G's-Spot

This Just In...

In Parade magazine's end of the year poll, the two celebrities voted "most annoying" for the last year are:

Rosie O'Donnell (44% of the vote)

And Paris Hilton (with 20% of the vote)

In other news, Paris is getting flack from the Orange County prison ministers for not following through on her post-jail promise on Larry King to "help" women who are getting out of jail transition back into society.  Come on, like they really believed she meant that?  I bet they even believed she found Jesus in prison too.  Personally, I didn't know he was lost.

We all saw or heard about the Larry King interview where Paris said her life was changed and she was going to start being a good girl, but that news was quickly forgotten what with the every day glut of photos from paps from her clubbing every night of the week since she got out of jail. Not sure what changed.  Her underwear?  Oh, that's right. She doesn't wear any.

Oh well. Maybe it's this.  Maybe post-jail she at least pretends to know how to read.  Personally I think she just likes the way the glasses frames show off her eye makeup and is trying the book out as a replacement for carrying around a dog as an accessory. You have to give her credit for trying new things she's never done before. 

Ahhhhh.....

Had a great night at work Friday night.  Got to set up treatments on a sweet little old man who came in from a nursing home. I gave him his treatment and sat with him for a couple of extra minutes letting him talk and at the end he kissed my hand and thanked me for taking care of him.

Geez, you don't get that kind of appreciation in many jobs.  Obviously, it touched me and made even the less appreciated parts of my night better.

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News Update

Just FYI, the Chicken Soup book my story appears in: Chicken Soup for the Nurses Soul: Second Dose is available here in Springfield at Barns & Noble. A couple of people of people now have told me they found it there, although they had to find a sales clerk to track it down amongst the others.

Sigh.  This is so cool.

Remember when we were kids...

...and we'd go back to school and rattle off our haul of presents to our friends?  Well guess what?  Hee hee.  Lookie what Gene got me.  He said as I opened it "I'm not sure this is really a good gift to give a woman..."  I didn't hear the rest. I was too busy shrieking. 

They're so balanced and precise. Sigh.  Finishing Christmas dinner was a treat, not a chore.  I'm still looking for things to chop and carve. 

Merry Christmas '07

Merry Christmas Eve

What a great day! Not only did my brothers, sister, and the kids have a great time Saturday night hanging out eating pizza and opening gifts, I spent most of yesterday napping on the couch and watching Stephen King's The Stand with Geno, today I get to bake my little heart out after winning the department lotto and not having to work tonight, have a great Christmas Eve Dinner with the hubster, and still have tomorrow to get everything together for the big family Christmas evening dinner at 6pm.

A Christmas without pressure and too much to do in too little time?  That's the true miracle!

So here I go off to bake a yule log for the first time ever and get my proverbial kitchen sh** together!  Oh, and big thank you to Kenneth for sharing his work Honey Baked Ham gift certificate with the family because now neither Susan and I have to bake ham or turkey, we can concentrate on the sides, appetizers, and desserts that we enjoy trying out new recipes on!

Have a Merry Christmas Eve everyone!

Easy Peasy RT Riddle

Had a patient tonight who said the family physician had advised that the patient "MIGHT MAYBE" have a "TOUCH" of emphysema and that it would  "PROBABLY" be a good idea to consult with a pulmonologist.   The patient asked my opinion if I thought a follow up on that pulmo appt was necessary. 

The patient is very thin with a hacky but productive cough and is a current 40 pack year smoker.  The gas they pulled the first day after admission for SOB was pH 7.39, PCO2 54, PO2 68, HCO3 can't remember exact number but was high side of normal, BE can't remember exactly but was a digit...after researching the chart I found out that the gas was NOT on room air but after an hour and a half on BiPap of 23/15 and 40% FiO2.

Whatcha think my reply was?

Ferry Mucking Christmas to Me

First, Merry Christmas to me, as if I didn't already know it, as of yesterday I am officially old.  An old lady. Not only have I now had knee surgery this year and had to get hearing aids, (eh? What did you say?) I went to the optometrist yesterday and was told that I'm on the borderline for bifocals because my current prescription is great for up close but bad for far away. I had two choices:  go with larger lenses and bifocals or keep the smaller lenses that I love and have TWO pairs of glasses.  When I have my new distance lenses on I'm told I'll have to hold reading material out farther away than normal to be able to read clearly.  Lovely.  I am so excited.

Over my dead body they'll be getting my cute frames...

I Was a Keystone Cop of RT

Worked an extra four hours last night because we were shot. Wow. It's going to be a long winter. Plus, really. Now that I'm not at work this is funny but at the time I almost bawled. I got about an hour's worth of work done in four hours because everything that could go wrong did go wrong. We all have these nights so while I'm smiling now it'll make any of you who've been through this groan. 

You know, it was the kind of night where you go to assess someone but before you can even crack the chart a nurse asks you to put someone on their CPAP for the night. Great, you think. You'll help out your fellow co-worker by taking that 60 seconds to do it instead of paging her.  But after you get into the room and the mask all settled, THEN the patient tells you that she needs to go to the bathroom and needs a drink of water and the RN tells you that her nightly meds haven't been given yet.  So you tell them to tell you when they're ready and you grab that chart you came up for in the first place but a nurse asks you to go look at another patient who's satting strange and you find that the patient has been self-adjusting their own flowmeter.  Then you go back to the chart, find there's a doc's continuous pulse ox order you didn't know about so you run downstairs real quick to get that. Get back upstairs to be told that the CPAP person is now ready. You adjust her mask, tell her good night, turn off the light for her...and her phone rings. She motions for you to take the mask off so she can answer the phone.  You bite back the urge to slit your wrists.  You go set up the pulse ox during the phone conversation and after dressing out in the isolation gown, etc., you get into the room and find that the pulse ox you have is pediatric, which isn't supposed to be in the same cubby with the adult ones.  You ungown, go back downstairs, make sure you have an adult pulse ox, pick up three other patients to attend to when you're caught running through the tech room (big mistake) and go back upstairs.  You readjust the CPAP mask lady, gown out and go set up the pulse ox and end up spending 20 minutes trying every finger and toe, all with low signature IQ's because of her bad perfusion. So you call downstairs to see if we have an ear probe available...

I have to stop now. I'm depressing myself. At the same time I'm laughing and being thankful I'm not scheduled again until Friday night.

It's going to be a long winter. 

But for today....I'll be Christmas baking and I'm looking forward to it!