it was another interesting night. well one thing thats really bugging me - i think i want to get out of going to 11 tto 11. i feel stupid but i think i shud tell peter ill just stay on nights.
we have been quiet after mn for this whole month and our staffing has been better. also we got a manager whos name is XXXXX XXXXX while i dont trust her she did a solid favor for me yest. i came in and colleen gave me a pt who was like on the verge of death. i said to her uh this guys going to die. he sin cold shock. we go and his bp i 40s/ 20s. i start pouring another bolus of saline into him but hes 89 yrs old and hes onto his 5th liter. now you need 3 liters to squeeze with pressors to maintain a bp. but for a 90 yr old guy.. 5 liters can kill him b/c he wont get that fluid out. and he wasnt. he had alm sot no urine which means his blood was shunting to his heart ;ungs brain and his kidney s are failing. i walk over to dr b and say joe i need a central line pls tell me you took over for dr so nd so. he says who is it? i tell him and he says set me up. i sai dok thanks. i tell an aide to set it up as a pt who was incorrectly triaged as a level 4 which is like an equivelant to a cold... well they call a stroke code while imt rying to get this guy straight. i run over and i see my new pt freaking out saying she blind in her right eye and her arm is numb. shes 35 yrs old. i start trying to calm her but her and her mother just get nastier and nastier with me. i take a deep breath and the dr whos doing this thing is the stupid female dr who get sall excited. not a good match pt to dr. two hysterical females.
they clear the ct scan table and shes in, im trying to stabilize the other guy and meredith says whats with him as she came to the stroke code. i tell her hes cold shock with no known origin of the sepsis. he has no white blood cell count and due to all of thsi im super concerned. she say yeah i am too. dr b finished the line she says ok ill be back. she goes and comes back shes moving my pt. i look at her quizzically and she says ... im taking your pt to geraldine. (shes a bitch btw.) so im like oh.. she said you shudnt be running two crashing pts. problem solved. i ssai doh thx. and i actually felt.. like my manager cared. i wanst really overwhelmed ill be honest. i had other pts on top of them and i looked at all of them.. and i was like im in 2 emergencies ill be back.
so the neurologist came and i had already called mri for her to go.. and i had given her a whole bunch of meds... and he seemed impressed. he came out of the room and said wow you got this thx. i said oh its ok.. and i sai ddr i think she has an ocular migraine. he said so do i. and shes panicking. i said yes i know. we laughed a little b/c i said she refused her rectal temp all indignant, like i get my jollies from doing rectal temps.. he laughed and said she seemed hi maintenance. he asked if she had a lumbar puncture done and i sai dno, but she had a ct scan and is going for an mri.. she shudnt need an lumbar puncture. he sai dyoure right i just ddnt know if they had already done it..
i sai dno i told the dr she needs to go to mri theyr closing and the scan is more important. he said i agree.
well we were wrong. she has lesions that are suggestive of ms. she of course freaked out.
she was very demanding but i tried my best to calm her.
jeff was on. i guess hes been in he icu. he was very flirty and i didnt fall too much into it really.
we were kinda quiet and hd time to talk.. we bullshitted, and red head jen had her hair all stuck on her nsg jacket and her stthescope, i said turn around and i pulled all her hair out so it would hang - she has a ton of hair and its strawberry blonde(shes really pretty..) and jeff said oh shit that was hot.. keep doing that.. jen said whatd he say? i said he said that were hot., she started laughing and said hes a pig. i said of course he is..
later terri was talking to him she had been sitting next to me and then all of a sudden i hadnt seen her for awhile.. i look over and shes sitting on the other side talking to jeff. i throw a paper clip and it flies in front of her. she looks in my direction and im like wtf? im all worried like wheres terri? and youre over there? you just ditch me?
she says well jeffs cuter than you. jeff is laughing and i say oh thx..
i go back to my seat.. and hey both come over.. he puts his arm on me and say jealous sweetie? i said what? no. (and jealous of who btw..? him or? or her?) terris like im kidding i say i knw. im fine. i still think you shud pick me over jeff at any time. just cuz im awesome.
thyere laughing and jeff says oh baby come on.. youve just spent the night with me... he has his hand on my upper arm.. and im kind of worming away a little. i say well you just spent the night with alot of people. male and female.
dr b comes over and makes a move i was hoping he would he put his hands on me in front of jeff. he tells me about a pt and i say ok. he hadnt been feeling well an i said any better? he said no. i said i can give youa shot of bentyl. so he says maybe later. then he says reluctantly .. ok. (dr b was having tummy troubles) i said ok lets go, jeff is rihght there and he seemed very surprised. i get up go and get the med and give it - an im injection to dr b. i was talking like i do when i do procedures and i say ok relax and quickly give it to him. i sai dok youre done and dr b says you are? i say yes. he says i didnt even feel it. i sai d yes im taht good. he asked how i did that and i told him it was magic..
i went back to my desk and jeff says whats that about? i sai ddr b doesnt feel well. he said no he put his hands on you. i sai dno he didnt . he sai dyes he did. i said i dont know what youre talking about. terri said oh thats her work husband. i rolled my eyes and i said arent your patients critically ill? wtf.
so they keep needling me and i say look i like joe toomuch to call him my husband. jeff goes oh shit and is laughing. i said plus.. hes not married.
no screwing around with people who arents married if youre not married. we were all laughing and dr b came over and says whats up? i said do you introduce me as your future ex wife to people? he says yes.. i do.. lol.
dr b seemed unfazed by jeff in any way and i dont knwo if he really didnt notice him or just didnt care..
dr b said he was feeling better and i sai d good,
dr b walked away and we were doing something else - jeff needed a doppler and came over while i was working and said do you guys have adoppler? i sai dyes.. im still typing just to finish give me a sec.. he put his hand or like one finger on my upper arm and was stroking my arm very suggestively soemhow.
i asked another nurse tto get it for him.
he told me i wouldnt want to get on your bad side and i said why? (i had shot him down a few times.. ) and he said cuz youre tough. i said im not tough. (just what agirl wants to hear..)
meanwhile i had askeed rob to call and find out if the body shop in queens can work out a deal for the deducible like build it into the price. so he says the owman called n said the inspector can see it at the shop. so i say well did tthey say theyll build the deductible in to the price? so he says o i dont know. so i said well im not dropping it there til i know ottherwise ill bring it to honda. he says well call n give the claim number set up the time well drop the car n ask about the deductible. so i say why cant you? n were in a huge fight now. he sad ask how the guys doing etc n then say what can u do for us about the deductible? i said ook ill just call honda and schedule it for next week. i have to wait for the next paycheck to py for it. so it got ugly n i told him how he makes me feel bad and never says anything nice to me. and he always cristiscizes me and he said im dumping the finances on him b/c then when we lose the house itll be his fault and i cna blame him. if he thinks i suck at the finances all i can do is offer for him to do them then. what else can i say? i told him he never says i look nice and that doenst exactly make me want to jump into bed with him. and he told me how im not interested and do the bare minumum with him and his games. i told him that i do dall these things and i have only critiscism - and i make all the shopping lists and get most of the stuff, plan all the parties/ holidays we have, go thru all the mail, organize the finances, pack the kids every week, all the bills, presents, thank yu cards, invitations, palydates every drs appt, oil change for the cars, do all the laundry, half of the dishwasher, etc.
and he said he never has asked me to give kate any parties or to go to disney, so i said fine well canclk her party. so he says no youre not making me the monster who cancelled her party. i said no ill tell everyone i made a mistake- im the monster who everyone hates anyway. well lose the deposit but its better than paying another $600 for the party. and he said no ill have to keep working ot to pay for it. and i told him hes so f**king mean, i work nights and make night premium. i never take a lunch break, almost never leave on time. i went back at 8 weeks postpartum. and well, im just so hurt.
i never thought he wouldnt want to have aparty for kate. and he told me we cnat have a christening for andrew either. and im going to go now cuz i started to get sick last night and im so tired. i cnat believe how awful he is. i really want to tell him to leave. ill figure this out on my own. i dont need this anymore.