If ur number ends in 0673, I still have it and I texted u. I have been gone since the fall of 2016. I might have some insight, but I?m sure Dr. Feelgood would know more since he still lives there.
Hospital stories
- Thread starter SixFive
- Start date
If ur number ends in 0673, I still have it and I texted u. I have been gone since the fall of 2016. I might have some insight, but I?m sure Dr. Feelgood would know more since he still lives there.
- Feb 26, 2001
- 13,593
- 164
- 63
New number 31xxxxx Ok I will see if he can help me out. Still would like your insight being in safe location is important the most....I plan starting out at a budget suites around 300 a week
any kidney stone stories Six ?
I think you have had them if I recall.
I have had too many . Stents and pain.
I think you have had them if I recall.
I have had too many . Stents and pain.
35 year old man is admitted with seizures, rhabdo, and multiple untreated medical problems. This guy is nice, but he?s very slow. His sister is in the room with him and she?s a peripheral acquaintance of mine Bc she works in the hospital. The patients brother-in-law and another brother are often in the room as well. I immediately like him, and as I like to do with special patients, I wanted to help him. He has no PCP, and he takes no medication. Besides what he was admitted with, his blood sugars are in the 300s, his ammonia level was a shocking 350 (see IE?s thread about his liver problems), and his liver function tests are thru the roof abnormally high. He?s 5?6? around 260, and he has a fatty liver with no known hepatitis or cirrhosis. In summary, this guy is a ticking time bomb, and he needs people to help him and go the extra mile.
The Medicaid WellCare rep is a friend of mine, so I filled her in about him, and she came and saw him. She does an excellent job and really cares. She will be a great resource for him.
His nurse is my coworker Ashley who also is very kind and compassionate. The patient pulled out his IV accidentally, and she was having problems with it and asked me to start another. I happily went in there, educated he and his family more, talked with them like they were long lost friends, and I started him a new IV. I didn?t mention that this young man has considerable hyperactivity. His legs constantly move, and he?s always moving and jerking around. I restart his IV fluids and hit the door.
A few hours later, I sit down to do some computer work, and Ashley asks if I will trade her jobs Bc he has pulled out his IV again. I comply, start another, have more friendly conversation, and restart his fluids.
3 hours later, Ashley is carrying new IV start equipment. You guessed it... he pulled his IV out again for the third time in about 8 hours :facepalm: both of us head in this time, and we start looking for a new IV site. By this time, his arms are a bit traumatized, and his IV access is getting past the point of being difficult. I try one and can?t get it then finally get one in his shoulder. We start looking and putting IVs where the shoulder/upper arm meets the torso/pectoral area when the normal sites become compromised. I tape it all up, and by this time, I have been in the room almost 30 minutes.
His family starts teasing him about a 90 year old girlfriend. Patient says not 90, family says 80, and the patient replies that she was only 70. He elaborated that this old lady asked him for $20 and in return, she would have sex with him. He says, ?I did it!? His family is cackling. The patient of course is slow, and he continues to say the old lady was really rough with him. She got on top of him and wore him out :142smilie. I said, man, you have to be careful! U might have broken her leg! He said, nah, not her, but I think she broke mine! I couldn?t walk for three days, and then it was only a few feet or so around the house :142smilie. His family is laughing hard, I?m laughing to almost the point of tears, and the patient has a big smile on his face. He said he didn?t want any part of that old lady again!
The Medicaid WellCare rep is a friend of mine, so I filled her in about him, and she came and saw him. She does an excellent job and really cares. She will be a great resource for him.
His nurse is my coworker Ashley who also is very kind and compassionate. The patient pulled out his IV accidentally, and she was having problems with it and asked me to start another. I happily went in there, educated he and his family more, talked with them like they were long lost friends, and I started him a new IV. I didn?t mention that this young man has considerable hyperactivity. His legs constantly move, and he?s always moving and jerking around. I restart his IV fluids and hit the door.
A few hours later, I sit down to do some computer work, and Ashley asks if I will trade her jobs Bc he has pulled out his IV again. I comply, start another, have more friendly conversation, and restart his fluids.
3 hours later, Ashley is carrying new IV start equipment. You guessed it... he pulled his IV out again for the third time in about 8 hours :facepalm: both of us head in this time, and we start looking for a new IV site. By this time, his arms are a bit traumatized, and his IV access is getting past the point of being difficult. I try one and can?t get it then finally get one in his shoulder. We start looking and putting IVs where the shoulder/upper arm meets the torso/pectoral area when the normal sites become compromised. I tape it all up, and by this time, I have been in the room almost 30 minutes.
His family starts teasing him about a 90 year old girlfriend. Patient says not 90, family says 80, and the patient replies that she was only 70. He elaborated that this old lady asked him for $20 and in return, she would have sex with him. He says, ?I did it!? His family is cackling. The patient of course is slow, and he continues to say the old lady was really rough with him. She got on top of him and wore him out :142smilie. I said, man, you have to be careful! U might have broken her leg! He said, nah, not her, but I think she broke mine! I couldn?t walk for three days, and then it was only a few feet or so around the house :142smilie. His family is laughing hard, I?m laughing to almost the point of tears, and the patient has a big smile on his face. He said he didn?t want any part of that old lady again!
That sucks! Can?t think of any really, but I did lead this year that if you have a patient with a lot of stones still to pass even after stents and lithotripsy, you can put their bed in Trendelenberg position and do something similar to chest PT but on the lower back/flank. You essentially beat around on their back with cupped hands, and similar to doing it on the chest for a person who suffers from thick secretions in the lungs from Cystic Fibrosis, it helps to mobilize and get the stones moving so they will pass. We did this on a 50 year old earlier this month, and he passed almost 75 stones. He was so miserable. I can?t even imagine.. I have only had one, and I never want another!
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TJ
All of the staff in the hospital can?t stand TJ. He?s a miserable 60 year old SOB we can?t get rid of. When he gets discharged, he goes right back to the ER and complains of shortness of air or chest pain. They evaluate him, then discharge him to the lobby. He goes right back and repeats the process until they finally admit him. He then stays for weeks upon weeks and repeats the process.
He is divorced from his wife, so now, he is essentially homeless. He has burned his bridges at all facilities in the quad-County area, so there is nowhere for him to go. That means we have to essentially house, Feed, and medicate him. He has underlying COPD and a colostomy that he will not take care of himself. He also goes at wheelchair level Bc of an old back injury.
He screams if his food tray is wrong, he curses at the staff. He stinks and will never bathe, and we all just loathe him. Last evening he left AMA (against medical advice) when they busted him with with cigs and hoarded up Neurontins. They wheeled him to the lobby, and he just returned straight away to the ER to repeat the process :facepalm:
He is some kind of wizard when it comes to smoking in his room and not getting caught. I really think he can perform cigarette erasing magic :mj07:
The physician this morning says he isn?t going to restart TJ?s Neurontin and Norco, so I?m
Quite sure we will repeat the same ronutine today.
He gets put in semi-private rooms sometimes. He yells and curses no matter who his unfortunate roommate might be. I stopped a man from walking out who was having active chest pain one night. The poor guy couldn?t take TJ and was ready to risk his life (he said he would rather leave and drop dead of a heart attack than to listen to that man yell and abuse the staff any longer).
Isn?t it great this abuse of the already tragically broken health care system in the USA? I think there must be a special place in hell all warmed up for clowns like TJ!
All of the staff in the hospital can?t stand TJ. He?s a miserable 60 year old SOB we can?t get rid of. When he gets discharged, he goes right back to the ER and complains of shortness of air or chest pain. They evaluate him, then discharge him to the lobby. He goes right back and repeats the process until they finally admit him. He then stays for weeks upon weeks and repeats the process.
He is divorced from his wife, so now, he is essentially homeless. He has burned his bridges at all facilities in the quad-County area, so there is nowhere for him to go. That means we have to essentially house, Feed, and medicate him. He has underlying COPD and a colostomy that he will not take care of himself. He also goes at wheelchair level Bc of an old back injury.
He screams if his food tray is wrong, he curses at the staff. He stinks and will never bathe, and we all just loathe him. Last evening he left AMA (against medical advice) when they busted him with with cigs and hoarded up Neurontins. They wheeled him to the lobby, and he just returned straight away to the ER to repeat the process :facepalm:
He is some kind of wizard when it comes to smoking in his room and not getting caught. I really think he can perform cigarette erasing magic :mj07:
The physician this morning says he isn?t going to restart TJ?s Neurontin and Norco, so I?m
Quite sure we will repeat the same ronutine today.
He gets put in semi-private rooms sometimes. He yells and curses no matter who his unfortunate roommate might be. I stopped a man from walking out who was having active chest pain one night. The poor guy couldn?t take TJ and was ready to risk his life (he said he would rather leave and drop dead of a heart attack than to listen to that man yell and abuse the staff any longer).
Isn?t it great this abuse of the already tragically broken health care system in the USA? I think there must be a special place in hell all warmed up for clowns like TJ!
That is one crazy TJ. Not sure what hospital you are at now Clint but my daughter and son-in-law will be having my second granddaughter this next week or so in Bowling Green at The Medical Center. I plan on driving up last minute when I get the word she goes into labor. Hope to see you if possible. Thanks for all you do as an RN Sir.
Damn Clint, how do you do travel nurse and be away from your wife and family for so long at a time? Sorry I won't get to run into you. I am bringing clubs in case Joker wants to play possibly, weather permitting
So, we have this patient who is at the hospital more than he is at home. He?s a nice guy, but he?s fairly pitiful. His kidneys do not work, so he?s on dialysis. His heart is weak after multiple MIs, and he has an EF of 10 (normal for him at age 60 should be 50-65). His leg is very swollen, and actually he?s a diabetic as well, so he has already had one leg amputated. He has a prosthesis, but he stays so edematous from his poorly functioning heart and kidneys that it will not fit. He can barely sit on the side of the bed with maximal assistance from staff. We are trying to find placement for him, but he has been rejected by 8 different nursing homes/rehabs so far. Nobody wants the poor guy.
His home living situation is that he has an apartment by himself. His sister lives nearby and helps him, but she is older than he, and she?s saying that it?s too hard for her to care for him. This is a powerfully difficult situation. This sort of patient that is so medically complex and will not be accepted by any facilities (in his mind, he wants to go to rehab and get strong and then back home) causes him to stay in the hospital oftentimes for weeks or even months at a time. He?s impossible to place in any sort of setting.
His sister is not too sharp. From the get go, she has said she can?t take care of him, and she calls all the time regarding his progress. After he had been there a week, and we have failed to find placement for him, she called me. She asked how he was doing, and I told her he was stable, and there were no changes in his condition. She then asked me if he had been walking :wtf:
I asked her quizzically, ?doesn?t he just have one leg?? She said yes, but he has a fake leg. I asked her if it was with him in the hospital. She said no, it is in his apartment. I then said, ?no, unfortunately nothing miraculous has happened, and he hasn?t been walking.? I mean how stupid are people? We don?t work miracles at the hospital. A guy who hasn?t walked in months and who can?t even sit on the side of the bed without two staff members is not going to all of the sudden start walking unless maybe Christ comes again and bestows upon him a miracle.
I was like really sort of appalled by her question and did my absolute best to not say something that I wanted to say.
Anyway, with all his medical conditions, he would qualify for Hospice care which would allow him to get help in his apartment and make it where he could go home again and hopefully be as happy as possible. He however balked at that, and wants to go to rehab which as written above is impossible. I expect him to be in the hospital until his body ultimately fails, and he dies. Sad deal, isn?t it? Sadly, this is not uncommon.
If this was you, would you agree to be a DNR, made comfortable, and take the opportunity to go home? I would in a heartbeat.
His home living situation is that he has an apartment by himself. His sister lives nearby and helps him, but she is older than he, and she?s saying that it?s too hard for her to care for him. This is a powerfully difficult situation. This sort of patient that is so medically complex and will not be accepted by any facilities (in his mind, he wants to go to rehab and get strong and then back home) causes him to stay in the hospital oftentimes for weeks or even months at a time. He?s impossible to place in any sort of setting.
His sister is not too sharp. From the get go, she has said she can?t take care of him, and she calls all the time regarding his progress. After he had been there a week, and we have failed to find placement for him, she called me. She asked how he was doing, and I told her he was stable, and there were no changes in his condition. She then asked me if he had been walking :wtf:
I asked her quizzically, ?doesn?t he just have one leg?? She said yes, but he has a fake leg. I asked her if it was with him in the hospital. She said no, it is in his apartment. I then said, ?no, unfortunately nothing miraculous has happened, and he hasn?t been walking.? I mean how stupid are people? We don?t work miracles at the hospital. A guy who hasn?t walked in months and who can?t even sit on the side of the bed without two staff members is not going to all of the sudden start walking unless maybe Christ comes again and bestows upon him a miracle.
I was like really sort of appalled by her question and did my absolute best to not say something that I wanted to say.
Anyway, with all his medical conditions, he would qualify for Hospice care which would allow him to get help in his apartment and make it where he could go home again and hopefully be as happy as possible. He however balked at that, and wants to go to rehab which as written above is impossible. I expect him to be in the hospital until his body ultimately fails, and he dies. Sad deal, isn?t it? Sadly, this is not uncommon.
If this was you, would you agree to be a DNR, made comfortable, and take the opportunity to go home? I would in a heartbeat.
Sure. His quality of life is at or near it's lowest level and his entire existence is nothing but an immense burden to others. Based on his current and previous history, his request for rehab has to be seen by powers that be as unreasonable if not impossible and should be categorically rejected. Dealing with uneducated, highly unreasonable family members is like trying to reason with a "hoarder", It's been my experience that only a highly skilled, professional can allay their fears and make any type of progress. Very difficult situation.
