The other night I had my first code on my own. I had one patient. I'm not trying to be dramatic, but I had a feeling that something was going to happen that night. He was cruising along just fine. Pressures were fine, off pressors. Breathing was pretty good, satting 92-95% on 6L NC. Neutropenic guy. He was in pain on PCA Dilaudid, but said that his pain was the most tolerable that it had been in days...2-3/10 abdominal pain. He was fine. But for some reason I just had a feeling of impending doom.

Around 130a he started c/o SOB and that he felt he wasn't getting enough oxygen. To make a long story short, I called RT and the MD to the bedside, put on a SFM, then a 100% non-rebreather, then we tried him on Bipap b/c he has a hx of OSA. He was satting okay, but he was so cold and had poor peripheral perfusion, so getting an accurate reading was difficult. Then he started turning pale, perfusely diaphoretic, and had decreased mental status. It was decided then that we were going to intubate after his ABG came back with a pH of 6.998. The code was called and he was rapidly intubated. So when I left him he was on 4 pressors: Dopamine, Levophed, Neosynephrine, and Vasopressin. I literally was busy with that guy from 2am til I left giving fluids, titrating gtts, and drawing labs.

So yes. I survived my first code on my own!

FML.

TORN. =/

Oh my new friend told me tonight that I was "so Asian" based on the fact that I told him that I had wonton soup yesterday and pho today. I didn't know I was that Asian. Ha.

I'm sick. And I can't sleep. It's nights like this one that I wish I still had a myspace so I could redo the entire layout at least 2-3 times. haha.

My life is in shambles...

...okay so that may be a little over-dramatic. Everything is going great in my life except one area that only a few know about. AHHH. I think I'm digging myself in a bigger hole and I don't know quite how to get out of it.

OH the things I get myself into...Mary & Caroline know what I'm talking about.

2 more days of work (1 8 hr and 1 12 hr) then Kee and I are heading to Disneyland Friday through Monday to celebrate our 9 year anniversary. It's not until October 1st but I'm working that night and then that weekend is Tandy's wedding. So that's what we're doing! I haven't been there in yeeeaaaars so I'm super excited!

I've been working day shifts last week and 2 more this week. So nice to be back with my favorite crew. I hope I can start rotating nights/days soon for at least some periods of normalcy.

Ok. I need to get ready to hit the sack. Just a mini-update for you. :)

I bought a new car yesterday! A Grey 2009 Hyundai Sonata SE/Limited, fully loaded. I love it. And I got a killer deal.

Pics to come soon!