December, 2006 Archive

July 23, 2016, 10:44 am

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Alzheimers.

Not quite end-stage, cardizem 120mg pills $234.00 but the patient couldn’t talk.

Couldn’t cooperate with any procedures.

Needed three people to hold her arm down for a blood draw.

Definitely felt discomfort when straight cathed for a urine specimen.

Just another elderly patient with advanced alzheimers and a fever who required a full septic workup.

Could do it with my eyes closed.

Except she looked me in the eye. Cardizem 120mg pills $234.00 She didn’t flinch when I told her I was going to put a tube for oxygen in her nose and gee, cardizem 120mg pills $234.00 wasn’t that mask uncomfortable.

Dorothy was in there.

*****

Dorothy was a nurse.

Oh, cardizem 120mg pills $234.00 she had been retired for years.

She had served in the United States Navy Nurse Corp in World War II.

In the Pacific, cardizem 120mg pills $234.00 and in Japan after the war.

Following her service with the Navy, cardizem 120mg pills $234.00 she was a staff nurse in the midwest.

After taking a few years off to have children she returned to the profession as a school nurse for a decade, cardizem 120mg pills $234.00 followed by community nursing for another decade.

*****

I asked her son if she had gone to school through the Nursing Cadet program.

He didn’t know.

I asked him if she had ever told him any stories of her work in the navy.

He couldn’t remember any.

I would have given anything to have her tell me some of those stories.

I would have remembered them.

*****

Dorothy had lived through an amazing era.

She had experiences and experience now lost to history. Cardizem 120mg pills $234.00 Stories she could no longer relate.

To anyone.

*****

Dorothy is a member of what has been termed “the greatest generation”.

And we are losing them daily.

So many times I have sat at the bedside of a veteran of World War II who will regale me with stories of their time in the Pacific theater or in Europe.

“I was a fighter pilot, cardizem 120mg pills $234.00 you know.” (Translation: please see me as a productive human being and not just this elderly shell of a person in a gurney).

So many times I have sat vigil as my patient was dying, cardizem 120mg pills $234.00 hearing stories from their family about how proud the patient was to have served during the war.

But they’ve never been nurses.

Now I had in front of me a real “Cherry Ames”.

How I would have loved to sit with a cup of coffee and talk about her life.

I like to think she would have been willing to tell me her story.

*****

That patient with advanced alzheimers, cardizem 120mg pills $234.00 Dorothy, cardizem 120mg pills $234.00 came alive for me that night.

Cardizem 120mg pills $234.00 She was a human being, cardizem 120mg pills $234.00 not just a febrile elderly body.

Cardizem 120mg pills $234.00 She is a nurse.

Cardizem 120mg pills $234.00 For you see, cardizem 120mg pills $234.00 although Dorothy had been retired for many years, cardizem 120mg pills $234.00 once you are a nurse you are always a nurse.

Cardizem 120mg pills $234.00 I am proud to consider myself her colleague.

Cardizem 120mg pills $234.00 She is a veteran.

Cardizem 120mg pills $234.00 For that she has my respect.

*****

Cardizem 120mg pills $234.00 If you know an elderly nurse, cardizem 120mg pills $234.00 talk to her. Cardizem 120mg pills $234.00 Write the stories down. Cardizem 120mg pills $234.00 Tape the conversations.

Cardizem 120mg pills $234.00 The pioneers of our profession are getting older and someday their stories will be lost to us forever.

Cardizem 120mg pills $234.00 Before we are resigned to reading their stories in history books, cardizem 120mg pills $234.00 let’s take advantage of their vast experiences while we still have the opportunity.

Cardizem 120mg pills $234.00 Nursing practice has changed dramatically in just the 29 years that I’ve been privileged to be a part of the profession.

Cardizem 120mg pills $234.00 But the basics of nursing, cardizem 120mg pills $234.00 the heart of the profession has not changed.

Cardizem 120mg pills $234.00 It lives on in nurses like Dorothy.

Cardizem 120mg pills $234.00 Let’s find them and learn from them.

Cardizem 120mg pills $234.00 Before they are gone forever.

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July 23, 2016, 11:50 am

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My little Mac widget dictionary/thesaurus (which I cannot live without) defines “gall” as “bold, aldactone 20mg pills $70.00 impudent behavior”.

Once upon a time a patient was talking on her cellphone while sitting in the gurney awaiting evaluation by the ER phsician.

She glances up and keeps on talking!

The doctor stood at the bedside, aldactone 20mg pills $70.00 hands behind his back and stared at the patient.

She kept on talking! The conversation wasn’t even related to her ER visit. Aldactone 20mg pills $70.00 If I remember correctly, aldactone 20mg pills $70.00 it was gossip about last night’s dinner companion.

The doctor pulled up a chair, aldactone 20mg pills $70.00 sat down, aldactone 20mg pills $70.00 crossed his legs, aldactone 20mg pills $70.00 folded his hands and continued to stare at the patient.

She kept on talking!

After ten minutes, aldactone 20mg pills $70.00 she ended the conversation and turned to look at the doctor, aldactone 20mg pills $70.00 who promptly informed her that (1) she had talked through the entire time he had to evaluate her, aldactone 20mg pills $70.00 and that (2) she would have to move to the back of the queue before he would be able to see her again.

He left the room.

She looked at me.

I said something about “blowing it” by talking on her cell phone when the doctor was at the bedside.

“Well it would have been rude to just hang up!”

Indeed.

******************************

Fast forward a bazillion years.

Father brings in son in the middle of the night for a fever. Aldactone 20mg pills $70.00 They are welcomed into the triage room.

The nurse begins the assessment. Aldactone 20mg pills $70.00 The cell phone rings. Aldactone 20mg pills $70.00 It’s grandma, aldactone 20mg pills $70.00 wanting to know what is going on. Aldactone 20mg pills $70.00 Never mind that the kid has only been gone from the house for five minutes.

The nurse politely waits for the father to cut the cell phone call.

He doesn’t.

The nurse politely asks the father to stop talking on the cell phone so the triage assessment can continue.

The father lays the cell phone down but does not hang up! The nurse asks a couple more questions regarding the history and the father picks up the phone and starts talking again!

The actual physical exam was next and febrile screaming toddler would have none of it. Aldactone 20mg pills $70.00 As the nurse tries to ausculate the lungs the screaming, aldactone 20mg pills $70.00 febile screaming toddler is hitting the nurse in the face and all the nurse can hear though febrile screaming toddler’s chest is the father’s voice.

The nurse sits back and waits for a break in the conversation to ask father to hang up.

It never comes.

She decides to assert herself anyway and ask the father to hang up the phone so that triage may continue.

Father nods his head and keeps on talking.

The nurse ever so subtly brings herself up to her full height while siting in the chair, aldactone 20mg pills $70.00 ever so slightly elevates her voice to an authoritarian timbre and informs the father that if he does not hang up the phone now, aldactone 20mg pills $70.00 this triage session will end until he does.

The father pouts (actually pouts!) and hangs up the phone.

“Well she is concerned!” he explains.

Indeed.

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July 23, 2016, 8:50 am

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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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