Back at work with a bang. I knew that I would be called out first, because the last call period for my team I took some ETO time. That means I'm "fresh". I don't feel fresh...Laughing Baby, aka Skootch, has been sick since Christmas night. Even with LM staying up with her during the wee hours, I still feel like I haven't slept in a week. Last night was really bad, the poor wee one had a bad case of the snots and couldn't nurse and breathe at the same time, leading to much unhappiness. The 5am wake up call was very early. I knew I'd be out all day, so I did something I don't do much-I had a cup of coffee. A whole cup where normally I drink decaf. I'm still jittery. And yet, desperate for another cup.
I have a donor, middle aged woman who had a heart attack from a probably accidental overdose(I know, no such thing, you cynics). Her mom is so sweet, she's staying until we go to the OR, which is set at 0300. Please don't even get me started on the surgeon who really could have been here at midnight. The OR was hit with a bunch of level I cases and couldn't take us at midnight anyway, but I'm still sore about it. Do you have any idea how punchy I am at 3am? Even with a good night's sleep? I'm trying to think about my happy place and hope I don't get into a screaming match with him. Please pray for me.
On a happier note, I did inherit a very unstable pt this morning when I arrived. In 12 short( or long) hours, I have gotten her sodium down from 178 to 148, her chloride from 139 to 119, her pH from 7.19 to 7.38 and she is almost off the 800 pressors she was on this morning. Well, with help from the great nurses and my medical director. But, still. Happy, stable donor(knock wood), just like I like 'em.
Anyhoo, the punchiness is beginning, because I'm starting to fuck with the residents. No, seriously, I was waiting for the down elevator and this tall, handsome resident hits the up button. He smiles at me and nods and I think, "Holy, shit! I think he's checking me out" He says, "Hi, you medicine?" I look at him cooly and say, "No, transplant." I get on my elevator and leave him standing there. Ha. It's the second time today I've been mistaken for a doc, but I think that only means I look nerdy.