Category Archives: Nursing

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An Amazing Halloween at Work

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Halloween use to be my favorite holiday and then the kids grew up and Brian’s and mines parents stop coming over. Our neighborhood aged and we stopped getting trick or treaters so it was just another day of the year until three years ago. The kids I work with (I call them kids because they are the same ages as my kids) changed it all three years ago. This was the best Halloween I’ve had in a long time.

Three weeks ago they decided we should dress up as SpongeBob characters. We all picked out who we wanted to be. We decided to up our backdrop game from last year and Clare announced she was going to make SpongeBob, Squidward, and Patrick’s houses. I informed her she needed to do the Krusty Krab in which she glared at me. So I said ok I’ll do it. Later it was decided we also needed the Chum Bucket. So I added that to my list. Last weekend I spent quite a few hours on my stuff and they turned out great. Clare worked hard on hers and they were amazing.

Clare and I arrived early to set everything up.

The day before Halloween Emily said we needed Karen since she’s Planktons wife. Emily’s excitement about Halloween prompted Dr. Heavey to agree to be Plankton. We ordered him a headband and told him to wear a green shirt. I also made the eyes and nose for Sarah’s squidwards costume and Dr. Aymerich’s eyes for Mr Krabs. I forgot to get a photo of myself in my costume so I took one this morning.

Not Mr Krabs. I was Larry the Lobster

I got many compliments on my abs. I told everyone this is the only time in my life I’ve had abs. I was doing the computer that day so if the patient was of SpongeBob age I’d say “Hi I’m Larry the Lobster, I’m taking you over to Bikini Bottom for your colonoscopy”. I think the patients thought I was insane. Hahaha

Around noon the hospital judging people came by to take our photo. I looked straight at Kyle our president and said if we don’t win, I’m bringing the Krusty Krab to your house and burning it on your front lawn. He said I’m not judging she is and she looked at me and said I live in Ditmar. I then said so, I live in Arnold. Last year we were pirates and got beat out by Fruit of the Loom fruit! As of this post, I am not sure who won.

Dr. Aymerich just cracks me up. After the photo he wore the hat the rest of the afternoon and the patients loved it. We made Dr. Heavey put his arm around Karen which is actually the monitor we use for bedside procedures. It is pure joy to work with so many fun people!

Mole Moral ~ If you do not have fun at work perhaps it’s time for a new job!

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Who Says You Can’t Have Fun at Work

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In just two short days it will be FIVE years since I started in endoscopy. Say what? I vividly remember thinking what in Sam Hill are they going to talk about for a week in RNO (RN Orientation). I’m so happy this was pre Covid and all the classes were in person. Now days you sit at home behind your computer and it’s done via zoom. Anyway the entire week was like a review of everything I had learned over the past thirty years of my nursing career. I found it very interesting and learned a lot. After that week, I started the actual job.

The first year was total hell. For starters I left the floor I had worked on for eighteen years. I knew everyone, I could do the job blindfolded, and I had the most seniority. I found myself in a foreign country not knowing anyone or the language. I came home every night mentally spent because I had to think about what I was doing every second I was there. Then Covid hit and I felt called to go help in ICU and so I did. It was better for my mental health to know I was doing that every day then be sent to other areas of the hospital to help or screen people as they came in. This also greatly improved my self confidence.

As I reflect over the past five years, all of my original co-workers have left except for Chris who is now semi-retired and works on Mondays only. Somehow I now have the most endoscopy experience which is both comical and scary. Because I only work part time, I am not at work enough to fill the role of the highest seniority. Luckily Sarah and Kelly fulfill this role perfectly and I often go to them when I have no idea how to fix something or do some random rarely done procedure. They are both amazing and if they leave to further pursue their careers I will be screwed.

The current group of girls I have worked with for over a year now are so much fun. It’s like working every day with my own daughters. Halloween the past two years have been a lot of fun in endo. I was off last year when they decided to dress up like the doctors as a surprise. They sent me photos and it was amazing.

This next photo cracks me up every time I look at it. No, it is not a real patient on the stretcher. I think it might have been Sarah pretending. But anyway Clare has Dr. Heavey down perfectly and Dr. Heavey has us down perfectly. Although we don’t have ear buds in when working in the room but if it is a boring colon we may be messing around on our phone. Dr. Heavey never wears scrubs so seeing him in our scrubs is a hoot.

This year Dr. Aymerich decided we should dress up as Pirates for Pirate Booty since we deal with butts all day. Everyone was sure that he would get up late and not participate but he did as well as everyone. We had quite a good time. For the first time ever Dr. Aymerich was actually hot and had the endo room set at 65 instead of 75. He needs to wear his costume every day. Here was our set up outside the room. The treasure chest had pirates booty snacks inside it. Now that has always been a hot commodity in the snack bags for Big Stuf camp. It also worked perfectly with our theme.

Because of the day and how our cases fell we all couldn’t be in the same picture at once. Also the weight loss doctor decided to add an out patient case to our schedule on his non block time so we made him participate as well. Of course I snuck and took his picture while he was busy scoping so he looks super serious.

We are still waiting to hear if we won the Halloween costume contest. I mean I know we should have. However even if we didn’t, we are the most fun unit at St. Clare. We certainly had a great day and I am not going to lie when I came to get the patients for their procedures the looks on their faces when they saw me was priceless. When I sent these to our family group chat my husband immediately responded Big Red (that’s me) looks like Uncle Rico from Napoleon Dynamite.

I took one look at this and absolutely could not stop laughing. My husband can be quite funny.

Mole Moral ~ If you don’t have fun at your job, perhaps it’s time to find a new one. Hopefully these girls will stick around until I retire because it will be the best time ever.

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Stories From Nursing School

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The Student Parking Lot

It hadn’t even been month since school started and I must have been looking for Gena and Leah to see what they were doing. I finally found them down on the student parking lot smoking. I walked up to them and asked why they didn’t tell me. They both said they were afraid I would be mad at them for smoking so had been doing it in secret. Yes I am a rule follower and a slight goody two shoes but I think I surprised them both by demanding a cigarette. This is how smoking during nursing school started. I would eventually quit after nursing school and then prn throughout the rest of my life. Gena finally quit in 2021 and my best guess is Leah quit after she left nursing school. However for the next year and a half we would smoke together and because it was 1985 we could smoke in the dorm. None of us (including my roommate) ever smoked in our rooms but we did smoke in our floor lounge. They had stopped selling cigarettes in the hospital gift shop but the gas station was only a short walk away. Actually the gas station is still on Hampton.

I had my first cigarette in fifth grade when my teen-age baby sitter Jenny gave me one of hers. I ended up vomiting and having a huge headache but I would smoke a cigarette every once in a while up until I started nursing school. My mom found out about my smoking because I left a letter from one of my high school friends laying around the house. In it he said he would quit drinking, if I quit smoking. He would eventually start smoking himself and also became an alcoholic. So if I play the comparison game, smoking prn is a much better option than drinking which I was never interested in.

Mole Moral ~ Pastor Tom always says, “you are who you hang with” and in nursing school we were a bunch of smokers because the stress was unbelievable.

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The Pea Princess

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If one has read my previous blog, they know that my mom was in the hospital for thirty-five days and then spent another two weeks at a rehab facility. I should have written this first but the trip home was too much of a comedy not to post first.

Briefly my mom had a big surgery to move her stomach out of her chest back into her abdomen. Leave it to her to experience a complication that occurs one percent of the time. But after five days with out of control pain I forced her to go to the ER. She was running a temp and her heart rate was in the 120’s. The ER did a CT and lab work while out in waiting room. Because I have access to her my chart I saw her WBC was 20 so I knew she was not going home. She got tired of waiting and wanted to leave. I said nope, not happening. Once we got to a room and the ER doc came in looking freaked out about CT results I knew my waiting room assessment was spot on. I just had no idea that the on call surgeon assisted with my moms surgery and said she needed to be transferred to SLUH or St Mary’s because only they had the equipment to do what he needed to do surgically. When she had a bed at SLUH and was in their ER in less than three hours I knew it was life or death. I have never known SLUH to have open icu bed for transfers (at least in my endoscopy world).

My mom had surgery that day and would have another within four or five more days. She and I truly believe the only reason she survived (she’s no spring chicken at 78) is because of the outstanding care she received at SLUH. Her surgeon had just arrived three weeks prior as the new chief of cardio thoracic surgery. Later he would tell me he treated this complication often and people were sent to him from all over the state. So she received excellent care surgery wise. However, it was the above and beyond nursing care she received that was instrumental in her recovery.

She spent the first week in ICU and those nurses were so incredibly kind, smart and attentive it made me want to leave endoscopy and work there. No worries I reminded myself why I left critical care in 2000 and how two months of it at the beginning of Covid was enough for me.

She was then moved to a regular floor. There were times when I know those nurses were working short and yet they never used it as an excuse and continued to act like my mom was their only patient. And no it was not because I was there all the time (I wasn’t) or calling them constantly (I didn’t. I still had access to her my chart so I followed her labs daily without bugging the nurses). It’s just how they are.

Now my mom was a bit of a PIA about her pillows. I swear she had every spare pillow on the floor in her bed. Well they decided my mom was like the princess and the pea. Since she nicknames people all the time they started calling her the pea princess. We all got such a kick out of it. When her chest tube came out and her esophageal stents came out I knew her time at SLUH was coming to an end. So I started thinking about a thank you gift. It is well known I can bake but I thought nurses always get food and it just makes us fat. Flowers are pretty but they die. Then the perfect idea came to me and I ran with it.

Every nurse needs a good black ink pen. And because my mom is snarky and funny, I decided on snarky nurse pens. But because not all of her nurses were snarky, I also did some custom ones that said “thank you from the pea princess”. My mom about started crying when I ran the idea by her. She loved it. I found the picture on the internet and Allyson helped me remove the background. I took it up on a weekend after she was discharged because the weekend charge nurse was phenomenal. Both my mother and sister also really liked her as well.

On the ride home from rehab just one week ago my mom thought she was going to need to buy a wheelchair. I went along with her while in my head thinking she was crazy. Yesterday we went to primary to get her blood pressure straightened out. (Rehab messed with her medicine till she was running 90’s over 50’s and so dizzy she couldn’t hardly walk with walker). The only time she used the walker that day was to see him. She’s all over the house without it. He said no more blood pressure medicine for now. A week without it and she was 120/70. He said she’s lost so much weight she may no longer need it. So my favorite saying “will continue to monitor”.

My mom was convinced no one would remember her. The fact that it’s a rarity to have a patient in the hospital for thirty five days alone is enough. But couple it with the fact she could have easily died and the fact she rarely asked for anything and was so freaking funny she will be remembered by some forever. When she left for rehab her nurse called me to tell me and said she (the nurse) cried when my mom left. A couple days ago someone called to set up home PT and said I never took care of you but I heard all about you. She left an impression on many that she will never know this side of heaven.

Mole Moral ~ So often people focus on the negative and complaining. It’s a choice to recognize the good and amazing. Focus on that and let those know how much you appreciate them.

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An Amazing Friend

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Since it has been over two years since I parted ways with Mercy, I can finally write this blog. Mercy has rules about not becoming friends with patients and not allowed to be friends on Facebook. I obviously broke that rule and it was a good one to break.

Nine years ago this November Women’s Health was moving from fifth floor to second floor. I came in that day to do what I always did, take new surgeries and admits. Others came in extra to help move the patients to their new rooms. At some point one of my coworkers said Dr. V is on the phone and wants to talk to you. I was like fuck what did I screw up. He never called people while he was in surgery and would get annoyed if nurses called him during a case as it would deflect his attention from operating and wouldn’t you want his full attention. So since I couldn’t pretend I wasn’t working I picked up the phone. He said to me “I want you to go talk to my patient in 2316.” He’s a man of few words so I said ok and that was it.

Everyone was like what did he want. I wasn’t kidding when I said he never calls from surgery. So I said he wants me to talk to 16 so let me at least see what her name is. I’m pretty sure I walked into Melynda’s room and said hi I’m Rachel a nurse here and Dr V just told me to come talk to you but didn’t say what about. I immediately liked her but I don’t remember how long we talked for. She was the first person moved down to the new floor.

Anytime I talk about mesh or mesh removal most of what I learned has come from Melynda. She is extremely smart and very knowledgeable about this subject and many others. I was horrified to learn that training to put this stuff in was a weekend conference using cadavers. Also that doctors that put it in would get a kickback commission for every single one they placed from the mesh manufacturers. So take poor training and combine with greed and disaster ensues. One of the other shocking things about the FDA is their 501k program in which a company can develop a similar device that is already on the market and be approved without clinical trails. Lastly, the hidden database to report complications that wasn’t available to the public until recently. I could go on and on about mesh as the Dr. V patients are about the only thing I miss about Mercy.

So I visited Melynda a few times before she was discharged and we became friends on Facebook before mercy made that rule. Once they did I was suppose to delete her but that wasn’t happening. She’s been back a couple times to see Dr. V and we’ve made sure to see each other. She lived in Florida for quite some time but I never had time during camp to get together. Within the year she moved back to Utah where her extended family is. So once Brian and I decided to visit Utah, I knew we must meet up. We had a wonderful but too short visit so we need to come back sooner rather than later.

If you know me, you will most likely think I am not shy but I am. It takes a lot to just walk up to someone and start a conversation but it was by far the best thing I’ve ever done. I’ve thanked Dr. V. more than once for calling me that day and freaking me out.

Mole Moral ~ Amazing people are out there if one just opens their eyes and their heart!

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Disney Day

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This week is spirit week at work. This reminded me of when my girls were in grade school. Today was Disney day and the endo girls informed me I was to represent endo. Well Disney is one of my favorite places so I took the challenge and ran with it.

I wore my favorite Disney running shirt from the Disneyland half marathon. Of course it is orange and short sleeves and a favorite. I dug out my monsters inc scrub cap I made during the first few months of covid and my Mickey ears from when Emily and I went three years ago. I was proud of how I looked until Sarah told me I looked like a psycho. Well everyone knows I’m psycho but I try to not look the part so I skipped having my picture taken. I’ll leave it up to your imagination as to how insane I actually looked.

I ended up being assigned to washing all the scopes all day which meant no one would see my ears. They are pretty tight on my head so I avoided a headache. Amanda told me since it’s Disney day I should listen to Disney music so I dialed up Disney sing along songs and had a great time in the scope room. Not only was I singing but dancing as well so I’m sure I looked like a complete psycho but I had a wonderful day.

It dawned on me that when I was young my dad took my sister and I to quite a few Disney movies. Cinderella, The Apple Dumpling gang, Pete’s Dragon and Chitty Chitty Bang Bang all came to mind. This is most likely what led to my love of Disney movies.

I was 17 the first time I went to Disney World. My parents divorced when I was five but remained good friends. My mom called my dad to tell him of her plans and he said he always wanted to go to Disney so how about if he comes with us and pays for it. My favorite memory was conning my mother into riding space mountain. She nearly had a heart attack and never forgave us for talking her into it. The three of us loved it and rode it at least two more times. Epcot was the only other park back then and we were not that impressed. Not enough rides and walking around the world showcase was beyond boring. I know my mom liked that part but us three six flag lovers wanted the rides. I do remember after the trip was over I understood why my parents were friends but not married to each other.

Today was a good day, full of wonderful memories of my childhood and my kids childhoods as well. Before I started endo anytime I got up early to work at seven I would sing “Prince Ali, Ababwa strong as ten regular men check it and see.” I had no idea I even did this until Emily pointed it out. I can’t sing at all so it’s a good thing I stopped this since I’m up for work three to four times a week.

Mole Moral ~ If you don’t have fun at work, perhaps you are not in the right place.

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The American Mole Virus

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It all started a week ago when I woke up with a raging headache. It wasn’t the headache that lasted five weeks and from my neck. It was actually on the opposite side of my head. It was a Saturday and I had to go in at seven for a case so I thought I will take Alleve and sinus medicine and I would be fine. Wrong answer. I’m really not even sure how I made it to work but I had no business driving. I had to call a co-worker and she agreed to cover my case and call. I could not drive home so I thought if I laid down for a bit I could. So I parked myself in one of our before surgery rooms and laid down. It gave me nice flashbacks to the headache on Women’s Health when the charge would have to watch my patients the last hour and I gave report in an empty room laying down. It’s no wonder I ended up in the hospital for a week. Anyway after about two hours I realized I wasn’t driving home anytime soon so I called Brian to pick me up.

I then proceeded to puke so I dug out my four year old zofran and after two doses at least I was no longer nauseated or vomiting but my head was still killing me. That evening Brian put his famous deer jerky on the dehydrator and I went to bed. When I woke up the next morning I realized I could not smell the jerky. Normally it wakes me up in the middle of the night because it is so strong. I seriously thought he forgot to turn it on and actually checked. If I got right on top of it and inhaled deeply I could barely smell it. I then drank the only coffee I had at home which is mocha which I hate and it really tasted ok. It was then I realized I needed to call the employee covid hotline for advice. After a virtual visit I received and email saying I needed to be tested. The girl on the phone said I could go to total access urgent care today or wait and go to one of our testing sites on Monday. I waited until Monday.

I was tested back in May when I threw one of my neck headaches at work and had to leave at 11am. It was only one of two times i have left in the middle of the shift. The other time was when my sister called me at 8am to say her husband had a massive stroke and my co-workers made me clock out and go to the hospital. Anyway that test was horrid. I thought I was going to come out of the chair and I stopped myself from grabbing the girls arm. It all made sense as to why most of the patients when I did that to them (same stick as a respiratory panel) they wanted to punch me. I was better prepared this time and sat on my hands. The gal that did it was super nice. It was a drive up tent and they have little building with some heat but they all wear coats so I knew they were freezing.

My test results were back the next day and negative but my symptoms still yelled covid so the hotline said reach out to your primary and call us back at 6:30 am and we will let you know if you can work at 7. So my primary does a tele visit and says you really should have been positive but you are weird and hard to diagnose. So he puts in for another test on Thursday and tells me to stay off of work. In the meantime the employee health nurse for my hospital is unavailable this week with limited voice mail access. So I will be dealing with the covid hotline for the rest of the week.

So back to the testing site and it’s the same girl. I asked her how she got stuck with this job. She says she applied for it. I told her I wouldn’t mind swabbing people all day but the weather is horrible. She agreed and said once the testing sites are done she will have a clinic job. I have decided that sometime in the next couple weeks I’m bringing them hot chocolate and maybe some donuts or something.

So my second test was negative as well and I call the covid hotline back. They are beyond wishy washy but tell me I can return to work Monday if I don’t have a fever. Advised me not to take anything for a headache on Sunday so I don’t mask a fever. Also told me to contact my primary about my headache. So I sent him a message through Mychart and told him what they said. I said over the counter medication is keeping this headache under control so I am not sure what you are supposed to do but good luck. I actually do not have a headache as I type this so maybe I’m at the end of this mole virus.

I am going to get the vaccine on Monday. They started giving it out this past Thursday. This may have indeed been covid and I am one of these weirdos that test negative. It may be something else. All I know is I never want to feel this bad again and if a shot can prevent that, sign me up. I also want to see my father and my in-laws again. This isolation has been horrible for them.

Mole Moral~ If I ever need an NG tube please use my left nostril because the covid test was way more tolerable in the left than the right.

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A quilt for me!!

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A year ago today I walked out of mercy knowing I would never return as a co-worker. It was time to figure out what I would do when I grew up. The summer was approaching and Emily was doing a travel job in Rolla and Allyson would be going away in the fall so I decided to enjoy the summer.
I had been on women’s health for almost nineteen years and during that time we had done many fundraisers with T-shirt’s. I always knew at some point I would make a quilt but I never wanted to start in case I accumulated more. So my goal was to complete the quilt by this day. I almost always accomplish my goals and this one was no different. So here’s my quilt that I love dearly with a story about each block. I’ll describe in the order you read a book. This blog is for the day I no longer remember much and I can relive the most wonderful memories. Yes, I have always been a nerd and a dork and I will be until I die.

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The first block was a fundraiser for the entire women service line. That shirt was the back and I thought it was clever how the word Family was incorporated.
The next block was my all time favorite and the last one. My buddy Tiffani was in charge of creating it. I put the front left pocket area on the back. I loved the stethoscope with the words women’s health.
The top of the next block was the front of the women service shirt and the bottom was the back of another shirt which I will discuss when I reach it.
Next up was one of three trivia nights we did for SLOCA (St. Louis ovarian cancer awareness).
The next is my second favorite shirt and was also our first shirt. It is also on display in the cafeteria as part of a big quilt. (At least the quilt was there a year ago). This was designed by Kim T (now Kim K) and Kristina P. I loved it and wore it to work quite a bit until Mercy went to black uniforms.
The next two shirts are from a Marathon relay that I did with Erin, Laura, and Kim. Both my husband Brian, and our good friend Lindsay were our coaches. They hung out with the three not running and jumped the metro link with us to get to the next exchange stop. That race was so much fun. The nurses running wild was on the back.
My third favorite shirt is up next. That was a SLOCA fundraiser but will always make me think of patient SH. She had ovarian cancer and I took care of her the night of her surgery. Her daughter told me I’d have to light a fire under her butt to get her moving. Several months later I was her nurse when she left this world to meet Jesus. That fall I would run the ovarian cancer run wearing that shirt with Laura and run into her daughters. Such amazing memories.
The next shirt and the one below were front and back from trivia night. I am always reminded of Vickie who was my boss when I left and Lindsay. Lindsay was the most fun tech I ever worked with and she left to become an athletic trainer. Brian always called her wangster Willy which cracked her up.
The top of the next square was from the night Women’s Health went to a cardinals game. I was at Big Stuf camp the night of the game.  So although I didn’t go to the game, I still bought a shirt. I would wear it at camp on jersey day.
I think the last shirt was also a fundraiser but I am not sure. I never wore it much but it is a great reminder of my years on women’s health.
I cannot believe a year has passed. After I left, I really thought I would work at a surgery center. Then my friend Tiffani from my favorite shirt started in the butt hut and told me to apply she thought I would like it. I told her I can’t do IV’s and I’m not working full time. Well wouldn’t you know, they had a part time position and the patients come to the room with an IV. Then a pandemic occurred and I ended up back in ICU where I hadn’t been for almost twenty years. Who would have guessed!!

Mole moral ~ Follow your path no matter how scary or unknown, you may just end in a wonderful place.

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Following my calling

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When it became clear that almost every single Endoscopy case would be cancelled until the pandemic was over, I realized I had two choices. I could either stay where I was and screen employees or perhaps do one case a day or I could volunteer to help in the ICU. It’s very hard to explain but I knew my choice was the latter. I really felt God was calling me to go there. I’ve been up there for almost three weeks now. Those who volunteered were told they would not have to go to the covid side. Last night I again felt a calling to go to the covid side. Those patients are mostly medical ICU which is what I did all those years ago. I was going to discuss with charge nurse today. Today was my day to take team all by myself and they put me in covid unit, with a nurse I met in my RN orientation. As soon as I verified I could wear an N95 and not a respirator I was ok with it. I did fine with my two patients and actually got to call the spouse of the one and say their loved one was covid negative and would be moving over to the ICU side. Imagine my surprise when it was shared with me that not only is their wedding anniversary the same day as Brian’s parents but the same year as well. As we were hanging up it was said I hope we celebrate our anniversary and I said I hope so too and to stay safe. 

 

Mole Moral ~ Everything happens for a reason and sometimes a super scary situation turns into a huge blessing. Stay safe!!

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Christmas Ornaments

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This year was certainly a year of change and transitions. I left my job of almost nineteen years, took a seven month sabbatical and then started a new job that is unlike anything I have ever done. It was not easy leaving women’s health and as Christmas rolled around I felt like I needed to make one last craft for my friends so that I could completely close that chapter in my life. I thought about it for a while before it finally dawned on me what the perfect ornament would be.

Five years ago I started decorating the patient room doors with Christmas stockings. You can read about it here. It was my favorite time of the year as every year patients would take them home with them and I would have to replace them. I knew when I left no one would keep up with them, so I took them all with me. I saved two for my scrapbook. So I decided to make two sided ones so that everyone would remember the best room ever (2319) and the craziest nurse ever. I also made on for myself.

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At my new job everyone gave me little gifts and I thought I need to make something for them. As some of you may know they refer to endoscopy as the Butt Hut. Well Dr. Aymerich always says that is not formal enough and calls it the RIU. That stands for the rectal investigation unit. So I came up with the idea of using that and the picture of a colon scope. The day I told Allyson about finding a polyp that no one else saw and then telling her it could have turned to cancer, she came up with the tag line. Because she took digital media in high school, I told her what I envisioned and had her put it together for me. It was amazing, perfect and better than I could have ever done. Everyone loved it and probably realized that I have a great sense of humor and am creative.

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On the back I put Lead Investigator’s and the three doctors names and Assistant Investigators and the rest of my team. I gave one to my team leader (what SSM calls the managers) and she loved it. She said it made her laugh out loud!

 

Mole Moral ~ I am blessed to have daughters who are also creative and funny!