Three times in a single hour! By the same patient... who didn't have the ability to recall that I was the same person they fired 20 minutes ago. Every staff member who attempted to assist me, was also fired as well. On average, one every five minutes...
It all part of the dance!
Emergency Medicine is a whole lot of non-emergency interventions, with short bursts of adrenalin every now and then. For the most part, it is now a part of a community Healthcare System, where people turn to when they have no where else to go. The "social safety-net."
Now, I understand and fully embrace the concept of an "emergency." When something exceeds one's ability to handle, adapt, respond to... for the individual, it becomes an emergency. However...
In my tenure, I have had the opportunity to observe, participate, and experience, some very basic and general rules in action.
They are these:
1) Prior proper planning, prevents pitifully poor performance.
2) Lack of planning on your part, does not necessarily constitute an emergency on mine.
3) Reality, does not exist on TV.
4) It takes three minutes to properly poach an egg... test results take at least an hour.
5) Samuel Shem was correct.
and most importantly,
6) When seconds count... help is only minutes away.
And tomorrow, I will start all again!
My first diversion, is almost complete! I will post pictures soon! Of course, being the consummate craftsman, I have multiple projects in progress... Sometimes one has to change focus, to stay on an overall schedule.
Although I will miss a "soft-deadline," a "hard-deadline" will be met! Then there are the "when-ever" finished, ongoing, no time frame projects...
Stay tuned!
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