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Sunday, April 19, 2009

 

still don't

More conditions my patients have had that I'm glad I don't:

  • Huntington's disease. And a big honkin' meningioma as a "bonus".

  • Multiple enterocutaneous fistulas secondary to surgeries to treat colon cancer.

  • Diffuse large B-cell lymphoma - this was actually a patient who had undergone chemo in the past, and when it was discovered that the cancer was back, she declined further treatment and went on comfort care. She died on my shift.

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  • Wednesday, April 15, 2009

     

    therapeutic

    In nursing school, we spent a great deal of time discussing therapeutic communication. We were taught to validate feelings, express respect for the other person, and try to steer the conversation in a productive direction.

    Yesterday I heard the following interaction while out with a group of coworkers:

    Nurse 1: "You know that guy G*** with the possible mad cow disease, and how he's totally crazy?"

    Nurse 2: "Sure, yeah, he calls everyone "f*cking b*tch," right?"

    Nurse 1: "Yeah, that guy. The other day I gave him his meds and then asked him if there was anything else I could do for him, and he looked me straight in the eye and said, "Yes. You can suck my dick."

    Nurse 2: "HAHAHAHA! What did you say - "It sounds like you're feeling horny right now. Would you like to discuss those feelings?" "

    Nurse 1: "No, I just covered my mouth and ran out of the room because I couldn't stop laughing!"


    I love my coworkers.

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    Tuesday, April 07, 2009

     

    don't

    Recent diseases that my patients have had lately that I am glad I don't have myself:

    -Full blown AIDS with Kaposi's sarcoma and C.diff diarrhea as a bonus.
    -TTP and resultant amputations of both hands & both feet
    -completely out-of-touch with any kind of reality schizophrenia (and a foot infection)
    -Median arcuate ligament syndrome. (No, I'd never heard of it before, either.)
    -spontaneous pulmonary embolism for no apparent reason.

    I think this may become a recurring topic on my blog, since I find new conditions that I really don't want to have on a regular basis.

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