do you ever get the urge to shout from the rooftops at the top of your voice, preferably with a megaphone "what the fuck is wrong with everyone today?" i know that every so often, i do when i come across a shitty day. today was one of them.
being tired, cranky and starving with a hypoglycemia-induced headache is a great baseline state to start with i suppose. sorry for the lack of compassion. i find it hard to muster any for this one patient of ours whom created unnecessary stress by demanding to be discharged here and now this afternoon. this little idiot was a 19 year old diabetic who keeps coming back to hospital with diabetic ketoacidosis. this was her 6th admission since the start of 2009. it didn't help that we've linked her up with all the services she needed. it didn't help that we told her over and over and over and over and over again how serious it was, that one of these days.. she would end up dead with her poor compliance with her insulin regime. we told her it would be sad to see her in the obituaries for something so easily treatable if she would just bother to take care of herself. of course, i doubt that any of that has sunken in. the little shit lied that she had a follow-up appointment with the diabetic clinic last time she was in. we called up to confirm and they had no records of her. she lied again today, saying her boyfriend had arranged for her to meet her diabetic educator today after leaving hospital. lucky for all of us i was cynical. i called up her diabetic educator, explained the situation with the idiot teen in front of me and found out that no such arrangement had been made. surprise surprise! the little shit is standing in front of me, gesturing wildly and mouthing that her boyfriend lied to her (now why the hell would he lie about making a medical appointment for her?) and all the while, her face turned red as a beet. of course, i told the diabetic educator that the patient was standing in front of me, would she like to speak to her.
other minor incidents happened at work, all of which were nuisances. one of them involved a boss. the endocrinologist called up to consult with 3 of our patients slickly turfed them all off to either local doctors or pre-existing ones looking after them outside of hospital. that left me tracking them down through various hospital switchboards and the white pages all afternoon to come up with a fricking management plan for these people.
then there were the surgeons who decided that this dude needed to be transferred to another hospital without having the courtesy to tell our ICU team what the plans were, let alone figure the logistics of how we'd actually get the patient across at nearly 5pm when everyone's gone home, who the patient would be admitted under, and most importantly, if the other hospital had an empty bed for the guy once he arrived. on top of that, the procedure wasn't even booked and the ultrasound results weren't even available to confirm the diagnosis that would be treated by the proposed procedure. what a farce.
and then i come home and was accosted with idiots on the road left right and center. those that drove slower than a snail, and those that drove too fast for their own good in good going traffic. came back and opened my email to find more idiocracy. "Please be advised I have spoken to Automatic Fire and they have been in 98% of the apartments so they advised they do not need access in your apartment."
How the hell does one conduct a fire and safety inspection on a building and say "oh it's ok, we've inspected 98% of the building, therefore it must be 100% safe" Explain that one to me.
time for food, i'm out of brain juice.
on a final note, the only good news today was that my mom underwent her hysterectomy and all's well. they found osme sort of fibroid, i'm guessing from my dad's description, and a cyst that have been sent off for histopath but seems benign.
ok, food time. hungry amy = bitchy, cranky amy