today was the last day of the first month of internship. for once i was able to sign out early. i started off the month painfully, my service ballooning to about 10 patients at one time (3 of them intubated/ventilated, 1 dead).. today out of 4 patients left, i discharged 3. i handed the intern who is taking my place a very empty board, much to his delight. and i was able to sign out early today! plus, i was fortunate yesterday - had a nightmare of a patient (she was faking seizures - that's a whole different story) who was drug seeking, i had a loooong list of shit i needed to do to get her out of the hospital, and she got so pissed off by our lack of action (which means, we weren't giving her 50mg of morphine when she wanted it), she walked out of the hospital and left (that's called eloping).so now let's talk about signing out AMA. that means signing out against medical advice. sometimes perfectly competent, intelligent, reasonable patients will sign out AMA. i had one lady who signed out AMA from an ER in connecticut, even though she was pretty anemic, because she wanted to come back home to the bronx and receive her care here (we transfused her here). and there was the guy who came in with whole-body itchiness and dark urine, elevated liver transaminases, who signed out AMA because he had to take care of his kids when his wife went to work (he came back the next day after arrangements had been made). those are perfectly understandable reasons to sign out AMA. however, the "best" AMA signouts are from the crazy crazies who come in demanding pain medications and scream and yell and accuse you of being bad doctors or whatever, who bounce from hospital to hospital with drug seeking behavior, and finally bounce to you, and when you tell them that "no, i can't give you 8mg of dilaudid every 4 hours for your ovarian cancer which has never been biopsed in the 5 years that you claim to have had it, and for which all our imaging has been negative" they get upset and sometimes, SOMETIMES, if you're lucky, they'll be so pissed off they'll sign out AMA. saves you a lot of workjesus i am cynical. i blame my jobtomorrow i start on radiology. 9am start. unbelievable. i can't even imagine the amount of sleep i'll be getting. plus i get this full weekend off. and it actually looks like i might be getting ALL my weekends completely off this month. i'm seriously having some difficulty wrapping my head around that idea. i mean, wowsers.i have received my ikea shipment o' scandinavian el-cheapo furniture. now i have two bookcases (more like stilts with shelving), a small table and two chairs. i've been able to unpack a few more boxes, which now actually makes my place look worse than it did before. i have a lot more cleaning to do. and a lot more stuff i need to get. like a bathrug. and maybe a lamp (there's a corner of my apt that has no lighting.. kind of becomes unusable during the evenings.not sure why i got cable. i've watched about 2 hours of tv this past month. i may cancel this soon.saw may or may not and co. last weekend, and it was a very fun and reunificatory weekend. i felt like a normal person for about 36 hours there. and those MOMNers get better and better every time i see them. and new guy on the drums is gonna kill someone with those snare hits i swear to god.and while i'm talking about my friendses bandses, this sleep out cd is really great. my favorite songs are still "it wasn't darkness" and "your voice"p+k have now departed this fair city, so that makes 2 less friends to see once a week. but i know they're coming back, so i'll see them again as long as the bronx doesnt eat menew music! the new psalm one album is pretty good, seriously. as an aside, i love jean grae and all but i always kinda felt that her production lacked a little sumfin sumfin. well psalm one does not have that problem. pretty ridiculous album. i listened to it twice in a row last night while building some ikea furniture.new music 2! the justice "waters of nazareth" ep is pretty good as well. not sure how i feel about the title track, but the other tracks on there are quite outstanding. i think they're french. it's like industrial-tech-disco-dance-punk-lite. that was a total cop-out description. feel it.what else, the new dr octagon is still good and still burning out my itunes. the new lady sov singles are also fucking great. i know a lot of people hate on her, and i must admit that like jean grae, i thought her first singles were amusing but a bit flat in the production department. these new tracks bump pretty hard. loving it.you know, i STILL haven't gotten around to listening to the new junior boys, despite all the wonderful things i've heard. i'm going to put it on RIGHT NOW.i have to get a digital camera soon. i miss taking pictures. i feel like i've missed out on a lot of great opportunities. what fucking horrible timing, break your camera right before moving to new york. god i am a knuckleheadbrain.just got a wedding invitation in the mail from my long lost friends chris sample and his bride to be kelly, both of jason's freshman year fame. it's on saturday september 23rd, in plymouth michigan. i'm pretty sure it's going to be tough to score that weekend off, but i will do my best. everybody's getting married, i just hope i can go to these weddings. I HATE IT WHEN LIFE PASSES ME BYwow, this opening track on the new junior boys IS really good. shit.more cleaning and general organization of my apartment awaits. keep your ear to the ground.
this educational lesson brought to you by
dr. j around
4:24 PM |
« back to the crib | we've done our x rays and its clear that you have ... » //-->
yeah that psalm one album is pretty good
dropped by on 28 July, 2006 10:49 [*]
~$$$~
What did you think of the rest of the Junior boys?
Kind of tasty huh?
dropped by on 31 July, 2006 11:49 [*]
~$$$~
psalm one = yeah
junior boys = kinda tasty
dr octagon=oh
dropped by on 31 July, 2006 18:51 [*]
~$$$~
Doc J - thanks for the props on the SO album. I'm glad your NYC life is turning out to be straight bomb. STR8 bomb. Holla at a tamarbard and gram smif for me. Maybe SO will be out in your neck of the woods in October?
dropped by on 01 August, 2006 17:03 [*]
~$$$~
drop some science:
on 28 July, 2006 10:49 [*]