I tend to focus and rehash strange little details.
Like how I am still rethinking every station I did on the LMCC and how I could have done them differently and what stupid things I said and did.
Or how sometimes, when I am working or on call I spend excessive amounts of time looking something that turns out to be irrelevant up.
Take tonight, for instance…
I get a call with a simple question that was only partly related to the resulting saga.
As a result, I just spent the last half hour reading about IV fluid compatibility in PICC lines because I remembered being on the transplant service and using lines for all sorts of things. I knew TPN doesn’t play well with others, but that heparin does work reasonably with some other things. I read all about the interactions and ways around them and piggyback lines and all that good stuff.
I did this partly because I wanted to find out if we could combine things if venous access was too difficult to obtain tonight. Partly because I wanted to save hassle later. And partly because I was insatiably curious and thought it would be good to know at another time
All of this to realize that hospital policy stops me from ordering it like that in a non ICU type setting. Despite the evidence I read. Because it is still complicated and it is safer to use separate lines. And despite the time I spent trying to figure it out.
The crazy is helpful sometimes. I like to think it can help me to be a better doctor.
Sometimes, it just keeps me from reading my physics homework.