August 6th, 2003

Nescafe rabbit

T-minus four-thirty and counting...

LC beat me at Scrabble last night. It was my game, 274 to 270, but then he went out while I still had a B and two I's in my tray, so final win went to him. I had a run of really bad luck for a bit, in which I was coming up with 17-point words and he was flinging out 25-30's, which allowed him to catch up from my 50-point early lead. My game suffers in the end stages; I'm not as good at seeing the parallel words and taking advantage of them. I should play more. Clara, did you hear that? I need someone to school me in Scrabble more often.

We had Krispy Kremes for breakfast during the first lecture. I had three, total. Fifteen or twenty minutes after the second, I felt my head starting to hurt. It's been throbbing on and off ever since, so I gave in and took a Benadryl.
Lectures this morning were alternately entertaining and dry. The first one, on Otitis Media, was entertaining and informative. The ACLS lecture I had a little trouble following due to lecturer wandering; the poisonings one was more interesting. I beat Taika at backgammon, go me.
Bought a hot dog - gotta love these lunches, totally messing up my metabolism and chemical balance - and came over here to relax a bit. Saw Meeta, had a chat, and began the mental countdown. I get to go home tonight. I get to see Angel.

Here's hoping the afternoon will fly past quickly. This winter, with its 12-hour+ days and 5:15 AM rounds (information courtesy Meetah) will be long and lonely.
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Nescafe rabbit

Home is where, when you have to go there, they have to take you in.

Clinic was relatively quiet, all things considered. I saw some more otitis media, a girl with head-ringworm (I dated a wrestler in high school. How did I never see ringworm?), and successfully identified Hand-Foot-Mouth disease, which comes from the rather suggestively named Coxsackie virus.
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.
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