Whoa... I'm posting
I haven't posted anything in a LONG while. I'd like to start trying to do this more often. Maybe reach out and not feel so completely alone down here.
I was watching the MTV Movie awards Sunday. The whole time I was wondering if I was too old for MTV. At least the first have the show. For the second half the show I was pretty sure I wasn't too old. It seems like the same people were on and presenting and WINNING as were back when I was in high school OVER TEN YEARS AGO! Go Will Smith and Johnny Depp. And they had a Wayne's World skit... Wayne's World, Wayne's World, party time, excellent!
I have nearly been working for a whole year. One more week and I'll have been at my job for a whole year. I feel pretty excited for myself. I have had complaints here and there but I love my bosses which I think is the most important... I like most of our staff, most of the time... I like most of my patients, and most of my patients really like me. I've already posted all that.
I had a rough day today. I had this patient that just made me very sad. He was something like 59 years old I think. New patient, never been in our office before. My medical assistants checked his pressure and got 180/100, he said he had been out of his medicine for two days. His EKG was abnormal, suggesting enlargement of his heart and maybe some areas of poor blood flow. I went and start talking to him and he had been in the hospital earlier this year for his pressure. He was telling me how he walks and walks all day long looking for a job, and all he wants to do is work because only his wife is working. Even though his pressure is so high he denies any symptoms of heart problems like chest pain or headache. He keeps saying, "No maam". I re-check his pressure and I am getting it like 240/130... I don't believe that so I take him to another exam room and another BP cuff. And I'm still getting like 230/130 (normal is 120/80 and these numbers are excessively high). I tell him the best thing to do would be to go to the hospital and he starts crying. How he doesn't want to go to the hospital because he will keep him for a long time, and then he can't work. It was just so sad. I get him calmed down. Decide to keep him in the office, give him some fast acting BP med. After some time, the BP is still elevated. VERY HIGH. He has told me how his aunt died suddenly of heart disease and his sister just had open heart surgery. He is so scared. But he's not very educated. I'm not sure if he had altered mental status because of his BP or just uneducated and very scared. We ended walking him to the ER next to our office to make sure he got over there. I told him I want him to come back to our office as soon as they let him out. I hope he comes back.
He just made me so sad. I have plenty of patients who know and understand the risks of high blood pressure and just don't care... but this guy just is so scared and just wanted to work for his family. He was so uneducated he couldn't fill out his paperwork. His wife came and filled out his paperwork and left him...
I guess you get used to this after years and years... but it broke my heart.
Wedding stuff is same old same old. I'm so excited and really want to get married and it's going to be great. And, all the important planning is more or less done. But, people are STRESSING me out. People = mother.
I was watching the MTV Movie awards Sunday. The whole time I was wondering if I was too old for MTV. At least the first have the show. For the second half the show I was pretty sure I wasn't too old. It seems like the same people were on and presenting and WINNING as were back when I was in high school OVER TEN YEARS AGO! Go Will Smith and Johnny Depp. And they had a Wayne's World skit... Wayne's World, Wayne's World, party time, excellent!
I have nearly been working for a whole year. One more week and I'll have been at my job for a whole year. I feel pretty excited for myself. I have had complaints here and there but I love my bosses which I think is the most important... I like most of our staff, most of the time... I like most of my patients, and most of my patients really like me. I've already posted all that.
I had a rough day today. I had this patient that just made me very sad. He was something like 59 years old I think. New patient, never been in our office before. My medical assistants checked his pressure and got 180/100, he said he had been out of his medicine for two days. His EKG was abnormal, suggesting enlargement of his heart and maybe some areas of poor blood flow. I went and start talking to him and he had been in the hospital earlier this year for his pressure. He was telling me how he walks and walks all day long looking for a job, and all he wants to do is work because only his wife is working. Even though his pressure is so high he denies any symptoms of heart problems like chest pain or headache. He keeps saying, "No maam". I re-check his pressure and I am getting it like 240/130... I don't believe that so I take him to another exam room and another BP cuff. And I'm still getting like 230/130 (normal is 120/80 and these numbers are excessively high). I tell him the best thing to do would be to go to the hospital and he starts crying. How he doesn't want to go to the hospital because he will keep him for a long time, and then he can't work. It was just so sad. I get him calmed down. Decide to keep him in the office, give him some fast acting BP med. After some time, the BP is still elevated. VERY HIGH. He has told me how his aunt died suddenly of heart disease and his sister just had open heart surgery. He is so scared. But he's not very educated. I'm not sure if he had altered mental status because of his BP or just uneducated and very scared. We ended walking him to the ER next to our office to make sure he got over there. I told him I want him to come back to our office as soon as they let him out. I hope he comes back.
He just made me so sad. I have plenty of patients who know and understand the risks of high blood pressure and just don't care... but this guy just is so scared and just wanted to work for his family. He was so uneducated he couldn't fill out his paperwork. His wife came and filled out his paperwork and left him...
I guess you get used to this after years and years... but it broke my heart.
Wedding stuff is same old same old. I'm so excited and really want to get married and it's going to be great. And, all the important planning is more or less done. But, people are STRESSING me out. People = mother.