Saturday, April 24, 2010

So Much For The Belmont Stakes


Every now and again, I need to be reminded that my lung disease is not the only thing running my life. I just had a "lovely" hospital stay, with tons of tests and lots of blood draws for labs, trouble getting an IV line started, new medicines and disagreements with techs about doctors' orders, all to be reminded that just because I have a chronic and ultimately terminal lung disease, it doesn't mean that some other health problem won't reach up and bite me on my butt.

The upshot? I have been diagnosed with congestive heart failure, and am now taking Lasix and potassium chloride in addition to the pharmacopoeia of other meds I must ingest both for my lung disease and for the side effects of same.

Several states allow race horses which are being given Lasix to race, but New York state is not one of them. I have just lost my chance to run in and win the Belmont Stakes.

I am heartbroken.

Overall, my time in the hospital wasn't bad, considering that I was mentally unprepared for the entire experience. Still, I do have a few standing complaints which may serve as warnings for anyone out there who finds him/herself in similar circumstances. First, be 100% aware of not only what the doctors have ordered, but why. My pulmonologist wanted to get readings of my breathing and oxygenation rates overnight while using my BiPap machine, to make sure my machine was working properly. The respiratory tech who was assigned to set up the test didn't want to use my BiPap, because of "liability issues." I had to explain it to her about 7 times that using the hospital's BiPap would defeat the entire purpose of the test. She STILL didn't want to do it, probably for fear she'd get in trouble somehow. I held my ground, and she eventually either checked with one of her higher-ups, or finally realized I was right. I mean, she had the doctor's order right in front of her, and it specifically said that MY BiPap machine was to be used. Good grief!

If she hadn't done it according to the doctor's order, I'd have been forced to stay an additional overnight, which would not have done my mental health any good, and she probably would have gotten in trouble for not following the doctor's order in the first place.

Second, don't let the nurses gouge you over and over in the attempt to start an IV line. I admit to not being steadfast enough here, mostly because I know I am what they call "a tough stick." I sympathize with the difficulties the RNs have in finding a good place to start an IV on me. But I am learning to say "not only 'NO,' but 'Hell, NO.'" to someone sticking me repeatedly and, upon missing the vein, keeping the needle in and digging around to try to find it. It didn't prevent me from winding up with both arms--and hands--black and blue. But what backbone I exhibited did keep my arms and hands from being abused even worse than they had been. Next time [and there will be one, I know--Ed.], I'm not even going to give them two chances. One try, no digging, and if it fails, I'm going to insist that someone else be called upon to start the IV line.

Third, there are some things that just are not worth getting upset about. Leads and wires and oxygen tubes and phone cords and TV remotes will get tangled up. Live with it, be patient (pun intended), and just untangle them as needed. Fourth, even teaching hospitals are overworked and understaffed, so learn to be proactive. If an alarm on something you're hooked up to goes off, and you know why, AND it's not for a true emergency, turn it off! When I finally did receive an IV, the pump monitoring the rate of infusion clanged horridly once the IV was empty. I waited about a minute, and then, realizing everyone was too busy to drop everything and come for such a minor thing, I just shut it off. The patient in the other bed was happy, I was happy, and the RN on duty was relieved that he had one fewer bit of drudgery to accomplish.

Finally, remember that the hospital is no place to get any rest. Set things up so that you have at least 48 hours after you get home wherein you have to do nothing, so that you can catch up on your sleep and get your mind and attitude recalibrated. Your family will love you for it.

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