Comments | bubblebeechan: So today was worse than yesterday.

bubblebeechan

So today was worse than yesterday.

Aug 02, 2008 19:45

Yeah, today: total bombshell, freaking disaster zone. I call in to work at 7:00am sharp, and 4 of my nurses aren't there. So I hunt about, and fine the file for my patient, and the slip for his lab-test results. Still no sign of the nurses. I walk up the several flights of steps (because the elevator was taking way too long, to oncology and collect ( Read more... )

treatment, diagnosis, rooming, sick

Comments 40

bendy_lefty August 2 2008, 21:06:43 UTC

I saw the word failure and I celebrated! ;D

dadadanurse August 2 2008, 23:46:35 UTC

Eh? There weren't any around desu? o.o

bubblebeechan August 2 2008, 23:57:00 UTC

Not one! I suppose they were around and about, but I couldn't find one :(

I'm sorry, but I don't believe we've met...I'm tensai, Marui-kun! :)

dadadanurse August 3 2008, 00:34:23 UTC

Haha nice to meet you Marui-san desu! Im Dan Taichi desu. I'm a nurse here desu. Hopefully not the one who was supposed to be helping you desu. ^^;; Though I'm sure I wasn't desu.

(ooc: sorry!wrong account!)

bubblebeechan August 4 2008, 11:24:22 UTC

Nah, I think I had Nurse.T and a couple of others, you're safe. :P

Thread 5

jackal_rn August 3 2008, 05:46:57 UTC

Umm...were your nurses in report? Cuz that's sort of what nurses do around change-of-shift.

You're the doctor, not me, but are you doing any chemo to at least bring that crazy white count down? Props to his mom for being proactive. Is this the same woman who got your pager number?

And sorry about your long day.

bubblebeechan August 3 2008, 09:35:07 UTC

Yes, Mom = proactive pager woman. (Did I mention that I <3 her for starting treatment so soon?)

And yes, I intend to start chemotherapy, but I honestly don't think it would be the best idea to start it now, especially considering the patient. His white count is so low, there's a very high risk of post-chemo. infection, and I don't particularly want to lower that white cell count anymore. Secondly, this patient is still very young, I wouldn't want to give him chemotherapy he wouldn't make it through, yanno? I'd rather stick with the marrow to raise his chances first, then give him the chemo. if he needs it.

I'll come drag you down to paediatrics and you can help me with the nurse thing >>'

jackal_rn August 3 2008, 17:02:59 UTC

See, she's not so horrible then!! Just a really concerned mom!

I asked because I see the docs up here starting their leukemics off on chemo right away, since the majority of their white cells are crappy immature blasts that can't even fight infection. So...they stick them in private rooms and load them up on preventative antibiotics. But the patients we have up here are adults; is it different with kids?

I definitely don't envy you guys having to make these kinds of decisions...

Come grab me sometime, I'll show you their secret hideout: THE REPORT ROOM.

bubblebeechan August 3 2008, 19:41:39 UTC

Yeah, she's actually really nice!

And yeah, the chemo is probably the best way to go next, but then again, I don't want to risk it totally by starting it. Especially considering that he's just lost a lot of blood, and is likely to be severely anaemic for a while, I don't think pushing chemo would be the right thing for him. So I think we'll raise his strength a bit with continued blood transfusions, etc. and only then start chemo. As for the difference between adults/children, it's more a case of cancer being a lot less common in children. Also combined with the fact that the younger the child, the weaker they may be. If it's an infant or a small child then I'd be happier if we waited to delay chemo for a few days until my patient is strong enough to give him a good chance, yanno?

And XDD, when're we going for that coffee, anyway?

OH GOD. THERE'S A HIDEOUT. TAKE ME THERE. I MARUI-SAMA COMMAND YOU.

Thread 20

injuriesarelame August 3 2008, 17:04:00 UTC

That sounds tough. I would never want your job.

bubblebeechan August 3 2008, 19:42:35 UTC

It's not that bad, once you get to know the stuff. And I'm sorry, have we met? I am Marui-sama, wonderful tensai. Good to meet you.

injuriesarelame August 3 2008, 22:47:38 UTC

I don't think we've met, not directly, but a friend of mine was a fan of your's back in junior high school.
My name is Shishido Ryou. I'm a patient here.

bubblebeechan August 4 2008, 07:52:34 UTC

Oh, Shishido, eh? You didn't play for Hyotei, did you? Doubles, maybe? I thought I knew someone with a name similar. So you're getting treated here, what's up?

Thread 14