Having worked 11 shifts in the last 2 weeks at my little rural hospital, including Sun and Mon which were $h!t*y shifts full of status chronicus patients and mega trolls, I was starting to get a little crispy. Today was a complete reversal, acutely ill people in need of truly emergent intervention. Flagrant sepsis in an HD player who had skipped dialysis over the weekend thus was also volume overloaded and hyperK, giant stroke in a 55yo who got lysed, hot CP, 5yo who an aspirated FB with intermittent stridor. It was so gratifying to be there, and actually HELP someone. And not the "I need a work note, or I'll get fired" help or "someone stole my percocet/xanax/soma/methadone" help. True, life altering, life saving help. No other field routinely gets the opportunity to do that, and for that reason, I love what I do and am pretty sure I always will.
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