Sunday, September 25, 2016

Enantiomer



The brain is still kicking!  Called in at midnight for a case, finally got the patient at almost 2am, wheezy and tachy, so I call the anesthesiologist for orders and ask DuoNeb, Albuterol, or Xopenex, and she says "Xopenex, because that’s the one that doesn’t cause tachycardia right?"  I said "yes because it’s Lev-albuterol, it’s an Enantiomer of the regular albuterol", and she goes "wow! I'm impressed!", I just chuckle and reply "Yep, big words and everything at 2am!".  Oddly enough I feel like an Enantiomer of myself from 2 years ago: a stereoisomer that is a non-superimposable mirror image – I'm still me, the nerdy critical care nurse who is passionate about animals, coffee, good music, dry humor and fall weather, but I am not the person I saw in the mirror 2 years ago – I'm not grouchy, tired all the time, arguing with my husband, depressed, and sleepy. Albeit being buried up to my eyeballs in schoolwork, I manage to sneak in some fun in my free time, spending quality time with friend and family, I do crafts, I bake, I go outside. I feel appreciated at work, I feel like I contribute to quality patient care, I feel like I actually matter and make a difference. I can definitely handle 11 more months of school until I graduate with my AG-ACNP. Hard to believe it's almost been 2 years of school already; I am not only smarter academically, but also smarter as a healthcare provider, smarter as an adult, more mature, knowing a little bit more about which fights to pick and which to ignore.

Thursday, July 14, 2016

Peaceful PACU

I haven't written a hateful blog post since I left the ED.  I actually haven't written any posts here because I've been too busy with school.  In fact, I rarely even get worked up at work anymore.  It's like the calming anesthesia gases permeate our little hamster cage and we all walk around and just chill.  The clinical coordinator is cool as shit, funny, educated, no drama.  The docs trust me.  The nurses ask me questions and look up to me.  I have friends I sit with and gossip about FERN ("Former ER Nurse" on the verge of retirement).  I re-read a few of my posts tonight, and I am in a tranquil state of inner peace.  The ER made me who I am, but I got out before it broke me and turned me into a miserable person.  It made me go back to school, and for that hard push I am eternally grateful to my former incompetent manager, director, and lazy-ass co-workers.  "You haters is what gave me this strength".  15.5 months left of school, clinical rotation starts in 6 weeks.  Lab coat fits awesome, and I look damn sexy in ceil blue scrubs.  Trauma NP or ICU NP?  Or maybe Cardiothoracic surg?  Or Cardiology in general?  The sky's the limit.