Maybe someday I'll be able to work from home

Had my first real experience with e-medicine the other day. Saw a patient on Monday who had a nasty boil on his leg that I drained. He called 2 days later, saying it looked worse. We asked him to come in right away, but he declined saying that he was at work, about 30 miles away. He instead asked if he could just send pictures, because he had a very good digital camera and wanted to just e-mail some shots to us. Given that the alternative was him likely not getting his leg looked at at all, I said, "Sure".

I'll spare you the photos, but they were of good quality and showed that his leg certainly looked worse. With that knowledge I advised him that if he couldn't come down to us, he should get himself to the nearest clinic/ER near him.

There's obviously a good big of hands-on stuff that I do, but I'd guess that the majority of the information I gather for each patient encounter is either historical or visual . I can see a day soon when most of that information is gathered without me being in the room. But as long as the FDA says I'm the one with the prescribing power, I've got job security, baby.

a day in the life

i would never say that my job is hard. people who lay brick for a living have a hard job. marine infantry have a hard job. i would describe my job as challenging, on some days very demanding, and often puts me into situations that are emotionally taxing. today seemed be all of the above.

one of my first patients arrived at the office in full septic shock- no blood pressure, faint pulse, very weak. got her stabilized and sent off to the hospital by ambulance. interrupted two patients later by a phone call from the pathologist at the hospital with the report on the autopsy from the patient who died last week a few hours after i admitted him. two more patients later, i'm in with a guy telling him he needs a biopsy and likely has cancer.

the afternoon wasn't much better- a patient with trouble breathing (spared a trip to the hospital for now), 4 stitches into the eyebrow of an 8 year old, and a call from the daughter of another patient reporting that her mom's blood pressure was very low (advised her to head to the ER).

down to the hospital after work to check on the lady from the morning (doing better) and admit the lady sent to the ER from the afternoon (doing fine also). then, got a call on my way home that another patient of mine from the nursing home arrived DOA at the emergency room.

hard day? you be the judge.