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osodecanelaJust shoot me now and put me out of my misery.
So I'm now in a new call group - a family doc, sharing call with 3 internists. They've got a different patient demographic than mine, skewing much older, and often much sicker and complicated than mine. Well 2 of the 3 were on vacation last week and I came back from my 3 days of continuing education in San Jose right into call. With my old FP call group that has dissolved, we each did our own rounding on our own inpatient that we had admitted ourselves. Not so with this one. This made for a very long weekend.
Normally the words, "are you accepting new patients in your practice?" is a welcome question to many docs. Coming from a patient you're rounding on that already belongs to one of your call partners is a bit concerning. Fortunately in this case, his wife was asking the question and it was for herself - she's just left Kaiser earlier this year and is not yet tied in with anyone and she does NOT like her husband's doc. Well, after this weekend she also wants to bring the husband to me as well. He's likeable and I think I have some tricks up my sleeve, for doing things for his pain that my colleague has not done so far. He left the hospital today on three different non-narcotic pain treatments, that (knock wood) so far appear to be tolerated and seem to be helping him significantly. I got tied up in the hospital today continuing to round on the inpatients of the guy that's still out of town - what I actually wound up doing is their discharges and lining up their outpatient follow up. There was a second man, who the local infectious disease people have chosen to place on suppressive oral antibiotics permanently and both that patient and his wife are not too happy with that choice. I managed to hook them up to the outpatient Stanford ID clinic to get a second opinion, something that got his wife to throw her arms around me, kiss me on the cheek, and call me her saviour. I had to remind her I only walk on water if its frozen and to be careful who she calls her saviour in a Catholic hospital!
This is all after I was up half of the night in L&D over at the other hospital in town, with a baby that was 2.5 weeks early. I now have to head back over the hospital again to go admit someone my PA saw in the office and didn't communicate clearly with me about. He gave me another patient's name in error, someone I would be willing to manage outpatient, for an infection. The correct patient is NOT that individual, so I have that to go take care of, before I head over to go see mother and child, and then hopefully head for hearth and home.
And bed. Let us not forget bed. I have a hot date with my pillow. I hope to be unconscious for at least 8 hours.
So I'm now in a new call group - a family doc, sharing call with 3 internists. They've got a different patient demographic than mine, skewing much older, and often much sicker and complicated than mine. Well 2 of the 3 were on vacation last week and I came back from my 3 days of continuing education in San Jose right into call. With my old FP call group that has dissolved, we each did our own rounding on our own inpatient that we had admitted ourselves. Not so with this one. This made for a very long weekend.
Normally the words, "are you accepting new patients in your practice?" is a welcome question to many docs. Coming from a patient you're rounding on that already belongs to one of your call partners is a bit concerning. Fortunately in this case, his wife was asking the question and it was for herself - she's just left Kaiser earlier this year and is not yet tied in with anyone and she does NOT like her husband's doc. Well, after this weekend she also wants to bring the husband to me as well. He's likeable and I think I have some tricks up my sleeve, for doing things for his pain that my colleague has not done so far. He left the hospital today on three different non-narcotic pain treatments, that (knock wood) so far appear to be tolerated and seem to be helping him significantly. I got tied up in the hospital today continuing to round on the inpatients of the guy that's still out of town - what I actually wound up doing is their discharges and lining up their outpatient follow up. There was a second man, who the local infectious disease people have chosen to place on suppressive oral antibiotics permanently and both that patient and his wife are not too happy with that choice. I managed to hook them up to the outpatient Stanford ID clinic to get a second opinion, something that got his wife to throw her arms around me, kiss me on the cheek, and call me her saviour. I had to remind her I only walk on water if its frozen and to be careful who she calls her saviour in a Catholic hospital!
This is all after I was up half of the night in L&D over at the other hospital in town, with a baby that was 2.5 weeks early. I now have to head back over the hospital again to go admit someone my PA saw in the office and didn't communicate clearly with me about. He gave me another patient's name in error, someone I would be willing to manage outpatient, for an infection. The correct patient is NOT that individual, so I have that to go take care of, before I head over to go see mother and child, and then hopefully head for hearth and home.
And bed. Let us not forget bed. I have a hot date with my pillow. I hope to be unconscious for at least 8 hours.
