I have 9 days left. And I have had way too much drama. I had to let it all soak in, take a class, finish being sicker than a dog and care for my husband.
So, BadBird has a bad back. Y’all know that already. He can barely move his right leg, has to get around with a front wheeled walker. He’s fallen a couple of times when that leg gives out on him. Things are way beyond a cane. His surgery is scheduled for Monday morning, exactly a week before my hip replacement. We will both be laid up. We like to do things together, don’t you know. He’s on warfarin, has had to stop that and is bridged with Lovenox. Warfarin is a blood thinner that takes about 5 days to get up to speed, and about 5 days to wear off. In between the last dose of warfarin and when he starts it up again, he still needs a blood thinner. So we do Enoxaparin Lovenox subQ injections twice daily. It is a low molecular weight heparin that lasts 12 hours, so he will have very minimal risk of bleeding during the surgery. Since I am the resident nurse, the job naturally became mine. I finally get to show him the quality work I do. He has very little bruising at the injection sites. I have him ice the target area for about 5 minutes, then I cleanse with alcohol, wave my hand over it to dry it (or to perform a blessing) then inject just under the skin. You want to go very slowly to minimize the bleeding, then apply the ice for another 5 minutes or so. Behold my handiwork!
I considered postponing someone’s surgery, but really? His leg is useless and he hurts so much. His surgery has to go on. Then, what about delaying my surgery? Well, considering that I already waited too long, I have nothing left. I already find it hard to get around at work. I can do it, but I really hurt by the time I go home. The patients are starting to feel sorry for me! I call a patient to the ED from the lobby, and sometimes I tell him “I would tell you to walk this way, but it’s not fun” and I almost always get a chuckle.
I was slightly ill during Norm’s surgery consult. Had to stop several times on the way down to the big city. Sometimes I swear I have IBS, irritable bowel syndrome. Still a fussy tummy during the consult, got violently sick and vomiting by the time I got home. Had to lie down for a couple of hours to recover. Didn’t eat anything, drank lots of water and Gatorade, although that’s not on plan. I was beyond caring. The next day I slept more, worked the ED that night, got off Thursday morning, rushed home to shoot the Lovenox, rush back to work to attend – and pass – PALS course. I am once again certified to save children.
This class was more difficult than it usually is. Although I took the online portion and passed, I had so much going on that I could not open the textbook even once. On top of that, I took the one day renewal class. In my rural area, I don’t use the skills I learn enough to feel comfortable with a refresher course. I always opt for the full meal deal. I flubbed a bit on my megacode scenarios. I never expect the fake baby to die. But I aced the written exam, missing only one question, the same question every one else missed. I am once more certified. But y’all knew that.