Friday, April 24, 2009

Oh My Pretty

Dave: Oh My Pretty, you've been playing in the flour again!

Me: But Daddy, how did you Know?

Dave: The floor, the walls, the cabinet....your nose.

Guilty as charged. My favorite neighbors are having a BBQ tomorrow. I cannot go because I have to work, but non-the-less...I will cook, and cook, and cook....and hopefully get a nap before tonight....because I have to work. My neighbor/pastor/friend Joe, has Army buddies coming...he was stationed in Korea with these men when he was a mere 18 years of age. He just turned 68. They have not seen each other in 50 years. One couple is coming from California, I don't recall where the others are coming from. Irene, Joe's wife, the shy one....has been beside herself for days. Cleaning, cooking, planning....changing her mind, planning some more, and getting pink-faced and flustered. My sweet neighbor...who never asks for anything, asked me to make her some pineapple upside down cake...my specialty. Sitting in my kitchen, as I blog is a huge 14 X 9 scrumptlitious pineapple upside cake...and a small round 9" cake *ditto* for my sweetheart...who will be washing said floor, walls and cabinet! I have Toll-house cookies in the oven for the coffee and prayer tonight, and I put bread to bake in the bread-machine...nicknamed R2D2. All in all a pretty productive morning I'd say.

ON THE WORK FRONT: At work we've noticed a run on Aortic Aneurysms. We've had those of the dissecting variety (NOT GOOD), the bulging awaiting repair, and the newly repaired back with higher dissection and need of further intervention. These people won't be on a balloon pump, because, no matter how bad the heart...can't risk blowing the aneurysm...that's usually instant death or pretty close to it.

One elderly gent, who also had an MI and is not a surgical candidate...due to age and other factors....family made a DNR....I guess they thinks that means he will die right away. Actually, he is doing pretty good, and can probably live for years with his condition, if he doesn't do anything strenuous. He's got a few knots on his head from falling...syncope...and they've been doing a lot of adjusting to the BP meds to keep him in the low 100 systolic range. He's is cute as a bug....he only speaks a few words of English....but who can not love somebody who tells you how pretty you are .... every time you go into his room.... in English and in Spanish? Who cares if he has dementia...I like his touch of dementia...it made my day!

My other patient, an elderly lady, had a humongous AAA, not dissecting, but bulging...and found by ACCIDENT on a CT for something else. Imagine coming in for some relatively non-urgent testing and finding out you have a time-bomb literally ... tick tick ticking...with each and every heart-beat....scary as hell. I saw the sucker on the CT scan...and as you scrolled down it got bigger and Bigger and BIGGER....her only symptom...claudication (pain in the legs when walking)! Another case of really tight blood pressure control. The bad thing was that they did an aortagram/angiogram it check her heart out and she had multivessel disease. She had to have open heart surgery. I could not be for certain that she really understood the implications...she could die ... on the table, her prognosis was not good. I asked her about family, and she only had a sibling that lived far away...for HIPPA purposes I'll hit a couple of states away, in the Kentucky, Virgina, Carolina neck of the woods. She had called her sis...who was older than her, and sis was driving down, because she could not afford to fly. Sis was coming ALONE because she was widowed. It was going to take her three days to get there, because she would need to stop and rest. The morning I left she was going to surgery, they came and got her at the butt crack of dawn....I was still there...I went in, and held her hand, and told her I'd pray for her and check on her later in the day. She had tears in her eyes, and she held my hand so tight! I couldn't hardly sleep (that was the day the telephone pole was on fire and we had no electricity). Before I went to sleep around noon, I called CVR and checked on her. She had made it through surgery and was doing good. Praise God! Anyway, when I worked my last shift she was back to the floor and getting ready to go home, after she recovers from this she will be back for the aneurysm repair.

Well, going to put the last sheet of cookies in...and make a run to the neighbor's with all the goodies is tow.

3 comments:

Reddirt Woman said...

I love how you not only take care of your patients, but also your church family and, of course, a little something special for Dave, too. Deliver those cookies, catch a bit of sleep before work and go let the old senor tell you how pretty you are in two languages. And know that goes double from me, even having never met you in life, how you tend to folks says a world about you.

Thanks for being you.

Helen

Debbie Y. said...

You are too sweet making all the cakes and things for the party that you will not be able to attend.

You are such a loving kind and caring nurse. I wish I could get you when I go to the hospital.

In my line of work we get multiple same type impairment filings. It's like they all talk together and decide to file for disability at the same time.

Budd said...

I've always thought that people get together and plan what they are going to come down with.We haul 1 cardiac we haul 1/2 dozen.
Debris from the Paris tornado actualy landed here.