My Strong Medicine

The adventures of a male nurse navigating through life, staying fit, surviving the journey.

Archive for December, 2008

Merry Christmas

Posted by Sean on December 23, 2008

I wanted to extend a happy and safe “Merry Christmas” to all my extended blogosphere family. May your hearts and homes be full of love and laughter.

The above video, even a year later, is still pretty darn cool. This home is apparently located somewhere in Ohio. I’ve read that this particular home owner no longer participates in this winter wonderland synchronized show. So please enjoy the nostalgia.

Merry Christmas my friends.

Carpe Diem

Posted in Uncategorized | 14 Comments »

The Master 'Why Holiday Shopping Sucks' List

Posted by Sean on December 22, 2008

I’ve decided the majority of my holiday gift shopping will be conducted on-line from this point forward. Shopping malls and departments stores are a breeding ground for tension headaches and mass hysteria during the holiday shopping season. And this environment only increases in severity exponentially as you draw nearer and nearer to the actual holiday.

These stores and their employees are not the only holiday half-wit’s out there. Your fellow shoppers out there add insult to injury with their equivocal tom-foolery.

Here is a list of why holiday shopping has become what Bobby Boucher‘s mom (Mama Boucher) would call, “THE DEVIL” :

  • Shoppers stopping in the middle of an aisle to talk (bringing traffic to a shocking stop)
  • Shoppers stopping at the entrance of the store to talk ( I mean seriously. Do you think you’re the only one in the store shopping?)
  • Shoppers leaving their shopping cart in the middle of a walkway that stops traffic
  • Parking space vultures (circle the parking lot looking for that ‘good’ parking spot)
  • Parking lot thieves (someone who darts into a parking spot you were approaching)
  • Turn-signal sitters (yeah, you know who they are. They sit and wait while you load up your car, de-ice your car, clean the snow off your car.. So they can have your parking spot. All the while holding up traffic down that lane of the parking lot)
  • Self checkout’s that never work properly (defeats the whole express concept)
  • Shopping carts with the one SQUEEKY WHEEL, or one bum wheel that doesn’t spin or turn
  • How about no shopping carts AT ALL in the store?
  • Shopping carts spilling out of the shopping cart coral into the parking lot (and into the side of your car)
  • Over-aggressive kiosk salespersons wanting you to try their product that don’t understand the words “No Thank You”
  • Stores that blare music so loud in the store you can’t hear yourself think
  • Stores that have so many clothing racks in one area you can’t navigate or walk properly, in an effort to maximize sales

Please feel free to add to this list in the comments section or email me directly. I will GLADLY add your item to this list.

HAPPY HOLIDAY SHOPPING!

Big Grin

Carpe Diem

Posted in random | Tagged: | 12 Comments »

Happiness is not Expensive

Posted by Sean on December 22, 2008

It will however take some effort and creativity.

Money does not buy you happiness, but it sure does make the journey a whole heck of a lot easier.

So what makes you happy? If it’s the finer things in life.. then maybe this is the wrong post to be reading.. Heh heh. Striaght Face

The key here being, find out what makes you happy. Is it your hobbies, is it your interests, is it friends & family, is it work? What ever it may be.. find it.. and then enhance it!

If your happiness is spending time with family and/or friends. Then start to schedule some events.. plan a couple outings. Make sure you keep in touch with what’s going on in their lives. Become involved.

If it’s your hobbies, make time for them. Schedule time for just you and your hobby at least 1-3 times per week.

The bottom line is, happiness is a state of mind, not a situational result. Choose your happiness, and choose to have more of those moments when you are your happiest.

Enjoy being happy. Because once you find your happiness, and can repeat the feeling and the flavor… it becomes an addicting habit! And like all other influences, your happiness will rub off onto those around you.. and before you know it.. your happy more often than not.

So how expensive is that?

Carpe Diem

Posted in Uncategorized | Tagged: | 8 Comments »

Speechless Sunday

Posted by Sean on December 21, 2008

image

Image Source: The Big Picture

Starting to float around the Blogosphere lately, they caught my eye courtesy of Movin’ Meat. They are The Big Pictures Year in Review 2008 Part 1, Part 2, and Part 3.

Speechless.

Carpe Diem

Posted in random | 8 Comments »

Apparently being a Good Samaritan is not so Good after all?

Posted by Sean on December 20, 2008

ABC News: Woman Sued for Rescue Effort in Car Crash

The Good Samaritan Law :

They are intended to reduce bystanders’ hesitation to assist, for fear of being sued or prosecuted for unintentional injury or wrongful death.

It seems that they are attempting to redefine the wording and definition of this law. Now Good Samaritans are only immune to unintended harm if they are providing medical care, not just simple safety assistance.

So if you are providing CPR you are not liable, but if you are pulling someone out of a fire, or a pool of water, and they get injured unintentionally. You can be sued.

I am a Red Cross volunteer, and I am an instructor for a myriad of classes, including First-Aid, CPR, etc. This is THE issue that has all of the pubic concerned.

If this really does happen. If this poor woman is found guilty in any way. I predict this will have a profound effect on how bystanders will view and act in future emergencies. And it will have a grave effect on the outcome of emergencies as we know it.

I fully understand why this woman is jaded and wants some validation for her injuries, but the reality is, it was an ACCIDENT. How can you truly justify that an innocent bystander (who was a co-worker!) INTENDED to cause you harm while trying to help you in your time of need.

Wow.

Carpe Diem

Posted in random | Tagged: , | 16 Comments »

Under Armoured Nursing

Posted by Sean on December 19, 2008

Temperature control is a major challenge in the nursing field.

In the surgical wing you have the extreme cold. It’s either cool, cold, or frigid depending on what stage of the peri-operative procedure you may be located. (FYI – the OR = frigid)

In the Critical Care setting the temperatures range from real cold to real hot. This depends on many factors. Everything from the patient themselves, the equipment in the room, the temperature outside the building, etc.

In the Medical-Surgical setting it’s equally vast and non-uniform. Each patient room will be a different temperature. Some rooms with 2 patients will be warm and tolerant, while the private rooms can be extreme cold or extreme heat.

In the Emergency setting, you have all the above listed variables, and then the ambient temperature and weather outside will affect your workspace since you work within close proximity of the entrance and exit doors.

Is your patient on isolation precautions? Well add everything already mentioned, mixed in with the probable stuffiness feeling you have. You’re level of ‘stuffiness’ will be dependent on what type of pathogen you’re isolating. Being gloved, gowned and with a mask can make that extremely hot room feel like a sauna.

Over the years these temperature changes have been a thorn in my side, since I’ve worked in just about all the above environments.

One of the many joys of working as a nurse is being able to wear scrubs. Unfortunately scrubs don’t provide a comfortable temperature medium for individuals like myself.

Here’s my problem. I sweat. I sweat a lot.

I rarely find myself being cool or cold, so just imagine how bad things get for me when the room and/or environment is already warm/hot.

I would always find myself sweating profusely during my day due to the constant temperature changes.

HOT -COLD- WARM – COOL – HOT- STUFFY

It was a constant circle.

What made it so bad was the shirts I would wear under my scrubs. I found out quickly that cotton was not my friend. I would sweat, dampen my shirt and then spend the remainder of the day in a semi-damp sticky shirt.

So polyester shirts became my friend, then sleeveless polyester shirts. Polyester was a step above the cotton, but I still had the lasting dampened shirt effects no matter how I prepared.

It got so bad at one point while I was working in the ICU, that I would bring 2 shirts for my 12hr shift.

(the only good thing about my hyperhidrosis was that I didn’t wreak the funk-da-fied stench of a garbage can. I just looked like I came out of a boiler room)

Oh, don’t forget, I’m also bald. I shave my head. So all that stuff would just run down my head.

Ooh I was quite the sight.

Managing my temperature was quite the challenge to say the very least. Until one day I was working with a fellow nurse who was wearing Under Armour under her scrubs?image

I can remember making fun of her wearing the clothes. “What are you a football player or something?”

“Since when did you become an athlete?” (yeah.. She didn’t like my teasing too much)

She proceeded to tell me her fiancé owned a shirt, and she wore it to work once. She fell in love with the fit, the feel and the fact that it kept her warm when she was cold, and kept her cool when she was warm.

(SAY WHAT?!)

I was intrigued to say the least.

So I went and bought a shirt that was on sale. (No, I won’t lie, the clothing line is not cheap)

I was hooked!

I was so hooked, that I was pissed off. I was mad. Why in the world had I not discovered this stuff before?! Who the heck has been keeping this a secret?!

It did exactly what she claimed. It kept me cool when I over heated. The quick-dry ‘moisture-wicking‘ effect actually cooled me down faster whenever I would sweat. And on the rare occasions that I was cool or even cold, it kept me warm!

Since that time I have acquired almost half a dozen Under Armour T-shirts for work, as well as a stocking cap and gloves. I now wear it at work, as well as at the gym. In fact I wear it as an undershirt when venturing out into the frozen tundra these days.(It eliminates that horribly cold updraft)

I’ve become a walking billboard for the company! I actually did some digging about the company. Some very interesting stuff.

I still get a lot of confused and comical reactions when other medical staff and patients see me with my Under Armour on. After I give them my sales pitch, they usually give me the, “I never thought of that” answer. In fact I have an anesthesiologist who swears by the clothing line after I suggested he try it.

For anyone who has the same temperature regulations difficulties that I did, you should really give it a try. Are you always cold at work? Are you always hot at work? Under Armour could be your ticket.

Oh and one final note, there are a lot of other ‘generic’ form fitting clothing lines out there. I’m here to tell you from personal experience, it’s not the same. Not at all.

This is one product I would proclaim is worth the money you have to spend on it. The cost-benefit analysis is unmatched!

Carpe Diem

Image Source: Under Armour

Posted in health, random | Tagged: , | 13 Comments »

Amazing Patients

Posted by Sean on December 19, 2008

The past two weeks I had the pleasure of taking care of a couple patients who exhibited a type of strength I wish we all could posses.

A 77 yr old patient (former nurse) was having knee arthroscopy. She had a history of extreme nausea and vomiting with previous surgeries when receiving general anesthesia, so she chose to have spinal anesthesia with the hopes of deterring her nausea.

I first of all found it unique to have a patient choose spinal anesthesia for such a moderate-minor procedure. Most patients I take care of who receive spinal anesthesia are getting major surgery (joint replacements, or intricate lower extremity osteotomy procedures)

Her recovery was progressing well, she was in great spirits and her anesthesia was wearing off in a quick manner. When all of a sudden she stopped speaking mid-sentence, gave me this pale-faced look of fear and calmly said, "I’m going to be sick".

When most patients tell you that, it’s usually too late. They uncontrollably vomit, or basically succumb to the body’s need for removal.

Not this patient.

She fought back her nausea like a champ. She grunted and groaned. She sat up in her cart, she leaned forward. She deep breathed. She did everything imaginable to prevent the event from happening.

In the mean time my co-worker and I were scurrying to get her some anti-emetics.

Unfortunately we didn’t deliver the med fast enough. By the time we began to push the IV med, she did have a very small emesis.

I told the patient, that is a level of courage and strength I have rarely seen. She was a trooper. She was bound and determined NOT to vomit. And just to see her tough it out was rather stoic.

I also had the pleasure of taking care of a 32 yr old patient who had a total knee arthroplasty. Yes, you read that right. 32 yr’s old having her knee replaced.

She unfortunately had advanced Rheumatoid Arthritis. And the disease basically gnawed her knee joints down to where she couldn’t walk properly, nor without extreme excruciating pain. So she was to have both knee’s replaced. One then the other.

You could see that the disease had beaten up most of her joints, Her hands had the typical swollen deformed look.

What impacted me was her demeanor and her attitude. After listening to her tell her story about her challenges and difficulties. How she was told she wouldn’t be able to do certain things and would be limited in most areas of life. How she was diagnosed with this disease as a teenager, and now in her early 30′s she’s battling her disease head on with these surgeries to enhance her quality of life.

I was in awe of her no-holds barred genuine personality. She was so appreciative of everything. She too had chosen the spinal anesthesia. And for the first time in her life, her legs didn’t hurt.

It was a very humbling experience. I didn’t want to discharge her out of the PACU. I wanted to keep talking with her. I wanted to give her as many pointers as possible to make sure she had the best recovery as possible.

I sometimes forget how lucky I am, how precious life really is, and how strong we all have to be to survive this rollercoaster we call life.

Carpe Diem

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JAY-KOOH?

Posted by Sean on December 19, 2008

I was typing up a blog post the other night, and for the life of me I could not remember what JCAHO stood for (the acronym).

I mean I KNOW what JCAHO is. Hell, any healthcare professional will give you that huffing SIGH anytime that word is mentioned.

But just like I have this tendency to accidently transpose the letters in HIPPA HIPAA, I didn’t want to make the same mistake with JACHO JCAHO.

So I turned to my beautiful wife (who is also an nurse) and asked her in my nonchalant manner, ” What does JACHO JCAHO stand for? What’s the acronym definition?”

She looked at me with an equally perplexed look I had given her.

“Joint ….?

Accredited…?

Commission…?

on the H. O?”

I had to burst out in laughter. We both laughed.

On the H. O. ? Really?

Sorry, once again simple medical humor.

(P.S. Love ya angel  Big Hug!)

Carpe Diem

Posted in health, humor | Tagged: , | 16 Comments »

Get Some Rest

Posted by Sean on December 17, 2008

I often hear this from patient’s and patient’s families.

"My doctor told me to get some rest"; "That’s why I’m in the hospital"

What?

Did you say get some rest?

My prompt reply is always, " Well, someone lied to you" as I hold back my cackle-like laugh.

I’m not sure if you know this or not, but we nurses have one of the worst duties some times.

In the middle of the night, it’s our responsibility to assess your condition and ensure your safety. And one of the ways we do that is by waking you up and taking your vital signs.

In fact, I jokingly say to the patient, "We have to wake you up to ask you if you’re sleeping? And if so, would you like something to help you sleep?"

Sorry, a lil’ nursing humor.

Carpe Diem

Posted in health, humor | Tagged: | 12 Comments »

Easy There.. Comeback Kid!

Posted by Sean on December 17, 2008

Yep we have all been there.

We hate to admit it, but we’re all going to be there at some point in our lives.

On the comeback trail.

Are you out of shape?

Have you been laid up?

Were you sick?

Were you injured?

Or maybe you’ve just been out of the ‘game’ for ‘just a spell’. (just a spell = years)

For me, it happened right out of high school, then again during college, and still again 2 years ago.

We lose our edge, and some how we slow down.. and …. we … become… out… of…. shape.

For most of us, life just simply got busy. For me, I was the former athlete turned healthcare professional.

No matter how you got there, you’re now in the same boat as everyone else. You’re making a comeback. You’re wanting to get back ‘into it’.

Whether it be exercising in general, or a more specific activity, we all make the same stupid mistake. Doh

For some reason we think our aging, un-taxed, un-tested bodies will perform the same way ‘we remember’ no matter what we’ve not been been doing!

Why do we blindly ‘pick up where we left off’?. Even if the time frame ‘left off’ is dated years back?

Time and time again, we’re stubborn and idiotic enough to run, jump, push, pull, twist, turn and lift our bodies in a previous manner thinking just because we could do it once before at some point in our lives we can do it now.

Reality has a funny way of teaching us a lesson about our bodies. The lesson is usually painful, agonizing, and riddled with injury.

So instead of feeling good about ourselves because we’re ‘back in the game’. We’re using extremely colorful language to describe how ‘great’ we feel, and how ‘genius’ of an idea this whole ‘game’ really is.

All you comeback kids out there, listen up.

Start SLOWWWWWW. In fact, start SO slow that you don’t even feel like you’re in motion. Make your progression embarrassingly slow. You’ll be glad you did.

It’s better to move in a forward manner at a slow pace, then to blast forward initially and have your progress halted by pain and injury.

Slow is better than stop.

Carpe Diem

Posted in fitness | Tagged: | 4 Comments »

 
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