July, 2006 Archive

July 30, 2006, 1:47 pm

I’m Looking Through You!


Now, how is this kid supposed to sleep?

He doesn’t even look like he’s in pain.

I guess the parent is supposed to stand there and hold this gargantuan flashlight over the kid, it doesn’t look like it has a stand.

Oh…you point it at the sore spot and it penetrates the tissues.

We call that sunbathing.

I like the one where the woman is pointing this directly at her face.

“You, too can be 24 and look 65! Buy Now!”

Bet that kid woke up with a hell of a tan.

All this is to announce that Radiology Grand Rounds is up over at Sumer’s Radiology Site.

Believe it or not, I, the queen of “what the hell am I looking at here?” made a small contribution.

Thanks Dr. Sumer!

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5:03 am

Don’t Think Twice, It’s Alright


Trapped by the Golden Gate Bridge!

By….a blonde? What does she want? Advice about her rash? An Advil?

And what on earth is the nurse doing climbing rocks in full uniform?

Why on earth would she expose her cap to the elements like that?

Has she no respect for the symbol of her profession?

The biggest question of all, though, is…

Will the nurse lose the cap precariously perched on her head just above the rushing waves of the San Francisco Bay?

And just who is that guy in black hanging off the rocks to the left?


Oh, you were good.

The best I’ve ever seen.

You had me, a PA and a MD all absolutely convinced.

Pale and diaphoretic, you made it to the ER within sixty seconds of your sudden onset of excruciating abdominal pain.

That’s fast…..were you just outside the doors when it started?


You were much younger than you looked.

In fact, you looked you ran a string of methamphetamine labs and sampled from each one.

You looked like you had had a rough life up to that point.

The number of pregnancies you gave me would have meant that you had been pregnant every month beginning at age eight.

You were in your thirties.


I know a ruptured ovarian cyst when I see it.

I’ve had one.

For all intents and purposes, you looked like you had one, you acted like you had one and your were treated emergently for your pain.

I figured you would be going to OR. I even pulled out the surgery packet.

We were extremely worried about you.

We scrambled to find an IV.

(A lot of scarring for someone who has never used drugs. But even drug abusers have serious illnesses, we suspected, but we continued to worry.)

When you mentioned you had three tubal pregnancies but also had your tubes tied something inside my subconscious registered “does not compute”, but we were too busy trying to find the source of your pain.

No matter, we started the line and we hydrated you and we gave you the very best in narcotics that we had to offer and we gave them liberally to get your pain down to a tolerable level.

Your scans and ultrasounds showed nothing. You didn’t even have an ovary on the affected side.

But your pain was better.

And when you left, you didn’t even want to know what your tests showed.

Because you knew.

It was nothing.

But you had gotten your fix.

We had put our energy into and given much undivided attention to you because you presented as seriously ill.

But, as Bob Dylan sang so perfectly:

You just sorta wasted my precious time….

But don’t think twice, it’s alright.

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July 26, 2006, 9:40 pm

Change of Shift: Volume One, Number Three


Welcome to the the third volume of “Change of Shift: A Nursing Blog Carnival”. This edition includes a beautiful piece of art, an interesting essay on spirituality from a non-nurse, wonderful contributions from our future colleagues, a look at “us” through the eyes of two different patients’ parents and even we even get a bit controversial! Enjoy!


This volume opens with a beautiful piece of artwork by Stephanie E. Robinson. Stephanie herself describes it thus:

“I created this lithograph through my own process of healing, but have found since that it resonates with patients as well as their caregivers in many disease states.”

And resonate it does. The story behind it makes it even more amazing. Stephanie presents Seasons of the Soul posted at Artist’s Biography for Stephanie E. Robinson.


Amanda of Imagine Bright Futures has nominated two posts dealing with how nurses can affect the hospital experience of parents with critically ill children.

The first, from Healthcare Hollaback is entitled “Jen and Holly, Nurses AND Guardians of Sanity”. A, shall we say, creative solution for a Mom on the edge?

We then hear from Postcards From Holland via a post entitled “Not Your Everyday Miracle”. Ever seen a photo of a miracle? Read the whole post.


With all the debate over our border with Mexico, it is sometimes hard to remember that there are real human beings behind those statistics. Meet one of them as talking RNĀ  presents paradox posted at talkingRN.

Burning out? Been there and done that twice. Ian of ImpactED Nurse disusses burn out, but also gives wonderful advice on how to Burn In. Reed and heed.

We all have skeletons in the closet and kt at kt living discusses exactly when we are most likely to divulge those secrets in Confessions at 3AM and always remember, good gossip can come back to haunt you, repeatedly. It’s okay, kt. I think he’s cute, too.

And kt doesn’t stop there! Read of this hilarious post about the Chemo Patient With the Munchies.


Marisapan at Nursing Student Hell gives an example of how assessing the patient can lead to knowing something is not right before relying on technology to prove it. Read of this most interesting situation at Vague Symptoms.

Student nurse, “girl in greenwood” tells of her interactions with a patient ready to die in hospice posted at Girl in Greenwood. Read this and then try to tell me this girl isn’t a natural! I’m glad she’s in nursing school.

And as I am coming up on my first blog anniversary, I’ll pull out one of the posts from when my only reader was my mother. It’s about the night shift. I present: And the Darkest Hours Are Just Before Dawn.


Nursing intuition. You can’t quantify it. You can’t see it. But we all know it exists. Mama Mia explores this phenomenon in Do You Feel What I Feel? posted at Dust in the Wind.

(Anyone who can mix a Peter Frampton song title in with a Kansas song titled blog is my kinda gal!)

Lois Lane a nurse? This was news to me, but Nurse Ratched’s Place has the proof in Lois Lane, Super Nurse! Is is just me or does Lois look an awful lot like…..Cherry Ames??? A sequel to Superman, perhaps?

Student nurse intellinurse2b talks about communicating with doctors in It’s A Nursing thing: Um, Excuse Me. Someone told me once to imagine them in their underwear; human, in other words. Warning: dangerous palpitations can occur if said physician looks like Orlando Bloom.


We all came to our nursing calling in different ways and for different reasons. Some of us were born with it. Check out this cute post from soon-to-be student nurse Princess of Drama as she gives us a glimpse From My Childhood. Welcome, Princess!

It might be controversial, but May from About A Nurse tries to understand why someone would not want to learn the language of the country where they are employed in English 101. (Um…someone tell me the NCLEX is given in English only…please?)

To BSE or not to BSE, that is the question. Teresa, a registered nurse who blogs about her husband’s fight with multiple myeloma at The Beast…. dons her family nurse practitioner role as she discusses the new guidelines for breast self-exams in BSE or Not?. Ladies, make sure your jaw is protected because it will drop.


And lastly, Brandon Peele presents a post entitled Spirituality is Integral to Humanity in which he speaks of the importance of spirituality to self-actualization. As nurses, we look to care for the whole patient so while this entry is rather different than what you may expect in Change of Shift, it is interesting. You may find it a bit controversial in parts (for instance I’m pretty sure stress does not cause cancer or diabetes), but let the dialogue commence!

(Disclaimer:There is a business mentioned on this site, run by Brandon and his friend/CEO. I have no financial interest in this business. Inclusion of this essay does not imply personal endorsement.)


And there you have it! Our next edition will be on August 10th, with submissions due August 9th. We may have a guest host, which I will announce as soon as it is finalized.

In the meantime, all submissions should be sent to me directly or to Blog Carnival (see the sidebar) and I’ll get them to the guest host.

Thanks for reading!

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About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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