Debbie Moore-Black is a nurse who blogs at Do Not Resuscitate.
Jim Henson, creator of the Muppets and Sesame Street, died at the age of 53. His diagnosis was toxic shock syndrome/streptococcus pneumonia — a deadly bacterial infection.
We were on vacation when we heard the news: The genius who opened the imaginations and hearts of our children … maybe you too … was gone. We were devastated and saddened that the magic Muppet man had died.
One year later, our ICU admitted …
I know what you’re thinking: She’s cold-hearted, cruel, and unkind.
But am I? Or are you?
Grandma Lilly is 87-years-old and in the ICU. She’s on a ventilator with her wrists restrained to the side of the bed. Grandma can barely see because her eyes are puffy: scleral edema. And her heart races: 140 beats per minute. Her blood pressure is low and Levophed and vasopressin drips are ordered.
Her family can’t talk …
This is based on a true story. The name and some details of the events have been changed.
She was the smarter nurse who floated to ICU, to CVRU, to CCU. She could handle any crisis: balloon pumps, CRRT, open-heart patients, respiratory distress, code blues — anything.
Sandy was quiet. She didn’t really have any nurse friends. She was a loner.
But we could depend on her to take the most difficult assignments.
She …
My name is Lucy.
I have stage IV liver cancer. I wanted everything done — even though the doctors told me this disease is terminal. My family, my church and my friends were praying for “the cure.”
Though I believed in God and the hereafter, I wasn’t ready to go. 74-years-old with beautiful children, grandchildren, and a great-granddaughter.
I woke up confused. In the background — wherever I was — I could hear …
Jenna had it all: She was smart, pretty, inquisitive and popular, with just one more year until she graduated from high school.
She was at the top of her class and couldn’t wait until high school was over, and she could become a pediatrician just like her dad. One day, Jenna would be an MD.
“One day at a time,” her parents always told her, even though she wanted to rush to …
It was a long December.
A few years ago, my husband of 37 years got his death sentence: recurrence of liver cancer with mets to his lungs and lymph nodes.
He had a “Whipple” — a surgical procedure for pancreatic cancer — on Dec 24, 2015, and the surgeon discovered liver cancer too. So it was a 16-hour surgery. We were told he might die on the table.
His eyes haunted me as …
Patsy loved playing bingo every Wednesday night. Her boyfriend of three years loved watching her daughter Jenna who was a tiny and pretty six-year-old her momma called “princess.”
Even though they weren’t related, Jenna called Patsy’s boyfriend “Uncle Billy” at her mother’s behest.
And Uncle Billy made Jenna shyer and quieter than she usually was. He’d walk in on those Wednesday nights and demand a big hug and kiss on the cheek …
Years ago in a 15-bed acute medical-surgical ICU, the nursing supervisor contacted me about a special assignment. Once I knew what it was, I said, “Absolutely.”
We were about to admit a patient in his 40s with end-stage AIDS/HIV. He asked to be a DNR, but his MD wanted to admit him to the ICU for close monitoring. But the patient had a special request. Even with IV antibiotics and pain …
How do I tell you who I am in a couple of paragraphs?
Well, I was born in 1955, so that makes me 61 years old. My namesake is probably movie star and America’s sweetheart Debbie Reynolds.
My maternal grandfather was straight from Italy; my paternal grandfather was straight from Ireland. Both crossed the Atlantic and landed on Ellis Island in New York Harbor. It was the promised land.
So, that means I …
I’m in the ICU and was just back from an incredible tropical vacation. Nine days of vegging out on the beach. The glistening ocean was just steps away from the five-star hotel I was staying in, where doormen greeted me with fruity daiquiris and a staff that couldn’t wait to serve my every whim.
I was in paradise, and far, far away from the reality of my day-to-day existence as an …
Victim: Female nurse, age 25
Time: circa 1980
Place: A hospital in a sleepy Southern town with fifty beds, six emergency department beds, one nurse, one doctor and one secretary.
It was an unusually quiet Friday night in this small emergency department.
We all knew Friday was “party day”: pay day, play day, alcohol, pills, drugs, loud music and lots of really bad decisions.
Not only did we cover the entire city, but we also …
He had cardiomyopathy and CHF for over 20 years. At the time, doctors told him he could die at any time. That was 20 years ago. His EF was 10 percent — barely livable.
Two decades later, this admit kept him on a see-saw with respiratory distress, a bad heart, bad lungs, atrial fibrillation with RVR and heart rate in the 140s all day long. He progressed from nasal cannula to …
There was her 28-year-old daughter lifeless in an ICU bed.
Her name was Tricia, and she had dabbled with drugs since she was 15. As a child, she was artistic, adventurous, and always found excitement with other kids who tended to do risky things. She’d justify their behavior and say they were more fun and had better personalities.
Eventually, her mom and dad moved to a small town thinking it would be …
The toddler was a curious, rambunctious, talkative three-year-old who loved to explore.
Every week, he’d wait for Sunday to come, because Sunday was he and his dad’s special day. Mikey and his father adored each other.
Whether Mikey and his dad were doing “horseback rides,” playing basketball, or just sitting on the rocking chair for story time, whenever they were together there was fun, love and a forever bond.
Mom called them “the …
What can I tell you? It started out innocently. College exams were over. And that meant one thing — party time! Bubbly, shots, beer, cocaine and Percocet. Everyone was happy. It was a celebration.
Pam came from a pretty strict religious family: no alcohol, no premarital sex and no crazy music in her house growing up. It was church every Wednesday and Sunday. And if you missed a Sunday, you were …
There was a lot about that place I didn’t want to see or hear.
The buzzing and whirring of ventilators; the loud call bells; near-dead patients; nurses running around with IV pumps and tubes dangling along behind them; the heart-stopping “Code Blue” warning; or the electrical sizzle of a patient getting shocked as someone screams, “All clear!”
I didn’t want to do it.
Just a few days before, I had buried my mom.
First …
Welcome to the land of happiness, sadness, confusion, self-doubt, defeat and heroism. You have only just begun. This is not an easy job. And countless times you will say, “What was I thinking?” Or “Why did I do this?”
But it’s not really a job. It is a lifelong sentence. It can be insanely gratifying, or you can throw in the towel.
But be patient. It will consume you, and you will …
Once upon a time, I worked for a large hospital in the surgical-trauma ICU. It was just a six-month gig, and I had to travel from home further than I wanted. But my son would be starting college soon, and the $10,000 bonus was too irresistible.
Diane was the manager. The most kind, skilled, and helpful person I have ever met as an ICU manager.
She had every possible attribute as a …
We fought. And we fought hard. We were smarter and quicker and we could multi-task, and critically think beyond any MD or NP or PA or beyond any cardiovascular ICU (CVICU) nurse.
We always thought we had the higher acuities. We had the critical patients. The multi-system failure patients. The hemodynamically unstable patients.
We had to figure out the lungs, the heart, the kidneys, the brain, the pancreas, the gallbladder, the liver.
And …
Jim Morrison of the Doors once sang, “Petition the Lord with prayer … You cannot petition the Lord with prayer.”
But we did that. We petitioned.
On one side of the ICU, we had an 18-year-old girl, upper middle-class family, had everything. Beauty, brains, money, supportive parents, and she was off into this new bright world, choosing her college of choice. A simple surgery led to sepsis, severe sepsis that raged through …
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