I'm on call this Friday... anyone else stuck in the hospital?

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Working the overnight, boss. As I prefer. Just don't prefer Fridays and Saturdays.

You gonna be in Orlando, by any chance?
 
jpgreer13 said:
Working the overnight, boss. As I prefer. Just don't prefer Fridays and Saturdays.

You gonna be in Orlando, by any chance?

I'm guessing you're in the ED, as you alluded to night shifts. But how are you on the internet in the ED? I'm on MICU, house officer and admissions call (q4), so I have lots o' free time on my hands......................

BTW, did you know McDonald's has "healthy happy meals" for adults? The "toy" is instead a "pedometer" so I put it on to see how many steps I'm going to walk tonight. Hopig to break 2 miles.

Q, DO
 
doing the solo er overnight shift on the west coast....hopefully it will be a reasonable shift.....
 
emedpa said:
doing the solo er overnight shift on the west coast....hopefully it will be a reasonable shift.....

Woah! Its 10:00 here but only SIXXXXXXXXXXXX there. Crazy! Muhahaha! My night is almost over!

Q, DO
 
Because our ED is for some reason ridiculously slow and overstaffed tonight. I cannot explain it, but we actually had a 2.5 hour period at the beginning of my night shift where no patients checked in.
 
thanks for reminding me Q....
gotta love those 12 hr overnight shifts in small e.d.'s...one minute nothing, next minute 3 critical trauma pts arriving by private vehicle......
well, at least on some shifts here I get to sleep on the clock(not often though....)
 
I'm in the ED babysitting some drunks. just 3.5 hours until I get to sleep. *yawn*
 
*yawn*

Just woke up.................... mmm answering floor calls every 20 minutes. Hope I said the right answer to all of them, as I'm pretty groggy for a few minutes after I wake up.

Atleast I didn't get called for any MICU admissions.

Time to go round.

I hate rounding.

I love EM.

Q, DO
 
southerndoc said:
Did your case of Montezuma's revene, Tennessee trots, or whatever the name du jour is ever resolve? :laugh:

Yeah, never came back. Just had those three episodes of the squirts. Not sure if it was food or perhaps a little lactose intolerance (asians have a high percentage of it, but I'm only half asian so I'm hoping it cuts my incidence in half). But that root beer float was so yummy.

Q, DO
 
Tonight, I (had a dream I) had a gentleman come in with law enforcement, a 27 year old African American gentleman with giant dreadlocks and numerous piercings in each lip and a big tongue stud. He had been picked up for assault charges, and the police called him by his name. He told the police, "That's not my name. You will call me THE BEASTMASTER!" And then he threatened a cop with an 18 inch shard of glass.

So the cops bring this guy in shackled on a board. With him comes his bag, full of things like random unidentified pills, condoms, animal vaccines, and Polaroids of him lying on the ground (and doing God knows what) with various animals, such as pigs. The Beastmaster has apparently been fighting with his girlfriend, and had been drinking, smoking crack, and taking handfuls of whatever pills he could find for two days. So our senior resident tells him he's going to have to drink some charcoal for us. The Beastmaster informs us there's no f'ing way he's going to do that when he was trying to kill himself in the first place. So we tell him then we'll put a tube down his throat and do it the hard way, and he says, "Just try it." And then he sits up and starts taking swings at the staff.

This is clearly a bad idea.

The cops quickly jump on every limb, and our senior resident (who graduated from the Air Force Academy and wrestled for years) slaps him in a headlock and takes him down. The Beastmaster actually manages to bite said resident, who puts an elbow in the Beastmaster's larynx as a friendly reminder to please not do that again, and he calls out for 150 of succinylcholine while I whistle to myself and roll the airway cart up the hallway.

And we blast this asshat with 150 milligrams of sux without sedation. Whoops. Must've overlooked that momentarily. So he gets a giant full body cramp, and then gets to experience the sensation of being fully alert but unable to move or breathe while I intubate him. After the tube's in, then we start the Diprivan drip. But not before, oh no.

I just thought I'd share that.
 
jpgreer13 said:
And we blast this asshat with 150 milligrams of sux without sedation. Whoops. Must've overlooked that momentarily. So he gets a giant full body cramp, and then gets to experience the sensation of being fully alert but unable to move or breathe while I intubate him. After the tube's in, then we start the Diprivan drip. But not before, oh no.

JP, great story, but you might want to remove your program affiliation from your signature and profile before you post something like that.

Remember, we have pro-medical malpractice attorneys (like juddson) perusing these boards.
 
southerndoc said:
JP, great story, but you might want to remove your program affiliation from your signature and profile before you post something like that.

Remember, we have pro-medical malpractice attorneys (like juddson) perusing these boards.

Woah! Read it now! It looks like his story is safe. Crazy!

Strong work JPG.

DIdn't have anything remotely as fun as yours. Had a 36 year old woman with infiltrative lymphoepithelioma (had to look it up myself) metastatic to the breasts (her breasts look like tortoise shells) who coded 4 days ago for one hour, RSC and A+Ox3 shortly after... but for some reason they put an art line in her right femoral. Next day, on the ventilator, she wakes up with R foot pain. Turns out her foot is turnin' blue. So they x-fer her over to us.

Actually, that was all the news I had last night. All was quiet on the western front (needless to say, I got a lot of my emails caught up and made a nice dinner reservation for tonight).

Q, DO
 
Friday night and as usual I'm running all night trying to keep up. Posting that no one checks in for 2.5 hours just rubs it in. Anyway at least I learned a few new things from my patients (see our old favorite thread)
 
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