Good Call

Call last night was...fine. My senior was wonderful and even took my pager for the afternoon so I could get some down time. I found the "healing garden" out behind the hospital and hung out in the sun for a while to recollect myself.

And my patients who have been there forever were supposed to get discharged this afternoon. Literally forever. One of them is almost a year old and has been there since she was two days old. Forever. She just got transferred across the street at a inpatient care facility. I visited her new room. It was actually unexpectedly sad to see her go. But her viagra is doing wonders for her pulmonary hypertension...she's been stable on room air for a week now!

Interesting new patients too:
1. 15 month old with ataxia (dizzy, drunken sailor walk), likely cerebellar (brain balance/coordination center) post infection inflammation
2. One month old Acute life threatening event (not so different, turned out to be reflux, but I got to spend a lot of time with the parents and do some teaching that I think will really change the next five months for them
3. Three month old with likely pertussis (get your kids vaccinated...it's out there and can cause really horrible pneumonia)
4. 2.5 year old with orbital cellulitis

And, you'll notice, only four (I cap at six), which is nice.

And I got to sleep for four uninterruted hours...practically unheard of.

So I got to run some errands after I left (finally got out on time at noon) and then took a nap then went for a run along the beach and watched the sunset while I did situps. Everyone gathers at sunset and watches it go all the way down then meanders off when it sinks below the horizon.