I shadowed the pediatrician on Wednesday. It was a little more exciting than usual because the water was not working. No sinks. No working toilets. Nothing in the entire building! The hospital next door also did not have water, but they could run off the reserve tanks. Nobody talks about urine as often as they do when emptying your bladder is no longer an option! The nurses joked about cathing each other and a few little patients needed urine specimen cups because they simply could not wait. It was the first time I ever left campus for lunch while shadowing because venture out into the world in search of working restrooms. I had to ration my beverage at lunch so that I wouldn't have a full bladder later in the day, which worked like a charm. Nice to know I can hold it when I have to, I've heard enough horror stories about med school and residency to know it is a skill I need to have.
Clinic itself was interesting, as always. A few new things I saw: a 5 year old who broke 100 pounds (I thought the nurse had written the temperature in the wrong spot on the chart!), molluscum contagiousum, and fingernail shedding from HFMD. I also got to use the otoscope to visualize an infected ear (KayTar was so jealous when I told her I used the otoscope). We saw a few kids with pneumonia, one poor guy with both flu A and strep, and a lot of cute 9 month old babies. It was 9 month old day, evidently. I learned that sometimes, no matter how many different ways you say it, parents/patient just don't understand that something cannot be cured with a prescription...be it eczema or a virus. These are the patients/parents who leave very unsatisfied when they don't leave with a magical cure-all prescription and feel like they've wasted their time in clinic. I also learned that sometimes you can spend 10 minutes explaining something to patients/parents in great detail as they nod in what you perceive to be understanding, and as soon as your hand touches the door knob to leave the room, they ask you the EXACT SAME question you just spent 10 minutes answering. It makes you wonder about people.
We ran behind and didn't finish up until nearly 6pm. I got home between 6:30 and 6:45pm. Josh and BubTar had been working on his science fair project. The house was messy, the kids hadn't had dinner, and they go down for reading time at 7:30pm and bed at 8. My feet were quite tired (I'm not used to standing and walking all day yet!), so I took a 5 minute break when I walked in the door (well, if holding a chatty 5 year old in your lap counts as a break), but then we had to get down to business. We cleaned up a bit, made BubTar a quick dinner, and then KayTar begged me to play a game with her, so I did. We played anarchist Cootie (Cootie without rules) and she decided to make a KayTar-Cootie and an Uncle Z-Cootie and marry them. I told her, "KayTar, you can't marry your uncle!" And she said, "This is NO RULES Cootie, we are going NUTS!" I couldn't argue with that logic, so I officiated the Cootie marriage. In the blink of an eye, it was reading time. Once the kids were in bed, I took my shower, ate a pudding cup for dinner, and fell into bed. I think I watched a little TV, too, before zonking out around 10pm...which is early for me. This was the first mid-weeknight I have shadowed and it was quite a different experience at home. On a Friday night, things are much less structured around here so it doesn't make much of an impact, but during the week it does...it felt more accurate. Makes me wonder what evenings are like for most doctors with young kids! By the time I'm an actual doctor, my kids will be considerably older...but I'm sure we will have plenty of wild evenings during training!
It seems as though I brought home a little souvenir from clinic, as my throat has been inflamed for a day or two now and sleeping last night was next to impossible between little apneic episodes and the general discomfort in my throat. It isn't painful, it just feels swollen. I feel fine otherwise, but my throat sure is irritating me. I really enjoy being in clinic, though, so a little viral pharyngitis is a small price to pay, right?