Vegas times

freelancc

Registered User
Forum Member
Aug 18, 2002
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Nevada
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.. :lol: most people i hear go across state lines to St. George Utah where there are many more options for health care..:0corn
 

SixFive

bonswa
Forum Member
Mar 12, 2001
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BG, KY, USA
Crack and Jack

Crack and Jack

I?m working, and I hear another nurse talking about her patient who doesn?t have an IV. Nobody can get it, and there?s no PICC/Midline nurse available. I tell her I?ll give it a shot since that?s 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 don?t 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 she?s been difficult (I can tell she?s 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. ?Crack and Jack were my friends? she tells me. I?m intrigued now because of of her openness, so I say she must have made good money to afford those ?friends?. She said, ?yeah, I was a hooker?. 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 didn?t have to tell me. She?s 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 she?s ok with it. She said she had led an incredible life and has no regrets.
 

SixFive

bonswa
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Mar 12, 2001
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BG, KY, USA
Free is not fast enough!

Free is not fast enough!

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

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 doesn?t 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... I?m 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 doesn?t usually have to call, and he doesn?t 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 it?s 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. He?s ranting and raving up and down the Er hallway. Get lost, professor, and we will see u in a few days. Ungrateful moron.
 

SixFive

bonswa
Forum Member
Mar 12, 2001
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BG, KY, USA
My patient is big. I?m talking 600 pounds big. She has these tiny little legs and a gargantuan abdomen. She?s 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 she?s on IV antibiotics. She has a large dressing over this wound. The wound also unsurprisingly is positive for MRSA. She?s in a ?big boy? bed, and she literally is almost as wide as the bed even though it is 4.5 feet wide.

Anyway, she?s only 40, but she?s 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, it?s another story :facepalm:

The cna tells me she has pooped, so of course he?s going to need help. We gown and glove up (no masks of course BC there is a shortage (don?t 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 it?s 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 patient?s would is draining, and it?s 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, ?didn?t the other nurse tell u that my wound drains when I?m turned over? :wtf: :facepalm: no she didn?t I say, and why didn?t u tell me? I was livid and disgusted. We finally finish up after putting skin protectant cream all over and on her ?coochie? as she requested.

I walk out soaked with pus and head to the bathroom. It?s 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 won?t 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 doesn?t go below my navel :facepalm: so I?m not wearing them. They can?t believe an x-l won?t fit me, and I remind them that I?m not a small person.

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

Let?s 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 can?t even get plain old surgical masks. There are no n95s. It?s 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 :facepalm:
 
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