markthefixer Needs Your Support!
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KentTeffeteller
Gimpus Stereophilus!
I think MarkTheFixer needs some scantily clad nurses and therapists to amuse him. Some test equipment, gear to fix, and a test bench and lots of tunes is in order. Get better, good friend. PT= Physical Terrorism!
DaWoofer
Super Member
Great to see your post Mark and knowing by your writings that you read like the Mark we all are accustomed to. Keep that positive attitude as we all have for you as well and soon you'll be back home where you belong, sniffing solder fumes. Joking aside, GET WELL SOON, the Pioneer forum as well as AK misses your presence.
gotta vent.....
respiratory technicians take care of vents, trachs etc , in the pecking order they're somewhere between the patient's assigned nurse and the head boss nurse.
now, i have a bandage called a drain sponge between my throat skin and the back of the trach top. they come two to a package. I use one, while most RT's use both unless otherwise requested. So, I so request.
There is one RT however that scoffs at that idea, and when i request just one, gets real snippy about it : "I remember...." and i have even been treated to her slamming the stuff she has to toss ( old one, packaging etc ) into the trash.... meanwhile, i do try to not antagonize her.
this issue was far from my mind yesterday ( foley accident left me with sore bladder for a few days) and the throat pain was blunted by the tylenol during the day but when trying to sleep on the vent, the pain kept me awake.
this morning there was enough swelling in my abused throat that my normal exhalation past the trach tube to my vocal cords WITH the speaking valve in was extremely difficult, thus I am temporarily mute. also the normally clear or white secretions that i sometimes have to suction out after a night on the vent, were PINK with blood.
i was puzzled as to what was wrong yesterday and today, until that RT came in to change the drain sponge a little while ago, and as she approached me with TWO sponges CLEARLY visible in her hands, I said " just one please", she popped off her "it makes no difference", and added "I put in two yesterday..."
i stuck my finger in the talk position " I suctioned bloody secretions this morning, had great difficulty swallowing breakfast, and the pain last night kept me awake, even with tylenol and i couldn't figure out WHY".
she just walked out...
:gigglemad
luckily, the way patient responsibility is assigned, she is not my RT on many of her shifts.
respiratory technicians take care of vents, trachs etc , in the pecking order they're somewhere between the patient's assigned nurse and the head boss nurse.
now, i have a bandage called a drain sponge between my throat skin and the back of the trach top. they come two to a package. I use one, while most RT's use both unless otherwise requested. So, I so request.
There is one RT however that scoffs at that idea, and when i request just one, gets real snippy about it : "I remember...." and i have even been treated to her slamming the stuff she has to toss ( old one, packaging etc ) into the trash.... meanwhile, i do try to not antagonize her.
this issue was far from my mind yesterday ( foley accident left me with sore bladder for a few days) and the throat pain was blunted by the tylenol during the day but when trying to sleep on the vent, the pain kept me awake.
this morning there was enough swelling in my abused throat that my normal exhalation past the trach tube to my vocal cords WITH the speaking valve in was extremely difficult, thus I am temporarily mute. also the normally clear or white secretions that i sometimes have to suction out after a night on the vent, were PINK with blood.
i was puzzled as to what was wrong yesterday and today, until that RT came in to change the drain sponge a little while ago, and as she approached me with TWO sponges CLEARLY visible in her hands, I said " just one please", she popped off her "it makes no difference", and added "I put in two yesterday..."
i stuck my finger in the talk position " I suctioned bloody secretions this morning, had great difficulty swallowing breakfast, and the pain last night kept me awake, even with tylenol and i couldn't figure out WHY".
she just walked out...
:gigglemad
luckily, the way patient responsibility is assigned, she is not my RT on many of her shifts.
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Go up the chain of command and take care of yourself. She obviously could not care less.
AnalogDigit
Realistic fan.
Sorry about that Mark. I would raise some hell with your doctor and her boss about the situation. Some nurses don't give a damn.
+100. All of the staff are there to take care of patients, not their own ego. If one drain sponge is comfortable and sufficient for your anatomy and needs, then that is what it should be. One additional sponge is about 1/8" thick, but that can put pressure on your inner trachea/mucosa. My daughter Lessa has a G-tube button which is sealed/lined with the same 4x4 drain sponges. We use between 3 and 4 sponges and it can and does change the pressure on the stoma site. When we find what works, we don't change it because we think it should be, we go with what works (not broke, don't fix it).
Have your doctor and head nurse write an order to specify how many sponges to use, or to accept and follow your request. The order gives specific direction and the R.T. must follow unless they can show specific clinical reasons why not. And the attitude should be reported through to the Head nurse, RT Dept. head/supervising Pulmonologist, Director of Nursing, and COO Administration. If you develop side effects or untoward problems due to an RT not paying attention, then she should be specifically banned from caring for you, staffing be damned. Its about patient care, not staff care.
A nurse that violates a direct order from a patient, much less a nurse that violates a direct order from a patient and then hides that fact from the patient, shouldn't be in the profession.
You need to bring this up with your doctor and the head of the nursing department.
You need to bring this up with your doctor and the head of the nursing department.
^THIS^
Not the place for egos, temper tantrums and BS. If you want to get snippy and cop an attitude go work at the DMV!
new roommate, tv on ALL night. finally got to sleep somewhere between The Honeymooners at 4am and Dobie Gillis at 4:30.... THEN UP AT 8 :gigglemad
Imagine that, Jackie Gleason's foghorn during that show actually putting someone to sleep!!
roommate seems to be intermittently in and out during all 24 hours of the day. don't know how much in when in...
i have been at 30% o2 feed for a few days and have been holding my blood o2 sats to 95 - 97 %
so the next step is down to 24%, not much higher than outside air.
Current Doc seems to be finally realizing my talk all along was NOT hot air but deadly serious.
Imagine that, Jackie Gleason's foghorn during that show actually putting someone to sleep!!
roommate seems to be intermittently in and out during all 24 hours of the day. don't know how much in when in...
i have been at 30% o2 feed for a few days and have been holding my blood o2 sats to 95 - 97 %
so the next step is down to 24%, not much higher than outside air.
Current Doc seems to be finally realizing my talk all along was NOT hot air but deadly serious.
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AnalogDigit
Realistic fan.
Sorry about the roommate Mark. I'm glad your current doc is taking your serious.
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