So… I had the toughest shift I had so far some time ago.
@PredsV82 @hockey diva
I had a 8+16h shift. Had a terrible headache that day, but fortunately had surgery internship. Job done really soon. So I could take a 3h nap before going pack to pulmo.
Bunch of routine merely annoying stuff, one or two routine admissions.
Before midnight. Give or take 50 yo M (fairly young, still working) gets worse. COPD exacerbation with flu. Worsened hyposaturation, shortness of breath, needed more than 10l/min of oxygen. Coughed up blood. Called my ward boss (had a noght shift with me) that she should probably take the guy to ICU. Gave him hemostyptics in the meantime. She came to see him and agreed.
Fortunately… this one recovered, got home a week or so after. Actually dismissed him, because his doctor went on holiday.
Sidenote. Another young (40 or so) guy who was at the ward for diagnostics (fortunately had a benign tumor of his trachea) helped us pack his things. That was a first time.
Wasn’t all.
61 yo F. Undiagnosed COPD (undiagnosed, but almosz certain) with flu pneumonia.
Had a hard to contain fever in the afternoon. Not my first rodeo of that kind. Contained.
@bleedgreen - yes we took blood cultures before antipyretics.
At night. 3 AM. I get a call. Nurse calls me. She’s former ICU. “She ain’t good”.
Ironically we started to get on “thou” terms that shift. (2nd person of singular is used regularly in Czech. Using 2nd of plural is used in formal speech for individuals).
This time I am not even getting socks. As if I knew. Just shoes, work phone and keys.
She truly ain’t good. Her saturation which was 90 in the morning at two liters is 51. We aren’t sure if the machine ain’t glitchin’. It… wasn’t. Took the arterial blood. Global respiratory failure just by vision test. I am sure as fu^k in the artery and my favorite liquid in the world is purple. Putting the patient on High Flow Oxygen. Calling my boss again. Temporary stay at ICU, but almost immediately sent for anesthesia, who later intubate her and transfer her to their ward.
This was in half of January. She died on 15th of February.
I don’t think I made a mistake, but I am still pissed.
She got better for some time. But ventilator pneumonias are a thing.
…
On a side note we have sex more often with Mrs. D-V. So that’s pretty grear for the work-life balance.
And I love the game Last Train Home.