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Thursday February 13 2020

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Morning

Not as crazy a day at work yesterday, which was good.  Hopefully things are settling down

J had to spend hours completing the refinancing of his house, so we decided to skip dinner last night.   Went grocery shopping and ran errands instead

Going to try and do laundry today, also starting to think about packing.

Going to be quite cold the next day or two, below 0 by tomorrow morning.  Snowed a few inches last night

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Glad you had an OK work day yesterday. Hope you have many more. Keep warm!

The nephrologist said his kidney function is slowly getting better. Urine output is improved without Lasix. I'll ask our familt physician whether he should take Lasix as his BNP is up, but has been worse. 

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Noontime...

I called hubby an hour ago and he said they told him 2 hours ago that he was going to be discharged today. I woke up Nannie and gave her the AM pills, took mine, and walked the dog, got Nannie dressed and she had her yogurt.

 When he calls again, I'll drive over and find the pt.discharge door and pick him up. They said his lungs sound 'great!', and I could even tell by talking with him on the phone that his breathing is easier. 

Have to take Nannie with me to go get him, and then stop to pick up a few groceries, and maybe pick up a take-out lunch at the family restaurant we always go to. 

I see herring has posted; hope her hubby is doing better, also.

More later ...

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Good Afternoon -

Joe - Glad to read that work is better. Hope all goes well with J as works to refinance his house.

herring_RN - It's nice to read that your husband's kidney function is getting better. Hopefully the issue whether or not to take Lasix can be safely worked out for him.

NSIME - Really to to read that your husband is being D/C'd today, and that his lungs are improving! It's good that he'll be home soon! 🙂

Recently woke up from First Sleep. Once done typing here, I'm going downstairs to make a light lunch/dinner, then go back upstairs for Second Sleep.

Work, last night, was a nice steady-busy. Actually, I provided care for a patient in our ICU, ordered as a "Comfort Measures Only" (CMO) patient. (He was not designated an ICU patient, but rather a "Medical/Surgical Overflow" patient. Apparently, there weren't any open beds on the Med/Surg floor when he came up from the ER, yesterday early-afternoon.) He is a pleasant and gentle man with a slowly dissecting AAA. Apparently, it's been an issue he's been having for some time, now, but it's worse. The admitting Hospitalist didn't think he'd make it through the night. We'll not only did he make it through the night, he was up walking around in his room this early morning!! It was a honor and a pleasure providing care for him, last night. The goal was met, keeping him comfortable. Apparently, he lives alone, and doesn't have any family. It seems that the only friends he has are one associated with "Volunteers In Medicine" (VIM). Two VIM friends were with him through part of the night. One brought his guitar and gently played music while he rested. (At one point, we thought he might pass away during that time. However, it seems that he was comfortably resting from the pain medications that were given him.) Having the VIM guy gently sing and play the guitar for this kind soul was simply beautiful. The patient seemed even more relaxed with the music.  So, it was a "different" and nice night, last night.

Well. . . gotta go and make lunch, then get Second Sleep before going to work tonight. 

Peace. . . 🙂

Ted

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Hey y’all! Long time no see. Yellow isn’t working for me, so my lunchtime fix is happening on blue. 

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Hey back at ya, Rose_Queen! I've been walking around the French Quarter, got some breakfast (cheese grits, yum) stopped at a drugstore for a few essentials, now taking a break in the hotel room. The weather is overcast, in the 60s and humid. I'm in a t-shirt but many are walking around in jackets and hoodies. 

NSIME, hopefully dh is home now and Nannie is behaving. 

Good news indeed, herring. 

Ted, that is a bittersweet story about your patient. 

Joe, stay warm!

Au revoir

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Joe, hope work is OK and you are not getting anxious.  Come on, Milwaukee!

Ted, very nice to read about your unusual night with your CMO patient.  You know I (as you were!) would be drawn to the guitar-playing, singing friend's efforts!

herring, good to hear your dh's kidney function is improving.  It's such a balance, between fluid overload and renal function...  Continuing to pray for him.

No Stars, EXcellent news about your dh and his breathing!  Good Nannie has been somewhat cooperative through all this.  Wonder if she is competitive w/you (on some unknown dementia plane) when there is a male in the house?  Hope he is home soon!

Hiya Rose Queen!!  Don't be a stranger!

nurseJ22, sounds so nice to just walk around and take in the sights, and have some grits !  Continue to ENJOY!

Work has been OK, steady-busy.  I have a canker sore on my tongue, which makes it painful to talk, eat, or drink.  Somehow I have to do all those things multiple times in a day, so OW!!!  I googled natural remedies for canker sores, and every one promised relief in 2-3 days.  Well, I have a feeling I will have relief in 2-3 days ANYWAY, without treatment!  I am just biding my time. 

So glad tomorrow is Friday, and we have a 3-day weekend!  Hooray!

Have a good evening!

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Greetings!

Hi Rose.  Nice to see you.  I venture into yellow every now and then.

Herring, hope husband continues to improve.

Stars, good news about husband.  That was a quick recovery.

J22 enjoy New Orleans.

Ted sounds like a nice service provided to your pt.  Not once have I seen a CMO patient get up and walk.

Having a good time.  Didn't realize how popular FTL is but it's the height of the season and very busy.  Nice weather in the low 80s.

 

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Y'know, dianah, I think Nannie is --for this particular moment in her life of dementia-- frequently having problems separating her son from her late husband, and she was actually kind of spiteful to her husband... a lot, really ...trying to start arguments, blaming with hateful words, being resistant to cooperating, just a real rip-pi$$ah. 

So when my hubby wasn't around, she didn't feel the need to make her own feathers ruffle, like a knee-jerk reaction. Amateur Psychology, but my best guess.

Tonight she is up and down after going to bed, mad for being cautioned because she is walking in her socks, drunk on her sleep-and-mood medicines, and therefore unsteady. She has never had a drink in her life, but she is enjoying her 'high' instead of letting it ease her to sleep. And my goodness, taunting her son is too 'fun' to pass up, because she wants to prove herself "RIGHT" about everything. But, she can't finish a sentence without forgetting midway through ... words, the subject she had started on: and then trying to 'get back' at him with withering words that fall away and that makes her madder.

Hubby is better, but tired out; you know how well some hospitals or maybe just the patient's dx., interfere with the elusive "Good Night's Sleep". He still has a cough, but not NEAR how bad it was last week. The hospitalist gave him those pearl-things one of you mentioned (j22?) as well as 5 mg. hydrocodone q 4-6, and some other respiratory meds. He is forbidden, by me, to drive until he's not so wobbly himself! His docs and the nurses were surprised and pleased at how well he responded to treatment.

Anyway, that's today's various nutshells.... 

Edited by No Stars In My Eyes

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