A/V Geeks Lunch 1-2-2024

your life work if you want to be a professional nurse it is necessary to choose a good School of Nursing because only in a good nursing school can you get the preparation on which your future as a nurse must depend you first should be a high school graduate and although the requirements of individual nursing schools vary in general It is Well to take the college preparatory program offered by the high school in nursing as in every other field the more educational and cultural background you bring to your work the farther you probably will go in planning your career write to the state State Board of nurse examiners in the state in which you wish to obtain your nursing education for a list of schools of nursing which meet requirements set by law in that state a growing number of schools of nursing are connected with universities the largest number are owned and operated by hospitals their course of instruction usually covers a period of 3 years and leads to the nursing diploma visit the nursing school which you are considering or at least write for a catalog get definite information about the size preparation and experience of the School faculty find out at the diploma the nursing school entitles you to take state board examinations inquire if the school is approved by the medical profession and investigate the courses provided for student nurses good schools of nursing will admit only those high school graduates who placed in the upper third or half of their class and give preference to young people who have had work or EXP experience Beyond High School the good nursing school first will be concerned for your own health you'll be given a thorough medical examination and must meet certain Health standards before you are accepted you will learn to practice rules of positive health and there should be recreational facilities available for your use and that of your fellow students your own personality is very important to the success of your nursing career the ability to get along with other people is valuable in any profession but it is absolutely essential to the nurse you should be strong because as a nurse people will depend on you you should be trustworthy because people will confide in You You Should Be steady Dependable self-reliant tactful sympathetic and have a sense of humor you should have a spirit of service and a sincere interest in human beings of all classes and kinds your nursing school courses in py psychology and sociology will help you in your work with patients and your relationships with other people and reading nursing literature and other books in the school library will also help in all good schools of nursing courses in biology bacteriology and chemistry are provided and it will be very helpful for you to have some background in the science subjects before you enter nursing school work in anatomy and physiology must be included for a knowledge of the human body and its functions is essential in the work of the nurse instruction and nutrition and cookery are necessary to teach the nurse how properly to direct the preparation of food for patients and in many cases to prepare it herself when she is caring for patients in the home and lack the scientific facilities of the modern hospital this ability and a great amount of resourcefulness is especially valuable well equipped schools of nursing provide a nursing Arts laboratory or a demonstration room which is set up like a small Ward with beds and a medicine cupboard and other supplies here nursing procedures may be demonstrated and the student nurses practice the techniques of nursing using one another as practice patience the care of communicable diseases requires special techniques which the nurse must Master for her own welfare as well as for that of the patients such techniques are based upon absolute cleanliness and the use of disinfectants the majority of nursing schools have an arrangement whereby the student nurse receives her room and board and in some cases other items such as laundry in return for service given and care of patients under the direction of Supervisors the better schools give valuable instruction during the hours of practice on the wards including conferences bedside clinics and individual assistance from the instructors during the clinical period the student nurse should gain experience in medical surgical maternity and communicable disease nursing the care of children and the mentally ill and the knowledge of Public Health nursing the joy of any girl is Justified when she receives the diploma of her nursing school and knows that she is about to begin a constructive career in the profession she has chosen after completing their preparation in a school of nursing graduate nurses must Must Pass State Board examinations before they can get employment as registered nurses with the privilege of using the initials RN after their names private duty nurses may be called by a doctor or by some member of a family to give Special Nursing Care to someone who is sick either in the hospital or in the home whenever call the private duty nurse goes ready to f fit in wherever the patient may be regardless of what the illness is she usually cares for only one patient and helps that patient through all the stages of the illness each patient presents a different personality different problems and the nurse must bring comfort and Assurance to the patient and the patient's family and it is also important that she teach them to guard against future illness the private duty nurse gains wide experience in different kinds of illness and has a chance to make many [Music] friends nurses and factories give first aid treatment in case of accidents and supervise the health of workers to a great extent heavy industry employs male nurses who are increasing in number and other men in nursing are employed in the care of the mentally ill and in prison hospitals in schools the school nurse gives physical examinations to the pupils and works with the teachers in educating the pupils in good health habits and in preventing the spread of diseases in the school in some fields of Public Health nursing the nurse visits her patients in their homes under the physician's Direction she gives care to the sick and combats epidemics she teaches mothers how to give their families better Food and Health Care it is due largely to her that many children are given the right start in life and that fathers and mothers are learning the rules of Health that lead to happier and more useful living in great emergencies an army of enrolled redcross nurses can be called together very quickly to give emergency nursing service the federal government employs thousands of nurses in the Army Nurse Corps the Navy Nurse Corp the United States Public Health Service the United States Indian service and in Veterans Administration hospitals you can see for yourself that there's a definite demand for well-qualified nurses in public health nursing and in government service for any kind of serious illness doctors ordinarily recommend that patients be placed in a hospital if possible because of the better facilities and care that is available there staff nurses guard and care for the sick on the wards both day and night and also give care to people who periodically come to the outpatient department for treatment the nurses take temperature and pulse give medicine and special treatments as prescribed by the doctor and do everything possible for the comfort and speedy recovery of the patient to the doctor they report the patient's condition and have ready for him the solutions and dressings which he may need nurses in the operating rooms prepare the operating table sterilize the instruments and lay them out in proper position in order after the patient has been made ready for the operation the nurse assists the surgeon by handing him the right instruments of materials is required nurses on duty in the emergency Ward must be prepared at all times to assist from the care of any cases brought in by the ambulances in institutional nursing there are a number of administrative positions including those of Hospital superintendent director of nursing service head nurse and supervisor many nurses hold positions on the faculties of schools of nursing such positions as these are definitely worth planning towards preparation for them requires at least some college background and in many instances a degree in postgraduate work in addition to Executive or teaching ability the nurses who deal with the treatment and care of children must be able to apply treatments as specified by the doctor and have a knowledge of proper Foods in their preparation for in many diseases permanent cure may result only from correction of the diet and Thea slow process child nurses requires a liking for children and the ability to work happily with them the nurses and the maternity Wards care for mothers and their babies the chief aim of maternity nursing is a well baby and a well mother who knows how to care for herself and her baby part of the responsibility of the nurse therefore is to teach mothers the correct care of their babies when very tiny and as they grow older if you really want to be a nurse do your best work at all times both in your prep ation and an actual service in this way will you gain the knowledge vision and understanding necessary to make your life as a nurse a successful and happy [Music] one [Music] [Music] good morning visiting your service I'll be glad to help you I'll check which nurse handles the case all right I'll check on that for you and let you know you're welcome good bye [Music] now good morning how are you fine uh Mrs Klein called she was wondering if you were planning a visit today yes I am uh I will be seeing her sometime this afternoon but I will give her a call before I leave the office oh that's good how is she doing with her new Walker well let's say we're getting there slowly but surely she is anxious and this is what's important uh the clinic also cooled on Judy Malon she still hasn't kept any of her Clinic appointments her name is Gloria Roberts she's a visiting nurse in the next few hours she will visit and help a variety of people with different needs it isn't always easy but she doesn't mind she knows her job and she likes [Music] people [Music] la now miss Cline position yourself to the edge of the bed slowly now place your hands here on each side of the walket now raise yourself up slowly you help me please certainly slowly now balance yourself fine we're going to to place no weight on the bad leg mhm now slowly walk forward do you have any pain no fine can I do this with her certainly Mr Klein how often take her up and down the hallway three times a day I see would you like to try some more yes please slowly now now very [Music] good [Music] how is it a little higher than what it was last week Mr galdi have you been taking your medicines yeah have you been following your diet well I went to the clinic and they told me what I should eat but when I came back I I forgot well we'll discuss that a little bit later but would you like me to call the hospital for a diet slip yeah I I appreciate that hello Mrs Smith this is Mrs Roberts a visiting nurse I'm calling regards to Mr Grimaldi yes he's in need of a diet slip could one be sent out to him immediately thank you very much [Music] M the baby has grown since the last time I saw her oh yes she certainly has she's being like a a horse how is the foot uh well um I don't think you've seen it since the doctor took the cast off would you like to take a look at it certainly okay okay there we go how does it look well the range of motion seems very good should I continue with the exercises I spoke to the doctor and he wishes you to continue on with the exercises as he planned with you good I'll do [Music] [Applause] [Music] that [Music] [Music] your temperature is normal Mr Wilson how do you feel fine but what can I get out the bed well I spoke to your doctor he said your lungs are clearing but you still require a few more weeks in bed yes but I need to go back to work do you receive compensation yes still but I like to get back to work is boring in the bed all the time how was his died Mrs Wilson pretty good well Mr Wilson you were very sick at one time now you're on the way to recovery yes but I'm used to working it's just going to take some patience Mr Wilson [Music] Judy Mrs Lori called and she was quite concerned that you didn't keep your Clinic appointment you know in your early months of pregnancy you have to have close supervision were there any problems will you tell me what the problem is Judy does my mother have to come with me I'm afraid she does but Miss Lori she will be there with you would you like me to make an appointment for you yes don't worry we'll all help you as much as we can hello this is Gloria Roberts Visiting Nurse yes Mrs Trudy how are you yes I'm calling regards to Judy ma yes we have been able to break through she will be keeping her appointment thank you [Music] [Music] goodbye [Music] nurses are special people Gloria Roberts was graduated from high school in Miami Florida she came to New York and enrolled in the Lincoln School of Nursing 3 years later she was graduated as a registered nurse and shortly after she joined the visiting nurse service of of New York her days are long her feet often hurt she has to know her job she can't afford to make mistakes she can't always solve her patients problems but she loves her work nurses are special people good morning Mr spegel I'm going to put a thermometer in your mouth did you have a good night I'm leaving now Mr Spiegel can I get you anything Miss Nelson I wonder if I could see you for a couple of minutes all right fine I suppose you want to talk with me about Mr Spiegel Dr James yes Miss Nelson he's pretty hard to get along with isn't he yes he is and you know his family's been complaining last time they said I don't talk to him enough I think that somebody should tell his family that he's is not the only patient on this Division I suppose you're also uh short-handed as usual yes and you know it's very frustrating Dr James when you try to talk to somebody who can't talk back to you I've been nursing for 15 years Dr James and I've never had anybody complain about well sson we all know that stroke patients are tough to take care of what I'd like you to do though is to treat him as if he understands what you're saying now I know this will take a lot of patience on your part but the nurse is a key person on the staff to get through to him at this stage Dr James I'd like to know how one nurse who has to do the job of two nurses is going to find the time and the patience to do what you want you know I've been working at double shift Dr calm down Miss and we know this go calls and tells me her baby's sick and I have to go and take over not a typical day and we both know it but I'd like you to try my suggestions and I'll be talking to you in a few days about Mr Spiegel again all right I'll try [Music] fine morning Marge hi how'd you sleep last night well look here Marge April 1st any on this either in as much as you're relatively new on the neurology service I think it'd be a good idea for you to see as many different kinds of patients as you can and this patient is relatively new here she's been here only a few days actually what would her tenative diagnosis be and how would you be able to tell since she can't speak well actually it's a little bit too early to tell how much she's going to be able to understand or to speak all we can say now is that this is a global aasia what happened to me why don't answer I can't [Music] talk [Music] [Music] [Laughter] [Music] Miss Nelson Miss Nelson Miss Nelson that's my name Marge Nelson Marge [Music] Nelson Miss Nelson you're not ready for that yet you've only been here a week I want you to look at me listen and do what I say raise your hand your hand Miss Nelson raise your hand no no no no no Miss Nelson raise your hand Margaret you must always raise your hand when you want to leave the room do you understand look at me when I'm talking to you raise your hand hand raise your hand good good now point to the girl point to the girl to the girl Miss Nelson good now point to the dog to the dog Miss Nelson point to the dog Miss Nelson point to the dog it's possible she may have right homonomous hemianopsia which as you should know means she can't see out of the right side of each eye and that may be why she's missing the dog quite Poss have right mon you know me the right don't talk about me I N dead my all right Miss Nelson Miss Nelson Miss Nelson that won't help you one bit that will not help you make progress now just listen look at me and do what I said Miss Nelson raise your left foot raise your left foot Miss Nelson raise your foot raise your paw Chef raise your paw raise your paw you're pop you're [Music] po all right M that's enough for today I think you're tired we'll try again Thursday oh hi Judy how are you fine how are you oh fine how have you been well all right we're all usess oh I can imagine you [Music] too it's your turn Mr campen it's your turn why why do they shout don't they know we can hear how can they know how we feel these students are interested in finding out how you feel inside Mr campen oh uh got got a tough job well I guess they do don't they Mr campon let's get to work now do you remember the last time you were here we talked about your disar reest which is the weakness in your face Mar muscles and that's why you have trouble saying sounds and words and why you need your handkerchief so often isn't it and then we also worked on real small words that you have small talk talk talk all time no we women talk all time nope oh did women talk a lot at home this weekend Oh home [Music] home home boy fight boy home m m m m m mom D talking like a baby yeah uh brain no good um ear mouth um fight boy uh or or fed up uh on I think this not don't do ever say that janitor I love you you you you you you you you you you B home no why Mr Camp I think maybe we should talk with Dr James Mr Camp I know you feel discouraged but there are a number of ways that you are showing progress I hear you're starting to write with your left hand uh also your your test results here show that he' be doctor no not exactly but they show you still have uh excellent mechanical skills I know I know you can't use your right hand but you still have excellent skills with your other hand and your understanding is good that no I didn't mean stand up Mr cman I mean understand sit you why sit um stand I'm sorry I I don't know that word can you give it to me in Sal Salon the salon huh mean words mean what they mean right words mean that's right so you are showing progress that way also and you do understand more the social worker told me that your wife didn't make her usual call today something happened between you and your wife yes yeah yeah uh no uh U I'll help you off close off myself J hi no oh Mr Tamp I know it's hard to be patient hi hi hi Janet hi Janet good hi J good very good love don't you feel well go to sleep now oh the F you a get away from me oh God no more man nothing nothing you feel like you're nothing but those are feelings I can change it's something that you and I can work on try but it's it's hard for a woman to understand what you're going through oh look at your flowers Marge aren't they beautiful aren't they beautiful Marge they do you remember the flowers we got at graduation Marge you know you've got a nice room here don't you think she's lucky Mar you remember me don't you Joseph Jo you're fat your name is Joseph fat oh Marge you remember old Hatchet Face at nursing Arts oh she was just hysterical she used to say a child can take a temperature it all depends on how you hold your elbow you go go go go go go well she can certainly talk but that's automatic speech you know when they don't have to think they can all swear maybe we'd be better if you weren't all in the room at the same time maybe yeah Josephine can be so irritating Mar you do understand so much things will be coming back to you now more and more Marge have you tried to read look Marge can you read this Marge you can only see half of it is that it Marge yeah yes but try moving your head until you can see the whole word that's it can you read it now Marge it in yeah H that's it that was good Marge how about writing you think you could write try writing the word look the E mark are you trying to write the word I no look look I mar e y e you left out the Y why did it happen to [Music] me yes that's it Marge why what what that's right Marge why but somebody can use a nurse that's been through it first I got to talk what Mar can you read this Mar a child take a temperature hello Miss nelon pgy mcra tells me that you've given up since you fell last week I can understand why you might be discouraged you probably thought that there were some easy things that you could do and then you found out you couldn't do them the important thing though now is you are impr roing M Nelson you can understand more you're beginning to write you're beginning to read you have more movement in your arm and leg these are all good signs a nitwit with half a brain no brain only Miss Nelson Miss Nelson there's someone here I'd like you to meet he needs your help and I think you can get something out of it too would it be all right with you fine come on in Jack cam c c c p camp pin no now three number number no see that's what we've been talking about what's the matter honey Jack it was awful it was awful I messed up the switchboard and they wouldn't even let me explain well the hell with them if they won't let you explain forget them they're not worth it he just needs you to talk with oh I'm sorry I'm sorry I'm sorry sorry Mrs campen Mrs campen you can show them how much you understand when they're finished in here love you I I help [Music] you [Music] [Music] all [Music] [Music] oh [Music] [Music] pain has no respect for fame or Fortune nor for sex nor [Music] age pain and its alleviation this is alleviation of pain on an intuitive level the patient's normal reactions and characteristics are well known the degree of pain may be calculated here the extent of tissue damage Bears a close relationship to the intensity of the pain signal early in life man learns that this mysterious signal is to warn him of something wrong and willfully or instinctively he attempts to avoid or relieve the pain on a professional level alleviation of pain is highly complex here decisions may be instinctive but usually alleviation is based upon due consideration of all possible contributing factors when the nature of pain and its probable duration are unknown to the patient such elements of mystery make the sensation doubly ominous and magnify the problems of alleviation the very presence of the nurse often gives great comfort and support to the patient to the nurse pain is no great mysty to alleviate pain on a professional level involves study practice research pain what is it if on a normally sensitive area such as the skin an injury is sustained impulses are generated and transmitted through the peripheral and central nervous systems and register in the cerebral cortex as the sensation of pain nothing is flowing back along the nerves over which impulses have traveled this reference of a sensation back is purely a mental process called projection pain at the sight of injury is projection of sensation and after medication the patient having been freed from pain was able to cooperate more fully and early recovery now appears to oh God the doct I don't know let's find is terrible where's the doctor just a moment let me take a good look I will tud emergency maybe second degree pain intense and I can't stop it must act fast no time to talk wish I could calm the mother she's tense you better clean off as much grease as you can get the grease off fast so as not to prolong the Pak and do it the less pain jimy will have must let him know I'm on you and tell him what's coming up pain is an angry thing it can explode into a thousand burning fragments alleviation can mean the subduing of these many Sparks in order to relieve the hot heavy weight of pain at its source for pain can weigh 300 tons why does it hurt how long will it last can they do anything what will they do was it my fault will I die pain is a mysterious monster that looms large in the darkness of the unknowing the healing light of Reason can cause the monster to retreat its sharp claws being dulled alleviation can be like driving 17 horses at once each unbridled Force must be controlled guided and urged forward in a case of accidental injury there is always the question of guilt who was at fault who had a part in making possible this pain each must be reassured an accident is a thing of chance it may as here also be a contingency accidents contingent upon conditions that are unforeseeable can well be fortuitous wherein no injury takes place it is all a matter of chance if all who are involved can be led to believe that the accident just happened then each is more able to support the other rather than generating further problems because of their own concerns this is especially true within the family group they must live with each other an accidental injury to anyone is a family problem and we had a long talk afterward physically a clean but painful injury should heal well no problems on the cultural level emotional reactions about normal considering the number involved sudden unexpected pain can strike with electric shock dietary or systemic weakness can cause a gall stone to form or Lodge in the cystic duct blocking the flow of bile involuntary muscular contractions seek to dislodge the obstruction during spasms in the duck distension is severe pain is deep anti-spasmodics are often a first step what were all those other medicines they gave me one was to relax the duck which would let the bow through to prevent the pain of a spasm did you have much pain I hope you're more comfortable now the medicine with your explanation about gold Stones am I going to have to have surgery we don't know yet Dr F sometimes Stones pass right on through oh you'll never know what I've been through oh it must have been awful oh it was awful it was just like a sharp Jagged knife cutting through me jabbing right through me that could be most frightening where was the pain I've never been sick a day in my life oh a little indigestion now and then but this a where it was right here below my ribs well actually it was my whole side and then I got over well if it's G Stones why should my shoulder hurt that's called referred pain you see your nervous system receives a signal that something's wrong alleviation can consist of attention support distraction explanation Comfort peace of mind a logical acceptance of reality all enemies of pain pain thrives on mystery and anxiety alleviation can also be the evaluation of the many things that may be causing pain or discomfort and the selection of those measures of care that are most needed this is made easier by knowledge acquired in a previous relationship the incision is painful so is the abdominal distension would moving her be enough or should it be a haris flush throat may be sore from the tube should look into that she's getting a lot of glare from the window the IV is probably highly uncomfortable hand is really rigid she's been on her back a long time circulation problems needs repositioning maybe maybe a back rub I'm going to do something to make you more comfortable oh oh nurse I feel so miserable I hurt all over every inch of me you got to do something to help me or I'd sooner you'd leave me alone and I'll just die I'm going to get some medicine to relieve the pain I'll be right back oh pain cannot be measured like other quantities or volumes it can only be reported In some cultures reporting is conditioned or completely absent are you in pain I Ain jumping like I could be sister I know it hurts where the nurse is trained to recognize these differences in response to evaluate the approximate degree of pain being experienced and to act accordingly [Music] a differential may be established between the person who is naturally stolid and one who through cultural experience has acquired the philosophy of the stoic looks uncomfortable they say he had a pretty good day maybe he has nighttime blues or is just lonely he never complains but his illness often causes [Music] pain are you having pain yes I have pain where what is it like there it's nothing really I'll be all right observation can usually reveal the existence of pain signals in those inclined toward the nonverbal an approach to the assessment of pain and prediction of effective measures of alleviation May well differ from the approach used with those who are somewhat verbose or demonstrative [Music] I just stand nurse forgive me for troubling you but I just can't stand hand me another cief please no the organ one oh I feel so hot horrible when did it start I felt much better before my operation isn't that light awfully bright where does it hurt really no one should be expected to suffer this way what have I done to deserve such pain call my doctor Miss you're probably having gas pains distension is not uncommon for patients that have had this type of operation yes you do seem to have distension mostly on the right I believe you'll be more comfortable if you turn to your side oh no nurse that'll put all the weight just where it hurts the most gas accumulates in the large intestine stretching it Beyond normal and causing pain now if you move the gas moves relieving the pressure and the pain there now the gas can go up to transverse colon and out now how's that why I feel better already that's fine now I'll be back soon to see how you're getting along honey come back soon and [Applause] [Music] often do you killing me here hold this only a few more it early cultural experience can often overweigh later intellectual and physical development in relation to response to pain physical characteristics may be highly deceptive as to possible patient response they may be in parallel or divergent or mixed any clue to cultural conditioning could be of great help in such an evaluation hurt sure do I and D absess you seem to place a high value on self-restraint a few moments now what else can I squeeze in mhm Mr pcel oh probably best tell him it'll soon be time to get up he doesn't like to be taken unawares oh de no hi girly how is the arthritis this morning Mr pcel see I got my knees down yes I see MH eat me now what do what do you have to keep rubbing my knees for yeah sure you know we must keep them flexible limber so you can get around and see things see things I've seen everything already have you hand me my tobacco will you thank see things and people your old haunts friends places yeah well let them let them come and see me oh come now You Want To Be Your Own Boss don't you do what you want when you want actually it'll soon be time for you to get up G you sound just like my old lady and I'm going to see what I can do about some visitors for him but Mr pcel is better he has no severe pressure areas no contractures I plan to get him up this afternoon of course he still has appreciable pain respiration okay yes although he does object to being turned strenuously wonderful fellow you know he really is pain when it's c causes or its consequences involve mystery often results in some degree of anxiety the element of mystery can expand to the point wherein the patient feels that he should indeed close his eyes and lips feels that his initiation into the mysterious is being carried too far he may doubt his own ability to cope with the situation his instincts are to flee or fight even minimal anxiety is an emotional state that affects the heart rate respiration basom motor reactions muscle tone Oh nurse I'm so glad you came I brought you some milk you had some little dinner oh thank you oh nurse I'm so worried what's the matter my stomach feels so heavy and now the Pain's deep and boring too boring pain yes I've had it several times during the past few weeks weeks do you suppose I suppose I have cancer we don't know you are worried about it aren't you well my husband said that with female troubles anything can happen sometimes I wonder I wonder if Harry's afraid that well afraid that I won't be able to be a good wife to him any longer if only I knew he's such a good guy so are the kids here anxiety is normal in proportion to the threat as perceived mystery the element of the unknown has affected the degree of symptom response should the mysterious threat be greater anxiety can achieve a level wherein Behavior may become peculiar even antisocial let me help I'm okay don't touch me where in the dock please be seated in the treatment chair the doctor will be right in he can't see from his left eye instrument maker Precision work he's really worried must be afraid of loss of vision so unable to work and support family sure is mad at everybody including me and probably himself needs help badly but we'll fight it well here we go let's clean that up and see what you have there that hurts damn it will you just get the doctor here hold this so we just clean the blood away yes your eye looks all right my eyes all right is it bad few stitches will pull it together nicely take it easy wa n get me some more 4x4s n how much longer looks like the doctor's nearly finished once the threat to the body image is dispelled anxiety usually diminishes or disappears completely threat anxiety pain often these feed on each other over prolonged periods of time the patient may acquire an undue fascination with each facet of his condition he is inclined to embrace the mystery he begins to lose touch with reality get me some milk I cannot do that sir get it I tell you nurse I must have some milk my stomach is on fire and these horrible pains it's gotten so that I can't eat or you won't let me now you must have your stomach empty for your x-rays you'll be getting some barium to swallow soon nobody seems to know when I'm to go in why don't they have a schedule around here I'll call and see what time they have you down to go maybe we can move up your schedule well thank you last time I was in they sent me the xray at the wrong time and I missed my medicine missed your medicine sure see that's where you're wrong they were supposed to bring it in on the hour and they took me to x-ray 10 minutes early so I missed my amphail oh it's better than calcium carbonate that's chalk you know and besides it constipates me AO is much more effective particularly if I take a little fluid with it but you know what they're doing at night I finally talk them into giving me second all instead of nimal and they never give me more than one and a half grains of second all at a time I need three grains to hold me oh they're giving me this mil toown I know all about these tranquilizers they think it's all my nerves but I know this pain is real and I ought to be getting an analgesic an analgesic certainly an analgesic instead all they talk about is neurotic anxiety ma terminology as if you didn't know oh I've asked my doctor to call in a consultant but he wants me to see Dr Anil state board you know but he doesn't understand my case just another head shrinker say you don't talk much do you you're the only one who's ever still around here the rest seem to run around all the time oh can't they get anything done oh nurse I'm sure you really understand that I have a severe physiological problem intense pain last week I had a board-like abdomen pain on rebound this week there is this terrible epigastric burning and knowing oh now don't try to give me a BL seeo I'm too smart for that seemingly severe hypochondria gave all the help I could x-ray may be definitive long range encourage him to accept psychiatric [Music] help [Music] do [Music] something almost completely severed I'll go scrub DC can you save it if we're both extremely lucky no D no not that do something what else in God's name can a nurse [Music] do a