Tag: Healthcare

Daily Life

It Was Time To Leave Healthcare

My last day was very surreal. With each task, I’d think “Oh, this is the last time I’ll ever do this”. I’ll never start an IV again. I’ll never pull out another Hemovac drain. This is the last time I’ll hang antibiotics. It’s the very last time I’ll dispense medications. It was an odd feeling.

It was time to leave healthcare for a lot of reasons. Healthcare has changed, and not for the better. Healthcare workers have been leaving the profession for a while, but Covid turned that exodus into a stampede. Hospitals are facing a crushing shortage of workers. That lack of staff is making working on the hospital floor unsafe. The patients are sicker, more demanding, ruder, and more violent. At the same time the near-daily onslaught of new rules, regulations, and charting/documenting requirements leave little time to actually connect with your patient. It’s sad, and I don’t see it getting better.

As an RN, I’ve been hit, kicked, spit on, yelled at, threatened, peed on, vomited on, and cleaned up more poop than you can possibly imagine. All while working a 14-hour day, sometimes without enough time to take a lunch break. We worked the Covid floors without enough supplies, being forced to wear the same dirty mask for two and three days because there was such a shortage. It’s been interesting times the last few years.

At the same time, it’s been an amazing experience. I saw and did things I never thought I’d be doing. I was able to connect with people at a level you can’t do at a cocktail party. I’ve held the hands of people as they drew their last breath. I spent time consoling people who just received devastating news about a tumor prognosis or were newly paralyzed. I sat quietly with people whose loved one was going to pass away soon. I also got to hear some fantastic stories from old folks about growing up in the depression, war experiences, and traveling across the country before there were interstate highways. I made some good calls that probably resulted in people living vs dying. I responded to codes and performed CPR on folks. I’ve had several people stop me in a store and tell me that, “you won’t remember me, but you took care of my father. He was so grateful for your care.” I have enough stories of crazy, wacky patients, gruesome injuries, and blood and gore to last a lifetime. In my pre-healthcare life, I never would have imagined that one day I’d be chasing a crazy, naked old lady with dementia as she ran down the stairs towards the parking lot. They definitely skipped over that part in nursing school.

I’m grateful I got to experience all of it. The good and the bad. (ok, maybe not the poop) It’s made me more appreciative of the blessings I have in my life. It’s also made me realize how important it is to try and be a good human. At the end of the day, that’s all you have. When you exit this world, how do you want people to remember you? Healthcare reminded me on a daily basis that you don’t know when your time is up. Slow down a bit and enjoy life. Make sure you take the time to see and do things. Because you never know what’s around the corner.

So, it’s time for the next chapter. I’m not entirely sure what that is yet, but I’m looking forward to it.

Health

No Vax, No Treatment?

Social media is an interesting place. There is no doubt its driven a giant wedge in society. Everyone has been forced into one camp or another. There is no longer respectful debate or differing opinions… on anything. People are constantly outraged at something. Outraged and extreme. There are no shades of gray, just black and white. The latest outrage seems to be a massive amount of self-righteous indignation over people choosing not to get the vaccination for the virus we shall not name.

Post after post on Twitter and Facebook of people calling folks who haven’t been vaccinated uncaring monsters, selfish, and worse. What I’m seeing a lot of lately are people saying that if an unvax’d person gets Covid they should be denied a hospital bed, relegated to tents in the parking lot, or “go to the back of the line”.

Not only does that opinion lack any compassion, it also shows a complete lack of understanding of our healthcare system. I’ll estimate that at least 50% of my hospital (probably more) is full of people being treated for something self-induced. Obese, smoker, throws a clot and has a stroke. Uncontrolled diabetic who has non-healing necrotic foot ulcers. Alcohol detoxing. Drug overdoses. Alcohol induced cirrhosis. Suicide attempts. Intravenous drug users with massive septic abscesses. The list goes on and on.

All these folks get treated. We don’t withhold care because they are responsible for their illness. We don’t judge your poor life choices. Oh, and by the way – the vast majority of these folks are unfunded. They do not have insurance. They still get the same care as everyone else. The hospital has to eat that cost, and so it gets passed on to you.

Are hospitals starting to see a lack of beds? Yep. But it’s for a variety of reasons. Prior to Covid we were starting to see a decline in the number of rehab, skilled nursing, and assisted living facilities. We have patients in the hospital that are medically cleared, but have been there for weeks (months sometimes) because we can’t find a facility that will accept them. Covid made that problem 10x worse. I’d guess that at any given time close to a quarter of the beds on my floor are occupied by patients who have been cleared to go but we can’t find placement for them.

The other issue is one of staffing. Many, many hospitals were starting to see staffing shortages pre-covid. With the pandemic, the bottom simply fell out from a staffing perspective. We often have physical beds available… just no staff to be able to accept more patients. I receive text messages from management nearly daily, begging for folks to come in and work additional shifts. Overtime pay, premium pay, covid bonuses, and we still can’t cover all the staff shortages.

So now we have a new variant that’s hitting the world pretty hard and that’s making everything worse again. Is this new wave impacting care for non-covid things? Absolutely. We’re now limiting elective surgeries again and postponing non-urgent procedures. That sucks. The trickle down effect of people postponing care will hit us hard later. All in all, this is a mess. Covid will be with us forever and the impact on our nation’s overall health will be a generational one. The point is that hospitals being “overwhelmed” is a multi-factorial problem, not just due to Covid. Surges in Covid cases simply exacerbate what was already an issue in healthcare.

So back to my original point. If you think that we should start rationing care based upon a personal choice about a vaccine… be careful what you wish for. We go down that road and you better not show up to the hospital slightly overweight with hypertension and a smoker, and complaining of chest pain. You may get put to the back of the line so we can treat someone with cancer first. So sorry you’re having a heart attack, I guess you should have taken better care of yourself. Bottom line, this pandemic sucks for everyone. Stop with the indignant, self righteous outrage. We’re divided enough already as it is. No need to add to it so you can feel morally superior over someone who makes different choices than you.

Cool, Daily Life, Health, Travel

A Sacrificial Offering
  • I’ve clearly managed to piss off someone, I’m just not sure who. We’ve had a pretty crappy spring, weather-wise. Cold, rain, and a ridiculous amount of wind. I hate the wind. It’s been windy virtually every day for what seems like months. And not just “breezy” wind, but 20-30 mile an hour winds in the afternoon. Being on a bike or motorcycle in that sort of wind just saps the fun out of everything. I spent too much time this morning trying to figure out what gods I need to appease. Being of Swedish heritage, naturally I first turned to the Norse god Njoror, but his background is really complicated and he leans towards providing wind for sailors. The Aztec god Cihuatecayotl is the god of the west wind, so he seems like a good candidate. Plus, the Aztecs were into the whole sacrifice thing. I haven’t looked into it extensively, but unfortunately I suspect sacrifices are frowned upon in our neighborhood covenants. Perhaps I can just go with a Sopranos style payoff. Meet some intermediary god at a park bench and slip him an envelope. Anyone know the going rate for 3-4 weeks with no wind?
  • I haven’t written much lately. My outrage reservoir overfilled and shorted out the main circuit board. I’ll read and watch the news, feel my outrage temperature rising, sit down to write (vent), and boom, it simply shuts off. I’ll be filled with an overwhelming feeling that there’s simply no point in writing or even thinking about the outrage of the day. I’m not sure if it’s apathy, sensory overload, or just interested in other things, but it’s been hard to figure out what, if anything, I want to write about. I think staying away from nonstop outrage and contrarian thinking may be a healthier choice. Life is too short to sacrifice many brain cycles to crap we can’t do anything about anyway.
  • The travel plans on the ginormous motorcycle have been stalled for multiple reasons. One is weather (see wind rant). Another has been parts outfitting. We’re almost done there. The last piece has been luggage. The bags I ordered were on backorder, but supposedly would be available again at the beginning of this month. I contacted them a week ago and they said another 7-10 days. Fingers crossed. The luggage delay did work out because the bike was due for it’s first service, and due to our massive influx in population, the shop was booked out a month. I finally got that done yesterday, so the bike is good to go. The delay also let me work on improving my riding skills confidence. I’ve spent some time in the dirt now and am really starting to feel better. Now I just have to actually commit to my first trip.
  • A myriad of health issues have plagued me lately, which I will detail for you in excruciating detail at another time. One of them however deserves a special mention because it illustrates how dorky I really am. I developed a neuroma on my foot, which causes a sharp, hot poker stabbing sensation when I run, play golf, etc… I got desperate enough to consult Dr’s Google and YouTube for my diagnosis and treatment. I believe that the root cause was years of shoes that were too small and had too narrow of a toe box. My toes are all janky, overlapping, and I have terrible bunions. The non-surgical solution is something called toe spreaders worn in shoes that look suspiciously like Ronald McDonald clown feet. I’ve been wearing them for a week and so far the neuroma seems to be a bit better. So my only real complaint is one of fashion. Google “natural toe box shoe” and see what comes up. Why do all minimalist and natural fitting shoes have to be so ungodly ugly? Sigh.
  • I got kicked at work the other day. We had a patient who went absolutely batshit crazy (drugs and untreated psych issues) and had to be restrained. We got the patient tied down and I went back to my patients. I got a call a while later to come help and sure enough this patient had managed to get out of all but one restraint. We had about eight people in the room waiting for security to arrive, while the patient frantically tried to get the remaining restraint off. I started getting worried what would happen if he got free and started running amuck in the room. So each time he reached over to try and undo the restraint I’d reach in and move his hand. Every time I did that he’d screech and try to bite me. We did that five or six times until the next time I started to reach in he gave a lightning fast roundhouse kick. I jumped back, but my cat-like reflexes have slowed a bit in my old age. He caught me on my upper thigh. Grrrr. Security arrived and we swarmed him, multiple people on each limb and got restraints reapplied. Funny, I don’t remember reading this chapter in school. I must have been out that day. I’m not sure what was worse, the kick or the amount of paperwork and interviews that had to be done afterwards.
  • An ode to trying new things.

Song of the day: R.E.M. – Shiny Happy People (Official Music Video) I never realized that Kate Pierson of the B-52’s collaborated on this.

Daily Life, Government, Health, Politics

Death By Jingle Bells
  • Time of death was 1735. Ten and a half hours into the shift. The Christmas music loop playing over the hospital loudspeakers had just begun the forty seventh repeat of Jingle Bells for the day. He was found slumped over his desk, eyes rolled back, drool pooling in the corners of his N95 mask. The charting system was open and his last known note had not yet been saved… “Patient observed laughing while on phone call. Patient informed this nurse that pain was 10/10. This nurse provided education on pain medication schedule and alternative pain relief strategies. Patient was observed yelling obscenities at staff members. This nurse will continue to monitor patients pain levels closely….”
  • Thank god we finally have some diversity at the highest levels of government. The media proudly gushed that Pete Buttigieg will be the first openly gay cabinet member. Pete himself made a point of saying this during his acceptance speech. Apparently Richard Grenell as DNI doesn’t count because, well, he was appointed by Trump. And he even though he’s gay he probably secretly hates the gays. And he’s a racist obviously. Does it worry anyone else that Mayor Pete, who couldn’t even get the potholes fixed in South Bend, is now in charge of Transportation? Optics and symbolism are clearly what’s most important.
  • 8 inches of snow overnight. I’ve got stuff do this morning, so the first downhill day will have to wait until tomorrow. We’ll get some skate skiing in with the hound this afternoon.
  • The backlash over Jill Biden insisting on being called ‘Doctor’ has been hilarious. Reviews of her dissertation have not been kind. Tucker Carlson’s skewering of her academic prowess was pretty damn funny. You didn’t really think, after four years of being called racist, and trashing the first lady, folks would just magically unite did you? Silly rabbit.
  • Remember the days of riots, looting, and police officers being shot over the tragic police shooting of Breonna Taylor? Well, it turns out when someone does actual journalism (remember that?) reality doesn’t match the mob outrage. Poor miss Taylor doesn’t seem to have been the innocent bystander she was portrayed as. Will the media report on this? Nope. It doesn’t fit the narrative and we wouldn’t want to upset people with minor details like the truth.
  • While a bit long, this thread is worth reading. It asks some interesting questions about the flu and why it’s been nearly non-existent this year. It shows how little we actually know about Covid and if our myriad of strategies for dealing with it are even doing anything. You know, science.
  • Magically after the election, Twitter returns the retweet button back to its original functionality. All is well, nothing to see here folks, move along. Twitter will add a “fact check, disputed claim” to a video posted by a conservative. They don’t when the exact same video is posted by a liberal account. If you’re an honest, thinking person this should bother you.
  • I don’t normally read James Bond type books, but I’ve been hooked on the Gray Man series by Mark Greaney. Been binge reading. I’m on book 8 of 10. Good stuff when you want an easy escapism read.

Song of the day: Beastie Boys “Root Down”

Daily Life, Government, Motivation, Politics, Solving the wrong problem

I Caught A Case Of The Apathy
  • Yesterday I was mad and frustrated. I was fed up with people on Facebook posting virtue-signaling Covid case count memes. Frustration at the lack of media coverage around alleged election fraud. I’ve had it with government lockdowns and killing of the economy and small businesses. I’m pissed that nobody in government is ever held accountable for anything. As a healthcare worker I’m exhausted with the hospital working conditions and no end in sight. I sat down and started writing a long post about all this. About two-thirds of the way through I suddenly felt a huge wave of apathy settle in. Why care about any of this? It feels like the massive engine of the deep state, big tech, and the media empire is an unstoppable force. Nothing will change. There’s too much money, too much power, too much corruption. What’s the point? Why bother writing (venting) for a grand total of about three readers? I deleted my words and walked away. I’m not as apathetic today, but I do wonder if I’d be happier if I stopped paying attention to the news? I suspect this blog would do better if I just focused on one thing… cooking or fly fishing or something.
  • A powerful solar storm is occurring Dec 9/10 that may produce northern lights visible in many northern states. We had cloud cover last night, so no luck. I’ll be looking again tonight.
  • It’s amazing how shameless the media is. They’re now shocked that the Hunter Biden investigation went largely unnoticed prior to the election. WTF. How do these “journalists” look at themselves in the mirror in the morning?
  • My hospital is drowning. Our staffing shortages are dangerous. Despite what the media reports, it’s not entirely due to covid. The city and state are frantically waving their hands in the air and desperate to do something to prevent the healthcare system from being overwhelmed. The solution? Let’s pass more regulations preventing youth sports and further limit restaurant capacity. That’s like when someone says they can’t afford new tires for their car, the government solution is to try and create smoother paved roads to reduce tire wear. How about, oh I don’t know, add resources to the health care system? We have a perfectly capable national guard who could spin up a response within days. I get that there are cost and liability issues when interacting with private entities, but I’m pretty sure we can figure that out. Rather than fix the leaks in the dam, we’re too busy educating people on the importance of wearing Gore-Tex and galoshes.
  • I saw an ad for a bracelet with a little symbol for every national park you’ve visited. Made me look up my list. I’ve been to 13. Not bad. How many have you been to?
  • Watched Hillbilly Elegy. Very good, highly recommend.
  • This is seriously freaky. Don’t watch if home alone at night.
  • Still have not made machaca. Haven’t forgotten, the timing just hasn’t worked out yet. I have a week off coming up and plenty of snow in the forecast. Skiing and cooking sounds like a fine way to spend my time.

Song of the day: The Who “Young man blues – live at Isle of Wight“

Daily Life, Health, Politics

Yo Hippy, Get A Haircut!
  • Everyone has a chore they hate doing. Dusting, mowing the lawn, cleaning the inside of the microwave, organizing the Tupperware, everyone has something they dread. For me it’s getting a haircut. Don’t ask why, I just do. Maybe in part it’s because in my head I’m convinced I’ll soon look like Brad Pitt in Legends of the Fall. The reality is closer to greasy Appalachian trailer park resident. The same with facial hair. Any day now I’m going to have a Jack Murphy beard. Reality is… well not that. So my cycle is let it go until it’s embarrassingly long and I’m coating it in major amounts of hair goop to keep it out of my face (or wear a hat every day), then shave it all off. And every time I cut it I swear I’ll schedule a haircut every five to six weeks like clockwork. At my age I guess I should just be grateful I still have a full head of hair to worry about. Anyway, today’s the shearing day.
  • Speaking of hats, an update on the surgical cap. I don’t particularly like it, but it’s doing the job and saving the tops of my ears from the surgical mask ear loops. It’s clear that even though they say “unisex”, they were designed for women. I ordered something that’s more like a doo-rag to see if that works better. Stay tuned, part two.
  • The injury update – I have a bruise that goes from my hip almost to my knee. It looks gruesome, but doesn’t really hurt. When I landed on the key fob it created a tennis ball size hematoma. All that blood has to go somewhere. It looks like I got hit by a truck.
  • So Project Veritas manages to secretly record CNN editorial calls for months. It shouldn’t surprise anyone that CNN is nothing more than a propaganda machine for the left. I’m sure secret Fox news meetings would be similar. Never air anything that hurts your political agenda. These are not news organizations. I’m not sure we even have just straight news anymore? For me the most humorous part is CNN “referring this to law enforcement” when they have no qualms about doing the exact same thing.
  • I was going to make a joke about the woman who “lured” a 14 year old boy to her home and had sex with him. I suspect my sarcasm wouldn’t be appreciated by the outrage crowd, so never mind.
  • I had a patient go AMA last night. For those who don’t know, AMA stands for “against medical advice”. The patient had a fall a week ago, finally came in and had an unstable vertebral fracture. The neurosurgeon ordered bedrest until a rigid clamshell brace could be fitted. The patient completely ignored the bedrest orders and spent the day walking around the room (complaining of pain) despite everyone’s attempts to describe the potential for further injury. At the very end of the shift the brace arrived and the patient took one look at it and said hell no I’m not wearing that, I’m leaving. After spending the better part of an hour (and ignoring all my other patients) trying to convince this person to stay and wear the brace, printing paperwork, explaining the consequences of leaving AMA (the massive bill insurance won’t pay), etc… the patient packed up to leave. Several minutes later he hit the call light so he could ask where his pain pill prescriptions were? I informed him that if you leave AMA there are no more scripts. Cue the lengthy, expletive filled rant on how we don’t care about people and do we not understand he’s in pain? Oh, and can I help him get his shoes on because he can’t bend over that far. Is it any surprise that I’m becoming very cynical about the human population?

Song of the day: Nena “99 Luftballons (Live 1983)”

Cool, Daily Life, Health, Politics

This Time I’m Serious

Cool things, random thoughts, advice, and independent thinking from someone who’s been around the sun a few times.

  • Filed under, “This time will be different”. Yesterday was the first day of the skate skiing season. Two observations. First, I don’t remember being this uncoordinated last year. Zero balance. It felt like I’d never seen skis before. Second, I’m weak like an eighty year old grandmother. And a bonus observation: I don’t remember my ski pants being that snug. What the hell? Why do I keep doing this to myself? At my age I can’t afford to be lackadaisical anymore. Every year I feel my balance and coordination getting worse. My strength is terrible and I’m starting to feel it in my back when doing activities. I have a fantastic home gym, so I have zero excuses. I’m pissed at myself and can’t let this continue. The problem is that I hate working out. As in, seriously hate it. I love sports, just not the gym. Time for me to just suck it up and get it done.
  • It’s always a mystery where some of the decisions come from at our hospital. Clearly some management types have never actually worked the hospital floor. For example, they recently took Coban away in a cost cutting measure. Unfortunately, Coban is a staple of an RN’s daily life. It’s the duct tape of the nursing world. If you’re not familiar with it, it’s a miracle substance that sticks only to itself and not the patient. It allows us to avoid using medical tape on frail, elderly skin. We can take it off and not remove half the hair on your arm. For example, just the other day I removed an IV from an elderly gentleman on significant amounts of blood thinners. Since they removed our Coban wrap my only option was paper tape that sticks for approximately 10 seconds and then falls off. I put a dressing on the IV site and he immediately began bleeding like I’d sliced an artery. We’re talking major crime scene – blood all over the bed, the floor, and him. I kept stacking trauma pads on his arm and trying to wrap it up in the stupid paper tape which kept getting soaked and not sticking. I probably wasted twenty minutes trying to solve something that should have taken two minutes. All in the name of cost savings. Sigh…
  • At the moment it’s not looking good for the Trump campaign. Sydney Powell spent the last two days on the news shows talking up the blockbuster bombshells that are going to drop starting today. Meanwhile the Trump campaign issued a statement late yesterday saying Powell is acting on her own and is not an official lawyer for Trump or the campaign. Very curious.
  • Because I am a dork, I spent a bunch of time this morning trying to understand the Covid PCR test and the meaning of Ct and amplification. In a nutshell, it looks like our “positive” results may very often be picking up virus loads so small they wouldn’t be contagious or remnants of virus from weeks prior and the person is no longer shedding. The commonly accepted amplification rate is less than 30. For some reason most of the Covid PCR tests are using 40. Basically the test may not be useful in identifying people who are actually in the contagious stage of the illness. We’re making public health planning more difficult unnecessarily.
  • I have a strange new addiction, possibly related to my ski pants no longer fitting. The other day I had a massive craving for chips. I searched high and low for chips, crackers, anything. All I could find was croutons. I’m now eating bowls of croutons every day. Very odd, I know. I’m a complex creature.
  • I have struggled with golf ever since I started the sport. I was pretty good about taking lessons this summer and made a little bit of progress. Then suddenly it all collapsed. I couldn’t hit the ball more than a few feet in front of me. I’d already committed to playing a round with some friends and was resigned to a miserable day of golf. A few days before our round I stumbled upon something called the “Single Plane swing“. I devoured most of the YouTube videos I could find, and then did the one thing you should never do. At the range warming up for our tee time I decided to try the new method. The first swing… a beautiful shot. Second swing, same thing. I played one of the better rounds I’ve played in a long time. This swing looks and feels goofy. I’m bummed that I discovered this just before winter because my options to practice are limited until spring. It will be interesting to see if this was a fluke or the real deal. Fingers crossed.

Song of the day: The Smiths “Bigmouth Strikes Again”

Cool, Daily Life, Government, Health, Solving the wrong problem

Do You Smell That?

Cool things, random thoughts, advice, and independent thinking from someone who’s been around the sun a few times.

  • We came home last night to an odd smell and a bathtub full of, well, sewage. I’m no expert, but that’s not normal. Our main sewer line to the house was completely clogged. This is where you realize that one of the most important things for you to acquire as an adult is to “have a guy”. A trusted mechanic. A handyman. A snowplow service. And, of course, a plumber. I firmly believe that the truly powerful people in life, from entrepreneurs to politicians to mobsters, got that way because they cultivated a rolodex of “guys” who can get things done when needed. Feminists please don’t get your panties in a bunch – I’m using the stereotypical “a guy” as a figure of speech. Yes I fully realize the “guy” you need may be a woman. For example, we stumbled upon a trusted decorator that’s done some great work for us who’s a woman. Wait, men can be decorators as well. Shit, now I’ve stepped in it. What was I saying? Oh right, we now have a plumber who did great work at a fair price added to our rolodex of non-gender specific trusted servicepersons.
  • Things that smell part two. Did you see the Trump campaign’s press conference yesterday about post-election lawsuits and alleged voter fraud? I don’t blame you if you didn’t as probably only two networks covered it. This brings up two points. Ok, three. First while I personally think most of the allegations will fizzle out, I do think there’s enough smoke to warrant serious investigation. Second, you cannot credibly claim the press is unbiased. Just like the Hunter Biden laptop, this is a major story and needs to be covered. The intentional choice to spike stories that don’t fit the media’s group think narrative is probably the single biggest reason Trump lost. And third, as he’s done for most of his presidency, Trump continually harms his message with his choice of messenger. Independent of the message or strategy being accurate, Giuliani is a horrible spokesperson for the campaign and should have been relegated to behind the scenes work a long time ago.
  • Update to the sore ear/surgical cap crisis. I’ve worn the silly wannabe do-rag bouffant cap for a week now. My ears are much happier because the mask ear loops are connected to cap, not my ears. My self esteem lost a few points, but at my age I don’t really care.
  • As California moves from stage Saffron-Yellow to Crimson-Burgundy, the governor announced a state wide 10 PM curfew. More keys to solving the Covid puzzle! Turns out the ‘rona is a night owl. As long as we stay below five feet, only go out during the day, and only dine at ungodly expensive restaurants – we’re going to be ok.
  • Started watching the Netflix series “Challenger the final flight“. Very good so far. I still remember exactly where I was when this happened. Working at a ski shop watching a tiny little TV. Didn’t have a single customer all day (wasn’t ski season) and no such thing as a cell phone yet (can you imagine?). I watched solitary all day with nobody to interact with until I got home. Was a very strange feeling.
  • Speaking of Netflix, proof of what I dork I am. Recently a friend asked what I was doing that evening. Mrs Troutdog was traveling so I said “Netflix and chill“. I had no idea that was actually a euphuism for sex. Awkward!
  • While I don’t think it will happen, the mere suggestion by the Biden team of cancelling student debt is enraging. I completed college working and without loans. Please explain how I’m going to be compensated for that. Otherwise, it’s not fair… and isn’t everything today about participation trophies and fairness?
  • A guy who drinks champagne and reviews pine cones.
  • And finally, some kick-ass outdoor sports footage by people wearing weird teletubby onesies. No, really. Worth the watch.

Song of the day: Lenny Kravitz “Are you going to go my way (pinkpop 1993)”

Cool, Daily Life, Health, Motivation, Solving the wrong problem

I Had A Bad Day At Work

Cool things, random thoughts, advice, and independent thinking from someone who’s been around the sun a few times.

  • Everyone has a bad day from time to time. For most jobs that’s no big deal. As an RN, a bad day has consequences. Yesterday was one of those days. Nothing bad happened and there wasn’t any one thing that caused it. Just one of those perfect storms of events. Short staffed, a super complex patient, a bunch of last minute discharges and transfers, multiple missing lab results, and some ridiculous bureaucratic decisions from management that make everyone’s life difficult for no apparent reason. The result was that I wasn’t a very good nurse. I barely kept my head above water all day. I’m sure my patients did not have a good experience. I think I stressed out the CNA unnecessarily. My documentation sucked. I was pretty rude to an EMS transport crew for showing up early. I caved in an ate a doughnut someone left in the breakroom (ok, two). Fortunately I have great coworkers and they kept me from drowning. It was one of those days that I drove home almost two hours late due to all the charting I never got to finish during the day, and wondered why I was even doing this job. You start questioning if you even have the skills to be a decent nurse. This morning I casually looked through job openings, wondering if it was time to make a change. Fortunately I have a long break through Thanksgiving to recharge and think critically about what I could have done to make that day go better. I still like the profession… I just worry that I’m running out of the mental energy it takes to operate at such a high focus level multiple days in a row.
  • Shortly after the beginning of the great China Plague, my hospital decided that all employees need to be screened as we enter. At first it was a long series of questions about symptoms, travel, and people you’ve been in contact with. Then they added swiping your badge at the entrance. Next, temperature checks. Now they also have someone entering your name and unit into a database. We’re given a different colored sticker for your badge each day to prove you’ve already been screened. There’s often now a line of employees waiting to be screened so they can get to work. So as a contrarian I have to wonder – with all that cost and effort over the last 7-8 months, has the hospital identified a single employee who may have had Covid and prevented them from entering? Does anyone from management ever ask if the outcome is worth the cost? Or is the appearance of doing something more important?
  • For reasons unknown to me, I’ve become addicted to car crash videos. YouTube collections of crazy drivers and crashes. It’s reinforced several things. First, I don’t trust other drivers. Second, I will never drive in Russia or third-world Asian countries. That’s where 90% of these videos come from. Clearly traffic laws in those countries are merely suggestions. I don’t think you can appreciate the degree to which we’re rule followers in the US until you see how people drive in other places.
  • I’m desperately looking for a news channel. Just plain news. I don’t want opinion, spin, or bias. I just want someone to report the important things that happened in the world today. Why is that so hard? Anyone have any suggested channels or sources?
  • I was talking to a co-worker about food and the conversation sparked a memory from years ago when I lived in San Diego and a favorite post-surf meal. Roberto’s Taco Shop and a Machaca Torta and rolled tacos (hey, I was young and burned a crapload of calories). Research has begun. The quest to make my own machaca has started.

Song of the day: Surf Punks – My Beach (Live at the Whiskey A Go Go)

Cool, Daily Life, Government, Health, Solving the wrong problem

Remain Seated To Avoid The China Plague

Cool things, random thoughts, advice, and independent thinking from someone who’s been around the sun a few times.

  • Due to the increase in the number of Covid cases, my state has decided to roll back to a modified Stage Two response. The new restrictions include the following:
    – No gatherings of greater than 10, unless it’s for school, business, religion, or political events.
    – Bars, nightclubs, and restaurants can remain open but only if the patrons are seated.
    Science has been wrong this entire time – Covid particles hover about five to six feet off the ground. As long as you’re seated they’ll drift right over your head! This is a tremendous breakthrough! Forget masks, we just need everyone to move around on little low recumbent scooters and we’d stop this virus in its tracks. And we already knew that the ‘rona was smart enough to skip large gatherings as long as they were for an appropriately woke cause, rioting, or looting. Biker events and rallies are not woke and everyone is standing – also known as super spreader events.
  • It started snowing today. The local ski resort web cam shows nine inches so far. It’s fair to say I’m getting a little excited. Come on global warming… don’t let this just be a cruel tease.
  • After spending approximately two hours watching snow web cams, weather channels, and Warren Miller clips on YouTube, I realized I’d left an unfinished item in my Bullet Journal – start workouts for ski fitness. I think I wrote that sometime in June. Ooops. Guess it’s time to put down the pirate booty and actually start working out. Otherwise my fat ass is never going to get up or down the hill.
  • As a healthcare worker I have to wear various types of masks for 13 hours at a time. It’s gotten to the point that the back of my ears are absolutely killing me. Even wearing my glasses is starting to hurt now. I’ve tried various solutions to no avail. There’s complex physics involved, but women’s hair and fashion offer more options to get the straps off the ears than us dudes have. Today I ordered some surgical caps with buttons on the side. I’m desperate. Stay tuned.
  • If you need a smile to finish out your week, watch 10 year old Nandi Bushell rock out to Nirvana. A serious prodigy. The pure joy on her face is awesome. Imagine how happy we’d all be if we could approach our work and hobbies with that level of enthusiasm?

Song of the day: Nirvana – Breed (Live At The Paramount/1991)