Heading into the 18 hour shift of doom. Luckily I have a brief siesta to bridge the gap between my shift(s)
Did I mention that I will be attempting this...
wayfaringmd: CAFFEINE FREE?
So, the pt was a elderly female in her 70s with a PMHX significant for HTN and Hyperlipidemia. She presented to the ER with a chief complaint of sudden onset chest pain radiating to her back x4h. She described her pain as “sharp”. She was extremely hypertensive, around the ballpark of 220/110. She denied a Hx of a previous MI, CAD, or CVA, as well as no previous history of an...
My computer finally died :( So that means no more sassy gif replies (also I lost my gif folder so if anyone wants to hit me up with some gifs (WayfaringMD) I would appreciate that!
Every single shift this weekend I work with a sassy doctor This is going to be so much fun
The Affordable Care Act is getting ruled constitutional today so look for a news story
Oh boy. I’m working on July 4th for the morning shift and our hospital is in a lake town. I feel sorry for every one at the lake that day because they don’t know that the ER is being held hostage by a black cloud:(
It Is What It Is: Scientists Invent Particles That... →
blue-lights-and-tea: interesting! omiedahomie: Scientists Invent Particles That Will Let You Live Without Breathing This may seem like something out of a science fiction movie: researchers have designed microparticles that can be injected directly into the bloodstream to quickly oxygenate your body, even if youcan’t breathe anymore…. Neat!
The only complaint I have about my job is that working almost exclusively night shifts makes it impossible for me to go to bed before 0300
Medicinal Marijuana v. Diabetes.
watchyourfootwork: So i have been reading many articles on this subject, and the majority of them are for the use of marijuana controlling type 1 and 2 diabetes. I have read some articles against the use of it, but that was 2 out of 14.. and their views and examples were more opinions, not facts. I have also read a few articles on using cannabis plant extracts in some of the drugs used to treat...
Next week's schedule
Friday: 1900-0300 Saturday: 1900-0300 Sunday: 0900-1900 WTF THAT SWING SHIT IS GOING TO KILL ME (Totally sleeping in the hospital that shift) When I see my boss next time: When they aren’t looking:
Within the first 20 minutes of my shift we had a traumatic arrest come in (pretty much dead). MVC with at least one rollover/ no airbag deployment. Probably a ruptured aortic injury (this is what I was told) because his abdominal and chest cavity were full of fluid and he was pretty bruised on his chest (could have been a tamponade??) But it didn’t matter because he was a blunt traumatic...
Anonymous asked: Since you don't want to tell us exactly what you do, can you give examples of jobs other than the ones commonly recognized, like nurse and doctors, (you can leave yours out if it makes you too uncomfortable to mention it, I'm not trying to out you, just genuinely curious about how everything works) that go into helping an ER run smoothly?
ninjatengu liked your post: then what are you? NINJAS EXIST
Anonymous asked: HIPPA gods? whats that?
Anonymous asked: are you a nurse?
florenceandthings asked: Scariest moment in the black cloud ER?
Anonymous asked: then what are you?
Anonymous asked: Favourite TV Show?
Anonymous asked: What are some cool/interesting/strange illnesses/conditions you've seen over the years?
wayfaringmd asked: Where is your most impressive scar and how did you get it?
wayfaringmd asked: Pirates or Ninjas?
wayfaringmd asked: Has your experience as an ER black cloud pushed you toward doing ER or away from it? If you couldn't do ER, what other specialty might you choose?
Gimme some questions Y’all!
cranquis asked: About Mr. "I don' have no stinkin' PE" Guy: Might be fun to send him home on a Holter monitor, just so you can have some fun rhythm-strips to review at his post-mortem. <too cynical?>
cranquis replied to your chat: Sir, you’re going to die That was my feeling. I personally wanted to wheel him into the physician office and show him his PE (CUZ IT WAS HUGE and really close to the MPA on the right side. It was kind of in the “SHE’S GONNA BLOW” stage). Also as the lab called to report his D-dimer (which was in the 2000s) he walked past the nurses...
Sir, you're going to die
Doctor: Well, sir, it looks like your CT scan showed that you have what's called a pulmonary embolism, we're going to put you in the ICU and keep you there for a few days
patient: Naw sir, I ain't gonna stay. One time I had a CT scan and they mistaked a button for one of them Pulmonary embolisms, And plus my chest don't even hurt no more so I'm just going to leave.
Doctor: Sir, if you leave YOU ARE GOING TO DIE
Patient: naw doctor that ain't gonna happen I'm sure it's just a button. You should listen to your patients more
Doctor: I give up....
Shout out to sierajean for making me this super awesome icon! I’m still trying to figure out how to resize it to fit in my thumbnail best (I can’t do anything editing wise) Thanks!!!
I am being followed by a black cloud
I was on a run around my neighborhood - I run past a house and everything was fine-circle back around and there are two ambulances and a fire truck outside. Keep your children inside, it is not safe when I am in the vicinity
wayfaringmd: The following exchange took place during my ACLS class. The GIFs = my mental commentary. Dr. Gunner: Exactly how many breaths do we need to be giving? Is it 2 every 30 compressions, or is it 8-10 per minute? Does it change if the patient has an advanced airway in? Nurse A.C. Elles: It’s always 2 breaths per 30 compressions. Unless the patient has an advanced airway in place,...
(also if someone makes me a cool black cloud related icon with my URL in it I will totally use it)
cranquis asked: Good grief! You have some serious bad ju-ju! :(
wayfaringmd replied to your post: You know it’s going to be a bad shift when the… Seriously I don’t get it! I am a black cloud of doom I was at work for less than 5 minutes when this happened. And here I thought I was going to have a nice good long streak without a code I went 14 shifts without a code though! Although in that time I saw more septic patients than I had ever seen...
You know it’s going to be a bad shift when the patient’s husband decides to go into cardiac arrest while sitting in a chair next to his wife.
Doing chest compressions during a code.– Afterwards, senior tells you to go to the gym. (via imaresident)
Well I have this voice in my head, Doctor. Sometimes it’ll tell me to go...– Ma’am I’m pretty sure your auditory hallucination is Bipolar
firsttrainhome: I can’t sleep so therefore the natural thing for me to do is play an ACLS simulator. Of course. You’re welcome
I think I have a DVT along with a PE. And would you mind getting a lactic acid...– 20 something year old hypochondriac on WebMD during the physical exam
ACLS simulator →
Online ACLS simulator Have fun.
The July Effect: Is It Real? →
baffledinbrooklyn: A study from 2011 reports that the July Effect (The idea that teaching hospitals are more dangerous in July, the first month of residency) is real. According to the retrospective review of more than 62 million death certificates, thee was a 10% increase in fatal medical errors in July as compared to other months of the year.
got my first speeding ticket driving home from work. Fun fun.
Well my 14 shift streak without a code has ended. I can now once again be referred to as a black cloud
"Swallowed a rock of meth"
CHIEF COMPLAINT OF THE YEAR
Well that shift brought up my sepsis count
I was born 10 toes and I will die with 10 toes.– A diabetic at the lunch buffet (via baffledinbrooklyn) IN THE NAME OF DIABETES I WILL DEVOUR THEE, OH SCRUMPTIOUS MUFFIN
Happy Adenosine Day
Blood, Guts, and Gore
cranquis: wayfaringmd: Hi, dear wayfaringmd! I really love your blog and attitude! I have a question about the really hardcore blood and gore stuff, how do you cope? Isn’t the feeling of seeing all that surreal, weird? How do yo cope? How do you come back to reality? Is there really switch that you can turn on or off (emotionally, I guess). I know you just get used to it all, but how was...