It was a good thing it was slow; junk food has put my body completely out of whack, meaning that the Benadryl wore off less than four hours after I took it. Migraine all afternoon, boring into my skull to the point where I forgot to look down the throat or do a complete HPI on a little girl, I was too busy concentrating on her sore ear. Send me home, please.
And I got out ten minutes early, popped two Aleve, and headed for home. Stopped along the way at McDonalds, suffered the usual effects of a migraine, popped a second Benadryl. Got stuck in exceedingly slow-moving traffic and had to detour a bit (slowed to 5 mph just after exit 14, was between 5 and 15 mph until exit 19, where I got off and took 38/36/9 up to exit 26. All better). It took me three and a half fucking hours to get home; arrived at eight. Angel shortly after that. And then my headache was gone, and I felt so much better.
Ordered pizza. Didn't get the confirmation e-mail. Called to check. Mistakenly forgot I had my cell number, not Angel's as the contact. Wound up, eventually, getting pizza delivered twice. Sent the second guy away, but felt bad about it. Do I suck now?
It's not all that late, but I'm so exhausted from the day and the Benadryl that going to bed early sounds like a Very Good Idea. Back to Indy tomorrow, to work the afternoon shift at the Urgent Care Clinic. Will see another three patients, but learn many things about how to present. Dr. S today was most helpful, interrupting my monologue to ask me - at the point where I skipped information - enlightening questions.
"Patient is a 22-month-old female who presents today with a two to three-day history of fever, fussiness, excessive sleepiness, "spots in her mouth", and a rash on the palms of her hands and soles of her feet. She--"
"Wait a moment. Does she have any recent illnesses, or was she previously healthy?"
"So it's a 22-month-old previously-healthy female?"
"That's important to state, since it establishes the kind of patient we're dealing with. Okay, keep going with the history."
I knew that. That's why I started the one yesterday out with "A two-year old male child, previously a 25-week preemie..." But obviously I didn't knew it enough. I'm glad I'm on this rotation first.
And now to bed.