I was signing out a couple of patients to the oncoming doc.
“Mrs. H is a 63 year old lady with longstanding history of CHF who ran out of her medications a few days ago. I gave her some Bumex and some aspirin. Her vitals are stable. Once her labs come back …”
Suddenly she interrupted me:
“Do you like waffles?”
Um, nooo. Are you off your Ritalin?
There was a time in my life when I would have answered, “Sure, wanna screw?”
My response would have been: “Oh, do you have some? Do you have maple syrup, too?”
do you like waffles
YEAH WE LIKE WAFFLES
do you like pancakes
YEAH WE LIKE PANCAKES
do you like frenchtoast
YEAH WE LIKE FRENCHTOAST
doot doodleedoo
can’t wait to get a mouthful
YEAH!
Had to Google the words to find out what the heck you were talking about … here’s the link for those who don’t get it.
http://www.albinoblacksheep.com/flash/waffles
By the way – she did it again this morning.
“Have you ever been any good at jumping rope? Remember that song about jumping rope for 24 hours?”
Whaaaa?
I’d normally think that someone talking like this was messing with me, but she really does have flight of thought (and she’s a good doc, too).
Well, I think your diagnosis of ADHD might be correct, or somekind of hypoxia/hypercarbia-induced delirium. It doesn’t surprise me she has mental signs of disease despite her stable/normal? vitals. Because of ther CHF, I wonder what the actual PO2 in the neuropil might be compared to a person with perfect health and normal cardiac output.
I’d do a little experiment. Supplement her with oxygen to see whether her symptoms remit. By the way, is she breathing normally or does she have some nasal obstruction, flu, etc?
Ha ha ha ha ! Love the video! Funny post.
Maybe she was just real hungry and craving waffles at that moment.
My older son had a waffle party when he was 13. They all had to bring their own waffles. they were only allowed to eat waffles. (their rules) I think that might be a post worthy topic. I video taped most of it. All boys. They were hilarious. 13 and 14 yr old boys. I stopped at 2 in the morning ..only to be woken up at 4 am because one of his friends had gashed his head while wrestling and had to get sutured in the ED.
OMG! That sounds like ME! My nursing classmates like to refer to this as a “SQUIRREL!” moment, a la “Up”.
I cant help it- sometimes something just OCCURS to you, and before you can stop it, you’ve asked someone if they like arm warmers, or when was the last time they saw a jellyfish.