happy 4th of july!
woke up to scary alien millipede monster bug near my closet. freaked out, made ryan get up and kill it for me while i freaked out in the bathroom. then my mouse stopped working and somehow ended up in my work bag. then… i shoved a kashi bar in my mouth and a can of coffee in my pocket and ran off to work.
today my team was admitting all the peds patients, so i watched them roll in– 6 in all. mine:
- teen with chest pain, troponins bouncing up and down, diffuse ST changes –> pericarditis
- practically-an-adult-should-know-better teen who drank some jimson weed tea and proceeded to wig out and become “mad as a hatter, dry as a bone, red as a beet”. CPKs are up, so we’re running sodium bicarb to counteract the acidosis from the ensuing rhabdo.
- huge-ass hordeolum on this poor kid. optho to consult tomorrow. it’ll probably be drained in the AM.
otherwise, i discharged my old kids and finished my dictations and now… it’s BBQ time.
