Update
RIP Nexus Well my phone is officially dead. So I have no idea what is going on in the world outside home and work. It fell in the toilet in 2019 right after I had bleeched said toilet, and well now in 2022 it got harder and harder to charge- and yesterday, charged maybe until 20% and then in the morning just turned off.... forever. RIP Nexus 5. You did very well.
So Pete is going to buy a new phone for himself and I'll take his old one (I can't be trusted with new phones - the toilet thing was not the first time...)
Meanwhile I don't know what happened with Dea's IOL. I used my desktop to message a few people on fb - I didn't quite expect Dea to reply, she's probably busy, but the cousin I'm mutually close to uses whatsapp and no phone means no whatsapp which means, I don't know anything.
I had horrible pee again overnight due to what I think is dehydration. So at 340 am I sat up in the kitchen drinking at first 1 cup of water, and then 1 cup of cordial (I find it really hard to drink that much water) and then 1 of hydralyte before I thought I was hydrated enough - to go back to bed at 420am - and have some random sleep until 6:20. I don't have an alarm clock (phone's dead) so at 5am when Pete woke up I was alert enough to tell him to ensure I got up by 6:30 (cause, I still want to attend work -- Lord knows why because I really should have just phoned sick at 3:30am).
I was thinking at 3:40 am, how when women are dehydrated and how that effects the fetal heart rate on the CTG and how they get IVCs and 1 liter of hartmanns and how they all look stunned when we're all surprised that their heart rates are 120 ish. Mine wasn't that high but I was worried. Need to make more of an effort to drink water at work... with these darn masks.
But here I am. At work anyway. Playing hooky (at the bedside of GCS4 SAH grade 5- the not homeless lady).
So what sucks about working is trying to antenatally express is impossible on 12 hr shifts, let alone with sleep deficits.
Today's patient
Was at home, had stomach pain and hypotension on a background of HCC microwave abalation, came to hospital, they did a CT scan, saw a possible cause for the abdominal pain was ischemic bowel. Somehow convinced her to have a laparotomy - opened her up, found nothing, closed her back up, in shock sent her back to ICU where she needed 4 days of ventilation and 1 day of CRRT for an AKI, and 8 days later now she's trying to get up and leave the hospital. Admittedly on the non slip socks the most she can get is to the edge of the bed where she stands up (me trying to explain that I can't let her go/why/and what other options she has) and then sits (almost slides) back down onto the bed.
Every 15 mins she seems to forget what I've said, or decides to ignore it (hard to tell since she thinks she's in a "tower" or a set of townhouses) until after an hour of this back and forth the doctor comes, (male) tells her she can't go home because he makes the decisions about that (he's a registrar so not really but anyways) and it works enough to get her to put herself back to bed. She (like everyone else) hates being manhandled so 20 mins of some bullshit standing up and sitting down and what ever she finally uses the arm rest of the chair that we put next to the bed that she refused to sit in, to shuffle herself halfway up the bed before giving up and letting us use the sheet to OH&S unfriendly method of sliding someone up the bed.
Why am I even at work is the question I've got through my head today. Not because I don't like being here, but just because I really don't have to be.
2 days to go.
So how did this lady end up with the HCC microwave ablation?
Considering she hadn't had a drink for 3.5 years she was asking me every 10 mins for a beer or wine- yes Child Purg B Cirrohosis, EtOh related.
Patients like her do put me off drinking. half a drink in a week or a few sips here and there is fine but really, a taste is enough. I still think a lot of my corporate friends are heavy drinkers. They don't think they are. But then I look at these patients and I wonder how much they drank to get themselves in such a state.
Poor lady just wants to "go home and put the telly on and make some toast and scrambled eggs"
That sounds like a lovely idea.
I can't believe they found nothing was causing the abdominal pain and hypotension ...
That baffles me. That they could just open someone up based on the results of a scan -- that turned out to be a false interpretation of what they saw. I get that she looked really sick (with the norad and all). But I'm sure having surgery didn't help.
Placebo surgery, who knows.
She's only 58. Usually independent at home with cares but uses a 4ww to walk around (Hx stroke) and a wheelchair out of the home.
Hospital sucks. It takes away your autonomy. You can't go home whenever you'd like (albeit one's judgement is clouded with encephalopathy and delirium) -- she had a genuine need to be here, with the hypotension (requiring noradrenaline)and shock like state on admission but them not finding anything in the laparoscopy that would cause all of this is just downright frustrating.
In any case, she's wardable. If they can find a 1:1 special, as for sure without she would land on the floor.