Sunday, May 31, 2015

ICU Casanova





One of my coworkers has an amazing draw on women.  Patients and family members attempt to get his phone number and "friend" him on Facebook.  Even family members of patients he has never taken care of!
 
It's a kind of animal magnetism.
 





Extra Storage

I have a coworker who stores his car keys in an unusual place.

But his keys have never been stolen.



Saturday, May 30, 2015

Advice When Pressed

Anticipating problems is something nurses can get really good at.  If you walk into your patient's room and see this:




The first thing you should ask the nurse giving you report is "Are there back up bags of levophed and phenylepherine and vasopressin in the 'fridge?"

If you forget to do this, don't worry--you'll only forget it once. 

Here is an exact time sequence one what happens when a pressor runs out.

First, the pump alarms, telling the nurse that the bag is empty.  A yellow alarm starts.




The nurse will feel a sudden clench in her bowels.  She sprints madly down the hall, ignoring other distractions.



At this point, time goes into slow motion.  The nurse gets to the med room and tries to remember the code to the door.  A red alarm is going off loudly.



There's a long line in front of the Medispense machine.



The nurse rips open the refrigerator door and stares at the patient's med bin in a futile hope






Seeing it's empty, the nurse shoves other staff out of the way




Grabs the phone, dials pharmacy




Abandoning that, shoves her way to the front of the line




Struggles to remember her most recent password




Pulls the drug and the bag of saline to mix it




Primes the tubing




And hangs the drip.






Don't let this happen to you.  When it comes to pressors, here is my advice: Hang one, order one.  Remember it.

Tuesday, May 26, 2015

The Mysterious Man in White

Late at night at Lone Star Hospital, the nurses of the West Ward gather around the flickering light of the cardiac monitor under the glow of the setting clock. 





Out of the mists of the peaceful dawn rides a white-coated figure.






He gallops into the gathered nurses, shooting off orders and scattering them into urgent errands of mercy.






His mission accomplished, he rides off to the distant elevator, waves his hat in the air and is gone.







The nurses, their calm shattered, huddle together.  They ask, "Who was that mysterious man in white?"



Nurse's Note:  Thanks to A. West!

Saturday, March 1, 2014

Eat Me

Humans have a conflicted relationship with their food sources.  Every animal has to kill to live, anyone who has watched a wildlife television show knows that.  But humans have an intense conflict with suffering and death.  It makes raising animals for food difficult.

I often hear people who know nothing about animal husbandry talking about the best way to raise/kill domestic animals.  It's bewildering to me.




It's not any better with plants.  People with more money than sense worry about hormones (their own bodies are churning with hormones) pesticides and herbicides.  Our planet has seven BILLION people on it now.  Pesticides and herbicides are our friends!  They reduce water use and labor costs.  We could not possibly feed everybody without the use of chemicals. 

And the word, "organic".  Whatever businessman tagged more expensive foods with that term was really from the W.C. Fields school of business:  "There's one born every minute".  Everything that humans CAN eat is organic.  Organic means, "carbon-based, once alive".  The only thing we consume that was not once alive is salt.  

We can cringe and apologize, but that is just how we are made.  Our teeth, our vitamin needs, our guts, even our eyes show that we are predators.  We aren't meant to live on grass or sunlight.  We are upright with a mobile shoulder so we can throw spears.  Our eyeballs are in the front of our head for the depth perception necessary for predators. 





Some things sound worse than they are.  Horse slaughter has been banned in the USA by well-meaning horse lovers.  But this has resulted in terrible suffering for unwanted horses.  Since they can't be humanely slaughtered for their flesh, they are often left to starve in pastures or turned out into parks, often with their brands carved out so their owners can't be identified.  Also, buyers come to auctions, buy up large numbers of horses and haul them to Mexico or Canada to be slaughtered.  The horses aren't given food or water on this long, last trip.  Is this the more humane option?

I hear the argument that the horses, "Can be adopted out!"  But there aren't enough homes for all the unwanted horses.  Think about cows--when was the last time you saw a cow abandoned and starving?  You don't, because the fact that their carcass is valuable protects them from some of the worst abuse.

And don't even get me started on bottled water...




Monday, January 20, 2014

Everyday Heroism

My husband is a SUPERHERO!!  Unlike the Hulk, Batman, Ironman, Green Lantern and Spiderman, my husband has several hero incarnations.  He can be:



BIG FAT PIGGY!!


or...



 POOKY BEAR!!



or...




HUNNY BUNNY!!



My husband's superheroes have a plethora of superpowers. 
 Such as:


And...



And...





And...




His superhero incarnations have as many talents as a 
Renaissance man!





And...







And I've always had a weakness for superheroes...



Monday, December 30, 2013

The Mrs. Clause

Last year around Christmas I posted "Santa Incarnate", discussing what might have happened to Santa if his life had taken a different course.  I wanted to do the same thing for Mrs. Claus this year, but I discovered that not only does Mrs. Claus have no identity other than she's Santa's spouse, she doesn't even have a first name.

Nurse's Note:  I have conflicted feelings about women taking their husband's names when they get married.  It just feels like an antiquated tradition, like how slaves took their masters' last names.  In some cultures, women take their husbands' first AND last names.  The woman's name changes from, "Miss Mary Bernstein" to, "Mrs. Cecil Hughes".   Both her names disappear entirely.

So, I'm giving the woman known only as, "Mrs. Claus" a name.  I like the name, "Claudia".  If she ends up marrying Santa and changing her name, she'll be, "Claudia Claus".

Now that we have that out of the way, here's some of Claudia's possible life paths, if she had not married Santa and been relegated to the kitchen baking tree-shaped cookies.



Ice Skater Claudia





Veterinarian Claudia





Botanist Claudia





Mechanic Claudia





Scientist Claudia





Teacher Claudia






Supermodel Claudia






Artist Claudia



Oh, the possibilities life holds...

Tuesday, December 24, 2013

Daedalean Riddles

I love riddles!  A good riddle is like a maze of mirrors.  All the information you need is right there, but presented in such in a way that your brain is tricked.   The riddle seems impossible.  But when you hear the answer, it is obvious. 

Riddles play on our expectations, prejudices and stereotypes.  Studying riddles is a way to practice thinking "outside the box."

All answers are posted under "Riddle Revelations."


RIDDLE NUMBER ONE:

A man and his wife are driving down a dark country road late at night.  Their car runs out of gas.  The man gets out and tells his wife to keep the doors locked and the windows rolled up, he's going to walk back to the gas station 3 miles down the road.  The wife locks the doors and rolls up the windows.  The car is not a convertible.  The man walks down the road, gets gas and walks back.  When he approaches the car, he looks in the window and sees that his wife is dead in a pool of blood and there's a stranger in the car that he's never seen before.  The doors are still locked and the windows rolled up.  What happened?





RIDDLE NUMBER TWO:

A man sees two girls walking down the street.  They look exactly alike, so he asks them, "Are you twins?"  The girls laugh and say, "No, but we were born to the same mother and father on the same day of the same month of the same year."  How can this be?





RIDDLE NUMBER THREE:


A man and his son are involved in a terrible car accident.  The man is killed outright, and the little boy is badly injured.  The little boy is taken by ambulance to a nearby hospital for emergency surgery.  The surgeon  rushes into the room, looks at the little boy and says, "I can't operate on this child!  This is my son!"  How can this be?





RIDDLE NUMBER FOUR:


Once upon a time there was a little town called the Little Town of Night.  All the houses in the Little Town of Night are painted black.  The roads are black.  The fences are black.  The grass is black.  The flowers are black.  The mailboxes are black.  The Black Knight is dating the Black Princess who lives in the Little Town of Night.  So, the Black Knight rode his black stallion up to the black castle, dismounted and tied his black horse to the black tree with its black rein.  The Black Knight went inside and spent some time with the black princess.  Then, he walked down the black staircase, through the black door, over the black drawbridge to the black tree where his black horse was tied.  The black knight mounted his black horse and rode away.  Question:  The moon is not up.  There are no stars in the sky.  How did the Black Knight see his black horse tied to the black tree?  (no, the horse did not whinny to him)




RIDDLE NUMBER FIVE:


Tom and Susan and Jane and Jim all live in a house together.  One evening, Tom and Jane go out to eat dinner and see a movie.  When they come back home, they find Susan dead on the floor surrounded by water.  Tom and Jane don't call the police.  Jim is never questioned about any crime.  Why not? 







RIDDLE NUMBER SIX:

Mr. Simmons has five daughters.  Every one of his daughters has a brother.  How many children does Mr. Simmons have?




RIDDLE NUMBER SEVEN:


A man is running home.  Near home, he sees a man in a mask.  He turns around quickly and runs back to where he came from.  Why did he do that?




RIDDLE NUMBER EIGHT:


A woman is at her mother's funeral.  At the funeral, she meets a man.  She likes him a lot; she feels an immediate bond with him.  But, she neglects to get his phone number.  One week later, she kills her sister.  Why does she do this?


(I read somewhere that this is a classic psychopath test.  If you immediately see the answer, if it is as obvious as 2+2, you qualify as a psychopath.  If you are puzzled and start asking questions, you're not.)




RIDDLE NUMBER NINE:


 A blind beggar has a brother.  The blind beggar dies.  What was the relationship of the blind beggar to the brother?



RIDDLE NUMBER TEN:

Five rabbits are nibbling clover in a field.  A hunter shoots a rabbit.  How many rabbits are left in the field?



RIDDLE NUMBER ELEVEN:

You are trapped in a deep dark dungeon.  There are two doors in the dungeon.  One door leads to freedom and a pile of tax-free gold.  The other door leads to a terrible fire-breathing dragon who will devour you slowly, feet first.  You don't know which door is which. 

In the dungeon with you are two parrots.  The parrots each know where the doors lead.  One of the parrots can only tell lies.  The other can only tell the truth.   You don't know which parrot is which.

You are only allowed to ask one parrot one question.  What are you going to ask to get out of the dungeon alive?




RIDDLE NUMBER TWELVE:

A couple liked to go hiking.  One morning they set out from their camp and hiked one mile south.  Then, they turned and hiked one mile east.  Then, they turned and hiked one mile north, which put them back at their camp.  There was a bear in their camp!  What color was the bear?



RIDDLE NUMBER THIRTEEN:

Once there was a distant kingdom that was ruled by an insane king.  The king had twin sons that he had brought up to hate each other, now they were bitter enemies.  Each of the princes had grown up to be excellent horsemen and they both had stallions that they raced against neighboring horses.  One day, the king called to his sons and said, "In three days you will race each other.  Whoever's horse crosses the finish line last will inherit my kingdom."  The princes were confused.  How should they do this?  Each one of them just go slower and slower?  Finally, the court jester had pity on them and sang two words that solved the problem.  What were the two words?



RIDDLE NUMBER FOURTEEN:

The king also had a daughter, and she had fallen in love with the court jester.  The king was angry and hated the idea of his only daughter marrying a clown.  She had been promised to a distant prince since infancy!  But the princess begged until finally her father agreed to a contest.  He would put two slips of paper into a hat, one marked with a black X and one blank.  The jester would draw one piece of paper out in front of the entire court.  If the jester drew out the paper with the black X on it, he would be immediately beheaded.  If the jester drew out the blank paper, he would be allowed to marry the princess.

Now, although the jester was dressed in bells and motley, he was no fool.   He knew that the sadistic king would mark both slips of paper with a black X.  What did he do to avoid the sentence of death and marry his ladylove?



RIDDLE NUMBER FIFTEEN:

The jester and the princess were getting married!  But they didn't have any money and the evil king was going to throw them both out. The jester asked if there was anything they could do, and the king said spitefully, "Show me something that no man has ever seen before, and I will give your wife a handsome dowry."  What did the jester bring to show the king?



RIDDLE NUMBER SIXTEEN:

You are walking in the woods when you come upon a cabin.  You approach cautiously, peek in a window and see several dead people.  You immediately know how they died.   How did they die?



RIDDLE NUMBER SEVENTEEN:

A girl is told by her parents never to open the cellar door, or she will see something she was never meant to see.  One day when her parents are away, she does open the cellar door.  What does she see?



RIDDLE NUMBER EIGHTEEN:

A town in ancient Greece had a law that said that every man must be clean-shaven, but no man could shave himself.  There is only one barber in the town.  Who shaves the barber?



RIDDLE NUMBER NINETEEN:

A father is talking to his teenaged daughter.  He says, "You arrived very late and kept your mother and I waiting up anxiously all night until three in the morning!  We never want that to happen again!" 

The daughter said, "But, father, that CAN never happen again!"





RIDDLE NUMBER TWENTY:

A man is looking at a picture.  He says, "Brothers and sisters, I have none, but that man's father is my father's son."  Who is in the picture?




RIDDLE NUMBER TWENTY-ONE:

You are on the first floor of a two story house.  There are three light switches on the wall.  One of the switches turns on a lightbulb in an upstairs bathroom.  You cannot see the light from any room downstairs.  How can you determine which switch turns on the light if you are only allowed one trip up the stairs? 



RIDDLE NUMBER TWENTY-TWO

There is a family living in a huge mansion in an expensive American city.  They don't pay rent, they don't own the house and none of their friends or family own the house.  How can they get away with this?

RIDDLE NUMBER TWENTY-THREE

The maker doesn't use it, the buyer doesn't want it and the user doesn't see it.  What is it?

RIDDLE NUMBER TWENTY-FOUR

In medieval times this bottomless container was made of silver and gold to hold flesh and bone.  What is it?

RIDDLE NUMBER TWENTY-FIVE

One night four men sat down to play,
They played all night to the break of day.
They played for gold and not for fun,
With separate scores for everyone.
They all rose richer, but then,
If none lost how could all win?

RIDDLE NUMBER TWENTY-SIX

A dozen royals gathered 'round,
Entertained by one who clowned.
Each king there had servants ten,
Though none of them were also men.
The lowest servant sometimes might,
Defeat the king in a fair fight.
A weapon stout,
A priceless jewel,
The beat of life,
A farmer's tool.

What is this?

RIDDLE NUMBER TWENTY-SEVEN

A widow woman has seven children.  Half of them are boys.  How is this possible?

RIDDLE NUMBER TWENTY-EIGHT

A woman in New York has married ten different men.  All of the men are alive and she has never divorced any of them, but she hasn't broken any laws.  How is this possible?

RIDDLE NUMBER TWENTY-NINE

The beginning of eternity, the end of time and space, the beginning of every end, the end of every place.

What is it?

RIDDLE NUMBER THIRTY

A rich man wants it, a poor man has it, if you eat it you will die, it is greater than God. 

What is it?

RIDDLE NUMBER THIRTY-ONE

In ancient Egypt a thief was caught in the act of stealing.  Wanting to appear merciful, the pharaoh told the thief that he could chose the manner of his death.  The thief was a very smart man and he said something so clever that the pharaoh let him go.  What method of death did he choose?

RIDDLE NUMBER 32

Jed Brown lives on a soybean farm with his wife. One night Jed calls Dr. Taft and says, "Doctor! Doctor! I'm afraid my wife has appendicitis! "
Dr. Taft responds, "Calm down, that's impossible.  I took out your wife's appendix three years ago."
Upon further examination it is discovered that Jeb's wife does have appendicitis.  How is this possible?

RIDDLE NUMBER 33

When interviewed, a Parisian stylist admits he would rather cut two brunettes' hair than one blonde's.   Why?













Wednesday, December 18, 2013

Horse History

Someone asked me recently how long I've been riding horses.  

Well--when I was young, I used to chase eohippus through the tropical rainforests of Wyoming...



Later, during the cooler Oligocene period, I pursued miohippus across the steppes.




When the ice shelf retreated, I started riding equus (still naked, you can see)






Sometimes with mixed results...



  I'm not sure how long it's been, but at least a few weeks...

Nurse's Note:  I didn't include any photographs of earlier epochs since the camera hadn't been invented.  The drawings of me with the primitive horses are from prehistoric cave paintings, though, so they're accurate...

Sunday, December 1, 2013

One Percent a Day for 100 Days

When our oldest daughter graduated with her PhD in molecular biology, she thanked everyone who had helped and inspired her.  She said:

"People ask how I have stayed focused and kept believing.  I tell them that when I was a child, my mom made us mow forty acres with a push mower.  The pastures were chin-high in ragweed, dock and lambs quarter, but she said we could do it, so every day my sisters and I were out there mowing, mowing, mowing.   

And the lawnmower only had three wheels!"



Early to Rise

I recently learned a bit more about the maxim, "Early to bed, early to rise" during a visit with my daughter in San Francisco.

My return flight was at 6:15 a.m.  Since the airport Gestapo demands an hour to harass, radiate and grope you, I needed to be at the airport by 5:15.  My son-in-law estimated that the drive to the airport would take about 45 minutes.  So, we needed to leave the flat at 4:30.  4:30!

I woke at 4:15 and crept blindly around in the dark, trying to pull on some clothes and find my luggage without waking anyone else.  

I stumbled down the stairwell's three flights.  At the bottom, my son-in-law unlocked the stairwell door. 

Just outside, a male prostitute said, "Wanna date?"




I blurted out, "IT'S 4:30 IN THE MORNING!"

Nurse's Note:  My answer might have been different if it had been 10:00   :)


Friday, November 29, 2013

What's in a Name?

I knew how to spell my older sister's name before I learned how to spell my own.

When we were growing up, playground introductions went something like this:




"Hi!  I'm Susan!"








"Hi!  I'm Cathy!" 







"Hi!  I'm Becky!" 







"Hi!  I'm Lisa!"








My sister would say, "Hi!  I'm Calina!"










"What?  WHAT'S your name?"










"Calina..."










"Colleen?"










"No...CALINA."










"Katrina?"











"Calina.  C-A-L-I-N-A.  Calina."






When I entered first grade, the teacher told us we were going to learn how to spell our names.








I stood up and announced that I ALREADY knew how to spell my name!  "C-A-L-I-N-A"!




She told me to sit down.



Nurse's Note:  Thus began my long Icarusian fall within the education system.