Inching ever so close...
Only seven more days of taking care of adults. I'm beside myself with happiness over this.
Thursday was an interesting day. It started off with a bang. After signout, I was checking on my patients when I hear the chief on the vascular/transplant service being triple-paged overhead (something that is never a good sign). Then the code pager goes off (also something that is not a good sign). About five minutes later, someone calls asking for the bronchoscopy cart (need I say this isn't good?). Next, the overnight trauma resident calls up and asks for my chief to come down to the 5th floor. Then I hear the overnight charge nurse talking during morning report about a patient who's coming up from the fifth floor with a slash tracheostomy. Yes, it's as emergent as it sounds. The backstory is this woman required placement of an arteriovenous fistula for dialysis secondary to her end stage renal disease. Apparently she had been a difficult intubation at the time of surgery. When someone is difficult to intubate, it's a better idea to leave the patient intubated because you run the risk of airway swelling and spasm. This patient had been extubated and (reports differ on this) she had been experiencing stridor since she was extubated or starting at some point during the night. Regardless, her airway was becoming gradually compromised and eventually closed off and she stopped breathing. Fortunately, she is going to be ok (from what we can tell so far, she wasn't without oxygen for long because everything is moving and working like it should) aside from the trauma of having a tracheostomy performed without sedation.
Thursday was also new asshole day. Farrah got a new one from Salil during signout because she neglected to do a couple of important things overnight. The two of them went at it for what seemed like an hour. She kept making excuses and he kept telling her to stop making excuses. The second asshole of the day went to Mirna courtesy of Dr. M. They got into an argument over when to give someone platelets and wasting valuable supplies and the like. Again, she kept trying to make excuses and Dr. M was just telling her she was wrong (which she was). I said to John that we should call the enterostomal therapist to take care of all these shiny new assholes.
I had a very nice dinner with Missy that night. It had been ages since the two of us had had a chance just to sit and talk for a while.
Friday was less crazy, thankfully. Meg and her friend Bethany had come in Thursday night and took Friday to go skiing out at Bristol. Chris has races all weekend but found some time to snowboard with them while they skied. I was going to go today but he had to be back there at 6:30, which is too early for me on a day off.
Anyway, I got my board scores in the mail yesterday. I passed. :)
I also got info about my peds ER elective that starts a week from Monday, so that's good. And I found out that Bode Miller is going to be at Bristol on April 1, which will be a day that I will ski on dirt if I have to, just so I can say I skied with Bode. :)
Tomorrow's the beginning of the end. I hope it goes mercifully fast.
Moment of Burrito: "If it's your limit, you can't exceed it; If you exceed it, it's not your limit." - Andrew Poon
Thursday was an interesting day. It started off with a bang. After signout, I was checking on my patients when I hear the chief on the vascular/transplant service being triple-paged overhead (something that is never a good sign). Then the code pager goes off (also something that is not a good sign). About five minutes later, someone calls asking for the bronchoscopy cart (need I say this isn't good?). Next, the overnight trauma resident calls up and asks for my chief to come down to the 5th floor. Then I hear the overnight charge nurse talking during morning report about a patient who's coming up from the fifth floor with a slash tracheostomy. Yes, it's as emergent as it sounds. The backstory is this woman required placement of an arteriovenous fistula for dialysis secondary to her end stage renal disease. Apparently she had been a difficult intubation at the time of surgery. When someone is difficult to intubate, it's a better idea to leave the patient intubated because you run the risk of airway swelling and spasm. This patient had been extubated and (reports differ on this) she had been experiencing stridor since she was extubated or starting at some point during the night. Regardless, her airway was becoming gradually compromised and eventually closed off and she stopped breathing. Fortunately, she is going to be ok (from what we can tell so far, she wasn't without oxygen for long because everything is moving and working like it should) aside from the trauma of having a tracheostomy performed without sedation.
Thursday was also new asshole day. Farrah got a new one from Salil during signout because she neglected to do a couple of important things overnight. The two of them went at it for what seemed like an hour. She kept making excuses and he kept telling her to stop making excuses. The second asshole of the day went to Mirna courtesy of Dr. M. They got into an argument over when to give someone platelets and wasting valuable supplies and the like. Again, she kept trying to make excuses and Dr. M was just telling her she was wrong (which she was). I said to John that we should call the enterostomal therapist to take care of all these shiny new assholes.
I had a very nice dinner with Missy that night. It had been ages since the two of us had had a chance just to sit and talk for a while.
Friday was less crazy, thankfully. Meg and her friend Bethany had come in Thursday night and took Friday to go skiing out at Bristol. Chris has races all weekend but found some time to snowboard with them while they skied. I was going to go today but he had to be back there at 6:30, which is too early for me on a day off.
Anyway, I got my board scores in the mail yesterday. I passed. :)
I also got info about my peds ER elective that starts a week from Monday, so that's good. And I found out that Bode Miller is going to be at Bristol on April 1, which will be a day that I will ski on dirt if I have to, just so I can say I skied with Bode. :)
Tomorrow's the beginning of the end. I hope it goes mercifully fast.
Moment of Burrito: "If it's your limit, you can't exceed it; If you exceed it, it's not your limit." - Andrew Poon