Alright, friends. I'm keeping this one short and sweet because my brain is sore and my dog is annoying.
This week, I have learned....
1. There should be a time limit hospitals should have to fix a problem. If things aren't better after, say, 15 days, let someone else try.
2. I'm in the mid Atlantic of the US with spring travel plans to Florida, and I'm actually feeling nervous about Zika. I had a guillian barre syndrome patient in nursing school. On his way driving home from work, his chest felt off, so he course corrected to the ED. When he pulled up and walked to the doors, he struggled with leg weakness. After he was done in triage, he couldn't stand. He was intubated, and completely paralyzed, before he left the ED for ICU.
3. A patient on neuroleptics will still have detectable epileptiform patterns on an EEG.
4. A good neurologist knows no matter how crazy the patient sounds describing symptoms, what they say is legit and will stay the course for diagnosis.
5. My favorite doctors to work with are the ones who will sit and talk patho with a nurse and enjoy that the nurse legitimately loves to learn.
6. Sliding scale coverage alone for inpatient management is not currently supported by research.
7. If working day shift doesn't eventually make me check into a psych ward, nothing will.
8. The GI doc who left me scrambling to save a guy's life (what felt like) single-handedly by doing no intervention before he got dumped on us (actively bleeding out 2 points of hemoglobin over 8 hours and maintaining a BP that won't leave 70s-80s) has suddenly become cautious enough to send a perfectly stable (hemodynamically, symptomatically, and on CBC) rectal bleed to ICU before meeting or scoping her after I've literally done all the work needed on her for the shift. And of course, I was rewarded with an end of the shift admission.
9. The Florida Man Collective has evolved to include its latest - Wrinkles the Clown. He is a scary-looking clown who is for hire to scare anyone you want, for any reason.
10. The more you annoy the doctor about the same thing, over and over and over, the more likely it is they will listen and maybe put in an order.
I have nothing else right now. My broken brain is feeble!
Specializes in Medsurg/ICU, Mental Health, Home Health.
Apparently there is statistically significant evidence that redheads don't stay numb.
Story of my life right here. Novacaine does NOTHING for me. NOTHING. Lidocaine works slightly better. Never tried cocaine, so can't speak for that one.
And I need loads of general anesthesia, too...not just the local stuff.
Story of my life right here. Novacaine does NOTHING for me. NOTHING. Lidocaine works slightly better. Never tried cocaine, so can't speak for that one.
And I need loads of general anesthesia, too...not just the local stuff.
Story of my life right here. Novacaine does NOTHING for me. NOTHING. Lidocaine works slightly better. Never tried cocaine, so can't speak for that one.
And I need loads of general anesthesia, too...not just the local stuff.
This guy uses lidocaine in the general vicinity and some specialized type of marcaine on the nerve. It doesn't keep me numb but it gets me numb enough that if he works fast, I can play nicely.
I knew an old Buddhist guy down in Cali who used to rub cocaine on his gums for a toothache. Wonder if it's better than Scotch?
This guy uses lidocaine in the general vicinity and some specialized type of marcaine on the nerve. It doesn't keep me numb but it gets me numb enough that if he works fast, I can play nicely.
I knew an old Buddhist guy down in Cali who used to rub cocaine on his gums for a toothache. Wonder if it's better than Scotch?
You're just different- which is an excellent thing. "Normal", if there is such a thing, is boring! (I speak as a 'different' person myself)
I learned a long time ago that as long as the people I care about love & accept me- everyone else can bugger off!
I lost my Father less than two weeks ago. I'm hoping the pain lessens as time goes by, but I expect to miss him every day for the rest of my life. (((((Hugs))))
Specializes in OR, Nursing Professional Development.
It numbs the gums.
I've heard.
Numbs the nose, too. Use it in some pretty invasive nasal/sinus surgery. It's a pretty shade of blue.
For all of those dealing with losses, hugs.
Cheerios, glad things are going well with the new job.
I've learned that I seem to have finally transferred my black cloud to someone else. It's both a blessing and a curse in that I get to sleep through the nights I'm on call but I'm also not getting the OT.
I've learned that just when you think your team is working really well together, someone will screw the team over. Just because none of us like getting pulled out of our specialty, doesn't mean that calling off makes that go away. Someone else (ahem, me) will end up getting pulled instead.
Farawyn
12,646 Posts
When you say the best we know you mean the worst.
Which is the BEST!