A pretty good day

I was lucky enough to have my three same patients back and my day was reasonably easy. The Slug was coordinating our Boss's Day festivities, so it was pretty haphazard as I expected, and she disappeared for not just one plus hour, but two and a half hours. Heaven forbid you actually do this stuff on your OWN time!

I got Mr. B. ready and he kept having orthostatic hypertension. He'd get set up in his chair and in an upright driving position and his BP would just plummet. I had no choice but to contact the NP. He kept dropping in spite of his TED hose, abdominal binder and his 5 mgs of Midodrine. I got an order for another 5 mgs of Midodrine at lunch time and he did well, but he got woozy again on me late in the afternoon as I was leaving. I passed this on to the evening shift. Tomorrow, I get to go with Mr. B. up to Washington to see the neurosurgeon. They will do some flexion-extension x-rays to determine if he can get his halo removed.

The other Mr. B. got back from his trip to Washington without a hitch. The GI docs found a cancerous polyp on his last colonoscopy and were looking for the area where it was removed today. They searched his entire colon and could not find it, even though he had a tattoed polypectomy last time.

Mr. W., my other patient, a para who did all of his own care left today. He was very nice and was very happy that his colonoscopy didn't show anything bad at all. I put in his discharge notes and wished him well.

The afternoon went reasonably well. I got my hotel confirmed for the conference I'm attending in November. I'm still getting the flight situated. I missed two Accuchecks at lunch time because two of the diabetic patients escaped to the free lunch one of the veteran's organizations has each month. I managed to get all the Accuchecks done before anyone ate anything else and I escaped at 1600. Fall is definitely here in our neck of the woods. It was blue skies and sunny, but the wind was cool and crisp.

More later...