Wednesday July 26th 2023

[Joe NightingMale, MSN, RN]

Dianah that is awfully hot, good idea to stay indoors

Stars hopefully one of the rehab places will take him.  Seems like his brief confusion could have had many possible causes, from meds to drink to not using his O2 right

That's pretty hot for Alaska toomuchbaloney

NJ22 I find packing usually takes less time than I think

Work wasn't too bad yesterday, although I did get a case at the end of the day.  Was able to get most of the stuff done before I left

Still did not have a solution for the patient who needs home care.  I'm thinking he'll end up at the hospital if family is unable to assist.  Kept bugging me even though I know there's nothing I could do

After work went grocery shopping and then exercised, which made me feel better

Today after work have an meetup even with a new gay group, one that meets in the suburbs.  We'll see how it goes

Will be hot today, in the mid 90s with storms expected later this morning

[Tweety, BSN, RN]

Good morning!

Joe, hope you enjoy the meet up and have a good day.

Stars, we've long talked about inpatient rehab being the best option for your husband.  It sounds like he's really deteriorating fast physically and mentally and I would tend to agree he's the bigger issue than Nannie who seems stable.  All the best.  

It's going to remain in the low 90's here for the near future.  Probably until mid-October.  We haven't seen higher than normal temps here.  

I actually had a decent day yesterday at work for my overtime shift.  I was not in charge and nothing awful happened.  Started with 4:1 ratio even.

 

[No Stars In My Eyes]

Hubby was jittery and shaking quite badly this morning, so *I* had to go to the ABC store and pick up a 'sleeve' of peach vodka, just so I could take him to the eye doc's appointment.  I had 'the discussion' with hubby, and he has agreed that he HAS TO go to an inpatient detox and rehab, as soon as possible. I did tell him that there might have been a TIA going on last night, and that he is going to have to go to the doctor about that, too. I didn't go into the quit drinking, quit smoking and improve his diet, like stop eating fatty/salty/crap, etc and all the things that he could do to help try to prevent a full-on stroke. Anyway, I am going to look the detox place up on-line and then contact the place, and ask about any of the particulars not answered on-line. We will probably have to borrow money to do it, but that's okay. (I just hope we can get it! ) The place I am going to call does accept Medicare, I believe.

We also have to make an appt with the attorney who did our wills, and see what we have to do to have Nannie's POA transferred to me, just in case something comes up while he is in rehab. Oh glory....? it has occurred to me that I may end up having to get POA over him as well. This does not make me a bit happy, but whaddya gonna do; so I will do whatever we have to do to get these necessities accomplished.  (#($&*()@!)

Just got back from the eye doctor who said hubby's left eye "looks good" and the cataract lens transplant hasn't moved. His prescription for the left eye has changed, so they are going to send the new pair they had there, back to the lab to get the new L lens prescription put into the frames, and will call us when the glasses come back to them. When hubby told the nurse/tech there (because I told him he HAD to) he was drinking a lot (he said 'about a fifth a day', but I think it's more) she asked me if I 'partied with him'. Nope, I don't drink.(And he's no 'party'!)

Right now I am waiting for the personal banker to call me back about a "suspicious transaction" on Nannie's credit card. Nothing is easy!  I talked to two different places (credit card's phone numbers) about it and they can't do anything to remove the charge ($213.64 on 7/12 at a big box store) from her account unless she talks to them. The fact that she has dementia makes no difference to them. And, apparently hubby is not listed as power of attorney at the bank, so I will have to take Nannie over to the bank branch to talk to the personal banker, so the charge can be removed AND we can get the damn card cancelled, and see if I can get POA over her accts there. But Nannie has to be the one to okay the cancellation, IN PERSON. (OMG/smh) I'll have to go upstairs to my file cabinet to lay-hold of her and our wills and THEN make the appt w/ the attorney.

If I am repeating myself, I'm sorry, but all this doodle-crap has got me MORE THAN fuzzed up and flummoxed. I do not like being the only 'responsible adult' and having to take everything on. I don't, I don't, I don't like it one single bit !!! ?

... to be cont'd ...

 

 

 

 

 

 

[No Stars In My Eyes]

One kind-of-but-not-really funny thing is that when I went to the ABC store and asked for a sleeve of peach vodka, the guy asked me what brand. Well, heck, I don't know! But the woman re-stocking the shelves said which brand, which she knew because she saw me drive up in my car, and recognized it as the one Mr Stars drives when he goes there.

[No Stars In My Eyes]

And still more....

I spent an hour and a half on the laptop and got NOWHERE; the place we were thinking of for him to go has listed a residential place for women. I know they HAVE TO HAVE a facility for men, as well, but I'll be durned if I can find it. They show you forms, one of which I down-loaded but can't fill out because the name of the place is not even on them, and I don't want to start filling them out and send them personal info .... to who-knows-who and who-knows-where. I got pretty short-circuited, my frustration level went through the roof. I will TRY tomorrow to call the #'s, but it says in the terms and conditions agreement that the # is like a central clearing place and they shunt your call to certain places that they decide would be right for the person, needs +/or location. Even the one we wanted him to go to is 2 hours away and I can't hardly see me attending family psych sessions and other 'events' there during his stay, however long that might be. I mean what's going to be done with Nannie? Daycare wouldn't cover the time for the times if I needed to be gone there...we can't pay for a sitter/aide through an agency who will most assuredly have to 'open' a case to care for her, at some cost..... IF we can even figure out where and when he can get admitted. I want to talk with a real live person, but I'm not sure that's possible. I will try again tomorrow, I guess. That real live person better be able to deal with someone who will most likely break down into tears, as this kind of thing is what truly makes me want to throw everything up in the air with great furor and say f-it. There's a lot of things I am very good at, but all this is REALLY a bugaboo for me in the worst way, and I don't mean maybe. I need one-on-one help for this; maybe my very own social worker to hold my hand and take me simple step by simple step, because even what is SUPPOSEDLY simple ISN'T, for me!

Hubby drank the whole 8-bottle sleeve of vodka, so far, today.

Braves lost to RedSox last night 7-1.....after a 111 minute rain delay. I bailed out at 11 PM and stuck Nannie in bed; I said we weren't staying up until midnight or 1 AM to watch them lose. The game tonight w/ same teams is scheduled for 7:15, and I am supposed to wake hubby up when it starts. I also have to remake Nannie's bed, because she went in at some point and made it up with the sheets and blankets going every-which-way, some dragging the floor on one side AND the other...

So, I am watching the local and network news, so I can shake my head and 'tsk' about what a sorry state the world is in. YUH, that'll make me feel so much better.

whine-whine-whine. ?

 

 

 

 

 

 

 

 

 

[nursej22, MSN, RN]

Hi, we've been traveling all day, and we just checked into our bed n breakfast in Winthrop, MA. We are just across the water from Logan Airport. We stopped to eat at a little local joint; dh had his first ever lobsta roll, and I had pasta. Tomorrow we'll drive to Burlington VT. Rain is forecast.
Stars, you need a top notch case manager like Joe to help! From what you've said in the past, that sort of help isn't available through your md office or senior center. 
Joe, in my area patients  kept hospitalized because there is no suitable placement is not uncommon. Maybe that's because there aren't many facilities. Or patients get banned because they don't follow the rules. 
 

[Ado Annie, ASN, RN]

Stars, Dr. L makes sense. I hope you can work out something for inpatient rehab. Daycare for Nannie might be a good idea. I tried don't all Hubs into it for his mother (thought it would be good for both of them) but he didn't want to do it.

Sinead O'Connor died. She was unique. 

It's that time of the quarter when I get to do the abstractions for CMS. The sepsis questions can get complicated and it makes my brain hurt.

The Oklahoma Hospital Association is doing a 5-month "bootcamp" for people interested in getting CIC certification. They pay for the exam and offer prep assistance. My boss nominated me for it so I get to do it. I think it's a good thing because I never had anyone to train me on infection prevention. Or risk management. Or regulatory reporting. 

Twin B and I made beef lo mein for dinner. I trusted him with the directions, though, and our noodles were quite chewy. We'll do better next time. Gma said "I hate this stuff". My commonsense reply: "so don't eat it". She just looked at me. Then she said "I'm leaving". But she didn't. ?