.

Tuesday, May 9, 2017

Name game, vol. 2

Ok,  some additional head shakers:




Jasiyah  (Josiah??)











Ileenee (the 2nd e on the end is silent)

That's all for now.

Monday, May 8, 2017

Just because

Because no employer is going to own me, ever again,  I work a couple of jobs per diem.

Because I choose what days and shifts I work, I have ALL the control.

Because one of the jobs is a busy ER with lots of millenials and plenty of call-outs, I could work 16 hours per day if I wanted to.  Because I have I life, I don't

Because last summer I was feeling sassy and clever,  I decided to just work a couple of 12 hour shifts a week in order to have more time off.  Because my boss put me on a lot of weeks with 2 shifts at the beginning of one week, and 2 shifts at the end of the next, I had me some  6, 8, 10 day-off stretches at a time.

Because 12 hour shifts are Satan, and because it just reinforced that I really am too old for 12 hour shifts, I went back to 8 hour shifts.

Because my boss appreciates my flexibility, she is fine with my working 8's.  Because there aren't many per diem's who work straight evenings, it gives her more flexibility in covering short shifts.

Because I am planning to retire in the next couple of years, and I have downsized my living situation, I am also going to downsize the number of hours I work.

I think this summer I will do 2 shifts per week.  8 hours.  No weekends.  No commitments

Because it's time.  Because I can.

Sunday, May 7, 2017

Thank you

Hannah is a superstar nurse also with big brass balls.  Once, during a code the patient had no IV access.  She said "I'll just put in an IO", picked up that IO drill and in less than a minute the patient had access.  It was her first time.  Ever.  And she got it true with no coaching.  Every time I saw her for the next month I raised my hands in a "big ones" gesture.  She's also a nice person.  I mean, really super nice.  Everyone loves her.

One of my favorite docs will get right in there and pitch in, often doing stuff she doesn't have to do.  She will do IV starts, get meds and fluids, transport patients to CT if the nurses are busy.  She has been known to put patients on the commode or bedpan.  She is a doer.  Some nurses take it as a sign that they are not doing their job fast enough to suit her, but it's really not that…she just doesn't see the benefit of sitting around waiting for shit to get done if others are busy and she has the time to do it.

I ran into her in the med room, pulling stuff out of the Pyxis.

"Oh there you are, doing everybody else's job again"

She turned and smiled, leaned against the counter and said, "You know, there are times when I would have been very happy to be a nurse.  But it would not have worked. I'm just not a nice person"

I laughed.  "You are so!"  She is a straight shooter, is not all fuzzy and warm, but I like and respect her a lot.  

"Not really, I want to be like Hannah.  She talks to every patient like they are cupcakes and fairy dust, no matter what evil thing they say to her.  Same as you, you're nice".

"What I am is a good actress".

"Well, then you are a GREAT actress".

Happy Hallmark Holiday Nurses Day to me, and to all the nice nurses out there.  Also to those with big, brass balls.  And a huge thank you to all those individuals, in every corner of the health care universe, who support us so we can get the job done.  


Go read this.  Right now.

Well said, my friend. Well said.

Saturday, May 6, 2017

The USS Constipation

Meanwhile, back at the Bait Shoppe:

Most of the ER docs will just tell patients to take mag citrate and get on a regimen of Miralax, but Gil ordered an enema.

"There is a special place in Hell for ER docs who order enemas", I said darkly.  Worse, it's not even an ER anymore.

I really didn't put much effort into it to be honest.

But after her special treat, Enema Woman gushed about how wonderful Gil was, what great care he gave, how much she appreciated such a warm and feeling humanitarian, and how she would pray for his long and healthy continued existence.

Later I told Gil in detail just how much Enema Woman enjoyed her visit and and expounded on the wonderfulness that was Gil as he beamed in happy warm fuzziness.

Until I told him that I had given Enema Woman his home phone number so that she could personally contact him, as well as his address so that he could enjoy annual Christmas cards and gifts for years to come.

I get even.

Wednesday, May 3, 2017

Bad patch

A bad day, or two, or a few you can cope with.   Shrug it off.  Find some distraction with family and friends.

But recently the bad days at work had been ongoing for weeks with no relief.  Bad shifts, bad outcomes, bad people, bad, bad, bad.  There was no additional help for the increased volume.  Exhausted and frustrated,  nurse call-outs were at a record high and we were all getting 3-4 requests a day to come in on a day off or a vacation.

With the relentless strain at work, I also had a lot on my plate at home.  Just after the holidays we put our house on the market,  downsizing into our dream home condo in less than 2 months.  If you've ever sold a home, I don't have to tell you how nerve wracking that is…we had a LOT of showings before getting an offer less than 2 weeks on the market.  It certainly seemed much longer.   My husband took on the lion's share of responsibility, running around with the dog during showings, coordinating inspections and repairs.  He went well above and beyond his fair share and coping with the idiotic demands from the Buyer's Agent from Hell (please, rot there. You know what you did).   The final straw was the one thing I had been looking forward to.  I had booked a weeks' vacation 7 months prior, before we had any thought of moving whatsoever.  Instead it was another source of anxiety with the mechanics of moving house a couple of days after we returned home.  I was overwhelmed.  Every day brought a new problem to be dealt with at home, and I was brining my work home with me.  I didn't complain much, but felt angry and sad and withdrawn.

After a particularly horrific night, staying two hours after the end of my shift with a critical and dying patient, I didn't sleep well.  I was up early the following morning, mechanically let my dog out, set out her food, made coffee.  I was in another world with my still-racing thoughts when I realized that she didn't come back right away as is her habit.  I saw her out in the marshy area behind our house, circling, wagging her tail, darting about.  She had found something...or something had found her.  "Please let it not be a skunk" I mumbled as I set off through the brush in pajama pants and rain boots to retrieve her.

What had captured her interest was a deer.  She was lying in some brush behind a log, sitting up in plain sight.  She looked at me, back at my dog, then at me.  "Well, she is either hurt or protecting a young one" I thought.  I ordered the dog home.

About an hour later I went out to see if the deer was still there.  It was.  This time it attempted to get away and tried to jump over the log, but was stuck half way across it.  I could see it had an injured leg and knew I had to contact someone to take care of it.

I started with a call to local police, who suggested I notify Fish and Game.  This was no easy feat on a weekend.  About 1/2 dozen calls later I managed to find a number for dispatch.

The warden who returned my call said he would be there in about an hour.

In a little while I went back out to check on the deer.  She had settled back into a spot near the log.  Unspooked, she gazed at me steadily.  I felt very sad as I stood quietly watching her from 20 feet away.  We were both helpless.  She, injured and in pain, me unable to help.  "I'm sorry,"  I whispered.  "It will be over soon".

When the warden arrived I led him to marshy area.   The deer was still, lying in the brush, alert, wary.  She did not try to  run.  "I'm going to have to put her down, she's got a broken leg at least and is not in good shape.  I'll have to shoot her"

"I know, it's what I expected.  It's for the best"

I didn't want to, but felt a responsibility to stay where I was.  I was not ordered away. The warden walked back into the brush; he withdrew his handgun and fired two shots.  It was over.

 I got a good look at her injuries as he dragged her to his truck.  Not one, but two broken legs, clearly not new injuries. She had suffered a long time.  "There are people in need who can use the meat", he said, glancing at me and seeing my eyes were shiny with unshed tears.   "She won't go to waste".

"That's good", I choked out.  I thanked him and stumbled back through the brush as the deer was loaded into the truck.

When I returned to the house, I buried my face in the coats in the  hall closet and sobbed.  Sobbed out all the emotion I had been suppressing for weeks.

My husband didn't understand.  It was not about the deer.  Not really.  I felt like I owed it to that deer to be with her when she died.  I do it for people all the time.

I just don't always cry for them.