Monday, August 31, 2009

Nursing Science 20



This is the beginning of week three for Charlene's second RN course. She's taking NS20, a real toughie. If she thought NS10 was bad, they're trying to bury her in NS20. More and thicker textbooks, more paperwork, more and involved details, more meds to learn. Yea, she's gotta know what pills are what, the dosage, what they are for, precautions, warnings, etc. After just two full weeks, I think she has to know more than an MD in training. Study is the name of the game. Morning, noon and night. We see her but cannot talk to her. Charlene is one of those who doesn't multi-task well. Actually, not at all. Her focus is on her studies and she absolutely cannot talk to us while that is in progress. If the house was on fire, terrorists were attacking, a runaway bulldozer was headed toward the house, we'd have to run to her study hall (it moves throughout the house), raise our hand, wait for her to finish her line of thought/writing and they calmly explain that she has five seconds to get out of the house and away from danger. Just the way it works and we've gotten used to it. Her hour long baths, which used to be for R&R, now include textbooks. Since I've been off work for the last 2 weeks (and two more to go), I try to help out where I can with such things as laundry, cooking, cleaning, taking Nic and Trav to and fro school, dishes, watering plants and yard. Man, woman's work is never ending! Sometimes I think, "I can't wait to get back to copier guy work".


Charlene is into Nursing Care Plans, doing her second one in as many weeks. In her college classes, she's working out of a different hospital (now at St. John's in Oxnard) and has had to learn all new computer programs to access patient care. It takes an extra twenty minutes to get there instead of the usual five minutes. Her instructors are very good, very approachable and very helpful so there's one good thing. The Nursing Care Plans are a royal pain in the butt. She's got to pick a patient, find out everything about that patient, find out all the meds the doctor has prescribed (and tell why), recommend all the hospital care necessary to help this patient get well. We're talking gobs of pages of technobable that even I don't understand. Her Care Plan from last week was 26 pages long, filled with writings, circles and arrows and lots of paragraphs and all sorts of mean, nasty medical stuff. Every week, another Care Plan. It takes about three days of all her time to do them. And that's in addition to the 23 hours of classes she also attends and then do that homework and study for those tests. Throughout her two month summer break , she had a required list of homework/reading assignments to do daily. School work for two months of no school. What a drag! No rest for the weary. I don't know how she keeps it up, week in, week out but we are all very proud of her.

Saturday, August 29, 2009

Still Dead

With the passing of Senator Ted Kennedy, I noticed that the media coverage has (temporarily) shifted from Michael Jackson to funeral coverage/life history of Ted Kennedy. I'm sure we will hear about this for weeks/months to come. He now joins 1) General Francisco Franco, 2) Elvis, 3) Princess Di and 4) Michael Jackson in still being dead, to quote Chevy Chase from the old SNL Weekend Update.....

Monday, August 24, 2009

I found this Inspiring






As we get older, we sometimes begin to doubt our ability to "make a difference" in the world. It is at these times that our hopes are boosted by the remarkable achievements of "seniors" who have found the courage to take on challenges that would make many of us wither. Harold Sclumberg is such a person.

I ask him, "What do old folks do now that they're retired'?

His reply was, "Well..I'm fortunate to have a chemical engineering background, and one of the things I enjoy most is turning Beer, Wine, Scotch and Margaritas into urine. And I'm pretty damn good at it, too!"

Saturday, August 22, 2009

The Hospital Stay, Part Two

After surgery and the Recovery Room, I got to my room and met with relatives, ate a TV dinner and drank stale coffee. I had a catheter for urine attached to a big bag hung on the side of my bed (Gross, huh? To me, too), a drain tube from my incision to a little clear plastic “grenade” pinned to the side of my gown and finally, an IV in my arm attached to one of those multi-box “doing its thing” IV machines. It was plugged into the wall outlet for power, had lights blinking, gauges and all. It force-fed my vein meds and fluids. At this time, the IV was force-feeding me the second of four bags of antibiotics, a big, clear bag of Lactated Ringer’s Solution and was attached to an “on demand” Morphine drip thing with "The Button". I’d heard wondrous things about this machine with it's "Magic Button" yet I rarely used it. I hated all these tubes and restrictions they imposed on my movement. Tried to sleep, to no avail. Unfortunately (or fortunately), after surgery, they come in and check your vitals every fifteen minutes for the first few hours. If you could sleep, it wouldn’t be for very long. No matter what I did, how I rested, one side or the other, I couldn't’t sleep. Things like, “Don’t roll that way dummy – you’ll squash your drain grenade”, "Ouch, don't turn that way, dummy, it hurts more" and "Don't turn that way, dummy, you're tangling all the tubes". Every little change in position forced me to watch out for all the tubes and grenade. As a matter of fact, I didn’t sleep for the next twenty-four hours. Just wasn't sleepy. Tired, defineatly, sleepy, no. Throughout the night, when a CNA came to check my vitals, I could hear them walk in, quiet as they tried. I would just raise an arm and say, “Vitals”. They’d do their job and be gone in a minute or two. Throughout the night, I was the best patient on the floor. No whining, no “nurse call-light” button pushing. In the almost two days after surgery, before I was released, I never pushed the button once. Charlene taught me well.

About 8 A.M. Saturday, I called home and talked to Charlene. I let her know I was fine and being a model prisoner. A generic breakfast came and I devoured it all, including the hot tea (no coffee with a generic meal). I filled out my meal request for the next two days and watched TV or read magazines or just laid on my side. Charlene, Nic, Trav and Cuz’n Kent came in about 10:30 that morning with a Venti Starbucks Black Coffee. Oooh! It was like heaven. Cuz'n Kent brought a beautiful fancy potted plant and Charlene brought one of our Cleome blossoms. We had a good time for an hour or so and they returned home. I couldn’t sleep. Back to TV, magazines and vitals. Lunch came (just tea again) but I devoured it. I was gaining strength and energy. Three and a half days of clear liquid diet had defineatly ended. Then, they came in to give me instructions on how to sit up safely (barrel roll, they called it). It was time to see if I could walk. Nurse on one side, pushing my IV stand with one hand, other hand holding the giant belt around my chest should something go wrong. The CNA was on my other side, carrying my catheter drain bag with one hand, holding my arm with the other. It was wonderful to be mobile again. Really, really sore lower back but wonderful. All the tubes made it a hassle but I didn’t care – I was vertical and mobile. They had a step platform in the hallway for me to practice going up a step and coming back down on the other side. I almost dragged both of them. I wanted to walk and they purposely slowed me down. They didn’t understand that in the first time in almost a year, I could stand up straight and walk, both without pain and having both my legs going numb quickly. A really, really sore back, but no killer pain, no numbness. Once around the “block” and back to bed. I requested and insisted they remove the catheter. Approval came a hour later and it was removed. One tube down, two to go. It was the worst tube of all, though. My surgeon came in and checked everything and was surprised how well I was recovering. He said that after my 4th and last bag of antibiotics was finished, they could remove the IV. That would come a few hours later.


Charlene worked the surgery floor that evening but they purposely assigned someone else to take care of me. Something about hospital policy. She came in and saw me when she could but was very busy with her patients. Around 6 P.M., I got approval to walk by myself whenever I wanted. Cool. I would just unplug the IV “maze on wheels” power cord, wrap my tube and power cord around one of the magic injection boxes and it would be "Me and IV" taking a stroll. I was a busy walker, seeing Charlene now and then . I’d go “around the block” several times until my back told me, “Enough for now, Idiot”. I would return to bed and lay horizontal for a while. As the evening wore on, I walked more often, probably a quarter mile that night. I even ‘buddy-walked” with someone who was recovering from surgery the previous day. That was nice for both of us, pushing our IV’s, talking. Dinner was served and I gobbled it down with cafeteria coffee which was barely “OK” (said in a whiny voice). Finally, after my fourth bag of antibiotics dried up, they removed the IV. Two tubes down, one to go. Then shear exhaustion hit and I could sleep sporadically. About 11:30 P.M., Charlene stopped in to say Good-bye and left for the night. I slept off and on throughout the night. When I sensed a CNA was coming in to check vitals I would sleepily raise an arm, get checked and go back to my off-and-on pattern of sleep.

About 7 Sunday morning I heard someone come in and raised my arm for vitals but it was my surgeon. He checked me over, pronounced me better than expected and removed my drain tube. Any of you that have had drain tubes removed know the procedure. They pull it real hard, real fast. Hurts like hell for a few minutes but I just replaced the pain with the thought that I was free of all tubes. We talked and he answered my questions. I also ask the Doc if I could go home now and he replied that since I was doing much better than expected he saw no reason for me to stay. He wrote a prescription for strong painkillers (which I have yet to open) and gave the nurses instructions for my release. Extremely cool! I called Charlene and told her the great news but that I had to wait until after breakfast was served for it to happen (it’s a busy time with meals). My army of relatives showed up around 10-ish and I was out the door and home again.


In the week since, I’ve gotten less sore, enjoyed walking a lot, heard Charlene tell me, “You can’t do that, you just had surgery” about a million times. I sat her down and explained that I have to be back to work in 4 weeks in a healthy, hardy body. I cannot jeopardize that and knew my limitations imposed by my surgeon and the pain. But she still watches me like a hawk. Her college classes started Monday. I’m usually the ‘alarm clock’ guy in the mornings so Monday, Tuesday and Wednesday, I got her up at 5 A.M. for her to get ready for her “Nursing 20” classes. She has to be at the hospital in "dress whites" by 6:30 A.M. three days a week until mid-afternoon. I made her breakfast the first two days which drove her crazy. It made no sense to her that I was up cooking instead on flat on my back. My body enjoyed the activity. In the evenings, I’d take Nic or Trav with me for a walk down the street and back after dark. It was good to be able to walk again. Now, Saturday a week later, I can stay up for hours before I need to lay down and rest a less-sore back. I’ve driven my standard shift truck since Thursday with no ill effects. Last night, we all went for a walk around the block, something I haven’t been able to do for almost a year. This morning, Charlene and I went to the downtown Farmers’ Market for a half hour of sampling and buying things.
I must be doing something right or I have help from ‘above’ as I still exceed all recovery expectations, even mine.

Politics Gone Astray

I've been doing the "e-mail" stuff since the early 90's and one constant flows throughout the years: Political E-mails. It finally dawned on me that the same people that sent me the "I despise President Bill Clinton" e-mails for 2 terms also sent me the "I hate President George Bush" e-mails for 2 terms. Now, for the past 7 months, these same people are sending me the "I hate President Barack Obama" e-mails.

To those people, two suggestion:
First, quit sending me the "I hate President (insert name here)" e-mails as I never read them, I just delete them. What a waste of good electrons.
Second, instead of whining, vote! Get out and campaign for the person you want elected. I'll read your "I love President (insert name here)" e-mails because I know you'll have worked your butt off helping to get them elected and you'll have gotten that "hate" stuff out of your system..........

Friday, August 21, 2009

Surgery, why?

Well, here it is, a week after surgery and people are wondering, "How's it going, Copier guy?" It goes much better than I expected. It goes much better than the nurses, surgeon and family expected. Before surgery, I was apprehensive about the recovery, not the surgery. I wanted this surgery! Before surgery, every morning became a new adventure in pain. Excruciating, debilitating pain. No matter how cautious I was, it would hit - and hit hard. Even in the middle of taking a step. Some of you had seen me when it hit and offered to assist but there wasn't anything you could do. Nerves were being severely pinched, even for a second and it would take 5-10 minutes for that to subside. This would go on for several hours every morning before I was "work functional". Resting just prolonged the progress to "work functional". The only relief would have been heavy duty narcotics which would have floored me, something I didn't want. I just started getting up hours earlier to get me through the transistion from Night Gravity to Morning Gravity. My Neurosurgeon, Doctor Alberstone, had a very heavy schedule and put my surgery 35 days ahead. I really didn't think I could go that long. Mentally, I crossed each day off an imaginary calendar as the surgery date got closer. I had a talk with my subconscious and struck a deal that it would help keep me out of known position that brought on the extreme pain. For the most part, it worked. Mostly good mornings, some with really bad "Morning Gravity" as I came to call it. Three days before surgery, I put myself on a "clear liquid diet" to avoid having nurses to bring bedpans and wipe my butt for the first few days after surgery. (It worked great but, man, oh man, was I starving for solid food.) Black Cherry Jell-o and clear fruit juice gets really annoying after three days. The surgery was postponed for almost 5 hours as the 2 hour surgery before mine went slowly. Charlene sent a hilarious e-mail to most of you about me begging for coffee in pre-op, trying to bribe for coffee in pre-op, even grabbing a "pre-op Doctor's Orders" form next to my bed and writing down that Dr. Albestone ordered Starbucks coffee for me prior to surgery. I forged his name and gave it to the pre-op nurse. She thought it was funny and threatened to turn me in if I didn't stop demanding coffee. Finally, the Anesthesiologist came in, did his talk, ordered a "put this idiot asleep" shot. I was down like a dog at a vet's office. My surgeon came in, talked with Charlene, marked the spot with a Sharpie and left for the O.R. The surgery, which was supposed to be 2 hours long, ended up being over 4 hours. Great Surgeon, great job, it's just that he had a lot more work to do on this old back of mine than was initially expected. Working around the spinal cord means you gotta be real careful, which he was. He did a totally excellent job (to quote "Bill and Ted"). I'm glad he took the time to do it right. Hey, I didn't know, I was asleep. I came to in the recovery room, not really groggy, just thirsty. I ask for coffee, they refused. I ask for ice chips, they countered with a glycerin swab (I refused - I mean, how do you drink a glycerin swab? That would be worse than a fish bone caught in your throat). After about an hour of me whining, they took me to my room. I've already written about that night (see "The Hospital Stay, Part One" below).

Wednesday, August 19, 2009

Posting "Comments" Problems Resolved


Charlene tried to post a comment on my blog and ran into all sorts of hassles. I checked my settings and, oops, I had some things wrong. I did the 'check everything, dummy' routine and posting your biting, sarcastic comments should be easy, now with no sign-ups, etc. I blame all this on 'The Cat". Since I'm home 24 hours a day, she's become my shadow. I can't go anywhere without her scurrying along beside me. If I'm at the computer, it's up in my lap. I'm limited to one arm computing as the other is part of the nest, I guess. I took this picture of her, sound asleep even after reaching for the camera case, removing it, turning it on, replacing the batteries and then turning it on, again. This was the 2nd flash photo I took, neither of which woke her.
Check back to the blog from time to time, leave your comments. Maybe my writing will improve with just one arm.
.........one armed guy with a really, really sore back

Tuesday, August 18, 2009

I get no respect.......

For days before and after my back surgery, family and friends have called, written and e-mailed 'best wishes' for a successful outcome. At work, there's only one guy older than me. I always kid him that since he retired (but still comes to work and sells copiers) he sells more 'boxes' than he ever did before. A pretty true statement. As I said, he's an old fart, more wrinkled than me (hard to believe) and has an enjoyably warped sense of humor. I got the following e-mail from him today:

"Kelly, Sorry I'm so late in getting a line off to you. Someone said your were dead so why waste the time. I hope the sex change operation went smoothly. At least know you will have a reason to wear that stud in your ear. Take it easy on the "med's", they can develop into bad habits that you can't afford. Well this is about as cheery as I get. So take it easy, get back on your feet, and hope to see you soon.
Gary"

The Hospital Stay, Part One

Not a lot to say about the surgery itself. I mean, hell, how would I know about it, I was asleep. I just woke up really, really sore and needing coffee. Again, that coffee thing. They wouldn't give me any for 16 hours before surgery and now that I'm through with surgery, got a catheter inserted so I won't pee myself, still no coffee. I haven't had coffee for almost 24 hours and it's driving me crazy. And, I'm starving. I want food and coffee. Not necessarily in that order. After an hour or so, they wheel me up to my room where Charlene, Nic, Trav and Cuz'n Kent are waiting. I'm glad to see them and vice-versa. After a bunch of whining, the nurses tell Charlene that I can have coffee and food if she fetches it and promises to clean up the area if I barf. This happens to be Charlene's surgery floor where she plays CNA on the weekends. She grabs some spare coffee and a frozen TV Dinner and puts them in front of me. Really nasty, old, stale coffee but I don't care, it's COFFEE!. I've been fed and coffee'd and then exhaustion hits. The family promises to stop by tomorrow and bring some fresh Starbucks coffee. I bid them good-bye and try to sleep.........

Monday, August 17, 2009

The Beginning

Just had some major back surgery and have some time on my hands. Charlene (my wifey-pooh) won't let me do anything strenuous to allow the surgery to heal so I figured I'd start a blog and annoy the rest of the world. Hey, as long as my fingers don't weigh more than 10 pounds, I can lift them with my doctor's approval and type away. I haven't given much thought about what to write as this idea just popped into my head and I started it immediately. I'll sleep on it and hopefully know what to do in the morning.