Monday, June 28, 2010
Blunt Services
And there you sit, waiting. We both go to psychiatrists, forsaking the old farmhouse.
The hand remembers the pitch-black arrows when the room had been transformed,
Rusting nails mistaken for fields of woodgrain. He persists in speaking to me off premises
Of tangles meant to last a day, yet they thrum the broken teeth of the comb too close
To know of your tactful agreement. Among variant musicians it pleases: a room transformed,
Embargoed by rebellion,
...
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7 comments:
The rusted nails part is terrible. I cringe at it.
I wish things would have queued so that I could go online for an accounting degree. The path is tortuous. I would have been closer to completion instead of at loose ends, and contemplating a managerial role and degree I do not really want. I pray for the clarity to know what to do.
Some things are extraordinarily clear; however, when I think of going the way of Marjorie, and being grateful for anyone taking me, and making do, I do not understand how it energizes you. I do not understand how this can be fulfilling at all, for the next year, five years.
The path is not apparent because there remain things to be satisfied.
The illusion of being finished; when I finally complete a project (or walk away from it), cannot apply IRL. The added layer of complexity is that I cannot measure your thoughts on things. The judgment is always ready but not the advice.
I realize what I said in September was not nice.
Exercise 91.
Asterocampa celtis celtis / Hackberry Emperor
Strymon martialis / Martial Scrib-Hairstreak
Accounting will be simplified into an app on a phone.
Yesterday, I was in a room with a difficult person with hyperglycemia after a lobectomy. The tube had been taken out and he gave a Tony-award-winning experience of pain. He had corpse breath, and this irritating sexual moan after I gave him all the pain medicine I had, around the clock. I had to adjust the insulin drip every thirty minutes with 40 to 50 units of insulin from the Endotool while he moaned. Is this thing working? With a new IV, a consult with the endocrinologist (these things just resolve, I know it is frustrating), and a last one time dose of IV push dilaudid...A girl that worked with me said that he was "going to be kissing the clouds"...I gave it with the blood pressure cycling, and the blood sugar came down, 141 mg/dL.
I also had a patient with cannabinod hyperemesis syndrome jumping in the shower and pulling out IVs. The narcotics promote gastroparesis, and he was not actively vomiting; just bored laying there on IV fluids. A notable things about this twenty-nine-year-old was that he had fetal alcohol syndrome, the attention span of a gnat...
https://jamanetwork.com/journals/jama/fullarticle/2824833
*thing
Both patients reached resolution on Sunday night.
I have not reached resolution Monday afternoon.
I remember two years ago giving more IV narcotics with a PCA fentanyl pump to a person who talked to me about Judaism. He was a narcotic-diverting EMT from Florida with acute limb compartment syndrome. He was waiting to have his arm amputated, and being narcotic tolerant due to his vice (cultivated while in his professional office) he stayed quite a while as he refused surgery or broke his NPO fast. To remark on "kissing the clouds" I have never given so much IV pain medication to a non-dying person. Each time, I thought he would drop, and I hated being compromised that way.
He told me that he had his bar mitzvah at the Kotel. He was a paramedic at Walt Disney in Orlando before he became an addict, and then I asked him how he got like this? Didn't he think it was time to return and do Teshuvah ? I saw him on a bicycle among the homeless with both arms some months later on a bridge as I drove by on an off-day.
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