Monday, April 15, 2013
time for more root beer!!
there were a few moose out at the refuge. this one was resting off trail when i walked out the trail and was up grazing upon my return. rio could smell the moose but was sniffing off in the wrong direction. no incidences though you can see our presence was noted.
i think he found it concerning as well. the area of swelling and redness/pain is at least 5 inches in diameter. there is area's above and below that are raised and have whitish borders. of course, bruising, but i expected that.
he says he has never had anyone have an infection post this procedure, but he ordered me antibiotics just to be sure. it could also be a repeat of the thrombophlebitis that i had this summer on my calf but now on my thigh. overall i'm moving better, have taken ibuprofen with less frequency and the redness is slightly improved..though i'm feeling it right now. fingers crossed that this will just keep improving.
the doctor did seem to look at my thigh with concern and then returned to my room with a marking pen to mark the area.
i honestly just don't think it's fair to have the float staff, and only float staff that can float to the icu's pre-scheduled for peat for over 10 days/month. perhaps that is becoming more clear as i've only worked one full night in peat out of 4 i've been scheduled. personally, i think patient care comes first and someone else can answer that phone. i think nurses could use a roving in house resource at nights, but perhaps it just needs to be set up different.
i actually asked for a change because the family in one of the patients rooms i had the night before used all sorts of aroma and herbal therapy in the room and i had started having a hell of a time breathing and coughing my arse off. luckily i had my inhalers on me. my respiratory tract was still giving me fits as i attempted to sleep the next day. had to get out of bed and use my inhalers again. i've never had that happen before. we're supposed to be a scent free hospital, but family centered care complete with fish oil remedies trumps everything i guess. i wore a mask in that room the rest of the night just so i could breath and not go into coughing spasms.
i also saw my patient reach towards his face on several occasions out of the corner of my eye and also sit up...not possible as my patient was on a drip of medications that causes paralysis. i took it as a good sign that he will recover fine.
i think we all have those feelings that run through us, perhaps there are times or situations where some of us are just more attuned to them than others. i know i often feel my way through a night at work more than think my way through. maybe the patient is sending you cues and you are just open to receiving them. there is a lot of training to medicine, but there is also a great deal of instinct to it. i've worked with very sick people and animals for so long i can sense something is going to happen often before i can see changes on the monitor, or the lab work and what not.