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The Haunted ICU

The Adventures of Medical Internship: Special Halloween Edition

 

THE HAUNTED ICU

 

For two weeks, I was the lone night float intern in the ICU. We had some crazy cases, as you can imagine, but what I want to write about are the stories the staff told me about how our ICU is haunted. Yes, you read that right—haunted!

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Us interns and residents hang out in the quietest corner of the unit, studying/sleeping/goofing off/etc. I noticed the nurses and staff would stay away from our end of the unit and remain gathered on the opposite side (our ICU is split into two, separated by the entrance and all the break rooms, stock rooms, and bathrooms). So I came over to them one night and asked what the deal was. That’s when they spewed a barrage of ghost stories at me that they swear are true. I have yet to experience anything paranormal in this hospital (my house was haunted growing up, but that’s a whole other blog post), but here are some of the stories they told me…just in time for Halloween!

ROOM 910

Room 910 is like any other bed on the unit, roomy with huge glass doors and windows revealing a gorgeous view of the city. A cardiac monitor and various medical paraphernalia are hooked to the wall opposite a flat screen TV. A white board identifying who your caretakers are sits on the wall in front of you. Obviously, lots of people die in the ICU, and sometimes their deaths can be quite traumatic. Motor vehicle accidents (MVAs), exsanguination, codes, attempted murder; you name it, we’ve seen it. The young man in this post was in room 910. So you can imagine my reaction when the nurses told me this room was one of the creepiest in the joint.

From eyewitness accounts, an attractive middle-aged man in a suit haunts this room. As to what happened to him, no one knows, but people have caught glimpses of him standing there, beside the bed, staring out the window. His apparition isn’t “ghostly” in the sense the media portrays it; he looks like a real life person, just standing there, before he vanishes into thin air. He’s never actually looked anyone in the eye, always keeping his gaze locked on the landscape. I wonder how he died and if he had been so critical that he wasn’t able to look out the window before his death. Now, it seems, in the afterlife he can take in the view all he wants.

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ROOM 902

Room 902 also has its own creepy history, and a respiratory therapist told me about her experience while she was treating a patient there. The patient was an elderly man who had been brain dead for quite some time, but his family refused to give up on him. The RT (let’s call her Tammy) had been in the room with the patient, going over her notes as she signed out to the next RT coming on shift. Tammy had been sitting down, wearing her glasses, and she had them attached to a cord around her neck. As she was chatting away with the next RT (let’s call her Jane), a cold wind swept over them (“it froze me to the bone”) and they both looked up, trying to figure out the source. The brain dead man was still laying there on his bed, his heart beating away as the ventilator breathed for him. Then Tammy felt an icy hand touch her shoulder as her glasses were suddenly lifted off her face, hovering in the air before her. Tammy saw Jane’s jaw drop, terrified as the glasses then fell around Tammy’s neck, held by their cord. Jane bolted as Tammy sat there, frozen, the hand still on her shoulder. Finally, the spirit let her go, and she got the hell out of there.

The elderly man ended up dying the next day. Whether the spirit was him or not, we’ll never know, but Tammy was convinced he was trying to say goodbye.

THE FOURTH FLOOR

The hospital is kind of strange in a sense that the main elevators never stop at the second or fourth floor; they’re not even options on the panel. The building is old and has been expanded into multiple parts, so I’m sure there are a few areas that are boarded off, private, or for offices only. The ICU is on the ninth floor, the very tippity-top, and there’s a morbid running joke that patients go to the ninth floor to die. Although that may be true, I’m starting to wonder what the fourth floor is all about.

Another respiratory therapist (let’s call him Tom) told me about his experience during the “witching hour” or around 3 in the morning. Tom had been grabbing some equipment with a colleague in an old part of the building on the third floor. The stockroom there had been filled with ventilators and cardiac monitors, and he and his colleague were loading a rack to bring the equipment up to the ICU. While they were chatting away, one of the cardiac monitors turned on—and it wasn’t plugged in. The monitor showed a regular pulse, beep-beep-beep, and Tom even remembered the reading—76 beats per minute at normal sinus rhythm. Both he and his colleague exchanged terrified glances, dropped their shit, and ran right out of there. They quickly got onto the elevator and he hit the button for the ninth floor with trembling hands. However, the elevator slowed down between the third and fifth floors. The doors opened to what he assumed was the fourth floor, boarded up and musty, the air stale and dead. Once again, both he and his friend exchanged horrified glances and a young girl’s laughter suddenly rang out as if she were standing right between them. They jumped, pressing their backs against the stainless steel walls (“I nearly pissed myself!”). The clack of shoes then cut through the air as the invisible little girl ran out of the elevator, stopping in front of it. Right before the doors closed, she flashed into view; a white child wearing a white dress, her hair long and blonde, smiling at them mischievously.

Let’s just say Tom has never used the elevators again and now makes good use of the stairs!


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SOPHIA

And last, but not least, there’s Sophia, a dead nurse who stirs up trouble throughout the ICU.

In the past, the hospital had its own in-house nursing school, back when nurses wore the traditional white uniforms. Sophia had been one of these nurses and she’d ended up in the ICU with a severe infection, eventually dying at a young age (nowadays, we’re almost too good at keeping people alive). Her spirit decided to take up residence in the unit, disrupting the peace whenever she can. She pulls charts off shelves, dropping them on the floor, tosses needles, blood collection tubes, and even pens wherever she pleases. If you walk into her, she makes your blood run cold, like an icy draft blowing through your body. Her whispers can be heard at odd hours of the night, and sometimes you can hear her walking if you listen hard enough. She’s been there for years, wreaking havoc and making her presence known. Makes me wonder if she’s still waiting to graduate and is trying to help the other nurses in her own disturbing way!

These are just a few of the many stories the staff told me about our creepy little corner of the world. Funny thing is, not a single physician on the unit has experienced these paranormal encounters…isn’t that strange? I like to keep an open mind, and I’ve actively been trying to find these spirits. I hang out in room 902 and 910 when they’re empty, staring out their windows. I ride the elevator at every opportunity in the middle of the night. I wander around the unit, waiting for Sophia to throw something at me or whisper in my ear.

Nothing. Not one single thing.

I got to admit, I’m starting to wonder if they’re more scared of me! photo fa443ce4-c113-4e44-847b-fece59a0b5f1_zps443228ba.jpg

HAPPY HALLOWEEN!

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Guest post!

Hey all!

I’m over at Deb Christiana’s blog talking about Horrors of History, writing, and a few other fun things! Stop in and say hello. 😀

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HORRORS OF HISTORY now available on Amazon and at Fey!

Hey everyone!

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Just a quick drive-by post to say that Fey Publishing’s Horrors of History anthology, featuring my depression-era zombie story, PUBLIC ENEMIES, is now available on Amazon and at Fey Publishing’s website.

All of the stories are pretty amazeballs and are written by some very talented indie authors. I’m definitely honored to be a part of this collection! Check it out and drop a review to let us know what you think. 😀

I’ll be guest blogging about PUBLIC ENEMIES at a fellow author’s website soon, so be on the lookout!

In other news, look out for an upcoming Halloween special edition post on the haunted ICU I’ve been working in…you’ll never look at hospitals the same way again. 😉

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published! update

FICTION:

Got the news this morning that my roaring twenties zombie story, PUBLIC ENEMIES, was accepted to the “Horrors of History” Anthology by Fey Publishing! YAY! Out of the fifteen stories accepted, half were written by women. Hell yeah, female horror writers!

I’m looking forward to working with Fey and seeing how it all unfolds. SO EXCITED!

Their “Happily Never After” anthology is still open for submissions, so check it out!

POETRY:

I totally failed to mention it here, but The Cancer Poetry Project, Volume 2 is available on Amazon. My poem, FALL APART AT THE SEAMS, is featured among many others written by some amazing poets. I’m very honored (and frankly humbled) to be part of this collection with some world-renowned and (very) accomplished writers. If you’re a fan of poetry and can relate to terminal illness in some way, check it out!

RESEARCH:

This will probably be boring to all of you (not that the rest of this post isn’t), but I’ve had three research manuscripts accepted for publication (all of which will be/have been presented at conferences). The first is out now and the other two will be published in The American Journal of Roentgenology. I have two more that are pending submission, so I hope I get 5/5!

In sum, I’m way better at science writing than any other writing, LOL.

SCIENCE, FTW!!!

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SAY MY NAME.

Sunday video dump!

Keep replaying it. It gets funnier and funnier!

This is way hotter than it should be.

“You should’ve let me rule you when you had the chance.”

“Shh…kneel.”

“Claim loyalty to me and I will give you what you need.”

“SAY MY NAME!” 

OMG, WHY AM I NOT IN SAN DIEGO?!

Amazeballs. Seriously.

Hope you had a great Sunday!

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Down on his knees he sees the devil weeping/whinging his tongue…

Releasing the Demons revision status:

282 / 362

Eighty pages left! EIGHTY!

I do plan on blast reading my MS again and adding/changing a few things beta readers have pointed out to me, but it shouldn’t be too much longer. Then QUERYING! I have to go through all of my favorite places (since I’ve added a million agents and publishers to them) and tailor a list along with finalizing my query (obviously). This is one of the bright spots in my life right now and I have a lot of hope for this story. I don’t know if this is the greatest timing, but hell, when is?

Went to my local RWA chapter meeting today and it was great talking about writing and publishing again with the ladies. I’ve definitely decided to join (until I have to move away, anywho) and I’m excited, even if I won’t be able to make all of the meetings. It’s just nice to finally talk about writing with people face to face and to learn about the industry from experienced authors. They’re all very supportive and I’m glad to have met the group.

I can’t wait to start writing again—it’s been so long! My head is bursting at the seams with this series and I hope I can finally get it all down on paper someday and out to the world.

And finally, I leave you with this, ‘cause we all need this in our eyeballs. 😉

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Oh, Jensen, stop denying your feelings for him. 😛

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The Adventures of Medical Internship: NIGHT FLOAT

The Adventures of Medical Internship

 

NIGHT FLOAT

So for the past two weeks, I’ve been working thirteen-hour night shifts at the hospital (7PM-8AM). I’ve worked the night shift before (granted, it was 11PM-7AM) so it didn’t take me long to adjust to being nocturnal. I’m not saying it was fun, however, since my eating schedule was all of out of wack and I ended up losing five pounds. Sleeping during the day wasn’t really an issue for me, but the complete lack of social contact (except for everyone at the hospital, of course) was kind of depressing. I hardly saw the hubs and my pets and it really started to wear me down. I never had any time for anything else but eating, sleeping, and working, so I’m glad it’s finally over. I had Saturday nights off and I pretty much spent them eating, sleeping, and watching Supernatural, since I had no motivation for anything else. I don’t know how people do this forever.

Anywho, I had a few adventures worth talking about. Hopefully they’re as interesting to you as they were to me!

I pronounce you…dead.

I was called to pronounce a woman dead on my very first night. A nurse phoned me and said, “Hi doc, Ms. Such and Such has passed away.” I sat there for a minute and all I could come up with was a dumbfounded, “Huh?” and she laughed and said, “Can you pronounce her?” and I was like “OH! Okay then, be right there.”

I had never pronounced a person dead before but I’d seen it done. I walked over to the nurse’s station in the hospice unit and they were like “Heeeeey, new intern! Let us help you!” And they did, tremendously. I filled out the appropriate paperwork before I entered the room, finding Ms. Such and Such’s (let’s call her Ms. S) three bleary-eyed daughters at the bedside. Apparently, she’d already been dead for an hour. I introduced myself and expressed how sorry I was for their loss. Ms. S had metatastic lung cancer and died peacefully in her hospital bed. I asked her daughters if they wanted to step out, but they wanted to watch me pronounce her. So I did.

Of course, having an audience made me a little nervous. When I pronounce a person dead, I usually start with the benign things, like listening to her heart, lungs, observing to see if her chest rises and falls, checking her carotid and radial pulses. Then I move onto the neurological exam—check if her pupils respond to light, rub a piece of gauze against her eyes to see if she blinks, open her eyes and turn her head to see whether she tracks me or not, pinch her fingernail really hard to see if she responds to pain. Technically, we’re supposed to try to make her gag, but I spared her daughters of that. Once I was through, I pronounced her dead at such and such a time, expressed my condolences to her family again, then I was off.

I’m sure I’ll be doing this plenty more times throughout the year.

Bleeding out of orifices you never want to bleed out of.

Also on my first night, a woman had been admitted for a GI bleed (colonic) and the bleeding vessel decided to rupture at 2AM. Let’s just say that when I walked into her room the scene wasn’t the least bit pretty—there was blood EVERYWHERE. Her vitals were stable but I decided to transfuse her and ship her to the ICU since the bleeding wouldn’t stop. She ended up having the vessel embolized (or sealed off) by interventional radiology (hell yeah, radiology!). Yay for saving lives and all that. 🙂

Electrical Malfunction

There’s something about nightfall that makes everyone’s heart go into abnormal rhythms. I swear I saw EVERY type of arrhythmia during the night shift. The first one I had to deal with was a supraventricular tachycardia (or SVT), where the heart rate can get upwards of 200 beats per minute and the person can feel their heart trying to slam its way out of their chest. They get dizzy, nauseous, and they feel like they’re going to die. The problem is that they can, ‘cause when your heart is beating fast enough it doesn’t have time to fill up with blood and you can easily lose perfusion to your organs (especially your brain). So you can imagine when I received my first call about this, I had to check my own damn pulse, lol. I ran up there, found this fairly young woman in total panic, but her blood pressure was good. So I hit her with adenosine, a drug that literally resets your heart rhythm by stopping the electrical conduction momentarily. It usually works like a charm, but the problem is the patient can feel it too. And if this lady thought she was dying before, imagine how she felt when her heart stilled in her chest for a full three seconds. I talked her through it, held her hand and told her to keep looking at me. I asked her to tell me about her family, trying to distract her as it was happening. She did just fine and her heart rate dropped back down into the 80s. I put her on a Cardizem (a conduction stabilizer) drip to keep it from happening again until Cardiology saw her in the morning.

Whew! I was a pro after that. 😛

CODE BLUE: Cardiac Arrest

About midway through my rotation, another intern, Siv, and I were sitting in the cafeteria at 7AM having breakfast. It was nearing the end of my shift and I was getting ready to sign out to the day team. On night float, we carry around three pagers—your own pager, the code pager, and the night coverage pager. Usually the night coverage pager is the one that goes off every five minutes during my shift. So as I was devouring my egg and cheese sandwich, my code pager erupted and I nearly spewed out my food. The text page read: “CARDIAC ARREST IN THE ICU”. Siv and I exchanged horrified glances and we bolted out of our seats and headed for the stairs. The ICU is on the top floor, so we had to hurl ourselves up four flights before we burst into the ICU. A few members of the ICU team had already arrived, and one of their seniors had taken charge, so Siv and I jumped in and started doing compressions on the guy.

As I was slamming on this elderly guy’s chest for two straight minutes (can I express how absolutely exhausting that is?), I finally took a good look at him. He was intubated (meaning he had a breathing tube down his throat) and there was black fluid coming out of his mouth. Blood was spilling from between his legs as the nurse kept her hand on his femoral pulse, and I’m like “What the hell happened to this guy?!”. Apparently, he’d arrested at home and fell into a glass table; one of the shards sliced his femoral vessels open (not sure which, likely the vein or else he would’ve bled to death before he even reached the hospital). Talk about bad luck! The paramedics revived him in the field then he coded again when they arrived in the ER. They revived him again, then he went to straight to the OR to repair the laceration. As soon as he arrived in the ICU, he coded again, and that’s why we were there.

We slammed him with adrenaline (and several other drugs I’ll spare you from) to try to get his heart pumping on its own. He didn’t have a pulse so we couldn’t shock his heart into a normal rhythm. We didn’t stop for a full 35 minutes, me and Siv alternating compressions, feeling his ribs crack beneath our hands. It was absolutely awful. No matter what we did, no matter how hard we tried, the third time definitely wasn’t the charm. His family showed up during the last five minutes, and they burst into tears, collapsing onto the floor and crying in anguish. The trauma surgeon finally ordered us to cease, knowing that even if we managed to revive him, he would be utterly braindead. I left the hospital feeling sick and numb and couldn’t sleep for a long time afterwards.

I knew I’d experience this sooner or later, but no matter how much you prepare for it, it still hits you pretty hard. I’m hoping the next one will have a happier ending, but unfortunately, those tend to be rare.

So all in all, it’s been a pretty crazy past few weeks! Forgive me if I haven’t been very active. I hope everyone’s well and I’ll try to catch up with you all over the week. I’m on radiology elective for the next two weeks (and I have the next two weekends off!) so the break is well needed. And besides, it’s RADIOLOGY. How can I not love that? 😀

Until next time…

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The Adventures of Medical Internship, Week One

The Adventures of Medical Internship

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WEEK ONE: BLS, ACLS, LMNOP…

This is it! I’m a real doctor! A REAL DOCTOR.

Right.

The program I’m part of provides housing (FREE housing) so hubby and I moved in this past weekend. The apartment buildings are old and a little decrepit, but they’re clean for the most part, and ya know, it’s free. But moving from a full kitchen to one the size of a box has proved complicated and I’m still trying to figure out where I want everything. Otherwise, the apartment is fairly big and just right for us and we’re settled in (for the most part). My furry children adjusted fine and they’re already cruising through the place like they own it.

Monday was the first day of orientation and we got to know the staff and our co-interns. Everyone is awesome here and they come from all over the world. Two of my classmates are in the program with me (both prelims as well), so it’s nice to have familiar faces. The other interns are friendly and sociable (most of them are categorical residents—they plan to go into internal medicine (IM) and will have a three year residency), and our Chief Residents (basically fourth year IM residents and our bosses) are really chill. The chairman of the department invited us over to his house for a big welcome party and we had a great time.

The chairman was actually my senior attending for a week when I rotated in the MICU and he has an interesting personality. I don’t want to say he’s condescending, cause he’s not, but he has this way of looking at you that makes you feel small and uncomfortable. I immediately thought he disliked me (and even more so when I corrected him about jugular venous waveforms after rounds one day), but apparently, everyone feels this way about him. He’s not particularly nice, but he’s respectful and generous. At the party, I found that he hadn’t changed one bit.

Hubby blended in just fine, chatting away and finding common ground with a bunch of doctors he’d never met. I never cease to be amazed by how he can instantly connect with people and make friends. I can’t help but envy him sometimes. 😉

Throughout the week, we all went out to bars and got to know each other. One of the prelims from last year had come out with us (which speaks volumes about the program when a prelim comes back to say hello) and I squeezed as much information out of him as possible. There were a few drunken adventures but everyone survived intact. 😛

Anywho, we had to go through BLS (Basic Life Support) and ACLS (Advanced Cardiac Life Support) training. BLS was easy (CPR, which consists of thirty compressions and two breaths over and over again until the person wakes up or until you can shock them into consciousness with an AED or automated external defibrillator) but ACLS was a little more complicated. ACLS is really BLS with medications (epinephrine or adrenaline, vasopressin (similar to epinephrine), and amiodarone (which regulates an irregular heartbeat)) and a six-member code team. We ran a few mock codes (i.e. when a person goes into cardiac or respiratory arrest), and we did pretty well for our first run. Granted, the codes were on mannequins, so it wasn’t true to life, but it was good practice. The nurse who trained us is pretty hardcore, really sassy and fun. I hope when I have my first code, she’ll be there to help me.

We had endless hours of computer training to the point where my eyes were bleeding and I couldn’t stop fidgeting in my seat. It was torture, I tell you…TORTURE.

Friday was our official first day and I’m assigned to the health clinic for the next week and a half. The clinic is recently renovated and really wonderful. They serve the poor population and most patients are Spanish speaking. I was really excited to start and have patients all to myself. They gave us business cards with our names on it and I was like, whoa! Shit’s getting real! They assigned me two brand new patients (the last one cancelled) and I was like this every time I entered the patient’s rooms:

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My first patient was pretty complicated (of course). She was a middle-aged female (who hardly went to the doctor) and she’d unintentionally lost forty pounds since January with intermittent fevers and worsening diarrhea since she’d come back from Peru (travelled Dec-Feb). I’m like, seriously?! This is the first time you’re seeing a doctor for this?! (I assure you, this will be a recurring theme). Usually, when it comes to weight loss that severe, we think cancer, but the diarrhea made me think it’s more likely infectious. The intermittent fevers made me think she has malaria (she took no preventative meds before her travels), so it’s likely she has multiple parasites. This isn’t common at all, so it was a crazy first case to have. I’m screening her for all possibilities (malignant and infectious) and I’ll see her again next week, so we’ll see what happens!

My second patient was a sweet middle-aged woman who just needed a physical and wanted to establish care since she had no medical insurance previously and hadn’t seen a doctor in years as well. I gotta admit, I left the clinic yesterday feeling pretty happy and accomplished, knowing I’d helped them both and would be taking care of them in the future.

So yeah, right now I have ALL THE FEELS, and I’m glad I’m here. Not to mention, I have the next two weekends off, so amen to that!

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Now I’ve got something you have to see, they put something inside of me…

SO. PERFECT.

“Came Back Haunted”
by NIN

Ha-ha-haunted

The throat is deep and the mouth is wide
Saw some things on the other side
Made me promise to never tell
But you know me, I can’t help myself

Now I’ve got something you have to see
They put something inside of me
The smile is red and its eyes are black
I don’t think I’ll be coming back

I don’t believe it
I had to see it
I came back haunted
I came back haunted

I said goodbye but I
I had to try
I came back haunted
C-c-c-came back haunted

Everywhere now reminding me
I am not who I used to be
I’m afraid this has just begun
Consequences for what I’ve done, yeah

I don’t believe it
I had to see it
I came back, I came back haunted
C-c-c-came back haunted

I said goodbye but I
I had to try
I came back, I came back haunted
I c-c-c-came back haunted

I don’t believe it
I had to see it
I came back, I came back haunted
C-c-c-came back haunted

I said goodbye but I
I had to try
I came back, I came back haunted
C-c-c-came back haunted

They tried to tell me but I
I couldn’t stop myself and I
I came back, I came back haunted
C-c-c-came back haunted

Just can’t
Stop
Came back ha-ha-haunted
[x9]

Just can’t
Stop

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Serenity through sound and motion.

Drove around a beach route in RI I used to take when I wanted to get away from everything–rolled down the windows, blasted the music, envisioned the stories in my head (sans cigarettes this time). Felt good. Felt relaxing.

Felt peaceful.