Pooped.

Today I was free from my Nursing Assistant duties and got to spend the whole day with my preceptor nurse, Sara. For some reason I am exhausted today... I am not sure why either. I got to bed around 10:30, and woke up at 5:30, and my tasks today were easy. However, I was cold, tired, and wanting to be home alllll day. When I arrived to the house I jumped in the freshly cleaned shower (Sarah had bleached it, bless her), and stayed there for about 20 minutes just letting the water wash over me. I felt bad "wasting time" or water, but I needed it. I made breakfast for dinner and plan on going to bed VERY early. Of course I wanted to do some record keeping before...

Today I helped set up a tube feeding, emptied a Jackson Pratt drain, removed a foley catheter, hung IV's, assisted in teaching a spanish-speaking patient how to check his own blood sugar, and participated in a bedside chest tube removal and insertion. The chest tube insertion was the highlight of the day. A patient involved in a motorcycle accident a few weeks ago was admitted to the hospital because of fluid build up in his lungs. His wife, and himself were taking a road trip when a deer hit them. The two ate pavement, and the husband broke his ribs. He stayed in a po-dunk hospital for a few days and then was sent home. A few weeks later he was outside, felt a sharp pain, and was unable to breath. He was put to sleep while a chest tube was placed to help drain the fluid off of his lung. The drain had not been draining much, and the patient had a high heart rate with difficulty breathing. The main doctor, Dr. 1, said everything was fine, but my nurse, myself, and the patient's wife (a neonatal nurse practitioner) thought the patient appeared to be getting worse. He was pale, sweaty, and seemed to be in an increasing amount of pain. The nurse called Dr. 1 to voice her concerns, but he was un-phased. My nurse decided to call another doctor, Dr. 2, to come look at the patient. Dr. 2 did not like what he saw and called Dr. 1 and basically asked him why the heck he wasn't worried. Dr. 1 finally ordered a chest x-ray which showed the fluid had not decreased since admission. Dr. 1 decided he was going to put in a new chest drain at the bedside. All of the nurses scurried around to get everything for him, for they did not want to inconvenience the doctor any more [for doing his job.] Dr. 1 wouldn't give the patient any more pain medicine than he was already prescribed because he thought the patient had enough. Therefore, the patient moaned, yelled, and whimpered while Dr. 1 cut his chest and shoved a new hard tube into his diaphram. At one point the patient flinched so hard that his knee hit Dr. 1's arm, pushing the tube in even further. Nice, huh? Apparently surgeons are rather insensitive to pain because their patients are usually sedated in the operating room. Kind of ridiculous. The poor patient said, "the other patients are going to get scared. I feel bad." after the procedure was done.

Dr. 2 was a really nice man, and I overheard him telling someone how he won't let his children be doctors because of how much it takes over your life, and how he had missed seeing his children grow up. He said that each year he says, I will do this or that, but that he never can get away. He asked, "when will I have time for my wife, when I am pushing her in a wheel chair?" He said that in med school they tell you it will get better, but it never does. He did, however, say that he has made some changes and now only works 60 hours a week. That is crazy. I don't think I could ever do that. This is not the first medical professional that I have heard say they won't let their children go into medicine or healthcare. Interesting.

Another patient left Sara and I a sweet note when she left thanking us for our care. She said we were her favorite :) As she left she gave me a hug and said that she "felt like she knew me." This is the second note that has been received with my name mentioned. It does a heart some good.