Monday, August 29, 2011

Craziness to Insanity

Pretty lame and selfish post but who cares, it's for me and no one else.  If you don't like it then you have a few choices 1) don't read it or 2) read it and keep your mouth shut about it or 3) talk trash about it b/c it won't bother me one bit; like I said, this is for me and no one else. 

For the past few years I haven't paid enough dues in the gym.  Partly b/c I partially ripped a tendon in my shoulder and couldn't do anything with it.  I've been resting and stretching my shoulders, chest and back since b/c that was part of the problem, my shoulders were pretty tight and needed more stretch. 

It's been almost two years since and I can still feel it after some abuse.  So, in order to get my physical conditioning back on track and b/c I've got the time I have started the Beachbody Insanity workout with a couple of other nurses here at the CSH.  After week one (I've missed two days d/t trauma's coming in) I can already feel a difference.  These workouts smoke your body cardio wise.  I think the biggest is the hip flexors and hip flexor endurance has always been a problem for me.  Here are some pics of me in the beginning.




Thursday, August 25, 2011

Thursday, August 18, 2011

Pic of the Week

Supporting The Local Opium Farmer in Afghanistan?  Think Again!

Found this bag of heroin on a local Afghan when he came into the ER.  He also had a pouch of tobacco and heroin mixed for snuff.

Wednesday, August 17, 2011

Daily Chores of a Combat Trauma Nurse and more

Barely a week into my deployment to Afghanistan and I've seen more than I have back stateside.  Excited???  Yeah, to say the least.

 USMC IED dog about to lose his manhood.

There they go!


GSW to jaw; EAR= Exit wound



Poor chap has a spiral fx of femur and bullet lodged in the opposite leg

Sunday, August 14, 2011

Military Deployment #1

After 4+ years of Active Duty in the military post 11Sep2001 and me constantly requesting to deploy overseas, I finally get my wish.  I deployed with the 115th CSH (Combat Support Hospital) out of Ft. Polk, La as a PROFIS'd (Professional Filler System) Emergency Room Nurse.  This basically means I'm not a permanant party member but that the unit does not have enough permanants to sustain operations so they fill in the needed spots with other personnel from different locations.  The Navy might call me and individual augmentee or some sort.  I left HI just before the end of July, flew to Ft. Benning, Ga for some apparently needed training by powerpoint, gear, and my Baretta 9mm sidearm, and arrived in Afghanistan via Germany then Kuwait about two weeks later. 

The staff I'm working with has been great.  Very accepting with great personalities.  At first glance I believe I will fit in perfectly well here.  I even know one of the nurses.  CPT Lisa Olson worked with me at Tripler before PCS'ing to Ft. Polk.  The Doc's seems to be easy going enough, although the newest of the bunch, CPT Calcagno, seems a little on edge.  I'll have to keep an eye on him and ensure he has our backs. 

The nature of the emergency room while in theater...sit, wait for trauma, wait for trauma, eat, wait for trauma.  I think it was 2-3 days after I arrived that we waited for my 1st trauma pt to come in.  Once a trauma comes we stablize them and get them into our OR as quick as possible to further stablize and clean up and do some exploratory surgery, then ship them out to Germany as long as they are stable enough for the flight. 

My first pt had a GSW to the lower abd with another to the left thigh, both of which went completely thru.  My OR contact said several things may have been nicked...For this being my very first deployment and my very first pt of my own, it went better than I anticipated.  I got a couple of complements on my performance and I think my ER peeps were impressed with how I handled myself.  I was a little nervous and I could tell my adrenaline was kicking in because my hands were shaking ever so slightly.  I noticed this when I was trying to open a package to draw up some Fentynal. 

Although I'm not a forensics expert, it looked as if the entry wound was to the right lumbar area just above the buttocks and the exit wound was at the left lower abd.  The back was about the diameter of a pen and the abd wound was about the size of a quarter/half dollar. 

The pt just  before the one above had a GSW to the Right hip and you could see the bullet pressing on the skin on the left side.  Xray showed a spiral fracture of the right femur.  Pretty impressive wound for a bullet, wonder if it was a 7.62mm round????

Thursday, August 11, 2011

Pic of the Week

Fighting proves little...especially when it's over a goat