About Nurses

The nursing staff at Gwinnett Medical Duluth deserves some praise. While I was terribly miserable in the gerbil cage, they kept me laughing and entertained. I guess it comes with being young and not a complainer, but fairly often they would come into my room just to chat. So see terrible-awful Emory GenPop nursing staff, it's not me - it's YOU! 

It's here that, try as I may, I have accepted I'm never going to be able to connect with Asian nurses. The older the more difficult. Its cultural. You are their job. Filipino totally different. I recognize the accent. Talk about lumpia and throw out the only Tagalog word I know and I've got 'em! Yep, totally made it a game at this point. 

-10 points:  make the Asian nurse smile

-100 points:  make the Asian nurse laugh

-1 billion points:  Asian nurse gently removes a bandage

[Note:  Filipinos are Pacific Islanders not Asians, but I know...white people have difficulties distinguishing the two. If you're going to call them Asian, call them happy Asians. Watch Manny Pacquiao enter a boxing ring and you'll understand.]

It's here the nurses share hilarious stories about other patients. Like the guy that, not even kidding, asked the nurse for a back rub. I nearly laughed out the drain tube from that one. Or the man (not elderly, not paralyzed, no broken bone, or so much as a scratch on one arm) asked if the nurse was going to feed him his lunch. I was in such shock I couldn't even laugh. Either his wife does everything for him including wipe his butt, or the man is watching way too much porn!

It's here, that although I've heard it over and over, I start to accept that yes I am a positive person. And I can't quite understand why they tell me this. They always ask (because I'm young), I share my story (caregiver turned cancer patient), and they tell me I have a good attitude. Is it a feeling I project? Is it because I smile and make jokes? Or simply that I don't break down in tears? And in fact, on occasion, my story brings them to tears. Basically, show me the opposite so I can understand what a bad attitude looks like. 

It's here I get my first hug from a nurse because, while happy for me, she was sad to have me leave. And it's here I make it a challenge, 50 points per hug. 

Hospital for Days

Weekend hospitalists. Those in the know...KNOW! They don't understand your personal case, and they don't bother, so they give orders to take the most random junk meds that cause more harm than good. 

This time the hospitalist had a genius idea. I was anemic, so he ordered iron pills. Pills. Recall my visit with Dr. H, before all this started, was for an iron infusion. Well, I was stupid and took them knowing exactly what would happen. Stomach cramps, metal mouth, and because everything tastes like metal I loose my appetite. 

After three doses, I refuse to take anymore iron, but my appetite is already dead. And then the hospitalist freaks out because I'm not eating, so genius orders Ensure & sends in the hospital nutritionist. 

Ensure. Not sure if you've ever tried Ensure, I myself have only attempted the "juice" version. They should have named it Liquid Sand. It sucks all the moisture from your mouth and leaves behind a delicious gritty feeling. Lovely, right? Refused that asinine order without batting an eyelash. 

Oh, the poor nutritionist...

Before this tale you need to fully understand my mindset. I was admitted into the semi-ICU. At Gwinnett Medical Duluth, that means a room with windows for a door and a privacy curtain that no one fully closes when they exit. Basically an introvert's version of Hell. The drain tube made it terribly painful to move, so simply getting up and closing the curtain wasn't so simple (especially when attached to an IV pole). Hell I tell you. Visitors walking by looking into your room like you're a caged monkey. Pure Hell. Add in some nutty hospitalist's orders, and now the scene is fully set. 

I was not wearing my wig, so even if she hadn't reviewed my chart, it's pretty clear I've been on chemo. She asks why I'm not eating. Because everything tastes like metal. Because doc ordered iron pills that my personal doc wouldn't even think to prescribe. Oh boy, I gave her some attitude. She asks if I've lost weight recently. I'm not sure how I didn't bust out laughing, but I do turn and give Fred the "bitch lost her damn mind" look. (Sorry. That's what it's called. And you know that look because you have one yourself!) Eventually she leaves, probably thinking I'm pretty much the rudest person. Ever. Grace hit the escape button that day. 

Monday comes. Monday I'm told I'll get out Tuesday. Tuesday I'm told Wednesday. I'm getting frustrated. Stuck in a gerbil cage of a room with zero privacy loosing my mind. Tuesday night the social worker comes in and tells me Dr. H's office told her Friday. TEARS! Fred fills her in on why I'm crying. 

[We later find out the social worker flat out lied, and Dr. H's office never said Friday. In fact, she told them Friday because of paperwork she would need to file.]

Wednesday comes. Dr. H says it's up to the Russian (Dr. V, the infectious disease doctor). The Russian says I'm good to go, but wanted me to try a new antibiotic. One he wanted me to be using for several days, but never put in the order. 

My Aunt comes in for a visit, I get one IV bag in, the drain tube gets removed, and I'm out the door within maybe forty-five minutes. I'm scheduled to visit the Russian's office the next morning to pick up supplies, and learn the IV routine. 

Abscess Treatment Plan:  

IV antibiotic, 3 times/day, every 8 hours for four weeks. 

Meaning no chemo for at least six weeks. Meaning while I had everything perfectly scheduled, and my 12 rounds of chemo & reversal surgery would have been completed by year-end, that perfect schedule just blew up in my face. I wanted so desperately to start 2016 fresh. And more importantly, before our insurance deductible reset. So, after some tears, I edit my thought process:  I'll get my 12 rounds in & start 2016 chemo free!

Liver Surgery

To be completely honest, my memory of this hospital stay is hit or miss. I went into surgery praying they would use my port, but then they "didn't have the right needle". Emory University Hospital. Didn't have the right needle!? The same hospital the CDC sent Ebola patients. Rrright!? We made a deal, as long as the IV could be switched to port after surgery. It took 9 pokes before they even found a vein. Then as each vein failed during surgery, they had to find another. I awoke from surgery with an IV line in my wrist, elbow, and neck. Ever had an IV in your neck? 

The most. 

UNCOMFORTABLE. 

IV placement. 

Ever!

[Not even going to mention the super fun part when they removed the neck IV and the adhesive from the tape pulled my skin off.]

They were nice enough to start my IV drip for pain early, so I awoke from surgery in much less pain than usual. (I'm usually in non-existent tears "screaming" barely a whisper 10...it's a TEN!) By that evening I was able to comfortably sit in a bed side chair, and the next day I was out walking working hard toward a quick recovery.

And then it happened...

In every caregiver story, there is a moment that occurs that scares you to death. It's the moment you truly realize you hold someone else's life/death decision making powers. This was Fred's moment. And most of this comes from Fred...

The second night I fell asleep around 8:00 pm. The nurse tech came in an started taking my vitals. She notes my O2 levels dropped dramatically to around 35%. Normally they don't want O2 to fall below 90%. My right lung had collapsed. Fred quickly went to get help. I was hooked up to high capacity oxygen and moved into the ICU, where I awoke to another barrage of needles. I counted 26 pokes. "We only poke twice." Per nurse! (I can only imagine the call for backup and a line of nurses, 26/2 = 13 nurses.) I was out of it, I completely forgot I had been through surgery, and kept asking them (terrified) if this would change my surgery date. 

By the time the ICU doctor started asking the basic questions I was still out of it. Typical who is President, where did you go to school, do you have pets/what are their names. Snuggles & Seven. No...Seven & Dexter (Snuggles had passed a good five years ago). I looked at Fred terrified and in tears. 

Fun story. This doctor is the sister of an old high school friend. The Laird sisters have unmistakable piercing blue eyes. I could recognize that, but not recall my pets names. I think asking if she was who I thought she was put her at ease medically. 

My stay in ICU continued with more tests until they finally found the collapse was caused by a clot in my right lung. Just earned myself six months on blood thinner meds. After three days in ICU, I was moved to a regular room with regular nurses. In prison terms, general population. And in hospital terms, I'm pretty sure the experience is the same. 

I was going to go into a bitter diatribe about my stay and care in "general population", but I prefer not to go there. If you're stuck at Emory, you want the specialty floor & nurses. In general, my stay at Emory taught me to fight. I will not be poked another 26 times in a row while someone searches for a vein and refuses to use my port. It taught me I know my body better than anyone else, and it's okay to refuse meds. I will not take ridiculous meds that I know do more harm than good. 

Of course, when you're drugged, the fight gets harder, and that's where always having someone present to help you fight becomes necessary...

At one point our AC went out at home, and Fred had to leave to get it repaired before I was released. Enter our dear friend J. A friend that had her own health issues she had been fighting through the last two years (TWO YEARS!), but she dropped everything to stay with me while he was away. And fight we did! When the doctors made their rounds the next morning, I told them I was leaving that day and didn't care if it was AMA. I couldn't put up with the nursing staff one more day. 

Usually I don't make such a ruckus, and later apologized to the doctor. I explained the nurse care was frustrating, and the doctor really didn't seem too surprised. The day I was released, the nurse was fighting with the doctor in front of me. I mean, I don't know hospital policy, but fairly certain that's a no-no. In the very least it's classless, but a testament to the care I received in GenPop.