The craziest thing happened to me tonight! I had a patient going to the OR, and the surgeon was in the room talking to the patient and whatnot. I'm scrambling to get a few last minute things the doc wants, and get the chart printed to hand off to the OR nurses. As I'm standing at the printer, I hear wheels bumping along and when I look up I see my patient go by on the stretcher...being pushed by the surgeon!
Now, we all know most docs will walk out of a patient room, wander the hallways, find a nurse, and then ask that nurse to go get the patient a blanket instead of handing them one from the blanket warmer directly next to the patient's room. But not tonight! The surgeon packed the last few personal items in the patients bookbag, paperclipped (most of) the chart, and started driving the patient to the OR. By. Himself.
Maybe surgeons elsewhere are more useful at mundane tasks, but I had to scrape my jaw off the floor. And then chase him down to hand over the last of the chart. But seriously, what a nice moment. I hope this is a new trend!
Sunday, October 30, 2011
Saturday, October 29, 2011
Miracles
I clearly suffer from insomnia, seeing as it's 4:11 am and I'm blogging instead of sleeping. Anyway I figured I'd had enough of Jackass 3.5, went to turn my tv off so I could attempt slumber, and behold! A miracle!
My tv remote ALSO WORKS THE ELECTRIC FIREPLACE!
Maybe I'm just a bit wonky from sleep delirium, but I think it's the greatest thing ever. Volume up? Yes please, and add in some flame while you're at it.
My tv remote ALSO WORKS THE ELECTRIC FIREPLACE!
Maybe I'm just a bit wonky from sleep delirium, but I think it's the greatest thing ever. Volume up? Yes please, and add in some flame while you're at it.
Thursday, October 27, 2011
I've no excuse.
Well friends, it's been a while since I've updated. Life has been busy. It's not you, it's me. I swear. I've been hopping with a wedding (not mine), work, procrastinating by looking up plane tickets to anywhere but here, and well, stuff. It doesn't look like a lot when I write it out, but whatevs. I live the rockin life, yo.
So I was driving back from visiting family today, when a snippet of conversation from work popped into my head, and an uproariously witty blog post then blossomed forth in my mind. I couldn't write it down because I was driving, obviously. I repeated the outline a few times so I wouldn't forget it. As soon as I got home, I turned on the ol macbook and also made the mistake of turning on the TV. Alas, my plans were foiled. Mythbusters happened to be on, and then Craig Ferguson, and then Mythbusters again and then I realized...I forgot the blog post.
For the life of me I cannot remember it. I've got the funny conversation bit, but that's it. Everything else...blank. Nada. Nothing.
Curse you amusing TV!
Ah well. Hopefully I'll wake up in the middle of my slumber and write it down or something. I know you all are on the edge of your chairs waiting. You be careful though. Those chair edges are quite perilous at times.
So I was driving back from visiting family today, when a snippet of conversation from work popped into my head, and an uproariously witty blog post then blossomed forth in my mind. I couldn't write it down because I was driving, obviously. I repeated the outline a few times so I wouldn't forget it. As soon as I got home, I turned on the ol macbook and also made the mistake of turning on the TV. Alas, my plans were foiled. Mythbusters happened to be on, and then Craig Ferguson, and then Mythbusters again and then I realized...I forgot the blog post.
For the life of me I cannot remember it. I've got the funny conversation bit, but that's it. Everything else...blank. Nada. Nothing.
Curse you amusing TV!
Ah well. Hopefully I'll wake up in the middle of my slumber and write it down or something. I know you all are on the edge of your chairs waiting. You be careful though. Those chair edges are quite perilous at times.
Thursday, October 6, 2011
Decisions
Tonight was my first unsupervised bit-o-shift out in that tragic wasteland known as Triage. Hot mess, let me tell you. This kiddo comes in looking all bleh and crappy and feverish and, dare I say it, lethargic. I chart the required stuff, the tech gets a round of vitals, and I send the kid back to a room nursing a 104 temp. The big-workup PA on that morning takes issue with the fact that I used the word "lethargic" in my triage note, because "if you use the word lethargic then I have to do a septic workup and admit the kid."
No, asshole, you don't. I wrote that the kid looked lethargic because the kid looked lethargic. End of story. YOU don't have to do squat. If your assessment shows the kid looking fine, then all's well and good. But when this kid came to the door, he looked lethargic and that's what I'm gonna write.
I'll refrain from mentioning that you are notorious in the department for doing a big huge workup on every single patient, so regardless of what I write down you're going to order everything anyway.
I'll also refrain from nitpicking your treatment decision for the previous patient I triaged. Youngish girl, had a headache x2 days. Neglected to tell me that her headache started approximately 3 hours after getting a new weave. You discharged this headache with a fourpack of vicodin to go and a scrip for TWENTY MORE VICODIN. Twenty four fucking vicodin for a tight weave.
Do you really want to question my decision making skills? Really?
No, asshole, you don't. I wrote that the kid looked lethargic because the kid looked lethargic. End of story. YOU don't have to do squat. If your assessment shows the kid looking fine, then all's well and good. But when this kid came to the door, he looked lethargic and that's what I'm gonna write.
I'll refrain from mentioning that you are notorious in the department for doing a big huge workup on every single patient, so regardless of what I write down you're going to order everything anyway.
I'll also refrain from nitpicking your treatment decision for the previous patient I triaged. Youngish girl, had a headache x2 days. Neglected to tell me that her headache started approximately 3 hours after getting a new weave. You discharged this headache with a fourpack of vicodin to go and a scrip for TWENTY MORE VICODIN. Twenty four fucking vicodin for a tight weave.
Do you really want to question my decision making skills? Really?
Tuesday, October 4, 2011
Bacon
Listen up people. Bacon is the best. End of story.
I love bacon so much, I partook in the drinking of a beer that a local brewery had run through a bacon filter. You heard. Bacon filter. It was delicious. My favorite incarnation of a Bloody Mary includes a bacon strip instead of celery stick. When I eat a BLT, it's more like eating a BBBBLT. Only bacon can be included as a salad topping in bit form. You don't see Hot Dog bits, steak bits (although this would be tasty), burger bits, or spam bits.
To prove that bacon is the best, consider the following:
Mmmm bacon.
***
and also, who else misses Bill Nye the Science Guy on tv? I do.
I love bacon so much, I partook in the drinking of a beer that a local brewery had run through a bacon filter. You heard. Bacon filter. It was delicious. My favorite incarnation of a Bloody Mary includes a bacon strip instead of celery stick. When I eat a BLT, it's more like eating a BBBBLT. Only bacon can be included as a salad topping in bit form. You don't see Hot Dog bits, steak bits (although this would be tasty), burger bits, or spam bits.
To prove that bacon is the best, consider the following:
Mmmm bacon.
***
and also, who else misses Bill Nye the Science Guy on tv? I do.
Monday, October 3, 2011
How to convert
This youngish guy comes to the ER complaining of palpitations, and he turns out to be in Afib with a rate of 140-160. We toss the usual meds at him, none of which work. Cardiology is consulted, and they recommend giving him flecainide before sitting on him for 6-8 hours. I go in, explain to the dude what I'm giving and why, and then give him some pillows and blankets and tell him to settle in.
Six hours later, he still hasn't converted from Afib. The doc talks to him, and decides to cardiovert. Why we didn't do this way earlier is beyond me, but whatever. I get him set up, put the sticky pads on, bring in the EKG machine, and make sure the conscious sedation consent is signed by all parties.
Just before starting the sedation, the guy calls me over. He whispers, "Can I use the bathroom? I'm kinda nervous and I really, really need to go." I offer a urinal, and he gives me the sideways eye which translates to I don't need the urinal, I need to go blow the bathroom up. Doc doesn't want him walking without the cardiac monitor, so I set up a bedside commode. We're all loitering in the nursing station, waiting for him to be done, when I look up at the monitor and notice...hey...yep. Sinus rhythm.
How amusing. We do just about everything to get this guy to convert, and all it really took was him dropping a deuce. Oh, the miracles of medicine.
Six hours later, he still hasn't converted from Afib. The doc talks to him, and decides to cardiovert. Why we didn't do this way earlier is beyond me, but whatever. I get him set up, put the sticky pads on, bring in the EKG machine, and make sure the conscious sedation consent is signed by all parties.
Just before starting the sedation, the guy calls me over. He whispers, "Can I use the bathroom? I'm kinda nervous and I really, really need to go." I offer a urinal, and he gives me the sideways eye which translates to I don't need the urinal, I need to go blow the bathroom up. Doc doesn't want him walking without the cardiac monitor, so I set up a bedside commode. We're all loitering in the nursing station, waiting for him to be done, when I look up at the monitor and notice...hey...yep. Sinus rhythm.
How amusing. We do just about everything to get this guy to convert, and all it really took was him dropping a deuce. Oh, the miracles of medicine.
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