Yesterday was a good day.
Worked out of town and then came back in time to go for gumbo with Jeff.
I ate a bowl of cabbage with a remulaude dressing to make a slaw.
The gumbo was fantastic and I told them so.
They are so friendly and we have been going there for years.
They built a new location free standing building right across from the gas station where they used to be. It has been fun seeing them get all of the finishing touches in place. They have been at the new location 3 weeks. It was warm outside high of 78 so not many people eating gumbo so it had cooked down to make it thicker.
It was delicious!!!!

I raked up some leaves in the after noon and put barrels in the front yard to be picked up on tuesday morning. They recycle yard waste, I think they mulch it.
Any way I am glad it doesn't just go to a land fill like they do in Indiana.

175.4 this morning...so happy to see the numbers go down, I have been yo yoing around 177-175 now for a week.

I went to the nail shop to get a nail fixed. They are so nice there. I always tip them really well because they are very hard working folks, husband and wife. It is a little shop.
Jeff had a gig with his big band group called the sky liners. He was gone for over 5 hours, and that is how long I was on the computer. But this time I did productive things.

I did some research for my friend karen about electrocuted and with the help of a forum friend was able to find a support group for survivors of electrical shock. So am anxious to give her some of the printouts of what I found out about after care. I think I will see her tomorrow.

After that I worked on my policy and procedure manual.
I had put together one from 15 years ago. so pulled that out of the filing cabinet. And redid the contents. I made it much more simple to read and follow what it is that I do.
It is about 20 pages long. I had to re word and type up 4 new pages of text combining several redundant pages making it easier to read. It took me forever to do this as there was not a spell check and my typing is some what slow and I make errors in spelling. So I had to constantly reread the pages to make sure they were all correct.
Printing them up took many tries getting them each to fit on a single page.With some rewording, I was able to do it, just finished up when jeff came home at midnight.

The reason I put this together was in fear.
Last week I saw a client for the first time and was horrified what I found. She had an ingrown toe nail that had been going on for quite some time. It was the worst one That I have ever seen. They did not prepare me for what their mothers big toe looked like. They told me that this had been going on for a month and hospice/nurse practioner sawit ans just said yep it is ingrown.
I just did what I always do, they had been soaking her feet in epson salts as I had instructed them to do before my visit.
They medicated her with some morphin and I went about cleaning her toe and getting rid of all of the dead debri, and cut the nail back as best as I could to discover it was all the way down to the bone.
I was horrified.
I would have sent her to the emergency room had she not been on hospice.
I was irritated that the hospice people did not do anything and called me into take care of the ingrown nail. I gave the family member instructions for wound care and applied a dressing.
That was all out of my scope of practice.

Later the hospice nurse called me and started questioning me about why I did not call them with my findings. I told them the family members had said that this had been going on a month, I was a bit defensive. She said that she had my phone number if they had any other questions. This made me very nervous. I hope they don't report me.
They were negligent.
Looking back at it I should not have done it but I always do what has to be done.
So in doing the procedure manual I feel confident that I have covered my tracks and wrote it in such a way that I followed my guide lines.
This was the only thing that I could do to cover my tracks and to deal with my anxiety.

Got up this morning and am onto my 3rd cup of coffee. The sun is shining and I don't think we have rain today so that is good. Cooler weather is coming again...it is now december!
Perhaps we can take the tree down out of the attic and decorate it. I have not done any shopping or planning for christmas presents for anyone yet.
Although the 3 daughters have come together to combine gifts for them.
Dad wanted a new pair of shoes, Jill bought them, They needed a new tv, gretchen bought that, we are paying for the cat boarding for February's annual trip to florida. They will be gone 3 weeks.

I told mom that I would be coming home to celebrate her 80th birthday, feb 3rd.
This is the coldest and snowyist month for them I will stay about 3-4 days and allow time after that in case I get snowed in from a snow storm.

I am not going to florida this year and don't plan on going ever again.That trip last year is not my idea of vacation. Even though it is a family thing, I believe I have the right to bow out of going. The first time that I joined them for that trip was a disaster. When we first got there I cried because I did not now what to do. and made a scene. It was awful. And then for the entire week I drank like a sailor...it was not pretty. I told my sisters that I did not want any thing to do with that time share, that they could have it.
Any way,
I am sorry this is so long.
Thank you for reading.
I better get going. Jeff is ready to go to brunch.
No bloody marys for me! Being Alcohol free suits me well.
bizi