I was on call last night, 3p-7:30p. Our ER is so totally busy and important that we have to take call. Are there other ER's that do this? I've never met one, but like fairies, that doesn't mean they don't exist. So of course I got called in while shopping at Costco. I love Costco and all those free yummies they hand out. Yesterday there was smoked salmon on crackers with with a sweet sauce, but I digress...
I got there to a not totally crazy ER, but what patients they had were pretty sick. I picked up 3 from a nurse going home. They all had cancer: 1 lung, 1 colon and 1 brain but the brain cancer was probably secondary, so he was going to CT to see if there was some old cancer hiding somewhere else. Gotta make your day, to find out you have a brain tumor. Last week I had a guy who had just been told he had a brain tumor and then a few hours later was told the good news that it wasn't a tumor, but an arterial-venous malformation that needed surgery so it wouldn't explode in his brain. Good news is really relative in the ER.
I walk into the room where my patients are, not really sure who's who yet and I see a woman my age crying. I ask her if she's ok and she says, "They're putting him in hospice."
Hi, I'm Susan your nurse. So, I hear you're going to die.
I don't really know what to say. Usually people's prognoses are not so definitive when I see them. So I don't say anything and just try and be helpful instead. I'm ever so helpful. So, while I'm trying to pass out everybody's meds, teach my other lady how to inject herself with lovenox so she can go home instead of spending the weekend in the hospital and minister to my dying dude, I get told I'm taking one of two codes that are coming in. I try and get caught up with my charting. First code comes in, I jump in help a little, then my code comes in. My patient was in respiratory distress and not breathing so good, so they intubated her. Otherwise, she was pretty awake. Like, very awake. So we sedated her. And then sedated her some more. Everytime I left the room for a minute to see to the THREE OTHER SICK PATIENTS I HAD, I got a call that my intubated patient was waking up and grabbing for her tube. Erg. I got her settled back down, got my lady discharged, took my dying guy off bipap for a few minutes so he could eat before needing the bipap again, I told him I couldn't make it better but I could I'd try to make it easier. I then tried to call report to MICU on my intubated chick. Who's waking up again!
I would like to take a moment to tell all the ER doctors out there that they are NOT anesthesiologists and that propofol sucks. I mean, it's quick to sedate you, but it's quick to wear off and quick to drop your pressure. Please, please, please use versed and fentanyl instead. That is all.
Put my guy back on bipap, suddenly remembered that the guy with the brain tumor hadn't been to CT yet, tried 3 times to get an ABG on my MICU lady who woke up AGAIN, more sedation (is she a drinker? is the line ok? why isn't she knocked out?) Called the respiratory therapist to see if he could get the ABG, he couldn't and left before I could stop him to do the transpot with me. Lady wakes up again, more sedation. Finally, I grabbed my relief who offered to bring her up to MICU while I finished up my charting and that he'd tell them I couldn't get the ABG. Searched 10 minutes for lost chart. Finished charting. Brought promised water pitcher to my hospice patient. Gave his wife a hug and held his hand and said goodbye. Went to get changed. Texted Gary to tell him to come pick me up, he said, "you've got the car." Oh, yeah. Well, it's been quite a four hours, what can I say.
Picked up cheesesteak and ice cream from Thomas Sweets for family. Was in bed by 10:30. Slept til S's alarm went off at 2am, cause she played with the phone. Really? But that's another post.
Saturday, March 30, 2013
Saturday, February 16, 2013
What time it is?
Oh dear God and/or Goddess.
I have volunteered to start a Brownie troop. Which everyone thinks is a great idea and wants their daughters to join and Oh-Gee-It's-Great-Someone-Wants-To-Start-A-Troop! Except no one really wants to LEAD a troop. And S- reeeeeaaaaallllllyyyyyy wants to be a Brownie. Cause, you know-Uniforms! Brownie Badges! A cool Brownie skort! So, here I am, about to be a Brownie leader, cause I have all the time in the world.
Actually, Pastor Patty told me last week that I was the busiest woman she knows and I was like, "Huh?" I'm not busy, I just work full time, take 2 college classes, homeschool S-, try to sing in the choir once in a while, maybe participate in a play (that was before college, though, to be fair) and walk the dog and put drops in the cat's ears....and maybe clean my house. Once in a while. Like when company is coming-and when do I ever have company? Next week, that's when-when I have a parent meeting for BROWNIES! Oh, God. Now I've got to bake and cook.
Thank Gods, Goddesses, Buddha and all the Bodhisattvas that I have Mr. H who does all the cooking, helps tremendously with cleaning and basically runs the homeschool AND generally makes sure the bills are paid and the house doesn't explode.
One consequence of all this is am now officially a Pintster. How very Pinteresting, how Pinsterific. I tried explaining to Mr. what Pinterest is. "It's like social media for girls. And a few gay guys." Those who like to share twee things, like wedding dresses and cutesy crafts while keeping away from WTF/NSFL gifs and evil, evil internet Trolls. I really, really, really was not Pinterested in joining. But my google search to find amazing and interesting things to do with a gaggle of Brownies led me directly there and....I did find some great Girl Scout things to do. Apparently, that is where all the GS leaders hang out: on Pinterest. I'm not even sure how to tell you to find me there. I thinks it's this:
Now if you'll excuse me, I have homework to do.
I have volunteered to start a Brownie troop. Which everyone thinks is a great idea and wants their daughters to join and Oh-Gee-It's-Great-Someone-Wants-To-Start-A-Troop! Except no one really wants to LEAD a troop. And S- reeeeeaaaaallllllyyyyyy wants to be a Brownie. Cause, you know-Uniforms! Brownie Badges! A cool Brownie skort! So, here I am, about to be a Brownie leader, cause I have all the time in the world.
Actually, Pastor Patty told me last week that I was the busiest woman she knows and I was like, "Huh?" I'm not busy, I just work full time, take 2 college classes, homeschool S-, try to sing in the choir once in a while, maybe participate in a play (that was before college, though, to be fair) and walk the dog and put drops in the cat's ears....and maybe clean my house. Once in a while. Like when company is coming-and when do I ever have company? Next week, that's when-when I have a parent meeting for BROWNIES! Oh, God. Now I've got to bake and cook.
Thank Gods, Goddesses, Buddha and all the Bodhisattvas that I have Mr. H who does all the cooking, helps tremendously with cleaning and basically runs the homeschool AND generally makes sure the bills are paid and the house doesn't explode.
One consequence of all this is am now officially a Pintster. How very Pinteresting, how Pinsterific. I tried explaining to Mr. what Pinterest is. "It's like social media for girls. And a few gay guys." Those who like to share twee things, like wedding dresses and cutesy crafts while keeping away from WTF/NSFL gifs and evil, evil internet Trolls. I really, really, really was not Pinterested in joining. But my google search to find amazing and interesting things to do with a gaggle of Brownies led me directly there and....I did find some great Girl Scout things to do. Apparently, that is where all the GS leaders hang out: on Pinterest. I'm not even sure how to tell you to find me there. I thinks it's this:
Now if you'll excuse me, I have homework to do.
Friday, December 28, 2012
I seriously need some elves...
Christmas 2012 has come and gone. We lived through the Mayan apocalypse AND dinner at my sister's. Just when I thought my extended family couldn't be any more boring, a co-worker mentions that at HER Christmas eve festivities, everyone got drunk and sang The Twelve Days of Christmas, including appropriate acting out of the song. Video was prohibited, of course. Nothing done at my holiday celebrations ever require anyone to sign a waiver, unfortunately.
As you can see from the above picture, Santa did not so much visit our house as ransack it. Oh, wait, that was done by children, mostly one small-ish, still-very-excited-by-it-all child. Which is really fun to watch, but not so much to clean up after. I now know why Jewish people go out for Chinese food and a movie.
Which is why I spent the day not cleaning. S-, who is normally home everyday except for 1 or 2 hour outside activities or occasional forays to friends' houses, is at karate camp. All day. A lesser woman would say that is a great time to tidy up, but not me! I spent the 5 hours having uninterrupted time speaking to my husband (actual whole sentences!) and surfing the web. Also, I learned how to use Evernote on my iphone and computer, so not a total loss. I am nothing if not fascinated by how to be organized. Actual organization is another thing. Besides, I think that organization-type people are part of a pyramid scheme. Just like you can make a million by writing a book How to Be a Millionaire and convincing a million people to buy it, so I think those Efficiency types try and convince you that being organized is oh-so-wonderful and then convince you to buy their twee organizing bins and color-coded folders. Their own houses probably look like who did it and ran. Anyhoo.
![]() |
| She is trying to look fierce |
The kitchen. I try not to be in my kitchen unless I'm cooking something, so I'll clean it while I cook. Counter-intuitive, I know, but it works for me so don't judge. I fill the dishwasher while I'm waiting for water to boil or whatev. I have to wipe down a counter already to get cooking, so why not just keep going? With the dirty dishes away in the dishwasher and the counters cleaned off, I can pretend that the floor's not too bad and save that for another day. As one of my nursing instructors said, I throw a handful of dirt in the corner and when it sprouts, I know it's time to clean. Words to live by and you won't find that in any how-to-be-organized book I'll warrant.
New Year's is a few days away, a propitious time to clean the house. If that's not enough of an incentive,
invite some people over, then you'll have to clean. A Filipino nurse at work told me that a few minutes before midnight on New Year's, they open all the doors and windows of their home to let the evil spirits out and make way for good things to come in. Hey, ya never now. Happy 2013, y'all.
Sunday, December 9, 2012
Holiday Happenings in Hub City
So we missed New Brunswick's tree lighting this year as I was working. But then I found out (still not sure how), that Highland Park was having a Christmas tree/Menorah lighting Saturday. After Shabbos, of course.
(Our town has a large, Jewish population-mostly Modern Orthodox, some Hasidim, conservative. A reformed minyan meets at my church. Israeli's, who can fall into any camp, I guess. Oh, and we have a town eruv. Google it).
So S and I and hubby and the dog walked uptown for dinner and general lighting of things. Several shops were giving out warm cider and cookies and S's old daycare was having pictures with Santa. S told Santa she wants a baby brother or sister for Christmas. Umm. Anyhoo, We stayed too long at the shawarma restaurant, missed the lighting of the Christmas tree and so stayed for the menorah lighting. How's that for a multicultural sentence? While they were preparing the menorah, a big PVC affair, the high school a cappella group sang, and then a blue grass group played Christmas music. It was quite a sight, all of us huddled on the sidewalk, listening to Christmas tunes and watching the menorah preparations. S found some friends. Together, they posed for pictures for a Jewish paper. "Say Happy Chanukah!" said the photographer and the 3 girls did, with candy canes in their mouths. I love my town. They were also selling menorahs (dreidle included) for $1. Of course we bought one, I have no shame. And it's a dollah.
I think the town kinda threw this thing together last minute, because the place they chose to do this was right on the main drag, on the sidewalk with cones extended into the street which is busy with NJ, holiday traffic. At night. I spent the time poised to spring into action should someone be jostled into the path of an oncoming SUV. Anyhoo, the rabbi(?) came forward, talked about the meaning and miracle of Chanukah and then proceeded to light up a flare. I had been wondering, because their were no light bulbs on this thing and there was no way a candle was going to last in the weather. No, flares it is! The assembled group sang the blessing over the lighting of the candles and with his one flare he lit the center and then the first night candle. Flares smoking, sparks falling to the ground, mothers pulling their children back so they didn't catch on fire. And all the while the real risk of an errant driver veering 1 foot to the right and cutting us all down. Good times.
We went home and played dreidle with pennies. It's easy and because we haven't had cheap dreidles pushed on us since childhood, fun (some Jewish friends I know are less than enthusiastic about the dreidling, but it was exciting and exotic for us. And you get to sing that song). It literally took S 10 seconds to memorize the symbols. Not the names, we're still working on that, but right away she knew that nun=no pennies, hey=half the pennies, shin=put a penny in the pot and gimmel (which looks like a "high heel" per my child)=Yippee! Gimmel me ALL the pennies!
Today we went to the Crossroads Theater's Holiday Jubilee. Eldest daughter got paid, yes I said paid, to be a costume consultant for the Motown inspired holiday show. Kids are free with a paid adult ticket and they sat on the stage. It was great-the music was fun, we were dancing in the seats and S had a great time, even though she didn't get picked to go up and dance with the cast, but she wore her disappointment well and I was so proud of her good behavior I bought her a disgusting candy thing at 7-11 afterward. They even put in Chanukah, Kwanzaa and Muslim songs. And not in a "hey we have to be politically correct and throw in a
Chanukah song" but very nicely done. Because, seriously, sharing between different groups of people doesn't dilute anything, it only makes what we have and believe in stronger. It was groovy. AND the costumes were right on. I came home, ate 3 slices of pizza and passed out. Word.
Friday, October 12, 2012
Hunting Fossils and Little Orphan Annie
We had a rather exciting Saturday. First off, we went to Big Brook Preserve in Monmouth County. We spent the morning wading through the muddy brook, sifting for fossils. We did manage to find a bout a zillion belemnite fossils AKA ancient squids. These came to be called "squid bits," as in, "Hey! I found some more squid bits!" G did manage to find the prize winning Goblin Shark tooth-the curator of the geology museum said it's the best example she's ever seen:
We then went to G's Alma Mater, Monmouth U. The college is situated on the former site of the Shadow Lawn Mansion, now known as Wilson Hall (Woodrow once had the "Summer White House"close by). It is also where "Annie" was filmed. We, erm, managed to get in and have a look 'round.
![]() |
| The entire ceiling over the main hall is beautiful stained glass |
![]() |
| The sitting room to the lady of the house's private Loo |
![]() |
| Mirror and marble over M'lady's bath |
![]() |
| Let's go check out the basement, Daddy! |
![]() |
| Public ladies room near the basement theatre (Seriously, I don't have a bathroom fetish. They just had some of the most beautiful tile work) |
![]() |
| Bathroom stall door. Seriously. |
They still use the bedrooms as classrooms, complete with chandeliers and huge fireplaces. It was amazing to walk through. G had taken me here when we were dating....at that time, we had gone on one of the original elevators, but seeing as we were in the house by ourselves, and the elevators are ancient, we thought it prudent to stay out of them.
S and I pretended to be ladies from the Gilded Age and talked about how we would spend our days, having tea parties and riding our ponies about the grounds. It was fun. We got home very exhausted.
Monday, October 1, 2012
Homeschool Success by Susan Higgins
Our first year of homeschooling met with success for both my
husband and I as parents and for our little pupil. She learned to read, which
is always amazing to me; seeing that light turn on as they finally "get
it." She learned how to add and subtract 2-digit numerals which I don't
think I did until the end of second grade. And she's learning how to be curious
and find out what excites her, which is the real goal, I think. As Yeats said,
"Education is not the filling of a pail but the lighting of a fire."
We get a lot of questions on homeschooling whenever we see
our non-homeschooling friends and family. As much as I hate being the
poster-family for homeschooling, I try and remember that their curiosity comes
from a good place and be patient with them. Most people want to know what
"curriculum" we use. I put it in quotes because a lot of people seem
to think that we are required to follow a specific curriculum. In NJ you do
not. NJ requires that all children between 6 and 16 receive a public education
or its equivalent. That's it. If the school system feels that you are not
providing that to your children, they can bring you to court. Once you show
what you are providing your child, in terms of education, the onus is on the
school system to prove it's not equivalent. This has not been done very often,
but it’s enough of a concern that I keep a record of what we’ve covered in a
teacher’s planning calendar.
We are primarily following a classical education format
called a Trivium. It's based on a solid foundation of grammer, logic and
rhetoric. At age 7, this means a good foundation in reading skills, with the
idea that it will open up doors for her to learn about, well about anything she
wants. We also have a strong focus on math and include several hours a week for
history, art, music and sports. Another popular homeschooling style is called
"unschooling," meaning that there is no set instruction. Children
learn as they go about the course of the day or as things interest them.
Writing thank you notes is a lesson in writing, grammar, penmanship and
manners. A trip to the farmer's market can be a math lesson, etc. Another
popular type is called unit-based learning. The child and parents find
something of interest: Egyptian pyramids, the solar system, the rain forest and
use that subject as a spring board for learning math, reading, writing, etc as
they learn about it.
There are many different schools of thought on homeschooling
and from parents I've talked to in-person and online, no one style is perfect for
everyone. Some parents even tailor the style to how the child learns best, not
something they're likely to learn in a public school, with its one-size-fits-all
curriculum. Montessori and Waldorf adherents both have homeschool versions.
There are Christian and other faith-based homeschool philosophies. Also, for
parents who want to, there are distance learning and correspondence curriculum for purchase. I know one family who uses an online school. The kids “meet” with
their teachers online every day.
Lucky for us, there is an abundance of information on
homeschooling out there. Not the case
for anyone who was teaching at home twenty or even ten years ago. And the
internet has made sharing this information easy and much of it free. Some
resources that we’ve used:
Homeschool Your Child for Free, LauraMaery Gold and Joan M.
Zielinski, a comprehensive resource guide for finding free information on the internet,
from curriculum planning to organization help.
www.bbc.co.uk/schools has the entire British schools
curriculum online and I find it much more entertaining and user-friendly than
many American sites. We’re using it this year for Ancient Greek history. It has
games and interactive lessons for kids.
www.homeschooldiner.com
a fun blog with a lot of information about the various types of homeschoolers.
Saturday, September 15, 2012
Saturday Morning
I love Saturday mornings. Especially Saturday mornings that are right in the middle of an eight-day vacation. Otherwise, I'm generally too tired to enjoy them.
This morning almost turned out that that anyway. I was awakened at barely 5am by the Little One who woke up for no good reason:
"Is it morning yet?"
"No, go back to bed."
"I can't, I'm thinking of scary things."
"Well, think about nice things. Like your birthday party. And go back to sleep."
Finally, after much tossing and turning and whispering, "Is it morning now?" she goes back to sleep.
Then the dog starts scratching to go out. It's 5:30am. Then Little One has to pee. She gets up and goes to the bathroom, comes back, "Can we get up now?"
"GO BACK TO SLEEP."
FINALLY, after everyone has had their pee and gone back to sleep, dog wrapped around my feet and small child with various appendages draped over my body, until it must look like some skirmish just mysteriously decided to fall asleep on top of me. Despite the big pile on top of me, I fall back asleep.
7:30 am comes and the dog wakes me up again. Apparently the quick 5am pee was not enough to hold him over any longer. The upside to all this is that after a groggy but proper walk, I am awake alone in the house. Alone to enjoy my tea, toast with soy spread and Inside Washington without familial interruption. Also, I get to work a little bit on the umbilical cord I'm making for a certain new baby.
The family must wake up eventually. Here is our fabulous Saturday wake-up smoothie:
Almond Banana Smoothie (disclaimer: this is not quite as thick as a smoothie, but still very yummy).
This morning almost turned out that that anyway. I was awakened at barely 5am by the Little One who woke up for no good reason:
"Is it morning yet?"
"No, go back to bed."
"I can't, I'm thinking of scary things."
"Well, think about nice things. Like your birthday party. And go back to sleep."
Finally, after much tossing and turning and whispering, "Is it morning now?" she goes back to sleep.
Then the dog starts scratching to go out. It's 5:30am. Then Little One has to pee. She gets up and goes to the bathroom, comes back, "Can we get up now?"
"GO BACK TO SLEEP."
FINALLY, after everyone has had their pee and gone back to sleep, dog wrapped around my feet and small child with various appendages draped over my body, until it must look like some skirmish just mysteriously decided to fall asleep on top of me. Despite the big pile on top of me, I fall back asleep.
7:30 am comes and the dog wakes me up again. Apparently the quick 5am pee was not enough to hold him over any longer. The upside to all this is that after a groggy but proper walk, I am awake alone in the house. Alone to enjoy my tea, toast with soy spread and Inside Washington without familial interruption. Also, I get to work a little bit on the umbilical cord I'm making for a certain new baby.
The family must wake up eventually. Here is our fabulous Saturday wake-up smoothie:
Almond Banana Smoothie (disclaimer: this is not quite as thick as a smoothie, but still very yummy).
- 1 cup ice
- 1 cup almond milk
- 1 banana
- little bit of vanilla extract. I use half a cap-full, but for detail's sake we'll say 1/2 teaspoon
put the above into a blender and blend until there's not great big ice chunks in it and it's frothy. The small child loves it. It's gluten- and dairy- but not taste-free.
Subscribe to:
Comments (Atom)














