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healing on fire island

stay strong

stay strong

Rocks and her AA Jenna were working on equipment and supplies. She had a new anesthesia machine and suction machine on the way. She was
going to in-service her side-kick on the operation of the new machine so they would be ready when it arrived. She had the simulator program uploaded on her iPad and they worked through the machine check all the way to the set up of the monitor and the ventilator management. After an hour they both felt they were ready to hook up a patient, high fived, and went on to inventory.

They were knee deep in accounting for multiple antibiotics when they were interrupted by a call from the front desk.

Kelly had a delivery for Rocks. This was puzzling, as most of the deliveries were for staff. Rocks verified and asked for the guy to
come to the back. She needed to sign but was not willing to leave the operating room. When he arrived she was pleasantly surprised to
find he was bringing two dozen fire-red roses with a note.

Rocks blushed immediately, which was a feature the girls had never witnessed. Buck had sent roses along with an invitation to lunch. Although she had dressed casually that morning, Buck had provided more formal attire which was waiting in the locker room. Rocks was blown away. She waltzed out of the clinic in a crazy state of mind, and more than ready to allow him to court her. She realized that she was finally Healing on Fire Island.

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firestarter girl

firestarter girl

firestarter girl

 

 

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Page: http://healingfireisland.com/2013/03/23/firestarter-girl/

Healing Fire Island | <span class=”hiddenSpellError” pre=”Island “>firestarter</span> girl

<meta name=”description” content=”Luke arrived from Miami with the scent of Sophia.  Walter brought a sick hip and ended up with complications.  It was a challenging week for Rocks.  “>

 

 

 

 

It was wild Wednesday for Rocks. Luke got back from Miami with the scent of Sophia all over him and his laundry.   It lingered all night for Rocks to dwell on as they lay together the night he returned. They talked very little and it was a pregnant pause in their life.   Rocks was mad, Luke was sad.

Rocks left for the clinic in a bad state of mind, Luke took the old Jeep in to town. He ordered an egg sandwich at a diner and considered his options. Chaz had essentially offered him a promotion, and he couldn’t leave until the job was finished. He knew his life with Rocks was over. They had lain beside each other without touching, and that was unheard of.  Luke was empty and felt lost.  Rocks wanted him off the boat.

Walter brought in a sick hip replacement on Plavix that Rocks had to cancel.  Her doctor felt that she needed more work up and blood pressure stabilization.  Walter had a hissy fit and took the patient to the hospital.  There were complications and the patient lost 4 units of blood that could have been prevented if she had been advised to stop the Plavix as Rocks had suggested.  Walter had skipped the meeting and snubbed the Cardiology Clearance Guidelines.  Closed door meetings with Vince followed.  Rocks was not included.   She was relieved but would have had plenty to say.

Meanwhile, back on BreakAway, Jet could sense the tension and as the weekend approached, the pair were contemplating the haul out and getaway.  Rocks had been quiet and Luke had been busy working late.  Neither had discussed the obvious.  It wouldn’t wait long, neither was sleeping.  Rocks was distracted at work, and the staff was concerned.  They thought it was about the case that went bad, they had no idea how she handled cases like that.  They were not aware of her personal life, she always kept those issues quiet.   Read about it at Healing Fire Island, by Chery Fee.

firestarter girl

firestarter girl

cardiology clearance

Page: http://healingfireisland.com/2013/02/26/cardiology-clearance/
Healing Fire Island | Cardiology Clearance

heart attack

If a patient comes for surgery and has a heart problem often they get an ECG and a basic heart history and things proceed as expected.  But sometimes the patient has zingers that make people nervous and they end up with a Cardiology Clearance.  Here a few things that tip-off the Anesthesiologist and lead to a Cardiology Clearance.  Chest pain that is escalating or unstable, blood pressure that is uncontrolled, obesity that has been uncontrolled, diabetes that has been uncontrolled, abnormal ECG, recent heart attack (within 6 months), poor exercise tolerance, non-compliance with significant medications.  History of significant complications during surgery, ICU admission postop.

A patient will need a Cardiology Clearance before surgery DEFINITELY if they present for preop with unstable angina, heart attack within 6 months, or cardiac surgery within 6-12 months.  Recent pacemaker or AICD placement would require patients to have pertinent details available to the anesthesiologist for appropriate intervention if required.

Rocks had a Cardiology Clearance for hip surgery that ended up getting life flighted off island because of crushing chest pain during her stress test. She was a star within two weeks of starting her job.  The clinic owner was relieved that the patient wasn’t on the table, almost certainly arresting under anesthesia.  She had already impressed the unimpressable orthopedist Walter, and the owner was sending out a very sick patient for an emergency cardiac cath to the Heart Institute of Miami by LifeFlight.  Rocks had picked it up.

The clinic was going to need some ‘Cardiac Guidelines’ to avoid cardiac cripples from ending up on the schedule and to educate the community docs as well.  Rocks was already working on a document.  She understood the need for education and the value of avoiding cancellation just before scheduled surgery.

Healing Fire Island.  A work in progress!  By Chery Fee

doctor shortage

Page: http://healingfireisland.com/2013/02/25/doctor-shortage/
Healing Fire Island | Doctor Shortage

mda

Rocks went to Fire Island to rescue a failing Anesthesia Department. Fire Island Clinic was down for several weeks awaiting her arrival. She was the only anesthesiologist at the clinic and was one of about a hundred applicants. She had been to Fire Island about 7 or 8 times before, all for sailing vacations. She was planning to make Fire Island a permanent home and was expecting to make the clinic a state of the art facility as well. She left behind a nation in healthcare crisis, as their president had introduced a national healthcare bill that caused increased expenses, decreased availability and decreased satisfaction. Patients were waiting longer to see their physicians, paying higher premiums and waiting months for elective surgery. Rocks had predicted this after the election, and had made her plans accordingly. Since her arrival, her buddies had been calling, she had a list of colleagues begging for a position at Fire Island Clinic.

There were about 40 million for patients in the pool of insured patients expecting healthcare, but there were still plenty of uninsured patients out there.  There were doctors exiting the work force in record numbers because of escalating dissatisfaction.  There was panic in Washington because the House and the Senate could not agree on what to do with the Affordable Care Act, and it was at risk of total failure.  Rock’s plan was to bring in visiting surgeons and patients with them, and collect a fee along with them and increase her fees substantially.  She was planning an early retirement!

Meanwhile, Luke was successful in landing a position setting up a nautical museum with a local business person, but had to travel to Miami.  That was going to present a problem, as he had an old flame in South Miami.  Rocks was worried about Sophia and needed to deal with that problem.  Luke didn’t want to talk.

Read more at Healing Fire Island, by Chery Fee.

clearing customs

Page: http://healingfireisland.com/2013/02/23/hfi-3/
Healing Fire Island | Clearing Customs

cropped-p1000184.jpg

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It’s a beautiful day here and I was thinking about Rocks and Luke arriving on island, clearing customs and immigration and introducing themselves to their new colleagues. They were so excited! I walked on the beach thinking about having just sailed over after 10 days at sea, remembering just such a trip and how wonderful and relaxing the ocean can be. The sun can be such a friend. Fire Island was hiding many awesome adventures and a few secrets, but first Rocks needed to get busy getting the clinic up and running, they had been down for several weeks waiting for her to arrive. They got the yacht shipshape and she had her clinic tour. Jet got her land legs back. They found their favorite tiki bars and restaurants of course and were comfortable on island without much trouble.  Rocks was making plans for her anesthesia department!  Clearing customs was a bit complex because they were planning an extended stay, however they had a genuine interest in the island, so they cleared customs without incident.

Rocks got her work permit and Luke had a provisional permit as he had yet to find a job.  He was really only concerned about playing in the surf.  He only intended on staying a couple of months, not that she knew that.  He was a little non-committal.  She did know that.  It really wasn’t fair that he came at all, but who would have passed up a trip to the island?  They were good together, however their mutual goals were quite different.  It would play out tragically almost, but that will come out later.  The three made good traveling pals anyway.  If they had any concerns over clearing customs, their fears were unfounded.

Their marina was busy but comfortable and they settled in easily, provisioned the boat and got cleaned up for the yacht club and proceeded to meet Rocks new colleagues.  It was a little disconcerting as they were met by all the surgeons, most of whom have their instructions ready for her, and suggestions for Luke on his potential role in island life.  A couple discussed social issues only, and the evening ended on a light note with Rocks’ friend Tracy behind the bar.  They made their way back to BreakAway in the moonlight convinced they would assimilate into their new group without any trouble.  There were just two of the group they feel could be trouble-Walter and Nici.  Follow the story as it unfolds at Healing Fire Island, by Chery Fee.

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