Friday, March 29, 2013

One flew over the Cuckoo's Nest

It's been one of those weeks...where the diabetes hasn't played nicely with life. It's the first week of Med Surg II(aka Mental Health) & it's been somewhat of a perfect storm.

Monday morning saw 5 inches of fresh snow so some things were delayed to later in the week. There was Orientation (Monday), a simulation (real patient aka paramedic instructor) Tuesday, a math exam & neurobiology lecture on Wednesday, & a Therapeutic Communication & a Central Line Care labs on Thursday. TC went fine but about 20 minutes into the other lab my stomach started rolling & I started to get extremely dizzy & I thought I was going low but I didn't want to start off a chain reaction of "where are you going questions" so I sat there,hoping it would go away. (Because you know,lows just spontaneously disappear when you will them away)Heart racing & jitteriness soon joined the list & I started sweating profusely but I still couldn't move. The instructor stopped speaking, looked at me and asked if I was ok & that was all I needed to burst out crying,have an excuse to get out of there,head to the restroom,swig juice & check my bg.(I hadn't brought my (replacement) Dex with me that day) It was 22 & I felt very much like staying on the floor,however long it took. After probably 30 minutes my instructor (& several other students)came looking for me. Low symptoms were in full force,with a low of this nature I always shake like I'm freezing to death & cry(for absolutely no good reason). So, this instructor's first impression of me was that of a hysterically crying,shaky,confused PWD.(yes,she will be my clinical instructor in the hospital in several weeks) She assured me that it was all ok & made me eat chocolate kisses( I have zero problem doing that) until my bg read 203. The rest of my body took some time to get over the adrenalin surge from heck,& my blood pressure skyrocket to 140/90,pulse 120 as the stress shot it up. Eventually (with the assistance of blankets,fluids,& time) the shakes went away,the BP went down & the bg went up to 260 & we went back to the lab where she finished the lecture for the other students & I finished recovering & went home to take a nap. I really don't remember anything from that lecture, & I didn't try.(post low) I think she was freaked out & now considers me "brittle". I've never had a low of this nature hit in class(or clinical) before, I should have been wearing my Dexcom & had something in my pocket to discreetly treat & it all wouldn't have happened.

Friday morning, I awoke to an email from the head instructor informing me that because of my low in lab, I needed to be seen by a physician and have a form filled out that my D was stable enough to go to clinical. This needed to be done before I go to clinical(in other words,today). Classes began at 9, & I managed to acquire an appt for 3 pm with my primary care office (I still had to miss the last class of the day). So that's all done & the form is ready for Monday. I am a little annoyed that I can't even have a low blood sugar (probably even mild,this wasn't,but still) this is MASSIVE overreaction on their parts.

So that's been my life this week. I also had to get my newly found but non-functional Dex replaced & I have yet to actually send it back,though I got the replacement.(I wasn't wearing the Dex when I had the low, I'd forgotten to bring the reciever) Mental Health rotations will be very challenging, I'm not allowed to bring anything in except the basics(hence why I had to get permission for my D-crap,yep,bringing syringes (etc) into a Rehab facility is a real situation. No coffee,tea,Diet Coke allowed.(for staff or residents) We (my group)are there 3x a week, it's going to be really,really rough days without my caffeine.

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1 comment:

Scott K. Johnson said...

Oh man, I'm sorry, H. That sucks. All of it. The low, the reaction to the low, and the required extra hoops.

I'm sorry.