Living in Las Vegas
- Thread starter SixFive
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Fantastic news! I can not imagine the pain that her addiction has caused her and your entire family.
Praying that she stays clean and sober.
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I am glad that she has realized her problem & is trying to take care of it....
One step at a time....
Thoughts are with your family....
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Pics from earlier this week. This is the result of back to back plays. So close...
This is the third night in a row at work. It's been fairly uneventful, but I'll post a few things. Two nights ago, one of my coworkers comes to me for help with an IV. IVs are my thing, and actually my previous job I carried a beeper and phone and started difficult ones all over the hospital. I go in the room, and the patient has half of his head shaved with a stapled incision. I asked him what happened, and he said he fell into the side of a building. He denied alcohol use when I asked but readily admitted that he "muscled". This means he shoots heroin into his muscles instead of his veins because he has ruined all of his veins from prior intravenous heroin use. He was vomiting and withdrawing hard (vomiting, profuse sweating, severe abdominal pain, and agitation). Starting an IV on a dude like this is about impossible. I was able to start one, and he received IV Dilaudid, Ativan, and Zofran. That helped him a lot, but when I came in the following night, I was told he left AMA
He couldn't stand the hospital confinement and treatment, so he left against medical advice to hit the streets again. We see patients like this all the time. Very difficult to care for, and they leave you to wonder why you even bother?Another patient has just been diagnosed with stage IV liver cancer. She is very nice but miserable because she has a terrible cough. I called her doctor who is a complete moron. I can't stand doctors that suck and don't care. They are lower to me than criminals, and I see things that need to be done that they will not do. I want to just tell the patient their doctor blows and to get somebody else, but of course that would probably get me fired. Anyway, I called this idiot doctor and told her what I needed (cough medicine and tachycardia medicine). She was fine with the heart rate medicine but wanted me to give some OTC bs robitussin that will not work. I told her that was not good enough, she got pissed, I stood my ground, and she finally said, "fine! Do whatever u want!!" Cool; I ordered the good cough medicine, the patient stopped coughing, and she slept. Her heart rate went from 130 to 70.
If you ever have to be hospitalized, pray that your doctor gives a damn about you because so many do not. It's so horrible the medical care that I see sometimes. Just beyond criminal imo. You want an aggressive nurse that isn't scared of doctors that will get stuff done that you need because otherwise, you might be out of luck.
Here's an action shot of the food that has been offered 3 days in a row in the cafeteria. Idk what it is, but I'm sure it's nasty.
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Pics from earlier this week. This is the result of back to back plays. So close...
This is the third night in a row at work. It's been fairly uneventful, but I'll post a few things. Two nights ago, one of my coworkers comes to me for help with an IV. IVs are my thing, and actually my previous job I carried a beeper and phone and started difficult ones all over the hospital. I go in the room, and the patient has half of his head shaved with a stapled incision. I asked him what happened, and he said he fell into the side of a building. He denied alcohol use when I asked but readily admitted that he "muscled". This means he shoots heroin into his muscles instead of his veins because he has ruined all of his veins from prior intravenous heroin use. He was vomiting and withdrawing hard (vomiting, profuse sweating, severe abdominal pain, and agitation). Starting an IV on a dude like this is about impossible. I was able to start one, and he received IV Dilaudid, Ativan, and Zofran. That helped him a lot, but when I came in the following night, I was told he left AMA
Another patient has just been diagnosed with stage IV liver cancer. She is very nice but miserable because she has a terrible cough. I called her doctor who is a complete moron. I can't stand doctors that suck and don't care. They are lower to me than criminals, and I see things that need to be done that they will not do. I want to just tell the patient their doctor blows and to get somebody else, but of course that would probably get me fired. Anyway, I called this idiot doctor and told her what I needed (cough medicine and tachycardia medicine). She was fine with the heart rate medicine but wanted me to give some OTC bs robitussin that will not work. I told her that was not good enough, she got pissed, I stood my ground, and she finally said, "fine! Do whatever u want!!" Cool; I ordered the good cough medicine, the patient stopped coughing, and she slept. Her heart rate went from 130 to 70.
If you ever have to be hospitalized, pray that your doctor gives a damn about you because so many do not. It's so horrible the medical care that I see sometimes. Just beyond criminal imo. You want an aggressive nurse that isn't scared of doctors that will get stuff done that you need because otherwise, you might be out of luck.
Here's an action shot of the food that has been offered 3 days in a row in the cafeteria. Idk what it is, but I'm sure it's nasty.
Sent from my iPhone using Tapatalk
Some hot sauce and a good stir and you'll be good to go. :mj07:
Good grief....
Good grief....
Even the shit food we were served many times in Vietnam never approached the status of that wretched pile of dung.....xstop
I would notify the health department....
I was in Nam 1970-71, once while patrolling the rivers near Cambodia, we were issued cases of C-rations dated 1956, 1957, I believe, ...I kid you not......ate em though, with gusto....
Good grief....
Even the shit food we were served many times in Vietnam never approached the status of that wretched pile of dung.....xstop
I would notify the health department....
I was in Nam 1970-71, once while patrolling the rivers near Cambodia, we were issued cases of C-rations dated 1956, 1957, I believe, ...I kid you not......ate em though, with gusto....
- Nov 13, 2009
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You're an awesome dude... Appreciate your commitment!
(I know u hate the ... Everything can't be rainbows and unicorns):0008
(I know u hate the ... Everything can't be rainbows and unicorns):0008
B went to a birthday party of a coworker's child. It was a superhero party, so she volunteered to make the capes. She has a sewing machine and a vinyl machine and lots of creative talent.
Afterwards, we went out with our friend Alex to our favorite place, Sakana for AYCE sushi. I have written about it a bunch, and it never disappoints. It's phenomenally good every time.
We watched some movies, and since this is Saturday and we can eat whatever we want today, we made a late run for some White Castles! I only ate one, a few fries, and two chicken rings. I don't think the place here located at Casino Royale is that good. It's always kind of a buzzkill because it's just not good like it is at home. I'm not sure why, but I know that to be true and the opinion of a lot of people.
On the way back, this greeted us at the entrance of the freight elevator.
I guess a big chested dirty gal couldn't wait? Pretty gross!
We are cat sitting a co-worker's kitten, and I thought this was a nice shot of the kitten snuggled in with B.
Back to work tonight; I hope everybody has a blessed Sunday.
Sent from my iPhone using Tapatalk
Afterwards, we went out with our friend Alex to our favorite place, Sakana for AYCE sushi. I have written about it a bunch, and it never disappoints. It's phenomenally good every time.
We watched some movies, and since this is Saturday and we can eat whatever we want today, we made a late run for some White Castles! I only ate one, a few fries, and two chicken rings. I don't think the place here located at Casino Royale is that good. It's always kind of a buzzkill because it's just not good like it is at home. I'm not sure why, but I know that to be true and the opinion of a lot of people.
On the way back, this greeted us at the entrance of the freight elevator.
I guess a big chested dirty gal couldn't wait? Pretty gross!
We are cat sitting a co-worker's kitten, and I thought this was a nice shot of the kitten snuggled in with B.
Back to work tonight; I hope everybody has a blessed Sunday.
Sent from my iPhone using Tapatalk
Thanks for posting, Clint.
My brother took the deal to go out there and work as a nurse a few years back, but he didn't last long. I know he received a nice pay bump and a relocation package, but he didn't make it a year. I never really understood it, but I'm glad it is working out for you. Seems like an exciting life change.
My brother took the deal to go out there and work as a nurse a few years back, but he didn't last long. I know he received a nice pay bump and a relocation package, but he didn't make it a year. I never really understood it, but I'm glad it is working out for you. Seems like an exciting life change.
Thanks, Gary! I see Nick on FB. U all need to get out here soon for a trip.
So tonight is my 5th out of 6 at work. I got floated to a crappy floor that is super disorganized and kind of the dumping ground of the hospital meaning this is where there are a lot of long term patients that can't be placed anywhere else for discharge. I have one patient who is 50 and refuses to get out of bed. He is Bedfast and incontinent by choice. What a life; being in a hospital bed 24/7 pooping and peeing on yourself when you can walk under your own power. Some things I will never understand.
I have another patient who is like a giant blob. She reminds me of that ghost from Ghostbusters. She is only 69 years old, and she is so lazy that she also lays there and poops and pees on herself when she can walk. She just wants her benzos and narcs. Her daughter who is 42 stays in the room with her, and she is drugged up too. She actually pissed all over herself and her pull out bed in the room :facepalm:
She actually called requesting we change her bed when she's not even the patient!! Ridiculous! She is supposedly homeless and says she is a domestic violence survivor. Her mother has been here for 6 months!! Go home already!!
Another patient is here for abdominal pain. She is 24, and all of her tests have come back negative except for an ovarian cyst. She is getting Dilaudid every 3 hours for an ovarian cyst!!! Really?? All women have ovarian cysts. Give me a break. So absurd!
Another patient is here because he doesn't take care of his diabetes. He is actually refusing insulin here in the hospital. I'm sure he will get discharged and be right back next week for the same problem. Ridiculous as well.
I estimate that 75% or more of hospitalized patients are in the hospital secondary to life choices. Most of my patients are here because do stupid things or they want to be here.
So tonight is my 5th out of 6 at work. I got floated to a crappy floor that is super disorganized and kind of the dumping ground of the hospital meaning this is where there are a lot of long term patients that can't be placed anywhere else for discharge. I have one patient who is 50 and refuses to get out of bed. He is Bedfast and incontinent by choice. What a life; being in a hospital bed 24/7 pooping and peeing on yourself when you can walk under your own power. Some things I will never understand.
I have another patient who is like a giant blob. She reminds me of that ghost from Ghostbusters. She is only 69 years old, and she is so lazy that she also lays there and poops and pees on herself when she can walk. She just wants her benzos and narcs. Her daughter who is 42 stays in the room with her, and she is drugged up too. She actually pissed all over herself and her pull out bed in the room :facepalm:
She actually called requesting we change her bed when she's not even the patient!! Ridiculous! She is supposedly homeless and says she is a domestic violence survivor. Her mother has been here for 6 months!! Go home already!!
Another patient is here for abdominal pain. She is 24, and all of her tests have come back negative except for an ovarian cyst. She is getting Dilaudid every 3 hours for an ovarian cyst!!! Really?? All women have ovarian cysts. Give me a break. So absurd!
Another patient is here because he doesn't take care of his diabetes. He is actually refusing insulin here in the hospital. I'm sure he will get discharged and be right back next week for the same problem. Ridiculous as well.
I estimate that 75% or more of hospitalized patients are in the hospital secondary to life choices. Most of my patients are here because do stupid things or they want to be here.
I bet that is hard to see on a daily basis Clint. I couldn't do it. Thanks for all the updates, this thread is my favorite at mj.
Good God, I sure as hell don't envy the shit you have to put up with. Makes for an interesting read though this hospital stuff. One thing I have noticed over the years is that with Doctors as you earlier mentioned (they can be assholes). This is just my opinion, so I'd be interested to hear if you agree or not:
I find that many doctors (at least 75%) have no idea what they're doing when a patient is ill and just follow procedure. So much so, that looking from the inside out they do this regularly and if a patient is ill and getting better or worse they will still follow procedure. As for the other 25%, they are the ones that are determined to find a solution and help that individual. They will seek out a cure by talking to other Doctors or if they're a specialist they will use previous cases or do whatever it takes to make sure the patient gets better.
I say this because a while back I got sick and was in the hospital due to a number of infections in my body and it seemed like around 7 or 8 out of the ten doctors I saw didn't know what the fuck they were doing. This made me think a number of things, but it primarily hurt my overall admiration for the profession of Doctors as a whole. However, the Doctors that did help me I was really impressed with and I see them now instead of the previous Doctors I had. I had one that I saw for a number of years that was not doing a good job by me and it felt good to tell him he was fired.
kneifl
Thanks, hedgehog! Kneifl, my opinion on your question is this. I think doctors have a lot on their plates, and because of this, they start taking shortcuts. Before all the technology, they had to assess, diagnose, and treat using their skills. Now, many of them just order a litany of tests that will take the thinking out of it. Many doctors never even lay a hand on the patient anymore. I think that cutting corners to save time has become epidemic and commonplace now. A true thinking diagnosing physician is becoming hard to find.
A nurse with experience will absolutely know what their patient needs and what is wrong with his patient and what needs to to be done to treat and manage care. It's a matter of getting the doctor to order and do these things.
You rarely if ever see the doctor round with The nurse. This used to be the standard. Now it is more standard to see the doctor sneak on and off the unit or do their rounds thru cyberspace and not even see the patient at all! It is truly pathetic and a sad state the things I see. I hear patients every shift talk about never seeing their doctors, and it's true! I also see no accountability for the actions of negligent and just plain bad physicians.
A nurse with experience will absolutely know what their patient needs and what is wrong with his patient and what needs to to be done to treat and manage care. It's a matter of getting the doctor to order and do these things.
You rarely if ever see the doctor round with The nurse. This used to be the standard. Now it is more standard to see the doctor sneak on and off the unit or do their rounds thru cyberspace and not even see the patient at all! It is truly pathetic and a sad state the things I see. I hear patients every shift talk about never seeing their doctors, and it's true! I also see no accountability for the actions of negligent and just plain bad physicians.
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Yep, you're right. I know from my last experience, it was a horrible one and I lost a lot of respect for them. I can see them taking a lot of shortcuts. Some really great ones that stand out from the rest though.
kneifl
Another one for the vault of ridiculousness.
My patient is 41. She's in and out of the hospitsl all the time with what has been diagnosed as gastroparesis. This means her digestion is delayed, and this causes problems like malnutrition, nausea, vomiting, and abdominal pain. It is very common and very treatable with medications and diet modification. Most of the time, people can take their medicine, watch their diet, and get flare-ups treated. People who don't take their medicine and don't watch their diet end up in the hospital. Such is my patient.
She complains of constant pain that is never relieved all the while texting, talking is he phone, and watching tv. She has conned the physician into giving her a PCA pump. She gets Dilaudid 2mg per hour plus she can push her button for another 1mg every 20 minutes. 1mg of Dilaudid = 10mg of Morphine. She also insists on getting Benadryl and Zofran every 4 hours on the dot. Not only hat but she tries to tell me how to give her the medicine (as if I don't know). She thinks she will get more of a buzz if it is done faster and without dilution. Anyway, I can't stand her, she's a faker, and she's there because of her choices and bc she chooses to be there.
I have this idiot in one room, and the one next door is a patient suffering with cancer who doesn't want to take pain meds.
I don't like people that abuse and leech off the system, but I see it all the time.
My patient is 41. She's in and out of the hospitsl all the time with what has been diagnosed as gastroparesis. This means her digestion is delayed, and this causes problems like malnutrition, nausea, vomiting, and abdominal pain. It is very common and very treatable with medications and diet modification. Most of the time, people can take their medicine, watch their diet, and get flare-ups treated. People who don't take their medicine and don't watch their diet end up in the hospital. Such is my patient.
She complains of constant pain that is never relieved all the while texting, talking is he phone, and watching tv. She has conned the physician into giving her a PCA pump. She gets Dilaudid 2mg per hour plus she can push her button for another 1mg every 20 minutes. 1mg of Dilaudid = 10mg of Morphine. She also insists on getting Benadryl and Zofran every 4 hours on the dot. Not only hat but she tries to tell me how to give her the medicine (as if I don't know). She thinks she will get more of a buzz if it is done faster and without dilution. Anyway, I can't stand her, she's a faker, and she's there because of her choices and bc she chooses to be there.
I have this idiot in one room, and the one next door is a patient suffering with cancer who doesn't want to take pain meds.
I don't like people that abuse and leech off the system, but I see it all the time.
Looks like a fair amount of your patients are good candidates for the Free Soylent Green factory tour...
Serious question
The standard joke in my Vegas gated community is:
"If you are seriously ill in Las Vegas, where do you go for treatment?"
"McCarren International....and board a plane for Los Angeles."
Based on your experiences what would be the best local hospital, West-side...for a sudden serious illness?
Serious question
The standard joke in my Vegas gated community is:
"If you are seriously ill in Las Vegas, where do you go for treatment?"
"McCarren International....and board a plane for Los Angeles."
Based on your experiences what would be the best local hospital, West-side...for a sudden serious illness?
The general surgery where I work is good. I don't have anything good to say about the admitting physicians though. I wouldn't know where to tell u to Go?
