September 7th, 2017


September 7--The little subject line that couldn't

It was a somewhat frustrating day in clinical, one that I should have anticipated and been ready for. The second week the students are on their own is always one of the most stressful for them, and for me. they don't yet have the hang of it all, and haven't always processed my instructions on how to do certain things. Things such as letting me know in advance when they have a schedule procedure I need to observe. I had 5 different texts at 9:00 asking if I could come watch 5 different someones give a scheduled medication to 5 different patients in 5 different parts of the hospital.

It's like this every semester, and really just a part of the process, but somehow, I thought it would not happen this semester, or I forgot or something. In any case, this is the week I learn who I can cut loose to work with the RNs in the next week or two, and who I will need to pay closer attention to. There is always at least one surprise on each side of the divide.

In post-conference, one of the students talked about their difficulty in inserting a urinary catheter in a woman. As described, the anatomy was somewhat murky, and it was difficult to ascertain the correct insertion point.

So I made a crude drawing on the whiteboard to explain. When I was done, I discovered that the marker was not a dry erase marker, but a permanent one. I looked at my drawing for a second, and, thinking quickly, drew arms and legs on it. I meant to take a picture, but forgot. I will if it is still there tomorrow.

I clocked in just a little under 6 miles walking around the hospital today. At the end of the day my right ankle was really sore. It has been sore lately when I get up in the morning, but once I get moving it goes away. I suspect some arthritic changes. Anyway, today it got worse. I stopped at the pharmacy on the way home and bought some big gun anti-inflammatories, and took a few. The pain has subsided, but it's still there. I'll see how it does over the next few days. I don't like my doctor, so that would be the last resort.

I am looking forward to the weekend.

I didn't take a photograph today, so here is one of the big heads in Angkor Thom. I love this guy.

big head at Angkor Thom
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