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I love my job!

6 Apr

Why I do what I do. I found out today.

On Friday, patient in acute “flash” pulmonary edema secondary to congestive heart failure and ischemia circles the drain in front of my face.
I looked at her first in the face. Confirmed the distress in her face. Forced her to look into my eyes and asked her to hold on, to stay with me, and that I could help her, but it will be fast and furious and no talking. (the connection has to be made in case the outcome is poor, for the sake of self preservation)
With the help of Attending Zorro MD–Pulmonary Especial in white (cape) coat and my comrades, the patient was stabilized with: Lasix, Morhine, Nitro, and BiPAP at the bedside. Impending intubation due to respiratory failure the patient safely transferred to Intensive Care to crash in a more controlled environment.

On Sunday my antagonist who actually happens to be my forever physiology and medical treatment mentor receives the same patient as ICU transfer

my world is rocked!
My mentor rejoices in “I have shown you the path young Jedi and on your own you have prevailed!” I am famous apparently!

I am in complete amazement.

Sky high.

Heart elation.

Love. :heart: (what a word)

I immediately make my way to her bedside that is surrounded by family members and happy faces.

I see her.

Breathing.

Smiling.

And she takes my hand,

And tells me.

“You saved my life.”

“I could not breath.”

“It was like a tornado as soon as you walked into my room that morning.”

She pulled me closer. She hugged me tightly. I held on longer. Then went into the breakroom to cry by myself.

It was so emotional exacerbated by working shift work on no sleep, no food, and massive doses of oral caffeine in the form of coffee.

And that is the first time

I ever
heard
those words.

And in full realization that not one person could really ever *save* one life that was not meant to be saved, but this time

it was.

And that has happened before with Nurse Fast Intervention.

but never before has it ever been remembered or sweetly reunited.

What a sweet reunion!

Those eyes of hers!

It is usually just “All in a days work” and blah. blah. blah. With conceited coolness.
Not This Time.

There is a humility here and the awareness that I was privileged to have the chance, the calmness, the knowledge, of what to do, how to do it, and the ability to relay that information to others, quickly. All quite naturally.

to get what I need for those who need.

Well, I just had to spread my infectious happiness.

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Who is Zorro MD?

1 Sep

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Just who is Zorro MD? 

In literature and movies there is the original Zorro, introduced in 1919 in a weekly magazine later released as the novel, “The Mark of Zorro.” There have been many movies featuring Zorro since then and they are usually about the original Zorro or descendants of Zorro or those taking on the mask and hence role of Zorro.As in literature and movies about Zorro, this website has many Zorro MDs as well. There is the original Zorro MD-whose personality and signature prompted the spontaneous idea and characterization of Zorro MD. The story is simple actually.

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 So who is Zorro MD?

The original Zorro MD was given the label Zorro based on his signature that seemed to be found in many of my patient’s charts, but I soon found out that Zorro was a great teacher, super nice, funny and did not mind being called “Zorro.” The original Zorro is the only one who knows about this character of Zorro MD–although the original Zorro does not know about this place.There have been a few more Zorros added to my list of Zorro MD since the original Zorro MD. Generally to be included under this fictional umbrella of Zorro MD the aspiring Zorro usually tends to be informative to patients and staff, teaching, and is nice. The kind of MD that informs the nurse of now orders because they are important: instead of coming back 2 hours later and screaming at the nurse see the comments by one reader here: http://www.grahamazon.com/2007/08/dont-make-me-be-an-intern/ (which I have to say thankfully no one has ever yelled at me!) That would just feel unprofessional. (And I would also doubt the competence of the yeller.)

Zorro would never yell at anyone. Zorro always leaves his in house cell number so that the nurse can call when clarification is needed, or anything, even if it is just reassurance.  Zorro is trusted.  Zorro is professional. Zorro is not perfect (no one is) but Zorro knows his stuff, and seems to somehow, cover everything. Zorro is funny. Zorro likes being called Zorro!  

To read more about Zorro MD: there is a category on the left side labeled Zorro. That is where references to Zorro can be found. Remember: There are many Zorros including the original Zorro and some of these Zorros are real, some are not. This is all apart of one creative endeavour. It is Zorroistic.

 

The Dog

24 Aug

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Meet Zorro dog.

This is one of the Therapy Dogs at the hospital.

( just kidding)

Your Liver

21 Aug

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The liver. I must admit does not excite me to much.  Most likely because I am still trying to understand so many other things.  It just so happened that one week (meaning 3 twelve hour shifts) which I will not admit when, I happened to be caring for two people at the same time with problems both related to cirrhosis of the liver.

During this time I observed: Mental deterioration.  Ascites, and care after paracentesis.  I was also informed by Zorro (one of the many Zorro’s I will not reveal which Zorro)  that I was also observing: Low SVR syndrome and Hepatopulmonary syndrome. I am still trying to understand the latter, as for low SVR syndrome, I “get” it but still do not understand why it is happening with liver problems.  For more info on these complications see the link: See Lesson 1 and Lesson 13 here:http://www.chestnet.org/education/online/pccu/vol14/index.php It helped me a bit.

I observed: fatigue, malaise, disorientations, distention, jaundice, itchy skin, shortness of breath.

I felt: sad and tired from repeating myself over and over with no verbalization of understanding. I was worried.

I felt: happy with decreasing ammonia levels and better understanding, better response and improved mental status.

Be nice to your liver it does alot!  The liver is in the right upper quad of the abdominal cavity!(yeah!) It helps regulate blood glucose. It converts the toxin Ammonia to urea. Protein metabolism. Fat metabolism. Vitamin and Iron storage. Drug metabolism. Bile Formation. Bilirubin extretion(which seems cyclic).

And all this is the reason for this latest artwork above titled: your liver. Don’t forget to click on the liver to make it bigger!

 

Impressions

20 Aug

Impression

  1. Ascites secondary to #2
  2. Cirrhosis secondary to #3
  3. Alchohol Abuse
  4. Respiratory insufficiency secondary to #1

(zorro MD)

Zorro MD and his magic horseshoe magnet

16 Aug

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Patient is confused and sitting in a chair in the hallway at the nurses station.

Zorro MD is over by the patient and decides to check confused patients pacemaker.

New nurse Jane is sitting in the nurses station near the monitors at a computer chart checking (almost time to go home.)

Zorro MD, “Nurse, what is this patients heart rate/rhythm on the monitor?”

Zorro MD whips out this huge horseshoe magnet.

Nurse Jane just wondering thinking this MD is some eccentric weirdo.

Zorro MD puts his handy horseshoe magnet back into his pocket and walks away from the patient, and the pacemaker.

 

Continue reading

zorro MD

12 Aug

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This is not a forgery. This is the signature of the imaginary Zorro MD.  This signature is a piece of art work! Inspired by the REAL Zorro MD, who of course does not exist, but has the greatest signature I have ever seen.  Of course it does not look like my rendition, but abstractly I am expressing.  

This is all based on one doctors signature that was really artistic looking.  Of course I will not reveal the name of that doctor, or the looks of the really artistic signature.