1 00:00:00,160 --> 00:00:04,720 This patient looks at me with the calmest voice and these big 2 00:00:04,720 --> 00:00:09,240 ass eyes and goes tell my wife and my daughter that I love 3 00:00:09,240 --> 00:00:12,320 them. In that instant he coded and I 4 00:00:12,320 --> 00:00:18,040 just yell out as if it was a part of fucking the pit no and 5 00:00:18,040 --> 00:00:20,280 jump on top of him and start CPR. 6 00:00:20,480 --> 00:00:23,400 One of our good friends looks at me and goes what? 7 00:00:23,400 --> 00:00:25,320 Like what the fuck is wrong with you? 8 00:00:25,520 --> 00:00:27,120 Grab a coffee. Take a breath. 9 00:00:27,320 --> 00:00:30,080 You've just clocked into the ER. Edit I'm Caitlin. 10 00:00:30,200 --> 00:00:36,280 I'm Carly. You are now clocked in and we're 11 00:00:36,280 --> 00:00:39,640 back. Episode 10 How double digits 12 00:00:39,680 --> 00:00:41,880 baby. Are you guys loving this as much 13 00:00:41,880 --> 00:00:44,480 as we are? Because I think this is what we 14 00:00:44,480 --> 00:00:45,720 should have been doing for a long time. 15 00:00:45,760 --> 00:00:47,920 I know because I think this is my calling. 16 00:00:48,320 --> 00:00:51,920 Don't tell me if it's not. Please do not put that in the 17 00:00:51,920 --> 00:00:55,400 comments at all, but I do think that the feedback's been really. 18 00:00:55,400 --> 00:00:58,000 Good, I know, it's been so much fun. 19 00:00:58,000 --> 00:01:02,160 I love seeing I read every single Spotify comment. 20 00:01:02,160 --> 00:01:04,959 Every single one. And I try to respond and it's 21 00:01:04,959 --> 00:01:07,920 just so fun, like when people post on their Instagram stories 22 00:01:07,920 --> 00:01:11,840 and they tag, they are at it. It's so fun seeing like, Oh my 23 00:01:11,840 --> 00:01:14,120 gosh, real people are listening to this one. 24 00:01:14,120 --> 00:01:16,040 It's. Like when they when you guys tag 25 00:01:16,040 --> 00:01:19,840 it and like, show our little, like, thumbnail coming up in 26 00:01:19,840 --> 00:01:22,520 your cars when you're watching it, there's like a part of me 27 00:01:22,520 --> 00:01:25,280 that kind of wells up a little bit because I can't believe that 28 00:01:25,280 --> 00:01:28,360 this, like, actually happened, but also that you guys have been 29 00:01:28,360 --> 00:01:29,280 liking it. Yeah. 30 00:01:29,280 --> 00:01:32,000 And just so you know, Carly is the one that's behind all of the 31 00:01:32,000 --> 00:01:35,160 Spotify comments. I'm the one on YouTube. 32 00:01:35,480 --> 00:01:37,480 So it's like we are literally behind the scenes. 33 00:01:37,480 --> 00:01:41,240 We have Mike, who's our literal Angel. 34 00:01:41,440 --> 00:01:44,200 Mike is of an editor. Mike really is the backbone of 35 00:01:44,200 --> 00:01:47,640 this podcast. Truly, he's coming everywhere 36 00:01:47,640 --> 00:01:52,320 with us because our goal is to reach the top, but we have OK, 37 00:01:52,320 --> 00:01:55,480 something exciting that I do want to share a little bit is we 38 00:01:55,480 --> 00:01:57,680 had no idea before we started this that there was like a top 39 00:01:57,680 --> 00:02:04,880 200 on Apple, right? OK, we have hit under 100 like 40 00:02:05,080 --> 00:02:09,039 the top 101 time. And then this like past like 41 00:02:09,039 --> 00:02:12,160 week and a half, two weeks, I want to say we consistently 42 00:02:12,160 --> 00:02:15,080 stayed in the top 200 and Carly and I are freaking out because 43 00:02:15,080 --> 00:02:17,680 like. That's a big deal for this 44 00:02:17,680 --> 00:02:21,960 little like podcast in our room that we started and it's and 45 00:02:21,960 --> 00:02:24,840 it's not all about like being the best, but I think what's 46 00:02:24,840 --> 00:02:27,360 crazy is this is something we're so excited to start. 47 00:02:27,600 --> 00:02:30,680 And anytime you start something new, you're kind of like, are 48 00:02:30,680 --> 00:02:32,760 people going to like this? Are people going to want to 49 00:02:32,760 --> 00:02:35,240 follow along? And we're just so thankful that 50 00:02:35,240 --> 00:02:38,480 you guys are listening, that you're enjoying it, that you're 51 00:02:38,480 --> 00:02:42,040 giving good feedback and that it's doing as well as it's been 52 00:02:42,040 --> 00:02:43,720 doing. So we're excited to keep going. 53 00:02:43,720 --> 00:02:45,960 Well, and it's like resonated with you guys, which is all we 54 00:02:45,960 --> 00:02:49,120 could have hoped for because I think the reason why we started 55 00:02:49,120 --> 00:02:51,800 this at the, like, at the end of the day was because I kind of 56 00:02:51,800 --> 00:02:54,360 wish I had something like this to listen to when I was like, 57 00:02:54,360 --> 00:02:56,120 through all of these different stages. 58 00:02:56,120 --> 00:02:58,080 Yeah. But there hasn't really been 59 00:02:58,080 --> 00:03:01,480 like a nursing podcast. Some of them are fantastic, 60 00:03:01,480 --> 00:03:02,960 yeah. But there hasn't been one that I 61 00:03:02,960 --> 00:03:05,840 feel like is like very raw and like very authentic. 62 00:03:05,840 --> 00:03:07,480 And I think that that's what we're trying to bring. 63 00:03:07,480 --> 00:03:09,880 So when you guys share those comments with us like this is 64 00:03:09,880 --> 00:03:13,520 what we needed, I'm just like, OK, we're doing it. 65 00:03:13,840 --> 00:03:16,440 Makes us so happy. We're happy to be doing this. 66 00:03:16,440 --> 00:03:19,440 But we have another very good 1 today. 67 00:03:19,480 --> 00:03:21,280 Another thread. You know we love our thread. 68 00:03:21,280 --> 00:03:23,480 We love a thread. This one's from TikTok and we're 69 00:03:23,480 --> 00:03:24,720 just going to dive right into it. 70 00:03:24,720 --> 00:03:27,080 We'll try and explain because these ones are like, well, I'll 71 00:03:27,080 --> 00:03:29,200 just read it. It says, tell me the craziest 72 00:03:29,200 --> 00:03:32,120 lab or vital sign you've seen as a nurse. 73 00:03:32,480 --> 00:03:35,480 So we're going to go through like there used to be a board in 74 00:03:35,480 --> 00:03:37,960 our break room where we would write down like, do you remember 75 00:03:37,960 --> 00:03:39,840 that? It was like the craziest values 76 00:03:39,840 --> 00:03:41,840 that you would see for the week. Yeah. 77 00:03:41,840 --> 00:03:45,320 So this is kind of break it like break the record. 78 00:03:45,320 --> 00:03:47,080 Yes. So we're going to read this 79 00:03:47,080 --> 00:03:49,160 thread and then we'll kind of explain to you also some of 80 00:03:49,160 --> 00:03:50,960 these. I have read a couple and I'm 81 00:03:50,960 --> 00:03:53,880 like is that real? Oh really? 82 00:03:54,120 --> 00:03:56,720 I haven't read any of them yet. Well this one I'll start off 83 00:03:56,720 --> 00:04:01,720 with. It says the BP was 27 / 12, temp 84 00:04:01,760 --> 00:04:06,720 89.8 and glucose was 19. The patient was alert and 85 00:04:06,720 --> 00:04:08,880 oriented. No way in hell. 86 00:04:08,880 --> 00:04:13,160 They were not. 27 / 19. I've never seen a I've never 87 00:04:13,160 --> 00:04:16,000 seen a blood pressure that low register on the monitor. 88 00:04:16,079 --> 00:04:20,200 I've never either like it's over palp because it's so low. 89 00:04:20,200 --> 00:04:24,720 I don't think I've ever seen 27 systolic, never over 12. 90 00:04:25,120 --> 00:04:27,960 Was this Was this an automatic blood pressure taking like the 91 00:04:28,000 --> 00:04:29,800 airs? One like how? 92 00:04:29,960 --> 00:04:32,760 Well this is all wrong. It's all wrong. 93 00:04:32,760 --> 00:04:35,960 So yes, your temp can get that low FY. 94 00:04:35,960 --> 00:04:38,400 What was the temp? 89.8, which we've seen, I've 95 00:04:38,400 --> 00:04:41,160 seen lower than that before. Yeah, yeah, yeah, that's 96 00:04:41,160 --> 00:04:44,720 believable. A glucose of 19 even believable. 97 00:04:44,720 --> 00:04:47,360 Yeah, the blood pressure for me is what's really the blood 98 00:04:47,360 --> 00:04:48,800 pressure. Is what throws up a little bit 99 00:04:48,800 --> 00:04:49,520 of a red. What's the? 100 00:04:49,520 --> 00:04:52,280 Lowest blood pressure you've seen like register on the 101 00:04:52,280 --> 00:04:54,920 monitor. Oh man, I don't know if I 102 00:04:54,920 --> 00:04:58,080 remember. I think probably in the. 30s, 103 00:04:58,440 --> 00:05:00,640 thirties, that's like lower. I was going to say probably like 104 00:05:00,640 --> 00:05:03,960 a 40S has registered, but that patient was not alert, no. 105 00:05:04,320 --> 00:05:07,680 Heck no and no and no. Diastolic no. 106 00:05:07,680 --> 00:05:11,800 A white blood cell count of 498,000. 107 00:05:12,080 --> 00:05:14,280 What? So white blood cell count is 108 00:05:14,280 --> 00:05:17,960 elevated when there's a usually an infection going on or like 109 00:05:17,960 --> 00:05:21,560 something stressful in the body. It can cause like a bump in a 110 00:05:21,560 --> 00:05:24,520 white count. Normal for reference is what? 111 00:05:25,240 --> 00:05:27,480 Making me really think about these values. 112 00:05:27,640 --> 00:05:29,800 OK, but I. Think it's like 12,000. 113 00:05:29,880 --> 00:05:32,120 It's still considered normal. Right. 114 00:05:32,120 --> 00:05:33,520 Maybe it's 11,000. Yeah. 115 00:05:33,880 --> 00:05:35,880 So like. I was going to say, I have seen 116 00:05:35,880 --> 00:05:38,040 someone with like obviously you see white counts that are very 117 00:05:38,040 --> 00:05:40,920 high, but like even a white count of 20,000 you're. 118 00:05:40,920 --> 00:05:41,680 Sick. Yeah. 119 00:05:41,680 --> 00:05:45,560 And I've seen people septic that are like 20,021 thousand, so 120 00:05:45,560 --> 00:05:50,240 498,000. Like what is actually going on? 121 00:05:50,800 --> 00:05:54,080 I would love to know like what was what was the diagnosis there 122 00:05:54,080 --> 00:05:55,480 because they're. Are you necrotic? 123 00:05:55,480 --> 00:05:56,560 Like from the inside. Out. 124 00:05:56,560 --> 00:05:59,200 They had to be. They had to be like literally 125 00:05:59,360 --> 00:06:01,600 dying on the inside. Is that compatible with life? 126 00:06:01,600 --> 00:06:04,480 I don't think so. Yeah, that's crazy and. 127 00:06:04,640 --> 00:06:06,720 Someone says ABP of 30 over Jesus. 128 00:06:07,000 --> 00:06:09,200 That seems more believable to me. 129 00:06:10,680 --> 00:06:13,520 OK this one has a lot on here. Oh boy. 130 00:06:13,960 --> 00:06:24,400 Hemoglobin of 2.3, Lactic of 24, troponin 124,000, glucose OF11PH 131 00:06:24,400 --> 00:06:34,080 of 6.6, Sodium of 216 K was 13, ethanol 676. 132 00:06:36,600 --> 00:06:40,640 Should we break all these down or just the highlights or they? 133 00:06:40,680 --> 00:06:42,640 No, I'm saying like should I? Were they alive? 134 00:06:42,640 --> 00:06:47,960 There's no chance. So just so you guys know, 135 00:06:48,040 --> 00:06:51,080 alcohol levels in the hospital are done by the hundreds 136 00:06:51,280 --> 00:06:52,960 essentially. So they're not done on a point 137 00:06:52,960 --> 00:06:55,960 system like you would blow. Yeah, yeah, yeah. 138 00:06:56,400 --> 00:07:04,440 So an alcohol level of 676 is essentially a .67 alcohol level. 139 00:07:04,440 --> 00:07:08,360 Which is very high point 6. Seven right so we're talking 140 00:07:08,360 --> 00:07:12,480 about legal limit being like what .0808 yeah so just so you 141 00:07:12,480 --> 00:07:16,400 guys for like reference, that's what we kind of relate it to in 142 00:07:16,400 --> 00:07:18,760 the hospital is like we'll take the hundreds and then make it 143 00:07:18,760 --> 00:07:21,480 into our own decimal with it to see that's not compatible with 144 00:07:21,480 --> 00:07:24,200 life but some people's alcohol levels can get. 145 00:07:24,320 --> 00:07:26,320 What's the highest alcohol level you've seen? 146 00:07:26,440 --> 00:07:28,040 Probably somewhere in the six hundreds. 147 00:07:28,080 --> 00:07:28,920 Really. Yeah. 148 00:07:29,080 --> 00:07:32,720 I've seen I think high fours, maybe low fives and was like 149 00:07:32,720 --> 00:07:37,160 shocked that they were alive. This patient what was intubated? 150 00:07:37,240 --> 00:07:38,640 Right. Like they weren't awake. 151 00:07:38,640 --> 00:07:43,520 And I mean, how can you be but also a sodium of 216 when you 152 00:07:43,520 --> 00:07:44,920 talk about. So that's concerning. 153 00:07:44,960 --> 00:07:47,400 Oh my gosh. So your normal reference for 154 00:07:47,400 --> 00:07:51,200 your sodium is 135 to 145, and sodium is one of those 155 00:07:51,200 --> 00:07:55,640 electrolytes that it really doesn't take much of A variation 156 00:07:55,640 --> 00:07:58,400 to be symptomatic. And it can cause a lot of 157 00:07:58,400 --> 00:08:02,840 neurological defects a ton, like seizures, a ton of issues. 158 00:08:02,920 --> 00:08:06,000 So sometimes we can see patients that come in like even in the 159 00:08:06,000 --> 00:08:09,080 one 20s, yeah. And cause a lot of confused. 160 00:08:09,400 --> 00:08:12,600 So now 216. That's the highest I've ever 161 00:08:12,600 --> 00:08:15,600 seen in my whole I've never heard of anything like that. 162 00:08:15,920 --> 00:08:18,760 Also about that troponin, I want to like touch back on that real. 163 00:08:19,160 --> 00:08:20,880 Quick. Where was that? 164 00:08:21,040 --> 00:08:24,120 OK, it's your point of 124,000. OK, so I have a little story 165 00:08:24,120 --> 00:08:26,240 here. When I was a newer nurse, I was 166 00:08:26,240 --> 00:08:31,200 like probably 3-4 years into my career, I worked on a step down 167 00:08:31,200 --> 00:08:33,559 cardiac. So it was like post open heart, 168 00:08:33,559 --> 00:08:38,640 post cap patients, etcetera. This is where I learned about 169 00:08:38,640 --> 00:08:42,360 calling cardiologist. I got taught a lesson early on 170 00:08:42,360 --> 00:08:44,480 and I felt so stupid. So I just want to share this 171 00:08:44,480 --> 00:08:46,160 with anybody out there who may not know. 172 00:08:46,160 --> 00:08:49,600 I was working night shift and I had a patient who you know, 173 00:08:49,600 --> 00:08:52,640 morning labs or like 3-4 AM. So the troponin came back and it 174 00:08:52,640 --> 00:08:56,000 was like, I don't even remember the actual value but it was like 175 00:08:56,000 --> 00:08:58,720 super high. OK, like crazy high. 176 00:08:59,360 --> 00:09:01,440 And your butthole. Puckered and you're like, Oh my 177 00:09:01,480 --> 00:09:03,320 gosh, they're having a cardiac event. 178 00:09:03,480 --> 00:09:05,840 So I called cardiology on call in the middle of the night like 179 00:09:05,840 --> 00:09:09,400 234 AM and I'm like, I'm calling to let you know that the 180 00:09:09,400 --> 00:09:11,960 patients like Troponin came back critical at this level. 181 00:09:12,560 --> 00:09:14,480 Did I go back and like trend them? 182 00:09:14,480 --> 00:09:17,320 No mistake #1. We were concerned right off the. 183 00:09:17,320 --> 00:09:19,840 Bat I was just like, that's the craziest, highest troponin I've 184 00:09:19,960 --> 00:09:22,640 ever freaking seen in my life. I'm going to run and be the 185 00:09:22,640 --> 00:09:25,120 hero. Yeah, like let me call him and 186 00:09:25,120 --> 00:09:26,200 let him know. Let me save the back. 187 00:09:26,200 --> 00:09:28,400 He's going to thank me. Luckily he was a nice 188 00:09:28,400 --> 00:09:32,320 cardiologist and he was like, yeah, we went in there today and 189 00:09:32,320 --> 00:09:35,520 we put a stent so we were messing around with the heart. 190 00:09:35,520 --> 00:09:38,280 And anytime you do that, like your troponins, it's going to 191 00:09:38,280 --> 00:09:41,600 shoot up after you place the stent because you've irritated 192 00:09:41,840 --> 00:09:44,240 all of that. And he's like, that's actually 193 00:09:44,240 --> 00:09:46,120 lower than the one that we drew last night. 194 00:09:46,680 --> 00:09:48,080 It's going in the right direction. 195 00:09:48,280 --> 00:09:54,960 Did you say Yeah? Damn, when you say it like that. 196 00:09:55,560 --> 00:09:58,400 I know I was just, I just wanted you to know that I saw it. 197 00:09:58,440 --> 00:09:59,960 Thank you so much. Have a great night's. 198 00:09:59,960 --> 00:10:03,440 Sleep about wanting to crawl into the concrete floor I. 199 00:10:03,440 --> 00:10:06,440 Don't know how in those moments like as a new nurse like that, 200 00:10:06,440 --> 00:10:09,200 because 3-4 years and you're, you still don't know really 201 00:10:09,200 --> 00:10:10,280 anything. You know what I mean? 202 00:10:10,280 --> 00:10:11,600 Like you're still, you're starting. 203 00:10:11,680 --> 00:10:15,040 To get, I was new to this unit and so I was new to like these 204 00:10:15,040 --> 00:10:17,120 doctors, these doctors, these procedures. 205 00:10:17,160 --> 00:10:20,720 And so it's not like I didn't have nursing experience. 206 00:10:20,720 --> 00:10:21,720 It's like, no. No, no. 207 00:10:21,720 --> 00:10:26,000 But when you see critical values like that, your brain is trained 208 00:10:26,000 --> 00:10:28,440 to be like, respond, you know what I mean? 209 00:10:28,440 --> 00:10:30,800 And so you do. And then you're like, Oh yeah, 210 00:10:31,040 --> 00:10:32,480 and you'll talk. About critical thinking and 211 00:10:32,480 --> 00:10:34,920 listen, I just have to say this. I'm just on one today. 212 00:10:35,320 --> 00:10:40,560 So I posted a video about the freaking nursing diagnosis in 213 00:10:40,560 --> 00:10:42,400 nursing schools and how we need to be done with them. 214 00:10:42,520 --> 00:10:44,880 And there was a handful of people that were like, this is 215 00:10:44,880 --> 00:10:46,520 how you learn critical thinking skills. 216 00:10:46,520 --> 00:10:48,160 No, it's. Not. 217 00:10:49,880 --> 00:10:55,240 So these situations where I still was like working on. 218 00:10:55,240 --> 00:10:57,840 Learn anything critical off of a piece of fucking paper. 219 00:10:57,880 --> 00:11:00,320 No, and, and people say we'll teach you through diagnosis. 220 00:11:00,320 --> 00:11:05,720 And like, I don't, I don't know, like maybe, but I'm 3-4 years 221 00:11:05,720 --> 00:11:08,600 into being a nurse and I'm still working on critical thinking 222 00:11:08,600 --> 00:11:12,560 because I see this lab value. I'm like, I mean, this is all 223 00:11:12,560 --> 00:11:14,720 lived experiences that teach you. 224 00:11:14,720 --> 00:11:17,440 Like, OK, so now do you think I ever, every time I had a 225 00:11:17,440 --> 00:11:19,520 critical troponin, did they get a stent? 226 00:11:19,520 --> 00:11:21,560 Did they have a procedure? Let me go look, is it trending 227 00:11:21,560 --> 00:11:25,200 in the right direction? So yes, per policy, you still 228 00:11:25,200 --> 00:11:28,240 have to let the doctor know that there's a critical value. 229 00:11:28,560 --> 00:11:34,040 What I do now or my practice now is saying hey FYI there's 230 00:11:34,040 --> 00:11:36,800 Chapron and came back this it's less than their previous one. 231 00:11:37,080 --> 00:11:37,960 Just letting you know. Yep. 232 00:11:38,720 --> 00:11:41,880 But these are all lived in experiences I think is the main. 233 00:11:41,880 --> 00:11:44,160 Take away diagnosis did not teach me that. 234 00:11:44,160 --> 00:11:46,400 Ever. And it's not going to, I mean, 235 00:11:46,400 --> 00:11:49,120 most of the biggest mistakes that I've made, you better 236 00:11:49,120 --> 00:11:51,240 believe are the first things that I teach people that like I 237 00:11:51,240 --> 00:11:54,760 precept because you would have never known unless you've done 238 00:11:54,760 --> 00:11:56,800 it. Yeah, and you and it, you have 239 00:11:56,800 --> 00:12:00,040 to learn like you have to learn. But that's boots on the ground. 240 00:12:00,640 --> 00:12:02,240 This one's kind of weird. OK, I'm ready. 241 00:12:03,040 --> 00:12:06,640 A blood sugar of 2020. Wow. 242 00:12:06,640 --> 00:12:11,640 Right after midnight on January 1st, 2020, patient awakened 243 00:12:11,640 --> 00:12:12,880 talking. What? 244 00:12:13,920 --> 00:12:18,280 I have had a glucose of like 1300 on somebody that was like 245 00:12:18,320 --> 00:12:21,280 alert and oriented and I'm like that's high. 246 00:12:21,280 --> 00:12:23,640 Do you feel weird? Did they feel weird? 247 00:12:23,840 --> 00:12:25,440 I don't know. I don't remember to be honest. 248 00:12:25,440 --> 00:12:27,120 You know, it's patients like that though that can get that 249 00:12:27,120 --> 00:12:28,760 high that I've felt that before, I feel like. 250 00:12:29,360 --> 00:12:32,480 Like they know. Actually, no, they did. 251 00:12:32,480 --> 00:12:34,920 They did. They could tell they're a type 1 252 00:12:34,920 --> 00:12:36,520 diabetic. So we've been here. 253 00:12:36,520 --> 00:12:39,920 Before their whole life, but they know they're very in tune 254 00:12:39,920 --> 00:12:44,840 with their body so I. Like a DKA patient, because for 255 00:12:44,840 --> 00:12:48,320 the most part they're pretty easy, right? 256 00:12:48,880 --> 00:12:52,440 You're giving them. So let me explain to the class. 257 00:12:53,960 --> 00:12:58,520 DKA is diabetic ketoacidosis. It typically happens, I would 258 00:12:58,520 --> 00:13:02,400 say more commonly in type ones. It can happen in type 2 259 00:13:02,400 --> 00:13:04,560 diabetics, but I think it's more common in type 1. 260 00:13:04,560 --> 00:13:08,560 So sometimes you can see this. This is typically how children 261 00:13:08,600 --> 00:13:11,680 find out that they have diabetes as they normally will go into 262 00:13:11,680 --> 00:13:14,200 this. It causes a very specific type 263 00:13:14,200 --> 00:13:17,320 of breathing. Your breath will smell very 264 00:13:17,320 --> 00:13:18,720 fruity. Do you have that? 265 00:13:18,840 --> 00:13:22,080 What nose where you can? Can you smell ketones? 266 00:13:22,080 --> 00:13:25,760 OK, so all of these things kind of happen with these patients. 267 00:13:25,760 --> 00:13:30,440 However, it can be really. I mean DKA can kill you. 268 00:13:30,560 --> 00:13:32,240 At the end of the day, you can die from. 269 00:13:32,240 --> 00:13:34,960 It. But there's like early 270 00:13:34,960 --> 00:13:39,360 intervention with it in our scenario and, and kind of in 271 00:13:39,360 --> 00:13:41,840 every hospital setting, these patients will become ICU 272 00:13:41,840 --> 00:13:44,960 patients because you're monitoring their sugars every 273 00:13:44,960 --> 00:13:49,040 hour, which is very like it's a busy patient. 274 00:13:49,360 --> 00:13:52,280 You're titrating insulin on them all while giving them a little 275 00:13:52,280 --> 00:13:55,800 bit of sugar through their IV. Because if you mess up and give 276 00:13:55,800 --> 00:13:59,280 them too much insulin and not enough sugar at the same time 277 00:13:59,280 --> 00:14:00,960 and balance it out. I'm trying to explain this and 278 00:14:00,960 --> 00:14:02,880 like does this make sense what I'm saying? 279 00:14:03,440 --> 00:14:05,680 Well, yeah, I think are you trying to explain closing the 280 00:14:05,680 --> 00:14:06,840 gap shift? Yeah, Yeah. 281 00:14:06,960 --> 00:14:10,720 So they have what's it called an anion gap and it's you wanna 282 00:14:10,720 --> 00:14:12,920 close it or make that number go down. 283 00:14:13,120 --> 00:14:17,360 But if you do that too quickly. You can cause brain swelling. 284 00:14:17,360 --> 00:14:20,920 Yeah. So you have to do it very slow. 285 00:14:21,520 --> 00:14:24,040 So it's a process with these patients, but you have to be 286 00:14:24,040 --> 00:14:26,680 careful because these patients, like when you see these glucoses 287 00:14:26,680 --> 00:14:30,920 like this and and like all of these numbers, these patients 288 00:14:30,920 --> 00:14:33,240 can sneak up on you and actually get very, very sick. 289 00:14:33,720 --> 00:14:35,680 But they can also look at you and be totally fine. 290 00:14:35,680 --> 00:14:37,320 And no. And you would have no idea that 291 00:14:37,320 --> 00:14:39,720 their sugar is 1300, you know what I mean? 292 00:14:39,720 --> 00:14:41,200 Yeah. This says that someone's 293 00:14:41,200 --> 00:14:45,240 hemoglobin dropped from 11.8 to 1.9 in less than 30 minutes. 294 00:14:45,240 --> 00:14:49,440 So where are we bleeding from? That OK, Where are we bleeding 295 00:14:49,440 --> 00:14:50,760 from? So what's the first thing you 296 00:14:50,760 --> 00:14:52,960 check when you see? Someone said did you find the 297 00:14:52,960 --> 00:14:55,440 leak? This to me. 298 00:14:55,440 --> 00:14:58,520 If there's no obvious blood like like coming, what is it called? 299 00:14:58,520 --> 00:15:00,120 Occult blood? Like where it's like coming out 300 00:15:00,120 --> 00:15:03,040 of their body? Where was the 1st place you're 301 00:15:03,040 --> 00:15:04,760 going to look? Oh, well, we're doing a fast 302 00:15:04,760 --> 00:15:06,360 exam with the ultrasound. Is that what you're saying? 303 00:15:06,400 --> 00:15:08,080 Yeah, Inside. You got to look inside. 304 00:15:08,120 --> 00:15:11,520 This is like one of the. Blank, yeah, those are big areas 305 00:15:11,520 --> 00:15:14,920 where they get a lot of blood, can pool and it might not be 306 00:15:14,920 --> 00:15:18,400 very obvious at first. Do you know what people probably 307 00:15:18,400 --> 00:15:23,720 don't realize bleeds a ton? The spleen, well, that's why I 308 00:15:23,720 --> 00:15:26,400 like spleen LAX. They go to the ICU. 309 00:15:26,640 --> 00:15:29,360 They go to the OR sometimes take that baby right on out. 310 00:15:29,760 --> 00:15:32,640 I OK, this is a crazy story regarding this. 311 00:15:32,800 --> 00:15:37,880 A teacher from Indy's school, OK, he lives up in the sticks 312 00:15:38,280 --> 00:15:42,680 and was playing softball, old man beer league softball. 313 00:15:42,680 --> 00:15:51,560 OK, he dove in to third base, got back up, but all of a sudden 314 00:15:51,560 --> 00:15:54,360 was like, I don't, something feels wrong. 315 00:15:54,360 --> 00:15:57,120 Something feels really wrong. All the kids were telling us 316 00:15:57,120 --> 00:15:59,440 like he's been missing from school for so long, all of this 317 00:15:59,440 --> 00:16:01,000 stuff. We didn't know what happened. 318 00:16:01,000 --> 00:16:05,800 Turns out when he slid into third base, he ruptured his 319 00:16:05,800 --> 00:16:09,200 spleen. Ruptured, ruptured his spleen 320 00:16:09,320 --> 00:16:12,080 because he lives in the sticks and he was in this like beer 321 00:16:12,080 --> 00:16:14,000 league. His buddies drove him to the 322 00:16:14,000 --> 00:16:17,320 nearest hospital, which is not a trauma center. 323 00:16:18,160 --> 00:16:21,600 I talked to him about this later at the back to school BBQ that 324 00:16:21,600 --> 00:16:23,760 we like all go to and stuff. And I was like, hey, are you 325 00:16:23,760 --> 00:16:25,360 feeling better? And he was like, wait, you work 326 00:16:25,360 --> 00:16:27,280 in trauma, don't you? And I was like, I do. 327 00:16:27,560 --> 00:16:30,040 And he was like, that was the craziest thing I've ever been 328 00:16:30,040 --> 00:16:32,040 through in my whole life. So he laid it all out for me and 329 00:16:32,040 --> 00:16:33,600 I was like, what's the last thing you remember? 330 00:16:33,800 --> 00:16:36,480 They ended up not being able to transfer him because he was too 331 00:16:36,480 --> 00:16:39,440 unstable. So they had, they had a surgeon 332 00:16:39,440 --> 00:16:44,160 come up to the hospital that he was at and do surgery there to 333 00:16:44,160 --> 00:16:46,680 remove his entire spleen. And he said the last thing he 334 00:16:46,680 --> 00:16:49,640 remembers was that they were calling out like over. 335 00:16:49,640 --> 00:16:52,680 He was like, I saw lots of lights and they were calling 336 00:16:52,680 --> 00:16:54,840 blood pressure 60 over something. 337 00:16:54,840 --> 00:16:56,960 And he was like, and I don't remember anything past that. 338 00:16:57,000 --> 00:16:59,360 And so I looked at him and I was like, you damn near died, my 339 00:16:59,400 --> 00:17:00,640 friend. But it was a spleen. 340 00:17:01,000 --> 00:17:02,600 Wow. Isn't that wild? 341 00:17:03,000 --> 00:17:06,280 Lesson here, don't do any physical sports when you're over 342 00:17:06,280 --> 00:17:08,359 like 40. No, you can't take it. 343 00:17:08,400 --> 00:17:11,400 Now your body is not going to ever feel the same again. 344 00:17:12,079 --> 00:17:16,319 E2H of 740. Can we get more context or were 345 00:17:16,319 --> 00:17:17,640 they awake? There's 4 replies. 346 00:17:17,640 --> 00:17:19,640 Let me see, those are rookie numbers. 347 00:17:19,640 --> 00:17:23,400 Got to pump them up. Rookie number. 740 is the 348 00:17:23,400 --> 00:17:26,720 highest I've ever heard of my. Life and also OK more contacts 349 00:17:26,720 --> 00:17:28,640 with this. Who scares you most? 350 00:17:29,560 --> 00:17:34,920 An ETOH patient. Like a legit detox ETOH patient. 351 00:17:34,920 --> 00:17:39,040 Those scare me. Yeah, but but like when you say 352 00:17:39,040 --> 00:17:42,800 legit detox, it is not the patient who came in and just had 353 00:17:42,800 --> 00:17:44,880 a 740. It's a patient. 354 00:17:45,040 --> 00:17:48,880 Whose actual alcohol is 0. There are daily drinkers and 355 00:17:48,880 --> 00:17:51,400 they haven't had a drink in three days that. 356 00:17:52,440 --> 00:17:55,720 When they tell you that in triage and they are visibly 357 00:17:55,720 --> 00:17:59,000 diaphoretic, they have tremors like you wouldn't believe, they 358 00:17:59,000 --> 00:18:02,200 are nauseated and hallucinating, they get a recess room. 359 00:18:02,200 --> 00:18:05,720 People whose blood alcohol is high or who are daily drinkers, 360 00:18:06,440 --> 00:18:10,200 they're not going to go through withdrawal symptoms until that 361 00:18:10,200 --> 00:18:14,760 is down. But to zero, yeah, that's a high 362 00:18:14,760 --> 00:18:16,600 number. I don't feel like at 7:40 363 00:18:16,600 --> 00:18:18,040 somebody should be awake and talking. 364 00:18:18,040 --> 00:18:19,840 But I'm talking on people who like, live in like the three 365 00:18:19,840 --> 00:18:21,680 hundreds. Yeah, and that's a real thing. 366 00:18:21,720 --> 00:18:26,120 But the detox symptoms, seizures, like people can die. 367 00:18:26,120 --> 00:18:29,120 Oh yes, and it is very, it can be very violent. 368 00:18:29,120 --> 00:18:32,200 It can be very, very like hard to watch. 369 00:18:32,680 --> 00:18:36,120 So when somebody comes in and they are sweating, they don't 370 00:18:36,120 --> 00:18:38,080 look good. They say I drink every day. 371 00:18:38,080 --> 00:18:40,840 I haven't drank in, you know, a few days and their blood alcohol 372 00:18:40,840 --> 00:18:43,240 comes back to 0. You, you, you better be running 373 00:18:43,240 --> 00:18:45,560 for that crash cart. You're too, but not patient too, 374 00:18:45,560 --> 00:18:48,440 because these patients do have seizures, but they a lot of the 375 00:18:48,440 --> 00:18:51,480 time go into what we call status and they don't stop seizing. 376 00:18:51,480 --> 00:18:53,760 And that's so scary and it's really scary to watch. 377 00:18:53,760 --> 00:18:57,000 They also Alcoholics, like raging Alcoholics we're talking 378 00:18:57,000 --> 00:19:02,920 about have something called varices and they will literally 379 00:19:02,920 --> 00:19:06,560 bleed out right in front of you and it's the most like you are 380 00:19:06,560 --> 00:19:09,560 literally in a scene of a horror movie. 381 00:19:09,560 --> 00:19:11,440 It's like. Fountains of blood like. 382 00:19:11,640 --> 00:19:13,800 Coming out and you're just watching them die because 383 00:19:13,800 --> 00:19:15,160 there's really nothing you can do. 384 00:19:15,400 --> 00:19:16,880 Oh, they scare me. Scary. 385 00:19:17,160 --> 00:19:18,960 Oh, we haven't touched on this yet. 386 00:19:19,640 --> 00:19:23,840 ACK of greater than 40,000. So that's a wrapped up patient 387 00:19:23,920 --> 00:19:26,640 has to be Yep, so. What does it stand for? 388 00:19:26,920 --> 00:19:29,560 Create creatinine kindness or something like. 389 00:19:30,400 --> 00:19:32,600 Creatine, I was a mistake. I was too threatening. 390 00:19:33,000 --> 00:19:36,040 Kindness. I could spell it for you right 391 00:19:36,040 --> 00:19:37,160 now. I just might not be able to say 392 00:19:37,160 --> 00:19:38,440 it. We just say CKK. 393 00:19:38,480 --> 00:19:40,840 This has actually been going around a lot. 394 00:19:40,880 --> 00:19:43,920 I don't know if you do you follow Beach Gem, the the 395 00:19:43,920 --> 00:19:47,120 pediatric ER doc on TikTok. Have you ever heard of her? 396 00:19:47,120 --> 00:19:50,920 I really like her, but she tells like, some crazy stories. 397 00:19:50,920 --> 00:19:54,000 And you know, there was that flu going around where like 398 00:19:54,040 --> 00:19:55,960 recently. Yeah, where the kids, like 399 00:19:56,200 --> 00:19:58,480 weren't being able to walk. Oh. 400 00:19:59,200 --> 00:20:02,400 So they were basically essentially going into Rabdo. 401 00:20:02,400 --> 00:20:05,400 They had like a different name for it for these kids, but they 402 00:20:05,400 --> 00:20:07,640 were getting the flu and then having symptoms a couple days 403 00:20:07,640 --> 00:20:11,720 later of leg pain, not being able to walk, all of this stuff. 404 00:20:12,000 --> 00:20:14,560 And that is what Rabdo feels like a lot of the time. 405 00:20:14,560 --> 00:20:17,720 Rabdo is when you do like a super hard workout. 406 00:20:17,760 --> 00:20:20,600 We see it a lot with like cyclists that just do a huge 407 00:20:20,600 --> 00:20:23,760 marathon or Crossfitters CrossFit totally. 408 00:20:24,520 --> 00:20:27,440 And it's like a classic, like Telltale, you know exactly when 409 00:20:27,440 --> 00:20:29,840 they come in, they are having horrible leg cramps, like the 410 00:20:29,840 --> 00:20:32,520 worst you've ever felt. And their urine is going to be 411 00:20:32,520 --> 00:20:34,840 like a coat colored or a tea colored. 412 00:20:35,120 --> 00:20:37,160 Yeah. And you can you can immediately, 413 00:20:37,160 --> 00:20:39,040 But it's. Not just concentrated urine. 414 00:20:39,040 --> 00:20:42,720 It's like that specific amber. It is color, very specific 415 00:20:42,720 --> 00:20:47,120 color. And so how you fix ACK that high 416 00:20:47,120 --> 00:20:50,360 or rhabdo is just a shit ton of fluids. 417 00:20:50,480 --> 00:20:52,000 So these patients will get admitted. 418 00:20:52,480 --> 00:20:54,640 You will bolus them. A lot of times they will have to 419 00:20:54,640 --> 00:20:57,680 go to ICU too because they have to get a lot of lab draws. 420 00:20:57,720 --> 00:21:00,320 Close monitoring. They can get really sick, They 421 00:21:00,320 --> 00:21:03,760 can get really, really sick. But these patients, you just 422 00:21:03,760 --> 00:21:06,160 load them up with a ton of fluids and monitor them. 423 00:21:06,160 --> 00:21:08,040 But it was happening with kids with the flu, which. 424 00:21:08,200 --> 00:21:11,440 Is kind of that's very interesting because what it is, 425 00:21:11,560 --> 00:21:13,880 correct me if I'm wrong, but it's like you do a really hard 426 00:21:13,880 --> 00:21:16,240 workout and you know when you lift whatever you get these like 427 00:21:16,240 --> 00:21:18,880 tiny rips in your muscles, right, That releases the lactate 428 00:21:18,880 --> 00:21:21,760 or the lactic acid and is it like a build up of that? 429 00:21:21,760 --> 00:21:24,760 Yeah, it's a build up of it that just kind of spills out 430 00:21:24,760 --> 00:21:27,000 essentially. It's crazy. 431 00:21:27,000 --> 00:21:29,120 It is kind of crazy. And you know what, I actually 432 00:21:29,120 --> 00:21:33,120 know somebody that got admitted like he he's our age did a 433 00:21:33,120 --> 00:21:35,000 really hard workout. I think you know how everyone 434 00:21:35,000 --> 00:21:40,800 does like the Murphy workout, the Murph and it was something 435 00:21:40,800 --> 00:21:43,600 like he did that or it was like, I don't know, a big CrossFit 436 00:21:43,600 --> 00:21:45,840 type workout. And like same thing got like 437 00:21:45,840 --> 00:21:49,600 almost like flu like aches ended up going in to get checked and 438 00:21:49,600 --> 00:21:52,360 was in the ICU for like 3 days. That's so scary. 439 00:21:52,360 --> 00:21:53,800 I know. See, it's all these things that 440 00:21:53,800 --> 00:21:56,000 you don't even know. I didn't know anything about 441 00:21:56,000 --> 00:21:58,120 Rabdo until I became a nurse. I didn't even know either 442 00:21:58,120 --> 00:22:00,240 possibly be a thing. Either we haven't talked about 443 00:22:00,240 --> 00:22:06,200 this one, a BNP of 122,000. Whoa, we are not breathing well. 444 00:22:06,840 --> 00:22:11,520 So a BNP stands for something natriotic peptide. 445 00:22:11,520 --> 00:22:13,320 Yeah. So, so a lot of times like with 446 00:22:13,320 --> 00:22:16,160 congestive heart failure patients or people who have like 447 00:22:16,160 --> 00:22:20,000 build up a fluid around their lungs, they're not breathing 448 00:22:20,000 --> 00:22:21,680 well. The BNP is elevated. 449 00:22:21,960 --> 00:22:25,240 So how we expel that extra fluid is we usually get like a 450 00:22:25,240 --> 00:22:28,560 diuretic like Lasix. So we diurese them, we get the 451 00:22:28,560 --> 00:22:32,600 fluid off the BNP then should start to come down. 452 00:22:33,200 --> 00:22:36,600 But like I thought ABNP of like 4000 was high. 453 00:22:36,600 --> 00:22:40,120 That's insane 1/20/2000 I've never heard of one like that. 454 00:22:40,120 --> 00:22:44,080 122 that person. These people are extremely short 455 00:22:44,080 --> 00:22:46,320 of breath even with ABNP of they're. 456 00:22:46,480 --> 00:22:49,880 Either on bi pap to try and push some of that out or I don't know 457 00:22:49,880 --> 00:22:52,440 what you do with 120. Two also, these are the patients 458 00:22:52,440 --> 00:22:57,200 too, where you can like squeeze on their legs and your literal 459 00:22:57,200 --> 00:23:00,440 handprints are in their legs because they're so edematous 460 00:23:00,440 --> 00:23:03,160 that when you squeeze on that, your imprint just stays with 461 00:23:03,160 --> 00:23:04,800 them because it's just all fluid. 462 00:23:04,800 --> 00:23:07,480 Yeah, it's terrible. Some women get that really bad 463 00:23:07,480 --> 00:23:09,680 when they're pregnant with the pitting edema. 464 00:23:09,680 --> 00:23:11,560 I didn't get that on my legs. I didn't either. 465 00:23:11,560 --> 00:23:14,400 Well, I did I not on my legs. I would get it. 466 00:23:14,800 --> 00:23:18,560 I had indie in July and boy was that hot. 467 00:23:18,680 --> 00:23:21,440 So I would have it on my feet like when I got home from like 468 00:23:21,440 --> 00:23:24,640 an all day thing and was wearing sandals and like put up my feet 469 00:23:24,640 --> 00:23:27,640 and Nick was like, Oh my God, Fiona from Shrek. 470 00:23:29,320 --> 00:23:30,400 I was like, listen here, asshole. 471 00:23:30,440 --> 00:23:33,040 I'm doing my best, but it was crazy. 472 00:23:33,720 --> 00:23:38,280 OK, Some of these stories bring us to the whisper line. 473 00:23:38,480 --> 00:23:40,720 The whisper line. You guys loving the whisper 474 00:23:40,720 --> 00:23:44,560 line? We started this but last Sunday. 475 00:23:44,720 --> 00:23:47,280 Yeah, well, we started telling everybody about it on last 476 00:23:47,280 --> 00:23:51,320 episode, OK. And so every Sunday, if you guys 477 00:23:51,320 --> 00:23:54,880 didn't catch on the ER edit Instagram page, we're starting 478 00:23:54,880 --> 00:23:59,440 to post the whisper line. And it's literally a place for 479 00:23:59,440 --> 00:24:03,680 you guys, anyone to come just kind of anonymously tell us a 480 00:24:03,680 --> 00:24:06,320 secret, a story, something funny. 481 00:24:06,320 --> 00:24:08,440 It doesn't have to be healthcare hospital related. 482 00:24:08,440 --> 00:24:13,400 It can literally be anything. And then every once in a while, 483 00:24:13,400 --> 00:24:15,880 we're going to read some of these anonymously on the 484 00:24:15,880 --> 00:24:17,400 podcast. Yeah, completely. 485 00:24:17,400 --> 00:24:20,280 Anonymous just so we're clear, but everybody has a secret, you 486 00:24:20,280 --> 00:24:23,240 know what I mean everybody has a story to tell if you just. 487 00:24:23,240 --> 00:24:26,200 Want to get it off your chest? So we thought, what better place 488 00:24:26,200 --> 00:24:32,400 than the ER edit? This says IACNA at the time, 489 00:24:32,400 --> 00:24:36,440 once watched a lady die in the ICU because the RT forgot to 490 00:24:36,440 --> 00:24:39,160 turn her vent back on. I have a couple questions 491 00:24:39,640 --> 00:24:41,600 regarding this one. Uh oh. 492 00:24:41,840 --> 00:24:44,920 Why didn't you say something? Well, maybe did we not know? 493 00:24:44,920 --> 00:24:45,800 Maybe. They didn't know. 494 00:24:45,800 --> 00:24:48,320 Like, we'll think about it. Like even as a nurse, I'm not 495 00:24:48,320 --> 00:24:51,000 totally sure. Like how the vent works all the 496 00:24:51,000 --> 00:24:53,080 time. Oh my God, I hope I don't so. 497 00:24:53,080 --> 00:24:56,320 If you're a CNAI, imagine like maybe you're not super familiar 498 00:24:56,320 --> 00:24:59,440 with everything, so maybe like something was going on, you 499 00:24:59,440 --> 00:25:01,960 weren't sure. And then maybe like after the 500 00:25:01,960 --> 00:25:04,960 fact you had like watched everything and then realized. 501 00:25:05,200 --> 00:25:06,800 And I think that that's probably what happened. 502 00:25:06,920 --> 00:25:11,040 Yeah, that would be my guest. I did in fact, put an IV in some 503 00:25:11,120 --> 00:25:13,360 woman's artery fresh out of nursing school. 504 00:25:13,760 --> 00:25:16,480 Baby girl, it happened. We all have it happened. 505 00:25:16,480 --> 00:25:19,880 We have all gotten an artery. Those you know right away too. 506 00:25:19,880 --> 00:25:21,240 I'm like fuck, I'm in the artery. 507 00:25:21,240 --> 00:25:23,440 Oh yeah, that those things come with a pulse. 508 00:25:24,720 --> 00:25:27,760 I'm not religious at all, but the church keeps me fed. 509 00:25:28,600 --> 00:25:32,240 I'm a 19 year old economic student that lives in the dorm. 510 00:25:33,120 --> 00:25:35,680 I don't know how to cook, I've never cooked and honestly I 511 00:25:35,680 --> 00:25:38,000 can't really afford it. But the church down the street 512 00:25:38,000 --> 00:25:40,560 does dinners every single night for the college kids. 513 00:25:40,720 --> 00:25:44,560 Most of them are religious. I'm not at all and honestly 514 00:25:44,560 --> 00:25:47,000 never going to be, but I do enjoy the food. 515 00:25:47,680 --> 00:25:52,360 Hey, you're resourceful and Jesus wants you to eat. 516 00:25:52,560 --> 00:25:55,000 Listen. Absolutely. 517 00:25:55,360 --> 00:25:57,080 Oh, this one's good. Did you get a spicy one? 518 00:25:57,080 --> 00:26:00,360 This one's good. This one's kind of long. 519 00:26:00,400 --> 00:26:01,680 So that's OK. I'm sad. 520 00:26:01,920 --> 00:26:04,480 My 75 year old father had a massive stroke. 521 00:26:04,680 --> 00:26:06,360 They saved his life in the hospital. 522 00:26:06,360 --> 00:26:09,280 Everyone is grateful and talks about how lucky he is to not 523 00:26:09,280 --> 00:26:10,800 have died. Not me. 524 00:26:11,880 --> 00:26:14,120 The left side of his body is completely paralyzed. 525 00:26:14,120 --> 00:26:16,680 He will never walk again. He cannot bathe himself, he 526 00:26:16,680 --> 00:26:18,120 cannot go to the bathroom himself. 527 00:26:18,280 --> 00:26:21,200 He can barely eat or speak. He will never do what he used 528 00:26:21,240 --> 00:26:23,560 to. But his mind still sharp, still 529 00:26:23,560 --> 00:26:25,280 there. He's trapped in a body that 530 00:26:25,280 --> 00:26:27,600 failed him. I love my father, I do. 531 00:26:27,600 --> 00:26:30,160 But seeing him in this state, knowing and he will likely never 532 00:26:30,160 --> 00:26:33,240 be who he was again, I can't bear it and neither can he. 533 00:26:33,360 --> 00:26:35,880 You can see it in his eyes that he doesn't want to live the rest 534 00:26:35,880 --> 00:26:38,040 of his life strapped in a wheelchair because he can no 535 00:26:38,040 --> 00:26:40,960 longer support himself, or needing to wear a bid because 536 00:26:40,960 --> 00:26:43,040 food falls out of the left side of his mouth when he eats. 537 00:26:43,040 --> 00:26:45,880 He's so sad. My mom and his siblings and 538 00:26:45,880 --> 00:26:47,920 friends are all so grateful he's alive. 539 00:26:48,200 --> 00:26:51,320 I wish he died but that gave me goosebumps. 540 00:26:51,880 --> 00:26:55,240 That made me a little bit emotional, to be honest, because 541 00:26:55,840 --> 00:26:59,360 I agree with her. I feel like that is something 542 00:26:59,360 --> 00:27:04,400 like that probably felt really hard to type out, but so valid, 543 00:27:04,560 --> 00:27:07,280 yeah, like so valid seeing somebody in that state, 544 00:27:07,280 --> 00:27:09,720 especially somebody who. We see these. 545 00:27:09,960 --> 00:27:14,480 You know how to full like able bodied life to go from that to 546 00:27:14,480 --> 00:27:16,600 this. And we see this so much in the 547 00:27:16,600 --> 00:27:21,000 ER, where people try and keep someone alive, I think because 548 00:27:21,000 --> 00:27:23,160 it makes them feel good. That's still their person and 549 00:27:23,160 --> 00:27:25,360 they're still here. And I totally understand that 550 00:27:25,360 --> 00:27:28,640 side of it, too. But Nick and I have had these 551 00:27:28,640 --> 00:27:31,520 conversations, as I'm sure you and Ryan have too. 552 00:27:31,560 --> 00:27:35,120 And if I'm not able to live the quality of life that I was 553 00:27:35,120 --> 00:27:40,600 living prior to an event or whatever happens, I don't want 554 00:27:40,600 --> 00:27:44,120 that because these patients sometimes are literally stuck 555 00:27:44,120 --> 00:27:46,480 and their only form of communication is blinking at 556 00:27:46,480 --> 00:27:50,040 you. And it feels like so tragic. 557 00:27:50,440 --> 00:27:53,280 And recovery is not an option, right? 558 00:27:53,320 --> 00:27:57,280 It's like therapy, maybe slowly gaining back a little bit of 559 00:27:57,360 --> 00:28:00,320 like skill, like feeding yourself or something. 560 00:28:00,600 --> 00:28:02,880 But full recovery is like not an option. 561 00:28:03,000 --> 00:28:06,520 That is a sad life. And I don't know, it's never 562 00:28:06,520 --> 00:28:10,240 anybody's like job to put a value on someone's life, you 563 00:28:10,240 --> 00:28:12,040 know what I mean? But I think in this scenario, 564 00:28:12,040 --> 00:28:16,120 like knowing her dad lost the spark and as I you know. 565 00:28:16,160 --> 00:28:20,360 I honestly think that that sometimes is the true form of 566 00:28:20,960 --> 00:28:25,320 like truly loving somebody is being able to look at them and 567 00:28:25,320 --> 00:28:28,280 say your quality of life at this point is horrific and you 568 00:28:28,280 --> 00:28:29,880 wouldn't have wanted that. Yeah. 569 00:28:31,360 --> 00:28:34,800 That's a hard. One that is hard, you know, My 570 00:28:34,800 --> 00:28:37,360 dad died, Yeah. Two days before I was born. 571 00:28:37,360 --> 00:28:40,720 Yeah, he had an accident. He was a roofer and he slipped 572 00:28:40,720 --> 00:28:45,120 and fell and he hit his head on the way down. 573 00:28:45,120 --> 00:28:49,280 He ended up drowning in Lake Union in Seattle. 574 00:28:49,280 --> 00:28:51,400 I hate when you tell this story, it just like gives me chills 575 00:28:51,400 --> 00:28:54,120 every time. And my mom went into labor, 576 00:28:54,160 --> 00:28:55,480 right? And so I was born two days 577 00:28:55,480 --> 00:28:58,480 later. And my mom has shared with me 578 00:28:58,840 --> 00:29:02,160 that my dad was young. He was only 25 when he died. 579 00:29:02,640 --> 00:29:06,240 And he had, he was a very, you know, he was the high school 580 00:29:06,240 --> 00:29:09,920 quarterback, like, he was a very strong, like healthy guy. 581 00:29:10,600 --> 00:29:13,560 And he had shared with my mom at some point in their life and 582 00:29:13,560 --> 00:29:17,880 their marriage that he would never want to live this life if 583 00:29:17,880 --> 00:29:20,320 he couldn't live it to his full, like, potential. 584 00:29:20,720 --> 00:29:24,440 And they ended up doing like search and rescue and finding 585 00:29:24,440 --> 00:29:27,880 his body in the water. And had he not hit his head, 586 00:29:27,880 --> 00:29:31,000 they found this like block, I guess, of wood or something. 587 00:29:31,000 --> 00:29:32,640 He hit his head on the gutter on the way down. 588 00:29:32,640 --> 00:29:34,440 And then he hit his head again underwater. 589 00:29:34,720 --> 00:29:36,720 And that's what kept him unconscious to the point where 590 00:29:36,720 --> 00:29:40,320 he ended up drowning. And my mom had shared with me 591 00:29:40,320 --> 00:29:47,160 like if he had survived that but had like an anoxic brain injury 592 00:29:47,280 --> 00:29:51,120 come out where he was not able to care for himself or walk or 593 00:29:51,120 --> 00:29:53,600 talk or whatever it is, she said. 594 00:29:53,600 --> 00:29:56,960 In some way she feels like he was being like looked out for 595 00:29:56,960 --> 00:29:59,880 because he had made it very clear, like he didn't want to 596 00:29:59,880 --> 00:30:03,600 live his life like that. Was that ever looked at though? 597 00:30:03,600 --> 00:30:06,120 Like, do they think that your dad would have had a pretty 598 00:30:06,120 --> 00:30:09,280 significant like traumatic brain injury at that point based on, I 599 00:30:09,280 --> 00:30:10,560 mean, it sounds like he would have. 600 00:30:11,080 --> 00:30:12,640 Well, it took them a long time to find his I. 601 00:30:12,680 --> 00:30:14,840 Mean so he would have been an anoxic anyway, but I'm saying 602 00:30:14,840 --> 00:30:19,680 like had he just hit his head on the gutter on the way down and 603 00:30:19,680 --> 00:30:22,680 was able to get himself out of the water, do you think that 604 00:30:22,680 --> 00:30:24,600 there would have been enough trauma that there would have? 605 00:30:24,600 --> 00:30:26,480 Been, I don't know. I mean, I don't know. 606 00:30:26,480 --> 00:30:28,880 And to be honest, like such little pieces have been shared 607 00:30:28,880 --> 00:30:30,640 with me. I don't know a lot of like the 608 00:30:30,840 --> 00:30:33,840 details of like the accident and that like what you're saying 609 00:30:33,840 --> 00:30:36,560 like time and everything. So I don't know that. 610 00:30:36,680 --> 00:30:40,720 I always feel like there is something or someone, whatever 611 00:30:40,720 --> 00:30:43,080 anybody, nobody chooses to believe in, like just kind of 612 00:30:43,080 --> 00:30:44,520 looking out for you at the end of the day. 613 00:30:45,360 --> 00:30:46,880 You know what I mean? And so I feel like if your dad 614 00:30:46,880 --> 00:30:50,200 had shared this. And my dad was a very religious 615 00:30:50,200 --> 00:30:52,040 man. Yeah, I just feel like there's 616 00:30:52,040 --> 00:30:53,720 more to it. I feel like maybe someone was 617 00:30:53,720 --> 00:30:55,520 looking out for him and was like, you wouldn't have wanted 618 00:30:55,520 --> 00:30:57,520 to live like this. Yeah, I have to believe that in 619 00:30:57,520 --> 00:31:00,440 those situations and in the ones that we see at work where I'm 620 00:31:00,440 --> 00:31:01,800 like, there's a bigger reason here. 621 00:31:01,840 --> 00:31:04,440 Otherwise I think you just like sit in it and you're like, what 622 00:31:04,440 --> 00:31:06,440 if the what ifs will kill you? Yeah. 623 00:31:06,680 --> 00:31:09,840 And just like this girl riding in to get that off her chest, 624 00:31:09,840 --> 00:31:14,960 like, that's got to be such a hard thing to say because you 625 00:31:14,960 --> 00:31:17,400 love this person and you don't want to live your like, you want 626 00:31:17,400 --> 00:31:20,120 them in your life, but then to also see a version of them 627 00:31:20,120 --> 00:31:21,320 that's not them. Yeah. 628 00:31:21,760 --> 00:31:22,520 Devastating. Yeah. 629 00:31:22,760 --> 00:31:26,720 OK. This is a this is juicy OK? 630 00:31:28,160 --> 00:31:31,160 Is this normal in marriage or am I making it into something? 631 00:31:31,560 --> 00:31:34,400 I'm trying to understand whether what I'm experiencing is 632 00:31:34,400 --> 00:31:37,560 actually normal in marriage because my husband insists that 633 00:31:37,560 --> 00:31:40,240 it is. We've been married for 13 years. 634 00:31:40,240 --> 00:31:42,480 This started around 5 years into our marriage. 635 00:31:42,480 --> 00:31:45,680 When our baby was about one years old, he began introducing 636 00:31:45,680 --> 00:31:49,600 fantasies involving other men into our intimacy. 637 00:31:49,720 --> 00:31:53,720 The first time it happened, I gave into his fantasy but felt 638 00:31:53,720 --> 00:31:56,160 extremely guilty. The next day I told him I wasn't 639 00:31:56,160 --> 00:31:58,480 comfortable and asked him not to bring it back up again. 640 00:31:58,480 --> 00:32:01,520 He agreed, but after a few days it came back and slowly became a 641 00:32:01,520 --> 00:32:05,360 regular part of our intimacy. Over time, it's shifted from 642 00:32:05,360 --> 00:32:08,600 being about random people to people we actually know. 643 00:32:09,000 --> 00:32:11,000 Men or people? Men. 644 00:32:11,200 --> 00:32:14,280 OK, the confusing part is that while we have good physical 645 00:32:14,280 --> 00:32:16,560 connection, our emotional connection has never been 646 00:32:16,560 --> 00:32:18,360 strong. He has also cheated on me 647 00:32:18,360 --> 00:32:20,760 multiple times which has affected how I see everything 648 00:32:20,760 --> 00:32:22,080 now. With men or women it. 649 00:32:22,080 --> 00:32:24,480 Doesn't say. At this point I feel like I'm 650 00:32:24,480 --> 00:32:27,800 standing at the edge of crossing a real boundary with one of his 651 00:32:27,800 --> 00:32:31,200 friends and I don't know if what my husband has normalized and 652 00:32:31,200 --> 00:32:35,720 our relationship would actually make this OK if I told him baby. 653 00:32:35,720 --> 00:32:40,840 Girl, OK, when you said I don't think this is normal, but my 654 00:32:40,840 --> 00:32:44,040 husband insists that it is right there, I've got a red flag. 655 00:32:44,560 --> 00:32:46,680 Red flag. If you're telling, if you're 656 00:32:46,680 --> 00:32:50,000 saying this isn't making me comfortable no matter what it is 657 00:32:50,920 --> 00:32:53,640 in an intimate setting in your marriage, if you're saying I'm 658 00:32:53,640 --> 00:32:59,680 not comfortable, end of story. Like end of story, you're not 659 00:32:59,680 --> 00:33:01,960 comfortable. So for the other person then to 660 00:33:01,960 --> 00:33:05,400 insist it's fine, it's normal, continue doing this. 661 00:33:05,400 --> 00:33:10,680 No, Also, if he's bringing up legitimate friends of yours into 662 00:33:10,680 --> 00:33:12,880 your intimacy, I'm a little concerned. 663 00:33:13,520 --> 00:33:15,960 A lot, actually. Male or female, you just matter. 664 00:33:15,960 --> 00:33:18,160 Like that's to me. Crossing a line. 665 00:33:18,240 --> 00:33:21,920 Well, it makes me feel like you are literally craving an 666 00:33:21,920 --> 00:33:24,600 intimacy with somebody else that you're bringing into the bedroom 667 00:33:24,600 --> 00:33:26,000 verbally. Does that make sense? 668 00:33:26,240 --> 00:33:30,520 Well, yeah, but people do bring in like third parties and people 669 00:33:30,520 --> 00:33:33,560 do bring in like fantasy role play and I'm. 670 00:33:33,800 --> 00:33:36,160 And I think that like when you have good boundaries around 671 00:33:36,160 --> 00:33:39,360 that, but it starts normally blurry line when it's people 672 00:33:39,360 --> 00:33:42,920 that you both like, when you know people because now you're 673 00:33:43,840 --> 00:33:46,360 that's just crossing a line, right? 674 00:33:46,360 --> 00:33:48,880 I think you need to run. That I'm getting a lot of red 675 00:33:48,880 --> 00:33:52,600 flags from that I'm sorry I am. I am too and I I don't like that 676 00:33:52,600 --> 00:33:54,400 for you. I also feel like while you're 677 00:33:54,400 --> 00:33:56,440 writing that I just. All I could think about was you 678 00:33:56,440 --> 00:33:59,520 deserve better. This this is does not give a lot 679 00:33:59,520 --> 00:34:01,600 of context but it like made my heart flutter. 680 00:34:05,280 --> 00:34:08,280 Well tell me, I just heard a. Girl get kidnapped and I 681 00:34:08,280 --> 00:34:11,360 reported it and now I keep getting calls from a no caller 682 00:34:11,360 --> 00:34:13,920 ID. Shut the hell. 683 00:34:14,480 --> 00:34:17,760 Up and that's it. Well, they wrote underneath. 684 00:34:18,000 --> 00:34:21,360 I'm very paranoid. I'm going to tell the cops 685 00:34:21,360 --> 00:34:24,400 because I'm super paranoid. Is she paranoid because she's a 686 00:34:24,400 --> 00:34:26,080 schizophrenic? I'm no, I'm just having a 687 00:34:26,080 --> 00:34:29,600 thought right now. If you call and report something 688 00:34:29,600 --> 00:34:33,159 to the police and then they call you back for anything, will 689 00:34:33,159 --> 00:34:36,360 their number come up on unidentified or like unknown? 690 00:34:36,360 --> 00:34:38,760 Number like maybe they're calling her For more information 691 00:34:38,760 --> 00:34:40,600 still. Yeah, 'cause I don't know, I 692 00:34:40,600 --> 00:34:42,520 don't, the police have never like called me, I think on my 693 00:34:42,520 --> 00:34:45,400 personal number, but I'm just thinking like maybe that's an 694 00:34:45,400 --> 00:34:47,120 unknown number or a blocked number. 695 00:34:47,120 --> 00:34:48,639 I could see that. I like where you're headed with 696 00:34:48,639 --> 00:34:50,480 this but also like where she's headed. 697 00:34:50,480 --> 00:34:57,000 Really scary too you and even just to hear someone get 698 00:34:57,000 --> 00:34:58,640 kidnapped like that. Yeah. 699 00:34:58,920 --> 00:35:01,400 Like witnessing that or like thinking you witnessed that. 700 00:35:01,400 --> 00:35:04,240 That's scary. I had a patient come into the ER 701 00:35:04,240 --> 00:35:06,520 who had a partial airway obstruction. 702 00:35:06,520 --> 00:35:09,440 He thought he was a goner and honestly so did the rest of us. 703 00:35:10,000 --> 00:35:14,280 He told his wife on the way out, right before we intubated him, 704 00:35:14,280 --> 00:35:16,840 that he had been having a decade long affair. 705 00:35:17,880 --> 00:35:23,120 He ended up living. OK, first of all what in ass to 706 00:35:23,120 --> 00:35:25,240 try and just get that off your chest on your way out? 707 00:35:25,520 --> 00:35:26,680 Like and do that to her as she's. 708 00:35:26,680 --> 00:35:31,160 Literally like her last memory. One also imagine how scared she 709 00:35:31,160 --> 00:35:33,400 was watching what was going to happen to the person that she 710 00:35:33,400 --> 00:35:37,440 loves. You wanted out of that marriage 711 00:35:37,440 --> 00:35:39,720 anyway, girl. That's your sign. 712 00:35:39,720 --> 00:35:41,840 And I hope, I hope that was the last day. 713 00:35:42,040 --> 00:35:45,400 OK, Somebody wrote in and said, I've had a few people casually 714 00:35:45,400 --> 00:35:48,520 tell me I'm going to die today. The first time someone who was 715 00:35:48,520 --> 00:35:51,360 awake, alert, not in distress, told me that, and then they died 716 00:35:51,360 --> 00:35:53,800 later that day. I was spooked. 717 00:35:53,800 --> 00:35:55,560 And then I've learned to believe them. 718 00:35:56,600 --> 00:35:58,360 This is real. This is real. 719 00:35:58,920 --> 00:36:03,840 I don't know that I've ever had somebody like very, very like 720 00:36:03,840 --> 00:36:06,560 healthy tell me like, I'm going to die and then they die. 721 00:36:06,880 --> 00:36:09,440 But when people come in and they're like sick or they're 722 00:36:09,600 --> 00:36:11,600 like something emergency is going on and they look at you 723 00:36:11,600 --> 00:36:13,760 and they're like, I'm I'm going to die or I'm dying. 724 00:36:14,400 --> 00:36:17,120 Believe them. Like it's like they have a sixth 725 00:36:17,120 --> 00:36:19,000 sense. I wonder what it is though. 726 00:36:19,040 --> 00:36:22,120 Like I would be very curious to talk to people that have said 727 00:36:22,120 --> 00:36:25,360 this and felt this before to know exactly what they were 728 00:36:25,360 --> 00:36:26,880 feeling like. Do you see a light? 729 00:36:26,880 --> 00:36:28,840 Like is it like the movies? Do you see a light? 730 00:36:28,840 --> 00:36:31,840 Are you hearing something like what is telling you or? 731 00:36:32,360 --> 00:36:33,680 Giving you that. Feeling in your. 732 00:36:33,680 --> 00:36:36,120 Body like something's wrong. Something's really, really 733 00:36:36,200 --> 00:36:38,320 wrong. They'll either say what you said 734 00:36:38,320 --> 00:36:41,840 or sometimes I've had patients too that say please don't let me 735 00:36:41,840 --> 00:36:44,160 die. And that's also like, oh fucking 736 00:36:44,160 --> 00:36:46,960 red flag. Like we are headed for big 737 00:36:46,960 --> 00:36:50,080 trouble here right now. But you should always believe 738 00:36:50,080 --> 00:36:51,600 your patients when they say that to you. 739 00:36:53,560 --> 00:36:56,320 I think we both have talked about that on our Tik Toks 740 00:36:56,320 --> 00:36:58,960 before because it is so real. Yeah. 741 00:36:59,240 --> 00:37:02,400 And again, it's something that you learn though, because I do 742 00:37:02,400 --> 00:37:05,560 think in the beginning when you're not like when you haven't 743 00:37:05,560 --> 00:37:08,640 had a lot of those experiences, a lot of times those patients 744 00:37:08,640 --> 00:37:11,720 can be confused, like if they're lacking oxygen, like if you need 745 00:37:11,720 --> 00:37:14,600 a tube, then like there's a lot of factors that can make them be 746 00:37:14,600 --> 00:37:15,880 like, they don't really know what they're saying. 747 00:37:16,200 --> 00:37:18,960 And I think like, I'm not saying I like wrote it off, but I think 748 00:37:18,960 --> 00:37:23,840 I didn't realize like how much like accuracy there is and how 749 00:37:23,840 --> 00:37:26,520 much like you really need to believe them because I would say 750 00:37:26,680 --> 00:37:31,000 the few instances of that's happened, it's like right on. 751 00:37:31,840 --> 00:37:34,280 And probably pretty quickly after they tell you. 752 00:37:34,280 --> 00:37:37,080 It doesn't take long for that to happen. 753 00:37:37,200 --> 00:37:40,120 I had a patient one time a long time ago. 754 00:37:41,280 --> 00:37:44,880 It was Christmas Eve heart attack. 755 00:37:44,960 --> 00:37:46,440 We knew that that was happening, right? 756 00:37:46,440 --> 00:37:49,240 And those patients sometimes are totally fine and they just go 757 00:37:49,240 --> 00:37:50,880 straight to the Cath lab. They get fixed up. 758 00:37:50,960 --> 00:37:53,320 Yeah, all of this stuff. Then you can have a really sick 759 00:37:53,800 --> 00:37:56,120 STEMI. We call them Stemi's STEMI 760 00:37:56,120 --> 00:38:00,440 patient, where you're like real unstable. 761 00:38:00,920 --> 00:38:05,920 This patient, this was the only time I honestly was embarrassed 762 00:38:05,920 --> 00:38:09,320 for my reaction towards a patient because I felt like I 763 00:38:09,320 --> 00:38:12,280 just like flew straight into like a Grey's Anatomy episode 764 00:38:12,280 --> 00:38:14,600 and I couldn't control myself. Do you know what I mean? 765 00:38:15,280 --> 00:38:18,560 But this patient, we're waiting for Cath lab to tell us like 766 00:38:18,560 --> 00:38:22,400 it's go time because you prep these STEMI patients and then 767 00:38:22,400 --> 00:38:24,760 you have to wait for Cath lab to be ready for you. 768 00:38:24,960 --> 00:38:27,920 And so it's like a, a clock is like literally ticking right in 769 00:38:27,920 --> 00:38:29,200 front of you. And sometimes it's a little 770 00:38:29,200 --> 00:38:31,840 unnerving because it's. Extremely unnerving because they 771 00:38:32,040 --> 00:38:34,960 they come in usually it's just absolute chaos. 772 00:38:35,360 --> 00:38:38,400 There's like people doing 10 things at once, hustling and 773 00:38:38,400 --> 00:38:40,520 bustling. You're like, Oh my gosh, you're 774 00:38:40,520 --> 00:38:43,680 having a massive MI right now. They're in pain. 775 00:38:43,680 --> 00:38:46,080 You're doing all this stuff and then you're like, OK, they're 776 00:38:46,080 --> 00:38:47,760 ready. And then calf is like, we'll be 777 00:38:47,760 --> 00:38:48,960 there in 10 and you're just like. 778 00:38:50,040 --> 00:38:51,840 Yeah. And you're like, come on, Like 779 00:38:51,840 --> 00:38:53,760 I'm watching this person literally die right in front of 780 00:38:53,760 --> 00:38:55,080 me, kind of, but they're still talking. 781 00:38:55,080 --> 00:39:00,120 So this patient, I'm right on the left side of the Gurney. 782 00:39:00,840 --> 00:39:05,440 This patient looks at me with the calmest voice and these big 783 00:39:05,440 --> 00:39:09,920 ass eyes and goes tell my wife and my daughter that I love 784 00:39:09,920 --> 00:39:14,240 them. And I when I tell you. 785 00:39:14,880 --> 00:39:23,440 When I tell you I screamed at the top of my lungs no because 786 00:39:24,120 --> 00:39:28,800 in that instant he coded and I just yell out as if it was a 787 00:39:28,800 --> 00:39:33,800 part of fucking the pit no and jump on top of him and start 788 00:39:33,800 --> 00:39:36,280 CPR. One of our good friends looks at 789 00:39:36,280 --> 00:39:39,600 me and goes what like what the fuck is wrong with you? 790 00:39:39,920 --> 00:39:41,720 But I just like. You're overcome with the 791 00:39:41,720 --> 00:39:43,640 massage. It was Christmas Eve. 792 00:39:43,640 --> 00:39:47,280 This man cannot leave his kid and his wife right now like we 793 00:39:47,280 --> 00:39:50,280 need to like this can't be happening. 794 00:39:50,320 --> 00:39:53,240 I I was so embarrassed when I ended up walking out of that 795 00:39:53,240 --> 00:39:56,120 room for the way that well, I think just because that's never 796 00:39:56,120 --> 00:39:59,160 like it's never overpowered me like that before you know where 797 00:39:59,160 --> 00:40:01,400 it was like it hits you. Oh man, it. 798 00:40:01,400 --> 00:40:02,760 Hits you and that's OK. He. 799 00:40:02,760 --> 00:40:04,400 Did great. He had a great outcome, but he 800 00:40:04,400 --> 00:40:07,320 did OK. Yes, but in that moment I was 801 00:40:07,360 --> 00:40:13,440 absolutely being recorded for my debut as a nurse actress in the 802 00:40:13,440 --> 00:40:15,520 ER. Well, I've been, I have had a 803 00:40:15,520 --> 00:40:21,120 situation where I witnessed like family with the patient who did 804 00:40:21,120 --> 00:40:25,320 not have a good outcome and like the emotion that has overcome me 805 00:40:25,320 --> 00:40:28,120 before. Oh yes, the very first time I, 806 00:40:28,240 --> 00:40:31,640 the very first time I witnessed this, I was a student and I see 807 00:40:31,640 --> 00:40:36,160 like a student nurse and a patient had had like an accident 808 00:40:36,360 --> 00:40:38,000 unexpected. I don't know if it was a cardiac 809 00:40:38,000 --> 00:40:40,240 event or what had happened, but then ended up like having an 810 00:40:40,240 --> 00:40:45,760 accident because of it. Basically was not going to 811 00:40:45,760 --> 00:40:49,840 survive this. And had adult children who flew 812 00:40:49,840 --> 00:40:54,360 in and I was bare there the day that the children arrived. 813 00:40:54,360 --> 00:40:58,080 And I saw this like grown like 20-30 something year old 814 00:40:58,600 --> 00:41:02,360 daughter throw herself on her dad's bed and scream no and like 815 00:41:02,360 --> 00:41:06,240 beg him not to go. And it was the first time I'd 816 00:41:06,240 --> 00:41:07,920 ever witnessed something like that. 817 00:41:08,880 --> 00:41:13,800 I was like, when I say I was like blubbering, like, like that 818 00:41:13,800 --> 00:41:15,360 kind of crime. They're like, who's this person 819 00:41:15,360 --> 00:41:17,200 in the back? They're like, do you need to go 820 00:41:17,200 --> 00:41:18,920 to the bathroom? It's like take a minute. 821 00:41:18,920 --> 00:41:23,000 And I was like, like I was in the bathroom for like 5 minutes. 822 00:41:23,360 --> 00:41:26,640 I think it's still that way. I still think I have like, quite 823 00:41:26,680 --> 00:41:31,480 a horrific reaction with mothers and their children. 824 00:41:31,480 --> 00:41:33,960 Yeah, because that doesn't ever go away, that. 825 00:41:33,960 --> 00:41:35,840 Never gets easier. No, there is a. 826 00:41:36,160 --> 00:41:39,600 Very. Specific sound that comes out of 827 00:41:39,600 --> 00:41:44,360 a grieving mother that really nobody should ever hear ever. 828 00:41:45,080 --> 00:41:49,400 But it's still like it hits something in that ER where you 829 00:41:49,400 --> 00:41:52,800 can even walk around after you compose yourself, but you can 830 00:41:52,800 --> 00:41:55,680 walk around and go in other patients rooms and they're 831 00:41:55,680 --> 00:41:57,600 crying. Have you seen that before, too? 832 00:41:57,960 --> 00:41:59,960 Because they can hear what's happening. 833 00:41:59,960 --> 00:42:03,200 I mean, the ER patient rooms are pretty close to each other for 834 00:42:03,200 --> 00:42:04,800 the most part sometimes. Yeah. 835 00:42:05,160 --> 00:42:07,320 And you can just see the other patients crying, too. 836 00:42:07,400 --> 00:42:12,640 It's like tragic sometimes, but those emotions, they just really 837 00:42:12,640 --> 00:42:14,720 come out sometimes. Well, they do come out 838 00:42:14,720 --> 00:42:16,120 sometimes. And I know that we talk about 839 00:42:16,120 --> 00:42:18,040 like compartmentalizing. We're all really good at that 840 00:42:18,040 --> 00:42:20,000 for the most part. But I think sometimes you're 841 00:42:20,000 --> 00:42:21,560 just overwhelmed with emotion. You can't help it. 842 00:42:21,560 --> 00:42:23,400 You're just not letting out a little. 843 00:42:23,400 --> 00:42:26,520 You got to yell. No, from time to time. 844 00:42:29,200 --> 00:42:34,480 OK, this is the last one that we received in and holy shit. 845 00:42:34,560 --> 00:42:37,400 Oh boy. I had a critically I'll patient 846 00:42:37,400 --> 00:42:42,120 that was intubated and sedated in the ICUI went into the room 847 00:42:42,120 --> 00:42:47,280 to find the sister of the patient having sex with the 848 00:42:47,280 --> 00:42:56,320 patient's husband in the room. What would you do? 849 00:42:59,840 --> 00:43:02,400 To be honest, I don't know I that's like jump scare. 850 00:43:04,360 --> 00:43:12,000 I would like knock and be like. Also, intubated and sedated 851 00:43:12,000 --> 00:43:14,160 doesn't necessarily mean that they can't hear you. 852 00:43:15,520 --> 00:43:19,320 That's a great point. What the hell? 853 00:43:19,480 --> 00:43:22,560 And honestly, if you're going to have an affair, because my guess 854 00:43:22,560 --> 00:43:24,160 is that wasn't the first time that they absolutely. 855 00:43:24,160 --> 00:43:26,200 Not. Why not just leave the hospital? 856 00:43:26,200 --> 00:43:29,880 Like go to your car, go to back to your house, like to do it in 857 00:43:29,880 --> 00:43:32,000 the hospital at the bedside feels like. 858 00:43:32,120 --> 00:43:36,320 It's it's so gross, it's so icky and it's so violating for the 859 00:43:36,320 --> 00:43:39,680 person that was the patient, like in front of her. 860 00:43:39,680 --> 00:43:42,080 Yeah. And also, like, there's not 861 00:43:42,080 --> 00:43:43,840 really privacy. It's like you walk into the 862 00:43:43,840 --> 00:43:45,680 hospital room and it's just like an open room. 863 00:43:45,680 --> 00:43:49,960 So if anyone, the nurse, doctor, EVs, dietary, if anyone walks 864 00:43:49,960 --> 00:43:52,840 in, you're just like on display. Do you just not care? 865 00:43:53,480 --> 00:43:55,480 Also, we've talked about this before, Disgusting. 866 00:43:55,560 --> 00:43:58,520 Hospitals are disgusting and you're just open up your whole 867 00:43:58,520 --> 00:44:02,600 kit and caboodle to that. When I was a new nurse, I walked 868 00:44:02,600 --> 00:44:05,560 into my patient's room and I did the whole like, hi, it's your 869 00:44:05,560 --> 00:44:07,080 nurse. And I came in and they were not 870 00:44:07,080 --> 00:44:08,840 in the bed, so they were in the bathroom. 871 00:44:09,160 --> 00:44:11,920 And I was like, hi, it's your nurse and I crack the door. 872 00:44:12,440 --> 00:44:15,400 Full blown, full blown pound town. 873 00:44:15,400 --> 00:44:16,880 Bent over pound Town. Oh. 874 00:44:17,000 --> 00:44:19,320 No. And I was like, oh, Oh my gosh, 875 00:44:19,320 --> 00:44:22,240 I guess you're feeling better. And like, it's kind of like 876 00:44:22,240 --> 00:44:25,120 you're not allowed to do. That what were they there for? 877 00:44:25,120 --> 00:44:29,440 I have no idea. But I was so like scarred, so 878 00:44:29,440 --> 00:44:31,760 scarred. I was like, I'm going to come 879 00:44:31,760 --> 00:44:33,600 back, but also like you need to leave. 880 00:44:33,600 --> 00:44:35,960 You almost feel embarrassed but you have nothing to be 881 00:44:35,960 --> 00:44:38,400 embarrassed about but like you don't want to show your face 882 00:44:38,400 --> 00:44:39,520 again. Do you know what I mean? 883 00:44:40,400 --> 00:44:42,160 And then you're and then you like come back later and you're. 884 00:44:42,960 --> 00:44:45,920 Like hey. I've seen your whole thing that 885 00:44:45,920 --> 00:44:49,680 about. I wish that the younger mean 886 00:44:49,680 --> 00:44:53,920 nurse like I wish I guess I differently like, I wish the 887 00:44:53,920 --> 00:44:57,560 older nurse that I am now would have been in some of these 888 00:44:57,560 --> 00:44:59,680 situations like as the you know what I mean? 889 00:44:59,680 --> 00:45:02,680 Cause the things I would say now to a patient are very different 890 00:45:02,680 --> 00:45:05,000 than when I was like very young and naive. 891 00:45:05,200 --> 00:45:07,600 Also who needs to be having sex that much? 892 00:45:07,680 --> 00:45:09,280 And. You're while you're in the 893 00:45:09,480 --> 00:45:11,320 hospital. This is a healing. 894 00:45:11,880 --> 00:45:14,320 There may or may not have been like an IV pole. 895 00:45:14,320 --> 00:45:15,840 There was still like attached like. 896 00:45:15,840 --> 00:45:18,600 Sure, they're just getting their antibiotics and a good little 897 00:45:18,600 --> 00:45:21,920 afternoon delight. Could it be me? 898 00:45:22,400 --> 00:45:24,840 Could it be me? That concludes this episode. 899 00:45:26,600 --> 00:45:32,280 Thanks for joining along, but no, if you guys have more any, 900 00:45:32,320 --> 00:45:35,760 any like as you can see, people just wrote about anything and 901 00:45:36,000 --> 00:45:38,880 literally it's an open forum. It's completely anonymous. 902 00:45:39,240 --> 00:45:42,480 Every Sunday it's going to be on our Instagram page. 903 00:45:42,480 --> 00:45:46,000 So the ER, edit, Go follow along and write in anything. 904 00:45:46,000 --> 00:45:48,440 Literally anything. It doesn't even have to be your 905 00:45:48,440 --> 00:45:50,720 own confession. If you've heard anything around 906 00:45:50,720 --> 00:45:53,480 town, let us have it. This like literally brings joy 907 00:45:53,480 --> 00:45:57,120 to our lives because we're just two moms that really don't get 908 00:45:57,120 --> 00:45:58,840 any confessions. I mean I get 10 year old 909 00:45:58,840 --> 00:46:01,480 confessions now, those can be juicy but not like. 910 00:46:01,480 --> 00:46:04,360 These Nah, this is the stuff we this is we want to this. 911 00:46:04,360 --> 00:46:06,360 Is the meat and potatoes. This is the taters. 912 00:46:06,560 --> 00:46:08,920 And that concludes Episode 10. Can't believe it? 913 00:46:08,920 --> 00:46:13,280 Stay tuned because you may be getting episode from the cruise 914 00:46:13,280 --> 00:46:15,600 ship. Episode 11 will be Carly and I 915 00:46:15,600 --> 00:46:18,840 cruising, so come back for that one and we'll see you then. 916 00:46:19,000 --> 00:46:20,080 Bye bye.