If there is one day that I could call disgusting it would be today. Today I had to perform rectal exams galore. Seemed like everybody had constipation, or dark stools, or was a new patient (new patients in GI get rectals...it's like a "welcome" to GI...I think a handshake would be better). Later in the day we had two endoscopies where you ram a huge black tube with a camera on it down someones throat. After that we had to replace a tube in a little girls stomach. When you can't feed by mouth we poke a whole in your upper abdomen, right below your left rib border and insert a tube into your stomach that we feed you through...I've never seen one of these replaced so I was standing at the foot of the operating table watching Dr. H pull and tug on that thing...I should have seen this coming...suddenly it gives and gastric contents/mucus flies right out and sprays me in the face...good thing I had glasses on. No one noticed, they just kept talking and laughing...I was so shocked I didn't even gag...I laughed along with their jokes and made witty banter until I could get away from them to scrub my face with as much soap as I could get my hands on...GROOOSSSSS!!!
I then had cross cover at the ED tonight (I actually just got done) I'm exhausted but I need to get back into the habit of writing on this thing. Tonight I stitched up a wound all by myself for the first time...I was hoping for something a bit easier...instead I got this huge laceration on this kids knee...he had a fight with a swing-set...and lost. Not wanting to be whiner I don't complain that I've never done this before...I just sneak off into a room and watch a couple you-tube video's on stitching for refreshers (I'm glad my patients didn't see me). I then walk out and act like I've done it a hundred times (except for the fact that it took me a good 45min to 1 hour to stitch that wound up...you know what they say about practice...I hope they are right). The ED was like that tonight - it was a lot of patient types I'm "uncomfortable" with (laceration, seizure, new mass lesion, ect) I could have probably dodged out on them and found some easy fever or vomiting patient, but I had the energy and something was pushing me step out of my comfort zone and better myself...my only regret is that in getting my "practice" I inconvenience other people...but that's another talk for another day. I'm exhausted and I have to get up in 6 hours. I good you bidevening ;P.
