Monday, November 7, 2011

How a Bad Day Starts

Having returned from vacation, and then a week of no shifts, I climbed into my car not even thinking about the state of the gas tank. The car is kind of a POS and the gas gauge does not work in any way - it always reads full without fail.

Anyway, I made it most of the way to work before the car started sputtering and cut out. It recovered long enough (who knows how) for me to pull into a parking lot, and died as it coasted into the parking spot. UGH. Luckily I had left myself plenty of time to get to work and luckily it wasn't too freezing cold. So I walked the rest of the way to work. I wasn't even late.

My first day back and I was in the emergency room. What an absolute nightmare. Multiple intubations, BiPap, PFTs!? (yes, we rarely do bedside spirometry but in the midst of the chaos the ER doctor insists on bedside spirometry for a patient that we have absolutely no baseline for). Epic. Then a doctor let my student put a nasal airway into an unconscious patient before we intubated. Massive nosebleed. Brilliant.

Today was my second day back and it was a coaster. I had one patient all day - a moderately high maintenance trach patient with an anoxic brain injury from an OD years ago. I passed him to the wards staff member before shift change and was able to pass on a clean slate - something I really enjoy.

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