Friday, 05 June 2009

• phravincegrl blogs for the next 10 days-DAY 1

  I think i can do it. Blog for 10 days? I just get so lazy but now that I said it, I have to do it.
  Today I scribed for Dr. P. This is what I learned today:
  
  THE NICER YOU ARE, THE CRAPPIER YOUR LIFE WILL GET.
  
  - This is true in the cases of the Doctors that work in the ED. Today, I had a patient that had an O2 sat of 90% when he came into the hospital, after his examination and while waiting for several tests to be complete, his O2 sat was around 50%. That is extremely hypoxic. He was a very kind, gentle looking old man with a very nice wife. He was a very cooperative patient. He would even stress to the nurse to inform the Doctor that he is taking his medications as directed in time. No complaints other than his problem...
  He came in because whenever he laid down, he felt as if he was suffocating. He struggled to get air. Obviously, something pulmonary related and we ordered several tests including X-rays, CTs, you name it. THe doctor found nodules in his lungs... and prior to coming to the ER, he had suffered from kidney cancer and actually had one of his kidneys removed.
  The cancer had spread to his lungs...
  
  - On the other end of the table, we have this lady that kept complaining about pain and frequently visits the hospital. She refused to take the Norco... she wanted something else for her pain... (GAH we get so many of these, some people just need to lay off the drugs!) We were trying to discharge her because there was nothing the ER could do for her besides give her Norco but my doctor refused to give her even more pain medicine to feed her addictive thirst. She has a history of MS, multiple sclerosis (a disease involving the loss of the myelin sheath in your nerves). She complained she was having an MS attack and couldn't walk. She refused to leave the ED. She said "what am I suppose to do after I get out of a car, crawl to the house on my elbows?" then she started wiggling her elbows and I was just laughing so much in my head. omgoodness lady! get a grip! Anyways, such a difficult patient, we had to get someone from GI (cuz she was complaining about abdominal pain) to come and tell her specifically there was nothing we could do for her. Gah... so how in the world did she get to the hospital if she was having an MS attack?... she drove. yeah. she drove. but can't drive home...
  ADDICTS. nothing is wrong with you! go home. there are really really nice ppl dying of cancer. why would anyone want to stay in the hospital? it can be a sad/depressing place.
  
  TWO MOST INTERESTING PATIENTS TODAY
  - Schizo guy who stole his mom's car to drive to the ER,who frequently visits btw, came out of his bedroom today drooling and refusing to leave the ED when we found nothing wrong with him. He just keeps complaining that he can't breath when everything else shows he is fine.
  
  -blind lady since birth. came in for suicidal fixation. it was a sad case. she had her right eye removed and she was like, "you want me to take it out?" while she was reaching inside her eye.
  man i kinda wanted her to take it out but the doctor was like, "NO!! no..that's not necessary"
  
  ~sigh. everyone left this weekend. I want to go to the valley and be with everyone mourning for the loss of a friend, Victor Baca. It's been a depressing week. Unfortunately, I can't go and I'm leaving to california tmw...just one more day. I'm alone again... in this home... but like my Dad always says whenever I tell him I'm alone, "don't worry, you have a friend. 'brother Jess'"
  
  lol i miss my dad. yayyy i see him tmw :)

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