Freaky Friday

Freaky Friday, very busy morning, 15 in the door before noon, 16 more to close the day out, at 31 patients. BUT LOTS of procedures. Foreign Body removal and I&D of abscessed lateral thumb. I&D of abscess cuticle and paronichia in another thumb. Granulating I&D of facial buccal MRSA abscess. Revision & Packing of MASSIVE Thoraco-Lumbar MRSA Abscess coming from some one else’s facility, after having been seen there 4 times and finally referred to a surgeon, but of course, unable to afford hospitalization. R suborbital hematoma & purpura with total periorbital ecchymosis, and mattered episcleritis following a fall last night – no fracture on Water’s view X-ray. Two Avulsion chip fx’s and ligament sprains in medial & lateral R knee in fall on deck – required immobilization. Left Ankle sprain falling off high heels. Medial Hamstring tear near Ischial tuberosity origin after slip on oil patch in garage – splits are hard in middle age. Rolled L ankle in inversion with fx distal fibula shaft, and avulsion chip fx with sprain of fib-talo ligament. Left 4rth tarsal-metatarsal lig. sprain s/p heavy lifting in flexible soled, inadequate, work shoes. Torticollis and cervical discitis, r/o occult fx and stenosis with lateral C-spine. Mixed uric acid and calcium oxalate renal calculi in 52 y/o woman with a UTI, brought a stone she’d passed. Likely food borne Gastroenteritis. Bronchitis. DOT Physicals x4. Drug and Alcohol screening. Weight loss x3. Another trying to gain weight. Schizophrenics x2. F/U on H.Pyloi. Numbers of medication renewals. Erectile Dysfunction. UTI’s with cystitis. The Medical student closed the day with her excellent presentation on OA & RA, then a discussion on her student evaluation. Also, another pre-student shadow arrived today to follow in-house. Late getting home. Light Shabbat Candles. Watched a movie.