circadian arrhythmia

February 26, 2009

ER report
yet another IV-less night! the timing just wasn’t right. but i did take a baby step down the road to getting-enough-procedures-to-graduate by logging a urinary cath. now, this is usually a very easy procedure and i used to do them in medical school, but it’s

a) yucky

b) unpleasant (especially since you basically need to wrestle with the kid to get it done!)

and most importantly,

c) almost always done by the nurses, which is just one reason of many that i love them and feel deeply indebted.

and therefore i haven’t logged a single one of them since starting residency. what? are you surprised or something? i hate strapping kids down and making them cry, and no one likes a catheter shoved in there. anyway, it wasn’t nearly as satisfying as a lumbar puncture, but it is required by the american board of pediatrics so i’ll be doing at least 2 more.

obviously, since i’m raving on about cathing someone for some pee, it wasn’t a super-exciting night. i’m tired, though. yesterday’s plan of a solid 8 hours after arriving home didn’t work out so well. i got hungry, hot, and it was way too bright in my bedroom. however, the sleep debt is starting to accumulate so i think today’s attempt might go better.


oh yeah, one more thing
we’re supposed to close on our house this friday! we moved out 16 months ago and we’ve had it up for sale since january 2008, so this is quite exciting. i think that allllll of the negotiation drama is behind us, and i’m so ready to let go of thinking about it all. last night we had to spend an hour running around the house identifying all of the switches on our fuse box (ie, josh flicked switches, and i had to figure out which lights/appliances were turning off and on). it was exactly the LAST thing i felt like doing the hour before the start of my 11 pm shift. but we did it.



workout: 4 miles easy with 6 x 100m strides. my hip was a little bit twingey, so i’m glad to have the day off today. makes me nervous . . .

doin’ time: with operation switchboard, i didn’t end up cooking. so i’ll share a photo of my fabulous lunch, instead. canned salmon (mixed with a little light mayo, mustard, salt & pepper), spinach, and laughing cow cheese in a spelt wrap + carrot babies. i can’t get over how much prettier the picture looks with natural light!

reading: with all of the house craziness, i kinda forgot! oops.


  • Reply Anonymous February 26, 2009 at 5:25 pm

    I can’t sleep when the room is light, I need complete darkness!! Take care of the hip and lets try and plan a run at Umstead sometime.

  • Reply Bridgette February 26, 2009 at 7:51 pm

    Congrats on the house! I can imagine what a relief that must be for you. It was a happy/sad day for me–happy it was finally selling, and sad that we had such a negative time actually selling it (not to mention the money we lost). I hope you guys have a much easier time with your buyers! Congrats again though!

  • Reply Cindy February 26, 2009 at 11:41 pm

    congrats on selling your house! ugh, so many foley cath stories popping into my head. so glad i dont have to do them either!

  • Reply atilla February 27, 2009 at 1:09 am

    yeah for the house!!!

  • Reply capital "A" February 27, 2009 at 3:54 am

    from an old ER doc:
    it’s all about selling out to night shift and turning it around.
    9 PM: get up; shower; oatmeal
    10.30 PM: drive to work; rock music
    11 PM: be stunned at the number of patients your worthless f-ing partners left in the rack
    2 AM: clear rack
    4.30 AM: be stunned that people are up and doing cocaine and have headaches at this hour
    6.55 AM: nervously wonder if your relief is going to be on time or if you should see ONE LAST PATIENT
    7.15 AM: be home, walk dog if one owns a dog – feel free to walk dog while having a beer. After all, it’s miller time. Be prepared to answer concerns of snoopy neighbors.
    7.30 AM: work out
    8.30 AM: shower
    9 AM: breakfast with spouse except that you eat pasta and have a glass of red wine because – frankly – it’s still miller time.
    10.30 AM: putter
    12 noon: earplugs, eyemask. freezing air conditioner. sleep 9 hours. repeat as necessary.

  • Reply rebecca February 27, 2009 at 4:19 am

    your title ROCKS.

  • Reply JennyN February 27, 2009 at 8:33 am

    It is a bit like being jetlagged, I imgagine. It is the same schedule all week so you can adjust?
    I hope you get some good IVs in today. I wish I could come over and let you hit my veiny (is that a even a word?) arms. You could do those with your eyes closed!

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