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Ted Ted, BSN (New Member) New Member Platinum Nurse

Thursday - March 14th, 2019 - Good Morning!

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Good Morning!

It's a quiet 5:00 AM (EST) in this part of the world. It's a nice and quiet time to pay bills, which I just finished doing. L O L!

Had a restful day off from work, Wednesday. Amy and I spent a quiet day together at home. Amy received the final itinerary for our Ireland/Scotland trip that we're taking next month. She enquired about how this Brexit situation might effect our trip. The travel agent (who lives in Ireland) said that the worst that could happen is that we might wait in line a bit longer, at their checkpoint, when flying from country of Ireland (which remains in the EU) to Scotland (which is part of Great Britain).  This, we can handle. Amy made a delicious gluten-free pizza for dinner, yesterday. Went to bed early to catch up on some sleep. However, I've been up since around 3:00 AM this morning.

I'm told that Dad is comfortable. I'm going to visit Dad either Friday (tomorrow) afternoon or Saturday. I'm working tonight. I understand that there are no patients in our teeny-tiny ICU. If the ICU remains this way for today, I hope to be given the opportunity to be "On Call" for tonight. (I'm next in line to be offered On Call.) At the very least, being On Call will offer some extra rest for today. If On Call, and do NOT get Called In, then I can leave earlier to go and visit Dad Friday.

Work, Tuesday, was somewhat "Q". We only had one patient in our teeny-tiny ICU. I was a Preceptor for the Orientee who provided care for our one patient. It was a very surreal situation, actually. The patient was a DNR/DNI with plans on going home to Hospice the next day (Wednesday), actually. This patient had two daughters who were traveling up to see their Mom, Wednesday, and take her home and be with her for her final days on this Earth. The goal for Tuesday night was to keep Mom alive and comfortable so that this can all take place. The only medical intervention that the two daughters wanted was gentle hydration to manage blood pressure and antibiotics. Nothing else. The DNR/DNI was to remain intact, and no heroic interventions were to take place including the use of vasopressures should the BP start to tank. So, basically, this individual was really NOT an ICU/CCU candidate who remained as our ICU/CCU patient. (For the record, this scenario happens rather frequently in our teeny-tiny hospital.) Well, wishful plans are one thing, and reality is another. Of course, Mom was kept comfortable.  But the alive part of the plans?!?! The body is going to do what the body is going to do. At around 5:30 AM, it became apparent that a "transition" took place. The Hospitalist was aware of the vital sign changes and no additional interventions were ordered. At around 6:45 AM, 15 minutes before the END of our shift, no pulse was felt and the breathing stopped. She passed away peacefully, with the orientee and me at her bedside giving her gentle reassurance. But those "plans"?!?!? They were just "plans". Surrealness at its best.

Well. . . I think I'll go back to bed and try to catch some more ZZZZs.

I hope all is well. I'll try to come back later today to read your posts. You are all good people and I am grateful that you're here, reading and writing and understanding.

Peace! 🙂

Ted

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Good Morning!

Ted, I did not see your post when I put up my Good Morning Post after a little while ago.  Now I don't see my post. I was in the process of editing and it was telling me it was either past time to edit or deleted.  I'm sure it's something I personally did wrong but I didn't think was a post was posted we could delete it.  

Meh, I will not be making another one today as I'm now out of time and maybe it will show up and mods can merge.  

Have a great day.

 

 

Edited by Tweety

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Hiya Ted!

Just happened to be going through a work computer while relieving an OB nurse for her break when Lo and Behold, I found this site again!  Looks like I am going to have to get used to the changes made around here (they have clubs now??).  So glad to see that this is still going after so many years.

 

I hope you and Tweety have an excellent day!

 

Shane

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Ted I hope you get on call

Morning Tweety and Shane

Usual day at work yesterday, few people answering my calls.  Oh well

Job search is heating up again.  Have two calls with recruiters today.  And have an interview for a position on Tuesday.  It's a CM position downtown.  Commuting could be tricky but if I like it and the money's right I can probably make it work.  We'll see.   Little annoyed that the time is in the early afternoon, either later or earlier would have worked better with my schedule

J was feeling sick last night so we skipped our usual date.  He was exhausted helping his elderly friend with her move to assisted living.  Did some shopping insteadHad choir practice, though we only had a few people there

Today I'm up early to take my car in for a recall repair

Very warm today, will be in the 60s

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Good morning!

Nice to see Shane here.  When is the last time you were here?

Had a busy day yesterday.  I had one patient who came in armed with his Google search results about what medications he should be on.  he knows better than every provider he's been to, apparently.  Funny thing is, he put the incorrect diagnosis in his search, so these articles did not pertain to him at all.  Oh, the magic of Dr. Google.  He was not happy when I said, "but Mr. X, you don't have Disease Y". 

Ted-your story of your patient reminds me of a story I hear once at Schwartz Compassionate Care Rounds at the hospital I was working at.  An ICU nurse was caring for an elderly woman whose condition rapidly deteriorated.  Her family was en route to the hospital, but lived a distance away.  Her nurse knew the patient was an avid Red Sox fan, so she and another nurse held the patient's hands and sang "Sweet Caroline" to her as she passed.  (Sweet Caroline is the unofficial Red Sox theme song and is sung at every game.)  I think you and your orientee provided the same level of comfort and care to your patient last night.  Sheesh-it's been 10 years since I heard that story and I still cry when recalling it.

Hi Tweety-Hope the dreaded Thursday goes by quickly with a minimum of aggravation.

Joe-Good luck on your interviews today.

Must get ready for work.  Hope all have a great day!

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Good morning from the West Coast.  Up at 0530 so I can have my coffee in my quiet kitchen and not have to hurry to get ready to head out the door.  We leave at 07 for Klamath Falls and a doc appt for the dh.  

Ted and BC - those stories give me goosebumps. I have many.  To be honest amongst other nurses, sometimes a patient will get to you more than usual.  That's not to say you don't give the same good, kind, compassionate care to all.  But you just have a connection, ya know?  

We have one of those right now.  I've spent a lot of time in his home with his family in the last week.  I'm off call now and when I saw him yesterday, he could still communicate, was in no pain, but nearing death.  

The coffee is clearing the brain fog . . . will be headed to take a hot shower and then wake up the dh.  

Did I tell y'all Spidey and his girlfriend broke up?  His first broken heart. 💔

Have a great day (what would I do without coffee??). 

Edited to add . . . Hi Shane!

 

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3 minutes ago, Spidey's mom said:

Good morning from the West Coast.  Up at 0530 so I can have my coffee in my quiet kitchen and not have to hurry to get ready to head out the door.  We leave at 07 for Klamath Falls and a doc appt for the dh.  

Ted and BC - those stories give me goosebumps. I m have many.  To be honest amongst other nurses, sometimes a patient will get to you more than usual.  That's not to say you don't give the same good, kind, compassionate care.  But you just have a connection, ya know?  

We have one of those right now.  I've spent a lot of time in his home with his family in the last week.  I'm off call now and when I saw him yesterday, he could still communicate, was in no pain, but nearing death.  

The coffee is clearing the brain fog . . . will be headed to take a hot shower and then wake up the dh.  

Did I tell y'all Spidey and his girlfriend broke up?  His first broken heart. 💔

Have a great day (what would I do without coffee??). 

Edited to add . . . Hi Shane!

 

Awww..poor Spidey.  I hope he feels better soon.  Glad you're doing better.  Hopefully no more crud this winter for you.

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Good morning all.

I guess your patient had other plans, didn't she, Ted?

Will you visit the Titanic mueseum in Belfast?

I know the Sweet Caroline tradition, BC, but do you know how it got started, or where it came from? 

I don't.

Very, very gusty winds here.

Looking for storms in the afternoon.

My plan is to bring in both boys before oil change appointment, and hopefully before the storms.

Safe travels to all.

 

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Can I add extremely gusty winds?

 

 

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Hi, 

I started earlier than usual for me today. I attended a meeting of vaccine coordinators from a large practice group in our area. I gave an update about measles in our state and area, and reviewed the vaccine schedule. One person asked me if international travel included Hawaii and Mexico. Hmmm. And she asked about Canada. I was a little dumbfounded. But, yes, Mexico and Canada are other countries. And they had at the meeting pie!! Because of course, it's Pi Day! One of my weakesses (among many) is pie! 

Tweety, I saw your post under the Lounge section, I think? Perhaps the Mods can move it over? Ugh, what a shift! 

Weather is gray but supposed to clear and warm up to 60. Yesterday afternoon was beautiful. I stopped at a fabric store to purchase a new zipper and a bit of fleece to mend a dog bed. After she cut the fabric, I realized I left my wallet at work, so youngest ds zipped over from work and bailed me out. Eldest ds has a German wire-haired pointer puppy that loves to chew, so I am doing some mending for them.

Talk to you later kids, 

j

 

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1 hour ago, Lil Nel said:

Good morning all.

I guess your patient had other plans, didn't she, Ted?

Will you visit the Titanic mueseum in Belfast?

I know the Sweet Caroline tradition, BC, but do you know how it got started, or where it came from? 

I don't.

Very, very gusty winds here.

Looking for storms in the afternoon.

My plan is to bring in both boys before oil change appointment, and hopefully before the storms.

Safe travels to all.

 

Here ya go, Nel.

https://www.boston.com/sports/boston-red-sox/2017/10/08/how-sweet-caroline-became-fenways-beloved-and-detested-ballpark-anthem

Put rocks in your pockets so you don't get blown away!

 

 

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