Tuesday, December 4, 2007

nothing inparticular

It snowed a bunch today. Another 8 inches here. Super awesome. Snow isn't so bad, but the parts that suck about it are the parking lots. Not just any particular parking.lot, all of them . I don't know why, but when it snows people just become ridiculously terrible at parking. It's o-k to part 2 feet next to a car in the snow.. just like it is without the snow. The best is looking around for a spot and you find one that's not quite wide enough, because some asshole took up 10 feet to park in. Just because you can't see the lines doesn't mean you can park anywhere. If that was the case I would park directly in front of the door, and if I got towed I would just say I couldn't see the lines.
I also hate it when people are ridiculously cautious in the snow. For example, this morning when I left my apartment for acls training, it had just started snowing. There was maybe a half an inch of snow covering the roads. I was behind this lady driving a van. The only thing worse is driving behind some really old lady who isn't e ven tall enough to see out the windows and is just kind of veering around in the lane/s. That's cool too. But hey, she's 95 and a raisin, she has an excuse. 35 year old women driving vans dont' have an excuse to suck at driving. This lady was going 21 mph on a paved road. Um... what's wrong with you? The road is still black. You could easily double your speed right now. Then she stopped for a stop sign a block in advance. Then when I wanted to turn right in the right lane, she took up both lanes. Once again, no brains. Because there are no lines means you can drive wherever the hell you want to. It's funny how I remember what happened with the van lady and I can't remember the difference between adenosine and atropine. Let me tell you.. it's a BIG difference. It's things like that that I need to remember, especially when someone's dying. That's key.
Some exciting news, Dark chocolate has more antioxidants than red wine and green tea! Amazing. What I dont' understand is how massive amounts of these aren't good for y ou.. well, excluding tea. But even tea stains your teeth. If massive amounts were good I'd get trashed with red wine everynight and eat a pound of dark chocolate. If a little is good... why not lots? How come it doesn't get even better with more..?
What else happened the past couple days. Oh yes, work was kind of interesting... and awkward. I don't really like working weekends because there are no tests that can really get done because nobody else works on the weekends except doctors, nurses and the lab. So basically, if someone has a heart attack on friday after 5pm, they just chill until they can get all their tests done on monday morning. So, in summary, any patient you have for the weekends stays for the weekend. So if you have crappy annoying patients you know you will see them the next day... and the day after that... and the day after that too until they go home. This one particular 96 year old raisin lady got on my nerves. At first she was cute.... that faded away rather quickly. She never really opened her eyes, except for when I asked her to, then she opened one, halfway, for about 3 seconds. Anyways, this was our conversation, ever 5-7 minutes, for 8.5 hours. for three days in a row.

Her: 'uggh what is this box?'
Thats your heart monitor. you can just let that sit in your pocket there.. where it is.'
'ugghh.. I think i'm choking.'
hmmm... nope. That's your oxygen cord, I'll loosen it more for you.'
'I just can't seem to get comfortable here.' (squirming around aimlessly.) What is this box?
That's your heart monitor.
'What is this.. It's choking me.'
That's your oxygen. it helps you breathe.
(this same conversation x5.)

Then, after she squirmed around so much she would make herself short of breath.
her: 'I just cant' seem to catch my breath.'
I would then check her o2 sats.
'Well, you're 97%, why dont' you try breathing through your nose. The oxygen is in your nose, and when you breathe through your mouth it doesn't help as much.'
(Then she would continue breathing through her mouth and squirming around.This scenario would then happen 5-7 times.)

her: 'I just can't seem to get comfortable. Something is choking me. '

OH MY GOD. IT's YOUR OXYGEN. THAT BOX IS YOUR TELEMETRY. BREATHE THROUGH YOUR NOSE.

Then she would not understand anything that you said to her.
'what am i eating here?
-it looks like meatloaf and mashed potatoes.'
'i dont' remember ordering this.
-you did.
'oh okay. I remember I got a menu, but I thought it was for tomorrow.'
-you did. That was yesterday.
'but I dont' know what I'm eating. What is this?'
'meatloaf and mashed potatoes. Do you like that?
'yes, but i'm not very hungry.'
-there is a menu here. this is for tomorrow's meals. I'll help you fill it out.
'Why did they bring me this if I haven't even ordered on the menu yet?'
-this menu is for TOMORROW. the food you will get TOMORROW.

several conversations like this. Several. She had a bed alarm on because she was too crazy to use the call light. She knew she was supposed to, but wouldnt' do it. So every 5 seconds her alarm would be beeping because she would be worried about something.

'What am I doing here? '
'You had some shortness of breath at home and they brought you in.''
'Well how come a doctor isn't seeign me?'
they are. They just saw you an h our ago and will see you tomorrow morning.
'well what am i supposed to do until then?' (this was at 2 am.)
'Rest.'
'you mean i'm just supposed to lay here?'
'Yes. Unless you would like to sit up in the chair for a while.'
'Well, what is the plan here?

etc. etc. etc. Usually I think it's funny, and I did for the first couple hours of friday... but then saturday sunday and monday just got old. Really old.
There was also a lady with schizophrenia in for respiratory failure. That was also interesting. She kept asking for stuff from the psych unit like color crayons and stuff, and she was 55. She had a huge breakdown at 10 pm, and I sat in her room with her and she talked to me for an hour and 40 minutes about her childhood. Which was all really sad and depressing. No wonder she had schizo. She had like 4 different dads, which 3 of them sexually assaulted her, her mom was crazy, and also knew about the sexual assaulting and was glad it was happening to her ( the daughter) instead of herself. Mostly because her dad/s were drunken asshole mcgees. her brother set her room on fire twice then burnt the house down, she ran away from home to stay at this one family's house but the family she was staying with the son there assaulted her too. Then she had a brigade of shitty boyfriends, much like my previous one. I never really know what to say to people, except I could relate to some of the crap she was talking about. So there was some comic relief, like when we decided we were going to take a plyers and rip off our boyfriends wangs. That was cool. It kind of just makes you think about why people go crazy and or are crazy.

What else. I made some soup today. Chicken soup. It's pretty... good./ok. There really is nothign else. I take my acls test tomorrow. Hopefully I'll pass that stuff. I also have a new motivation to go to work. There is a cute boy that works in the ER. He also works evenings and brings up admits to the floors. I don't know what he is.. probably an emt. They usually get stuck doing things like that. the nice thing about living in smalls towns is that everyone knows eachother. AFter he brings my patients up, they usually tell me some random fact about him. So far I know that his dad is a doctor at the hospital, his brother is a priest, he graduated high school with one of my co -workers, (whom I went to college with), his name is matt, his family has a dog, he has another brother and an older sister, and lives in a house next to denise, one of the nurses on 2nd floor. Sweet. Maybe the next time I see him I'll ask him how his priest brother is. That should creep him out. Until then, at least when I get admits I have something forward to look forward too. I don't really care if I talk to him that much, I could just sit there and look at his face for a couple minutes. that's good enough. Last time an admit came up, he peed the bed and he helped me get his pants and braces and shoes off, and he handed me gloves so I wouldnt' get pee all over my hands. How thoughtful. That's all I got. Bye!

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