Haven't contributed since I became an attending. Here's a snapshot of my last 12 hr night shift. Our PCP's admit their own, we have no hospitalists except for the NP at night that does all the orders and H&P's
69 M, Pyelonephritis in solitary kidney, admit urology
73 M, Hearing aid part stuck in ear, removed in triage and D/C'd
66 F, Chest Pain s/p stent, admit to her cardiologist
43 F, Chest Pain/Anxiety after ETOH, D/C
23 M, Bronchitis X2 months with multiple unsuccessful outpatient treatments, sent by PCP, Observation
54 M, N/V/D, weakness; Admit for Hypokalemia and Hypomagnesemia
4 M, Fever; fluids, correctly dosed tylenol/motrin and D/C
49 M, N/V/D Abd Pain, Neg w/u and D/C
52 F, Chest Pain, Neg workup and D/C
38 M, "Not Feeling right" after smoking weed laced with meth trying to fix insomnia, Metabolize to freedom after sleeping it off and breakfast
63 F, COPD Exacerbation (again), observation
3 M, Came in with PD after parents arrested for arson and drugs, found in car alone at local gas station covered in soot, D/C with CPS approved family
28 M, "trouble breathing & chest pain" X 2 months, pectoral muscle spasm, D/C
83 F, yet another octogenarian belly pain w/N/V/D, admit due to concerns for recurrent C. Diff colitis
86 M, Orthopnea, due to multifocal PVC's, admit
68 M, Trach, PEG, feed, water, turn 2/2 brain bleed, cardiac arrest, etc. From home with aspiration PNA from tube feed, Admit
63 M, 3rd visit in 24 hours, at least the 10th in the last 60 days, with foley cath problems, observation with consult to urology (tired of him coming in twice a day because they can't seem to troubleshoot the foley at home after being educated multiple times)
5 M, Viral URI, correct dose tylenol/motrin and D/C
50 M, SI after getting in fight with spouse, medically cleared and still waiting placement
21 M, "Cat Scratch" after messing with a stray, Here's your azithromycin and D/C from triage
61 M, Right sided weakness and deficits for 2 weeks, NIH 5, has been driving and hobbling to physical therapy for a hip injury, they told him 3 days before coming in "You look like you've had a stroke, go to the ER" Negative Head CT and MRI, but total occlusion of bilateral ICA's, admit
And the one that had me leaving 90 minutes late...
58 M, Hx of prolonged ICU stay for original COVID with trach/PEG, ESRD on dialysis. EMS brought him in for altered LOC, hypoxic, hypotensive, Intubated, can't keep the sats up, hard to sedate, Admit ICU
