One thirty in the morning, patient in a nursing home threw up some coffee grounds emesis. Patient has a big psychiatric history and has some gender issues. He tries to engage me in a conversation about gender, but I chose to focus on the emesis issue.
Four twenty in the morning, patient with ABD pain and dsypnea with a COPD history. Her lungs are clear and the capnography shows a good wave form. Touch her side and it hurts.
I get back at five and sleep until nine when we get a call for a man in a nursing home who has fallen and has a cut on the bridge of his nose. The nurse has put a steri-strip there and thinks he needs a stitch. Dial 911.
A daughter finds her diabetic mother asleep on a bench in the lobby of her retirement community home while she waits for a ride. She is a diabetic. Her sugar is 343. The mother has no complaints. She says she just fell asleep. The daughter calls 911. We get there and inspect the patient's blood sugar log. Not a day goes by that she isn't up in the 300 or 400's. I have taken care of her before when it was in the 20s. I suggest we call her doctor. We sit there for almost an hour waiting for the doctor to call back. The mother is walking around the apartment telling jokes. Finally its time for her to take her insulin. the daughter is finally convinced to just make an appointment with the doctor's office for tomorrow and to call us if anything changes.
Then its three more nursing home calls -- a seizure, a CHF, and a chest pain. Nitro takes care of both patient's problems.
And now I'm home finally.