I LOVE

Working three 12-hour shifts in a row, getting home at 1 AM, dragging
my ass out of bed to make it to my 7:30 am PALS recertification...

And waiting outside the locked classroom door for 40 minutes. Man,
this class better not be cancelled.

Pet Peeves

I really hate when I'm in triage trying to talk to a patient, when not only is the patient's relative is refusing to let the patient speak for herself but is also loudly shoving potato chips in her maw as fast as she can.  And talking on the phone.

Another triage pet peeve is when people walk into the booth when I'm trying to triage someone and keep interrupting me. Like when the PA from fast track wants Motrin from my cabinet or wants me to put my code in the glucometer, and the fact that I'm inspecting a boil on someone's posterior be damned. Or worse, when my loud boss comes in and starts yammering at me about some kind of administrative crap. Or a tech stands outside the door and bitches loudly about her assignment. It's really disrespectful to the patient and it distracts them and makes the triage take longer.

What are some of you pet peeves?

Different Species, Same Crap

I had to take our dogs to the vet today--the little girl had some kind of eruption on her snout, like blisters or pustules, and it was very swollen; and the big old guy needed some tranquilizers because he's completely out of control during thunderstorms now.

So anyway, I'm sitting there, waiting to be called for my appointment, when an entire family walks in (all adults, no small kids) with their cat in a box. "What's the problem," the tech asks. "We need the doctor to look at our cat," the family says. "Have you ever been here before? Do you have an appointment?" asks the tech. No, and no, replies the family. What's wrong with the cat? Oh, it's not moving. At all. How old is it? There's some disagreement among the family members at this point; the cat is somewhere between 16 and 20 years old.

"Is it dead?" the tech asks. Nope, still breathing, but faintly.

They take the cat and family into a room where the vet, who is frantically racing around, pops in to look at the cat. I can hear him talking to them: "This cat is very weak and dehydrated; to save her life we would need to give her fluids and medicine and she would need to stay in the hospital for a few days. It would cost a lot. She's very very old, so perhaps your family should discuss what you think you'd like to do."

The family began to ask some questions: Yes, a hospital stay for a sick cat is pretty expensive. No, the vet doesn't take medicaid. Yes, the kitty is pretty far gone, maybe a day or so ago we could have caught the dehydration, but now it's kind of late.

Meanwhile, out in the waiting room, an elderly Russian lady who speaks almost no English is trying to establish whether the vet is old and Jewish, because god forbid a young goyisha maidel like the old Jewish vet's partner should care for her...what? She says a word in Russian over and over; it sounds like "ploofa." Finally she flaps her hands. A BIRD! Oh, and this Jewish vet, can he make a house call this Saturday? Because the birdcage is too big to carry. Also, the bird talks and sings. It's very nice bird! Can she please speak with the vet right now about it?

It was a very amusing visit. It felt like being at work, except that I wasn't! So we saw the vet and left with some clindamycin for the girl and some doggie thorazine for the boy. Thunder's a-rollin' in tonight...hope it works!

Summer...

I'm back from South America and enjoying the more temperate weather up here...winter in Buenos Aires is pretty cold!

I'll be posting soon...just enjoying not being ticked off right now!