Monday, May 23, 2011

Bloody eyes and worthless ears

So I worked both Saturday and Sunday this weekend and let me tell you-it sucks... Plus I'm on a workout kick and walk/ran 8 miles sat and 6miles last night... I'm eating super healthy and sparingly, so now I'm just tired and have no energy. From my last post you realized I was up all night mouse hunting and blogging... So you can imagine my enthusiasm as I drove to work for my 8-8 Monday shift. My first patient came in complaining of a sudden loss of vision in his right eye. We last saw him 2 yrs ago and were treating him for iritis. I figured this was another bout and maybe a posterior vitritis as well. I go to do pupils, notice a small ptosis in that eye and lift the lid for a better look. In my mind I saw "whoaaaa WTF" as I pulled up the lid to see a perfect red circle where I should be seeing cornea and iris underneath. I threw him into the slit lamp and with magnification it appears his postior intraocular lens (then plastic lens after cataract surgery) had ripped through his iris, cutting blood vessels and leaving him with a whopping hyphema. Ive never seen this before. All I could think of is allopraic acid... Which means nothing right now, stay upright and get the heck to the OMD.... I'm sure they can't do too much until the hyphen resolves, but the blood had already started coagulating in the bottom of the anterior chamber, so this has been around a little while....
I move on to my next patient, acute red eye, special needs patient that is HOH (hard of hearing). She is cute and babbling jokes that I cant quite understand. Then she asks if I'm married. Which I say no, have to repeat it really loudly... The questioning continues "do you have someone special at least at home?" Nope, no one likes me, let alone loves me.... And the repeated loudly, then her caretaker repeats even louder... So now everyone in my office and western providence knows I'm all alone...
I've been trying, working like crazy to lose some weight, tone up... I've been on a couple more dates, but the last one the guy didn't even smile once, and vaguely resembled Satan.... Maybe that was the rapture? Hmmm.... Well, it's only 1030 and I've got quite a few more hours to go at work today.... Let's hope it gets a little better :)

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