Yearly Archives: 2008

Apple Leaf Poultice

The elderly black woman’s blood pressure had been dangerously elevated. While I was checking her vitals for one of many times that shift, she looked up at me hesitantly. “If I tell you something, will you do it for me?” she asked. “What is it?” I replied. “Go out yonder,” she said, pointing at the midnight sky outside her fifth floor hospital room window, “and get some leaves offa dem apple trees. Make a poultice of ‘em, and sprinkle on some salt to pull da juice outta da leaves. Put … Continue reading

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A Growing Problem

An ambulance technician in Scotland, in his post Fat Chance, has finally (and beautifully) put into words some of the frustration I’ve felt so many times when working with obese patients: Morbid obesity is dangerous, hence the moniker, but in the emergency situation it’s not the ischaemic heart disease that causes the problems, nor the diabetes, cellulitis or dyspnoea. It’s just the weight. If we can’t lift you when you can’t walk, you’re not going anywhere. Bravo. It’s not that we don’t like you because you’re fat. It’s just so … Continue reading

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Insight

There are cameras in the patient rooms on our psych units. The images they produce are tiny, black and white, and grainy. (That’s not really by design; they’re just very old, and they aren’t broken, so there’s no reason to replace them.) They don’t show much detail — just enough to allow us to keep an eye on people who might be liable to hang themselves with a bed sheet or try to dance naked on one foot on the back of a plastic chair. No, I didn’t just randomly … Continue reading

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HIPAA, HIPAA, Hooray for Bureaucracy!

We were getting a new patient on the psych unit. This person had been picked up by the police with no ID, psychotic and mute. We were informed we couldn’t admit them as J___ Doe, which was the name the police had given them, because that would reveal their gender, thereby violating their privacy. The admitting office, therefore, assigned them the name “Tangerine Doe.” What I still can’t figure out is exactly who we were trying not to reveal this person’s gender to, and why? Even if I yelled from … Continue reading

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The Whole (almost) Family

The Whole (almost) Family Originally uploaded by Geek2Nurse This is everybody but Ryan (my oldest) and Felicity, gathered in Galveston for Mom & Dad’s 50th anniversary. Click through to Flickr for labels telling who each person is.

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Safe Zone…?

safe

I was just browsing some of my old Flickr photos and realized I had never shared this one on my blog. It still makes me giggle. This was taken from the back parking lot where I used to work, at the Tuality Forest Grove Hospital Geropsych Unit. During my new employee orientation there, they told me that if we ever had to evacuate the unit due to fire, we were supposed to round up the patients and gather everyone at the light pole in the back parking lot. “You mean … Continue reading

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Medically Stable

There’s always a pause in the activities in the nurse’s station when the anonymous voice comes over the loudspeaker urgently summoning the “rapid response team” to a patient’s room. Somewhere in the hospital, a nurse has sensed that a patient has taken a turn for the worse, and has called for help. Our pulses quicken slightly, our breathing becomes shallow, and there is a brief lull while we wait…the lives of other humans are daily in our hands, and the thought of losing one of them is one that fills … Continue reading

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