(My friend the doctor swears this actually happened to his patient.)

A man of late years was admitted to the emergency room with pain in his leg. They hooked him up to a few machines to check his vital signs, and noticed that his oxygen saturations were in the low 70s.

That’s like breathing nothing. That’s like being, well… DEAD.

But he was sitting up and talking to the nurses. All of his other vital signs were in normal ranges and he didn’t exhibit any signs of difficulty breathing. The staff panicked when they saw that number on the monitor, though, and scrambled to put the man on supplementary oxygen.

With the tubing placed and the oxygen flowing, the man’s oxygen saturations jumped up to a normal range in the mid-90s. And then all the rest of his vitals started going crazy. His heart rate went up. His blood pressure made a jump. And he was coughing and struggling to breathe… until they took the oxygen off him, and his sats dropped back into the 70s and all other vitals returned to normal.

HUH?

It emerged that the patient, a cigarette smoker of many packs per day for fifty years, had all the classic lung damage you’d expect. But he didn’t have emphysema or lung cancer. His crappy lungs had adapted themselves so well to the ever-increasing damage over the years that they were able to function in a less-than-optimal state and still sustain life.

That’s some crazy shit. But that’s evolution at its finest.

I bring this up because of that whole detox thing I’m interested in. Last week, before I was able to see my doctor about the herbal system, I decided it couldn’t hurt to start drinking more water and eating better beforehand. So I committed myself to 64 ounces of water per day, no more fried foods or candy, and no more soda.

Take a wild guess at what happened.

Not only did I have the major caffeine withdrawal (I expected that, of course), I had more stomach upsets and sleeplessness without fried food or caffeine. I actually felt DEHYDRATED from drinking that much water – my skin and lips were painfully dry. Every time I’d have a salad for lunch, even with dressing and some chicken on it, my blood sugar would drop in the early afternoon and I’d have to slug a bottle of orange juice just to get enough natural sugars in me to function the rest of the day at work.

Then on top of that, I got a cold. And I just couldn’t take the stomach aches AND the sniffles.

So I’m back on Diet Dr. Pepper and McChickens and peanut butter cups for now because my body simply cannot handle the cold-turkey quit of everything crappy that I’ve fed it. It just straight up REBELLED when I tried to cut out fried and over-processed foods and replace them with greens and fruit! The caffeine withdrawal I was expecting, that’s normal… but what about the rest of it?

Can you have a physiological addiction to grease and sodium like you can nicotine? I really want to know.

The doctor said the herbal thing is fine, so the new plan is to sloooowly cut out those foods over the next two weeks or so, and then do the detox system.

Besides, it would be pointless to start a diet before the Super Bowl parties anyway, right? Beer, nachos, beer, pizza, beer, little hot dogs in BBQ sauce in a Crock Pot, beer…

What’s your addiction? Have you ever tried to quit?

It’s nine-thirty in the morning on a Football Sunday.

Crap. Snow is falling and the sidewalk looks slick, so we struggle into long underwear and hiking boots. It’s finally time to help my boyfriend’s brother move his stuff out of my boyfriend’s house and into his new place. We are not happy to be pressed into service on a slushy, cold, Football Sunday, but at least he’s leaving. We had told him in advance that we’d help until the noon kickoff.

By the time we get to E’s place, Brother has started piling random crap in the back of the U-Haul in no practical fashion. There is slush all over E’s floors, clothes on hangers are strewn around the living room, half-packed boxes lay open in the dining room, and Brother is flinging things haphazardly into a laundry basket.

“You said you were packed,” I say accusingly. “You didn’t use any of the good boxes I brought you.”

“I am packed. And I had these boxes,” he said, gesturing to a pile. “Those can go, by the way.”

I already want to curse him because seriously? He’s had months to pack. He’s had the key to his new place for over a week and hasn’t moved a damn thing. He waits for a snowy weekend when he knows everyone would rather be at the bar for the games. He ASKED for good boxes and I brought him some, the nice ones with handles and lids.

And now I am carrying a Crock-Pot box held together with duct tape, with a block of knives poking dangerously out the top.

I lug it out to the truck and hop into the back, pushing things around to make space for the couch, the chairs, the big television, and all the other stuff he’s been storing in the basement since he got kicked out of his old place and had to move in with E five months ago. It will be so good to have him gone, I tell myself as I shuffle and stack, just deal with this for one more day, one more day…

“Everything’s out of the upstairs,” Brother says when the truck is about three-quarters full. “Let’s go.”

“You still have a bunch of boxes in your room,” E points out.

“Yeah, well, I haven’t decided about those. I might give that stuff to the Salvation Army, I dunno. But why move them twice?”

“Because they are taking up space in MY HOUSE,” E says flatly.

“Whatever.”

“We’re not making a trip till this truck is full,” I announce, so we troop down to the basement. I start grabbing things and Brother stops me on every other item – not sure about this, might give that away. It’s classic Brother, never making decisions, waiting till the last minute for everything and still blithering, expecting everyone to sympathize with poor him.* Five months of tension finally snap, and out comes The Crazy.

“What do you mean you haven’t DECIDED?”

“I just need to think for a day or two if I should keep that – ”

“You have had MANY days. You had Saturday. And Friday. And all last week while you had your new place. And all the last five months while you kept talking about moving out, to pack properly and make these decisions. Do not call people to get up early on a Sunday and help you when you haven’t done your part! You are wasting our time, so get your shit together!”

I storm off with a box, not caring if it was meant to go or not. It was going.

I felt bad for a little bit. But good GOD, he was on my last nerve, after everything he’s done to E, his own little brother who took him in, and after everything he’s done to take advantage of both of us – up to and including opening MY Christmas presents and eating MY food while he gambled away his paychecks and borrowed money because he was broke  – E and I used to practically live at his place, and lately we haven’t even slept there because Brother has made it so miserable. It was that bad.

We finish loading the truck and drive to the new place. I carry an armload of his on-hanger shirts upstairs and lay them on his bed.

“You can hang those up,” he calls

“No, I’m making that your ‘deal with it’ pile,” I say, stomping out to the truck to get more. I could have brought them all in one load if they’d been in a box.

E and I schlepped back and forth angrily for another hour. We were late for kickoff, we were wet and hungry (who asks for moving help and doesn’t have pizza or beer?!), and when we left, Brother asked when we’d be back.

I told E later that I felt a bit bad for yelling. “Don’t,” he laughed. “He deserved it, and it was pretty funny. He kept looking at me like I could somehow shut you up, and I just smiled and said ’she’s right, dude.’”

I think I secretly hoped that he would change, that maybe if he heard from someone other than his dad or his little brother – who has fought with him all his life and told him this a thousand times – that he’s a rude and irresponsible bum, maybe it would make something click. You know, confirmation from a third party. But I realize now that I may as well have been yelling in Welsh, for all it was worth. E explained to me that his brother is like a dog: he hears loud noises and sees angry looks from humans, but he cannot associate them with his actions.

“How was moving?” E’s best friend asks when we get to the bar. Said friend is familiar with the horrible living situation, of course.

E tells my story.

And I get a slow clap.

———————-

* There were actually several other instances where he treated E and me like total crap that day, but they make the story too long. Trust me. He deserved this.

It’s my anniversary!

I’ve been with The Hospital for seven years this week! In honor of this momentous (to me) occasion, I bring you a reprint of something you’ve probably never read in the first place. This is from long ago when this was just a baby blog called “My Red Stapler” and I was a wee tot of 21 when the story took place. It’s about a weird thing that happened to me not long after I started working at The Hospital.

And it was an eye-opening experience….

Originally posted as:

Um, there’s a body by the elevator… anyone?

June 2006

I was only a few weeks out of orientation, working as a unit secretary. Not a lot of people actually died on the unit I worked in; if they are terminal, they know they’re terminal and they go home so they can die in peace, without us jabbing them with needles and force-feeding them green jello. Usually, the people who actually die on that floor are the ones who surprise us.

Mr. Patient wasn’t a surprise – we knew he was going, he knew he was going, and the plans were in place to discharge him the next morning with hospice. He just jumped the gun a bit. When his son came up to the desk an hour after my shift started and asked if he could see the doctor, I told him the doctors would be in soon on rounds. I had been taught from Day One that one does not interrupt the doctors in a discussion (as they were at that very moment, right behind me where Mr. Patient’s son could see them but thankfully not hear them, since they were talking about golf). He said again that he really needed the doctor to come to the room, and I explained again that the doctors would be in very soon, it was almost time for rounds, and could I get the nurse to bring him anything in the meantime?

He leaned across the desk and scowled at me. “Well,” he said loudly, “my dad just DIED and I think I need the DOCTOR to come in and pronounce him.”

Guuuhhhhh…..

The golf conversation screeched to a halt and I sat down, speechless as the doctors clamored around and looked at papers and asked questions and finally went to see the patient’s family. I knew there was something I was supposed to be doing… ah yes, there, in the back of my orientation manual was the checklist. Okay…notify physician, that’s done, call spiritual care, will do, call expiration tech…

“What’s an expiration tech?” I wondered aloud.

“He’s the dude with the body bags,” said the CNA, passing by my desk. “Bags and tags.”

What a job, I thought. I called spiritual care, the expiration tech, the nursing office, the clinical manager, everyone on the list – check, check, check. Spiritual care came and consoled the family, a social worker appeared to suggest funeral arrangements – it all went on around me in a blur as I went back to the daily grind of answering the phones, processing orders and scheduling exams.

About half an hour later, admitting called. “We have a patient for room 25,” the girl said.

“Um, 25 is still…occupied.”

“You discharged Mr. Patient thirty minutes ago.”

“He died so I have to take him out of the system. But he’s still in there. The family needed some time and the expiration tech–”

“Well, I’ve got a patient in the Emergency Department who needs a bed on your unit now, and that’s the only one open. You guys need to move that guy out of there, NOW.”

Click.

I told the charge nurse, and miraculously, the family cleared out and went into a meeting room with the chaplain and the social worker while the expiration tech bagged and tagged. Or so we thought.

The orderlies rolled Mr. Patient by my desk on a stretcher with a sheet pulled over the raised rails so the outline of his body was obscured from view. Away they went on the service elevator, just as a housekeeper showed up to clean the room. The expiration tech filled out some forms for the chart, handed them to me and left as the patient from Emergency rolled past my desk and into room 25. It was perfect timing.

A few minutes later, the service elevator opened and a confused-looking orderly pushed the stretcher-with-a-sheet-over-it back in front of my desk. Mr. Patient had returned.

“Why are you here?” I asked him. “Why is HE here?”

“Uhhh,” he mumbled. “They said the tags was wrong and to bring ‘im up, so I brung him.”

He shoved a crumpled transport log in my face. I ignored it. “Who said the tags were wrong?” I demanded, looking around desperately for a charge nurse, any nurse, anyone who had been here more than three months and was better-equipped than I to deal with a body in the hallway.

“The guy in the morgue. Could you sign this? I got another trip to do.”

“You can’t just leave him here!” I wailed.

“I’ll put ‘im back in the room,” the orderly said, kicking the brake off and starting toward room 25.

“There’s a patient in there now.”

“Where’s your empty rooms?”

“We don’t have any. Please, just wait while I call the morgue and straighten this out and then you can take him–”

“I’ll put ‘im here,” he said, pushing the stretcher into an alcove by the elevators. He grabbed the transport log from me, not caring that I hadn’t signed it, and disappeared.

Breathe, I told myself. Call the morgue and tell them that the idiot orderly just left a dead man by the elevator.

“His tag was wrong,” the man in the morgue said when I called.

“What tag?”

“His toe tag. He has the wrong tag on his toe. That one goes on the bag and there’s no tag on the bag so you have to do them over before we can take him. Identification purposes. Go look at it.”

“I am NOT looking at it.”

“Better call the expiration tech.”

Click.

So I called the expiration tech. I explained the situation frantically. “You’ll come up and fix it right away?” I pleaded. “He’s in the hallway, we have no rooms–”

“Those tags are right, it’s that guy in the morgue who’s all backwards,” the tech grumbled. “Go look at the body, there’s a white tag on the toe and blue tag on the bag, right?”

“I AM NOT LOOKING AT IT!” I said again. I couldn’t, physically could not go look at Mr. Patient’s toe. I’m the newbie, the secretary for chrissake, why should I have to go look at the toe? I looked again for a nurse – WHERE were my nurses?

“Call the guy in the morgue back, tell him–”

I mustered all my meager courage. “No, YOU come up here, YOU look at the tags, and YOU call the morgue back since YOU are the expiration tech and there is a body in MY hallway.”

I slammed down the phone and a nurse finally appeared. “I need to take Mrs. Brown to CT. Is anyone using that stretcher?” she asked, pointing to the corner by the elevators.

“Mr. Patient is,” I said wearily.

“But he–”

“Came back,” I finished. “The morgue sent him back and said his tags were wrong and there was no empty room to put him in and he’s there and I called the guy and he wanted me to look at the toe but I couldn’t go look, I really couldn’t and so I told him–” I was gasping for breath and trying hard not to cry. “And Mr. Patient’s family is still in the meeting room and if they come out they’re gonna see him and I told the guy and he wanted me to look at the toe, but I couldn’t because I’ve never seen a dead body before and I couldn’t go look at the toe and–”

The nurse was wide-eyed and furious, but as she opened her mouth to curse the expiration tech to the seventh circle of hell, the elevator pinged and he reappeared. Blind to our hysteria, the tech trotted over to the stretcher, unzipped the bag and placed a white tag on the toe and a blue tag on the bag. We watched, mouths agape, as he silently pushed the stretcher onto the elevator and he and Mr. Patient disappeared just as the red-eyed family emerged from the meeting room.

Once again, it was perfect timing.

The nurse and I could do nothing but shut our mouths and tend to the living.

They are just THINGS.

Just a dryer full of THINGS that caught fire at the laundromat last night.

It shouldn’t be such a big deal, I keep telling myself.

During the actual fire and the immediate aftermath, I was more mad than anything. What the heck kind of dryer catches wet clothes on fire? MY stuff! Expensive stuff! GAAAH!

So while we’re waiting for the fire department to show up, my four new friends in the laundromat and I realize a few things:

• The fire extinguisher does not work. All this time in my life I’ve wanted to try a fire extinguisher, and I get the one that’s been rotting for over 5 years.
• No one has a solid bottomed container to carry water from the laundry sink. We just have baskets. The utility closets are locked and there are no employees on duty. Not even an emergency number for a manager.

But the fire is not letting up and since the dryer where it started is attached to a whole wall of other dryers, we all figure we have to do something. Several of us dump drinks down the sink and one guy ferries the 20 oz. water bottles back and forth, fizzling the flames bit by bit. One girl empties the last of her detergent and uses the jug to douse some more flames with sudsy water.

By the time the fire department arrives, we think we have most of the flames out, but they give everything a good hosing anyway, just in case. The fire had been burning UNDER the dryer and had either gotten into or come from the electrical system, so it turns out it could have gone out of control at any minute. Goodness, says one nice fireman, didn’t you have a fire extinguisher?

I show him.

He writes down the number of the fire marshal for me, and urges me to file a complaint first thing on Monday. Major OSHA violations, big time fines, you all could have been exploded, big splort, etc.

We haul the burnt stuff out the front door to let it smolder in the snow. It was my duvet cover – my gorgeous, too-expensive duvet cover (which was entirely machine washable and dryable, natch). And my towels, my splurge-money fluffy towels with matching bathmat.

Things. A $350 load of laundry, but just things.

Until I pick away at the burnt heap in the snow, and then it ceases to be just “things.”

My favorite t-shirt. My all-time-awesome, bury-me-in-it, super mostest favorite t-shirt. 50/50, long-sleeved, white. On the front, the logo: 2000-2001 Writing Center Staff, Truman State University. And on the back, in black letters in Times New Roman, just this:

word.

That was my writing shirt.

And then I cried a little.

I have been pretty much obsessing about fires for the last 12 hours now. I cried over a t-shirt. I am pissed about three baskets’ worth of smoky laundry that I have to wash again before I leave on vacation tomorrow. I relived the other fires, the funny and the not-funny-at-all, in my head.

And while I fume and plot how I will recoup my $350, I am really just wondering, over and over, how people pull themselves together when they lose everything they have.

How can that work? How can they do it?

I can’t even begin to fathom. I’m shaken up by THIS? And people have to deal with THAT?

Memories are almost inextricably intertwined with the things we gather over the course of our lives. I wish my brain were spongy enough to absorb everything that’s ever happened to me so I didn’t need this picture of my old cat who died, or this rock from the peak of highest mountain I ever climbed, or this photo of me with my baby niece. I can still be me without those things and I can still remember all of those times, but the THINGS are a nice prompt. You can see them and smile because they can automatically remind you of something good.

Like my shirt. It said I was a writer. It might have been the only thing that made me smile when I put it on. Every. single. time.

This is why I’ll never be Zen. Things, things, things.

Blog, blog, high school, high school… we all seem to agree that there are a lot of things about the blogging community that tend to run parallel with the social hierarchy of high schools. I noted some things about that in an earlier post, but something struck me today about bullying in the blogosphere…

In real high school? Bullying could be a big problem. A serious problem that could lead to violence and even self-inflicted harm on the part of the victim. It was often met with a code of silence around the victims and helplessness from the staff who either couldn’t do something until there was a “real” problem, or brushed it off as kids being kids. Even friends and parents would say “just ignore him/her.” Often, no one would stand up for you. There were even rules in place that worked against a victim who tried to defend him/herself from a physical attack.

So bullies got away with it. They picked on people and made personal verbal attacks, which usually hurt more than any shove up against the lockers and demand for lunch money.

And sometimes there was no lunch money to give them. Sometimes you couldn’t just get up out of your desk and walk away. Sometimes you couldn’t just ignore it, so you suffered in silence and felt very, very alone.

This is where we, as a blogging community, diverge from high school.

We all write our own way and express our own opinions, and as bloggers we hold our freedom of speech and press near and dear. But we have standards in our communities, and those include respect for people and feelings as well as for opinions.

There was some buzz today about one blogger who allegedly (and I only say this because the posts are gone so I couldn’t check) posted a personal attack on another blogger, regarding the quality of her blog and its worthiness of an award she recently received. This was done in a public forum.

Other members of the blogging community came to this young woman’s defense. Whether she needed them or not, people made it clear to her – and to the person who was offending her – that she was not alone. Similar scenarios play out across the blog world every single day and prove over and over again that we stick to our principles and we have got each other’s backs against bullies and trolls.

Of course we return to free speech and our rights to express opinions. But in a public forum, especially a community forum, if you cross the line into personal attacks, do not be surprised when you start to hear from people you’ve never met or even heard of, calling you out for your treatment of another community member.

YOU will feel just how much words can hurt.

If you genuinely meant no harm and just really screwed up your wording on something and it ended up looking offensive, just make your apology and explanation. Everyone gets heated once in awhile and writes something that just comes out wrong. That’s okay. I’ve accidentally offended people through careless wording before. When genuine apologies are made and accepted, and we move on.

But you don’t accidentally tell someone their writing is pointless or that they do not deserve to be recognized for their work. And you especially do not do that on that person’s own blog or the public forum of a community to which that person belongs.

Although these things continue to happen and probably always will, I just wanted to put it out there that this is an area in which the 20-Something Bloggers community can really shine. The only people who should not be welcome (in MY opinion only) are those who make personal attacks on others, and good riddance to them if they are driven off by people who are trying to defend not only a person, but the integrity of a community.

Groups of friends and lunch tables, I see that parallel. And I think it’s a natural one. But in this aspect, it’s not high school. Bullies don’t get away with it here.

We will take care of our own.

—

(Huh. Maybe we’re actually more like a gang? Can we wear green? The 20SB website has a lot of green…)