Saturday, September 4, 2010

paging P. Enis

some stories are best told in long narrative form. and today was no different.

i feel like to tell you about today's adventure, i must first tell you a few other stories.

1. this first tale is sort of a free medical terminology lesson. on some occasions in my field we obtain venous blood gasses. these tell us the pH of the blood. the potassium, oxygen and various other levels. blah. blah. blah. today i learned, that apparently, you can draw a venous blood gas from a particular part vein in the body and tell if surrounding tissue has suffered an infarction (basically lack of oxygen and tissue death.)

2. the second is best accounted as a hypothetical situation if you will. let's say mr. a or mr. b or mr c. whatever you'd like to call him. let's pretend that he's been taking his cell mate's meds. and this certain med has a habit of causing a priapism as an unwanted side effect. a priapism is a sustained erection that is painful and considered a medical emergency. evidently, you can obtain a blood specimen from the penis, send it to lab for a blood gas and tell by the pH if there has been permanent damage to the tissue.

3. (the good part) at some point during my day today, a urologist sent this type of blood sample to the lab only it was in the wrong type of test tube. at this time lab calls me to tell me the bad news. at which point i notified her that this was a penis venous sample and that another sample could not be obtained. could she please run the test anyway. there was a long pregnant pause followed by a little giggle on her end. "a penis venous, huh? hold please" she pulls the phone away from her ear, forgets to place me on hold and yells to someone else in her department "it's a penis venous! what. no. penis. venous.(staccato) peeee-nis.(now enunciating) penis. penis. " (at this point, she's clearly exasperated) she regains herself and simply says, "i'll call you back." the line goes dead.

stories....

Friday, September 3, 2010

random

just a few unconstructed thoughts from this week.
1. insanity fit test 1. ashley 0.
2. insanity day 2 is absolutely redic. they have a move called the "level one" were u drop to push up position from standing. 8 push ups. then 8 mountain climbers (running while in plank position) then jump back up to standing position. i find this especially amusing b/c at work we have the "level one machine" where live saving blood or iv fluids are infused at light speed to patients who are crashing.....i needed a level one machine after doing day 2 of insanity.
3. when asked if he was having any problems with his bowel movements my patient responded with "it's only a problem if your around me when i have one" which i thought was quite profound and hilarious.
4. on the same topic....today while going to the potty landry told me to "get out of here momma, it's starting to stink"
5. day 4 of insanity is 20 minutes of non stop (no water breaks, 15 sec mini breaks, nothing) cardio. i'm so out of shape.
6. still waiting for that positive "test." i feel like makers of these tests should get creative and use smiley and frown faces...
7. the weather was amazing today. windows up. ac off.
8. i checked in a patient who was writhing, moaning, clutching his stomach in one hand. holding a half eat little debbie chocolate cake in the other.
9. God is good.