I don't know what I did to tick off the Karma gods but I am seriously in deep if you consider my current patients. Not one of the last 6 patients I have gotten has less than 7 active problems and today the two patients I have are insane. To borrow a prase from inked "the problem list reads like alphabet soup"
pt #1) in no particular order: ESRD, CHF, DM, CAD, COPD, BPH, former ETOH abuse leading to cirro and chronic calcifying pancreatitis, + smoking w/ 50 yr pack hx, +mary jane (not sure what they bleep here), and the new DX of the week stage IV lung ca w/ cavitating r lung lesion, hilar LAD, and mets to bones.
Pt #2) admitted 2 months ago and we got them from ICU today: IVDA w/ MV infective endocarditis - here is the bonus - it's pseudomonas!, w/ SEPTIC emboli to brain (w/ rt hemiparesis), kidney and spleen. s/p splenectomy. s/p intubation. s/p MV replacement. R groin abscess, IDDM, possible nosocomial pneumonia, candiduria, and last but not least Hep c.
what did I do!!!!! I am never going to be able to get notes done in a timely manner on either of these crazy pts - grrr. someone tell me it will be ok!!!