We need to GTFO of here!
Hey folks - I am absolutely cooked tonight so this one will be short. Tyler’s gut saw some movement for the first time in a week and we all rejoiced. 💩🎉
His lungs, according to the SICU attending look “AMAZING!” meaning, they are clearing up. Turns out he just had fluid, no infection, no pneumonia 👏🏾
I’ll add more tomorrow, including what that progress note above is all about. Until then, I gotta try to sleep in tomorrow. Love you all!
Update:
Tyler spent most of yesterday in the stratosphere. You see, when you’ve been in the same room for 12 days straight — not to mention 5 of those days in twilight state — your mind begins to struggle with reality a bit. It’s a real thing called ICU delirium or ICU psychosis. Luckily, because Tyler is young, doesn’t have a traumatic brain injury, this state should go away with a good night’s sleep and GTFO of the ICU.
Tyler was convinced of the following throughout the day:
- The lady across the hall stole his respiratory treatments. I told him that she was a stroke patient and it’s pretty much impossible that stole his respiratory treatment time
- He had actually been here for 8 weeks and I had orchestrated an elaborate rouse that involved a ski accident because I felt guilty that I let him go on the ride that day. I reminded him that his nurse Shane was last here 8 days ago (not weeks) and he remembered that ICU psychosis is a real thing. “oooooh, right, that’s right!”
- The room was orange. Granted, it looked orange with the lights on and his eyes closed, but when I offered this explanation he said it definitely was not that.
Also, he was obsessed with finding a specific piece of music mentioned in Douglas Adams’ Dirk Gently’s Holistic Detective Agency. In my search for this piece of music that, according to the story, a time traveling professor by the name of Urban "Reg" Chronotis, discovered the most beautiful piece of music in the world and snuck a snippet to Johann Sebastien Bach. Tyler wanted, no, NEEDED, me to hunt down this piece of music and play it.
But despite some of the delirium, I was 100% down for this homework assignment. Turns out, there is some disagreement over which piece of music it is. Wikipedia says it’s the Bleib bei uns, denn es will Abend werden, BWV 6. Others (Reddit, mainly) say it’s actually this elegant little math problem of a piece of music Canon 1 and 2 from J. S. Bach’s Musical Offering (1747), also called the "Crab Canon." This video illustrates Bach’s astonishing flex of mathematical and musical genius. Watch this, it’ll 🤯.
So, I left Tyler to rest and listen to Bach all night with the hopes that I can pull him back to Earth tomorrow.