Monday, February 25, 2008

Smug and proud of it.

At the risk of sounding extremely smug and self-satisfied, I have to tell you that I had a very productive Saturday morning this past weekend. Alas, I happened to be on-call, and there were several patients at different hospitals that needed to be seen, in addition to new consults and procedures to be done.

Nevertheless, before 11:00 AM, I was able to:

-Wake up at 6:45 AM. (Come on! Remember that this was a SATURDAY... this should be considered a major achievement already!!!!)

-See a trauma consult for a bladder rupture and meatal stenosis (tightness at the opening of the urethra, making insertion of a foley catheter impossible). I reviewed the CT scan, evaluated the patient, dilated his urethra (some might say 'tortured with barbaric instruments") and placed a foley. Thankfully the ICU nurse was kind enough to give the patient ample amounts of morphine and versed.

-Round on the patients at that hospital and write semi-legible notes and orders.

-"Speak" to a Russian-only speaking inpatient. Through a combination of slow english, bad russian (from my residency days), miming, facial and body contortions, I was able to make myself understood. I discharged her from the hospital and arranged for follow-up with my partner. (at last, those acting classes taken during high school extracurricular activities are finally paying off!!!!)

-Crush and stamp out a painful kidney stone via a ureteroscopy with holmium laser lithotripsy in the OR.

-Eat a banana and drink a latte in under 2 minutes flat while driving over to a second hospital.

-See a fresh post-op patient in the ICU of above mentioned hospital.

-Rush over to a third hospital whilst avoiding any speeding tickets to see a couple more patients. Wrote illegible chicken scratch notes. Spoke to many nurses. Resisted the temptation to nibble at the most enticing chocolate-frosted donut in the staff lounge. (Probably the proudest achievement of my day)

-Stop by my favorite frozen yogurt place for THE most amazing honey frozen yogurt. Tart, just slightly sweet with a hint of honey, and fat-free!!! This is a weekly saturday pit stop, whether I'm on call or not.

-Returned home to kiss my dogs, cat and hubby. (in that order!)

5 comments:

rlbates said...

And you should be (smug that is)! Please, submit this to SurgeXperiences (http://surgexperiences.wordpress.com/)

Anonymous said...

Congratulations!
It is the main task to be smud. Seriously.
Atis

The Barber Bunch said...

Great site. Keep up the good work!

Carolyn

SeaSpray said...

Wow...that was productive!Feels good when everything gets done.

Three hospitals? You are a busy Keagirl! :)

Tim said...

The first part of your post left me in sympathetic pain. Ouch!