Busy night

due to hippa, I can't say much, but I will say that I had a tough night with lots of busy work.

One of my two patients was a GI Bleeder, waiting for endoscopy in the morning, who was also showing inverted T waves on his EKG (not surprising, since he was bleeding and his Hgb/Hct was dropping) but to top that cake, his blood sugars were in the high three hundreds so I started him on an insulin drip and had to monitor his blood sugar every hour and titrate the drip. I also had to give this guy 4 units of blood, but because of his heart failure, I couldn't give it to him too fast (though, he needed it) because it would send him over the edge, so he only got two units of packed red blood cells.

My other patient isn't making any progress, but is in a presistent vegitative state. He opens his eyes, but he's not tracking...it's so sad.

Anyway, I'm out of this unit in 105 days and counting.

I'm stoked to have recently found a bunch of old friends on Facebook and reconnected with them. It's been so long since I left architecture that it seems like a foreign world, a dream almost. I used to have big ideas, once, didn't I? Now, I just run around an ICU and deal with the critically ill. I like it, enough I guess...it's just that I do miss those intelligent conversations we used to have (and the not so intelligent ones, too.)

Now, we puzzle over treatment plans, and rule-out diagnoses...health care is so different. Granted, I'm making double what I was in architecture, and working about half the hours, but there's that lure (like a bad first marriage...one that was a train-wreck, but was full of passion) that is undeniable.

I haven't heard back from the Cardiac Intensive Care unit at UCSF, but I just only inteviewed a few days ago (two) so it would be a bit soon...still, I'm interested in knowing if they'd really want me (nevermind that I can't go because I'm going back to Columbia!)

I'm sick of working nights, though. It's hard to come home every morning and go to bed. (sigh)