Tweet Archive: Yesterday's Hospitalist Rounds

As a lone hospitalist, I find solace reaching out to my online colleagues. Yesterday, as I tackled the challenges of the rural hospitalist's life, I updated my progress (and lack thereof) on Twitter. Here's a sequence of tweets, demonstrating the arc of a day at my hospital:

Good morning. Going to be one of those days.
Getting ready for hospital.
At hospital, annoyed already.
Primigravida walked in complete. Pushed for 90 minutes, had a nice baby boy. Now I'm WAY behind on rounds and ER has 2 admits. Sigh.
Telling myself: This is all do-able.
Got one of those caffeine deficiency headaches.
Admission for intractable back pain MINUS radiculopathic signs MINUS cauda equina s/s = B.S.
On a more positive note, got pt extubated today and discharged severely hyperkalemic pt from a few days ago.
Gotta grab the glory when you can.
Trying to kick up my energy for lightning rounds, otherwise I"m never going to get out of here today.
I'm missing the Doctor Anonymous Show because of a major clusterf**k on Med Surg.

Haven't had a gnarly day like this in a while, so I should stop grousing about it already.

2 discharges, 2 admits, one birth, one extubation, one clusterfart intubation on med/surg, surgeons fighting with anesthesiologists.

Surgeons throwing fits and intubating AWAKE pts on med/surg without respiratory therapy present, putting me in role of ET suctioner.

Various pts patiently languishing on Med/Surg, wondering where the hell the doctor is.

Other docs playing my-specialty-pisses-on-your-specialty, and dragging hospitalist into the middle of it all.

Orthopod operating on a woman's wrist, then consulting us because "she looks malignant." She has no known comorbidities.

No breakfast, late lunch, no dinner yet, caffeine headache (resolved), career crisis (unresolved). No blog post written for tomorrow.

Home. Miraculous.

And, this is not my worst day on record. I am obviously turning into a whiner and a wimp as the years go by.

I love my avatar; she always looks the same, no matter what is happening.

Comments

[Robin]

Sounds like you could use a hug...or maybe a good masseur or masseuse...uh, spa? Drink? Chaise lounge with...[insert whatever you want]... good book?

Hey, go read Kevinmd's latest post. That'll perk you up. ;)

Robin