Monday, July 21, 2014

(Revised - Update and stuff) Fast Track in the ED WILL be Fast - Part III

Hope is the word which god has written on the brow of every man hope quote

I opted to have fun vs going to the ED earlier today.  I'm not going to hate myself for putting the rabies booster off until now ...Sunday ...late afternoon.

Because ...

Hope springs eternal ...

Miracles do happen ...

And this SeaSpray shall remain ...optimistic!
Update Monday night:  The wait wasn't bad.

I asked the patients sitting outside waiting (not a good sign - but hope was still springing eternal in me.), how the wait was.  They said people told them they were there for hours.  While I was registering a lady came up to the counter with her son, stating she would return in the morning. (Also not a good sign - I was still hoping tho.:)  Of course not long after she left ...nurses came out for patients.  I can't tell you how many times I've seen patients do that.  Personally if I had an *emergency* ..I would NOT leave I'd figure time already invested in waiting ...and there is no guarantee it will be better at another time.  Maybe likely to better in morning but no guarantee.  Plus since it apparently wasn't a major emergency ...couldn't she just see a private doctor which would be cheaper?  I am judging and should not.

Well one more thing about that.  So many times patients would get annoyed and leave the ER I worked in and state they were going to the one I was in last night.  This is after waiting a while in our ER waiting room ...they then decided to drive the half hour over to the busier ER.  I guess people feel they have to do something.  And ...just like with the lady last night ...often times their turn was up next.

Anyway ...My wait time was an hour and a half or less.  I didn't look to see when I arrived.  Definitely an hour wait.  And I would've been out sooner if the nurse didn't tell me I had to wait to be sure I didn't have an allergic reaction.  Last week the PA let me go right away because I didn't have problems with the series years ago.  (Only swelling from the Immune Globulin)  They gave me the discharge papers and I was in my way.

And I thought about just leaving but I'm the person who is afraid to rip the tags off sofa cushions, etc., because I believe those "Do not remove under penalty of law ", threats.  I would feel disrespectful.  I was seriously tempted to leave when I saw that ambulance pull in.  But then I thought I'd be leaving my discharge papers that I don't care about anyway.  It turned out I could have left because I didn't get papers for the 2nd booster.

So now I'm done with that.  And I'm bat proof now ...or bat sh*t crazy ...or something like that.  ;)
My next and last bat post will go up with the picture of the fang marks on my neck.  "I VANT to SUCK your B-L-O-O-D!"  Don't mind me ...a bat bite to the neck causes me to think of vampires.  :)

Anyway ...I'll add the pic and write about what happened.

It was just so random ...and so stupid.  And really can we know if kids are safe outside ...or people that may not realize they may've gotten a bat bite?  And most bats don't have rabies.  But the disease is up here.

Also, the ER staff will tell you that even though most bats don't carry rabies ...because it is fatal ...the recommendation is to get the rabies series.

Thursday, July 17, 2014

Amused Orthodoc, ER Staff and Me :) Bat Post - Part II

This could me with some urology procedures and the endometrial biopsy.  Actually - I really don't react until the pain hits.  But today was EASY PEASY.  :)

Boy sure is a good thing I'm not a trypanophobic.

Or else this would've been one b-a-d day.  I knew I was going to the orthopedic office and then over to the ER.  I had been dreading the ER visit because I didn't want to go through it all all over again. (See previous post) And so my focus was on that.  I wasn't stressed or anything.  I was just hoping it would go the way I hoped.

So anyway ...after getting my 3rd set of Orthovisk injections (one in each knee - not fun), and then a Cortisone injection in my right hand for the trigger finger that has been bothering me since February (yes ...I resisted that too.), my orthodoc with a little almost smile says, "So you're getting more injections?"

No ...I'm done now.

"But you have more injections to get?"

No ...this was the third week of Orthovisk injections and I'm done now.

And then seeing his now grin light bulb goes on and I said in agreement ...O-h-h-h right.  Now I'm going over to the hospital to get the rabies vaccine. FOUR needles in one day!

Then I laughed as it hit me ...that not only did I get 3 injections in his office in 3 body parts but that now I was getting those topped off with a rabies vaccine at the hospital in what I hoped would be my arm.

It was.  YAY!  :)

I don't think most people would be smiling about this if it was them but it is kind of funny.

Then the ER PA was concerned when I said that this was going to be 4th shot of the day and so I showed him.  By then I was laughing at it and they laughed with me.  My blood pressure was up though.  I think it was because I figured it would be a booster but still had the concern about getting whole series and what if the big one has to go in my neck???  Also the PA wanted to hear my bat story (next post) and I was animated while telling it which must interfere with the cuff on my arm.  And it did come down ...although not as low as it should have but I was still a bit keyed up.  They should've done it just before I left.  But they probably figured it was on it's way back down.

Oh and the PA explained that even if I did have to have the Immune Globulin injection that in this case they would not inject into my neck because that could be risky for other reasons.  I'm just glad that shot was a moot point.

Had a nice chat with the nurses while he checked CDC protocols.  And I heard my urologist paged and it seemed so weird to me in one way because it seems like another lifetime ago that I was the frequent flier urology patient and emergent at that.  But no more.   I admit it took me a long time to believe I was done.  I feel like I received a miracle healing.  Someday I will do a final urology post to sum it all up.  :)

Anyway the shot in the arm was uneventful.  I just have to return Sunday for the 2nd booster.  Actually the PA said to come in in the morning because I will wait a long time if I come in in the afternoon.  Also ...I have to say I was surprised that I was in and out of there within about a half hour.  From registration to discharge.  That was a pleasant surprise.  I brought TWO books with me just in case they were backed up or emergencies came in.

And this SeaSpray says wistfully ...I miss working in a hospital.  Maybe someday ...after my knee replacements ...I will work in one again.  Or a medical office, urgent care ...something medical. I just feel so drawn to the environment (I see hospitals as a place where people are helped and have loved being a part of that process) and to staff and patients.  Of course I am not limiting myself to only working in a medical environment.  Something completely different might be presented to me that could take me off in an entirely different direction.  Time will tell.

But I sure am glad to have had the 20 years working in the hospital, with the emergency department and ancillary departments ...but especially Emergency.  And I loved being a support person to medical staff, other staff and patients.  I always saw that job as a gift and still do.  It was a great experience. :)

Now I have a couple other things to do and I want to get in the pool because I heard it will be 50 degrees tonight and I just want to swim a bit.  And I'll write about my Sunday night bat (?) experience in post #3 on this topic in my next post.  I suppose I should link them for future reference.

Ha ha ...I almost asked then for a sticker foe all my injection sites but thought better of it. :)

Oh and after I get the second rabies booster can call on me to get the bats out of your life.  Apparently I am protected from rabies for the next two years.

Bats in your house?

Who ya gonna call?

SeaSpray!  ;)

Wednesday, July 16, 2014

Just Warning You ...and STUPID BAT! ??? - Part I

I think this might work.  Nice touch with the ostrich feathers ...which I think will be functional too.  Only thing missing is a bit of bling.  ;)

So ...I just opened the bathroom door to holler into Mr SeaSpray (behind the shower curtain), a warning:

I just want to warn you that I am feeling VERY grouchy!


I don't know!  Maybe it's my hormones.  So if I get snappy or grouchy is NOT you - it's ME!


And then I shut the door and walked away.

This is actually funny that I should warn him because believe me when I tell you HE is the king of testy with a capital "T"., and that is putting it mildly.

I am the easy going one.  (I think that is a good thing - to balance things out :)  Ha ha ...hence my feeling I needed to warn him.  :)

Anyway ...I don't really think it is my hormones.  Great to blame it on though.  :)

Frankly the moment I feel irritated over a lot of things.

 This too shall pass.

Oh and before warning him ...I called a friend who I saw left a product order on my website and I wanted to respond.  I warned her I was in a bad mood and didn't want to talk (So counter to the usual me), but would call her tomorrow.  I only did that because she is a good friend that I know I can be honest with.  I'll vent to her tomorrow or maybe surprise her down at her store soon.  She sounded busy anyway.

It is kind of funny (says me) that I feel I have to warn people.  I mean when you think of how many people just come out with whatever.
Okay ...I'll share one STUPIDLY ANNOYING thing.

Tomorrow ...I am trying to decide if I should go in the morning or wait until after my afternoon orthovisk injection.  When the ER is mostly likely to be the least busy ...even though I know that there is no rhyme or reason to an ER waiting room.

Oh and why am I going?

*BIG ...BIG ...annoyed sigh!*

Because ...during a thunder storm this past Sunday night ...there is a P-O-S-S-I-B-I-L-I-T-Y  that I was bitten and then scratched by a bat. 

I don't even want to have to go in there and tell the story.  I also have a picture that I've cropped and magnified.

And I don't want the injections.

I do not not... want to do this!

I really hope they can have another hospital fax over the records.  Of course I am waiting until day 5 ..the last day in the window of opportunity to have the vaccine be effective and they actually recommend you go immediately, but I have been busy.  Also I wasn't sure it was a bat.  I should've called the other hospital about that instead of assuming.  They should have records of my having the entire rabies series in October, 1999.  The good news as told to me by one of my former ER coworkers is that I am good for life except that I need to get a booster shot or two in the arm.  It was a relief to hear that because I could not even fathom how awful it would be to get that first injection in the front lower side of my neck.   The last time my hand (site of the initial injection) and forearm swelled up a couple of hours later and remained swollen for years.  No one could offer a reason why that happened.  I hope I don't react again.  And at least I am current with my tetanus vaccine.

And I am grateful for the vaccine.  I am just so frustrated by the absurdity of this happening again and yet it's not conclusive ...and yet the protocol is to get the vaccine ...and I hope it doesn't wreak havoc with my immune system ...and I also have to get a cortisone injection in my finger at the ortho appointment tomorrow and I hope that doesn't cause any problems that would interfere with my healing process after I have a total knee replacement in September.  I've read cortisone can stay in your adrenal system for a year and lower your immune responses ...and I am thinking that hospital infections are always a concern ...and maybe I am not understanding all of this.

I recently told someone I know enough to be concerned but not enough to know better.

And actually ...I am appreciative of 2 ER people who have been supportive along with their guidance to do what I really knew all along what I was going to have to do.  Ya can't blame a SeaSpray for just hoping someone would say ..."Oh n-o-o-o SeaSpray ...of course that wasn't a bat and you do not have to go get the rabies vaccine".  And believe me even though I heard their opinions ...I was still so very much trying to ignore what we all knew I should do.  And I absolutely would be telling someone else they should go to the ER to discuss it with the doctor.  You know ...the old do as I say - not what I do.  :)

Stupid BAT!

Anyway ...this little bit of venting has calmed me down a bit.  There are some other things going on ...but at least I'm not going to be snappy toward anyone.  Blogging is cathartic and I really do want to get back to it.  I have been so busy and just haven't felt I could put a thought together to write when I do have down time.  And I still want to write about the biopsy experience.  And other things.

And I will follow up with what happens with the shots and what happened Sunday night that set all this in motion in the first place.

And now I think I am going on Amazon to see if I can buy a safari hat with netting that I can wear in our yard as I duck at all the incoming bats nearby.  ;)

Just saying.

Sunday, July 6, 2014

Happy July 4th Weekend! :)

 I hope everyone is enjoying their Independence Day weekend.  And if you are working ...I hope it's the kind of shift/experiences you enjoy on the job and you can still get some celebrating in.

We are having BEAUTIFUL weather here in our area.  Just perfect! 

Today we are celebrating both our d-i-l's birthday and Independence Day.  (I bought something she is just going to ...LOVE and I can't wait to give it to her.:)  Everyone will be here in just a bit.  I'm sure the kids are anxious to get in the pool.  Ha ha!  "Can we go in the POOL?!", is their mantra every time they walk in the door.  Children after my own heart, for sure.  :)

I feel so very blessed to live in this great country of ours ...for so many reasons.  And I am most grateful for all the sacrifices made over the years so that we can live in the land of the free and the home of the brave. 

Thank you to God and all those that have sacrificed for this country and all of us.

God bless you and God bless America.

Saturday, June 28, 2014

More Than Cellulitis - Is it Alright For a Patient to See 2 Different PCP's - Both in 2 Different Practices?


Just a quickie  post to say I AM still blogging ...if I ever get to relax and focus long enough to write something thoughtful.  Just have been very busy.   It is the end of June and for the first time in SEVENTEEN years I have not been in our pool yet ...and it is the end of JUNE now.  Need I say more?  Oh of course I will.  :)  And as previously stated I do want to write about the biopsy experience and some funny posts and actually they keep piling up.  I should write the titles down so I don't forget!

Fortunately I caught the beginning of cellulitis in my left hand.  20 years working around patients and my own previous significant experience (October 2011), with how quickly it can exacerbate into a serious illness caused me to act promptly.  It can really take you down quickly once it takes hold.

We should ALL be mindful to clean any opening that draws blood.  Seriously though many of us do that?  Usually I am in the middle of some project and just don't take the time.  And if little I blow it off.

I am not sure how I got the tiny scratch that I apparently ignored ...was probably from the rose bush I was pruning.  I recall getting pricked in the finger but not the scratch.  And by the way ...if I didn't get an infection from pricks then why from a scratch?  If anything the pricking process is more of a puncture wound type ...meaning the pricks went deeper into my fingers. ???  Unless ..the scratch was deeper than I thought ..although then wouldn't I have bled enough to want to treat it?  Whatever.

The thing is less than 24 hours before I had had observed that it was a bit swollen and red and pondered telling the PCP when I got there but it never came to mind again and we discussed other things.

Then the next morning it seemed to be puffier and could feel a roundness below the scratch  ..puffier toward thumb and forefinger.  I knew I need to be seen but I was babysitting the little ones and had no one to watch them.  Never mind how could I possibly get int o see the doctor.  Mindful the weekend was coming and I did not want to end up in the ED with it ...I made some calls anyway.

Turns out younger son had taken a personal day (hated ruining it tho) and so he agreed to come over.  But I also put a call out to Mr SeaSpray ...hoping he could get home in time ...thus allowing son to go on with his special day.  Oh and amazingly ...I got scheduled in to see the doctor within the hour and so I grabbed that spot.  They both got here in time.  I flew out the door sans shower, makeup, etc., because there wasn't any time for that.  I guess for me ...normally that would be the definition of emergency or extreme pain, weakness and/or illness.  However this time it was just trying to meet everyone's schedules.

The thing is I didn't schedule with my regular PCP.  I felt like I was cheating or something because I scheduled with a former partner of his that I happen to like very much ...although I am not deeply bonded with him as I am beginning to feel with my regular PCP.  It took me a while to get over missing my PCP of almost 20 yrs.  Oh heck I still miss him ...even to the point that I've thought about leaving a note for him at the former office he had.  That may seem weird, but he is a Christian and so we often had discussions, etc., and so I do miss his take on things and well lots of things he shared.  he did say he'd see me around in the community, but admittedly I have not been very involved in the Christian community thus not in the same circles yet.  He still owns the building and I believe still has contact with staff and some was his original staff.  I didn't stay there though as I had heard such good things about doctor I did choose in another office that I was thrilled to get in.  And it was difficult for me to make that switch ...and desperately want to be known ...trusted and feel a bond.  to me it builds trust and confidence in the doctor.  it also connotes mutual understanding and causes me to feel more comfortable in opening up and also secure.

I actually went to this other doctor last November and just never told my current PCP.  The thing is ...the partner is in a nice new office only 5 minutes from my house or less without traffic.  I do feel a good rapport with him and he was WONDERFUL the day I saw him when My friend Iris had passed away just a few hours earlier.  I actually was going in for a cellulitis follow up back then.  He was the doctor that treated it the first time and it had progressed so much by the time I saw him he said he would prescribe antibiotics but if I didn't respond I was going right into the hospital.  I was so ill from it that I couldn't even pick up the meds I needed and just collapsed back into bed back into bed, waiting for Mr SeaSpray to bring them home for me.  Again ...I KNOW how quickly it can progress which is why I moved on it immediately.

The other thing I like abut his office is the aesthetics (I know - least important), that only two doctors there because I have wondered if an office can be so large that things get missed in a larger, busier office.  (I have my reasons for wondering about this ...and some experience)  And now they also draw blood on the premises which is much more convenient.  Still ...I would not leave my current PCP because of any of these things.  I am just saying why I don't have any problem using this doctor as an alternate.  B-U-T ...I feel like I am cheating because I don't know if this would be frowned on by my PCP.  I was surprised to here the partner had left and without my asking anything about why ...the receptionist immediately stated, "We don't know where he went." * Smirk*  That immediately told me they DID know where he went, but the practice didn't want the patients to follow.  I understand that.  I've seen other businesses do that as well.

Anyway ....I never set out to look for him because I am appreciative of and glad to have the PCP I do see regularly.  I was sorry to learn the other want had left though.  And the only reason I found out where he was is that last summer I called the office because I saw it was a new practice opening and I was considering applying at some point.  That is when I learned he and another doctor cover that satellite office for another large practice in the area.  It is soooooo CONVENIENT!  The other office is about a half hour away.  I also think the front office staff is MUCH more friendly than the other office.  The inner office staff is the same.

This doctor knows his former partner is my main doctor, but hasn't told me I can't come in.  The first time I went to his office I did tell him that felt guilty for coming in and wondered if it was alright, but he didn't comment either way.  Maybe I am silly to be concerned about telling my regular PCP I can't do that.  But ...he also wants all doctors to send any reports to him.  he wants to know everything about me medically speaking.  I know this is because they are our main doctors and they rely on this information a detective should we become seriously ill.  They put all the pieces together ...where as specialists are usually dealing with specific body parts only ...for the most part anyway.  I'm thinking I should tell him about the cellulitis and treatment.

And that brings me to the outcome of my wandering visit to the other PCP.   I had said I know that we don't want to take antibiotics unnecessarily but that I'd rather err on the side of caution ..especially since the weekend was coming.  He agreed that I did the right thing by coming in to the office.  He could feel the swelling going out from the scratch.  I asked if I could have a script for antibiotics if it exacerbated but that I would not take them if not needed.  He agreed and also gave me an antibiotic cream to apply twice daily for 2 weeks, stating he thought it would respond to the cream.

I thanked him and the front staff and amazingly I was back home in 20 minutes.  :)

Last night I thought I would need the antibiotics but have definitely improved since then and now I think the cream will suffice.  Now I have antibiotics on hand.  Although I would never take them without informing a physician of what I have and their agreeing it was the right med to take.

I don't want to tell my regular PCP when I go in for a physical in July ...but ...I am thinking I should.  I will.  I just don't want to annoy him ...cause a problem with a colleague ..or lose him  I don't think the latter would happen though.  But I don't want to be told I can't either.  And of course if there was a dire emergency ...the kind where the hospital was imminent I would ONLY call the main PCP's office. 

I've never met the other partners at the main office and so I don't have any negative reasons for avoiding anyone but my PCP over there.  Besides ...I know how that office is just could not get in easily.  I guess I could seek out closer satellite offices.  That never occurred to me.   And the other one is so much more convenient and if ill feeling/pressed for time but you know you do need to be seen ...the second PCP is my choice.

What to do ...what to do?

Maybe nothing.

Oh and staff informed me that there is going to be a state-of-the-art urgent care going into that building with specialists there every day.  My working antennae went up after hearing that ..and ...m-a-y-b-e ...after I get through both knee surgeries (it will happen), I will apply there.  Talk about convenience!

Quickie post?  Ha ha!  Well I didn't expect to write this.  I guess it really is bothering me ...thus the thoughts poured out.

Sometimes I think I am too conscientious for my own good.

Sunday, June 15, 2014

Happy Father's Day! :)

I hope all the Dads out there have been enjoying their Father's Day today.

Just imagine how safe and loved those little babies in the picture must feel.  What a sweet ...melt my heart picture.  :)

If a man loves his children ...even if he's not perfect (no one is) must be so wonderful having a good father in your life.  I can only imagine.  What a blessing for the children and the dad.

Again ...Happy Father's Day.  :)

Saturday, June 14, 2014

SECRETS Discovered!

First I want to say That I did get a NORMAL report for the endometrial biopsy.  Thank God!  I want to write a post about that experience.  It was still a bad experience, but better than the one I had the last time.  There are reasons for that and hopefully my writing about it may help someone else prepare for this experience.  I did embarrass myself 3 times though.  Although I am proud of myself regarding something else.  I will try to write about that experience soon.

 Secondly, for anyone interested I added an update at the bottom of last night's post.
And finally ...on a lighter note ...this happened last week:

Wrenna (5) was with me in our bedroom while I was looking for something. She was on the other side of the bed (her Papa's side), when she noticed a chocolate egg on the dresser. I said she could have it and that papa was a candy monster and sometimes has it for a snack when he wakes up at night.

 After that, she disappeared on his side of the bed for a bit and then suddenly popped up ...all bright eyed, grinning from ear to ear and looking a bit mischievous as she exclaimed, "I know papa's SECRETS!" Secrets Wren?  Still flashing the same wide smile ...eyes lit up ...she thrust her hand high into the air ...holding the evidence ...FOUR SECRETS to be exact. CANDY wrappers that apparently slipped under the bed and dresser. Ha ha! Then I asked  Mr SeaSpray to come in because Wrenna had something to tell him. He cracked up. She wanted to keep the wrappers because, "They're pretty.", but I encouraged her to throw them out, stating that Papa will surprise her with real candy sometime soon. 

Regarding the secrets ...I knew it couldn't be anything bad ...yet I did w-o-n-d-e-r what she was talking about.

 She is so funny.  :)