Sunday, July 5, 2009

The Ultimate Trainwreck


You know the story, the situation is just so bizarre, so outlandish, so tragic. . .you just can't look away. For years, I have been intrigued by the iconic status that certain people establish. What makes them not only celebrities, but icons? It goes beyond the talent. It is an ecclecticism that transcends the bounds of understanding. A magnetism.

It is a rare few people on this earth that achieve such an existance. Ghandi. Princess Diana. And yes, Michael Jackson. Those whose sudden departure from the world shatters the public to its knees.

As a consumate people watcher, I try to wrap my head around what makes these people tick; albeit from a mere mortal distance. I certainly would never exist in their realm. As such, I must rely on the academic and savvy intuitiveness of others to stealth information. I couldn't stop myself from following the life and times of Priness Diana. I read every article, every book, and was stunned to the core when her life tragically ended in that crash in the tunnel at Pointe de Alma.

As for Michael Jackson, it was a freakish interest. Peering into his looking glass, one felt garish. His actions outrageous. His life, a spectacle. He was childlike, the classic narcissist. His antics were a tabloid's delight. I posted in an earlier blog about feeing like a voyeur in reading and watching the media glare on his life and death.

For the first time today, an interview captured the full spectacle. The headline was the one I was waiting to see confirmed, Diprivan found at the home of Michael Jackson by Anderson Cooper on CNN. In it, Dr. Drew Pinsky explained very succinctly how being a celebrity with profound addulation fuels this need for adoration and narcissism.

What was stunning to me about the Diprivan was that as a trauma and ICU nurse, I have administered this powerful drug to my patients. -but patients that were entubated, certainly not conscious. Diprivan is an anesthetic. It produces unconsciousness in a plane of anesthesia, not sleep. The most interesting question, why would any reputable physician prescribe or allow a medication such as this to be in someone's home? Dr. Pinsky states that although he finds this so outlandish, "along the lines of aliens landing from Mars," he sees it as a classic example of the power, the need for those caregivers providing service to him to be included in the inner circle. That fact that a lay person asks for this medication by name, in and of itself is an indication of the "breakdown between doctor and patient relationship."

He believes that some celebrities come to view themselves as too special. -so special that they believe they deserve VIP treatment, beyond what the normal patient deserves. What they fail to recognize is that the standard of care IS the standard of care, it is the best for the patient. Often when icons choose to go outside this, demanding things beyond that - the care is actually substandard because the caregiver practices outside the evidence based gold standard.

This interview should be played around the world. It is the perfect explanation for this colossal celebrity free fall - and ultimate implosion.


Thursday, July 2, 2009

Training the infantry


What a cool week it has been. I got a chance to work with our "grow your own" students teaching them CPR. I also got a first aid/trauma lecture in there too. Their eyes were wide as saucers. Every preventable soap box was presented to their willing and eager minds. And as such, I am now a goddess teacher. Well. . . at least in their eyes anyway. I can dream.

Ahh. . .gotta love the fresh new enthusiasm of the young. Great plans, great expectations. I for one plan to motivate them, encourage them, support them. No eating the young from me. I am just getting to old to sling those bedpans. They are a diverse group. Almost half are male too!

Then, coolest of the cool, I got to witness their first day in clinicals. I thought I recognized one of the techs who was orienting my little sheep. She looked up and smiled. We did the "dont' I know you ?" looks. Sure nuff. . . she was one of my ADN students from last semester on her regular job as a tech. She said. . ."ah. . . .Ms. Traumadiva. Great to see you. This is just so cool getting to train the newbies when such a short time ago, I was one of your newbies."

And so goes the circle of our profession. My other RN students were looking on. My newbie was gleaming with pride as she took her first blood pressure. Now that is nursing!! Warm fuzzies for all!!!! Corny? Maybe so. But sometimes one needs to re-ignite the flame.

Sunday, June 28, 2009

Icons and Voyeurs


Farrah and Michael Jackson. I have spent the past few days as a voyeur. I just can't stop looking, or reading about both these two iconic people who have left this world. No one could avoid the media blitz when the King of Pop turned weirdo Michael Jackson died. But tragically, dear Farrah's passing was almost overshadowed.
I have been moved by the the documentary Farrah's story, a very bold and revealing view into the true struggles of the cancer patient. How brave of her to show it. We see her defiantly attempting to fight a disease that took control with a vengeance. She seeks out every possible treatment with hope, only to have each one dashed with news that the tumors come back. The pain and anguish on her face crushes her spirit. But she rises each and every time like a phoenix to try again. It was heartwrenching to me to watch her at her last Christmas of 2008, celebrating her last new year of 2009 watching the crystal ball at Times square and celebrating her last birthday in February. By late April she was bedfast. Hugging her son for the last time.

I just couldn't stop watching. My heart broke for Ryan O'Neal who loved her so. We will miss you Farrah. You gave women a powerful voice in your films, The Burning Bed and Extremities. You were indeed an angel.

As for Michael. A trainwreck waiting to happen. I agree with Lisa Marie . . . .he knew his fate. What astounds me is how did all these people around him, just stand there and let it happen? How could an MD, a cardiologist no less, not a pain management doc. . . inject him with Demerol knowing the poly-pharmacy on board. The last injection was at 11:30. The 911 call was at 12:21. He gave it and walked away. Jacko quit breathing. Autopsy? No need.

My diagnosis on record: respiratory arrest leading to cardiac arrest. No doubt in my mind.

What a dingleberry doc that he was giving CPR on a bed! Glad that cnn continues to report that the 911 dispatcher had to tell "doc" to put the patient on a hard surface, maybe the floor? Duh. . . . Wow . . .Michael never had a chance under that care. He was spiraling out of control. It was his destiny. Now maybe his record sales will pay his debt. I respect his talent. Absolutely. I cannot accept his lifestyle choices.

Icons. . . . gone. Life is short. Seize the day!

Tuesday, June 16, 2009

rollar coaster times


Okay. . I am officially ready for my rollar coaster life to STOP!!!! For Gawd's sake! The highs and the lows are like some kind of sick and twisted lithium cold turkey.

Hubby filed for divorce today out of the freaking blue! Marriage number two now toast. I am gutted. Just gutted.
Can't write more now.

Friday, June 12, 2009

Nurse Jackie Farce

This week marked the premier of the half hour dramedy Nurse Jackie. Several of my colleagues blogged about this early prior to the premier, begging all readers to write in and ban this horrific stereotype of a nurse. I did my part. Did I hear anything back? No.

This show carries a big name star, Edie Falco, of the sopranos. According to Edie, she loves and revels in playing her flawed character; a tough talking woman with issues. But this show does nothing to promote or advance nursing. In the first episode, she advocates for her patient. However in the next scenes, she is popping narcotics and is assaulted with a titty tweak by a physician.

I am sorry, but this is just more of the perpetual stereotype of nurses in general. Kalische and Kalische devoted their entire research lives on evaluating the image of the nurse. It is sad to say that in the year 2009, not much has changed.

There have been some strong nurse characters: Dana Delaney in China Beach, Loretta Swift in MASH, Julianna Marguilies in ER - but there are just not enough. And there is another show on the horizon, Hawthorne RN with a black character. Anyone remember Diane Carroll? Or Dixie from Emergency?

Not only was there stereotyping. It irks the crap outta me when they can't get the medical stuff right on a medical show. For F$%K sake! A trauma with a bleed doesn't die of a subdural. If it happens that rapidly, it is almost always a subarachnoid hemorrhage, SAH. Subdurals take hours to show up. Then, she is calling organ transplant and telling them they have four hours? What? He was already dead. About the only thing salvageable after that time is the schlera. Geesh! And it only continued to spiral down from there. She bangs a pharmacist to get drugs for her back. Makes an IV med error from not paying attention. Goood GAWD!!!!

Please don't watch this show. If you do, then please write Showtime and let them know there are plenty of non-stereotypical nurses ready to lend their stories of real drama.

Sunday, June 7, 2009

Update on my random crap (fav things)

I have spent a most productive Sunday doing absolutely nothing. I cooked breakfast for fam, but honestly, that is it. I have, however, expanded my mind and consciousness by reading my favorite blogs and finding new ones.

I love reading the clever musings of everyday people and wanna-be writers such as myself. But I have to admit, I am in awe. There are far, far more clever individuals than I. I am amazed at the hits some of these blogs get. Jeeez. . . .I must circulate in the wrong circles. -but I am grateful for the 1,790 who have surfed here. Okay. . .so I was 300 of those.

So for today, I thought my buddy, Dame Edna (my idol) and I would update you on some of my favorite things and hot topics:

The Bachelorette: Monday's episode and the next two following it were filmed in Canada. So get ready for some spectacular scenery amidst the cheesy romance of this trashy show. Gotta love it. Latest bach-ette is Jilly, a cute spunky Candian who was the reject of smarmy Jason from last season. Good on her! Who couldn't love the hunks that she has to choose from? Each and every one of them make her dump-er, Jason, look sick! Check out the pics of her top fav four: Kiptyn, Reid, Ed, and Jake. Ooohhh.....laaahhhhh.........llaaaahhhhh. http://www.fansofrealitytv.com/ Link to Bachelorette. Um hum. Gotta love those pecs. This week she finds out that some of the dudes have girlfriends and are only on the show to promote themselves. Go figure! She breaks down over this and her look of disappointment is just raw. They look like dogs called out. Great TV!

The Noble Pig: I love food. I love recipes. I love to cook. And unfortunately, I love to eat. There are some ab fab recipes on this website. The coolest thing about it is that she posts some great how to piccies on how the recipe should look as you are making it. OMG. . . you will be running to the store to buy her ingredients to concoct some of these lovelies. Chocolate Chip Overload Cookies, Gratineed Pineapple. Blackberry-Lemon Muffins. OMG. Check it out: http://www.thenoblepig.com/

The Ultimate Reality TV Trainwreck: Jon and Kate Plus 8! Does it get any better than this? So you had multiple mutilples. So you are on TV about what a great Mom you are and how despite the odds, your family is making it. Making it is right! Making it with other people. OMG. I had never seen this show, but had heard of it. I don't think I could stomach a whole episode. She is like a blond Posh spice. FAKE, FAKE, FAKE. Allured by the bright lights of reality TV, it just got too much for them. So, in true trailer trash fashion, they both started shagging someone else! Fleetstreet and gossip rags delight. See, you just can't write stuff this good. Real people commit way better Jerry-Springer-type acts of idiocy. There are just too many good blogs ragging on these people to post just one. Just google Jon and Kate bad press.

A Girl from the Ghetto: Just about the best blog I have found today. http://thegirlfromtheghetto.wordpress.com/ Over a million hits. Wowsa. I am envious. She writes her opinions on out society's lastest faux pas. Great read. Trashy. True. The best of the best.

Sports: A little slow in the traumadiva sports world. Stanley cup final had two teams that I really don't care about. The French Open - won by a girl that I couldn't pronounce her name. Who? And guy of course, Roger Federer. Was there any doubt? It is not skating season. Plus the 2008 crop of US skaters sucked in every category. Waiting on gymnastics season. BTW Shawn Johnson was just too cute on DWTS. Wimbledon not until July. Jerry world - aka the new Cowboys stadium debacle has just about made any loyal Dallas Cowboys fan want to hurl. The new stadium is an economic quagmire of audacious tackyness. So over the top, Jerry can't seem to get a sponsor. Poor Jerry.

Trauma: Here is an oldy but a goody. West Texas finest. We had a CV surgeon who had the worst GOD complex imaginable. He thought he pissed gold. Brought in major dinero for the hospital. For years, he was boinking his perfusionist (the gal who ran his heart/lung pumps during his cases). We all knew it, but wifey and the rest of the city didn't know it. Well, it seems his son found out. Son storms over to hussy's house. Bangs on the door with a knife threatening to kill her. She panics and thinks it is an intruder. She gets her gun, bought for her by demi-god. She pulls the trigger putting a bullet through the door. It kills demi-god's son. The affair suddenly wasn't so secret anymore. Karma and bad juju are a bitch.

Sunday, May 31, 2009

Helmet anyone?

It wasn't the first time for me to see it, but it sure had an impact on my family. We were on our 2866 mile car trip across America to see my son graduate from the Naval Academy. -more about that later. . . as it was ab fab!!!!

A Harley rider passed me on the freeway at about Texarkana going around 80 mph. He had his leathers on . . and true to form. . had on a dew rag. No helmet to protect his skull. Just a dew rag.
I made the comment, as I always do. . . ."Now there's a head injury just waiting to happen." My family probably rolled their eyes. . . as I see this all the time, get my dander up. . . and make the comments. Skulls when travelling at high rates of speed come to a smashing end when smacking the pavement.

The physics of it are called, deceleration. In deceleration injuries. . . when a hard object comes into contact with a non-moving surface. . .i.e. the pavement. . . the decelerating object (in this case the skull) strikes the non-moving object at twice the speed it was travelling. So, in this case if you were travelling 80 mph, like our Harley man. . .your skull would smack the pavement when you were ejected from your bike at 160 mph. An injury not really compatible with life. For inside your skull is your brain. . . which smacks the hard skull on impact and thus. . . .massive head trauma.

A few miles down the road on Interstate 30, nearing Hope, Arkansas, we hit a traffic jam. It seems there had been a wreck. As we approached, I was stunned. It was our Harley rider. He was lying on his side. . . . .body totally intact. Head. . .well you can imagine. He was dead.

Please wear your helmets - and throw a fit to those who don't!