I had a patient who came in last week with a very sore, very firm calf after running to respond to an emergency earlier in the day. No injury really, just pain after resting a bit that was worsening to 10/10 and a lot of swelling. Other than the swelling he looked fine really and was handling 10/10 pain like a champ. Well. I sent him to the ED because I had concerns for compartment syndrome. Turns out he had a major case of compartment syndrome and had an emergency fasciotomy the same day! He has second surgery to remove 2 fist sized blood clots the next day. He came in today for follow-up with his mom and wife and they were all so grateful for my help. Well needless to say the works of thanks lift up my soul today and the fact that I caught a gravely serious condition gave me a boost of confidence.
Monday, July 25, 2011
I got one!
I had a patient who came in last week with a very sore, very firm calf after running to respond to an emergency earlier in the day. No injury really, just pain after resting a bit that was worsening to 10/10 and a lot of swelling. Other than the swelling he looked fine really and was handling 10/10 pain like a champ. Well. I sent him to the ED because I had concerns for compartment syndrome. Turns out he had a major case of compartment syndrome and had an emergency fasciotomy the same day! He has second surgery to remove 2 fist sized blood clots the next day. He came in today for follow-up with his mom and wife and they were all so grateful for my help. Well needless to say the works of thanks lift up my soul today and the fact that I caught a gravely serious condition gave me a boost of confidence.
Tuesday, July 5, 2011
A challenge around every corner
I have worked for a lot of companies and had many bosses. A few were stellar, most mediocre, and a couple were just plain bad. Without going into detail things are less than cozy between my boss and I. Mostly along the lines of - I am the doctor and you are not - kind of crap. I like my job and my patients are, for the most part, great to work with. It would be nice to get some training, but as it stands, I have had none since I started seeing patients. No feedback on care or charts or anything.
I know, this comes off as me complaining again. Life is rough at times, I know this as well as anyone, believe me. Maybe I don't write enough about about the highs. Well, here goes. My wife and I are working on things and it seems to be going better. My son is awesome and at five is reading, riding his bike w/o training wheels and swimming, albeit at very much a beginner's pace. He is a Star Wars fanatic and asks me constantly about the nuances of all the story lines and the scope of power of a Jedi versus the Hulk, for example. He has a great imagination and loves to draw - much like me at that age. I will follow his lead and return to art earnestly now that my schedule is under control.
Happy 4th!
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