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Finally get the on call hand surgeon on the phone...

Me: “So I’ve got this 83 year old guy with Parkinson’s who was using a drill press...”

Hand Surgeon: “Ugh, oh no.”

#pablr #physician assistant #emergency medicine #orthopedics #curmudgeon #trauma #pa c

- Admitted yet another COVID+ patient

- Responded to a Rapid for sats of 70s on 6L

- Stabilized someone with a GI bleed

- Started heparin drip for someone who failed Eliquis

- Hit 10k steps before the morning ended

- Will be COVID tested again tomorrow

- Got to leave the hospital and return home to my 2 greatest loves. And for that I am forever grateful. It's been a rough year for everyone. I'm thankful for good health and wonderful people.

#thanksgiving #hospitalist #pa c #pablr

Ugh recent Physician Assistant graduate, and new PA working in surgery... how long does it take to feel comfortable at work? I feel like I’m always anxious... especially when I cover at night.

#physician assistant #pa c #pa-c #pablr

Things are really hard.

Like, harder than I thought they would be. I’m grateful that I work for a healthcare system that has been planning for COVID since January and as such we are well prepared. I’m grateful to have a job, and the support of my docs. I’m grateful to be able to socialize when I come to work, because being home alone with the dog would probably be impossible.

Even though I’m grateful for all of those things, I’m also exhausted. So exhausted. I’m tired of getting pulled in different directions; rounding in service to on the fly training for SB feeding tube placement for positive patients. I’m tired of my ears throbbing from days of wearing masks (I know, others have it much worse, this is not lost on me). I’m tired of people not looking out for the greater good of others— of my patient admitted for a questionable line infection with fever, SOB, cough, and myalgias, who DOZENS of providers saw wearing only cotton face masks, whose blood cultures came back as a contaminant and with no known source of infection, the patient refused COVID testing. I’m tired of calculating backwards how many days it’s been since I’ve seen my first known positive, and can my sore throat be related to that, or is it just the weather change? I’m tired of feeling like I should feel exceptionally grateful for all of the parts of my life that I KNOW represent good and love and peace and optimism. I’m tired of making myself feel like I don’t have the right to be mad because at least I’m still working while my classmates are being furloughed.

I have had had a total of 3 days off (not including weekends) since I started work in September. My gas tank is empty. I cannot do more. I need the rest. I was supposed to have a 4 day weekend this weekend to go to my favorite beach on earth, hug my parents, and celebrate my cousin getting married. I cancelled that time off about a month ago when I knew the wedding wouldn’t happen.

I’m forever grateful for a boss who let me take back my time off on Monday, and I’m hopeful that this weekend will be the reset that I need.

#pa c #covid #pablr

I spent my three day weekend recharging, making homemade bread, loving on my pup, and trying to make my little safe space in the back just a little bit dreamy. I figure if this patio is where I’ll be having dinner and drinks outside for the next several weeks, might as well make it cozy. I’m so grateful for a caring community. Thanks for your kind words. Also, the best part about a three day weekend is a four day work week 😏

#pa c #pablr