4.30.2011

the world tonight is full of horrible bitches

what's the male equivalent ... a jerk? doesn't quite have the same oomph as calling someone a bitch, especially if that someone is a he. anyway, just had to let off steam. just got back from work. one forty in the morning. need to wind down before i can fall asleep. good time as any to whinge and let it all out so i can hopefully get some sleep before work starts again at about 8am tomorrow. indulge me.. i'm tired and hungry. i munched on all the snacks the nurses brought in for their night shift already, and ate the hospital sandwiches and gobbled up my two milo bars meant as an emergency food stash. but i'm still hungry and tired =(

so, the last straw came in the form of a forwarded email from my home hospital (which isn't very home-like at all!) asking me to redo my timesheets because they didn't correspond to the pre-existing pay periods.  How hard can it be to understand that I'm off by a week but so what? The next timesheet follows on and everything matches up except for the fact that I've got the pay periods they want technically on two different pieces of paper. Isn't that payroll's job to sift through it all? Isn't that what they pay 'em to do? Sorry man, they aren't paying me to re-write my fortnightly timesheets to make your job easier, you lousy payroll department. All you can do is write out asinine emails shifting responsibility because "medical admin didn't forward us your payslips, please take it up with them for a breakdown of your payslip." So, you're telling me you can't dig through whatever files you have and explain my payslips to me.. the same ones you've emailed me in pdf form?

so before that, everything was building up. it's been a lousy day for everyone here... except for possibly william and kate, and all the people stalking watching their wedding. My home hospital was being obstructive as usual. I'm staying on out of sheer stubborness. Would've cut and run long long ago if not for my pride in keeping promises i've made, and to be contrary and show 'em i can survive whatever shit they throw at me.
I had a guy fall from 2.7m off a second storey platform he was working on. The guy's broke both his wrists and his left eye's so badly bruised and swollen that he can't open it at all. Even though he hadn't passed out from the fall, he should have a CT scan to rule out any fractures or bleeding inside his skull from the fall. The surgical registrar at my home hospital agreed. The question was now about when to send the guy up for the CT scan, given that we don't have access to a CT scanner until Monday. The ED person was such a bitch about it all. I told her the above and she started getting all uppity, saying it was a soft sell. I'm sitting here twitching, thinking to myself "you moron, what part of it do you not understand? you and i both agree he needs a CT scan and we can't get one until Monday, so it would only be logical to send him up there for his scan, no?" Of course, i phrased it in a more civil manner but they she got up even higher on her high-horse and cut me off with "well it looks like you guys aren't coping too well with him there"... so that really got me twitching and it was my turn to cut her off with "excuse me, we're coping very well here thank you. i just wanted to know from you when we should send him up for his scan (you bitch, i thought)"

And then there was the ED moron from my current hospital. Doesn't bother to look at the patient because the doctor before her had seen him. Doesn't bother to re-examine the patient. Calls me at midnight all chirpy and fake nice to tell me that this dude has a small bowel obstruction and will need admission. In my head, i was thinking - well if you've decided already, then what the hell are you calling me for? I've had several other previous run-ins with her and her mismanagement so i immediately get my angry face on when i hear her name. Run-ins like the time she refused to take bloods and run basic tests on a lady with lower abdominal pain who was five weeks pregnant based on a home pregnancy kit. She didn't think it was important to know what this lady's B-HCG levels were and refused to do 'em. That same night, she also didn't send any bloods off for a man transferred by ambulance with VT.. or so i heard from the medical ward nurses later on. So anyway, I digress. She doesn't do jack shit for this patient except read his xray report, assume he's got a small bowel obstruction and therefore automatically needs a surgical review and admission. I told her i'd go and see the guy in Ed, and not 5 mins pass when the bed manager comes up to the ward and is trying to arrange a bed for the guy. good thing i was there and had whinged to the ward nurse, because both of us said "hang on, he's not coming in to stay overnight" The ED bitch had already told the bed manager otherwise, how presumptuous! IF she was going to be admitting patients without them having been reviewed by the people she called, then she should either call the consultant to take over care, or admit them under her own name. How rude of her! anyway, when i went down to ED, the guy was walking around comfortably and was able to puff his tummy out all big and rigid to show me how distended it was when it first happened. He's since passed wind and opened his bowels. He's even said he feels sheepish about coming to ED at all because he feels fine. We came up with a plan - that he could go home knowing it was a bit risky, provided he was pain-free with no analgesia for at least 4 hours after his last pain medication, and that he could tolerated a normal diet (ie sandwiches) without any symptoms. The guy was shovelling down yogurt after managing to have some OJ when I left...'nuff said.

Urgh, so i ramble. Have run out of steam. Shall end it here for now. Hope to get some dinner, and then some shuteye =(

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