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  • It's been an interesting week. I wondered if it was a full moon as a lot of crazy things happened.

    I got a new car two weeks ago and backed it into a pole this week, really mad at myself.

    I had to call 911 twice this week after arriving at patient's homes and APS once. I took a patient's pet home because she refused to go to the hospital because of it and she was having a stroke before my very eyes.

    My husband told me he had news and I said I hoped it was good as I had already gone through all of above. He said he has to have some kind of a heart procedure. I guess that could be good news, depending on your perspective. He took it that way.

    By Friday I was fairly exhausted and had a little time before my first appointment after dropping off my patient's pet at her daughter's and I pulled into a Safeway lot. I was busy documenting on my tablet when I heard a loud crash and explosion. On the road I was just on before parking, a big rig hit a high wire and didn't know it and pulled down a telephone pole which split and a part landed on a car and live wires landed on top of several cars. Other cars rear ended the stopped cars. People yelled to the people in the cars to stay put so they wouldn't step out and get electrocuted. I got out of my car and walked to the edge of the parking lot to see. It was a real mess and I couldn't help thinking, that could be me, as I was there five minutes before.
  • I'm backtracking a bit here.

    The thing about my job, is I drive to people's homes and see 4 people per day or 20 people a week. Sometimes I might see people again once or twice the following weeks, but some people only once, so I see a lot of people (patients). I cover two counties and a variety of neighborhoods. I never really know what I will walk into.

    Sometimes, like once this week, I will get a heads up from another staff member. In a way that makes it worse, as I'm thinking what I will do while driving before I arrive. The fact of the matter is when I arrive I still don't know. I make it up as I go. It's like being a detective, you gather facts, make quick assessments based on those facts, and take some kind of action. I told one of my patients this week, it's really not about my education or degrees, social work is common sense and following gut instincts. Every situation is different.

    The paramedics hate to be called sometimes. Yes, they knew this guy, had been here many times, what is it now? Yada, yada. He had been to the ER 2 days before and sent home, still sick, with a script not filled because he is blind and still sick, and no caregiver. I tell them, he needs to go back and I will personally call the ER and APS. Ok. I found out later he was admitted with two dx somehow missed the first time at ER 2 days ago. Bingo!

    The next day, a 4 pm appointment, expected it to be fairly routine. I'm glad I recognize signs of stroke as this lady was having one. The thing is, people who are having strokes never know it. They will know something is wrong but their mind will tell them to wait and see, which is the wrong response. I called 911. People can refuse to go to the ER and she was refusing. In the meantime the clock was ticking. She finally agreed when I said I'd watch her pet. There was some more saga around that later but I won't go into all that. But she is getting the care she needs.

    So, what is my point? I guess -expect the unexpected and be prepared to respond in the best way you know how. And thank your lucky stars for missing falling telephone poles and live wires.

    It was a rough week and a good week all at the same time! Glass half empty and glass half full. Guess that's life. Can depend a lot on your perspective and place in time and space.

    PS. secretly, I'm hoping this next week will be a little less exciting. I would be just fine with that!
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