Wednesday, October 8, 2008

weeeEEEE!!!

So life is pretty dumb right now. I basically am either at the hospital, sleeping, or learning chem. Work is almost worse than chem. We have all these tests we have to take on topics like, cardiovascular, pulmonary, hemodynamics, etc.. I took a couple and have been passing them okay- we have to get 85% to pass them. The questions are mostly pretty much ridiculous. One example question would be:



What blood pressure would cause encephalopathy?



a 250/150

b.230/135

c. 215/110



etc. Stupid question. Um... the answer is, it depends. All of the tests just remind me of nursing school all over again. Well, med surgical nursing. The question would be:



A 57 year old man came into the ER, complaining of chest pain and left arm weakness. Coincidently, he was having a stroke and a heart attack at the same time. Oh yeah, and he is also bleeding profusely from a laceration in his stomach. You are the only nurse in the world right now. What would you do first?



a.) get vitals

b.) stop the bleeding

c.) Place 2L 02 via nasal cannula

d.) murder whoever wrote this damned test



Then, you think in your mind, if I were the dumbest person on earth, what woudl I do first? Place the 02. Ding ding ding!! correct!!! Love it. Needless to say, I got 84% on my cardiovascular test and had to re-take it. One of the questions I got wrong was, Which person would be unable to undergo a CABG?

a.) A 55 year old with a 50% blockage of the LAD.
b.) A 70 year old with a 65% blockage of the RCA.
c.) A 91 year old with cardiac cell death
d.) A 75 year old with 90% blockage of the LAD.

I picked the one with cell death, because .. you know.. the heart is dead. You wouldn't want a bypass done if your heart isnt' going to pump because it's dead. The answer was b. Maybe that was a test mistake.....


Whatever. I eventually passed it and I'm on to pulmonary. AWesome. Sweet. Love not being on that topic anymore.

Gosh, I love petting my dog. She is so soft. It's like a minxy marshmallowy softness. mmm. amazing. I wish my bedsheets were made out of her, but that would be creepy I guess. My sister is going to be mad at me for writing this, but she should have stuffed Gabi's carcass into a scared peeing position with wide eyes and left it in the kitchen.

On a really different note again, I work with a really weird girl. I thought she was normal, until she told me this story when we worked our night shifts togethor. I guess it's not that weird, but I thought it was. No, it is weird. I'm just tired and underestimating the real weirdness potential.

She told me she met this guy that used to know her ex boyfriend. She has known him for 6 days and now he is moving in with her. In those 6 days there was no break. He was at her house constantly. Apparently she has, 'never met anyone like him and they get along really well. He thinks she's ' a catch.' But he's leaving for Iraq in February possibly. But you know, maybe they'll be engaged by then.
Right.

isntead of saying, 'congratulations! Glad you met someone nice!' I was a 'glass half empty' commenter and said, ' Are you sure he doesn't have anti-social personality disorder and is just using you and going to steal all your money and kill your dog and try to live off of you for as long as possible, and you'll do nice things for him like not make him pay rent because he 'plans on moving out soon' and is just staying until he finds a place.' and then you'll use up all your food making him cheese sandwiches and toast...and he might be lying about the army because it makes him look better and maybe your ex boyfriend didnt' want to give you his number because he's a giant dick head?...And maybe he's been staying at your house and complimenting you because he has nowhere else to go? I mean, not that you arent' a catch... you are... I would date you... '
She just looked at me like... what the hell? But I bet he is. I guess she'll just have to learn the hard way. Maybe I'm over analyzing. But I bet not. She'll see. She'll see. Maybe I just lost all trust in mankind. And I do mean man kind, not so much woman kind. I'll go on a date with someone and they'll try to hold my hand and I'll be like, 'back off bitch!! are you sure you dont' have psoriasis? Yeah.. that's what I thought. Hands to yourself.'

This blog is boring. I can only think of things to write when I have spare time to let my mind wander, which I haven't had much time to do. I do think about things I dislike doing. Like I actually like organic chemistry more than going to work I think. I hope I like being a doctor better than nursing. Not that I hate nursing, but it's so much random dumb things to remember. Actually taking care of the patient is nice but I have to remember that every 30 minutes I have to do these 4 tasks, which are different than the tasks I have to do 30 minutues later. It's like you just base your practice off what you won't get in trouble for. You have to chart on these 5 million things or you will get in trouble with lawyers. Dumb. Why do lawyers breathe so hard down our backs and not every other profession? I'm sure construction workers or business owners are like, oh yeah, I have to do this every 20 minutes and write it down or I'll get my license taken away. I think it would be different for a doctor because you just write one big note for each person you see. Not a note every half an hour for 12 hours. Maybe that's not all I think of though. I see all these really sick people that should just be dead. Like this one guy I cardioverted... it was his 11th time being cardioverted and he was a DNR. He had a gazillion problems, was on a vent, all of his skin was breaking down, every time you touched him he would squirm in pain, he had a liver drianage bag, a piss bag, and a couple poo bags, and a couple healing incisions.. which weren't healing. His groin was like a maceration. He could never get out of bed again. REally... what is the point of this? Why are we doingall of this?. I think by now his quality of life was so shitty we should have just let him go. Ridiculous. That's the other reason I dislike the medical profession. I am doing all of this pointless tasky work when someone's life is the shits anyways. I feel like my work is pointless. Which, maybe isn't the case sometimes, but a lot of the times it is. Maybe I wasn't made for the ICU. It's fun to know all of the information and understand it, but when you apply it it is for no reason because you are just prolonging someone's circling of the drain. I should probably just change my point of view to glass half full and become a compassionate mcgee. But it won't happen. Unless I have a TBI and my personality changes. We can only hope. Ass.

Wednesday, October 1, 2008

i am not good at organizing life

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