I've also had 2-3 admissions, which is unusual for the area of emergency in which I work. They try to send the lower acuity folks over to the Annex (where I work) because there are fewer infrastructure type resources (heart monitors, vital sign machines, only a Omnicell & supply Pyxis), so most of what I see are simple laceration repairs, twisted ankles, sore throats, chronic low back pain that magically became an emergency at 6pm on a random Tuesday, krunny noses, & the occasional N/V/D (nausea, vomiting, diarrhea). Every so often, a VERY high acuity patient sneaks in because they simply don't look bad to the naked eye--it takes some digging to find the real problem. In the last year I've admitted a major heart attack who came in because of a cold, a hip fracture (bad enough to need next-morning surgery) that walked in, a pneumonia patient who had no fever, no cough, and just a little shortness of breath, and a back pain that turned out to be a ruptured kidney! My admissions this week were along those lines: walk in looking not bad at all--run a white blood cell count or get an x-ray or two and OH hey, why don't you come in & stay for a night?
Of course it hasn't helped that I was sick this week. Bryan went to a teacher training last week in the exotic far away lands of Arkadelphia and he brought home this upper respiratory virus which he then thoughtfully gave to me. Booooo. I was okay on Tuesday, sick on Wednesday, and then yesterday was REALLY bad. Fortunately I didn't have anyone who checked in with cold symptoms, because I probably would've stomped on their foot. When you're rocking pseudoephedrine, prednisone, acetaminophen/ibuprofen combo, and oxymetazoline nasal spray just to function enough to come to work, and someone comes in with a runny nose wanting a work excuse? Breeds just a touch of resentment.
I do believe things are about to change a bit though. We recently hired several more nurse practitioners. It's enough that M, the physician owner of the staffing agency for whom I work, has decided to start staffing the Main ER with 4 NPs per day: 2 from 09:00-17:00, and 2 from 17:00-03:00. This is in addition to the Annex, staffed by 1 NP from 09:00-21:00 and one from 11:00-23:00 (usually me). As the 2nd most senior employee, I get to state a preference for more shifts in Main or Annex, and I'm going to go for Main for sure. Not only am I specifically trained for that, I'm almost a year into my practice. I'm comfortable with my work flow and my processes, and once that happens it's only a matter of time until boredom strikes. UNLESS I'm learning new things, that is--which is what happens over in the Main ER with the very ill patients who come in. Lots more experiences interpreting labs, which is something I'd like to get better at.
My RV really wants to go somewhere! Ganon's birthday is Monday, and between that & my work schedule, there's no time for us to take the RV anywhere before school starts back. I'm going to plan us a trip to northwest Arkansas anyway, though. That can be done in just a couple of days. We can stay at an RV park over in Bentonville or Bella Vista and see the Crystal Bridges Museum of American Art and the Amazeum. A trip like that might even be MORE fun on a random weekend during the fall, when the heat is less unbearable. Even later in the fall would give us the gorgeous foliage of the Ozarks.
We're going to our first Dragon*Con over Labor Day weekend! I'm so excited! My mom is working on a costume for Ganon to dress as Link from BotW. I can't wait for...
Ganon: I'm Ganon.
Fan: Don't you mean Link?
Ganon: No, I'm cosplaying as Link. My NAME is Ganon. :D
I'm taking one cosplay outfit: my Pokémon professor costume from last Halloween. It's incredibly easy. It's just one of my old lab coats to which I sewed a Pokéball patch on the front. Put that on over one of my cute dresses, and *poof*! Pokémon professor! I already have a bit of an animated look, with my colorful hair and my professor-type glasses and my stand out makeup. When I wore it last Halloween, people knew instantly--even the parents at houses we went trick or treating at. Other than that, I think I'm going to stick with my geeky shirts & skirts from Her Universe & Tee Fury.
Right now, however--I am craving pizza with mushrooms, and I just found that Lost Pizza now supports online ordering. It's go time!
Picking whether to adopt a Male Maine Coon or Female Maine Coon can be difficult, as both these Maine Coon Cats offer up different traits and Characteristics that make them good pets for the family home. Male Maine Coon cat's are more outgoing and tend to love to play with one particular person they are living with. Female Maine Coon cat's are more calm but get along with more people, or busy households better than their Male Counterparts. When it comes to Male vs Female Maine Coon Cat's the only thing that is important is that you offer them a loving home!
Submitted by: (via Main coon guide)
For the microscopic lab worm C. elegans, life equates to just a few short weeks on Earth. The bowhead whale, on the other hand, can live over two hundred years. Why are these lifespans so different? And what does it really mean to 'age' anyway? Joao Pedro de Magalhaes explains why the pace of aging varies greatly across animals.
Submitted by: (via TED ED)
We did a Facebook challenge and asked the ICHC Facebook family this question..."Your last text message describe your cat... What was it?" And here are the top replies!
They were all hilarious and you can read more here