Tonight is my last night of Neurology call.
I am a happy girl.
I am going to be a sleepy girl.
I was already in to admit a stroke. I know I have a direct admission coming at some point later tonight. And odds are something else will go down in the next 10 hours.
Exciting parts of tonight were plentiful thus far, though.
I correctly identified a giant brainstem stroke based on exam findings and confirmed it with finding the lesion on the MRI.
In correctly identifying the giant brainstem stroke, I managed to actually elicit a few findings on neurologic exam I don’t often get to see like clonus, unilateral hyperreflexia (complete with 4+reflexes) and an up going babinski reflex (translation: signs of upper motor neuron lesions aka something higher level than peripheral nerves).
Patrick kept supper for me in the microwave. I got to garnish it with the deliciousness that is Siracha sauce that has become my favourite grocery purchase this week.
*Kind of Spoiler Alert*: Sheldon and Amy on The Big Bang Theory tonight. So awkward (to the point that they make me feel better about my own level of awkward). So cute (in a way that I don’t find nauseating).
As much as it sucks that I know I am guaranteed to have to go back in sometime in the next couple hours, I also know that this call is much better than in-house call. Also, I will likely be in hospital doing this next admission that I will get to be post-call tomorrow and possibly get paid for a full night of work. The issue is that I will probably also be too sleepy to enjoy most of the day because of my post-call-ish-ness. I can always hope otherwise, though. I am getting better at being post-call. If there is such a thing.
Plus, I am looking forward to tomorrow night when I finally get to redeem my Christmas present from Patrick by going to a dinner theatre that is a parody called “The Big Twang Theory.”
Good things. Good things.
I will need this reminder a bit later tonight when I am sleepier and crankier.