21 July 2006

Real Time Blogging from the ER

18:05 shift starts and all I have to start off with is three domestic violence screenings. In the process though I meet a very friendly third year med student.
18:30 checking the board for patients when a dr. comes and shows me a right wrist fracture on x-ray
19:30 finally consented a man for the cardiac study after trying to wake him for half an hour. Had to bang on the bed and even then he kept falling asleep in the middle of sentences. Chronic cocaine abuse, but seems to think quick highly of himself. Seems to think I would be fawning all over him if I'd met him in the hospital..hah!
19:50 dr. showed me cardiac man's EKG, unremarkable.
20:02 finally get to sit down for a minute to eat the food we ordered. Chicken kabobs with pita and tabolae salad.
20:25 processed cardiac man's bloods. Got 26 crio vials from the four tubes, takes about an hr to get through.
21:30 another round of domestic violence screenings to do...I've got seven so far, that's how many you generally get in a whole shift. This time I did one with the docs in the room on a 17 yr old pregnant girl. She's not the youngest pregnant I've seen either, record sits at 15.
21:41 Sophie whips out the MnMs - she's always got goodies :)
22:00 cardiac man is asking for even more juice (carton #6?) and is now claiming to be a singer/songwriter/politician/filmaker. Annoyed that dr won't give him Percocet so asking for a new dr. No doctor here will prescribe it (note in his file) so med student pretends to be a second opinion and denies him Percocet.
22:30 doing a domestic violence screening while playing swords with a woman's son. Apparently McDonalds now has inflatible swords for Pirates of the Carribean.
22:40 played patient advocate for some patients whose nurses had gotten busy; it's one of the side jobs, being able to help people by making sure they get the attention they need.
22:45 trauma alert went off for an incoming assault victim. ETA, less than 5 mins.
23:30 assault was pretty nasty - hit with bricks and planks by multiple assailants while trying to protect his father. Swollen and cut all over, still in his collar.
23:35 cardiac man is being transferred to a rehab facility because "to have a serious music career you really have to be clean. It's the Beatles, they brought all the drugs to the music. That's why they killed John Lennon, they were afraid people would follow him over the President."
23:55 wrapping up the paperwork and cleaning up the desk. Quick chat with the med students (they're pretty and have more time to be social). Should be out of here on time tonight, which will be a welcome change

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