Thursday, September 26, 2013

Back to nights: the space to think and teamwork

I had mixed feelings about returning to nights 2 weeks ago, however, as my preceptor, who has the exact voice of Quagmire from Family Guy stated, "you have time to critically think on night; days you just try to survive."

The first night I was able to successfully handle 2 sick ICU patients on my own which was the boost in confidence I had been seeking. I also participated in a code on another night where I did chest compressions for only the second time in my life. It was a well orchestrated dance that I felt like at least I knew my own moves instead of being in the way.

The end of orientation is 2 weeks away, but now a definite point on the horizon. Although I'm not looking forward to flying solo the teamwork is incredible and I'm thankful to be working with such nice competent people. 

This quotation fits well with tonight's mood and is one of my little brother's heroes:

"My work is all about adventure and teamwork in some of the most inhospitable jungles, mountains, and deserts on the planet. If you aren't able to look after yourself and each other, then people die" 
- Bear Grylls






Wednesday, September 4, 2013

A free upgrade from bronchitis to atypical pneumonia and why Zoomcare is still awesome....

Today I have been working on mandatory education for work from my computer. My throat is still raw, I sound like I have been smoking for 40+ years, and my lungs are tired of cough-cough-coughing. The upside is my rib cage muscles will be buff and my abs are getting an extra workout.

Low and behold the nurse from Zoomcare called me to check up on how I was doing. First off I have never ever had this happen with primary care. Obviously they are concerned that their patients get better after they leave.  The nurse was concerned that my symptoms had not improved much since Sunday and said she would have the MD call me.

An hour later I chatted with the MD and explained that some of my symptoms had changed, but not improved per se. She said it sounded like I was dealing with atypical pneumonia, not bronchitis, and that she was calling in a prescription to my pharmacy right away for azithromycin. And that she will be calling me back on Friday to see how I am doing.

I am so pleased at the care I have received!

Monday, September 2, 2013

Zoomcare: An unwanted adventure in really great primary health care

I have been battling bronchitis x10 days. I officially lost my voice at the beginning of my three days of work this week. It made for a frustrating 3 days of work since I talk ALL the time. I fortunately was able to not cough during those 12 hour shifts due to antitussives and decongestant meds and continued to wash my hands incessantly but I barely slept last night as it all caught up to me and I turned into a phlegm monster.

I popped online Sunday morning around 0445 to figure out just where I could go on a Sunday to have an MD confirm the fact that I have an infection and whether it was viral or bacterial. My hospital does have employee health and an urgent care clinic. Both are closed on Sundays. Not helpful!

I happened to notice a few weeks ago a Zoomcare in downtown Boise. I booked an appointment online from my cell phone in bed . It's a one time flat fee for service. No hassle or haggling with insurance. And I'm not going to ER for something minor and clogging up the system meant for traumas, severed limbs, and septic shock.

Overall, the experience was incredibly satisfying and the service was superb and I am serious when I say every town in America should have an urgent care clinic like Zoomcare. I walked in for my appointment at 11:00am and I saw the PA at 11:05am. No waiting. Although I was totally disappointed that my bronchitis is viral (meaning that I will be miserable for another 2-3 weeks) they were helpful in giving me an albuterol inhaler to help with the shortness of breath I have been experiencing. So now I'm on the road to recovery and can breath again.