January 27, 2007
January 23, 2007
My husband and oldest son were in one car and me and the other boys in another. We searched every field and neighborhood that he could be in within the vicinity. We yelled his name like a bunch of crazies. Imagine that. After a couple of hours I had a feeling he was gone for good...even after the great lead. Then I drive through a park area and there was a dead end that went off to the side. I was going to just go straight but something told me to turn down that road and there at the end of it was my oldest son (they had the same idea as me) looking in a brush pile and as soon as I got out of the car he reached into the brush and pulled out Wrigley. Sigh! He said he saw something rustle in the bush. It's a miracle. We hadn't even seen him, nor were we chasing him. We had just heard he was in the 'area' and what a huge area it was! Of all the places, my son just so happened to walk past that brush pile. Wow. It's a miracle he's ok and even more of a miracle that we found him. I don't know how he navigated the city without getting hit by a car. Wrigley was really shaken up. He was shaking so hard and seemed so scared. He also seems so tired and glad to be home and we are thrilled. He's done nothing but stay at my feet and sleep in his puppy pillow for a few hours. :-) Now I can rest soundly knowing my baby is safe and at home. Prayer really does work.
January 22, 2007
Our darling dog Wrigley has went missing. (He's in the orange.) He got out sometime this morning through a gate that wasn't secured properly and we can't find him anywhere. The bad thing is...my husband had to go to work and I had to go to school, so all day I was thinking about him and wishing I could leave that stupid class and go look for my dog. As soon as I was finished with class and got back to town I drove all over the place searching with no luck. It's dark now and there's nothing we can really do, but my husband is out posting flyers hoping that someone, anyone can provide a clue. It's cold out, and I know he's hungry and misses us and I worry he just can't find his way. This is terrible, he's a part of our family. How can I cope not knowing? He's been a part of our family for a little over 2 years and he's the best dog I have ever had. I was just telling someone this yesterday before he was gone. All I want to do is cry. He has a tag on with our address, his vet's office and our phone numbers which leads me to believe that no one has found him or maybe someone did but didn't think to stop him or anything. And of course I have all kinds of other terrible thoughts too.......
I just hope that whoever finds him is an honest person and wouldn't keep him for themselves or something. I'm desperate and afraid and just don't know what to do. I just want to know where he is. Knowing is better than not knowing anything. I've heard some dogs will come back after a few days. I hope this is one of those cases.
January 21, 2007
I'll try to remember all that happened. It was hilarious whenever George went to the refigerator and noticed the check was missing and started looking around on the floor for it. I was cracking up. He thought Izzy lost it or something. Too cute! George's dad.....sigh! What a sad moment for him and his family. Knowing there was nothing they could do and having to pull the plug on him. I loved the speech he gave to Bailey and Weber..."He didn't know better! You knew better!" That was so sad and you felt yourself yelling inside right along with him. Izzy getting involved with the scoliosis pt...she did the right thing. I mean walking around in a 90 degree position forever....that's not a good quality life. Cristina and Burke finally opening up to eachother....somewhat. I loved how she brought his meal to him trying to see if his hand would shake when he took it from her ....genious...lol. Never underestimate Cristina. I don't really know what's going to happen to him after his gay slurs. I wonder if the network will fire him. I know TR Knight and Katherine Heigl are upset by his comments. (You tube-see TR Knight on Ellen) I, too am angry I'm not even gay, but I'm still offended that he can be so racist and verbal about it...and lying that he said it on top of that. Just cop to it so you can move on dude. Sorry if there are a lot of typos in my posts. My wireless mouse doesn't have a good connection and a lot of letters are left out of my words. Oh well.
I can't remember anything else from Grey's right now. I'm tired and not thinking clearly. Maybe tomorrow I'll come in and edit to add more. I do remember that it was a good episode though...as always. I love Grey's Anatomy. I hope the squabble doesn't hurt the show. Until next time...Work hard and play hard!
January 20, 2007
January 19, 2007
How is it possible to be overwhelmed after the 1st week of school? Well, I am. My micro class, as I'm quickly discovering, is going to take a lot of my time. I'm not worried about failing that class so much as I'm worried that the class is going to take time away from my nursing class and damage my grade. At this point I don't care if I get a C in both classes...I just want to pass. C= RN too as they say. SO far in 203 we've covered all of the lower GI and begun oncology/cancer. I have so much homework and 2 quiz's coming up in micro this week. I have my 1st nursing test over oncology and lower GI next Friday. I have gotten some of the homework done and plan on spending the weekend finishing it, studying for the quiz on Monday, finishing my GI and oncology notes and try to understand what in the hell I am reading at the same time. Overwhelmed....understatement.
My youngest son's 4th birthday is this coming Wednesday and I'm so excited for him. He's my little angel. I can't believe he is almost 4. It makes me want to cry. I loved his baby age and his toddler years and I'm not ready for him to transition into childhood. He's starting to speak like an adult saying things like....I'm angry at you mom and you're my bestest friend evew. Yes he says ever like evew. So cute! He told me the other day that he wanted some possibilities. I had no idea what he was talking about so he took me to the cabinet and pointed at the Campbell's Soup can and said see mom...possibilities. What a little doll baby! Don't ya just love those commercials? My twin boys, who are 10, both made the A/B honor roll and I'm so proud. One of them was one point away from straight A's....that teacher ripped him off. What a bummer. He has such a great work ethic. He comes home, begins his homework and never complains or has to even be told to do it. He's 10! When I was 10 I was hiding my homework in my desk and telling my teacher my dog ate it or that space aliens transported it to mars....or something else equally ridiculous. My oldest son is doing ok in school. He's in the 6th grade and I think that middle school is a challenging time for him. He hates to read so his reading class grade has taken a dive but the others are pretty good. I worry about him and his adjusting to so much independence and responsibility. In grade school you're held accountable for everything. ...we had to sign their homework every night and now he just says he did it all at school. Whatever...I wasn't born yesterday...I had those same excuses. Regardless, he is a pretty good kid. Spoiled, but good. My son will be 13 this year and I'm only 31. I had him young and it's as if we grew up together more than anything else. We argue sometimes like brother and sister and we're so much alike we often times clash. More than often. A lot. I don't know if it's because he's coming upon his teens or what but he's being such a brat. LOL He asked for a cell phone for Christmas and I was really hesitant...I mean come on!!!! "But everyone else has one!" SO of course I gave in but the gift came with restrictions....lots of them. It's going to be a rough road raising 3 teens at once and now that puberty is starting to rear it's ugly head I'm getting scared. I sometimes feel only 18 myself. lol I have to admit that I am a strict mom. All of my boys have game time restrictions, homework and chore rules etc... , but some kids are harder to mold than others. My oldest is definitely on of those kids. He thinks he knows everything and it cracks me up sometimes. The frightening thing is....sometimes he does know everything. He's an adult in a 12 year old body and always has been. Anyway.....that's my life being the mom of 4 boys. It's crazy, fun, hilarious and maddening but I enjoy all of it. Every single day I hear them say something or see something that puts me in a different perspective and it's nice. It wasn't long ago I was their age and going through the same feelings and things. I just hope, as all parents do, that I'm doing right by them and that they grow to be open-minded and well-rounded. I know they're compassionate and good...everyone tells me so and they're right
Sorry about the typos, I'm tired.
January 17, 2007
Yesterday was my 1st day back to school. The whole day seemed weird to me. The students were acting strange, the teachers didn't come across as very nice...it was just odd. I think the rest of the class were just as bummed about being back as I was. No one talked much and everyone acted grouchy. The teachers all knew our names and we never even told them. I think they have dociers on us and study them...seriously. The same thing happened last semester and I know they keep a picture of us on file because they took one 1st semester. We didn't do much really except get oriented to what we'd be doing this semester and we went over our care plans and what's expected of us at clinical. Today we had our clinical orientation. There are 7 of us in my group and they're all pretty cool, so hopefully this rotation won't be too bad. We are on a 40 bed, super busy medical/surgical unit of our hospital. The instructor seems a little scatter brained, but nice....so far. You never really know an instructor until you have clinical with them so we'll see. I'm keeping my fingers crossed. Myself and another student had to leave early in the day to drive 30 miles back to school to attend our second class...medical microbioligy. The class is from 1-4 every Monday and Wednesday. I've heard it's the hardest of all the nursing pre-req's....can't wait! After this class I have one more pre-req to get and it's my humanties/elective class. I'll take it in the summer.....no biggie. If I could turn back time (Cher) I'd have finished them all before starting the nursing classes, but when I got the letter saying I was accepted I couldn't reject. For those of you who aren't in the program yet....finish your pre-req's first!!!
So far we've been given about 3 pieces of homework to complete and we have 2 quiz's next week in micro. This class is going to be really difficult. It's a lot of busy work that I don't have time for right now but I'll do my best and see what comes. Atleast I know I'm not alone and there are others in my class taking it as well. Isn't it awful that I'm glad I'm not alone? lol Misery loves company, or so they say. Our 1st nursing test is next Friday (lower GI and oncology), we haven't even had 1 hour of lecture yet....hopefully that's a good sign. Maybe there won't be much on the test. Yeah right! LOL Well..I must go get busy on my assignments. I've pledged to do everything the night it's assigned so I'm never behind. Good luck to everyone going down this road too!
Until next time...
January 14, 2007
Two more days folks. Two days until I go back through the gates of hell...nursing school. I drove to school the other day to pick up my books and the second I saw the school sitting on top of that hill I felt sick. Ugh. It looked all dark and ominous. Not a good sign. I hope I don't scare any of the hopeful nursing students away with my posts. LOL It's not that bad really.........well, yeah it is, but I promise it's worth it. Don't judge your school program by my own and don't take anything I say to heart because I'm really negative when it comes to school. I always get this way before a semester, so don't let me frighten you too bad. He he. Once I get there I'll be ok...I hope.
I have yet to complete my care plans... I plan on starting them tonight. Judging my my case studies I'll be up until the wee hours of the morning. Here is one of them:
A 85 yo man is admitted to the hospital with a diagnosis of congestive heart failure.
Nursing assessment findings include: A & O times three. B/P 170/100. Apical/radial pulse of 130 and irregular. Respiratory rate 22 and shallow at rest with increase to 30 a minute and irregular with exertion of walking to bathroom. Oxygen at 3 liter per nasal cannula. Bilateral coarse crackles in bases anteriorly and bilaterally half way up in posterior lung fields. Heart sounds distant S1 S2. 3+ pitting pedal edema. Radial pulses 2+ and pedis pulses 1+. Extremities slightly cool to touch. Skin turgor loose over sternum. Requires assist of one with bath and help of one to ambulate. Weight of 170 on admit and noted 160 upon discharge one week ago. States “no appetite” and admits to maybe “one good meal” each day consisting of “some taters, ham and beans” with “some cola and coffee”. Lives alone. Daughter lives four hours away. Attends local church regularly. Denies regular checkups to family physician. “I go when I have a problem.”
Reports “I have only two vices. Smoking and a few beers now and then.” Does confirm when questioned that he has smoked 2 PPD for 45 years. This is his fifth admission in 9 months to the hospital for CHF. Admits he gets up “four or five times a night to pee”. Medications sent home with him last admit were: Lopressor 50 mg BID, Lasix 40 mg qam, vasotec 5 mg daily and nitcotine patch to wear daily. Diet to be 2gm Na.
You administered Lasix 40 mg IV at 8am and Lopressor 50mg po at 9am.
Initial labs results: HCT 31%, BUN 26, Sodium 136, Potassium 3.0.
Four days after admit: HCT is now 35%,sodium of 136, potassium 3.4 and the patient has lost 3 pounds.
Thinking question: Why was the initial HCT 31% and the potassium 3.0? Why did the sodium remain the same?
Okie dokie! I'll get right on top of that.
My first impression is that he has .....obviously...fluid volume excess r/t CHF..but I'm sure that's too simple of a dx for them. How about Impaired breathing pattern r/t CHF? I think the reason why his HCT is low is because he's holding onto all of his fluid in his extracellular space and it isn't in the cells, therefore he's dehydrated ( As evidenced by: poor skin turgor), low cell volume = poor O2 echange = resp rate of 22-30 (trying to compensate). The weight he gained is obviously because he's holding on to the fluid and the weight loss is because of the Lasix. Was he not taking his meds properly? Hmmm. The edema, crackles in the lungs and distant pulses are r/t the excess fluid. Anyhow, getting to the NA (sodium) and the K ( potassium). I have no idea why his NA remained the same. This stumps me. Normally if you have excess fluid you have a low NA. My critical thinking tells me (and what do I know, I'm only a student?) that because there isn't much fluid in the cells that the NA has shifted there, but that wouldn't make sense either really b/c it says it's NORMAL. Hell...that needs to be investigated. Listen to me trying to sound all smart. He he. Anyway..... I think the K was low because he's getting up all night to "pee", therefore losing the K. If it were me I would have put the man on aldactone because it's a K sparer instead of the lasix, but again....I'm could be wrong, I'm only a student. I think a secondary diagnosis would be noncompliance...seems as though he comes to the hospital to be corrected and is somewhat stable then he goes downhill again....but this is only an assumption and assumptions aren't to be made, according to our student handbook. (HA!) Well, here I have sat trying to work on my care plan all while blogging to you fine people. Maybe I'll do all of my homework on my blog so it won't seem like work, but fun.
I kid. Don't worry, I won't put you through the agony!
Incase you haven't noticed, I have updated this blog to make it look better. It was so boring before. I've also discovered how to add videos and I've become obsessed. I cannot stop adding them. Many of my videos are some of my favorite songs that hold special meaning to me...in one way or another. ;-) What would we do without music? I can be in a foul mood and listen to the Dead and feel better instantly. It's my happy pill.....music. Therapy for the soul. Sometimes we get so caught up with life that we forget the more important things. I admit that I do it often. So, when I feel disconnected I just pop in some tunes and heal my soul, and dagummit you should too!
My advice to Mr. CHF: Take one happy pill q day every day for the rest of your life...and oh...take your other meds as ordered, visit your phsycian regularly and stop smoking and drinking too!
Until next time....
January 13, 2007
January 12, 2007
I got an email today from my instructors saying that we had 2 care plans to complete by our 1st day of class. We aren't even back to school yet and they're already loading us down with assignments. ARG!!! What if we pretended like we didn't get the email? What would they do about it? I don't want to spend my last few days of "freedom" doing care plans. Save it for clinical....geesh! Nursing instructors assume we don't have a life outside of school, not to mention other classes. Example: I am also taking micro this semester and my 1st day in that class is Wednesday and guess what? They scheduled clinical orientation on Wed from 6-5. Hello...some of us do have other classes! Our clinicals aren't even on Wed. they're on Thursdays....so why not have our orientation then when we are scheduled to do it? What do they expect those of us who have a Wed class to do...miss it? Anyway...I just needed to vent. I had my weekend all planned out and now I'll spend it doing those care plans....which I hate to do. Yes, I know it helps the nurse to think critically and all that other stuff...but save it for when we're back in school and you have my time because until the first official day of school I'm not yours! Maybe this is their way of preparing us for reality. Many nurses I know are called in on their days off and are made to feel crappy if they say no. I, however, will not feel bad about saying no, in fact I might not answer the phone at all. LOL Maybe I'll just play dumb and act like I didn't get the email...LOL That'd be nice, but I'm sure I'll complete them because that's the kind of slave I am.
While I'm already venting there are a few other things I need to get off of my chest. As part of our clinical hours we were told we had to go to the site the night before to get our assignments. This really isn't a problem for me because I happen to live in the town where I do my clinical...but what about the ones who don't live here? I go to school about 30 miles from where I live and a lot of the students who are actually doing their rotation in my city don't live here, meaning they will have to drive 30 + miles every Wed night just to get handed a piece of paper with their patients on it. Last semester we were emailed our assignments from our instructor. I just hope that I don't ever have a clinical 30 miles from here and have to drive there just to get my sheet of paper...I think I'd be extremely upset about it. There...I've said my piece. I'm finished venting and I feel better already....not really, but what can ya do?
Onto other things...I think my house is haunted. I won't go into details about the happenings just now, but I will say that my ghost friend likes to scare the crap out of me while I'm alone. Where are TAPS when you need them? I think I'll do a little investigating on my own and let you know what I find. I just hope that I don't hear or see anything. If I saw a full on apparition I'd lose all bladder control. On the other hand, I don't like feeling like something is there, but not seeing it either. I don't think the spirit is a bad one, but good or bad I don't like noisy invisible shit.
This reminds me of something comedian Mitch Hedberg says " I think Big Foot really is blurry, and a big out of focus monster roaming around the countryside is scary."
January 7, 2007
Most of these I wrote from my own experience, but some of them I read elsewhere...either way, they are the common denominator among us students. Enjoy!
Your backpack is on wheels because it weighs more than you do
Your arms are toned from pulling your backpack
You can discuss a stage 4 decubitus ulcer over lunch and not think twice about it
You are like a kid at Christmas when you open your lab kit each semester and shriek with delight because you got a foley catheter this term
You have nightmares about your clinical instructor
You have nightmares you forgot to chart your assessment findings and clinical instructor gives you a big fat U!
You are standing next to a gorgeous guy and you think...he has nice veins.
You diagnose yourself with whatever ailment you're studying at the time
You secretly hope that your patient has high blood sugar so you can give an insulin injection
You study until 1:00am and get up at 5:00am to study some more
You can cry in front of your classmates because you've seen them all cry before too (men and women)
You look older than you did a year ago
You live off of coffee and snacks out of the vending machine
When two of the four test answers are correct but you have to pick the most correct answer (hate those)
You can eat breakfast, study for a test and talk on the phone all while driving to school
When Maslow's Hierarchy and Davis's Drug Guide becomes your bible
Your family members only visit if they have an illness
You can spot microscopic germs from a mile away
You check the expiration date of your Tylenol and you never did before
You point out all of the medical mistakes on television shows
You wash your hands before using the bathroom
You subconsciously diagnose everyone in your family
You shout "I'VE GOT BLOOD!" with joy if you get a blood return on an IV stick
You write everything in nursing shorthand
You hear a stranger cough up phlegm and not only do you assess it, but you instruct them to drink plenty of fluids and to turn, cough and deep breath qid
You have more ink pens than Bic, but most of them have drug names on them
You notice every person in a restaurant who is about to choke when no one else does
You mentally prepare the steps you'll take when they actually do choke
You praise Jesus silently when they don't and go back to your meal
You read license plate letters and they become medical abbreviations (HCT=hematocrit, SOB=short of breath, DKA=diabetic ketoacidosis etc...) and you wonder if the driver knows they have this problem. Ha!
Your patients look scared when they see your student nurse badge and that you're holding a needle
You assess your children's urine for color, clarity and smell
You witness someone wash their hands and turn off the faucet without a paper towel and you CRINGE!
Your laundry pile is competing with Mount Everest
You use your pen light to look down drains
When someone tells you how much they weigh and you mentally convert it into kg
You don't ask questions anymore that require yes or no answers, because it wouldn't be 'therapeutic'
You bend down to pick something up and you feel a strain and you shout "I think I pulled my sternocleidomastoid!"
You get excited when your patient has a big BM
Your classmates start to know you better than your own family
You and your classmates fight over who will get to put an NG tube in
You see someone with a blown up 'beer belly' and know they probably have ascites
When a friend tells you they're thirsty you reflexively assess their skin turgor and they yell OUCH!
You look at your paper cut and notice it is scabbing and think to yourself... epithelialization phase.
You forget what it's like to have free time....what's that?
You make a mistake in your lecture notes and you draw a line through it and initial it with the date and time
You let your classmates stick you because they need the practice
When someone complains of numbness and tingling in their feet you automatically wonder if they're diabetic
You get excited when you hear an S3 or S4 in someones rhythm
Your text books and supplies per semester cost more than your mortgage payment
You now know that Lasix and "water pill" are the same thing
Your kids and pets become your guinea pigs
You empty you lab coat and find alcohol pads, saline flushes, tape and gloves in them
Your backpack looks like a garbage can
You open doors with your back
Hearing rhonchi or stridor makes you giddy
And finally....you know you're a student nurse when: You're on a break from school and spend everyday thinking about all the work you'll be doing the next semester instead of enjoying your time off!
January 6, 2007
It's late and I'm not tired. Ever since I've been out of school I've been on this weird schedule. I stay up late and want to sleep late and I hate sleeping in. I like getting up early and if I don't then it ruins my day. I hope I can get back on schedule by the time school starts in 11 days, 264 hours and 15,840 minutes from now. Yes, I'm counting...and dreading. I'm being pessimistic, I know, but without it I wouldn't survive. It's how I cope. I always feel dread before the beginning of a semester and I always think I'll fail all of my tests. Before every exam I proclaim that "I'm going to fail, I just know it!" Then I hear from everyone, "You always say that". Granted, I haven't failed a test yet, but someday I will and then I can look at all those people and say... I told you so! Ha ha. At least I can now tell people I'll be graduating this year, that's a positive right? Wonder how many minutes until then? Nevermind, I don't want to know.
Even though I'm going to hate going back to stress town I am excited to see some of my classmate friends again. They speaka my language and they know my pain. It's hard talking to civilians about this nursing school/boot camp life because they just don't understand it and I don't expect them to. You may as well be speaking Yiddish. Heck, half the time I don't even understand it myself. LOL If I had to explain it, I'd liken nursing school to jogging up a mountain for months at a time without stopping. At first you have some steam and you're moving at an ok pace. (This is usually over by the 1st day)You run into all kinds of rough terrain but you find a way around it. (Instructors, skill tests, 6am clinicals) As time goes on you feel like you've been running in the same spot for weeks.(Mid-term blues) You're out of energy and you're running on fumes. (Coffee and vending machine food) You look around and see your fellow classmates and they're all huffin' and puffin' right along with you and you keep on treckin'. (Looks like Jane may need some oxygen, she's way back there) Finally you start to see the top (I can only miss 10 on the final or else I fail the class!) and after another upward, rocky climb you finally make it. (Shew, I missed 9!) You collapse in exhaustion, but you're elated. You don't know whether to laugh, cry or hit something. (I did all three) You're just d*mn glad it's OVER! (For a few weeks anyway) You look down that mountain and see everything you accomplished all you surpassed to get to the top. (How the hell did I do that without medication?)And you then realize you forgot something at the bottom and have to go back....just kidding!
Ok, enough of my stories. Let me just tell all you people who don't think this is difficult and who like to compare it to "regular" college classes that you are just plain stupid....just kidding again...let me just say that until you have walked a mile in a nursing students shoes you should never say such a thing because it might result in a harmful injury.
Nursing diagnosis: Impaired mobility: related to being hit in the knee with a heavy Littman stethoscope.
He he he...THE END!
January 4, 2007
Here's a picture of my clinical group, minus one. I think she was sick that day, anyway....that's our teach in the pink. She turned out to be a really cool lady, but I'm glad we won't be going back there. LOL The unit was great, but I'm ready for something else.
Well, I found out one of my nursing home girls isn't coming back next semester. (She's the one in the front, on the right in the photo) I'm sad about it, she and I had many a laughs and screw ups at clinical together. We could figure out how to draw up meds and give shots, but neither of us knew how to refill the coke machine/dispenser and we ended up with syrup all over our pristine white uniforms. Classic! It's nice to be around people who don't take their selves so seriously and she was my partner in crime. We'd always meet up in the hallway and tell eachother about the stupid things we did or said and laugh till we were in tears. Sometimes life throws things at you and knocks you off course, but everything happens for a reason. I wish her well and hope she goes back to school to finish someday. Peace out sista!