March of the Johns

This week has had lots of fun filled things but also trying times at work-

Highlights...

We started our small group on Tuesday night.

I got to go shopping for cruise clothes with Nikki and Quentin. We danced around the new J Crew outlet store where I bought lots of fun clothes for the cruise and a few tops for work. Dined on soft pretzels for lunch... yummy. Quentin is 10 months old and he was such a good shopper!

Thursday night we ended up at Jason, Kylie, and Hannah's for a fun mexican feast. Kylie is such a great homemaker. Unfortunately I was little burned from the day at work... I think my insight that day what that people actually grill chicken in pans. I know all of you reading this blog are going to be like.... yeah Sunshine that's the only way to grill chicken. I have only ever baked chicken. I didn't know that you can just stick a raw chicken breast in a paw in some oil and it would cook a lot faster. I was just sitting there so tired from work listening to Katie tell me there is a whole other way to cook chicken that I have been missing out on!. So I haven't tried it yet. maybe I'll take a picture for you all when I do.

Work.... work... work. Same old same old. I know some things but there is so so much to learn. I think the funniest and saddest story of the week happened yesterday.

I was cruising along. Saw 9 patients in the morning and actually stayed on time... didn't get behind and on top of that charted on my patients. Was all caught up by 12:30 and went to lunch. I was like wow... this is what every day should be like.

My 1:30 patient... Was an 89 year old female who had called that day stating that her wrist hurt but she didn't know what happened to it. As I'm talking to her I realize she is confused. She can tell me where she is and the date but she just wasn't all there. What is up with confused people on Friday afternoons?? I go ask someone who knows her better if she normally is like this... and no. she is altered today. I'm like she's gotta have an infection. So I x-ray the wrist, also get Chest xray, the get lab work checking for infection. I wanted to check her for a urinary tract infection but she couldn't give me a urine sample.

So I'm trying to figure out what is going on with her and I walk past her room and realize she is trying to wheel herself out the door in her wheelchair. I'm like what is going on? She says I have to pee!!! So I wheel her over the bathroom and help her up and say oh... give me a sample while you are at it... and she pees on me, and all over the floor, all over her clothes.
so here I am- in the bathroom with this confused, elderly lady, who just peed on me!!!

I'm like... okay the day has gone downhill from lunch.
In the end- it turned out she didn't have pneumonia, and she didn't have a UTI. I still didn't know what was wrong with her wrist. But she did have a white count of 12,700. So- I gave her Rocephin and Zithromax, splinted her wrist in a thumb spica splint (covering for occult scaphoid fracture) and she is seeing her own doctor on Monday.
I just wanted to sit at my desk and cry... she peed on me and I can't fix her!!! but I think that's much of what internal medicine is... people aren't always fixable.
But alas I had to go see my other patients... who were waiting patiently for me. But at least the morning was awesome!