Friday, November 13, 2009

Fr d ay fra ent s

Because I wasn't fragmented enough by the end of the week....
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Apparently there's a nationwide shortage of propofol. The company is blaming a manufacturing error, but personally? I had no idea Michael Jackson's habit was that bad...
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The end result of the above is that this morning in the ECT suite we had to use sevoflurane, an inhaled anesthetic. I...I can't stand that stuff. I've had it a couple of times when I was under the knife, and I had a hell of a time coming out of it, I was nauseated; it's good stuff for most people, but I'm just not a big fan. And I remember when I was in GYN, when we'd have a long day of cases, I'd occasionally be quite woozy and wacky from inhaling that stuff all day. So when I smelled that this morning, I was not super pleased to be standing at the head of the bed.

One of my inpatients, however, came back up to the floor after his morning ECT treatment all like, "wow, they used this different anesthesia today, and man, that stuff was great! I feel so much better!!" I relayed this to the team downstairs between cases, and they all cracked up. Apparently he was one of the few people that had a pretty profound activation reaction to the anesthetic, and got rather giggly and was flirting with the nurses.
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My dog is sleeping with her back feet up by her head. She is the cutest thing ever.
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Here's a funny story I'm stealing from my cousin Danielle - her daughter, who's 2, came up and told her that the dog had nipped her. Danielle asked, why did he do that? Her too-smart-for-her-own-good kid says, "Because I pissed him off."
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I'm watching this week's SVU while I write this. All the major players are bickering at each other. That kind of makes me queasy, like watching your friends' parents fight.
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I do appreciate that Alex Cabot is back - again - though. And when the hell did Dickie Stabler grow up and get adorable?
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So things get a little loose in the psychiatry department on Friday afternoons. This evening, Eva comes into my office and convinces me and Betty to accompany her down the ER for a brief little thing she had to do down there. So we're on our way down, and we were contemplating what you would call a group of psychiatrists? A herd? A gaggle? Eva says, nah, I'm pretty sure it would be a murder, like crows. A murder of psychiatrists. I said, hmm....do you think we're really a murder? Or just, like, a homicidal ideation? So we start giggling about this. And relate the story to Sparrow, who looks at us, deadpan, shakes her head and says, "Word salad." Which lead to a lot of cackling (shrink humor. Not to mention that at this point, Eva, Betty, Peng and I were sitting in an office that belonged to none of us) and Betty howling, "We're a homicidal word ideation salad!" I, of course, couldn't leave that alone, and finally caught enough breath to yelp, "We're a homicidal salad!!!"

Heh. And our patients think we're sane....

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