At 4:00 on Saturday morning, Dr. M got a call from JK, the resident who was on that night. "Dr. M? This is JK. I've got a little boy here in the ER named JG with stridor..." Dr. M.: "And I said 'Is this a joke?' And I was waiting to hear 'Yes,' or 'He's been intubated', but JK just said very calmly, 'No, it's not a joke.'" And so JG came back in with his mom, spent the night, and went home on steroids. We told you he was sick.
I would update, but I can't remember what I've talked about, O Best Beloved. And it's getting very late very fast. So notes for later:
Came in yesterday and got assigned to a new asthma patient on the wards. Spent almost 40 minutes getting her incredibly complicated social history. Then forgot to get vitals before presenting. "You turned a home run into a double. Sad..."
My decision to order a second EEG on the ALTE kid was justified when it turned up left temporal spikes and slowing. Booyah!
Got scolded by JK for not telling him I was going to meet Angel for dinner, as he would have let me off hours earlier. Met Angel for dinner. Had a wonderful time.
Finished my expanded H&P, will post most likely for peer review later. Stayed up far too late for that.
Admitted children tonight after thinking I would get to go home early for lack of anything to do. Got home at 11:20 or so, despite promises from peds inpatient orientation that "evening call is no later than 10, and you'll get home earlier most nights."
Am going to sleep 5 hours tonight, maybe 6, after having gotten 4 the night before, and 5 the night before that. Call it residency training.
Medical Students: (will post to med_school community too) I am working with the student newspaper, and we think it would be fun to do an article or several about how other med schools do things. Anyone want to be a correspondant for me? :)
No call and no papers tomorrow night, I think I may sleep then, so as to be alert and enthusiastic for this weekend. I must study (I hope Blueprints comes in) as the exam is on next Friday. I can't believe this rotation is almost over. I'm terrified of Surgery. If I'd forgotten vitals in Surgery, I would've become the whipping post for everyone...
There's a lot more I wanted to say something about, like how the moon as I drove home was the clean-edged half-circle of a scalpel blade, poised luminous above the earth. About the transformation at birth from quiet, goo-covered infant to screaming ball of arms and legs. About looking up things with JL and the ER doctor with the blonde hair that I felt some strange draw to, briefly. About kids and monitors and croup and asthma and the mom who just never bothers to bring her baby in any more, until the 6-month checkup when the doctor called for an ambulance to admit. About AT, the sixteen-year-old who is bright and beautiful and going to wind up dead, burnt out, or pregnant. Horror.
But it's late, I'm tired, and I have to be back on the floors at 7 AM. Radiology rounds at 7:30, for our morning report. Dr. M. thinks I'm doing well, that I need to get a little more experience with organisation, but I'm well-read (since when?) and inspiring and energetic. You want to hear inspiring and energetic? I haven't had time for a shower since Saturday evening. Saturday evening. I don't care that I'll be sacrificing sleep; I need one. If I could've gotten my ass out of bed yesterday, I would've taken one then. This morning was a write-off; I'm lucky I got to school.
I'm also blessed by a tiny miracle that involved me deciding to throw the trash away in my car. And I looked at the sign next to the trash can and thought "That's funny. Why is there a key tied to the sign?" And then, my fatigue-befuddled brain said to me, "You know, that looks a lot like the yellow wrist bungee that was on the key to S's place that you lost at home somewhere. You don't suppose..." I did suppose, and I pulled out my new-minted spare key, and compared. It was. I guess I must've lost it in the parking lot.
Falling asleep at the keyboard. Rambling. Good night, O Best Beloved.