Never a dull moment

It may be a holiday week, but it's been busy! The Hotel is always hopping around the holidays because people want to go home. If they can't get home, we have to take care of what we can before lots of other people take off for the long weekend.

While some of our folks would like to go home, they get sick. One character mentioned that he/she had a transient loss of vision. He/she was worked up, then he had another incidence. Between the opthomologist who said the patient had a fugax and the neurologist who wanted a stat carotid exam, he/she ended up with a quick trip to Washington for an overnight to get all the diagnostics done and issues resolved.

In rehab, it's very rare to have a patient on TPN. In fact, I've yet to see one in any of our units (acute or otherwise) because if you're on TPN, you're usually sick and not a rehab candidate NOTE: this may vary in other settings.

However, if you end up with a chyle, a not uncommon sequela of the infamous triple A, you could need TPN for a while, as one of our recent patients did. Thankfully, no more TPN and patient is working up on the diet list, slowly but surely.

One of my favorite things to do is to read imaging reports. We have lots of rehab patients with CTs, Xrays and many, many MRIs. I follow along in the reports and learned this week about Thornwald cysts which popped up in a patient's report.

Finally, since it's turning to winter here in the northern hemisphere, I also learned about thunderstorm asthma, which was sending people to emergency rooms all over the southern hemisphere recently. Just makes me wonder how many of these sent me to the emergency room as a new asthmatic. My poor mother!

Thanks for following and reading along! May you all have a wonderful Thanksgiving  (or rest of the week) wherever you are!

Meeting agenda and assorted paperwork

Today's meeting agenda was like a ransom note but lacking a weapon. The list of demands was long, but the list of assurances was short.

I know I'll never forget this moment. I tell myself that I'm keeping that e-mail forever because it's going in my book. The book I'll write about the Hotel (and some of my crazy coworkers) that will be called Is this a bad business case or reality? You decide (working title).  If that title isn't snappy enough, we'll get another.

Some of the agenda items were crazy:

1. First of all, when the boss asks each attendee for a meeting agenda item, it does not mean 10 from one person. (not kidding).  He/she is running the meeting, not you.

2. The need to define our "communication terms". Last time I checked, you had a company-provided cell phone, a desk phone, a laptop and a desktop PC. If you can't communicate with that, I don't know what to tell you.

3. Asking the boss for prizes. Don't you need an extra trinket for nurses' week? Maybe I'm just weird because I don't.

My assorted paperwork continues. Paperwork for the siblings, paperwork for this agency and my all encompassing travel paperwork that will probably get rejected on the first round.

I feel like a hamster in a wheel...stay tuned.

Another t-shirt moment

I love conferences, since you get to see people you haven't seen in ages and learn new stuff.

But I really hate it when you are so tired, you want to pass out, because you've been trapped in freezing cold rooms and staying up late.

Thank goodness I convinced the boss I need time to recoup (aka vacation). I might not be going anywhere, but being stationary, is a very good thing.

Stay tuned.