Latest Likes For Calabria

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Calabria 3,255 Views

Joined Mar 3, '11 - from 'U.S.A.'. Calabria is a R.N.. She has 'Always looking to learn!' year(s) of experience and specializes in 'NICU, OB/GYN'. Posts: 119 (61% Liked) Likes: 287

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  • Apr 12

    I have gastroparesis (and an extremely slow gut overall; for the record, Go-LYTEly doesn't work on me. At all. Doctors found out the hard way). I am stable now, my case is mild, and my treatment regimen is wonderful so I'm virtually asymptomatic 95% of the time, but I'll share my past experiences with you.

    Imagine having a dead weight just sitting in your stomach after you eat. And imagine your stomach/esophagus being perpetually irritated, whether from vomiting or from food just sitting there for hours longer than your body intends for it. It's like living with a stomach virus that doesn't end.

    I will say that I never screamed in pain from my gastroparesis. But I've been extremely uncomfortable, to the point where my quality of life has been adversely affected. I, like the previous poster, had gastritis as a result of my symptoms.

    When I've received dilaudid in the past for GI-related discomfort, I've been aware that my pain has still existed, but I simply haven't cared so much that it's there as I did when the medication wore off. If it were up to me, I'd take a medication that actually treated the cause of my pain (i.e., slow motility, GI irritation), instead of an opioid that's slowing down my gut and duping my mind.

    I wonder, like you, if some of the patients that you see have built up a tolerance as a result of their chronic pain. And I can't speak for all of them, but I wouldn't attribute all of their behaviors to psychologic causes. Gastroparesis can be truly miserable.

  • Mar 21

    It's with sad irony that I power up the treadmill in the gym exactly 24 hours after I started chest compressions on you. You were my first patient loss. Being new to the NICU (though not new to nursing), I know you won't be my last. I forced myself down to the gym to run off the grief.

    The myriad of feelings that I have experienced in the last day is overwhelming. The entire unit, even the doctors, cried as your family walked in to hold you for the first and last time. We held them as they held you. I woke up briefly in the middle of the night. My initial feelings, that I felt like I was wrapped in a blanket of sadness, had evolved. It felt like the wind had been knocked out of me instead. It made me restless. I needed to do something.

    Sweat begins to run down my forehead as I get closer to completing my first mile. Moments replay in my head like a movie, of how your care progressed in the times that I took care of you, of bargaining with God as your heart rate started to drop, of calm desperation as our team rallied around you, and of the feeling of indescribable defeat as we stopped our efforts. I had a feeling that you'd be leaving us on my watch as soon as I laid eyes on you. You looked so unwell compared to previous days. Based on your labs and vital signs, you were circling the drain. We tried so hard to save you anyway. You fought so hard with us.

    Glancing at the clock as I continue to run towards mile one-and-a-half, I realize that, 24 hours ago, your resuscitation still continued. I was giving you yet another dose of epinephrine at that point. We all stared at your heart monitor, praying that (somehow) your heartrate would increase, allowing the rest of us in the room to breathe. And even though I'm getting tired now, I think of your family. I think of how tired they must feel. I think of how you must have felt so tired, especially at the very end.

    I push harder. Thump, thump, thump, my feet whack against the treadmill belt. I force myself run faster. The last time that I ran multiple miles was in high school, but it looks like I'll do it again today. I might hurt tomorrow, but it'll be gratifying to focus on the physical soreness achieved from exercise instead of the emotional pain.

    I step off of the treadmill today one minute after we stopped your resuscitation efforts yesterday. No amount of medication, chest compressions, blood product, or ventilation would keep you with us anymore. Some might say that I was running from my feelings today, but all I saw as I stared at the wall ahead of me when I ran was you.

  • Dec 20 '15

    I'm personally dealing with some anal glaucoma right now.

    I.e., I can't see my ass going into work tonight.

  • Nov 15 '15

    Quote from IdislikeCODEbrowns
    Sorry to offend anyone but my beef w/ this whole issue is that I am seeing more and more pts who pick and choose when they want to be treated like pts and when they want to be 'paying customers who feel its ok to be waited on 24/7, I understand controlling noise level around others, nights or not, but its a slippery slope when people start forgetting what a hospital's are for (to get better) not to have a jug of ice water 3/4 filled w/ ice and the rest water and heaven forbid that there's too much ice... Or what about those pts who insist on staff putting signs on their doors saying 'do not interrupt between 11pm and 7am' really,this is a ******* hospital and you'll probably be the pt who turns around and sues bc your potassium level was 2.5 and had an arrhythmia but was refusing to get labs rechecked at 4am...hospitals aren't hotels bottom line, it's not pleasant and you shouldn't like being there more than your own home
    Have you, or your family member, ever stayed in the hospital as a patient? I stayed in the hospital for about 2 weeks a couple of years ago. It was the worst place for me to get rest because my vital signs were being checked Q4H, in addition to being woken up for medications, blood work, etc. I understood that those things were medically necessary for my well-being. You standing outside of my room at the nurses' station carrying on in a loud voice and laughing loudly isn't medically necessary for me to heal.

    It's one thing to break your back for patients because of the push towards treating them as "customers", but I learned when I was about five years-old to talk with an "inside voice" and what it means to be respectful of people around me (including those who are sleeping). That's common courtesy. There's a big difference.

  • Jul 20 '15

    Well, I hope that some of you aren't my co-workers.

    The vitriol directed at fellow nurses here based on their age, not what they can contribute to their workplace, is disturbing.

  • Jul 4 '15

    I've been told that, during debriefs, my "nurse face" and deadpan way that I readback orders/information to other providers is hilarious (we had a simulation videotaped and I had half of the room laughing, not because I was acting ridiculous or obnoxious, but because of the apparent transformation in my persona upon entering the room). I'm naturally very energetic and hyper, but go on "autopilot" during crisis situations and tend to respond in very short, clipped sentences and lack patience for nonsense.

    I grew up in a home where my family and I, unfortunately, were the patients who suffered from the "one-in-a-million" ailments. My parents and siblings have had multiple close calls with the Big Guy Upstairs, partly because of bad luck and partly because they're too stubborn to seek medical attention before it's too late.

    I have a vivid memory in middle school of my dad walking into the house and asking my mother for a Band-Aid. I came downstairs and followed a trail of perfect bloody footprints going through the kitchen to my father, who had gashed his leg outside. He needed so many stitches that the doctor stopped counting after 47.

  • Jun 4 '15

    Quote from lub dub

    So are you saying that RT was to blame for this?
    No, that's ludicrous. I'm saying that the signs and symptoms of the bleeds were first noticed immediately after suctioning. My point, like Bortaz, is that we shouldn't be exposing micropreemies to unnecessary interventions that heighten their risk of complications such as bleeds. Excessive suctioning is one of these interventions. We have no way of knowing when the bleeds definitely happened, but they first manifested right after suctioning.