MRSA Oh my!

For most people MRSA sounds like something out of a horror movie that recently invaded our society. For people who work in health care it's old news. Of course, I'm new to everything and I'm so becoming germaphobic!

My patient this week: 42 year old diabetic with end stage renal disease and a massive MRSA infection on contact isolation.

I was real paranoid at first but I had a suspicion I'd get a patient on contact isolation. I just knew it. Just ask Melissa, she'll tell you. I talked her head off about it the whole way to DeKalb LOL
Anyways, I need to shape up alot when it comes to my diabetes. I'm never exposed to anyone who has it so I don't really have a role model to learn from. And my doctors aren't too strict on me. I've really got to find an endocrinologist. I hear they'll kick my ass for my blood sugars. So I'm thinking that seeing this young patient in end stage renal failure will be an eye opening experience.

My first impression of her was ok. She just received a heafty dose of pain medicine a few hours earlier so she was practically comatose. She didn't have an easy morning. She was throwing up everything she ate. She also has a MRSA infection in one of her eyes. So she requires eye drops EVERY hour. And she has 4 of them, not to mention 2 insulins and about 10 oral meds. And it's up to ME to keep track of them and juggle their administration between AM care, vitals, blood sugar monitoring, and 30 pages of paper work. Not to mention having to complete a drug sheet for each med. On 2 hours of sleep.

But something really kicks in when I wear my uniform and assume the role of a "nurse". It's almost motherly. It's weird. I just feel this intense nurturing feeling. Protective even. Almost whatever I see becomes a non-issue to me. My patient was puking in a basin and it didn't matter to me. She has MRSA and it didn't prevent me from caring for her. I jumped right in.
Today she was much better. The doctor is just keeping her on Morphine for severe pain and she tolerates that better. She talked with me more, we even traded "diabetic stories" LOL What scares me though is she has severe kidney problems and receives dialysis 3 days a week and her diabetes is better controlled than mine! That really scares me. What kind of damage is occuring to my body even as I type this blog?! I'll get to my issues with the insurance company in a little bit.

The nurses I deal with have been excellent. They compliment me so much and believe me, they can be some bitter bitter people. So I really feel honored. I reported to the pts nurse at one point today and she's like "I love a nurse that's on her toes" LOL Then later on the pt asked the nurse and I how much nurses make. I was like "Well, I'm not a good one to ask because I don't make anything" LOL

Like my other patients, I really enjoyed taking care of her. She was a really great lady. She's been hospitalized for several weeks now and I told her to get better and when I come back in 2 weeks she "better not be here when I get back!" She really laughed about that. She wants out of there so bad. Just wants to get back to life again. That MRSA that you hear about is some ugly stuff. It's treatable, but it's still ugly. She got it in her eye and lost vision in that eye. And now she can't hear on that side either. Bad stuff.

Ok, the insurance company. I was using Accu-Chek but wasn't too happy with it. Bayer sent me a free Ascensia Contour and some strips. I love it! So I called my drs office to call in a prescription for more. These things are 50 for $49. Expensive, especially when the dr wants you to test 4 times a day. With insurance I can get 100 for $30. Good deal. Anyways, the dr calls in the prescription and I get to Kmart and they won't give them to me. Blue Cross had an underuse precaution on me. Apparently I don't test my blood sugar enough. Ugh. Ok don't complain that I don't test enough and then not let me get my strips.

So I go home, call the drs office, and tell the nurse what Kmart and Blue Cross is saying. She thinks it's insane. The next day the nurse calls me. Blue Cross faxed them a form about "will I use more than 100 a month?", "have I used this brand in the last 30 days", etc etc. Turns out BCBS has a contract with Accu Chek (Roche) and they really push Roche products. They don't have a contract with Bayer. It's not a "prefered brand". How much BS is that?! Just let me freaken treat my freaken diabetes before I end up in kidney failure and you have to pay much more for my freaken dialysis! Ass wipes.

Anyways, 3 days go by and I FINALLY get a call from the drs office. BCBS doesn't mind if I get that brand of strips. ARRRRRRRRRRRGH!