Well, hello again. It’s been so long since I checked in I was afraid you may have wandered off by now. But a real pleasure to see you as always.
Explanations for my absence? Only work I’m afraid. It feels like I’ve been living at that hospital recently. I’ve been really sucking up the overtime, so my days off tend to be singular and isolated, which of course means all I do is sleep the day away. This actually is my first three day off stretch in a while, so with a solid 14 hours of sleep behind me, I figured I’d be able to sit down and really focus on this thing.
I gotta say the last couple weeks have been some real trying ones at Union Memorial Hospital. Sometimes you’re lucky, and you have a weeks long stretch of patients who are getting better, or at least not getting worse. Spirits of the staff lift, and we’re all smiling a bit more. People call in sick less, and even the ever present fussiness among the older nurses seems to slacken. You get that reminder of why you do what you do for a living.
But of course, as the saying goes, once it does start raining, look out! And what I’ve been pour I’ve weathering recently. Its just been one heart breaker after another. My unit has been open only periodically over the last couple of weeks due to a wildly fluctuating hospital census. So I’ve been everywhere. Oncology? Check. Cardiac, ICU, MedSurg, Rehab, Pediatrics, Geriatrics? Check, check, check, check, check, check. Man I’ve seen the hospital top to bottom, and I still can’t remember half the nurses names!
“Hey…umm…nurse for 303 bed 1!” or my personal favorite
“WHO HAS 511?”
And everywhere I went (my own floor included) it sucked! It was grim and depressing everywhere. Just plain awful.
Moving up the elevator:
- Half a dozen infectious Alzheimers patients who simply wailed and cried ALL night long, regardless of who went near them or what we said to try and calm them down.
- A man who was so determined to get his intubation tube out that he stabbed a nurse with her scissors.
- I spent an hour helping a surgeon with a patient on Friday and the both of us came out with blood up to our elbows and massive puddles on the floor and bed (wish I’d had a gown on!). This same patient then informed us that he didn’t care how low his pressure dropped from fluid loss, we could “Damn well leave him alone until the morning!”
- A 16 year old asthmatic in an oxygen tent who even with our best efforts we could barely keep from completely desaturating.
- A woman who hit a nurse in the head when he tried to give her CPR after her heart stopped (actually that was kinda funny).
And back down on 6ES, my very own unit:
- A suicidal alcoholic who tried to kill himself by wrapping the IV’s power cord around his neck, then when we took it away from him, he wrapped a coat hanger around his neck. He then proceeded to break the leather restraints (!!) we put on him, and ripped the sink out of the wall. The only solution ended up being doping him into a coma and putting him on a heart monitor.
- The nicest 25 year old I’ve met in a long time, but the poor girl had uncontrolled high blood pressure and cholesterol (even with medication), and was with us because of the onset of diabetes that after 48 hours in the hospital was still at dangerous levels.
- And worst of all, a 22 year old guy with obvious full blown AIDS (no immune system at all) who refused to even get tested for it. He’s in an airborne isolation room while we rule out TB and as soon as he leaves it, he’s gonna catch some little bug that’s gonna be life threatening, all because he won’t get tested so we can put him on the drugs.
And yet I walked out of that room and out of that hospital, and it was a beautiful morning. So I guess I don’t know what to make about that.
It seemed almost fitting that I found this quote this week, it seemed to capture my disposition of the last couple of weeks. It’s written by Primo Levi, a survivor of Auschwitz who is famous for writing about the what the Jews did in the camps as opposed to what was done to them. He tells about a small child who was paralyzed from the waist down and was unable to speak.
- “Hurbinek [the name the prisoners called the child] , who was three years old and perhaps had been born in Auschwitz and had never seen a tree; Hurbinek, who had fought like a man, to the last breath, to gain his entry into the world of men, from which a bestial power had excluded him; Hurbinek, the nameless, whose tiny forearm–even his–bore the tattoo of Auschwitz; Hurbinek died in the first days of March 1945, free but not redeemed. Nothing remains of him: he bears witness through these words of mine.”
Man, it’s been a rough couple of weeks.
***
But here I am with three whole days off! Unfortunately Elizabeth bailed on me and went home for the holiday weekend, so I am forced to fend for myself. Thank goodness the cats remind me when they get hungry, because if they were fish they would totally starve while she’s gone.
I’m kinda looking forward to doing nothing for a few days. I mean I’ve got several computers cluttering our living room that need work done, but thats just plain cathartic. A friend of mine just dropped her computer off for me to de-virus and this particular Dell is the only computer I’ve ever seen that you can’t open the case. Fortunately I don’t need to, but out of curiosity I searched the web for how to get around the bolts on the back. The most common suggestion is (honest to god) “jimmy the case with a can opener”! Nice product.
So about my music picks. I know I promised it like two weeks ago but, well, I’m not done yet. So the hope is I bang it out this weekend what with time on my hands. We’ll see.
A couple of links:
Bob Dylan…Weird Man?
A guy having a metaphysical discussion with his dog
Ciao!