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TJ'sMOM 2,532 Views

Joined Sep 17, '12. Posts: 12 (50% Liked) Likes: 19

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  • Nov 10

    Oh yeah, another sneak is baking your own sweet potato chips! The trick is to get an oil mister and mist the slices with some olive oil rather than tossing them with it. Sprinkle with a little sea salt and bake at 250 for two hours. It satisfies those voracious salty snack cravings and provides nutrients! Cut extra thin with a mandolin and one potato can be 3-4 baggies of chips, so it still keeps the carb count low for the day.

    I find its easier for me to maintain a good diet if I find feasible alternatives for some of my weaknesses than trying to forsake them completely

  • Nov 10

    Congratulations on your success so far! I have to find sneaky ways to replace healthy food with junk so things don't get (too far) away from me. It's like the day after I turned 30 I woke up, looked at my body in the mirror and said, "I don't even know you anymore!"

    I admit I have the pallette of a kindergartener. I would almost never eat vegetables if I didn't have to, so I created what I call the "All The Vegetables I Hate Shake" where I literally just put 3 cups of veggies (various) and some water in a blender and have at it. It's God awful for a few minutes, but my conscience is appeased. Other than that, I try to do the same as you, no refined sugar and low carb. It works well when I stick to it, but therein lies the rub!

  • Nov 10

    Last week I hit a milestone.

    I fit into scrubs. The tops and the bottoms. I paraded around the living room checking if I could bend and turn. I wanted to know if there were bulges showing or some unsightly side effect. Nope.

    I’m no movie star but I’m wearing scrubs. I even had my mom take a picture.

    It was an awesome moment.

    They were Koi size 5x.

    3...2...1…Remove your jaw from the floor. Wiggle it around to see if it works. All good? Alright let’s move on.

    The last time I was able to fit into scrub pants and bottoms was nursing school in 2012. They were 4x but I believe a very generous 4x. I had used black yoga pants with scrub tops for years masking the problem when all I wanted was a smaller derriere and pockets.

    I have come to the conclusion that a nurse needs three things to survive a shift.

    1. Pens. Many, many pens.
    2. Coffee. Lots and lots of coffee.
    3. Pockets. You can never get enough pockets.

    Anyhow...

    I did everything I mentioned in New Grad No More...Continued including entering, getting through and passing nursing school over 300lbs. It never stopped me from achieving my dreams. But it is keeping me from my optimum health.

    At my heaviest I got to 346. If I sneezed I’d be 350. This was also around the time I landed my dream job. I was 320 when I got in and the stress of being the new kid on the block had me packing to 346.

    I woke up one morning and said aloud. I’m going to die. It’s may not be today. It may not be tomorrow but I’m smart enough to know...I’m asking for trouble.

    At work, I’m your short as stilts on a potato and round as I am tall RN ready to meet your every need. I’m knowledgeable. I’m quick. I’m willing to learn what I may not know. I work well with my team and I am passionate about my patients. I dance, I sing, I smile. I work my assets off all night and I go home exhausted at least 36 hours a week.

    I get the job done. I love what I do.

    I have perfect blood pressure, A1C’s and labs. I have no disabling pains that prevent me from rolling out of bed and doing what I need to do. I am also very aware of the risks and pitfalls that await me if I continue on in this manner and this weight. My body will eventually turn on me and diabetes drive, hypertension way and bypass avenue are all ahead on my journey.

    I’ve put my foot down. I’m doing something about it.

    I have been fortunate to have coworkers and managers who saw past my size. They saw my capability. They saw my drive, confidence and attitude. They believed I was worth the position and able to carry through. I have won over my patients and proved that I was able to meet their needs without hesitation.

    And I’ve lost about 40 lbs since August of this year. I’ve chosen a sugar free and low carb diet. After years of experience in dieting and gaining it back I have learned that my body responds very well to this combination.

    I still have a long way to go, but I’d like you to walk this journey with me.

    As nurses we are educators. We learn twice as much as we teach and this for me is one heck of a learning curve. I’m looking up and researching what makes weight harder to lose, the proper nutrition to adopt, pitfalls in addiction, exploring obesity as a disease process, how to aid your patient and maybe yourself (and more).

    I think my experience may help others have an insight into obesity and the physiological, psychological and pharmacological implications of this condition.

    The truth is….

    Implementing this knowledge is a lot harder than it looks.

    It’s going to be just like my career journey…

    One bite at a time.

    Very soon I will not need to Suck it in and I look forward to it...

    Won't you join me?

  • Nov 7

    Neezy, I feel compelled to respond. My advice is to get out of nursing, take baby steps and find something you love and figure out how to make it a reality. I've been a nurse twice as long as you and I can relate to your struggle. In all honesty, I wish I hadn't made the decision to become a nurse. Don't get me wrong, some parts of my career have been extremely fulfilling, but yes I regretted becoming a nurse almost from the very start. I do my job very well, but I am as burnt out as a crispy critter. This profession has chewed me up and spit me out too many times to count. Sometimes I look at the 'business people' and the 'bean counters' and become jealous. Although I feel honored to take care of my patients, I look at the 'other side' and wish I didn't have the overwhelming stress of people's lives in my hands and that my job didn't feel so...I don't know the word for it. But I am encumbered, I have so many loved ones that are counting on my paycheck and insurance, I can't leave nursing. I don't think I'll ever be able to leave at this stage in my life and I'll be in this profession until I die or retire (whichever comes first). So again my advise is to get out now, before you marry and before you have children that depend solely on you. Although I feel privileged to have met and cared for so many lovely people and that I have had so many unique experiences, I do wish to work without the particular stress, pressure, and BS that comes with the nursing profession.

  • Nov 7

    Quote from Neezy84
    Never wanted to be a nurse it was a family trait.

    But I need to know if anyone feels the same way?

    Additional info: I was recently attacked by a patients husband during a home healthcare assignment. I have anxiety PTSD

    I can sort of identify with you, Neezy, although I was motivated in other ways to do something in the healthcare field.

    Among multiple other major life crisis at the time, about 20 years ago, I was attacked and stabbed by a patient. I went through a time of what I considered to be deep, dark despair. Although a test I took rated me suffering from only moderate depression, I dreaded going to work or meeting other responsibilities.

    I sought services from an art therapist. A caring psychiatrist I worked with offered to prescribe me a benzodiazepine anti anxiety, which I graciously turned down. I attended Emotions Anonymous Meetings. I began a routine exercise program and attempted to follow a healthy lifestyle. I searched for meaning.

    It took probably a couple of years for me to dig myself out of the pit of despair, but I did it. And you can too, Neezy.

    I practiced what I learned from that time of despair everyday- art, exercise, spirituality. I believe if I don't, I could easily return to that pit.

    Joseph Campbell said to follow your bliss in order to feel fulfilled and refreshed. There must be something in what you do that reinforces who you are; something that makes you feel important. Search for your bliss- your meaning.

    The very best to you Neezy.

  • Nov 7

    Hey guys I have a scenario I want to run by. So I work on a cardiovascular surgical floor. One of the things we do is heart valves. Every so often we get the endocarditis from drug use. Sometimes we get repeat offenders which is sad.

    So anyways, thats the background. So I get my patient, 20 something year old female drug addict who had recent heart surgery. I got report in the morning and of course pain was a major issue. The night nurse was like I gave her vicodin and that seemed to help. So I come on and shes crying and visibly in pain. The vicodin is due, so I give that. Hour later she is still crying so I look on the mar and she has a small dose of morphine. So I give that. '

    Next day nurse confronts me and says why would you give an IV drug user morphine? She goes on to say she was only giving the patient Tylenol. I tell her that the night shift nurse told me she was taking vicodin. She says he should not have even given her that.

    Did I do wrong? The patient was clearly in pain and the medication was ordered by the surgeon. If the patient is in pain shouldn't we treat it?

  • Sep 19

    Ashamed to admit, the worst visitor I ever experienced was my own Wicked Stepmother, & to this day, I give credit to the many nurses who put up with her endless BS.

    My dad went into the ER with SOB due to pneumonia after having a bout of influenza one year. Initially, it didn't seem too bad-Wicked had called me late that morning to tell me he was in the ER & was being admitted to a Med/Surg floor. She let me speak with the nurse, who stated he needed IV antibiotic & resp. support. Since everything seemed under control, I decided to go work my 3-11 shift that day.

    About 3 hrs. into my shift, Wicked calls me at work, wanting me to have my dad transferred to the hospital I was working at. When I asked why, she claimed she ran into somebody she knew whose family member was there & this person had trashed the hospital on many levels, but had not come up with anything specific or serious. I explained I couldn't just have dad transferred, that if I did he would have to go thru the ER again because he didn't have an MD on staff in this hospital. I added I personally felt it best he stay where he was, because his MD was on staff there & that hospital was less than 10 minutes away from the Retirement facility they were both living at.

    Eventually, dad had to transfer to ICU to be intubated-they had tried CPAP, then BiPAP, but he refused to cooperative with either. This prompted another call to me. What she was saying made no sense, so she let me speak to the MD, who said he felt vent support was needed for 24-48 hrs. This was on that Sat. night-by Tuesday, he was off the vent but not quite 24 hrs. later, started getting very compromised. They had to call a code & re-intubate. Later that week, they put in a trach to be able to remove the ET tube.

    Wicked would get frustrated & upset with me when I didn't have an answer for something. I explained numerous times I had no critical care experience & required explanation from the drs & nurses sometimes to be able to understand what was happening. One day she was ******** at me when the nurse who frequently took my dad told her no nurse could be an expert at every type of nursing.

    After about a month, they were not able to wean dad from the vent, although he could come off for a few hours during the daytime.
    He was transferred to an LTAC on the same campus & that's when the problem really started. Wicked, of course, was used to ICU where the nurse usually only had one other pt, sometimes not even that, so was always very visible. The way the LTAC staffed was way beyond ridiculous & I saw that the first time I was there. All the nurses were very competent, caring & hard-working-they just had entirely too many very acute pts. Wicked would get upset when she'd turn on the call light & nobody came in a second or two.
    If one of CNAs would answer the light, Wicked would expect them to drop everything & would get highly irate if the CNA explained what she wanted was something the nurse had to do & the nurse was busy with another pt. Wicked picked up the practice of just
    walking up to the nurses' station, thinking that would get her what she wanted faster, then would get mad because if anybody was there, it was the unit secretary, who usually couldn't do what she wanted, anyway. I tried unsuccessfully & many times to explain all this, but Wicked was convinced these nurses were just lazy & incompetent.

    From my perspective, I was so embarrassed for the way Wicked consistently acted, I usually made it a point to only visit in the evening, when I knew Wicked had gone home. I always thanked the nurses for everything they did & tried to help as much as I could.
    I actually apologized to some of the nurses because Wicked was usually there all day, every day, making life very difficult for both my dad & the nurses. My dad was able to understand when I explained the difference between ICU & LTAC staffing & that sometimes a pt. had to wait for something because something more pressing had to be addressed.

    After about 3 weeks on the LTAC, dad was successfully weaned off the vent, went to an acute rehab for 3 weeks, then returned to Assisted Living. Several years later, Wicked still p!sses & moans about how horrible the LTAC was & I don't even try to tell her the reality. Every day, I'm grateful to the nurses who took care of my dad during that illness & feel bad for all the crap they had to take off Wicked.

    Sorry my post is long, but I thought it would be good for nurses to read about a problematic family member from a nurse's perspective.

  • Sep 19

    Oh my frekin' heck! What is wrong with people? I see why my hubby quit nursing after 30 yrs. and I'm still considering nursing school because I want to make a difference. But not undermined by idiot family members and BFs!!



    Quote from PMFB-RN
    So happy that I work in a hospital were all visiting is under the control of the nurses. A spouse saying they have a right to visit doesn't carry any weight in our units. If the nurses feel the rpesence of any family member is harmful to their patient we forbit them from visiting. Our managment and security back us up on this.
    Two or three times I have walked in my room to find a family member pouring varions liquids from Pepsi to Irish wiskey into the mouth of my intubated patient.

  • Sep 19

    I was in a paediatric ward and had come in at 7AM for the hand over and at 11AM I had just come back from my break which wasn't even that long and two parents of a child who had come in were standing around so naturally I approached them and asked if I could help them. They began telling me that they had been "standing here for ages" so I politely told them that I am sorry they had to wait and had just come from my break but I was more than happy to help them to which they sarcastically responded "oh, so they have breaks now when they should be doing their job". Now I'm more than happy to cut short a break or delay one entirely if it means that someone needs my help but since there was an entire wall between me and them during the time I was away, it was a bit difficult to know they were there since I'd left my x-ray vision down in radiography. I just don't understand sometimes how patients and their families can expect us to give quality care and then have a go at us without taking into consideration the length of our shifts and how many shifts we've had to do in a row that week. I wouldn't change what I do for the world but some people just don't understand

  • Sep 19

    Quote from Regi64
    Had a patient admitted with stoma bleeding and inflammation. We eventually found out her husband liked the stomal sex... Yuck!
    Who even thinks of that?

  • Sep 19

    Some people is just a hot mess. I would of called the animal patrol, rights....on that Milton, what a terrible person to do that to dogs and then have the audacity to come to a hospital and say that to his sick wife. He is sickening!

  • Sep 19

    This is ridiculous. My mouth dropped to the floor.

    Quote from KY RN
    The worst patient I ever had was an older woman (50) having sex in a semi-private room. (with her 30 year old son.) Needless to say, everybody got called into that situation, SW, APS, nurse manager, risk management.( The roommate got moved to another room.)

  • Sep 19

    Wow. I worked ER as a tech on nights and was (literally) running to pick up drugs for a pedi code in progress. There was also a second adult code and a third critical patient. All 3 physicians were occupied. The place was packed on a hot summer night.

    Normal people when you explain that a child (or anyone else) is critically ill or injured say a silent prayer and go back to waiting.

    I was physically blocked by a large, loud woman. I nearly crashed into her. I politely explained that the physicians are busy with critical patients and I had to run an emergent drug from the pharmacy to the team. People are seen in order of severity. She started yelling (wasn't really listening) when she started flailing her arms I said "excuse me, I need to go" and ducked under and delivered the drugs. She tried to grab me and yank me back. Security grabbed her arm. I made it back to the kiddo who although we flew him up to the specialty hospital did not fare well post drowning. (The 30 second delay had no effect. The 5 minutes unsupervised by a pool was more of a detriment to the beautiful 3 year old)

    I found out later what the lady was yelling about as the security guard wrote me up commending me for maintaining professionalism under duress...it wasn't a family member with an acute injury or illness. It was her "man friend" with chronic back pain for 3 years or so that she felt should be seen emergently. At 3AM. On a busy July weekend. The patient was sleeping, waiting his turn, and oblivious to his "friend" attempting to assault ED staff on his behalf. Apparently the security guard was amazed that I was so polite and managed to walk away without her snatching me...

  • Sep 19

    Quote from AmberHawkins
    I once had a pt that was admitted for tampering with her stoma to make it bleed and hurt so she could get pain meds (dilaudid, of course). ... Apparently she met a gentlemen out there smoking, ... she gave him a blow job.
    At least it was just a blow job. And not stomal penetrating sex.

  • Sep 19

    Sounds to me like some patients need to return surveys with bad marks for the hospital not keeping them safe by failing to keep nutcases and abusers away.


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