Siezure disorder vs Asshole Disorder

Ok. So the title isn't politically correct. Sure big 300 lb dude was having siezures. Dude been sick with alot of issues for awhile. But after the seizures are over and you've been adequately medicated WTF is up with trying to kick the shit out of the nurse everytime she comes to the bedside. And grabbing her arms and twisting the shit out of them, and nearly dislocating her thumb, all because she is trying to get you up in the bed so you can breath. Why beat your surgical stump bloody because you have to stay in bed, because you haven't walked in two weeks and you have been having seizures every couple of hours, and you're attached to 9,000 monitoring devices in the freaking ICU? And WTF do you think you can go at 2 a.m. in the morning anyway???? All the bars are closed or I'd leave your happy butt in the floor (which is where you'd be if I didn't keep putting your body parts back onto the bed) and I'd go have me a nice cold margarita ....

She took What??? Part II

Gotta love our internet here. Down more than up. Read part one to catch up.

Well Er nurse had picked her up at 7p. She told me: "Well she grunted when I asked her questions, so I thought she was alert...they gave her Narcan at...oh...around 3 pm...and she was AOX3 then.." Me: "What was the Narcan for?" Her: "Oh, they thought maybe too much of her home pain med's." Me: "What she on?" Her: "Ambiene, Oxycodone, Liquid Morphine..." Me: "Liquid Morphine...I didn't even know they prescribed that to the general public...how much does she get." Her: "I don't remember, but her hubby has the meds out in the Hall".

Ok, first the patient...girlfriend...is not looking to good. O2 Sats are down, BP in the commode, respirations slow 9-12, somulent and not waking up. Put her on a non-rebreather mask and put her head down, and head to the hallway. Hubby hands me the meds, I pull out this bottle of CONCENTRATED MORPHINE LIQUID. Hubby states it's a new med for her and she's only had one dose. I look at the bottle, and there seems to be a good bit missing. She only took one syringe by mouth he says, I gave it to her. "Well sir, how big was that syringe you were using??" "I don't know...". "I'll be right back I tell him, I just need the pharmacy to look at this bottle..."

Pharmacist does some calculations based on how much is left in the bottle....wait for it...wait for it....the patient got 100 times the dose she was suppose to get...100 TIMES the dose....can we say....big time too much medicine.

I call the doc, give her 2 more amps of Narcan, take her to ICU, she gets 2 more amps of Narcan on arrival and meds for the blood pressure. She's starting to perk up, opening her eyes.

The next night I get her back. She had been awake all of 4 hours. She asked for AMBIENE so she could sleep. Chickie almost had the never-ending sleep and by my recollection slept almost 48 hours straight, and still wants a sleep aide! Sorry. the Doc hasn't continued that medication. Well then, how about a pain pill for my pain.....Sorry that hasn't been restarted either. I get the eye roll, the blowed out breath...Well then how are you gonna fix my pain.

One ice pack, some extra pillows, and the light's out...patient was asleep in minutes without any pharmacological intervention at all.

Accidental Overdose contributing factors:

1. Unclear instructions on the Bottle.
2. Patient and Hubby don't speak or read good English.
3. Who the F-bomb gives liquid morphine for a 3 year old surgical scar anyway????

She took What???

Got a patient the other day from the ER. Admitting Diagnosis was Rabdomylitis and Acute Renal failure. I was lead to believe this was a walkie-talkie. Incidentally reported, pt had been unresponsive at home, unable to arouse and that she got Narcan on arrival to ER, with good response and that she was talking and responsive.

Well, 5 hours had passed from the time the patient recieved Narcan and came to the floor. When she got to me, I'm like, "Uh, she doesn't look like she's breathing too well to me." ER Nurse "Well I picked her up at 7 pm,

Cute and funny...

So, a few days ago Ashley (the mamma)and Daniel (the daddy) go out on the back porch to smoke (no smoking in the house...Rule #1). Out the doggie door goes: Abby (weiner #1), Izzy (weiner #2), Killer (weiner #3) and Ali (grandchild # 2 just turned one)!!!!! Ali wanted outside with mamma and daddy and just observed the dogs and followed them. Now every-time our backs are turned she heads for the doggie door...because she loves being outside. Ashley is paranoid. I am paranoid. Grandpa and Daddy are paranoid. She knows how to get out the doggie door, but the only way off the porch is the side or the steps...and she doesn't do steps yet. I'm sure that's just a minor glitch in Ali's escape plan. If she watchs the dogs a few times I'm sure she will catch on! Kids are just too damned smart!

Entering the world of laptops.

Well. I'd like to say we have entered the good-times and suddenly won the lottery or something, but that would be a lie. Actually we went to a garage sale. My "geek tech" hubby spotted a "dead" laptop that no one could figure out how to fix. He went to radio shack and bought some electrical techo-geeky stuff.,...and wow. Now I have a Dell laptop that works perfectly. Not sure if it is too old or slow or not...who could tell with out slow-poke server? What is a challenge is typing with a keyboard that isn't sticking, or a mouse that goes on the fritz because it's not finding a signal. It is amazing that my husband is sooooo smart. Gee, and the gal at the garage sale threw in the case, floppies, a power cord and anything else that even looked like it went to a computer. He gave her $20. Damn, I love my man.

Now the only thing weird is that he is using my most loved fix it supply...Duct tape...to hold the power supply thingie together. I always tell him duct tape holds the word together...and now he really agrees. Can you believe the man took me to Corpus Christi for a romantic weekend and gave into to my garage sale fetish??? Then is the effort of fairness I took him to a Warehouse tool sale where he bought things I cannot even name...yet alone know how to use...with the exception of the needle-nose pliers. Oh, and I bought him a sign for our window "Forget about the guard dog, watch out for the owner" with the picture of a large gun barrel.....LOL.

I also plied him with steak and seafood. We walked on the jetties by the Lexington (a battleship that is harbored at Corpus) and we watched a helicopter buzzing by while they were filming a Pepsi commercial. They were also having the Special Olympics there, we didn't go, but there were plenty of contenders staying at our Hotel...and they were not all designated Special Olympie's...some were just plain old red neck drunkards! We tried our best to join them...what with me falling into the hot tub and all....ride the wave people...it was really an accident!

So after a weekend of total rest, I went to work...and I don't know what the hell I did to my back (we know it wasn't the wild and weird position sex we tried out over the weekend), but I have been having hellious lower lumbar spasms (so weird for me...I usually only freak up my upper back from pulling up patients). So...I went to the doctor yesterday for pain meds, muscle relaxants and so on and so forth. Today it is some better, but tomorrow I go back to work.
Oh, and I am gonna have an MRI. I have a birth defect called spinal bifia occulta, which means I'm missing some spinous transverse processes on my right lower lumbar spine, and the doc wants to check and make sure I don't have any bulging disks.

Oh, nuff already. I'm listening to "THE BEST OF THE DOOR'S" which my techo wizard hubby loaded on my I-pod Nano I got for Christmas and I still don't know how to use.

I'm still here.

Went to the beach yesterday. Had a really good day watching the grandkids play in the surf. Nobody drowned. Drank some brew (had a designated driver: Dave). Came home, got pissed off, the lazy-in-law...or slobbit, didn't unload the dishwasher or clean up her mess in the kitchen. She did manage to wash her two weeks worth of laundry...after I pointed out I couldn't tell what was clean or dirty in her room...there were piles everywhere...and we have a washer. You'd think a 24 year old WOMAN would be ashamed to have a room that nasty...and stinking of pissy diapers and God only knows what else. I'm glad my room is on the opposite side of the house.

Is it bitchy, insensative, or unreasonable to expect a house-guest who is living with you, to at least keep their part of the house clean. In 40 days she has offered to cook 1 time. And I had to help with that. Our meal was prepared and placed on the table at 10:00 p.m., even though we eat every day at 5:00 p.m., oh, and her husband had to cook the chicken, and the rest of the meal came out of jars....

Ok, so I'm bitchy. I just want to come home on my days off and not spend 4 hours cleaning the house before I can go to bed. Then get up and have to cook and clean up again. Dave and Daniel have been busy outside ditch-witching electrical lines and water-lines so we don't have electrical wires snaked over the yard to the well-pump and stuff. It is hot, dirty work, and they shouldn't have to come in and clean the house too. Daniel, by the way, has got a job now and is working 9 am till 6 pm. Ashley on the other hand is going to get unemployment due to Home Depot firing her while she was on her approved vacation. However, Ashley thinks this means she is still on "vacation" and therefore she shouldn't be expected to lift a finger. The straw that really got me pissed was the other night. I'd had 4 hours of sleep, yes, I will admit, I was a wee bit grumpy. I'm trying to cook supper. I only wanted to sit outside and drink my coffee and enjoy the last of the sunlight...but oh no, I had to do my part of the meal, Dave was smoking fahita's, and I had to make hot-sauce and cut up taters. Did anybody offer to help peel? Nope! Help chop up? Nope? But SHE asked to use my phone. Dumped the baby in the playpen to cry herself to sleep, and took the phone out to her car so she would have privacy and it would be quiet...and left me in the house cooking and listening to a sqwalling hungry baby.

WHEW!!!! I blew a freaking gasket. I picked the wet hungry crying baby up. I carried her to her daddy, sitting out on the swing. I went back in the house and I was banging pans and cooking. By the time everything was done it was dark and the mosquito's were out, so I didn't get to sit outside. I feel like a damned vampire.

I was so depressed Dave took me and the kids to the beach yesterday.

I smelled death today

Today I smelled death and it wasn't pretty. No perfume, no cologne nothing to freshen the air. Just the scent of a woman, who everyone forgot. Found unresponsive on the floor. Three days that no one remembered seeing her. Three days of piled up mail. The policemen couldn't even break down the door. She was afraid you see, of vandals and had locked up good and well. Except for the window. The lone window raised up for a breath of air. In the 103 degree heat. Humidity and rat's had done their job. Three days in the heat and 90 year old flesh begins to rot. The heart was still beating, but breathing wasn't her job. Seeing heaven was what she had thought. The EMS did a marvelous job, with epi and bicarb. They brought a dead heart to beat. But death was dogging her every breath. Who covered her with the newspaper we wonder. Was she visited by death's angle to plunder?

With the vent she came to me. She breathed by a machine. We bathed her battered body. Head with a lump and a black eye. why and where she fell, no one knows why. A heart attack??? Maybe, a stroke , a possibility. Maybe we will never know. She was never stable enough to go to CT. And what difference in her treatment anyhow. We pumped her with fluids. We pumped her with vasopressors and all sorts of dialators. We got heartbeats in the 150/s and blood pressure bearly high enough to read. She coded over and over. But her relatives. Who lived out of town. In their guilt induced coma's demanded the best. Keep her alive no matter what. Their manta their chorus...her life.Hours of CPR, Broken ribs, as rotten flesh wafted up , broken ribs and nothing else. We panted and planted our hands, We pumped and we pumped and we pumped. For a while we had epi induced arrhythmia...then asystole and nothing else. We tried until the try was gone. We gave up finally at 1. The family arrived from and 8 hr drive. Their precious aunt no longer alive.

So I came home and drank some brew. I'm finally sleepy but who knew. When I threw my arm up over my head. My eyes opened up as I smelled the dead. Irish Spring soap...a miracle cure, now if only I could forget and sleep...but my mind keeps circling back to her...covered with newspaper like a sheet, and rat feces....who found her first and thought her dead, and covered her with headlines all over her head? .............Today I smelled death.

Damn but I'm tired. I'm going to sleep (I hope) maybe tonight will be better.