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Friday, March 31, 2017

Welcome to the hellhole


Emergency rooms are not what they used to be. Gone are the days of lacerations, sprained ankles, appys, replaced by people with complex medical histories who are now septic, have had MI's, strokes, etc. In other words our patients are train wrecks.

Add to that the frequent flyer nutbags, drunks, overdoses.  Throw in an explosion of the mentally ill, especially adolescents, you have a picture of the modern day ER. In other words everybody gets an IV, meds, 25 lab tests, a UA, at least one xray and probably a CT.  You may be the lucky winner of the numerous MRI's and CT heart angios we are now doing out of the ER.

You can expect to wait most days a minimum of 2 hours. You can expect at least one of the numerous mental patient who have been sitting in ER for 1-4 days to get out of control, possibly needing to be restrained, during your stay in the ER.

Woder where your nurse is? She or he are spending most of their time charting about things that have nothing to do with why you are here, but but are required anyway.

Yes your ER  has become a mecca for the chronically ill, the elderly, the mentally ill and hood rats from the neighborhood. You can expect to meet them in the crowded waiting room. Throw in a few smelly homeless people, jittery drug seekers, moaning drama queens and you get the idea. You will hear languages from all over the world. It's a United Nations out there. We take everybody.  We can't turn anyone away.

Saturday, January 21, 2017

Womens march

I went to the women's march today and it was really fun!

Wednesday, January 18, 2017

I gotta say, it was a good day



So I picked up an extra shift today. God knows why. I never do that. The shift was 8 hours. I typically work 12 hour shifts, so 8 is a piece of cake. I was thinking when I got home and didn't feel like I had been hit by a truck, that this what it feels to work at a normal job. You work a reasonable amount of hours and aren't completely exhausted when you get home.

What a concept.

Besides that, there is a minor hear wave going on here. It was 43 today.

Life is good on the frozen tundra today.

Tuesday, January 17, 2017

Welcome to my world, won't you come on in...

Go ahead. Click on the arrow. Its OK. You can trust me. You know that...OK did youdo it? Does it make the hair on the back of your neck stand up? 

Welcome to my world. At least once a shift someone is doing something similar to this. They are screaming so loud that it can be heard throughout the emergency department. Last
week it was someone who doesn't like white people screaming about their dislike, followed by yelling for their mother. Now mind you this is a grown adult. 



It's just another day......lalalala....

Sunday, January 15, 2017

Mondays are shit shows



It's sleepy time here at the madness blog. I have taken 50 mg of melatonin. As I drift off to sleep, I will be thinking of the guaranteed shit show that Mondays always are....