July 5, 2011

Patient #1

One of my patient’s came into the hospital via the Emergency Room with complaints of nausea and vomiting. While the patient is in the Emergency Room, they noticed a large dehisced (medical speak for surgical wound that has split open revealing the inner part of the body) wound. Apparently, the patient felt that this wound was “normal” but the nausea and vomiting was unacceptable. (High comedy right there, people.) Obviously, the patient was going to have to have some wound treatment, and spend some time on my floor. 

I end up taking care of this patient for my first 4 nights on the unit, and I kid you not, every other phrase out of the person’s mouth was, “Aw s***, gu-hrlll.” (That’s girl, but spelled the way my patient pronounced it.”

Here’s a conversation we would have:
Me: “How’s the pain?”
Patient: “Aw s***, gu-hrlll. It hurts.”
Me: “Can you give me a number between 0-10?”
Patient: “11.”
Me: “Are you passing gas?”
Patient: “Aw s***, gu-hrlll, I’m tryin. Whatca doin here anyway?”
Me: “Any shortness of breath?”
Patient: “What’s that?”
Me: “Are you having a hard time breathing?”
Patient: “Aw s***, gu-hrlll, this pain. It so bad. Can you bring me something?”
Me: “I can’t yet, it’s not time.”
Patient: “Can’t you call the doctor and get me something else. My pain is so bad.”
Me: “I just talked to the doctor. There’s nothing else they can order.”
Patient: “Aw s***, gu-hrlll. Call him anyway.”
Me: (Ignoring that) “Are you dizzy at all.”
Patient: “Only when I try to get out of bed.”
Me: “Ok. Make sure you call me before you try to get up. I will help you.”
Patient: “Aw s***, gu-hrlll. It’s meh [body part that has the wound]. It hurts so d*** bad.”
Me: “Do you know where you are?”
Patient: “In bed.”
Me: “Good. Where’s that bed located?”
Patient: “[Name of hospital where I work]
Me: Do you know what day it is?
Patient: “Aw s***, gu-hrlll. Same day as this mornin’ and my [body part] still hurtin.”
Me: "Correct. But what day of the week is that?"
Patient: "[Names day of the week]
Me: “Ok. I’ll bring you your meds as soon as I can. Can I bring you anything else?”
Patient: “I want some pudding.”
Me: “Ok.”

I probably repeated this exact conversation about 10 times over the course of 4 nights. And that, my friends, is how I spent my first nights of orientation on the floor.