in case you were getting complacent...

i'm post-call. another night of admitting 6 kids. and actually examining and writing orders for a 7th which the PICU then decided to discharge straight home. thanks guys. my night wasn't already busy enough.

do you know why this is fun though?
because every single day is a new challenge. i had a patient who's electrolytes were all off yesterday. 1) i didn't know it was because he was dehydrated and 2) i had no fucking clue how to go about replacing which electrolytes. i mean. when did they teach that to us in medical school???

i feel so inept sometimes. what do you do when a patient keeps spiking high fevers even after you've given Tylenol? what do you do when a patient's PICC line area keeps hurting and she really does need the total parenteral nutrition? replace it?!

also, i try very hard to not be a cranky person. but gosh, this "chronic sleep deprivation" thing is really taking its toll on me. thank goodness for a call-free month coming up!