I can safely say that I have survived 1.3 nights of night float (should have been 2). Let's start with the Becky victory. I show up Friday night, bright eyed and bushy tailed. And early of course so that I can use my free $6 before all the places in the VA close. I get check out (the list of patients I am supposed to be taking care of) from one team and then hear from my supervisor that we have two transfers from outside facilities already on the floor and 2 new guys in the ER. Whelp. Here we go. In the span of about an hour we get 6 admission! And finally the other 2 medicine teams check out to me. We each did three of the admissions. I seriously thought I was going to cap (interns are only allowed to see 5 new patients in a 24 hour period). My 3 were pretty easy. Her 3 were much tougher. I am glad she took those ones :D By the time all is said and done with the admissions, it is 1am (with a Jimmy John's break in the middle.) Sehr (supervisor, pronounced suh-hair) went and did a few more things, and I hit the hay. I got a few pages in the middle of the night and then an admission at about 5am. That took up until about 715am or so, which means....time to check out to the day teams! I got home at about 830am, took a nice little nap, then lived it up the rest of the day. Until last night...
I head to work driving carefully as we got snow and ice over the weekend :( I had a headache all day, but I thought it was because I was dehydrated. I try to drink some water. At about 6pm we get an admission, which takes us until about 740pm or so. I go up and try to see if sleeping will help the headache. I start to become photosensitive (light was hurting my eyes), so I turn all the lights out. I get a few pages that require me to get on the computer. Every time I do, the headache gets a little worse and I start to get a little nauseous. Now, mind you, I have never been a headache person. No migraines ever. Not even in my family. I get a text at about 1030pm from Sehr saying we have a new one in the ER. I get up and pull myself together. Nausea is getting worse. I step out of my bedroom into the hall way, and BAM. Stage 5 watery mouth. We have all been there. That point where you know you need to be hugging that toilet. That point (don't read if already queesy) where saliva is simply free flowing out of your mouth. I decide the toilet is too far, so I hug the garbage can just inside my room. Somehow, I talk myself back from the edge. Back down to stage 2 or so I would say. I make my way down to the ER. Look up a little on this guy. Get ready to go talk to him. Thank goodness Sehr showed up. She goes in and starts talking to the guy, getting all the history of what is going on ("History of Present Illness" or "HPI"), etc. I have to excuse myself 3 times in the span of 10 minutes as I am feeling weak. On the third time...hugging that trash can...and losing my dinner :( I return from the bathroom (left the trash can in there for the sake of the ER staff), and Sehr says, "You look like shit. Did you just throw up?" I respond appropriately, and she sends me home. That wasn't a fun drive. Needless to say, after 9 hours of sleep I felt better.
I didn't have much of an appetite, but in general I am back to full health. Very weird. Maybe TMI for many of you, but I didn't force you to read it :D
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