So many diseases!

I had no idea there were so many diseases until I became a STICU/transplant nurse. Our unit takes care of surgical and trauma patients of all different types (except cardiac, we have dedicated units for that). While trauma is not easy, it can sometimes be a little more straightforward. Most of the time, if it’s bleeding make it stop. If it’s broken, fix it. Every trauma case is different of course but the path you take is typically easier to identify.

Surgical cases are a whole different story. I have come across so many different diagnoses that I have never even heard of. My first time hearing about Budd-Chiari syndrome was with a liver transplant patient we just treated. I have had to spend so much time looking up things on the internet trying to figure out why my patient has 70cm of small bowel left. I have learned about spinal disorders, blood disorders, neurologic disorders. I spend a lot of time asking our specialties to explain this diagnosis or that surgical procedure.

I love it!

Granted, I can’t tell you half of what the hell was explained to me. I can’t remember a majority of the diseases I have looked up. I have “nurse brain”. I know it for as long as I need to know it and then I purge it with alcohol to make way for the next round of sh*t I need to know. No shame. I plan on doing what I see some of our med students and residents do. I am going to get me a small notebook that I can leave in my locker at work and document the diseases that I come across. I haven’t decided if I am going to just list the name of the diseases or try and include a description with each so I can look back through the notebook and learn. It’ll probably be the latter.

Hopefully, I can start sharing some of these diagnoses and diseases with you all.

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Gory Glory

I’ll admit it, I like the gory stuff that nursing involves. We recently had a crush injury admitted to our unit and when they took down the bandage I was all up in there! I wasn’t the only one. My coworkers were all up in it too.

The gory things never really bothered me. I have always been great at doing wound care. The bad wounds were the ones I really got into. I think that is why I really wanted to get into a trauma ICU at a true trauma center. I wanted to play in that fun stuff. Blood is just a part of the job. If there is blood coming out of the body I just need to replace. I can do that. Foot falling off? No problem. Blood spurting everywhere? Let me apply some pressure. Ribs cracking while I do chest compressions? Well, that just means I am doing a good job.

And then there’s mucus…

I HATE MUCUS. Nothing turns my stomach like the sound of a trach that needs to be suctioned. I don’t know why it bothers me so much. But that’s not the worst of it. When there are mucus bubbles popping up around the trach… Grossed_out

Before I go into suction I definitely have to take a moment to get myself together.

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