living forever isn't all that great

I'm not 88 or 95 years old.  I don't know what its like to be at that age.  One thing I wonder about is why do  a lot of the very elderly put themselves through all of these complicated medical procedures?  Like being resuscitated and going through a hypothermia therapy. The risk of TPA.  Being on dialysis.  Taking a chance on a major operation.

Is it because their children want them to? Are they afraid to die? So many people are uneducated about health care.  They don't realize that they may survive the procedure but it is the recovery process that will kill them.  They will develop complications.  Just being in a hospital environment exposes them to so much risk. The chances of them making it are minimal.

I hope by the time I reach that age, we have started to deal with the fact that we can't continue to keep our very elderly alive with  medical care that will only make them suffer in the end.  I hope, but I doubt it will happen.  We want to live forever
 

yup

wheelchair follies

This elderly confused man is picked up by medics on the street.  Here's the thing: He uses an electric wheelchair. Of course the medics can't take the wheelchair with them to the hospital....

So, what, you are asking will happen to the wheelchair?  It will be towed away like a car and
put in an impound lot.  Yeah, I'm not kidding.

I wonder if he will have to pay to get it out?  Chances are he doesn't have a van to cart his wheelchair home...now what?

this is what nurses really do

Happy Nurse Week to all of my fellow nurses who are heroes 24/7.

the reality of being an ER nurse

One of my co workers dropped a pearl of wisdom on me this weekend.  This might surprise you, but this is what she said: "Coming here has become a lot easier since I have decided that I hate this place".

Probably sounds funny to say it was a pearl of wisdom...but it  got me to thinkin'...  The first inclination when someone says that is to say: Why do you work here if you hate it? You should move on, etc. blah blah blah.  Then I realized what she was saying:  I hate it here, I'm going  to hate it here, but I have to work here for whatever personal reason I have and I accept that it will not ever be anything different, so I accept that.

That might sound cynical and negative, but at least it is realistic. I work it in a terrible environment. It is outdated, shabby, too small, noisy.  It makes my job harder.  Every day there is a new change, from charting to equipment to any other idiotic change that comes down from above. These are going to happen and I have no control over it because basically those that make the changes don't really care what I think.  I can't make the ER over so the environment won't change anytime soon.

Now, lets talk about the patients.  A lot of them are shitheads. Even the nice people who are nice in the real word can be shitheads in the ER.  I deal with the dysfunctional, the addicted, the mentally ill, the ineffective copers, the stupid on a daily basis.  It is the reality of my job.  My job is thankless.

The point of all of this? Acceptance.  I work in a shitty, stressful environment.  A lot of the patients are shitheads. I have little control of change. I choose to keep working here. For years, I have wanted it to be different, stressed over the fact that it isn't different.  Stressed over the fact that it won't change.  Expected it to change. Accepting reality makes it so much easier.  Look around you.  This is it. This going to be it today, tomorrow, next week. You can leave or you can accept the reality that hits you in the face every day.  Then when something good happens it will be a pleasant surprise
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