Yes, I'm doing homework. Theories are the name of the game this week and boy, are they dry!
When I'm not working on homework, I got notice recently that I will have another poem published in PublicU's arts journal. Should be interesting to see if any other nursing students were selected. Last year, I was the lone nursing student/nurse to be selected.
Back to writing! Must keep going before work!
Thursday, March 31, 2011
Wednesday, March 30, 2011
Spent
I'm still tired from my weekend shifts. It does not help that I slept horribly last night. I had what was one of my biggest meetings today. I am in contention for a brand new position at the Hotel and while it was posted on job hunting sites galore, there are very few people being considered.
Happily, I made it through our meeting/interview without a hitch. I believe I made my points that I would be a good person to work at this new Hotel position. It involves management, but is so far removed from my current work (and that of the SU). It will require a lot of mental stamina, more than physical, and not a lot of perks (no office, but plenty of freedom).
Only time will tell...more stories to tell later. Stay tuned.
Happily, I made it through our meeting/interview without a hitch. I believe I made my points that I would be a good person to work at this new Hotel position. It involves management, but is so far removed from my current work (and that of the SU). It will require a lot of mental stamina, more than physical, and not a lot of perks (no office, but plenty of freedom).
Only time will tell...more stories to tell later. Stay tuned.
Tuesday, March 29, 2011
Not exactly appropriate
Ah, I LOVE being in charge of the Hotel Rehab (yes, I say that with much, much irony). Thankfully, my last spate of being at the wheel were relatively busy, then boring. Boring is not bad when one is in charge.
So much fun. Got to do a lot of education. One, why does Nurse X disappear with Patient Y, asked one of our newer to us nurses? And the answer is ...she always does when Patient Y comes in for his annual checkup. Is it appropriate that she leaves her other patients to take care of this one? Not really, but since she's a fave of the nurse manager, it happens.
Mr. D., one of our newest rehabbers is doing really well, now that he realizes that we are in the business of getting you to function to your highest ability. He's going out with the therapists and doing more every day. I'm just crossing my fingers that this continues, because he's getting to the A student status among our patients really fast.
I love it when people realize a) we are not really a hotel, b) inpatient rehab is merely a stop on the journey, and c) we can really help you help yourself if you listen and do what we ask.
You only get as much out of rehab as you put into it.
More to come....
So much fun. Got to do a lot of education. One, why does Nurse X disappear with Patient Y, asked one of our newer to us nurses? And the answer is ...she always does when Patient Y comes in for his annual checkup. Is it appropriate that she leaves her other patients to take care of this one? Not really, but since she's a fave of the nurse manager, it happens.
Mr. D., one of our newest rehabbers is doing really well, now that he realizes that we are in the business of getting you to function to your highest ability. He's going out with the therapists and doing more every day. I'm just crossing my fingers that this continues, because he's getting to the A student status among our patients really fast.
I love it when people realize a) we are not really a hotel, b) inpatient rehab is merely a stop on the journey, and c) we can really help you help yourself if you listen and do what we ask.
You only get as much out of rehab as you put into it.
More to come....
Monday, March 28, 2011
Hootin' an' hollerin'
Yes, the March Madness continues. The woo-hoos, and "Go big blue" chants were echoing in the hallways recently. Everyone who can get out of bed is getting into the fever of March Madness, and the ones who can't are still getting involved. One of our normally needy characters was up in his wheelchair and he actually got his roommate some pizza while a group of folks were watching the basketball games recently. It's made the last couple of shifts very pleasant, after some craziness late last week.
Spring is still trying to come back, and so are some of our regular visitors, just like the famous swallows. One is marooned at another facility waiting to get in, since we don't have an isolation room (very common story at the Hotel) for his/her bug. Another is getting ready to move across the country, so he/she's coming to us for a check up before heading out on the big trip.
And it'll be fun in the RehabRN house soon...party time for Dahey. Bubba is very excited, since the birthday candles will be out again.
Stay tuned...
Spring is still trying to come back, and so are some of our regular visitors, just like the famous swallows. One is marooned at another facility waiting to get in, since we don't have an isolation room (very common story at the Hotel) for his/her bug. Another is getting ready to move across the country, so he/she's coming to us for a check up before heading out on the big trip.
And it'll be fun in the RehabRN house soon...party time for Dahey. Bubba is very excited, since the birthday candles will be out again.
Stay tuned...
Sunday, March 27, 2011
You wanna go?
Some veterans who like snow will be hitting the slopes in Snowmass, CO for this year's Winter Sports Clinic.
And if you're in NY, you might appreciate this article about the senior centers in the city and throughout the state in today's NY Times.
Everyone NEEDS some place to go. Folks, remember even if you don't belong to one of these groups, you can always volunteer to help them out, or find a similar operation in your own neck of the woods.
Enjoy your day wherever you are!
And if you're in NY, you might appreciate this article about the senior centers in the city and throughout the state in today's NY Times.
Everyone NEEDS some place to go. Folks, remember even if you don't belong to one of these groups, you can always volunteer to help them out, or find a similar operation in your own neck of the woods.
Enjoy your day wherever you are!
Lessons in life
Sometimes you just have to pass on opportunities that come your way.
I did that on a recent shift when the Slug brought his/her kids to the unit while they waited for Parent #2 to pick them up.
Tweener, the Slug's sporting child came in while I was eating and asked, "Is it fun to work with my Parent (the Slug)?" Of course, I immediately quashed the urge to jump all over that one. Kids in Tweener's age group like sarcasm, but tend to feed it right back to parents when they think it's needed, especially as a weapon. Tweener decided to regale me with the "My parent doesn't do this, is grumpy at home and sometimes mean. They say Parent is a lot of fun to work with."
I remembered my New Year's resolution to get out of the gossip and downing of others, so I had a good time using those therapeutic communication skills to extricate myself.
"Well," I said, "You know, nursing, especially here at the Hotel, can be a hard job. (Tweener shakes head) Do you want to be a nurse?"
Tweener says yes, but he/she's really interested in veterinary stuff, however, he/she's not sure about drawing blood.
"You know," I said, "You might change your mind. It's not surprising that it seems scary. It's a job we have to do, but if you're good at it, you learn how to do it without hurting anyone." Tweener nodded head in affirmation.
"I'm going to go get some pizza. See ya!"
And so another placid shift passed at the Hotel and I thanked my lucky stars, even as I scraped the springtime snow off my car.
Stay tuned...
I did that on a recent shift when the Slug brought his/her kids to the unit while they waited for Parent #2 to pick them up.
Tweener, the Slug's sporting child came in while I was eating and asked, "Is it fun to work with my Parent (the Slug)?" Of course, I immediately quashed the urge to jump all over that one. Kids in Tweener's age group like sarcasm, but tend to feed it right back to parents when they think it's needed, especially as a weapon. Tweener decided to regale me with the "My parent doesn't do this, is grumpy at home and sometimes mean. They say Parent is a lot of fun to work with."
I remembered my New Year's resolution to get out of the gossip and downing of others, so I had a good time using those therapeutic communication skills to extricate myself.
"Well," I said, "You know, nursing, especially here at the Hotel, can be a hard job. (Tweener shakes head) Do you want to be a nurse?"
Tweener says yes, but he/she's really interested in veterinary stuff, however, he/she's not sure about drawing blood.
"You know," I said, "You might change your mind. It's not surprising that it seems scary. It's a job we have to do, but if you're good at it, you learn how to do it without hurting anyone." Tweener nodded head in affirmation.
"I'm going to go get some pizza. See ya!"
And so another placid shift passed at the Hotel and I thanked my lucky stars, even as I scraped the springtime snow off my car.
Stay tuned...
Saturday, March 26, 2011
It's snowing again...
Okay, that's not this song but even though the calendar says spring, it's snowing in RehabLand.
What fun!
What fun!
Friday, March 25, 2011
Queen of BBS
Yes, I am old enough to remember this BBS, but I never had a computer to use it while it was in its heyday.
The BBS I'm talking about it is the crux of what we do as rehab nurses. My preceptor G. told me as a young rehab nurse that most of what we do is about "bowel, bladder and skin." Yes, it surely is, and I had a lot of time to discuss these issues with a couple of patients recently.
Eddie is a guy who's had a lot of bad luck. His Hummer was attacked in Iraq and he lost three buddies. He made it out of there with a mild TBI and his life. He recuperated and things were going along nicely, when he was minding his own business driving home one night and ran off the road dodging wildlife in the rural area he lives in. As a result, he became a paraplegic.
He's still young enough to see the bowel routine as a boring routine. And since it becomes a synchronized routine for many patients, you can expect results at about the same time every day or every other day, depending on how you do it. Yes, he had results at his usual time, while he was doing something else he wanted to do. Lots of cleanup followed--to him, the wheelchair and his clothes. He was upset, but I managed everything so in the end, he was laughing. There are worse things...
Happily, while it's been crazy at the Hotel, we've been able to get things done. It's required a lot of teamwork. People feeding other people, people transferring people, people helping vendors bring in new mattresses. I may have only sat down once or twice, but we got things done.
Let's hope it stays that way! Stay tuned...
The BBS I'm talking about it is the crux of what we do as rehab nurses. My preceptor G. told me as a young rehab nurse that most of what we do is about "bowel, bladder and skin." Yes, it surely is, and I had a lot of time to discuss these issues with a couple of patients recently.
Eddie is a guy who's had a lot of bad luck. His Hummer was attacked in Iraq and he lost three buddies. He made it out of there with a mild TBI and his life. He recuperated and things were going along nicely, when he was minding his own business driving home one night and ran off the road dodging wildlife in the rural area he lives in. As a result, he became a paraplegic.
He's still young enough to see the bowel routine as a boring routine. And since it becomes a synchronized routine for many patients, you can expect results at about the same time every day or every other day, depending on how you do it. Yes, he had results at his usual time, while he was doing something else he wanted to do. Lots of cleanup followed--to him, the wheelchair and his clothes. He was upset, but I managed everything so in the end, he was laughing. There are worse things...
Happily, while it's been crazy at the Hotel, we've been able to get things done. It's required a lot of teamwork. People feeding other people, people transferring people, people helping vendors bring in new mattresses. I may have only sat down once or twice, but we got things done.
Let's hope it stays that way! Stay tuned...
Thursday, March 24, 2011
Stealth operations in progress
Planning birthday for Dahey. Will be fun trying to do work while he's around this weekend. May have to invent some excuses.
More to come.
More to come.
Wednesday, March 23, 2011
In the news...
Warning: Leaving a rehab nurse to her own devices to surf the 'net while the educators debate over who's doing the central line checkoff at the preceptor fest may lead to some Internet entertainment.
I had no idea...
I just found out the Ken doll was discontinued in 2004 (What did Barbie need him for anyway?) Never fear, doll aficianados, Ken is back...and he'll resemble a football player. W.T....?
Anywho, for all you Iowa State Cyclones, Kenny's gonna look like this character who won a contest.
Somehow...
I don't think this recent study featured in Reuters is going to keep any of our folks at the Hotel from requesting Viagra et al. That surely didn't stop Mr. D. from asking recently, even though his wife died years ago.
Yes, sex can kill you, US study shows
I think maybe he's just going to ask for more bran muffins and salads, if eating fiber really can reduce heart disease (from UPI)
So...
If I'm going to eat today, it's gonna be comfort food. Maybe not the recipe in this article, but it's going to be good.
Stay tuned...
I had no idea...
I just found out the Ken doll was discontinued in 2004 (What did Barbie need him for anyway?) Never fear, doll aficianados, Ken is back...and he'll resemble a football player. W.T....?
Anywho, for all you Iowa State Cyclones, Kenny's gonna look like this character who won a contest.
Somehow...
I don't think this recent study featured in Reuters is going to keep any of our folks at the Hotel from requesting Viagra et al. That surely didn't stop Mr. D. from asking recently, even though his wife died years ago.
Yes, sex can kill you, US study shows
I think maybe he's just going to ask for more bran muffins and salads, if eating fiber really can reduce heart disease (from UPI)
So...
If I'm going to eat today, it's gonna be comfort food. Maybe not the recipe in this article, but it's going to be good.
Stay tuned...
Tuesday, March 22, 2011
What a difference
Yes, a day does make a difference. I did not feel as if I was running around like a chicken with my head cut off. Same patients (minus the admit), but more quiet and getting things done. I felt as if I accomplished something.
There always is something lacking in communication, though. One of my patients was crabby, because I took his wheelchair from his favorite spot and moved it. This was for a number of safety reasons, but he was pouting all day, according to our NP. I did a couple of treatments and he slept most of the day.
My other patient is a rehab nurse's worst nightmare or trainwreck. Imagine a non-compliant diabetic who has survived major, major surgery (and has the scars to prove it), a G-tube among other tubes, and is just plain flighty. One minute, he/she can't get up, then family comes, poof! All's well. We push him/her to do therapy and sometimes it works, sometimes not. If we were a CMS supported rehab, he/she'd have been out on the streets long ago.
At the end of the day, I went to a meeting. I was horribly unprepared because the nurse who actually attends our regularly scheduled department meeting just forgot to tell me about it. I was supposed to report nursing's views on a patient I've seen, but barely know. Guess I'll be busy learning about him/her for the next meeting!
Now, Bubba has enlisted me to hang the hummingbird feeder. We'll see how that goes...more to come.
There always is something lacking in communication, though. One of my patients was crabby, because I took his wheelchair from his favorite spot and moved it. This was for a number of safety reasons, but he was pouting all day, according to our NP. I did a couple of treatments and he slept most of the day.
My other patient is a rehab nurse's worst nightmare or trainwreck. Imagine a non-compliant diabetic who has survived major, major surgery (and has the scars to prove it), a G-tube among other tubes, and is just plain flighty. One minute, he/she can't get up, then family comes, poof! All's well. We push him/her to do therapy and sometimes it works, sometimes not. If we were a CMS supported rehab, he/she'd have been out on the streets long ago.
At the end of the day, I went to a meeting. I was horribly unprepared because the nurse who actually attends our regularly scheduled department meeting just forgot to tell me about it. I was supposed to report nursing's views on a patient I've seen, but barely know. Guess I'll be busy learning about him/her for the next meeting!
Now, Bubba has enlisted me to hang the hummingbird feeder. We'll see how that goes...more to come.
Monday, March 21, 2011
I need track shoes
On some days this is true and recent shift was one of those days. My two patients were slow, so I read up a little on them, got things going, then my admission (one of several, so all RNs got one) shows up almost 2 hours early.
It was just run, run, run after that. One catheter works, one doesn't. Had to call in the catheter cavalry (our resource nurse) to get the last one in. Not sure how the patient's home health nurse got a non-Coude in him, but I went with the resource nurse's suggestion of a Coude. Happily, we had one in his size. Much joy!
At least, I wasn't ordered to get urine drug screens on a few of our folks, like some of my coworkers. Apparently, the weather was so nice this weekend, a few patients found some interesting "herbs" in the nearby forest area. The doc on call was suspicious yesterday and he/she decided to make it a fun Monday by requesting the drug tests.
I also got a couple of other tasks since one of the nurses went home early, but got them done and out the door I went. It was just stupid.
Bubba decided not to go to baseball practice this afternoon. With the beginning of spring, we are now getting into the beginning of allergy season here in RehabLand.
More later...stay tuned!
It was just run, run, run after that. One catheter works, one doesn't. Had to call in the catheter cavalry (our resource nurse) to get the last one in. Not sure how the patient's home health nurse got a non-Coude in him, but I went with the resource nurse's suggestion of a Coude. Happily, we had one in his size. Much joy!
At least, I wasn't ordered to get urine drug screens on a few of our folks, like some of my coworkers. Apparently, the weather was so nice this weekend, a few patients found some interesting "herbs" in the nearby forest area. The doc on call was suspicious yesterday and he/she decided to make it a fun Monday by requesting the drug tests.
I also got a couple of other tasks since one of the nurses went home early, but got them done and out the door I went. It was just stupid.
Bubba decided not to go to baseball practice this afternoon. With the beginning of spring, we are now getting into the beginning of allergy season here in RehabLand.
More later...stay tuned!
Sunday, March 20, 2011
Spring break, yes!
Finally! Grad school is closed! No homework this week. A little related reading for next week's assignment, but no time crunch to finish all the homework by 5PM on Friday.
What a way to celebrate the first day of Spring! If not, just find something pretty like these Sunday Sweets. Give me a daisy or two, or that lily-of-the-valley one...lovely!
What a way to celebrate the first day of Spring! If not, just find something pretty like these Sunday Sweets. Give me a daisy or two, or that lily-of-the-valley one...lovely!
Sometimes a good thing...
Friday, March 18, 2011
Virus?
The stare.
The glaze over their eyes.
Big screen TV is on.
They have a piece of paper and snacks in front of them.
Someone gasps when a person asks to watch something else.
Yes, the illness they call March Madness has descended on RehabLand. All we can do is let it run its course, for there is no cure.
The glaze over their eyes.
Big screen TV is on.
They have a piece of paper and snacks in front of them.
Someone gasps when a person asks to watch something else.
Yes, the illness they call March Madness has descended on RehabLand. All we can do is let it run its course, for there is no cure.
Thursday, March 17, 2011
Dreams
Yes, they sure can seem like reality, at least, that's what one of my patients told me recently.
Mike (not his real name) was snoozing away with his CPAP on, when I came by to ask him when he wanted to get ready to get up. He blinked and looked at me with eyes as large as saucers and said, "I'm so glad you woke me up. My brother just got shot."
I had heard it was a rough night in his room in report and he told me, "No, I just had a dream I was out hunting with my brother and he had just got this huge buck and then someone shot him in the chest." Needless to say, I was a bit stunned.
Mike continued and said he wanted to get ready, so I set him up to do so. I have to help him wash his legs and feet and as I was doing that, he told me, "You know, I've had those near death experiences."
"Really?" I said. "Was it like they say it can be with the light and all?" Mike shook his head and said it was, and one instance, he said, "It was the softest, sweetest light I have ever seen. I felt so peaceful. But I couldn't go."
So I asked him why not. "Well, I could tell my girlfriend was in the room and I asked if I could take her, and they said no. So I went back, woke up, and there she was, holding my hand."
Thankfully, Mike didn't dream about his own death. That is a story that really scares me. Over the short period of time that I've been a nurse, I've only had three patients tell me they dreamed about dying and or seeing dead people in their dreams.
Those same three are no longer with us. They died within months of those dreams. It kind of scared me at first, but I realized, in all of them, that it was not a fearful dream, but rather a comforting one, because they were not alone.
Mike (not his real name) was snoozing away with his CPAP on, when I came by to ask him when he wanted to get ready to get up. He blinked and looked at me with eyes as large as saucers and said, "I'm so glad you woke me up. My brother just got shot."
I had heard it was a rough night in his room in report and he told me, "No, I just had a dream I was out hunting with my brother and he had just got this huge buck and then someone shot him in the chest." Needless to say, I was a bit stunned.
Mike continued and said he wanted to get ready, so I set him up to do so. I have to help him wash his legs and feet and as I was doing that, he told me, "You know, I've had those near death experiences."
"Really?" I said. "Was it like they say it can be with the light and all?" Mike shook his head and said it was, and one instance, he said, "It was the softest, sweetest light I have ever seen. I felt so peaceful. But I couldn't go."
So I asked him why not. "Well, I could tell my girlfriend was in the room and I asked if I could take her, and they said no. So I went back, woke up, and there she was, holding my hand."
Thankfully, Mike didn't dream about his own death. That is a story that really scares me. Over the short period of time that I've been a nurse, I've only had three patients tell me they dreamed about dying and or seeing dead people in their dreams.
Those same three are no longer with us. They died within months of those dreams. It kind of scared me at first, but I realized, in all of them, that it was not a fearful dream, but rather a comforting one, because they were not alone.
Wednesday, March 16, 2011
Truth or fiction
1. Patient NPO secondary to flunking his swallow test is allowed to "swish in his/her mouth and spit" a celebration Oreo cookie milkshake from a local restaurant per MD after he already did it.
Same patient now has WBCs of 16000 and diagnosis of aspiration pneumonia.
2. Patient returns with odd strings poking out of left dorsal back after lithotripsy. Same patient says, "If I can't lift more than 10 lbs, how can I transfer myself when I weigh over 200?
3. On patient discharge sheet from World Renown Hospital....maybe they missed this part on the diagnosis.
"If you feel dizzy after taking pain medication, do not attempt to walk or drive."
Diagnosis: paraplegia secondary to MVA.
Only you can decide...more later
Same patient now has WBCs of 16000 and diagnosis of aspiration pneumonia.
2. Patient returns with odd strings poking out of left dorsal back after lithotripsy. Same patient says, "If I can't lift more than 10 lbs, how can I transfer myself when I weigh over 200?
3. On patient discharge sheet from World Renown Hospital....maybe they missed this part on the diagnosis.
"If you feel dizzy after taking pain medication, do not attempt to walk or drive."
Diagnosis: paraplegia secondary to MVA.
Only you can decide...more later
Tuesday, March 15, 2011
Little miracles
First, it was the 60 year old man floating on his roof.
Today, some survivors were found in the rubble.
Finally, when you have to make a terrible choice in a split second, sometimes, somewhere, someone is looking out for you.
And yes, I do believe all dogs go to Heaven.
Today, some survivors were found in the rubble.
Finally, when you have to make a terrible choice in a split second, sometimes, somewhere, someone is looking out for you.
And yes, I do believe all dogs go to Heaven.
Charge of the Light Brigade
I got a lot of requests when I was on rounds as the charge nurse recently. Lots of emergency calls on the call light: "Could someone come over here and turn off these lights?" Yes, even the charge nurse runs around turning off lights when all the fun stuff comes on TV. It's only an emergency if it puts a glare on your TV.
The charge nurse brigade just got some new tasks since the boss is away training. The evening charges get to make the assignment, because the daytime charges (doing boss's job while he/she is away) refuse to do it. "I don't want people mad at me!" said Daytime Charge Nurses. I'm having flashbacks to Saintarama. Fortunately, I didn't have anyone changing it when I wasn't looking, as happened there.
I did have one very passive-aggressive 12 hour person, who I'll call D (for Diva) who wasn't too excited with her assignment. I gave D, a nurse assistant, the same assignment as the night before (plus one person) and she stood around for the first hour of the shift in our patient lounge, far in the back, kvetching away with one of the nurses. Perhaps she was perturbed that she didn't get a light assignment, since she thought she deserved one. The other nurse she talked to had a lighter assignment than D because she can pass meds, which D cannot. Everyone else had 3-4 people (one of my better nurses had 5 until a 12 hour person came in to pick up part of the assignment) and so did D. Somehow, I don't see how that's so tragic. No one else complained.
To top it all, one of her patients, Mr. X., who was pretty much self-care, said she only came in the room once during the four hours she was supposed to be taking care of him. Thankfully, one of my other nurse assistants (who had a patient in the same room) saved the day by helping Mr. X out. Since Mr. X. was a new admit, his new nurse (D's replacement) and I straightened the rest of his paperwork out by the end of the shift.
Despite everything, we did have a good shift. K. the charge on the night shift came in early and ran a very special errand. She got goodies so the night shift could celebrate with Mr. A. on the morning of his birthday. Mr. A. has been on our unit for nearly a year. The night crew all went to his room and sang Happy Birthday when the breakfast trays showed up. His nurse on evenings bought him a present he'll really enjoy: Milky Way minis.
All in all, between drama and sugar in all forms, it wasn't a bad night.Stay tuned. More to come...
The charge nurse brigade just got some new tasks since the boss is away training. The evening charges get to make the assignment, because the daytime charges (doing boss's job while he/she is away) refuse to do it. "I don't want people mad at me!" said Daytime Charge Nurses. I'm having flashbacks to Saintarama. Fortunately, I didn't have anyone changing it when I wasn't looking, as happened there.
I did have one very passive-aggressive 12 hour person, who I'll call D (for Diva) who wasn't too excited with her assignment. I gave D, a nurse assistant, the same assignment as the night before (plus one person) and she stood around for the first hour of the shift in our patient lounge, far in the back, kvetching away with one of the nurses. Perhaps she was perturbed that she didn't get a light assignment, since she thought she deserved one. The other nurse she talked to had a lighter assignment than D because she can pass meds, which D cannot. Everyone else had 3-4 people (one of my better nurses had 5 until a 12 hour person came in to pick up part of the assignment) and so did D. Somehow, I don't see how that's so tragic. No one else complained.
To top it all, one of her patients, Mr. X., who was pretty much self-care, said she only came in the room once during the four hours she was supposed to be taking care of him. Thankfully, one of my other nurse assistants (who had a patient in the same room) saved the day by helping Mr. X out. Since Mr. X. was a new admit, his new nurse (D's replacement) and I straightened the rest of his paperwork out by the end of the shift.
Despite everything, we did have a good shift. K. the charge on the night shift came in early and ran a very special errand. She got goodies so the night shift could celebrate with Mr. A. on the morning of his birthday. Mr. A. has been on our unit for nearly a year. The night crew all went to his room and sang Happy Birthday when the breakfast trays showed up. His nurse on evenings bought him a present he'll really enjoy: Milky Way minis.
All in all, between drama and sugar in all forms, it wasn't a bad night.Stay tuned. More to come...
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