Okay. Time to post.
Driving into work Tuesday night, right around Hudsonville, the car suddenly had gotten louder. -I mean LOUD! (worse than any of the beater cars I had as a teenager.) Somewhere along the exhaust piping; a rust spot, seam, or connection must have broken. While praying it didn't collapse on the way, I made it into work and back to Allendale this morning.. (Sigh.) Merry Christmas.
This evening, I got a call inquiring on the condition (since it is our only car).
Between the whirring water pump and the exhaust surprise, I was told to
"bring it into a local garage to get it fixed." It would be taken care of as our Christmas present..
What a humbling experience. I can't express our gratitude and thankfulness enough.. (Especially the difficulty I'm experiencing by typing this out.. I think Grace got something sticky in-between the keyboard spacebar)
I'll be calling Tollmans or the shop across from Grand Valley first thing in the morning and hoping that I can get it in immediately so it'll be ready for going back into work Friday night.
To the person whom I'm speaking of above: Thank-you from the bottom of our hearts. You may never understand the depth and impact of this random blessing.__________________________________________________________I was so grateful to get home this morning from the E.R. (Besides because of the obvious) Some days are real good. Some are rather unpleasant. When I spend the entire day (night) dropping foley caths into every third patient, participating in multiple pediatric sepsis workups and L.P.s' (spinal taps) ect. the days pretty much bite.
The past two days I've had some really great cases and actually was able to help genuinely sick people. -Not being sarcastic, but what I mean by that is the other 85% of patients that don't belong in the E.R. but use it as a detox clinic or drug seekers, or drunks, or simple frequent visitors that use the E.R. for everything from a runny nose, rug burn, UTI, headache, abdominal pain, constipation, nausea, whatever. You get the picture.
One particularly challenging case that stands out was a 68 y/o female brought in by EMS that was complaining of vertigo/lightheadedness. No significant history, but could have been clinically dx'd as a COPD'r. She was actually really quite sick. Her blood pressure was bottomed out (hence the lightheadedness and fall) She had some kind of funky systemic infection that we couldn't pin down. We had to treat her vitals first and foremost. The way her verbal responses were, and level of consciousness was, she appeared not as bad as she really clinically presented.
Her B.P. hovered around 80/30ish, she was throwing ectopy (heart dysrythmias), and her Oxygen sats were only in the mid to high eighties on 4 liters of O2. After the fluids and I.V. antibiotics she was still hypotensive, so we started her on dopamine. (Dopa is causes vasoconstriction. "The smaller the container, the less volume needed", the greater the blood pressure) ...She wasn't responding well to the dosing so we up'd it as much as the peripheral line could take.
We started a central line (femoral vein) which I always like to assist with.. -Got the line on the first attempt, and increased the dop with minimal response from her. I have to confess, I'm really glad she made it to the ICU without crashing on us on the way. She's a nice lady. I hope she makes it through the holidays, and maybe even improves enough to recover. I hesitate to even guess how her prognosis goes. She was alot worse than her family was aware of.. and incidentally, a parent of someone that was a year ahead of me back in High School. Generally, If I recognise a patient or family member from the past; rarely, if ever, do I identify myself outside of what is on my badge. If they figure it out, (who I am) that's fine. If not, thats fine as well. It's better to keep it jovial but professional.. especially if there's a negative outcome. ...Besides, it's more fun to watch someone trying to figure out who I am without them literally asking and allows for anonymously blessing through actions instead of words.
Time to go. Noah is beginning to sqawk.. Time for his 1:00am feeding..
-C