What a crazy week! I'm still swimming, but it seems that the water is rising rather quickly! Forgive the rambling nature of this post, but try to remember that it is coming from someone who tried to put deodorant on her toothbrush this morning! Where is my brain? Often a "short" work week in our office means a couple of long days to play catch up. I'm not sure what it is about some patients, but they seem to really lose it if they are unable to talk to someone in the office for more than two days. I got paged all day long on Labor Day for insignificant minutiae that totally could have waited one more day. Maybe I'm just being bitter again, but I would just never page a physician at home on a holiday at 10 pm to talk about my "constipation" (once every other day, for the curious) woes. It truly boggles my mind. Maybe it is DMS, but people have really annoyed me all week long!
The week started on a high note with the win that FSU eked out over Miami. Neither school looked stellar, and I dread the coming season with our "offensive" coordinator at the helm. Of course, I stayed up way too late to watch the whole thing, overslept, and was almost an hour late rounding and getting to the office. From there I was jam-packed with patients all day long on Tuesday. I never stopped moving between the hours of 8 am and 7 pm. I'm not sure how it works in other private OB/GYN offices, but I know that seeing 40 patients in a day is almost more than I can handle. My partner sees twice as many some days (and his patients end up waiting 3 hours in the waiting room), and I have no idea how he pulls this off. He must not chart at all. My little one played in the office with my nurse while I finished charting. Poor thing, I hope she doesn't grow up feeling neglected. Tuesday night was spent dictating pre-op charts. I think that I put some laundry in the washer Tuesday night.
Wednesday was a big day in the operating room. Two hysterectomies and two c-sections. Talk about swinging between the extremes of a woman's life! I lucked out and got another physician to assist me on the (rather difficult) hysterectomies. It makes all the difference in the world to have an experienced assistant. On the first section, once the baby was out and the student and I were repairing the uterus; we noticed a bizarre hematoma on the top of the uterine fundus, well away from the incison site. It expanded to about the width and breadth of an adult thumb and then spontaneously ruptured and bled like crazy! We eventually got it stitched up and hemostatic, but it was like nothing I had seen before. My second section was for pre-ecclampsia and frank breech presentation. The patient and her family are extremely nice. She also happens to work in the hospital, and her family member is on the hospital board, so no pressure there! We actually had to do the surgery a week earlier than planned because of her worsening symptoms. Her pressures really never got much above 150s/90s, but her standard pressures are 90s/50s so it was a significant elevation for her. Luckily the early baby (a girl) had fantastic lungs and never had a bit of trouble with the transition from womb to world. In retrospect, Wednesday was a pretty good day, but ever so exhausting.
Thursday clinic was more of the same left over from Tuesday. If I have one more pelvic pain patient come to me with codeine, aspirin, and Tylenol (ha!) allergies, I am going to scream. I have only been here a year, so I know that I am considered "fresh meat" for the pain seekers. You can pull up these patients' med records on the hospital computer system and see dozens of ER visits for vague "pain" related issues. Thousands of dollars are wasted on unnecessary work-ups on these people, not to mention all of the wasted time and personnel, going through the motions with these leeches when there are honest-to-goodness *sick* people to be seen and attended. What they don't know is that I *so* was not born yesterday, and I do not play the narcotics game. At all. The strongest pain med they get from me is Naprosyn (prescription strength Alleve). If they require more than Naprosyn, then I offer them exploratory surgery. One of the patients actually exclaimed to my nurse as she was checking out, "Naprosyn? That's it?" It is unbelievable the things these people will pull to get narcotics. What is even worse is that some docs hand them out like candy. Can you tell this is a hot-button issue for me? It makes my blood absolutely boil, and I had more than my share of them this week.
I found the mildew-y laundry, still in the washer, this morning when I was frantically looking for underwear. My house is a sty, and the cleaning babes just came on Tuesday! I had a "short day" in the office, my last patient left at 2 pm. I spent the hours between 2 and 4:30 catching up on office charts and sorting through labs. I am on the bad girl list for discharge summary dictations, so I have to get those done this weekend or I can't schedule any more surgery. This weekend I also have to find, not one, but TWO different formal dresses for upcoming back-to-back "black-tie optional" evening weddings that will cover my gargantuan ass. In Mountainville, USA, where "High Fashion" is found at the local Elder-Beerman. I can't wear the same dress to both because the weddings are in the same circle of friends, and everyone will be at both weddings. Don't even get me started on the size of my ass. Exercise has become a four-letter word and my husband and I have both been "off the wagon" all week long. I shudder to think about what my cholesterol and blood pressure are doing at this very minute. I had to cancel my appointment with my own doctor because I have too many patients of my own to see on the day that I had scheduled. In a way, I am glad, prolonging the inevitable. You could say that I'm stressed. Thus, I am going to spend tonight stretched out on the couch.....after I start the laundry for the 3rd time this week. So how was *your* week? Are you up to the challenge? ;)Hopefully a little sleep will chase these grumpy demons from my psyche and I'll be fun and interesting again soon! Good night, 3 readers of mine!