Thursday, January 22, 2004
Cradle to the grave
It appears that spacefan is intent on driving re-minisce to an early grave...
**********
In other news - Today was scary, attending the induction course for my next A&E job. Slick, shining, spanking and cutting-edge -- with an anal-retentive obsessiveness for results, evidence-based medicine, and protocols.
Where I'm at now, it's a battlefield. The doctors and nurses are pragmatic. If it's broke, fix-it. If it hurts, magic-it-away. If it's too broke to fix and too painful to magic away, then get someone else to fix it.
After half of my induction course (to be continued tomorrow) I'm now rather unsettled - there are, apparently, Correct ways to fixit. Correct ways to magic-it-away -- not just correct in a common-sense, all-the-books-say-so way. Correct in a As Of Hospital Policy, you must do Step A.... through to Z way.
It's rather terrifying to hear about the PULSE technique for treating moderate asthma in children, for the first time after having gotten used to the gung-ho nebulise it, recheck Peak Flow, and if not getting better needs admission and refer to paeds approach we take here.
I'm not going in tomorrow, I've decided to stay where I'm at, and work my last days of Real World Medicine, and treasure them before I turn into a bookworm academic.
Also, C, the other oriental (but female) colleage where I'm at now, with the attractive hair and shoulders (but disturbing brain) helped me today by taking some hours off me so I could attend the course. I returned an hour late thanks to London Transport, full of resolve not to do this to her (or me!) again tomorrow.
So today I worked 8pm to midnight.
Tomorrow I work The Longest Day. 10am to midnight.
She fully expects me to be admitted on friday for exhaustion. whee.
*****
In other news, I forgot to mention in the article below - amidst the sound and fury of the resusc. attempt, amidst the myriad needles flashing into pulseless arteries, it wasn't the ortho SHO, or the surgical SHO who succeeded at the femoral stab. And it wasn't the medical SHO who picked up the cardiac output returning.
It was, for the first time ever, and much to his own surprise, Re-minisce. Yay me.
******
In yet other news, re-minisce has been pondering to vaya whether he writes these pages any differently now that he has a not-so silent audience. Because that would violate everything re-minisce believes in, and necessitate the closure of this blog.
Re-minisce doesn't think he does, reading his most recent comments. He still writes about the things that matter to him, in frightening med-speak, readers be damned.
He still writes about his (occasionally psychotic) thoughts and worries.
The things he writes here, he writes as he always has. A few select thoughts have been shifted elsewhere, more out of paranoia than anything else. Re-minisce is worried that somewhere, somehow someone who knows him In Real Life (IRL) will stumble across these pages.
Re-minisce is a very private person. About some things.
The rest, well devil-may-care.
And to the silent readers re-minisce has somehow acquired :
PISS OFF, THE LOT OF YOU! AND DON'T COME BACK!!!
heh heh heh. just kidding.
***********
In still other news, Re-minisce has wandered fleetingly along lines similar to marcelle's (see his post about Torches). His answer though, is a heartfelt
I don't know.
***********
end transmission.
It appears that spacefan is intent on driving re-minisce to an early grave...
**********
In other news - Today was scary, attending the induction course for my next A&E job. Slick, shining, spanking and cutting-edge -- with an anal-retentive obsessiveness for results, evidence-based medicine, and protocols.
Where I'm at now, it's a battlefield. The doctors and nurses are pragmatic. If it's broke, fix-it. If it hurts, magic-it-away. If it's too broke to fix and too painful to magic away, then get someone else to fix it.
After half of my induction course (to be continued tomorrow) I'm now rather unsettled - there are, apparently, Correct ways to fixit. Correct ways to magic-it-away -- not just correct in a common-sense, all-the-books-say-so way. Correct in a As Of Hospital Policy, you must do Step A.... through to Z way.
It's rather terrifying to hear about the PULSE technique for treating moderate asthma in children, for the first time after having gotten used to the gung-ho nebulise it, recheck Peak Flow, and if not getting better needs admission and refer to paeds approach we take here.
I'm not going in tomorrow, I've decided to stay where I'm at, and work my last days of Real World Medicine, and treasure them before I turn into a bookworm academic.
Also, C, the other oriental (but female) colleage where I'm at now, with the attractive hair and shoulders (but disturbing brain) helped me today by taking some hours off me so I could attend the course. I returned an hour late thanks to London Transport, full of resolve not to do this to her (or me!) again tomorrow.
So today I worked 8pm to midnight.
Tomorrow I work The Longest Day. 10am to midnight.
She fully expects me to be admitted on friday for exhaustion. whee.
*****
In other news, I forgot to mention in the article below - amidst the sound and fury of the resusc. attempt, amidst the myriad needles flashing into pulseless arteries, it wasn't the ortho SHO, or the surgical SHO who succeeded at the femoral stab. And it wasn't the medical SHO who picked up the cardiac output returning.
It was, for the first time ever, and much to his own surprise, Re-minisce. Yay me.
******
In yet other news, re-minisce has been pondering to vaya whether he writes these pages any differently now that he has a not-so silent audience. Because that would violate everything re-minisce believes in, and necessitate the closure of this blog.
Re-minisce doesn't think he does, reading his most recent comments. He still writes about the things that matter to him, in frightening med-speak, readers be damned.
He still writes about his (occasionally psychotic) thoughts and worries.
The things he writes here, he writes as he always has. A few select thoughts have been shifted elsewhere, more out of paranoia than anything else. Re-minisce is worried that somewhere, somehow someone who knows him In Real Life (IRL) will stumble across these pages.
Re-minisce is a very private person. About some things.
The rest, well devil-may-care.
And to the silent readers re-minisce has somehow acquired :
PISS OFF, THE LOT OF YOU! AND DON'T COME BACK!!!
heh heh heh. just kidding.
***********
In still other news, Re-minisce has wandered fleetingly along lines similar to marcelle's (see his post about Torches). His answer though, is a heartfelt
I don't know.
***********
end transmission.
