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Monday, April 7, 2008

Human Balloon

It was one WILD weekend at work. We weren't totally full, but the patients we did have were sick enough to require a little extra care than our usual acuity patients do.

There really wasn't such a thing as a "good" assignment of patients this weekend. Not for the nurses or for us aides. If it wasn't a patient having frequent bathroom trips, it was confrontational family members or vomiting episodes.

However, there was one group of patients that was universally considered a really demanding assignment. And guess where I was Saturday? Yup, with that group.

The highlight of this group was a man whom I will call the Human Balloon. He had a unique condition, subcutaneous air (air under the skin). He literally looked like someone had inflated him. His face was all puffed out, his eyes were swollen shut because of the air under his eyelids, his hands and feet were puffed up; this guy had air all over the place. Actually he kinda looked like this:

Yes, I know I'm bad! But he looked a LOT like that (only with a midline incision on his chest from his CABG and 2 chest tubes). He actually would have been a cool patient to take care of except for the fact that he was a total dickhead.

I don't know if he was actually mentally challenged or just stupid, but this man would NOT listen to any instructions you gave him. You'd say "okay, step to your right towards the chair", and he'd go to the left and not listen when you'd say "okay....your other right". The nurse and I would literally have to shove this guy around to keep him from falling on his ass. But he could hear, definitely, because the second you said he had to get out of bed he'd throw a hissy fit. Then, the second you left him alone sitting in his chair, all fluffed up with his breakfast right in front of him, he'd throw said breakfast to the floor and immediately stand up and go into the hall, disconnecting his chest tubes in the damn process. Anyway, he was a trip and so was his family, but I persevered.

Then there was the very heavy lady who needed a lot of physical assistance to move around, the bedridden pooper, and the little old lady who was lonely and wouldn't stop talking long enough for you to gracefully leave the room. Now, I understand that none of these people could really help it and weren't doing it just to make my day bad, but all of them together made for a really busy day and left me wishing I could have done more for them, especially the lonely old lady. I hate days where I go home thinking of all the things I could have done if only I'd had more time, which is why I got out of Long-Term Care.

Requested a different group for Sunday (we're rotating this bad group around to different people), and the day was a ton better. Not nearly as soul-destroying and I got to do a lot of extra care on a lady who needed it.

The Human Balloon went to the ICU Sunday morning - apparently his respiratory issues got the best of him and he had to be intubated. I do genuinely hope he's okay, even after all the crap he put me through on Saturday. The ICU is probably the best place for him really, where he can be watched the whole time he's there. I get this funny feeling he'll be back soon, though...

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