The unit has had substantial turnover since Hell Week.
Pneumonia lady in 201 was extubated and transferred out; the room is empty now. COPD poopful guy in 200 was extubated, went to the floor, had more respiratory issues, and came back on BiPAP, though he's now in 198, since the asthma girl recovered and was transferred; 200 instead has a sweet, lovely, pleasantly confused 98-year-old lady being treated for sepsis from a bad UTI. 199 is STILL the 61-year-old post-ulcer-repair lady, now with trach; she's being weaned off the ventilator and can handle up to an entire 4h at a time just on oxygen, now, but her kidney function is declining.
197 is still the important businessman who made questionable choices regarding his flu problem. He's off dialysis and off the vent and still in the ICU because his kidneys aren't in amazing shape and his fluid and electrolyte status need a lot of troubleshooting, and on top of that he's both incredibly deconditioned, and has bad enough peripheral weakness and numbness that they're suspecting Guillain-Barré syndrome. He's also taking phone calls from his company every hour. Nellie does NOT envy his nurse.
196 is empty. For now.
Down Syndrome guy in 195 was extubated and went home. The room now hosts a 37-year-old man post cooling protocol after his cardiac arrest from a heroin overdose. He's not brain-dead but he's definitely brain-something'd, rather thoroughly. And just for additional drama, he broke his parole conditions or something and so is now technically under arrest? And thus handcuffed to the bed with a police offer extremely pointlessly guarding him.
Patrick Stewart in 194 eventually got a permanent pacemaker and went home, apparently with no longer-term effects of his adventures. In his place is a 74-year-old frequent flyer, a lady whose COPD and CHF, exacerbated by her poorly-controlled chronic hypertension, make for a bad combination. The funniest thing about her is that she looks great; she could easily pass for 60, she's not even slightly overweight, and her silver hair is always perfectly coiffed even when she's on BiPAP and so unable to keep up with her traditional tasteful lipstick.
192 is still open abdomen guy, though his intestines are no longer in plastic wrap; he went back to the OR to have the wound closed properly five days ago. He's had a trach for a week and he's been mostly off sedation except for pain medications for almost that long. Probably the reason he's still so out of it is because midazolam, in addition to its long half-life, is fat soluble and known to accumulate in adipose tissue. Of which he has...plenty.
190 is still the Crohn's patient. She's trached as well, down to minimal doses of phenylephrine, starting to respond to her husband and children when they visit. She's on parenteral feeds, which are playing hell with her liver, but her poor abused GI tract continues not to tolerate tube feeds at ALL; they've fallen back on trickle feeds at 10ccs an hour, and her gastric residue is still often more than 400ccs even though it's very unclear where this can possibly be coming from.
Stroke guy in 188 was transferred out directly to rehab a while ago; the room has, since then, hosted several patients including most recently a temporarily-unidentified homeless man brought in with alcohol poisoning. For the obvious reasons, related to their recent experiences, the unit staff spent several days wondering if he too would turn out to be a lost wizard. He didn't, though. 188 is now, also, empty.
That makes 3/12 empty rooms, 9 patients for 7 nurses. A gloriously quiet night. Though this is guaranteed not to last for long.