Monday, February 07, 2011

nilbymouth

Doing absolutely nothing of fruit today gave me an epiphany, of sorts. I'm sure I've had one of similar sentiments before, but... trusting a person to not lie, is not the same as trusting a person to not hurt you. This is what spending my sunday afternoon watching Mean Girls, Conviction, and Grey's anatomy, etc has caused. Afterwhich I practically slept through the entire evening. Bento set with the girls at FC and then pizza with family back home.

It'll be Monday-madness again in less than 12 hours. The working transition from full orthopaedics team to a half GS is going to be painful. plus I foresee we have to clear all the post-CNY workload. In no time, all my patients will be scheduled for procedure. and BMU just loves three-six huh? Sigh.

Well I think I have issues. Some people just take no action, or move so slowly. I can't stand that. things that are left to fester, turn necrotic. If you saucerize an abscess, you're left with a big fat hole, but with the right vac-dressing, it won't kill you. If you treat with antibiotics, you won't die from sepsis. If you leave it alone, however... you get septicemia, osteomyelitis, possibly necrotizing fasciitis, and most likely death. So, just nip the problem in the bud! What's so hard about that? Why don't you want to treat a simple problem, and not allow it to progress into a fatal entity? Urgh. Not to mention, smelly. DM feet really are one of the grossest things I've ever smelled. If you can't find a way to solve the problem, ask for permission, and amputate the limb. Sure the patient will experience phantom pain and be extremely inconvenienced, but at least he's not DYING. If he wants to die then yes, I can't operate on him (technically I can, I just have to call psych), but I'd rather he go fast than slowly. There is no beauty in a slow death.
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Okay I guess that's about it for now. gonna peel the facial mask off my face, read a chapter or two of Jodi Picoult; Change of Heart. and then I shall turn in. Goodnight folks!

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