Sunday, February 21, 2010

Let's Use Logic

MDR-TB is a multi-drug resistant form of Tuberculosis or TB. It's bad news, because it's very difficult to treat. Working in a Medical ward, I was checking over the various diagnoses of our patients and found one who was a Query MDR-TB. She wasn't, however, in any form of isolation and was sharing a cubicle with three other patients.

I confronted the Sister of the ward, and asked her why this was happening and if we could please move the patient into an (already available) isolation cubicle so that no one else catches this deadly disease. "No, you can't do that, because she is only a query MDR-TB. If she is confirmed, we will do something." I'm sorry, but my logic (which no one at this goddamn place seems to have) is that if she is eventually confirmed to have MDR-TB, it means that she had it all along and will most likely have spread it to everyone she was in contact with: patients, nurses and doctors. Two days later, her test results come back. Confirmed MDR-TB. In two days, the chances are very high that she gave it to every patient in that room as well as to the nurses treating her. Yet, we wonder why this disease is spreading so easily. I was a very good, selfish nurse and avoided that cubicle for the entire time that patient was there.

Look at me now, TB-FREE!

Tuesday, February 16, 2010

Casualty Catheter

In the Casualty Resuscitation Room, a Sister was teaching us how to insert a male catheter which is much more dangerous and risky. It requires more skill and care than a female catheter. She inserts it, talking the hind leg off a donkey (apparently I attract people that feel a need to speak to me non-stop), has to grab a catheter bag to attach to the pipe and let go of the pipe that was in the bladder by now. Pee rushed out and sprayed all over my uniform.

She is theoretically my boss, so it's not like I could just smash her head into a wall. All I could do was give a fake smile and say "Oh, hahaha, it's fine, don't worry about it. Hyuk." I spent the rest of the day avoiding urine and conniving over how I could take my revenge.

Friday, February 5, 2010

Chicken Soup for Andy's Soul

Max was a 27-year-old patient who had a stroke (yep, extremely young). He lost his ability to talk and he lost control of the right side of his body.

Good thing that whenever his restraints came loose on his left hand, he ripped out his drip, ripped off his nappy and tried to rip out his catheter. I actually found it extremely amusing to see a half-paralysed man showing three (big) nurses at a time who was boss. You know how you speak to animals, and babies? Not because you think they'll answer you or understand what you're saying, but just because it's what you tend to do? I did that with Max. I used to have fat conversations with him (or should I say, myself) about whatever was going on, whatever was annoying me, what was happening with my love life - it was my own personal therapy. That poor, poor man - I never know when to shut up.

One day, I was rubbing his back when he turned to me and very softly whispered, "Where's my wife?". My heart broke. After three months of not speaking, he chooses me to be the one to say his 'first' words to, and he misses his wife. I phoned her straight away and she came to see him immediately. I stood by and watched tears of happiness running down their cheeks.

Yep, the cynical nurse can be touched by simple things.