but a cog in the emergency factory
The ER is such a tiring place. It's hard to say why, probably because the flow of work is so relentless, even during vacation season, that you're just go-go-going all day long. Even if it's not a bronchiolitis, flu-season ER, there's always something to do. There's always someone to look in on, something to check. And the day just goes on and on and on without a break, and by the time your shift ends, you're spent. You're useless for the rest of the evening. I know that our ER blocks count as call-free months, in that it's all just shift work, but try working that shift 13 days straight and see how "call-free" you feel. (Hint: not so much.)
This morning, as we were driving into work, Joe's consult pager went off. There was a patient in the adult ER that had been shot in the eye. Aside from her ruptured globe, the films showed a bullet lodged in the brain, herniation of said brain, and decerebrate posturing on patient exam. Afterwards, I said that while the eye is important, I sure hoped that Ophtho wasn't the first service the ER had contacted for this patient. Seems a little bit like calling a Derm consult for a decapitation.
Currently reading: "Dry." I'm going to need to figure out a new book soon, though, because I'm almost done.
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