One Ballsy Ass Nurse! What a rush!

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     Check this out, I find myself in the ER Wed. afternoon, my 2nd night in a row.  I bet now that Doctor on Tues., wishes he would have just admitted me.  I was throwing up for the 2nd day in a row and to say that getting IV access or a blood draw was going to pose a challenge would be a clear understatement.

     What I can only hope is the varsity team comes in 3 sticks and nothing but a blown skinny-ass vein to show for her efforts.  3 sticks for the next person and the lab tech made a valiant effort getting a blood draw, but he too came up empty.  Now the doctor was in there ordering phenergan and dilaudid as soon as they get a line in and the next 6 tries were made on my feet.  Even with “juicy” looking veins there,  it wasn’t going to happen.

     If you’re keeping count we’re up to 15 sticks so far.  The next nurse wasn’t messing around.  She assessed the situation, quickly put me in trendellenburg position grabbed a 18 gauge catheter and proceeded to get jugular access.  Wow did that hurt!   I swear the doctor was looking on this whole thing nervously and I remember her asking the nurse if she didn’t want to save that move for a last resort, and the nurse told her “We’re there.”  

     I was nervous as hell, wow.  Without a doubt the most painful IV ever.  Believe me the phenergan and dilaudid were well received.  I might add deserved.  I was glad it was over, impressed as hell with a new respect for this particular nurse.  We actually do our patient satisfaction surveys on a laptop while we wait for our ER disposition and I was more than happy to point her out as someone in particular who had helped me out.

     I have a new port now.  Thank God


3 Doctors, No Waiting

     Pancreatitis is an inflamation of the pancreas that can  cause severe pain, vomiting, organ failure or even death.  It’s not something you want to mess around with.  There is some debate among my doctors on whether I have acute or chronic that becomes acute.

     At one point when I was in the hospital with it, I had three doctors coming to see me every morning.  A general practioneer, an internist, and a surgeon.  They would come in one at a time, and every doctor would contradict the one that came in before.  It was crazy, the surgeon wanted to cut, the internist didn’t, and the GP would want to wait and see.  I finally called them on it and told all of them to meet for coffee in the morning and come to a consensus before coming to see me.  It’s completely unfair and confusing to the patient. 

     I can think of a couple things they did agree on.  I was first diagnosed with type 2 diabetes in 2002, not too long after the multiple surgery fiasco that began with a perfed bowel and ended with MRSA.  I was only on the oral diabetic meds for a couple of months before I was put on insulin.  That, coupled with the times I had DKA (Diabetic ketoacidosis) gave the internist reason to think I was a type 1 diabetic and not a type 2.  Further testing did bear that out.  To be honest at the time I didn’t think it made a difference what type I am, but it turns out to be very relavent.  The complications are more severe, and tighter control at least for me seems to be harder.  I’m still struggling with it every day.  Every time I get sick my sugars increase, the more my sugars increase the sicker I get and on and on it goes.

     It’s also when I found out, that all the infection I got after my colostomy reversal surgery was hospital aquired MRSA.  I remember on my upteenth community hospital stay for mrsa when my doctor came in and told me they didn’t have the capability to adaquetely treat me there and had to tranfer me via ambulance to the larger city hospital.  It’s so hard when they transfer me.  I’m farther from home, so I don’t get many visits, and it’s always long distance so I can’t make phone calls.  It feels very isolating and lonely.

     Pain meds are another thing that’s likely to cause issues in the hospital.  If you’re supposed to get a shot every 4 hours, you frequently will wait 5 before you get another one.  A lot of nurses were very judgemental and would lecture me while giving me my shot, there would be alot of discomfort about asking for one for that reason.  I do remember a nurse waking me up about a half hour after giving me a shot to ask me to rate my pain.  It does happen folks, I really was woken up to see if I wanted my sleeping pill.

     To be fair, I also had some wonderful nurses, I remeber one in particular that sat at the end of my bed and just listened to me.  It was a few days after I woke from a coma, and was scared to death.  I’ll write more about that later.