So, I had a seizure patient come in the other day who told us he was taking his keppra but missed a dose, or maybe he didn't, or he might have taken depakote instead because he had an old prescription, but really he can't remember at all. No big deal. I sent off a rainbow of blood to the lab and the doc ordered a keppra level.
Two hours later it still hadn't resulted, so I called the lab. "Oh, that's a send out," they said. "It's Friday night, so that probably won't get resulted until Sunday or so, but since it's a holiday it'll probably take longer."
Am I just spoiled from working at a fantastic Home Hospital? Even though we were somewhat rural, we had everything - neurosurgery, cath labs, primary stroke certification, and especially fucking keppra levels. I now work in a "state of the art" facility which apparently can't find their ass from a hole in the ground and get basic labs done in a timely manner. Or am I just asking too much, and keppra levels aren't the norm? Oh, and we do deal with neuro stuff, so I feel like being able to do standard neuro-related labwork shouldn't be this damn difficult.