INSOMNIACS place to talk in the wee hours

Chevyboy

Susan, that's pretty rough!  I mean I guess she expected you just to say yes, because you are "family"..... but that isn't how it works!    It wouldn't even matter if she paid rent, would it?    Tell her you just can't handle it right now....  and it IS too much to expect of you!    Yes, you could say.... "Let me think about that..." and then in the next breath say "NO!"

Okay Littlegoats.... I guess I'll shut my computer off, like I used to at night....  It's just that I have to sign in whenever it starts up again, and it is even EASIER when I remember my danged PASSWORD!  Ha!  

I don't get Pedicures either.... they would just laugh when I walked in their door!  I just put one foot up on the stool, and have a long handled  "buffer?" and buff down my toe-nails and the bottoms of my feet...  But I don't wear open toed-shoes....  My toes just aren't that pretty.... I ENVY you gals with pretty toes and nails!

I just bought Windows 8 for Dummies....  I'm leaning a LOT just by going through the programs, but now I can have something to refer to when I get stuck.    It's like every-day I learn something new!  

Oh!  It was Aussie, on the last page.... and the saga of her car!  My girlfriend parked her car at a parkNride one time, and went on a trip!  

When she got back, her car was GONE!   She called the Police, they took her home, and the next day, they gave her the number of the Lot!  The Lot had MOVED all the cars, because of paving!  And did NOT tell the people....  !  But her Son took her back, and they found her car, on the other side of the lot!  Who knew?  She was really afraid!

It IS hard to remember where you park your car sometimes....!  Especially if you don't park in the same place, or close to it all the time!   We don't have a beeper or electric car openers either....  I drive a go-cart.

luvmygoats

This is from the thread 'Why was I stronger DURING treatment than I am now?' Thank you to Purl who penned it.

"While
the tedious person is talking, I will hold up a finger and say, 'Can I
stop you right there?'......then wait, there will be a pause
...and then I will simply say "thanks" and walk away. Join me?"

Isn't this just the greatest response. Now I must admit it was in response to treatment suggestions so you might have to vary your response.

My car has a remote but the batteries in it are so weak it can't activate the horn anymore just the lights.

susan3

I hate it when I take my husbands car and I am looking for mine.....it's scary that I raised a child...lol

Lately the best....and I might have told this already...sorry if I did...but the best recently was when our dog was sick, and I had to be at chemo, my husband has that day off of work so he can go with me...I said to him....someone has to stay home with Shelby , we can't leave her here with her tummy problems alone....he just looked at me and calmly said....he would stay home cause as much as he would like to help me out, they prob won't give him chemo.......sooooo, what goes after the brain goes ?? I want to know what I am in store for...lol

luvmygoats

Gosh Susan I do that with our vehicles. We have 3 so some days I just search the grocery parking lot. I lost my car one day shopping. Came out the wrong door of the dept. store.

Do you ever start out somewhere and have to keep reminding yourself where you are going? I have 4 docs within about 2 miles of each other. I really, really have to concentrate esp. when it's not glaucoma doc day since I go there more than any others.

Your DH sounds like the voice of reason.

Talking about raising a child. Got called to get mine one day at daycare. 103 fever (ear infection). I went in and couldn't find her. Because - I was looking for what I dressed her in and not her. Scary. I had all long sleeved, pants things. Put her in someone else's onesie (this was a hospital daycare so I didn't feel so bad about the clothing).

Shutting down. LIghtening close and getting closer by the minute.

sas-schatzi

SweetSue. your SIl is short some gray matter............speechless.

Nettie, google keywords. "picture of lymph nodes" , "Picture lymph node location in humans". use variation on words until you find a clear picture. Should pull up what you need. Remember if you palpate too much you can cause tissue to be painful and swollen which then you will worry about. BTW the pictures of you and DD and Dh were lovely.

Maddy did I miss that Mom had a UTI . Read LMG response. Sometimes I'm caught up on reading , post and then find a post that posted after I went by that section.

When to treat UTI? Controversy over last at least 15 years, maybe longer. This is specific to females. The origi?nal article I read years ago, identified by doing urine screening on a large number of older women, that bacteria was present in a fairly substantial number of the screening group. But the bacterial group were without symptoms of a UTI.  The study raised more questions than answers. What do you do when bacterias present and no symptoms. Do you risk the untoward side affects of repeated antibiotics in patients that become colonized with bacteria? 

Over time the thinking evolved to 1.look at history and decide if patient is colonized i.e a bacteria has set up permanent presense in an area.  2. if colonized is the patient symptomatic 3. are the symptoms localized to the bladder or have they extended to the whole body system(keyword--urosepsis). 4.treatment plan is based on findings of the first three.

When you google keyword urosepsis--uro--urine; sepsis-systemic illness. This is where there are a mixed bag of symptoms. A patient may be septic , but not necessarily present with fever. Fever is a symptom that automatically triggers us to think "sick". In the elderly the temperature regulating mechanism can be faulty i.e.not working. Where you and I would have a temperature, they may not. You can read about other signs and symptoms. With Mom I did read earlier she was acting out more that usual and had a big guy giving her medicine.

Altered mental status is a big symptom of urosepsis. This can be easily assessed in the patient that has a normal mental status and now there's a sudden change. The problem solving to get to an answer with this patient is ABC's, Oxygen saturation, blood sugar check, Vital signs, head- to-toe physical exam,  then followed by blood work, urinalysis, and chest xray. That sequence generally identifies the problem. If all that's normal then the doc moves on to bigger diagnostic testing i.e evaluation for stroke by CT.

The problem becomes much more difficult when the patients mental status is already altered, plus add to that the likelyhood of their  temperature regulating mechanism is faulty. The two biggest clues too a UTI are absent. So, Mom's behavior has changed, is she just having a bad day or is something going on? 

Today she went through a physical exam? A Urinalysis was included and basic blood work--CBC will indicate if an infection is present and the urinalysis will show what's happening in the bladder. Voila problem identified. You didn't expect it, but the basics caught it. Explains and justifies the pre-entry physical.

Another rule out that's very important in the elderly to evaluate in altered mental status, is whether they are constipated or impacted. The daily record should record whether the patient has had a bowel movement. When this is kept properly and early intervention by use of stool softners and or laxatives is the plan approach,  the untoward effects of constipation or impaction can be avoided. As mentioned above the head- to- toe assessment in the presence of a sudden change mental status should include a rectal exam for feeling the stool in the rectal vault. This is probably one of the most commonly missed steps.

I remember one poor guy during my first four months out of school. Came on duty for night shift. You could hear him yelling from two halls away. His admitting status was minimally disoriented and no indication for restraints. He was described as becoming more confused and combative. The previous shift put him in restraints. No other intervention(ghastly). After report I went and evaluated him. Majorly impacted. Dug it out. He calmed down and was safe to take restraints off.

Maddy hopes this helps Two things to always ask the nurses. How's she peeing and pooping?

Spookiesmom

I solved the lost/wrong car problem, I hope!!!!!

It's a bright in your face can't loose it if I try green. Haven't lost it in a whole year. I'm sooooo proud of myself. LOL

luvmygoats

Ah Sassy - daily BM record. The bane of my hospice nursing existence. And I will tell you in an assisted living situation there will be no record kept. You will be lucky if you can find the aide that changed her briefs. Briefs being code word for adult diapers for the enlightenment of everyone else. It was pretty much standard practice if a significant change in behavior attempt UA collection. Cath if family agreed but many did not. In the field then you have to find an accepting lab, get the order faxed from the doc, drive it over there. Arrange for the billing. We usually just treated for it anyway. Good staff know their pts. They check O2 sats usually though not so sure about AL places. Prob. not up to standards and practices but this again is hospice. Family/pt comfort. Keep facility staff happy. Can't tell you the # of impactions I've removed. Again another fun thing about hospice. You would have loved the trunk of my car. Like a minor ER minus the drugs.

Spookie - I had a friend who was run into on her motorcycle, didn't see her. Majorly broken ankle. She used the motorcycle for in town; had an older truck for other times. She bought the cutest bright bug spit green Hyundai. I have always wanted a bright yellow vehicle. How can you be unhappy driving something that color? What do you drive that's green? We're mundane around here - white truck, silver truck, maroon Equinox. Never had a bright car.

Nice poor down for about 20 minutes. Thermometer went to 105 on porch. Down to 85. Awaiting the summer polar vortex. Maybe 2-3 inches of rain. Bring it on - well after we pick up the hay in the morning.

susan3

spookie...nice...green car

Sister in law prob solved....yeah hubby...he called his sister and said it just isn't a good time now and isn't wasn't fair that u asked Susan at this time.....all is well again

Hope everyone is having a great evening....sleep well all..I am off to knit. Hubby sleeping already. So maybe tomato pics tomorrow.  I know you are all on pins and needles waiting...lol

Enerva

i sure miss my motorcycle  

Spookiesmom

I was a school bus driver for 17+ years. People hit them constantly, said they didn't see it!!! I gave up my motorcycle license because of that. I was hit twice. 

Here is my not gonna loose it Chev Spark

Enerva

Nice car, I sold my bike cuz i needed the money lol but as soon as I start making money I ll get another one lol I just miss it too much.  

Wren44

Spookie, Love the car! I saw a pale green VW once; license plate said APHID.

Chevyboy

OMG!  I was having a panic attack since yesterday, because I have this new DELL, and I love it, but I couldn't post pictures ANYwhere, from ANYwhere!  So now I opened with Google, and tried Google Images yet again, and typed in green car, and I found my OWN green car... covered with 'grass' appropriately enough, ( as a side note) and let's see if this posts, before I travel on!

Chevyboy

Oh I can't STAND it!  Okay, now I am happy!  Couldn't do it opening with AOL...  Hah!  So now what else were you talking about? 

I talked to neighbor's DIL yesterday.... She had called a lot earlier while we were gone, but I have somehow not been wanting to check messages, because I always have this feeling I will be called to go up there....  And I KNOW she will be just the same.....  But I called her back, and she had the Grand-daughter go by...  It's just the same old story...  And it must makes us all feel so helpless.

They are moving her in about 2 weeks, but everyday, they will get called...or I will...  You know, I woke up last night thinking that maybe it is Meniere's Disease?  I read about it this morning when I woke up, but she doesn't have the other "usual" symptoms...  Like hearing loss, or head-aches or Tinnitus... (OMG I ALSO HAVE SPELL CHECK!!!!)  

So I'll call Judy back today, and have her ask the ENT when she takes her tomorrow if it could be that!  Except the treatment is Meclizine.... which gives her the trots!   I just have a feeling that it's is a lot of stress, added onto her years... and man, I am just baffled.  We just can't "fix" her.

So Enerva, you mean a big ole' Harley, right?  You don't mean a Schwinn or something like THAT, do you?   Send us pictures of what you mean, you bad girl you!  I suppose you'll run out and get covered with tattoo's...  (like my Daughter has)  If SHE could afford a cute little Harley, I'm sure SHE would get herself one also.

Honestly, THAT feeling, of riding on the back of a Harley, with that rumbling sound, and my long brown hair blowing in the wind, was just superb!  And riding to un-known destinations like the Blues, Barbecue and Beer bar, were just short of heaven!

Okay, now what?  Susan, I'm glad your DH covered your butt...  and told HER a thing or two.... I have to post this, or lose it down the rabbit-hole.

Chevyboy

So this is what you posted Cammi...
"Now I can tell u I don't even know where nodes are to be able to check not what pupose thaey have...but u know someone will so hang on and someone will comment and of course have u'r Dr. chck."

Do you even have a key-board on whatever it is you are using?  Are you using that old Underwood again?  I keep trying to correct your spelling errors with my little erasure wheel thing, but it won't work.   I don't know what nodes look like either, so I can't comment..... Oh well, yes I can, but it doesn't mean I know anything.... 

Wait.... we're all on pins and needles Susan....  you want ME to post some tomato pictures?  I CAN, you know! 

Chevyboy

Oh WAIT!  You mean Tomato plants???? 

AussieSheila

Would you all believe that I actually dared to ask DH tonight at the hospital entrance, "Where are you going to park the car tonight?" before exiting quickly from the car.

Then I told the whole dining room full of people in the rehab ward, that we had been escorted off the premises by the police in their truck, no less.

Boy-oh-boy, am I popular now....I tried so hard not to, too.  It just busted out of me.

Sheila.

Chevyboy

Sheila.... !  Boy you are asking for it, ha!  It's a wonder he didn't shove you the rest of the way out of the car! 

Those people in the dining-room must have thought you were KIDDING!    "It just busted out of you!"  THAT is hysterical....  Geez, you are getting more like me and Cammi every day!

Chevyboy

Look how cute!

PattyPeppermint

Sheila. Lol. Did your dh laugh ? 

Chevy - oh yes. The freedom of being on the back of a motorcycle.  Sweet ! Glad you got posting pic figured out, always get s good laugh out of them. Thinking of your neighbor. How very hard it must be for her to have to leave her house and her freedom ( with all her assistants  of course). To have someone else live in her house. You are a good neighbor and def a softie under that motorcycle riding , bong smoking, pole dancer exterior.  Now days most people don't even know their neighbor much less offer help.  

Enerva - yes please tell us more about this bike of yours. 

Fbb (((hugs)))

So the nurse practitioner called last night to say my cancer count was up. Went from 42 to 62. So they are scheduling more scans. Ugh. I know my mo had said in the past a small increase like that was nothing to get excited about. We would just scan and if nothing new shows up we will continue same treatment.  However mo is out of the office like 6 weeks due to heart valve replacement or repair. Can't believe mo would have called me at night to tell me that just so I could worry Til after they get scan results back. It was time for scan anyway ( every 3 months ) so why not just scan , get results and THEN discuss increase in numbers.  Am I crazy thinking this ?  I guess some people want to know that kind of thing but not me.  

Hugs to everyone. Hope y'all have a great day. 

Hootie hoo

camillegal

Good Morning---

Aussie but u'r story is priceless, I would tell everyone. LOL

Susan I think when u act good people assume u'r fine and over all this, so I'm really glad u'r DH got involved.

OK I already forgot but I love that green car, I would love to have that just for myself.

And no Chevy not U'R pic. of a green car, u probably don't wash that car but do u mow it??? I'm glad u learned yet another point on u'r computer, after all this will keep u out of the strip joints.

Ahem I took my shower this morning, today I'm back to peaches, very calming and happy. And it's also cold out hahaha High today will be 65, right now it's actually chilly--strange summer.

 

Chevyboy

Okay miss Peppermint!  THAT was soooooo funny!

"motorcycle riding , bong smoking, pole dancer exterior. "  You mean Extrordinaire, right?    Yes, I AM an old softie...   But I just hope that I am luck enough to live that long... I was talking to my DD, and SHE said, "okay, if you get like HER, I will prop you up in front of the TV and make you watch Shirley Temple movies!"

She said she would take care of ME, when I said I feel bad for her Son & DIL because they are TRYing to take care of her...  

Okay.... going to jump in the shower....I have a pole in mine, you know.... that's where I practice....  I also smoke a toke.... in there.... or how do you say it?  Cammi?

susan3

Chevy, hope u smell as good as cami when u get out of shower 

Love the green car .  I always wanted a orange one...but mine is white

PP.....hugs your way..waiting stinks

Tang..how did it go?   Thinking of you...hugs

Got a long work day today

Cancer side note..my neck hurts again..swollen nodes...blahhhhhhhhhh . See doc on Wednesdays , so we will see tomorrow . Might change chemos without scans. Just had one in May, next one due in august. But we will see, he might want to see if it traveled more too, maybe that makes a difference on the chemo he would switch me to, not sure, who knows...there aren't many left .    Takes me a couple of days to be happy again after I know it's back....wish I could stay in bed today with covers over my head...but it's prob good to be working instead of thinking about it.....I think I will go have myself a good cry and then get on with life

Enjoy the day everyone !!!

sas-schatzi

OwliesMorni! 

chevy your memory is usually better than this? Enerva posted pics of her Harley when she first joined us. Great  pics....I love my new computer too. So glad I fried the old one. I'm sitting in my Brookstone massage chair, coffee on one side, smokes on the other.. This is after using the Brookstone foot massager for a half hour. Pampering myself. 

pPaws ,please, describe how to get that sleep app.If it could only tell us the oxygen saturation when we don't breathe , it would be perfect.

LMG Hay day. Then Rain.

The owner of the dealership is going to PERSONALLY oversee me getting another car. Need to get there BBL.

PattyPeppermint

on Susan.  Go get that crying out and reapply your makeup. You have a good attitude. Hoping tomorrow comes quickly for you so you know what the plan is. Do I read correctly , you have been stage IV for over 13 years?   Wow that's impressive. 

Chevy. I think it's take a toke, not smoke a toke. Not sure but I bet cami will set you straight. 

Cami - wonderful weather. It has been a crazy summer for low temps. I think our high today is 77. That's record breaking. I don't mind. Glad for a break from the heat. And my pocketbook is glad to have ac off. Yes 

PattyPeppermint

what do y'all think about a card shower for fbb ? Does anyone have her address ? 

camillegal

Patty, clever, Sas might have it.

And it sounds to me like u have a good handle on the wacky weed stuff, so nothing for me to add.

Tang we're waiting.

camillegal

Susan I meant to address u first have a good cry as long as u want, then come and join us.

sas-schatzi

Cami Susan's SIL problem was fixed by DH.

Susan Tell your DH from us, he's the bestest

susan3

PP,  3 yrs from recurrence Metatastic .....13 yrs all total, on treatment the whole time, tomaxifin then femara then back to chemo 3 yrs ago.  I don't think I spelled them right...lol.  See how we put them out of our mind..lol.  And I am VERY lucky. I am doing really well under the circumstances. Just need readjustment period every time it changes. I need to talk about it, but I hate burdening my clients or family with my info all the time...so it is so nice to be able to purge it all out to you guys. You can skip over my stuff if you want and I would never know it lol.  So this is such a great place to throw your feeling down.