Thursday, January 31, 2008
His workup indicated a super-elevated white count (systemic infection), chest xray indicated pneumonia, influenza swab indicated positive for influenza type A and B, and his blood pressure was crashing at 70/30.
After two neb treatments and 50% O2, he was still hypoxic and getting worse. He was working just too hard to breath to sustain himself for much longer (and he was a full code), so we intubated him and aggressively worked the symptomatic and base issues at hand.
The whole idea is to get him on life support as a 'bridge' until the antibiotics have a chance to work and his body can heal enough to sustain the rest of the healing process and overcome the viral infection. --This is all great stuff; and I even had the chance to openly and verbally pray over him while I was working on him, ..but at the same time, earlier, I was one of the ones getting coughed and hacked on...
-A few of us were comparing notes and have agreed. If we don't get influenza, or worse after this exposure.... Our immune systems have developed into 'mad-crazy-strong.' levels of protection. : /
-Not sure if you remember last October? -When nearly the same thing happened and I ended up getting my family sick AND dealing with pneumonia myself for a month. -Now, with a couple kiddos in the house; it's something I don't want to repeat.
SO, -I'm trying to keep it clean. ie; Disinfect myself after crappy days (like the past three earlier this week.) And hopefully finally get to hold the kids w/o infecting them after weeks like this at work. (Mind you, Grace has only had ONE ear infection in her entire life!.... ----It's prayer, good genes, and me; ..bringing home exposures from work early in life that have made her immune system bionic strong.!) ..Or, at least that's what I like to believe...
For now, I've got to go boil my cloths and shower at the car wash again... : (
Keep letting your kids eat dirt folks. It's great for your immunity!
For all of you who are living it up in the sunny tropic scenes; I just wanted to share yesterday's peaceful Michigan scenic route:
And wanted to remind you; "The sweet doesn't taste sweet without the sour." If you get lemons, make _ _ _ _ _ _ _ _ _ _.
Wednesday, January 30, 2008
...One of our attending Doc's already made two attempts at getting home and didn't make it. He said "it's not the slippery roads, it's the blowing, drifting, and gusting 50mph winds. Everything is a whiteout. He can't see where he's going. He's now catching three hours of sleep in a section of the E.R. that we close off at night.
AREAS OF NEAR BLIZZARD CONDITIONS WILL PERSIST THIS MORNING RESULTING IN HAZARDOUS TRAVEL CONDITIONS. STRONG WINDS GUSTS TO50 MPH COULD RESULT IN SCATTERED POWER OUTAGES. SUBZERO WINDCHILLS WILL CONTINUE INTO TONIGHT.ICE JAMS COULD RESULT IN ELEVATED RIVER LEVELS.
Folks.. I've got to tell you. I LOVE EXTREME WEATHER! -I always have! "Man against the elements".. It's awesome. It really shows us how minuscule and NOT in control that we really are as humans. -True challenging elements (not on a snowmobile or in a house) brings out what people are really made of. I might have gotten addicted to this type of challenge while in the Marine Corps and never grown out of it, but I find it facinating.
Even though I like it so much, I would like it even more if I didn't have to drive home through it. I don't want to be stuck here only to have to work again at 7pm.
Have a warm and safe morning.
Tuesday, January 29, 2008
Yesterday afternoon Grace excitedly led the family on a tour of ACS preschool. As soon as T mentioned "Do you want to go check out your school?" Grace was all thumbs up. I daresay as a daddy, I'm still digesting it. Even though she wouldn't be attending until fall, seeing the way Grace was marching forward with intent and excitement made me wonder "what happened to the little girl who was born too early and started her life with a feeding tube?" ..God has been gracious. She's an amazing little girl and I'm a very proud father.
As Tess and I were introduced, and introducing Grace to the secretary and Principal, Grace was eloquently drilling for boogers with her index finger more aggressively than I'd ever seen... -Yep. Showing off the incredible academic and motor skills we've taught her.
Breaking nasal contact we began our tour and did the question and answer thing. Grace noticed Ms. Maynard (a friend and Sunday school teacher at church) substituting for a music class at ACS.. of course Grace wanted to get her attention, so she kept running back to the music class peering in the glass door while picking up peoples instruments that were sitting on the hallway floor just outside the door. (I have to wonder if she was just peering in, or peering at her own reflection in the glass as she picked up the mammoth trumpet cases?). Either way, it was fun and entertaining.
After the conclusion of our afternoon adventure, and after I took my afternoon nap prior to heading back into work last night, Grace was watching me get ready for work. As she saw me put my 'black' pajamas (scrubs) on, her simple, quiet acknowledgement was, "Oh. Bye daddy. Bye."
Although sporadically busy, I'm glad it was generally a mellow night. Now that it's morning, I look forward to seeing the young academic, her little brother, and 'Mom the teacher'.
Monday, January 28, 2008
When you wear scrubs most of the week, the rest of your clothes appear much more appealing.. and much tighter. -I thought I was at my genetically possible max weight right about the time we started having problems with Noah's pregnancy, but I can confidently say that; "I, am a man that has always been able to defy the odds. The underdog. The limitations pusher.. and, I am the heaviest I've ever been in my life.." And women, if you were thinking that your the only ones victims of this, sorry.. your mistaken. The 'dudes' struggle with weight gain just as much as our counterparts.. We just don't vocalize it as much.
Yes, I could easily dismiss it as: "I work crazy hours; my bio-rhythms are off; I don't have a regimented eating pattern; I eat when I can; I already am on my feet at least 12 hours a day and walk at least six miles a day while at work.." But, that's clearly not enough. And excuses are poor explanations of why something avoidable occurred.
I've been kicking around the idea of getting back to instituting some radical weight control plan for some time now. I'm not a gambler, and I typically only accept plans that I have a high level of confidence in succeeding. (I just can't see myself being this heavy (or more) the rest of my life.) -After all, I don't want to have to buy all new suits when the time comes; and besides, I have to be somewhat intimidating to the future 'courtier' of my daughter..
Even though I'm blessed that God makes my weight gain proportionally easy to conceal; Beginning sometime this week, at the end of each of my posts, you'll see a numerical weight in pounds. -After I've reached my phase lines or goal, I'll share the method and exercises that I've used to trim down to where I want to be.
Speaking of odd schedule, it's 4:40am and time to feed Noah.
Have a great a.m.
Sunday, January 27, 2008
Saturday, January 26, 2008
Friday, January 25, 2008
BOCA RATON, Fla. (AP) — "Mike Huckabee's cash-strapped presidential campaign has scraped together enough money to run a new TV ad — in limited fashion.
The commercial, in which the Republican calls for abolishing the Internal Revenue Service, will air on national cable news channels over the next four days, campaign aides say. It will not, at this point, be seen on widely viewed broadcast channels in pricey Florida, which holds a Tuesday primary, or other states.
Huckabee, a former Arkansas governor and Baptist preacher, rallied evangelicals to win Iowa but has faced a string of defeats since the Jan. 3 caucuses. A South Carolina loss last week left his shoestring campaign hungry for money. Some staff left; others aren't getting paid.
The candidate acknowledged the financial troubles Tuesday.
He promised to remain in the race through the Florida primary, but his campaign schedule here has been very light and, unlike his chief rivals, he cannot afford to run TV ads in Florida's media markets. Mitt Romney, John McCain and Rudy Giuliani are pumping in some $1 million or more apiece on TV ads in the homestretch of the Florida race.
Recent polls show Huckabee trailing all three here. He ranks toward the top of some national surveys."
Bummer. After Iowa I was hoping he had a chance.
Thursday, January 24, 2008
Wednesday, January 23, 2008
- Teaspoon the little snowblower is to be renamed "Thunder". -Much more appropriate.
- We are looking into preschools' for Grace. Namely A-town Christian. -How did she ever get so far, so fast? (Shaking our heads)
- Noah is gaining weight like a double-rat recruit. (a skinny recruit that gets double rations). He's about ten pounds now.
- T is enthusiastically preparing for Friday's Craftnight at Lighthouse Community Church.. Finally.. A night out!!
- C is preparing for another night of adventures at Fictionville E.R.
- Molly is mere weeks away from getting off of her 'probationary pet' status. Enough said less she revert.
Tuesday, January 22, 2008
I can't be thankful enough for the fact that we even HAVE a snowblower. It's a single stage Toro that is at least 27 years old. Seriously. Toro screwed up residual sales when they made this workhorse. It never dies. (Lord, please don't let this one die because I said that..)
After I came in from the cold, Grace had a new trick to show me. Before I even knew what was happening, she was walking up my back. -We've got to get this kid into gymnastics. Her future post-olympic book deal would be enough to put her dear old mom and dad in a nice nursing home.. NOT! (Future Gold medal, maybe. a home, no way dude.)
Enjoy the rest of the afternoon. They say the lake effect snow is suppose to kick in now. Which is cool with me.. I've got the night off!
Monday, January 21, 2008
Truthfully, it was a pretty uneventful day around here. I've got the day off so it's pretty much catchup, cleanup, and playtime.
(Fictionville) E.R. pt. was wrestling with friends in an icy bar parking lot and fell causing the breaks. The front was poking through the skin.
Sunday, January 20, 2008
And the snow came. Last night the windchill dipped to -10F on Michigan's West Coast. This made for a nice, slow, night in the (Fictionville) Emergency Department. Generally, the only cases we had were genuine.. Mostly ETOH stupidity (car -vs- telephone pole, drink-fall-go-booms, ect) But they were all people who were pretty hurt.
The drive home was slow, but the snow was beautiful.. which is better than I can say for the situation on the roads right now; we just heard that a Michigan State Troops car was hit on I-196 and there were so many accidents in that area of highway GRPD closed it down. -Glad I'm finally home with Tess, Noah, and "Elvis" Grace, ...and off the roads.
Although it pains me to say this.. Lisiak and Krsnich families; For today, and just for today: GO PACKERS!
I'll post an amazingly disturbing open leg fracture film we worked on last night in Fictionville, later this afternoon after I get some sleep. (It was a really cool open left tib/fib).
Saturday, January 19, 2008
When I got into the house Grace was just waking up. She really sounds like crap. Croupy to be exact. I had to check my cheat-sheet to compare croup -vs- epiglottitis. It looks like croup. Barky cough, slow onset, low grade fever. All around yucky feeling. I don't think she'll be going to church tomorrow. -Keeping her at a somewhat safe distance from Noah is going to be a chore in itself.
Friday, January 18, 2008
Thursday, January 17, 2008
Wednesday, January 16, 2008
Last night, or two nights ago depending on your perspective (since it's after 12am and I'm taking a rest) our patient load was incredible. The most sad case of the night being one of the first. In 'Fictionville E.R.', we had a 19 month old pediatric patient that was bitten in the face by a dog. (Family pet). Rarely do I witness such tough patients as these kids that really have no idea what just happened except that they are in great pain.
The patient's face was disastrously mauled and we sent the child straight to the O.R. for plastics repair. -The first surgery of many to come.
I have absolutely no remorse anymore for preventing the opportunity of something like that taking place in our household last year when we had to let one of our more aggressive pets go. Protecting your kid is a parents number one job.
Tuesday, January 15, 2008
1. The pregnant 20 y/o female Marine that was recently reported missing from Camp Lejeune N.C., and the fellow Married Marine that purportedly raped her 8 1/2 months ago, still worked with her, was somehow involved in her missing, and is the key suspect in her, and her "fetus' " murder. ---Can that situation get any insidiously darker? The entire scenario makes me disgusted nearly to the point of nauseousness. If all involved couldn't avoid these dark turns by their faith, or own self respect; these young-people-turned-Marines should of at least resorted to the core values that were suppose to be instilled in them throughout recruit training and the formative months of their Marine Corps careers. -This is spiritual warfare at its ugliest, and young people who fell for the lies.
2. Hillary Clinton in a recent speech; "it took action by President Lyndon Johnson to realize the dream of Martin Luther King". A high value Clinton supporter gracefully restated for her, "she was merely saying that moral change has to be written into law. “That is the way the legislative process works in this nation
And that takes political leadership. Okay. I’ll accept that explanation, but let me understand this clearly..
If America’s social morals decrease generationally, (as they are doing) that, the new deprecation(s) needs to be liberally acknowledged, affirmed, and written into law to protect the new behavior just the same as if a positive moral insight such occurs such as when MLK was peacefully addressing inequality...?
According to many academias in power, there no longer is a moral 'right and wrong' outside of the civil and criminal written law..
This is to say that, the written law is interpreted and dictated by those in power whom are also charged with interpreting society’s moral change. *(‘Those’ being the Supreme Court Justices that are appointed only by the President of the United States.)
Dissecting completed human embryos for stem cell harvesting, forbading the logical moral compass by allowing the display of the Ten Commandments (because they might hint directively at what is originally, and definitively righteous), encouraging same gender 'marriage' to be ordained by the States (and ‘Christian’ churches), encouraging pre-natural demise of the elderly and sick by euthanasia, and allowing in utero euthanasia (abortion) because the convenience is a persons 'right'... All of this is now (or will be) voted to be “Okay”, because of societies moral change? -Don’t these things seem a bit blasphemous?
3. We must of course run our American corporate businesses 'ethically' because AMERICAN capitalism gives example of Democratic HOPE and light to the world... Mmmmm. Good ol’ American business ethics. –Again, seems a bit hypocritical. Let’s talk American.
· Tess and I purchased our home through a local mortgage company on 44th street. Our mortgage was sold to Principal Financial six months later. Nine months later CITIBANK purchased our mortgage from Principal Financial.
· CITIBANK is owned by CITIGROUP.
· All of Citigroup's 260,000 employees are to receive ethics training every year as part of a plan to avoid further repeats of the regulatory scandals that continue to dog the world's biggest financial firm.
· Citigroup Inc. lost almost $10 billion in last year's final three months, the largest quarterly deficit in the bank's 196-year history, and slashed its dividend as it recorded a mammoth write-down for bad bets on the mortgage industry.
· According to Yahoo! Finance, to cut expenses, CITIGROUP slashed 4,200 jobs in the fourth quarter in addition to the 17,000 layoffs announced in the spring, (Mostly American jobs.) But, the best is yet to come….
· To bolster its capital, the bank also said Tuesday it has lined up $12.5 billion in new investments from sovereign wealth funds and existing shareholders.
· That includes $6.88 billion from the Government of Singapore Investment Corp. for a 4 percent stake. Other investors were Capital Research Global Investors, Capital World Investors, the Kuwait Investment Authority, the New Jersey Division of Investment, shareholder Prince Alwaleed bin Talal of Saudi Arabia and former chief executive Sanford Weill and his family foundation.
· The $12.5 billion in fresh equity adds to the $7.5 billion that Citi got in November from the Abu Dhabi Investment Authority in exchange for a 4.9 percent stake in the company.
· So who really owns our A-town American Dream? ….Singapore, Kuwait, Saudi Arabia, Abu Dhabi, and other scrupulous foreign investors.
Things only seem hypocritical when the long-term consequence is exposed early, and the pain from the wrong outweighs the temporal euphoria of early gain.
On an individual level, if on close examination it seems wrong.. If deep inside someone’s conscience, it's getting the better of him or her.. It's because regardless of how hard, and how far, we try to push something away, we are hard wired with a conscience and soul that desires to please God.
On a corporate business or national level, I fear we have forgotten as American business people what it is even like to include God in our anticipated Return on Investment. –I suppose these things are to come to pass...