So i ended up copying a doc's note about a patient that was hallucinating like crazy...Lol she was pleasant enough, but over the course of the day she started getting more and more confused, and by the time I had her at night, she was off her rocker lol She was havin visual and auditory hallucinations, mostly involving people in the room or little kids in the room, and one second shed know she was in the hospital, other times she thought she was home, or in a factory, or in some magical combination of all of the above Lol.
She redirected okay so if she was tryin to jump out of bed, then i could get her distracted by something else...though she mostly did that herself, ya know, like the man that was apparently playing very nice music in the room and she thought we would like to hear it too...lol
So, found out it was a bladder problem (and i'm still a bit shocked i'm the only damn one who made the connection...) and she got all better. yay.
So meanwhile, before they put the foley catheter in, the doc met with her and made his note progress note deal... and I copied it and printed it cuz it amused me greatly...
"She's oriented x 3 actually, right at this moment and cooperative, though asked me if I was the doctor and when I introduced myself, she said yes indeed, I was the one who was out golfing a year ago on a Saturday and didn't come in and discharge her on time. I do not golf." - LOL!!
I like the "I do not golf" added! hehe then at the end of his note:
"She'll be in the hospital at least another 48 hours at this point. I do not wish to aggravate her any more by not seeing her in a timely fashion, If I "happen to be out golfing."
I was busting up laughing at the nurses station when I read that... Lol =)
They took out her foley catheter, then she was only voiding incontiently, so no measured amount... and i counted how many times were charted for nearly 24 hrs since they took it out (and the intense confusion started about then) and I decided it would make a lot of since if her bladder is full.... 870ml stuck in there apparently! Tried getting her up to a commode, she still couldn't even come close to emptying it. And things were INSANE that night but i got the order to put a foley in, but i ended up not having time to do it (grr.....) and i'm a bit upset that i had to pass it onto day shift, and then they waited another 3-4 hrs of confusion and hallucinations and stuff, before the doc came in, and wrote a 2nd "place foley" order (?!).......(i bladder scanned her twice, two different post void residuals, and I got her up to the commode to try going in a natural position....but i was ignored apparently).
And NO ONE ELSE made the "full bladder=intense confusion" connection which i also do not understand.... thats not exactly uncommon! I mean its not the most common thing, but esp cuz the whole reason for her visit is a Urinary Tract Infection and "altered mental status" though she had been alert and oriented, with a little forgetfulness at times the whole time (i had her for 5 nights total..this all happened on the 4th night).
even after in report, no one stated the connection... HELLO!
I wonder how long it would have taken them to bladder scan her had I not decided that would be a very good idea at 0530, despite the insane crazyness that was that shift (stayed 45min late to finish charting and finishing my admits med list....course they discharged him home that day..grr - oh and no lunch lol but big deal, use to that only cuz i really suck at making myself take one..my own fault).
anyway. i just had to vent/share. lol =)
Meanwhile in EDS land...
lots of joint twinges, and Sciatic pain intermittently annoying. should keeps feeling really weird and i keep adjusting it and sliding it back where its spose to be. (freaked my friend kristen out...lol shes never seen my joints do their thing).
i'm way sleep deprived. and wanna sleep sleep sleep...
aw well..
too much work for me.
ta-ta for now.
Sunday, September 19, 2010
Monday, September 13, 2010
staying mostly put together..
well, holding up a bit better than i thought i would. i think there is still a bursa sack thats pissed off in my right hip but the cortisone shot took care of the bigger one or main one that was annoyed.. apparently there are 3 little ones in there. And the butt one on the right hurts fairly bad the last couple days.. burning achy.. and that one hurts even when laying down which sucks. Doc had said something about glutes kinda protecting it.. so i wanna really try to remember to do glute exercises i'm suppose to do anyway (due to the whole, weak glue thing the pt told me) to see if that'll provide a lil more cushion or something?
and the left hip has been intermittently annoying still, but nothing compared to how bad the right one got...
damn bursitis. just took 4 advil and 2 aleve. if i didnt have to leave, id ice it again....dont really feel like sitting on an icepack in the car lol
I really miss my super dooper soft bed.
finally got the stretchy bands so i started doing the shoulder exercises the doc told me to do.. not entirely sure if im doing them right, one benifit to working with a PT, they can tell you if the right muscles are doing their job, and exactly what ur joints are doing vs what they are suppose to do lol.. but i suppose muscle tone is muscle tone at this point. i kept having to shift the right shoulder back in place last week.. it never stays where its suppose to, and sometimes when its shifted forward, it starts to really bug me, like a nerve isnt lined up right, or the muscles are pulling wrong. aw well.
im finally working night shift, but only for one more week till i gotta switch back to evening shift for a week or two.. and then im prayin they put me back on nights for good. the guy im working with on nights wrote a thing up about me saying I'm ready to work on my own... aww yay =) I feel pretty good about nights, evening shift i dont feel.. quite put together lol I know my sleep is better on nights usually, though because i havent been able to be on the same sleep schedule for more than a week or two, im still kinda all over the place right now, which sucks. I did however finally buy some black garbage bags (cheapo, 10 for a lil over $1 lol) and i taped them over the windows (with the blinds and curtains over so it just looks like nighttime iniside) and ohh i finally slept the last 2 days! I had haphazardly put sheets over the windows but it wasnt dark enough. (its fine for a day or two, but i wake up too much if its not super dark). I work 5 days in a row again this week, but now thats dark enough im hoping i'll sleep better and goto bed early enough..
seriously want to goto curves. i know i need it. i need to cardio, that is easy on my joints, and i really need the muscles. tho i know i need more ab work, cuz i have no ab muscles like.. at all. lol
ack, i gotta go.. im going to go look at a place for rent......and theres a lot of complicated stuff that goes along with that... involving my "ex" boyfriend that wants to move back here and us possibly getting a place. and i dont know what to do.. =( i'm afraid he is right when he says that when it comes to me and him, we both have to jump in with both feet, the last 5 yrs have proven that much.. and damn, we really were really good together, as long as there wasnt 8 months of 8 hrs of distance between us...
i want to call the EAP thing thru my work and make an apt... i think i need it for a few things.. hopefully the counselor is as good as the one i saw 5 yrs ago thru moms EAP work thingy.
On the plus side to everything...
I discovered Cocoanut Milk Anti-breakage serum and holy crap my hair is soft! and smells like real coconuts =) I THINK this is the crap my friend courtney put on my hair after she cut it one time a few yrs ago and i had been on the lookout for it ever since.. I have really long (natural) red hair, and lately its just been.. blah. im over due for a hair cut anyway but yeah. i think i'll leave it down today =)
Okay, gotta find clothes and head out to check out the 4-plex.. its ground level, so no or very little steps.. thankgod. lol me and steps dont get along for obvious reasons... do NOT want to live somewhere with 13 steps again. lol looks cute.... we'll see.
...it still keeps dawning on me that I'm a Nurse heh... =)
and the left hip has been intermittently annoying still, but nothing compared to how bad the right one got...
damn bursitis. just took 4 advil and 2 aleve. if i didnt have to leave, id ice it again....dont really feel like sitting on an icepack in the car lol
I really miss my super dooper soft bed.
finally got the stretchy bands so i started doing the shoulder exercises the doc told me to do.. not entirely sure if im doing them right, one benifit to working with a PT, they can tell you if the right muscles are doing their job, and exactly what ur joints are doing vs what they are suppose to do lol.. but i suppose muscle tone is muscle tone at this point. i kept having to shift the right shoulder back in place last week.. it never stays where its suppose to, and sometimes when its shifted forward, it starts to really bug me, like a nerve isnt lined up right, or the muscles are pulling wrong. aw well.
im finally working night shift, but only for one more week till i gotta switch back to evening shift for a week or two.. and then im prayin they put me back on nights for good. the guy im working with on nights wrote a thing up about me saying I'm ready to work on my own... aww yay =) I feel pretty good about nights, evening shift i dont feel.. quite put together lol I know my sleep is better on nights usually, though because i havent been able to be on the same sleep schedule for more than a week or two, im still kinda all over the place right now, which sucks. I did however finally buy some black garbage bags (cheapo, 10 for a lil over $1 lol) and i taped them over the windows (with the blinds and curtains over so it just looks like nighttime iniside) and ohh i finally slept the last 2 days! I had haphazardly put sheets over the windows but it wasnt dark enough. (its fine for a day or two, but i wake up too much if its not super dark). I work 5 days in a row again this week, but now thats dark enough im hoping i'll sleep better and goto bed early enough..
seriously want to goto curves. i know i need it. i need to cardio, that is easy on my joints, and i really need the muscles. tho i know i need more ab work, cuz i have no ab muscles like.. at all. lol
ack, i gotta go.. im going to go look at a place for rent......and theres a lot of complicated stuff that goes along with that... involving my "ex" boyfriend that wants to move back here and us possibly getting a place. and i dont know what to do.. =( i'm afraid he is right when he says that when it comes to me and him, we both have to jump in with both feet, the last 5 yrs have proven that much.. and damn, we really were really good together, as long as there wasnt 8 months of 8 hrs of distance between us...
i want to call the EAP thing thru my work and make an apt... i think i need it for a few things.. hopefully the counselor is as good as the one i saw 5 yrs ago thru moms EAP work thingy.
On the plus side to everything...
I discovered Cocoanut Milk Anti-breakage serum and holy crap my hair is soft! and smells like real coconuts =) I THINK this is the crap my friend courtney put on my hair after she cut it one time a few yrs ago and i had been on the lookout for it ever since.. I have really long (natural) red hair, and lately its just been.. blah. im over due for a hair cut anyway but yeah. i think i'll leave it down today =)
Okay, gotta find clothes and head out to check out the 4-plex.. its ground level, so no or very little steps.. thankgod. lol me and steps dont get along for obvious reasons... do NOT want to live somewhere with 13 steps again. lol looks cute.... we'll see.
...it still keeps dawning on me that I'm a Nurse heh... =)
Tuesday, September 7, 2010
cortisone shot-done!
Well, i got my shot in my hip on friday... and just so you know, that "rare" "10% of people" side effect of cortisone flare... yeah, it sucks. Friday was the worst, saturday was pretty bad till i figured out that as long as i just layed down the whole time, i'd do okay. lol which didn't coincide with the plans of wanting to go back home to see my best friends baby this weekend =( She had him on the 31st and i was hoping i could spend the wkend back home... aw well =( Driving hurt too bad. That position did bad things for the hip.
Some reason my right SI joint has been pissed off ever since then, not entirely sure why.
I liked the ortho doc better this time, tho im still not super impressed by any means. I also decided to randomly ask him about this weird sharp pain in my knees every so often that is kinda sporadic.. turns out i have bursitis in my knees as well! how exciting hah.. its on the inside part of my knee, below the kneecap, apparently its also a point of attachment for muscles there so he told me to do some gentle stretches, and ice and the usual anti-inflammatorys.
i go back to work in the morning... should be sleeping, but ive been staying up pretty late so im not tired yet...woops. well, sorta tired. should probably try sleeping now.. its sorta dumb, cuz i work day shift tomorrow for "skills training" 10am-430pm, and then starting wednesday night, i'm on night shift (11pm-730am) for the next 2 weeks..(with only 1 day off for 10 days of work)... so the obnoxious part, is that ive been stayin awake kinda late this weekend, then tomorrow i gotta be up early, only to do my best to stay awake as late as possible, so that on wed night, im not falling asleep at work..and not falling asleep on my way home from work.. grrr..
stomach has been hurting the last couple days... would like that to knock it the heck off now.
okay, time for bed.. Ooh i made apple crisp tonight, pretty tasty tho i think the recipie used a little too much sugar, i put a lil less than it called for, and i used pretty tart apples, but aw well.. still good =)
i have a feeling tomorrow is gunna be long day..
but soon, hopefully with my hip calming down, and my SI joint eventually knocking what its doing off, then i can get my lazy butt back to curves... yes, yes i would like that very much.
Some reason my right SI joint has been pissed off ever since then, not entirely sure why.
I liked the ortho doc better this time, tho im still not super impressed by any means. I also decided to randomly ask him about this weird sharp pain in my knees every so often that is kinda sporadic.. turns out i have bursitis in my knees as well! how exciting hah.. its on the inside part of my knee, below the kneecap, apparently its also a point of attachment for muscles there so he told me to do some gentle stretches, and ice and the usual anti-inflammatorys.
i go back to work in the morning... should be sleeping, but ive been staying up pretty late so im not tired yet...woops. well, sorta tired. should probably try sleeping now.. its sorta dumb, cuz i work day shift tomorrow for "skills training" 10am-430pm, and then starting wednesday night, i'm on night shift (11pm-730am) for the next 2 weeks..(with only 1 day off for 10 days of work)... so the obnoxious part, is that ive been stayin awake kinda late this weekend, then tomorrow i gotta be up early, only to do my best to stay awake as late as possible, so that on wed night, im not falling asleep at work..and not falling asleep on my way home from work.. grrr..
stomach has been hurting the last couple days... would like that to knock it the heck off now.
okay, time for bed.. Ooh i made apple crisp tonight, pretty tasty tho i think the recipie used a little too much sugar, i put a lil less than it called for, and i used pretty tart apples, but aw well.. still good =)
i have a feeling tomorrow is gunna be long day..
but soon, hopefully with my hip calming down, and my SI joint eventually knocking what its doing off, then i can get my lazy butt back to curves... yes, yes i would like that very much.
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