Sleepover

Just returned from the sleepover. Thanks so much to Josie for hosting! We all had a great time and missed those that couldn't make it. We ate, and ate, and ate some more. We played games, gossiped, and watched a movie into the early hours of the morning. There were also a few sleepover pranks...

unique proposal

I thought this was pretty cool.

nightfloating...

so I'm at the designated Admit/Nightfloat computer tonight, right next to x2058. Listening to pandora.com and some Jack Johnson. Tonight hasn't been so bad. No admissions yet, and instead of doing a 9p-7a ED shift, I'm only needing to cover Renee's NF for 7 hours. Poor Kensho got jeopardized to cover my ED shift since they didn't want a PL-2 doing NF. How ironic if I don't admit a single patient tonight while he's seeing the "crying all night" patients at 4 in the morning. Summit's got 2 open beds, and I'm hoping for the best.


Funny Picture of the Day

In honor of Tony's new toy. Sideburns!

In the theme of CPS

Part of me says way out of line. Part of me says totally hilarious

Purple Team is lame. Orange Team wins

Based on the sheer number of CPS cases (SEVEN) we've taken care of this month We win.
My res intern story of the day. 100+ KILO boy is FOS. I order miralax. The nurse pages me at 1230.

Hey did you guys know he hasn't pooped for a week? extreme panic in her voice
Yes I am quite aware; that is why I ordered the miralax.
Yeah but he is refusing the miralax.
Well make him take it.
He won't he is refusing, what are we going to do!!!!!! (hands wringing) MAJOR EMERGENCY
Well here are the options. If you can find his butthole you can give him an enema or I can have you drop an nasogastric tube and give him mag but you will probably get a black eye for your troubles. You tell me what you want to do.... I hang up

Later that day I learn she got him to take the miralax HAHAHAHAHA

Res-tern Life

Yes, I agree with Renee. Orange team is a bunch of slackers. Purple team only dreams of becoming slackers like Orange because we are admitting machines. On top of that, kids love coming back to us a few days after they are discharged.

Nursing highlight of the night: Obese teenage boy with left leg cellulitis also has tinea pedis. Clotrimizole is ordered. Later, nurse pages purple pager. "You ordered clotrimizole, but didn't specify where to put the cream. Could you please clarify the order." Purple res-tern says he'll look into it. Upon reviewing the order, purple res-tern notices purple intern typed "apply to fungal rash on feet" in the order. He goes up to the nursing station to tell nurse, but on the way up he decides to stop by the patient's room and discovers that clotrimizole is smothered all over the area of cellulitis on the patient's leg (medial thigh). Purple res-tern wanted to squirt clotrimizole in nurse's eye because he thought she was blinded by tinea ophthalmis.

EQ3 Chairs

The Cerrito Speakeasy is selling those nice EQ3 Scuba chairs in our lounge for $50. They retail for $199 at EQ3.

Last I saw on Thursday night, there were about 5-6 gray/black chairs and 15+ red/black chairs left. Their box office opens around 6:30pm. You want to show up before they let people in for the movies so you can scope out the chairs. You can pay cash or charge.

The chairs are slightly dirty and I had to remove the back coverslip and wash them. But they all rolled well and the hydraulic mechanisms all seemed to work well. Very good deal if you ask me.

The light...

hey,

So I ran into Patrick (the ward clerk with pseudo mohawk) in the ED Friday AM. Harrison actually lived down the street from him and their families are friends. He says OJ and Stephanie are doing well and have a ton of support from family and friends.

He wanted me to tell all the residents that it meant a lot to him personally to see so many residents at the funeral. We spoke at length about Harrison and all that he went through, all the beads of courage, all the procedures, tests and chemo. I was sorta half expecting him to start getting misty-eyed as he kept saying over and over how cool he thought it was that we took the time from our busy schedules to give OJ and Stephanie our love and support.

It reinforced to Patrick that Harrison touched many lives during his short, but love-filled life. Elio gave me a good quote the other day, "The light that burns twice as bright, burns half as long."

take care,
jay

Orange team is a bunch of slackers

So I arrive tonight for night float, come to find out orange team hasn't admitted any patients for 48 hours! I'm gonna try to extend the streak at least until the morning. Even better, perhaps I will create a new trend of NO night float admissions (like my wonderful Thurs night). Will keep you posted...

Half Dome

So, David and I survived Half Dome-barely. We had this grand idea to hike Half Dome this past Saturday so we drove out to Sonoma, CA to spend the night in a hotel. We then woke up at 3:30am (what is this, a surgery rotation?), drove the hour and a half to the Happy Isles trailhead and started our trek. Before we left the parking lot we encountered a bear, David's least favorite animal. It is a surprise that we didn't just turn around then and there. We then hiked for 3 hours up the most beautiful valley I have ever seen. It wasn't until an hour after that that David tells me that he pulled a muscle in his left hip and can't flex his hip without a lot of pain. He refuses to turn around because by that time we are two miles from Half Dome and he's going to "work through the pain." He then proceeds to hike uphill by pulling up on his shorts to lift his leg every time he needs to take a step with his left leg. As we near the Half Dome the hypoxia really sets in. We each get extremely tachycardic after just a few steps. We get tachycardic eating a sandwich. Finally we see our goal, or as David calls it "his Biatch." Again, we almost turn back. Then we're at the base of the cables where you pretty much have to pull yourself up the vertical, granite face of Half Dome by only your arms and sheer willpower. And then we are at the top! It was amazing, beautiful, and scary all at the same time. Then, we had to slide down the cables and not fall off the mountain. We then started the long trek back. I almost had a mental breakdown when we were still 2 hours from the bottom because I was tired and my feet were hurting and I just wanted off. We contemplated having the ranger call a helicopter for us. Eventually we made it down with bruised toes-wear properly fitting shoes if you go! We then drove back to the hotel for a good night's sleep. Since that time David and I have been very stiff, hardly able to walk, waiting for our toenails to fall off and I have acquired a URI in the process. Regardless of the tough times, it was the most amazing and beautiful hike. David and I have learned a lot about each other during the process. I highly recommend it to everyone that wants to go, just be prepared.

I'm going to STANFORD!!!!

Hi all, just got the call-I was offered a position as adolescent fellow at Stanford starting next summer and I accepted!!!! I'm going to STANFORD!!!!!

Leslie