Monday, July 23, 2018

TILIR #15-16: Hi, I'll be your backup doctor today!

Over the past few days, I've had the interesting job of picking up extra patients at the pediatric office I'm working at this month. Between vacations, maternity leave, and cushy workloads, there are more patients to see than doctors available to see them right now. I am *technically* a doctor, so I can see some of the sick kids that we would otherwise not be able to fit in between all the previously scheduled well-child visits.

I swear they initially gave me stupidly not-sick sick kids to see, just to test my basic competence. I appreciate this because just navigating their electronic medical record is a nightmare. 

Me: Using my amazing doctory skills, I have determined that your child clearly has an ear infection!
Parent: Great! Now what?
Me: Now, I would normally send a prescription to your pharmacy...
Parent: Ok...
Me: But I need one of the nurses to send it under the name of one of the other doctors, so I'll send an electronic message and.... well, drive slow or get lunch before trying to pick it up.
Parent: Thanks?

For some reason, I still make appointments disappear on the digital schedule anytime I open them on the computer. No one knows why. Also I'm positive I have been coding things incorrectly, but the office has a person whose whole job is to fix coding, so hopefully it hasn't been a real issue.

But parents and patients are truly very grateful that they were able to be squeezed into the schedule even if only to see me, rather than have to wait days for an acute visit spot with one of the main doctors. So that's cool, I guess.

FridayIL: While staples aren't supposed to hurt to remove, if you put a million of them in long-haired scalp and let lots of crusty, bloody scab form around them, they sure will sting a bit.

TIL: Gianotti Crosti syndrome is a blistering rash that forms on the arms, legs, and buttocks. The rash develops after separate infection with one of any number of viruses. The big viral culprit used to be hepatitis B, but since widespread vaccination has greatly reduced those infections, the Epstein-Barr virus (EBV) has taken up the mantle as the primary cause. Many other viral illnesses have been implicated as well, but less often.

Sialadenitis is the fancy medical word for inflammation of any of the salivary glands (parotid, sublingual, and submandibular) in the mouth.

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