Some days are simply endless. The only way is to begin at one end of the hospital and slug your way through. And tweet as you go.
ruraldoctoring Sometimes I answer so many questions about patients BEFORE I see them that I begin to think I have ALREADY seen them when I haven't. ruraldoctoring Withdrawing care from ICU pt. A very loving and reasonable family. We'll see how pt does, but no reintubation planned. ruraldoctoring All comfort measures, obviously. ruraldoctoring 4:15pm and only 8/17 patients seen. This is not good.
ruraldoctoring In search of V/Q scan results. ruraldoctoring Still no V/Q scan report. Going to round on my rocks. ruraldoctoring (Rocks=affectionate term for pts who have been here a long time or are going to be here a long time. c.f. "rock garden") ruraldoctoring V/Q scan normal, now I've seen 11/17. Not a statistic I am particularly proud of. ruraldoctoring My feet hurt even though I'm wearing my unsexy Z-coil shoes.
ruraldoctoring I just met a woman whose neck is wider than the circumference of her head around the temples. This should be diagnostic of sleep apnea. ruraldoctoring 6:20pm, only 12/17 patients seen and I still have to talk to ESLD pt about hospice. ruraldoctoring Winter must be coming, this is the kind of hospitalist service that comes with falling leaves and fallow land. ruraldoctoring Finished take-out sushi dinner. I feel semi-human again.
ruraldoctoring Problem with being at hospital this long is it almost becomes easier to stay than to try to go home. I remember same during residency. ruraldoctoring 16/17 patients seen by 7:53pm, however still only 12/17 notes. ruraldoctoring From the Patently Obvious Department: alcohol is a terrible drug and the disease burden it causes on the healthcare system is overwhelming. ruraldoctoring 14/17 notes written, 16/17 patients seen, despair has converted to resignation. ruraldoctoring 16/17 patients seen AND notes written. One more to go and I have to dictate, bill, and pack up my mobile office. ruraldoctoring The truly depressing thing is, I have to be back tomorrow morning and it is already bedtime.
ruraldoctoring I have to suck it up. This is what it is going to be like from now until Groundhog Day. ruraldoctoring Guess where I am? Still at hospital! HAHAHAHAHA! ruraldoctoring 10:10pm 17/17 pts seen, notes written, going home.
Keeping track of my day, and saving the tweets, helps me remember one essential medical truism: It Could Be Worse.