PSA: Healthy peepers

I didn't think I was at risk for glaucoma, until I ended up at the eye doctor, and he was looking at me funny. Needless to say, I'll never forget that Veterans' Day, when my doc gave me the news.

Why am I talking about this? Well, it's National Glaucoma Awareness month in January.  Almost three million Americans have it, and many, like me, don't even know it. You are at higher risk if you are African-American, male, diabetic or have a family history (even if it's distant like mine).

Glaucoma is known for robbing people of their sight. I had LPI to allow my eyes to drain properly, which also helped the pressure. Some people may also need medication or other surgical procedures.

Some folks put off or delay eye exams because they fear they're too expensive. I have had vision insurance for years, and I did not know that it (along with your medical insurance) can make regular check-ups reasonable. If you don't have vision insurance, check with your PCP for more options in your area.

Your vision is priceless. I know I couldn't be a good parent, wife and nurse without it.

What are you waiting for? Go visit your favorite ophthalmologist today.

More to come...

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!

Happy Hump Day

An artist is not paid for his labor but for his vision.~ James Whistler

It's hard to have vision when the labor is all you have time for some days, when people absolutely, positively refuse to do what they say they will and leave you with the rest.

And do you think it could get worse? Yes, it could. Your big boss tells you to help him/her with the big chief of medicine meeting today. The one positive: you can just send your report, because, in finest tradition, the people in the field (i.e. troops) are not allowed to attend. (Hallelujah!)

Gotta love that interdisciplinary teamwork (head smacks firmly into table)!

Stay tuned...you never know what will happen at the Hotel.