5/01 WILTW: Margaritas and Oral Thrush

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Farawyn

Has 25 years experience. 12,646 Posts

It makes it even funnier knowing your mom has read or will read that.

*waves* HI, EOWYN!

:roflmao:

ixchel

Specializes in critical care. 5 Articles; 4,547 Posts

"I have time for that."

We have one newer MD, came to us off residency maybe 4 years ago, who sits down and truly TALKS to the patients. He knows I like to be in there for rounds, so he finds me to go in. He gets eye to eye with the patients and doesn't have any vibe whatsoever of being rushed. And yes, always, "I have time for that," followed with, "what can we do for you?" The conversation always ends with, "if you need to reach me, ixchel has my number and can call any time."

The patients usually love him. (We nurses always love him because he listens better than anyone when we call.) The patients who dislike him are the ones who are so accustomed to paternalistic care, they feel disease when a person is that nice, that helpful, and includes them so actively in the discussion of their care. Its rare, but I do get patients like that. Its like somewhere they learned GOOD doctors are A holes.

To the nurses who handled this guy before sending him to us, thank you! L.o.l..

kalycat, BSN, RN

Specializes in CVICU CCRN. Has 5 years experience. 1 Article; 553 Posts

I've learned I missed you guys. A lot. Busy. Lots of life changes and adjustments going on. Mostly good... Just... Big.

I don't need ice for my bitten tongue. I wish I did because I responded less than graciously to a nurse from a preceding shift over some really ridiculous shenanigans. And then I just.couldnt.stop. Oh well. I may hear something about that one. Strangely, I wasn't actually the instigator a la the shift nit picking wars... It was more like I should have backed down when I saw where the conversation was headed.

I didn't.

I second the comment several pages back that sometimes, no matter how hard I try, I do care what people think to a degree. Especially when I know I could have improved on my performance.

Really enjoyed the esophageal varices story. *notes taken*

Congrats to all the new grads. I'm super excited to read all the stories.

I learned that I may be in the running for a position I didn't willfully seek out but that had always been my goal. I'm hoping the stars are aligned and that it's the right time. I appreciate positive energy.

Morale is at an all-time low at our normally plucky hospital that sports some pretty good leadership. By far better than some of the stories I've heard from others. It's really a rocky time and that takes a toll all around.

For those with a strict upbringing: my family decided long ago I was heading for the hot zone. Strangely, (sarcasm) it works for me. I love the family I've built from the friends I cherish and who never let me down.

I've learned I'm a vegetarian with a serious craving for steak and Cadillac margaritas. :peace:

Farawyn

Has 25 years experience. 12,646 Posts

We have one newer MD, came to us off residency maybe 4 years ago, who sits down and truly TALKS to the patients. He knows I like to be in there for rounds, so he finds me to go in. He gets eye to eye with the patients and doesn't have any vibe whatsoever of being rushed. And yes, always, "I have time for that," followed with, "what can we do for you?" The conversation always ends with, "if you need to reach me, ixchel has my number and can call any time."

The patients usually love him. (We nurses always love him because he listens better than anyone when we call.) The patients who dislike him are the ones who are so accustomed to paternalistic care, they feel disease when a person is that nice, that helpful, and includes them so actively in the discussion of their care. Its rare, but I do get patients like that. Its like somewhere they learned GOOD doctors are A holes.

To the nurses who handled this guy before sending him to us, thank you! L.o.l..

*snort*

Farawyn

Has 25 years experience. 12,646 Posts

I've learned I missed you guys. A lot. Busy. Lots of life changes and adjustments going on. Mostly good... Just... Big.

I don't need ice for my bitten tongue. I wish I did because I responded less than graciously to a nurse from a preceding shift over some really ridiculous shenanigans. And then I just.couldnt.stop. Oh well. I may hear something about that one. Strangely, I wasn't actually the instigator a la the shift nit picking wars... It was more like I should have backed down when I saw where the conversation was headed.

I didn't.

I second the comment several pages back that sometimes, no matter how hard I try, I do care what people think to a degree. Especially when I know I could have improved on my performance.

Really enjoyed the esophageal varices story. *notes taken*

Congrats to all the new grads. I'm super excited to read all the stories.

I learned that I may be in the running for a position I didn't willfully seek out but that had always been my goal. I'm hoping the stars are aligned and that it's the right time. I appreciate positive energy.

Morale is at an all-time low at our normally plucky hospital that sports some pretty good leadership. By far better than some of the stories I've heard from others. It's really a rocky time and that takes a toll all around.

For those with a strict upbringing: my family decided long ago I was heading for the hot zone. Strangely, (sarcasm) it works for me. I love the family I've built from the friends I cherish and who never let me down.

I've learned I'm a vegetarian with a serious craving for steak and Cadillac margaritas. :peace:

Good vibes, margaritas and Montepulciano D'abruzzo!

ixchel

Specializes in critical care. 5 Articles; 4,547 Posts

Purple-Roses . . . I learned that the young woman taking care of my son while he was hospitalized was not a seasoned nurse yet but a nursing student and she ROCKED. My son was very impressed by his care at this hospital.

I learned that it is very hard to sit across the room and just "be the mom" and watch someone who looks 16 years old care for your son. I also learned that the stereotype about cocky surgeons held true for the man who did my son's surgery. And I already knew that I can exchange a good bedside manner for superior surgical skills.

I learned that pathology departments (in some places) are closed on the weekend. :bored: That can change the plan for surgery.

I learned just now from Farawyn's mom about how to read while out in the sun and needing to keep your sunglasses on! Eureka! I've always put my reading glasses OVER my sunglasses, which my kids tease me about. Now I can put my sunglasses OVER my reading glasses!

I learned that many of the friends I've made here on AN are real, true friends.

:inlove:

Big hugs to you, mama, and snuggles to spidey (who I believe is young enough that that gesture would be appropriate), who I hope has had a successful surgery!

ixchel

Specializes in critical care. 5 Articles; 4,547 Posts

I was reminded this week that I remain perplexed by the docs who don't want to intubate patients who clearly cannot manage their own airways, instead wanting to see if we can wake them up enough for BiPAP. Call me crazy, but a patient that's been breathing an average of 50 breaths a minute for over an hour, AMS, with a crap sat and low BP to boot with massive pulmonary edema and the inability to cough up secretions is probably a good candidate for a tube.

My money is on doc is crappy at tubing patients, or the patient had a crappy airway. Did you ever find out why?

ixchel

Specializes in critical care. 5 Articles; 4,547 Posts

I learned this week:

That rashes aren't always what they seem to be. We had a patient with a very allergic appearing rash which turned out to be cutaneous T-cell lymphoma. It looked nothing like the textbook pictures. I'm glad I did a biopsy.

Excellent catch, BC!

ixchel

Specializes in critical care. 5 Articles; 4,547 Posts

Thanks! It's a career move I've been wanting to make, but I'm nervous all the same. What if the unit politics suck? What if my new co-workers aren't as awesome as my current ones?

All will be well, I know. I really really dislike the whole being-the-newbie-going-through-orientation-asking-questions-constantly thing.

The good thing is, though, that you know how to be a nurse, so the orientation questions will be fewer and less basic than they were when you were new, new. The questions you'll ask will be easy stuff that can be learned quickly, like, "where's the coffee?"

Good luck to you!!!

ixchel

Specializes in critical care. 5 Articles; 4,547 Posts

Do you have to buy the one provided by your program? Ours was $40. It was either pay $40 or $6.. really, the choice was easy.

Ours didn't tell us the ceremony pin was a really crappy $1 pin, and we didn't HAVE to purchase the $40 one (which I upgraded to silver ($100) because cheap gold gives me blisters, so I don't take chances). I gave the Balfour guy an earful about that, because everything for graduation and licensure is so ******* expensive. He actually got personally insulting toward me for feeling like this wasn't important enough to commemorate. I laid into him. I may have called him a vulture, said something about priorities being jacked (word toned down for TOS) up. I don't normally get nasty in response to idiots, but I was filled with the rage of a mom trying to afford all that graduation entails, plus stuff for work, plus know I had money enough for my kids' FOOD. I'd rather commemorate dinner, A hat.

ixchel

Specializes in critical care. 5 Articles; 4,547 Posts

Ours didn't tell us the ceremony pin was a really crappy $1 pin, and we didn't HAVE to purchase the $40 one (which I upgraded to silver ($100) because cheap gold gives me blisters, so I don't take chances). I gave the Balfour guy an earful about that, because everything for graduation and licensure is so ******* expensive. He actually got personally insulting toward me for feeling like this wasn't important enough to commemorate. I laid into him. I may have called him a vulture, said something about priorities being jacked (word toned down for TOS) up. I don't normally get nasty in response to idiots, but I was filled with the rage of a mom trying to afford all that graduation entails, plus stuff for work, plus know I had money enough for my kids' FOOD. I'd rather commemorate dinner, A hat.

Boo! When did that word get censored?!

(It wasn't what you probably think it was.)

WellThatsOod

WellThatsOod

897 Posts

Children's Zofran is strawberry flavored.