Sunday, March 23, 2008

Things I've learned while on trauma call

1. Don't ride on a motorcycle on an interstate going 80mph while standing on the seat
2. Don't attack a police officer with nunchuks
3. don't let a priaprism last more than 24 hours before you get medical care
4. don't get shot (this covers the majority of our traumas)
5. being in a gang will cause #4. Don't join a gang.
6. if you are drunk, it's probably a bad idea to try and drive your car through a house
7. crashing your motorcycle and then getting hit by a car afterwards, may cause your arm to get torn off
8. don't go near a rotating airplane propeller
9. don't ride on an ATV
10. If you are too young to drive and don't know how to drive, don't take the parents' car out for a joyride with friends.
11. Getting a speeding ticket is a better alternative than shooting yourself in the head to avoid one. 6 people now have new organs thanks to that guy.

Saturday, March 08, 2008

I'm back!

Argh...not much to blog about.

Last week when I was doing kids' anesthesia, a little 5 year old girl woke up in the middle of my case and started screaming. Scared the daylights out of me. I've never had that happen, and she was on more than enough anesthetic so I don't know how on earth she woke up. Anyway, so far she doesn't remember anything. I feel so bad about it. She's already got cancer and I may have now caused her to get PTSD.

I caved this week and ate chips and queso this week (one of my lent sacrifices). Still doing okay on the sweets though.

I was on call last night. An entertaining night. I did anesthesia for a poor guy with a priaprism. (Robyn will like that one). The surgeons drained his penis but it doesn't appear to have worked, so today he was going to have a Quackles Procedure. Just the sound of that makes me laugh. Quackles Procedure. I kept saying it over and over last night.

I didn't go to bed until 4am. My other case was a prisoner who was set to go on trial for murder yesterday so he decided to hoard his medications and take them all at once. Unfortunately, he passed out on his arms and gave himself a bad case of compartment syndrome so he had to have bilateral arm fasciotomies. Sucks to be him. Then again, if he hadn't killed someone, he wouldn't have been in prison, and he would not have wanted to kill himself. So there you go. It's his fault.

I put in a central line in him last night and had a lot of trouble getting it in. When I finally got a look at the chest film, what was supposed to be a right subclavian line crossed over and went all the way into his left subclavian. That was odd. Had to stay up and fix it, which was why I went to bed at 4am. Fortunately, I did not hit his lung.

And the last of my news....I bought some new Merrells tonight. They are chocolate brown suede lined with some kind of wooly-fleece which surrounds my feet in snuggly softness. I'm on call tomorrow and I can't wait to wear them!