Ok so I am in the office today to work for one of the girls who took my old job. Funny, but the job I was doing alone now takes 3 nurses to do! Anyways, I am a case manager in the field now. The office nurses are here to approve orders written, follow up on tasks ,fax labs, take referrals, order DME,etc. There is 1 nurse to do all the referrals and 2 nurses who do all the above mentioned jobs/tasks. The girl I am covering for has all patients whose names start with M-Z. So, the other girl who is here and is about as useful as a tit on a boar hog has all patients whose names start A-L. I am looking at the screen on the computer and there are all these requests from nurses out in the field from as far back as 10/9/09. Some are asking for wheelchairs to be ordered, some are asking for the note itself to be faxed to the dr, some are asking for referrals to house call doctors. As I scroll down through them I see a few requests that I have made! I have one patient who I asked be referred to a visiting podiatrist on 10/9/09! Every time I see the patient I ask her if the Dr has come out and she always tells me no! Now I know why! Well, needless to say I am not a happy camper!So, the girl goes off to lunch for 1 1/2 hours and when she comes back she walks into this office and I tell her I am kind of pissed off at her right now and she asks me why and I tell her! She kept talking over me until I had to tell her to shut up and let me finish. Then she starts telling me how busy it is in there and how she is up here until 1 am a lot of times and how when she was gone on vacation 3 weeks ago no one did her job which is bullshit and even if it is so then why the hell is it not done now! I told her that sitting here looking at this and now knowing when I go back out into the field there is a very good chance that anything I ask her to do will probably not get done and that is scary and unacceptable! I am an RN just like her and when I sat in this position I had to do it all no excuses and if it wasn't done I would have been fired! I told her to get out I was done talking to her and she told me that if I really needed something done I should email her! Bullshit again! If I want something done on a patient standard operating procedure is to enter it into the patients chart in the portion she sees and she is to follow up on it and enter it as a follow up to the same note. Part of the chart!Email is not part of the chart! Unacceptable! She left out of here went into her office slammed the door then came back out stromed into the DON's office and screamed I am going home! Mary has upset me! Now she is crying! There's no crying in nursing! Just do your fucking job bitch! Ok now! I feel better!
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I haven't written anything in so long it is stupid. I have been spending all my time on facebook. Look me up.
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Well, this week I am back in the office. I kind of like it except that the traffic sucks and the hours are long. I am used to being home by 4pm or at least in my part of town. Here, I am 18 miles from home but it takes almost an hour to get home. There are only so many ways to get across the river to south side of town where I live. I went to Fort Worth this past weekend for a family reunion for my step father's side of the family. I saw cousins I have not seen in 20 years or more. It was fun catching up with them all and meeting their extended families. My sister,Anna, who has the transverse myelitis is doing better and appeared in better spirits. I was in constant pain from my knees. It seemed like everywhere I sat was too low! My sister commented that I must be doing better because I seemed to be getting around better. When I told her that in fact it was the worst ever she was surprised because I never said anything about it. I mean, you know, what is there to say? I hurt like a bitch every time I get up or walk or stand for more than 15 minutes at a time. If I walk too much then not only do my knees hurt but then so does my right hip start aching! I have 2 blown knees, 2 torn biceps and a right hip that is starting the decent downward. I am a big old mess people! Ok Off the pity pot!
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Wow I have discovered facebook and a lot of people I know are there. It is strange to say the least but kind of fun catching up with someone. I mean, I found three girls I went to Catholic grade school with. Relatives,classmates,etc. I can also put photos up easier on that sight for some reason. I have had a hard time of it lately. I guess ever since July for sure. I was on call the week before and it was the call from hell.I got a call every night and even one at 4am one night! I got totally lost out in the boonies and when I called the office to get someone to help me figure out what was what I was told they were busy and I needed to get a GPS mapbook or both. I had to call my cousin and she spent 2 hours with me trying to find this one guy. Then when I did find the dude he was living in this tiny fun down fifth wheel RV with rickety steps and when I was exiting the rat trap I slipped on the crappy step and fell out of the damn thing hurting my right knee and back! I hurt so bad. I rolled around in the guy's front yard all dust in a pair of white capris of course! He was 85 years old and weighed about the same. He wanted to help me get up! I told him to just stay back and I hauled my ass up and hobbled to my work vehicle and drove up the street and pulled over and cried like a baby! I went home that evening and my new laptop got knocked off the table onto the floor causing about $400 worth of work. Gosh, just talking about the whole thing kind of bums me out now. Sorry, although I do not know who I would be apologizing to because no one but me seems to be reading this. Hey, care it is all about me, right? My blog...
The whole point is I had a shitty few weeks. My knees hurt so bad that I am in constant pain. Most of all when I have to get up from a seated position. I take pain medication every day. I am afraid of the toll it is taking on my kidneys but without it I am immobile. I need to make an appointment with an Otho. Dr but I am afraid of the outcome which will be I need to have my knees replaced. I get it I know but I cannot afford to get it done. I do not have enough sick time to be off for the time it would require to rehab from something like that plus I really need to have them both replaced so if that were the case it would take additional time off. I feel helpless and sad about it all.I am like a 3 year old. I cry every day it seems.I am also afraid of what all bad things could happen to me. The anesthesia alone could kill me and I could wake up on a ventilator! That would so freak me out! I could throw a fat emboli or stroke out or bleed out or develop some god awful infection.It is so scary to me more than anything else!
Pity party...
I did see Counting Crows a few weeks back. They were excellent of course. I am hoping to see Better Than Ezra in September and oh yes Paulo Nutini is coming back. He has a new album out I have only heard it a few times and I am not in love with it yet. It sounds a little leprechaun to me is all.
It is so very hot here. Over 50 days of temps above 100.I shower in the morning and by the time I get home my hair is soaking wet along with my body. It is sick! Enough already!We get it. I always say we live at the back door of hell and this summer the devil has kept that door propped open!I am so hoping and praying for an early fall. It also almost never rains either.Annoying as hell. Ok enough verbal vomit.
And you....
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So my boss asked me to come back in the office for today and Monday. I guess they forgot about how they fired me from this position. Whatever! I find it funny that they now have 3 people to do the job I was doing alone. I find I have a lot of free time! I guess it is ok except that I sit for too long and I don't get done till 5pm! Bummer! Hey, at least I can catch up on my blogs!
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I haven't posted in a while. I am hardly ever on the computer anymore.I have been spending a lot of time in the DFW area. My brother who is 44 years old, barely, is also a big old honkin' alcoholic. He is in and out of the hospital all the time with complications associated with the drinking. He is dying and it is a drain on the whole family. He was in the ICU a few weeks back because he was bleeding in his gut and they couldn't get it to stop. The Doctor told him if he would just give up drinking he could maybe live but he cannot give it up. He went on a bender for a few days and wore his shoes the whole time, then when he took them off he had bad blisters which then turned into wounds that have now become infected.His roomate called my mom saying he was in the bathroom and had fired a gun. She got over there to find him in the bathroom hallucinating saying someone was standing on the other side of the door with a gun and he shot through the door. The roomate kicked him out and well he should. My 2 sisters who live in the same town went to his house and put all his stuff in storage. My brother went to the parents house where he pulled out another gun and was waving it around saying they were outside waiting to kill him.Mom had to call 911 and when her husband got home, brother gave him the gun. He went back to the hospital. He was seen in the hospital again and then checked himself out AMA when they told him they may need to take one of his feet off due to infection. He came back the next day with fluid on his abdomen and legs all swollen up. They drained the fluid and put him on IV antibiotics and now his feet are better. He signed out again this time going straight to the bar where he did not however drink. He just sat there playing a video poker game till his money ran out. He left the bar to go to the ATM machine for more money. His card would not work. It was late,around 1:30 am and he went back to the bar but they were closing. 3 guys pulled brother out of the truck and beat the living shit out of him,would have killed him perhaps but the bartender came out and they ran off. He went to the hospital with a closed head injury, 2 fractured orbits and a fractured nose. He signed hiself out AMA again and told my mom he was dying and had things to do. He cannot even see because his eyes are swollen shut. He called my niece to come get him and drive him around.This is exhausting, not to mention hertbreaking. My poor mom is gonna have a nervous breakdown. I am glad I am not in the same town although I do feel guilty that my 2 sisters have to bear the brunt of this. I haven't called my sister today to see how things are going because I am having a good day. My mom says she wants 1 day to just be alone to do whatever she wants to do which is going to Oklahoma to play the slot machines for a while. I say go for it but she is afraid if she does this he may need her! Bullshit! I call bullshit! Alcoholics are selfish people. All they ever think about is themselves! I am sick of this and it is far from over.
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I am going to Dallas this weekend to meet my friend Pam from Tulsa. We are going shopping and to the museum to see the King Tut exhibit. I am so looking forward to the trip. I love shopping in big D and I love anything remotely egyptian. Even the cotton! LOL! I have been busy at work too! I went to the Dr. last week and had blood work drawn. I have tested positive for Hepititis C but my blood work shows no viral load, and I am one of the lucky 20% who does not need the treatment. My liver enzymes are all normal. I am not even a carrier.! Yay me! I have been so tired lately and the aches and pains have exacerbated to the point of my crying with the pain. My Vitamin D level was 9 the normal is 30-60 so this is probably why I have weak muscles and pain. I have started on a replacement but I will have to wait for a few weeks before checking the levels again. I am out in the sunshine every day but I do use a sunblock. I have to or I would burn baby burn. Hopefully the replacement therapy will work and I am already feeeling stronger and less pain. Of course, he also put me on tramadol which my friend Connie the kidney nurse tells me is the least offensive to the kidneys. I really wish I had a vicodin because they work and I am tired of the pain! Whaa!!!Big baby!
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