When I just can't control what comes out of my mouth :)
Hunting season:
We are just overrun with hunters doing stupid things this time of the year. Now don't get me wrong, I am 100% for hunting, as long as I don't have to clean the deer. But come on, a little common sense would help.
Patient came rolling in all dressed in camo and blood, I expected accidental shooting or some trauma. Nope. He had fallen out of his deer stand and had a bloody nose. This is were my mouth gets me in the most trouble. I ask, "did you get yourself a deer?" He says, "nope, but I saw a bunch of turkeys." I say, "yup, I see a bunch of them in here every day."
Halloween:
Just love seeing kids all dressed up. I understand wanting kids to be safe, but really??? have them line up and walk through the ER to collect candy? Is that the best way to prevent them from getting sick????? Anyway, I didn't know they were coming and I didn't have candy, yet trooping though the ER they come. Now they were just too cute holding out their bags with me having nothing to give. So, I grabbed band-aids and gave handed them out like they were the coolest thing on earth. Kids loved the special stickers, as I called them. They were 4 and 5 years old. However, a little boy had a clue, he told me in the most logical voice that "these are band-aids,"
I said, "yes they are," he said, "we don't need these, no treat we give a trick" Without thinking, I said, "yes, you do when they give you that flu shot down the hall." Man, the look on his face was pure horror, then he popped off with, "not me, I can't eat eggs and no eggs is no shot." Then he kicked me..... I laugh so hard tears started rolling down. That is when it just got cute... Little girl came running up and put her sponge bob square pants sticker right on my knee saying "don't cry, the shots don't really hurt.
Friday, October 30, 2009
Caught off Guard

Have dealt with death many times. It is a weekly and/or sometimes a daily occurrence. Most of the time I am able to separate myself and my emotions from the situation. We can show empathy without feeling the burden of the loss of a love one when we are there to support the family at their time of need. However, there are times that something just hits a cord and takes a person off guard. Thursday was one of those days.
Patient presented via POV, family ran in and yelled daddy is not breathing, out to parking lot we run, find guy pulse-less and not breathing. Onto the ground he goes, start compressions, call for gurney, bagging begins, run him to room while trying not to fall off of stretcher while giving compressions. Hook up to monitor, throw in a IO, rhythm check (asystole), start ACL meds. obtain ISAT, CBG, find his K+ to be 7.8, in goes bicarb, regular insulin, CA+, rhythm check (holy crap we have a rhythm, but it is v-tach). Shock him, resume compressions. on and on this goes, he gets a rhythm, we feel a pulse, we start hypothermia protocols, then he bradys down back down, loses pulse and here we go again. Over 3 hours we go and go because he his showing promise or at-least signs of promise, he comes back then we loss him. Then came the time that there was no more that we could not do anymore for him and time of death is called.
The death did not bother me, I knew that we had done everything possible. Dying is a part of life, at-least the last part of life. After everything we had done, after talking with family, after getting the body transported back to the morgue, my guard was let down. I was not in the mind frame to brace myself against families emotions and grief. That is when I was caught off guard. I rounded the corner and basically tripped over a young girl. She was just sitting in the corner of the room, lights off, with tears running down her face. her expression, her eyes, the sense of her complete loss was just over powering. There was nothing I could do, I just put my charts down and sat next fer her. I couldn't say or do anything that would make her feel better. We just sat on the floor in the dim room. It is not death or not being able to save everyone that bothers me, it is not being able to comfort those that are living.
Okay, now that I went off on my little rant, maybe I can get her out of my head.
Tuesday, October 27, 2009
Crappy Ghost

An extremely modest man was in the hospital for a series of tests, the last of which had left his bodily systems extremely upset. Upon making several false alarm trips to the bathroom, he decided the latest episode was another and stayed put. He suddenly filled his bed with diarrhea and was embarrassed beyond his ability to remain rational. In a complete loss of composure he jumped out of bed, gathered up the bed sheets, and threw them out the hospital window. A drunk was walking by the hospital when the sheets landed on him. He started yelling, cursing, and swinging his arms violently trying to get the unknown things off, and ended up with the soiled sheets in a tangled pile at his feet. As the drunk stood there, unsteady on his feet, staring down at the sheets, a hospital security guard, (barely containing his (laughter), and who had watched the whole incident, walked up and asked, "What the heck is going on here?" The drunk, still staring down replied: "I think I just beat the crap out of a ghost." Happy Halloween
Saturday, October 24, 2009
Deserted...
Not sure what was going on today.... we all were looking around for a mass casualty to come in as the day was passing. It might have been the weather, today was the 1st nice non-raining day we have had in a month. In 8 hours I only counted 19 patients..... This is not something I am use to. God only knows we are going to make up for it tomorrow.Now, I am just going to curl up to a stack of homework and applications for student funding.... Work was better!!!
Friday, October 23, 2009
Why it is not a good idea to use drugs!!!
Patient came in twitching, screaming, and wild eyed. It took three of us to get the guy into the "special room." We finally got to the bottom of this guys problem. He had taken some of his aunts medication and thought it would get him high, amitriptyline. After awhile he decided to smoke some pot because the amitriptyline had not gotten him high in the 20 mins since he took it. thirty minutes later, the fun began. He reported that the people came out of the TV and sat their talking to him. more disturbing was that it was aliens that he was watching on the tv. Over time the conversation turned on him and he started thinking that the aliens were going to dissect him while he was alive. This is when he took off running out the door. OH it does get better, apparently the aliens could track him via the GPS locator's thay had sewn into his clothes. police found him running down the street screaming and naked. later on, when the drugs in his system had worn off, patient reported that he always gets a little paranoid with pot. Combine that with the oddball very rare side effect of hallucinating with amitriptyline, this patient had one hell of a drug cocktail.Lessons learned: don't take someones medications and stay away from drugs.
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