Long day of hard work.

Post-cesarean pre-eclampsia (scary ... her BP was through the roof, but her pulse was really low ... the PA was unsure of what to do, we knew a beta-blocker wasn't the answer as it would have slowed her pulse down even more ... so I went and conferred with a doc who told me "hydralazine" .... I went back and told the PA who asked me to look up the lowest dosage ... she totally trusted me and entered the order right into the computer ... the Ob/Gyn doc showed up to the office door later asking for a PA, I told her I was a PA student, and she said, "Oh, no, I need a PA" ... I said, "is this regarding the patient with pre-eclampsia?" ... she turned back around and said, "yes" ... I told her that I had consulted with the doctor who had recommended hydralazine ... she said, "oh, fine, tell the PA I want it started now" ... I told the PA when she came back and she said, "I already did!" ... I was so proud! I can't wait until I don't need a middle-person to input the orders and I can do it myself, even more so when I don't have to consult and I already know the answer ... my day will come). Forehead laceration that I sutured and dressed. Esophagitis. A woman cut off her fingertip (we weren't able to save it and had to throw it out, but she didn't damage the bone ... man tho how a fingertip can bleed! My supervising PA had her soak it in hydrogen peroxide which slowed the bleeding quickly. I dressed it with gel foam and wrapped it up well). Ringworm (every inch of his body, poor guy). Achilles tendinitis. Dog bite (I cleaned it and steri-stripped the lacerations semi-shut, they were small, and then I helped the patient and her mother figure out what to do with the dog). Acromioclavicular displacement. Conjunctivitis. Took on a case that the doctor was surprised I wanted, a young woman who had been seen by a NP at a CVS Minute Clinic, where she had been diagnosed (incorrectly, as I ascertained) with a peritonsilar abscess and sent to the ER ... she simply had swollen tonsils from a viral infection, I can't believe the NP hadn't gotten it right away. The doctor came in later and said, "strong work" ... that was it, "strong work", then he turned and walked out.

Last day tomorrow.

:(