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Thread: Vegas times

  1. #1
    bonswa SixFive's Avatar
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    Vegas times

    I rarely get to go out this stint in Las Vegas since we are raising our young niece and nephew now. Only played poker three times since we started back to work in August.

    This is is still a heck of a place, and healthcare is in huge need of reform. Thatís how it is everywhere though...

    We have a patient who is 25. He is autistic, and they have classified him as a suicide risk BC he jumped off his second floor balcony. He is severely delayed and can speak, but he is like a three year old child. He broke his right lower leg, and he had to have a big surgery that left him with an external fixator. This means he has a metal device on the outside of his leg with screws down through his skin into his bone to stabilize the fractures so they can heal. Bearing weight or putting any weight through this leg is a huge contraindication while that device is in place.

    Behaviorally, this young man has shown no signs of behavioral problems or suicidal ideations. However, one night, he became agitated. Yelling, pushing, hitting, and KICKING with this injured leg. Security was called, everybody runs in the room, and of course that makes the situation worse. Looking over his medications, itís now 10pm, and he hasnít had any pain medications since 6 that morning! Typically, the patient asks for pain medication, and we give it to them. However, in mentally disabled patients or those who donít normally communicate, you use alternative pain scales or better yet your common sense. Obviously, the kid needs pain medicine BC he has metal rods and huge metal device sticking out of his leg. Anyway, imho, his pain has made him agitated, he canít properly communicate, and now there are four security guards holding him down Bc he is ďfightingĒ staff.

    This poor kid broke my heart. I was helping also, and I was trying to hold and protect his operative leg. He was kicking and pushing off the bed with it. He had Herculean strength it seemed! I could feel his bones moving around and crunching in there! It was awful. In this chaos, his IV came out to complicate matters. Further frustration arose because the doctor came to assess the situation, but he was a scared resident who didnít know what to do. That means we have to wait for him to call his supervising resident and then the doctor, etc., and nobody wants to make a decision or do anything! Meanwhile, the poor kid is still going crazy and Iím sure in horrible discomfort.

    The first order was for Haldol 5 mg IM (shot in the muscle). What a joke!! This treats psychosis. This kid is in pain. He needs pain medication. Anyway, I go out and talk to the resident. With these guys, they donít know what to do, and theyíre scared. I have been a nurse longer than this resident physician has been alive. I know what to do. I know what the patient needs. I tell him the kid needs a good old IM shot of Demerol and Phenergan 50/50. It will guaranteed take care of his pain and get him comfortable and calmed down. The resident is cautious. The patient is almost 250 lbs.

    Anyway, we finally get the orders we need, and as expected, heís a happy kid again in an hour with no fighting. I restart an IV on him, and I get the resident to order scheduled pain medication so he stays medicated, and we donít have to deal with this avoidable situation again. Meanwhile, I have 7 patients of my own who I need to take care of Bc this was not my assigned patient.

    More stories to come.

  2. #2
    Registered User zoomer's Avatar
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    Quote Originally Posted by SixFive View Post
    I rarely get to go out this stint in Las Vegas since we are raising our young niece and nephew now. Only played poker three times since we started back to work in August.

    This is is still a heck of a place, and healthcare is in huge need of reform. Thatís how it is everywhere though...

    We have a patient who is 25. He is autistic, and they have classified him as a suicide risk BC he jumped off his second floor balcony. He is severely delayed and can speak, but he is like a three year old child. He broke his right lower leg, and he had to have a big surgery that left him with an external fixator. This means he has a metal device on the outside of his leg with screws down through his skin into his bone to stabilize the fractures so they can heal. Bearing weight or putting any weight through this leg is a huge contraindication while that device is in place.

    Behaviorally, this young man has shown no signs of behavioral problems or suicidal ideations. However, one night, he became agitated. Yelling, pushing, hitting, and KICKING with this injured leg. Security was called, everybody runs in the room, and of course that makes the situation worse. Looking over his medications, itís now 10pm, and he hasnít had any pain medications since 6 that morning! Typically, the patient asks for pain medication, and we give it to them. However, in mentally disabled patients or those who donít normally communicate, you use alternative pain scales or better yet your common sense. Obviously, the kid needs pain medicine BC he has metal rods and huge metal device sticking out of his leg. Anyway, imho, his pain has made him agitated, he canít properly communicate, and now there are four security guards holding him down Bc he is ďfightingĒ staff.

    This poor kid broke my heart. I was helping also, and I was trying to hold and protect his operative leg. He was kicking and pushing off the bed with it. He had Herculean strength it seemed! I could feel his bones moving around and crunching in there! It was awful. In this chaos, his IV came out to complicate matters. Further frustration arose because the doctor came to assess the situation, but he was a scared resident who didnít know what to do. That means we have to wait for him to call his supervising resident and then the doctor, etc., and nobody wants to make a decision or do anything! Meanwhile, the poor kid is still going crazy and Iím sure in horrible discomfort.

    The first order was for Haldol 5 mg IM (shot in the muscle). What a joke!! This treats psychosis. This kid is in pain. He needs pain medication. Anyway, I go out and talk to the resident. With these guys, they donít know what to do, and theyíre scared. I have been a nurse longer than this resident physician has been alive. I know what to do. I know what the patient needs. I tell him the kid needs a good old IM shot of Demerol and Phenergan 50/50. It will guaranteed take care of his pain and get him comfortable and calmed down. The resident is cautious. The patient is almost 250 lbs.

    Anyway, we finally get the orders we need, and as expected, heís a happy kid again in an hour with no fighting. I restart an IV on him, and I get the resident to order scheduled pain medication so he stays medicated, and we donít have to deal with this avoidable situation again. Meanwhile, I have 7 patients of my own who I need to take care of Bc this was not my assigned patient.

    More stories to come.
    Good stuff. Keep em coming.
    Long Island

  3. #3
    great work SixFive


    I am a living and breathing recipient of great hospital care in the past.

    and so many times it was a nurse who stopped,listened and reacted to my needs.

    I make it a point to thank all the staff who help with my visits for whatever necessary.

    Your stories say alot about you youngman...all good..

    ďThis lifeís hard, but itís harder if youíre stupid.Ē
    ― George V. Higgins, The Friends of Eddie Coyle

  4. #4
    bonswa SixFive's Avatar
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    Thanksgiving toilet

    Thanksgiving Day is a day I have always loved. Family, food, and most importantly, a reminder to think and ponder about what we have and our blessings. I like to count my blessings and always be thankful, but our lives consume us, and we sometimes forget how blessed we are.

    This year, I had to work. It was my first week back on day shift. Nights is a killer both to your body and family. Itís just so unnatural to be awake all night. Anyway, I have a patient who is in her 40s. Itís my second day with her, and her diagnosis is pneumonia. Her real problems though are all social in nature. She has two small children at home and two adult children. The young adult children call her frequently on the room hospital phone. I can overhear the conversations a bit while Iím in the room, and I know that neither of them work, both are girls, and one of them has a drug problem. The patient (Jan) cries frequently especially after speaking to them.

    Jan lives with her boyfriend. He also makes her cry after they speak on the phone. She handed me the phone to speak with him so I could update him on her condition. Patients have me do this regularly. Mostly itís Bc they donít understand or speak English well, but sometimes the situation arises where the family doesnít believe the patient. This boyfriend is a clown and very controlling. Heís probably abusive too. This is important Bc itís my job to offer the patient services or intervention by the appropriate personnel if I think there is abuse. She wholeheartedly denies this though, and when she gets a discharge order, she wants to go home. This boyfriend is caring for her children and often bitches at her for being in the hospital blaming her for how wild the children are.

    Her first concern is that she canít get home Bc her bus ticket is expired, and she has absolutely no money. She goes on to tell me that she lives in a very dangerous neighborhood. Her bathroom doesnít even have a toilet! She told me the landlord will not fix it, so for three months now, the family of 6 has been using a bucket for toileting. When was the last time you were thankful for a toilet? For me, it was Thanksgiving Day.

    I made sure Janís Oxygen level was stable, I had already obtained the breathing treatment machine for home breathing nebulizers, I assured her new prescriptions were sent to her pharmacy, and I did extensive teaching with her. I decided to take her out myself in the wheelchair. I donít have time for that Bc itís terribly busy, but i like to do it when I can. I can get a breath of fresh air mainly and get out of the hospital for a minute. I tell Jan we are taking a small detour, so I wheeled her down to the cafeteria. The hospital graciously gave us a Thanksgiving Day ďmeal ticketĒ. I fulfilled mine in a to-go box and delivered to Jan. She thanked me, and she said she was going to share with her children since there was no food at home. I then took her to the emergency room security office and handed them the cab voucher I had obtained for her. I also gave her a small amount of money that will mean far more to her than me. She thanked me profusely and hugged me, and I in turn thanked her.

    Count your blessing and be thankful for working toilets, shelter, food, electricity, and all the conveniences we certainly take for granted.

  5. #5
    Wrong Forum Mod kickserv's Avatar
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    Quote Originally Posted by SixFive View Post
    be thankful for working toilets, shelter, food, electricity, and all the conveniences we certainly take for granted.
    Yep.
    .
    .

    CANADA IS HOCKEY!
    HOCKEY IS CANADA!

    and of course.............GO LEAFS GO!!!

    No whammies, No whammies, No whammies......STOP!!!

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    Great stories Sixfive, thanks for sharing

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    bonswa SixFive's Avatar
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    Glad u all like the stories.

    41 year old woman comes in the hospital. She has this raging, infected abscess in her antecubital fossa (bend of her arm). She doesnít know what happened and thinks it might be a spider bite. An ultrasound test confirms what we all know already... she has a broken needle in her arm

    She needs surgery of course to cut out the needle and also to clean the wound, break up all the loculations of pus, and debride any dead tissue. After the surgery, she has an epiphany. She remembers what happened! She and her husband were at a strip club. One of the strippers there was shooting up and stumbled into her. She figures that at this point, the stripperís needle went into her arm, and the force from the fall made it break off. That must have been what happened

    I always tell patients that I treat everybody the same no matter how poor their decisions, and telling lies only makes the treatment take longer. She must have really thought us all morans at the hospital

  8. #8
    Registered User zoomer's Avatar
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    Quote Originally Posted by SixFive View Post
    Glad u all like the stories.

    41 year old woman comes in the hospital. She has this raging, infected abscess in her antecubital fossa (bend of her arm). She doesnít know what happened and thinks it might be a spider bite. An ultrasound test confirms what we all know already... she has a broken needle in her arm

    She needs surgery of course to cut out the needle and also to clean the wound, break up all the loculations of pus, and debride any dead tissue. After the surgery, she has an epiphany. She remembers what happened! She and her husband were at a strip club. One of the strippers there was shooting up and stumbled into her. She figures that at this point, the stripperís needle went into her arm, and the force from the fall made it break off. That must have been what happened

    I always tell patients that I treat everybody the same no matter how poor their decisions, and telling lies only makes the treatment take longer. She must have really thought us all morans at the hospital
    Or the spider was carrying a broken needle when it bit her.
    Long Island

  9. #9
    bonswa SixFive's Avatar
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    Wall shits

    So, Iím working in the ER yesterday, and my job is going to be taking care of patients who are admitted, but there are no beds to put them in. There are around 30 in the ER, so the plan is to move some out of their ER rooms and into the hallway 😑 BC we all know that the ultimate hospital experience is to be taken off your hospital gurney in your own private room to sitting in a chair in cramped hallway to receive your care.

    Anyway, this is the decision, so I only request that the charge nurse put patients there who are ambulatory, not confused, and continent since Iím not going to be able to change beds or give a patient a bedpan in the open in front of everybody. The first patient I get I know well which is a terrible sign. Sheís 40, and she is always at the hospital for sickle cell crisis. Basically, her red blood cells are abnormal, and this can cause severe pain especially in the joints. Easy enough, just give her pain meds and fluids, right? Nope... this lady is all but an invalid by choice. She refuses to get up or walk, and to complicate matters she is blind, so she just screams like a baby whenever she wants something. This patient certainly doesnít meet the standard I have politely requested, and I know sheís going to be a huge problem. She is on a gurney at least. I get several other patients who are fine, but two of them have hot gall bladders. They both need surgery, and they are both in pain. I do my best to keep them comfortable in their chairs in the hallway. Thatís exactly where I would want to be if I was nauseous, had diarrhea, and in terrible pain

    Iím in the middle of calling the surgeon and coordinating with the OR staff when Ms. sickle cell starts yelling and going ape shit. She has to pee. I tell her she needs to walk to the bathroom (I know she can walk BC she lives at home and by the way she can move around on the gurney), but she says she canít. I remind her she is in the hallway, and I canít very well put her on a bedpan. She keeps yelling, so the charge nurse sends me a nurse apprentice who graciously wheels her into a just emptied room to assist with the bedpan.

    After I get my two patients off to surgery, I get two more to replace, and patients come and go as rooms open up in the hospital. The cycle of putting patients in the hall from ER rooms to my hallway chairs is relatively smooth, and I only have one family member who complains. I empathize with he and his wife, but thereís nothing I can do about it. Iím not making these decisions nor am I assigning beds.

    Ms. Sickle Cell is always complaining of pain, and I medicate her as I can per my orders. The transporter comes to get her, but she says her arm hurts, and I see her IV access has failed 🤦🏻 This is a huge problem because she has been in the ER and hospital so much she has terrible venous access opportunity. Starting IVs is my thing, and if anybody can get her, I can. I know I canít send her to the floor with no IV, so I tell the transporter to cancel while I get to work on that, and then Iíll rebook her transport when I get it. Restarting her IV is an exercise in futility. I canít get her. I communicate with the attending and ask if we can just leave the IV out because the patient is just in the hospital for pain control and was unable to fill her home pain medications. I didnít mention that this is her 10th trip to the ER this month, and she was admitted and discharged 5 of those times. The physician says ok to no IV, I request transport again, but then the physician changes her mind. I tell her I need a midline BC I canít get an IV, I put in the order, and transport arrives.

    Awesome, Iím finally able to get her out of there! The transporter arrives, I give him the paperwork, but then he asks me for a mask. I ask why, and he says, ďbecause the patient shit on the wallĒ. I was like I walk over to her gurney, and sure enough, she has had a gigantic blowout with poop on the walls and a big puddle on the floor that has seeped out all the way under the gurney into the hallway 🤦🏻 FML...

    I get some blankets off an empty gurney and throw it on the puddle of liquid poop in the floor to contain it. We canít clean her up there as already discussed, so I find a room nearby that is empty Bc the patient has gone for a test. I scoot that gurney over and make room so we can wheel in Ms. Sickle cell. The transporter and another staff member help me clean her, change the bed, and clean the gurney. Housekeeping comes to clean the hallway and wall, and she goes to a room upstairs.

    The ER begins to empty, and by the end of the day, I just have one patient. I suppose it was a pretty good day overall although at times super frustrating and overwhelming.

  10. #10
    Administrator . MadJack's Avatar
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  11. #11
    Quote Originally Posted by MadJack View Post
    don't know how they do it...day after day...

    ďThis lifeís hard, but itís harder if youíre stupid.Ē
    ― George V. Higgins, The Friends of Eddie Coyle

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    Quote Originally Posted by Old School View Post
    don't know how they do it...day after day...
    Nope. Neither do I.

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    Quote Originally Posted by Old School View Post
    don't know how they do it...day after day...
    Quote Originally Posted by MadJack View Post
    Nope. Neither do I.
    Employee discounts at the cafeteria?


    Hope in one hand, and shit in the other.......See which one fills up faster.

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    Quote Originally Posted by SixFive View Post
    Glad u all like the stories.

    41 year old woman comes in the hospital. She has this raging, infected abscess in her antecubital fossa (bend of her arm). She doesnít know what happened and thinks it might be a spider bite. An ultrasound test confirms what we all know already... she has a broken needle in her arm

    She needs surgery of course to cut out the needle and also to clean the wound, break up all the loculations of pus, and debride any dead tissue. After the surgery, she has an epiphany. She remembers what happened! She and her husband were at a strip club. One of the strippers there was shooting up and stumbled into her. She figures that at this point, the stripperís needle went into her arm, and the force from the fall made it break off. That must have been what happened

    I always tell patients that I treat everybody the same no matter how poor their decisions, and telling lies only makes the treatment take longer. She must have really thought us all morans at the hospital
    keep up the good work..

  15. #15
    Administrator . MadJack's Avatar
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    Quote Originally Posted by freelancc View Post
    keep up the good work..
    I don't think he likes the Vegas hospitals. How are the hospital(s) up your way?

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    Quote Originally Posted by MadJack View Post
    I don't think he likes the Vegas hospitals. How are the hospital(s) up your way?
    Las Vegas is a sewer between the bright lights and the suburbs. I dont envy Clint's position at all.

    I should have done some write-ups over the years!

    Hope in one hand, and shit in the other.......See which one fills up faster.

  17. #17
    StonedPimp Dr Feelgood's Avatar
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    Did someone say shit??? Come play at the poop plant for a day!!

    #SmellsLikeMoney
    Full sack to share
    Bringin flash and flare
    Got the long hair swingin middle finger in the air

  18. #18
    bonswa SixFive's Avatar
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    Back to the ER today, 🤦🏻And I have this dickweed named Gregory. Heís homeless, and I love to help homeless people. Feed them, offer them services, a safe place, and the ability to clean up. This guy though is a punk. He comes day after day and complains. Somebody always is stealing his things supposedly, and he always wants a catheter. This is a man who can walk and is oriented, but he always tries to con the nurses into putting in a catheter he says he needs one BC heís going to drive to Detroit

    This guy is the epitome of a button bitch. He presses his call light constantly for food, drinks, to hand him his homeless bags of crap, to complain about other staff, and to request security. He always want to report his valuables being stolen. Nobody wants to get within 10 feet of him much less go thru all his bags of crap xsto

    Anyway, I finally get him a room assignment and out of the ER. Once he got up there though he raised hell Bc he didnít have a private room. Gmafb! What a terrible patient not to mention horrible human being.

  19. #19
    Administrator . MadJack's Avatar
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    Quote Originally Posted by SixFive View Post
    he says he needs one BC heís going to drive to Detroit

  20. #20
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    AMA failure

    I have a friend in Kentucky who is physician. He says that he his favorite acronym in medicine is AMA. This stands for Against Medical Advice and generally refers to a patient who decides to leave the hospital before the physician determines they are medically ready to leave. He jokingly says this Bc usually this is the type of patient who is difficult to provide care related to non-compliance or just being a jerk. Why waste the time and money of the taxpayers to come to the hospital only to sign out AMA because you need to smoke a cigarette or for any trivial reason? I had a regular patient back home who would come to the emergency room for chest pain 2-4 times a week, be admitted, then leave AMA the next morning Bc she needed to drink. Why admit her in the first place? Well, she would always have elevated heart enzymes and out of control hypertension. She was likable, and relatively an easy patient, but still the whole process got old really fast.

    Yesterday, I had a patient who I knew right away was going to leave AMA on my shift. He was 42 with a diagnosis of bilateral arm abscesses. Heís a heroin user, and we commonly get patients with his history admitted in the hospital. The treatment is to lance or sometimes do an I&D surgery on the abscess, IV antibiotics, pain control, and IV fluid hydration (supportive care). The abscesses are caused BC the heroin is cut with who knows what and non-sterile/dirty injections. The user also exhausts his veins, so resorting to skin-popping or muscling is used which will cause more frequent abscesses.

    The nurse who gave me report said he was getting Morphine 4 mg and Dilaudid 1 mg for pain. The Morphine for him is a waste of time because of his high opioid tolerance. The Dilaudid is more on track, but it would have to be about 2 mg every two hours instead of every 4. Patients who are used to using heroin in large amounts like him start to become ďdope sickĒ pretty fast, and they just canít stand it. The body gets addicted to the heroin and starts to withdraw with symptoms like pain, nausea, vomiting, diarrhea, anxiety, restlessness, tachycardia, and abdominal cramping. They keep using heroin BC the ďdope-sicknessĒ is such a horrible feeling. Dilaudid is nicknamed Hospital Heroin, so to keep him from leaving, you essentially give enough of it to substitute To stave off the dope sickness.

    I liked this guy. I treat everybody like I would want my folks treated no matter their circumstances until they give me a reason not to do so. He was honest about his habit which he said was $100 a day. I asked him if he worked, and he said he was a trained plumber. He can do side jobs, but BC of his addiction, he can not keep a regular job. I asked him if he got his money by hustling, and he said he did. I usually see patients with a $40-$60 a day habit. $100 is a lot of heroin! He told me he starts to have withdrawal symptoms at about the 6 hour mark. I told him it must be exhausting for him to hustle enough to keep that up. Have you ever thought about being a heroin user as being hard work? If you had no money, no possessions, and no family/friends to help, could you come up with $100 a day? Itís so sad that he has not been able to kick this and use his street-smarts and resourcefulness to do something productive.

    I communicated with his physician several times during the day, and he seemed to care, but his hands are really tied as to what he can do. This guy is already ordered big doses of opioids.

    I tried to confirm his methadone dosing with a local clinic, but I could not. If I could have obtained an order for methadone, he might have been comfortable enough to stay. I know this guy is going to leave, and I canít do anything about it. He did end up leaving around 3pm. He apologized to me and thanked me for helping him and caring. I gave him a little money for the bus even though he didnít ask for it. I gathered up some food for him to go, and told him how to get out of the hospital, and he left. I didnít mention earlier, but he has a wife who is also a heroin addict. I know he was worried about her, and this is another reason he was leaving. I know women who are addicted have to resort prostitution/sexual favors to hustle their money, so Iím sure he had all those thoughts running thru his mind as well.

    Lastly, his story is a common one. He was hurt on the job and prescribed pain pills. The opioid crisis hit, so it became very difficult for him to get his prescriptions, so he started using heroin BC itís so much cheaper than street pharmaceuticals. $100 a day for heroin is probably on the lines of 640 mg of oxycontin which would have a street value of over $1000. If you didnít know, many doctors who had been prescribing opioids for their patients completely stopped. Some would offer referrals to pain doctors, but many did not. The ďopioid crisisĒ made it difficult for many people who have legitimate chronic pain to get their medications. Of course, using heroin is a poor choice, but itís just not as easy as lumping all users as worthless ďdope headsĒ. There are so many sad stories and ruined lives. I have seen so many heart-breaking cases, and itís even more sad to me that I canít do anything about it when my job is to help people.

  21. #21
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    Quote Originally Posted by MadJack View Post
    I don't think he likes the Vegas hospitals. How are the hospital(s) up your way?
    there is only 1 in town... and i try to avoid it at all cost.. most people i hear go across state lines to St. George Utah where there are many more options for health care..

  22. #22
    bonswa SixFive's Avatar
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    Crack and Jack

    Iím working, and I hear another nurse talking about her patient who doesnít have an IV. Nobody can get it, and thereís no PICC/Midline nurse available. I tell her Iíll give it a shot since thatís my specialty.

    I go in the room, and the patient is a nice older lady probably 70 or so. Her arms are completely discolored and bruised, and she is jaundiced. She obviously has some liver failure problems. I donít know anything about her when I walk in the room other than she needs an IV. She starts by saying I must be there to start an IV on her. I tell her I am and remark that I hear sheís been difficult (I can tell sheís the kind of patient I can cut-up with). She smiles and agrees with me.

    I ask her why she is in the hospital and she confirms she has cirrhosis. She said she had a lot of bad habits in the 60s/70s Vegas scene. She said she drank a lot and did a lot of coke. ďCrack and Jack were my friendsĒ she tells me. Iím intrigued now because of of her openness, so I say she must have made good money to afford those ďfriendsĒ. She said, ďyeah, I was a hookerĒ. I asked her if she had any famous clients. She said sure, Wayne Newton, Sugar Ray Leonard, some Saudi princes, and lots of mob guys! She said Wayne Newton likes her so much he gave her a horse!

    I have since looked up Wayne Newton. I knew who he was of course, but it appears he has given away several horses over the years. She said her horse was an Arabian. I asked her what happened to it, and she said she would ride it from time to time but it died unexpectedly.

    While speaking with her, I get her IV and tape it all securely. I believe everything she told me because she was so honest about things she didnít have to tell me. Sheís a very interesting Vegas character who agrees that this place was much better when the mob ran things. She was also resigned to her fate whatever it is. Be it today or tomorrow or next year, she knows she has a terminal condition, and sheís ok with it. She said she had led an incredible life and has no regrets.

  23. #23
    bonswa SixFive's Avatar
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    Free is not fast enough!

    Patient is in the ER. She needs a blood transfusion and dialysis. Sheís chronically ill with end stage renal disease, but she commonly misses dialysis BC she is stupid. She then comes to the ER Bc she canít breathe

    She gets a unit of blood and emergency dialysis and is streeted. This happens at least once a week. She has Medicaid, and she calls the ambulance every time Bc she doesnít have a car. There is no accountability. Bad choices, hmph... just call an ambulance and have the hospital bill Medicaid 50 k every week. No skin off her nose.

    Anyway... Iím all for Medicaid and even open to Universal Healthcare discussion. I just want some accountability for these leeches to the system.

    At the end of her treatment, she is ready for discharge. The husband is given a number for a local transport company that will take them both home and bill Medicaid. He complains that he doesnít usually have to call, and he doesnít want to do it. He also complains that the company always takes too long to get them. 2 hours is a long time to wait I know, but itís free...

    I suggest he call a cab or get an uber if he wants to get home earlier. Quit complaining. Free is just not fast enough for this clown. How about be thankful that the hospital once again saved the life of your wife who is too stupid to keep her free dialysis appointment which causes her shortness of breath and this an ER trip? Idiot. Heís ranting and raving up and down the Er hallway. Get lost, professor, and we will see u in a few days. Ungrateful moron.

  24. #24
    bonswa SixFive's Avatar
    Join Date
    Mar 2001
    Location
    BG, KY, USA
    Posts
    18,328
    My patient is big. Iím talking 600 pounds big. She has these tiny little legs and a gargantuan abdomen. Sheís in the hospital because she has a peritoneal infection. In her case, she developed a hole in her lower abdomen/pannus which resulted in a huge infection and sepsis. She has had surgery a few times to try an debride this wound, and sheís on IV antibiotics. She has a large dressing over this wound. The wound also unsurprisingly is positive for MRSA. Sheís in a ďbig boyĒ bed, and she literally is almost as wide as the bed even though it is 4.5 feet wide.

    Anyway, sheís only 40, but sheís incontinent. We have the Pure Wick system which basically looks like a hotdog made out of a sponge. It is placed down between the labia and hooked to suction, so when she pees, it goes right in the suction container. A great invention for her for sure. When she poops thought, itís another story

    The cna tells me she has pooped, so of course heís going to need help. We gown and glove up (no masks of course BC there is a shortage (donít get me started on that bullshit). We started cleaning her, and the poop is soft and all up in her multiple crevices, and folds. I roll her over to my side while the cna starts cleaning. She is on her side against the rail, and she can hold on and help. It takes a long time to clean her, and I can feel something wet on my leg. I look down, and itís wet, and I also feel moisture on my stomach?? I say out loud something is getting me wet? I step back a bit, and my isolation gown is caught between the bed and the side rail. The patientís would is draining, and itís copious and straight up pus!! Idc that she has MRSA even. This, I have decided on retrospect is the grossest thing that has happened to me in my career. The pus has drenched thru my gown to soak my scrubs on the abdomen and thighs area areas. There is a puddle of pus on the floor!!

    To make it worse this patient said, ďdidnít the other nurse tell u that my wound drains when Iím turned over? no she didnít I say, and why didnít u tell me? I was livid and disgusted. We finally finish up after putting skin protectant cream all over and on her ďcoochieĒ as she requested.

    I walk out soaked with pus and head to the bathroom. Itís 6:45 pm, so thank goodness it happened late in the shift. My co-workers are mortified like me and send for some hospital scrubs. I tell them they wonít be big enough, and I go rinse and wash my scrubs the best I can. I then dry with paper towels and put back on. They bring me scrubs, and I try on the shirt, but it doesnít go below my navel so Iím not wearing them. They canít believe an x-l wonít fit me, and I remind them that Iím not a small person.

    I finish my shift, give report, go home, and strip and shower.

    Letís relate this to covid. This patient has mrsa which is very contagious, harmful, and hard to kill. I was wearing all the right PPE correctly, but the gowns are made of paper and are not reliable. Covid is much more contagious. We canít even get plain old surgical masks. There are no n95s. Itís a joke. How am I possibly not going to catch this crap? Pray for me and my wife. This time sucks to be a nurse. Here we are all scared of covid and I get a gigantic exposure to Mrsa ffs

  25. #25
    Wrong Forum Mod kickserv's Avatar
    Join Date
    May 2002
    Location
    Canada
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    70,619
    Quote Originally Posted by SixFive View Post
    We canít even get plain old surgical masks. There are no n95s. Itís a joke. How am I possibly not going to catch this crap?
    That's fucked up.
    .
    .

    CANADA IS HOCKEY!
    HOCKEY IS CANADA!

    and of course.............GO LEAFS GO!!!

    No whammies, No whammies, No whammies......STOP!!!

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