Foot Care.

Take Care of your feet!

I think because I am still trying different options of clothing to keep on until I go to bed when on call, that I may be wearing my boots longer than I did in the City an there are different temperature swings out here in the country. Anyway I got a blister in the medial aspect of my right foot and in three days it nearly maimed me, to the point of having the on-call Dr look at it while we were at the hospital that night. The infection had tracked up my lower leg to the knee and she removed a substantial quantity of skin together with a script for a week of ABs.

A fortnight later the infection has gone but the wound is slow to heal but is not longer in doubt on whether it may in fact ulcerate, thankfully.

I have seen a Podiatrist and have a foot care plan to alleviate this problem in the future. 

Be Excellent to Each Other and I'll see you at the 'Big One'!

Taz 

So what has happened to me?

After ten years in the largest city in Australia,
At the busiest station (incident numbers divided by staff numbers),
Completing my Fiftieth year upon this mortal coil,
I was right for a change of pace on my own terms.

Before I became referred to by others as 'that's Taz, in the day he was good' I was ready to leave while still chasing partners, young enough to be my children, up to clear for another job!

So began the 'Tree Change'

500 km south and about the same inland is our new home.
Rather than a possible patient population of over 4 million I have 6000!
Farmland, low humidity, country folk friendly as hell.

But the work???

After 10 shifts including on call, I had done 20 jobs, no drugs administered, lots of advise and guidance,
A 500 km patient transfer, numerous hot response jobs that were 40 - 50 km away, near daily 170 km transfers of patients from our local well functioning country hospital to the larger district hospital.

An elderly population, very few alcohol related jobs, even though our local sports teams have had much success at the end of their seasons, no farm jobs yet and we're still looking for somewhere to buy, maybe a little bit of dirt, nothing more than 100 acres should do!

Be Excellent to Each Other and See You at the Big One!

Taz

Still not Party Weather.

89F - Had a slow fall backwards and has back issues and c/o increased pain.
21F - A student who has accepted they have some symptoms similar to some rather common maladies and has grouped them together with her own research (Google) to create what really isn't there with neurosis.
54M - Very, very pissed and has had a fall and it probably is the booze talking but as we know it may be a head injury.
The fricking media has been beating up some new strain of viral infection that has popped up in a few isolated cases in young kids and of course we get a call from some nervous mum who won't be talked out of immediate Tx to the ED for the 10/12M's first fever.
77F - Generlised pains, minor.
55M - Disability pt needing some trans dermal patches put on.
Brawl, no injuries.
20F - IP fell off her shoes and cut her chin, that close to the hospital she elected to walk there.
80M - Dialysis.

Be Excellent to Each Other and See You at the Big One!

Taz

It's cold and that slows them down.

Or rather the locals think it's cold but I just think it's winter!!!!

55M - Fast becoming our latest IP pest, straight to waiting room and then left.
39F - # Ankle off tall shoes.
56F - Sciatic pain, new.
48F - SIRS, Systemic Inflammatory Response Syndrome, or pre-Sepsis or sick and needs a Dr tonight!
31M - Taxi driver king hit by some random waking along the road.

Be Excellent to Each Other and See You at the Big One!

Taz

Oh very Hungover.

I'm not the only senior staff member leaving station and last night we had drinks for Matt.
I turned up after work and I'm not sure when I got home, but I did and the lovely Ambowife woke me up after I failed to do so myself.. I was late to work by my standards (only 1 hour before start rather than 2) but this was enough to alarm my colleagues.
A handful of paracetamol, several coffee's and a rather large egg an' bacon roll with BBQ sause had me on the road to redemption.

56M - Discharge to home post OP.
39M - Aggravation of known back issue.
43F - Small injury on knee but the arcade manager called us. We cleaned it and off she went.
78M - Not new bladder pain.
83F - Small laceration to her scalp, cleaned and she elected to stay at home.
81M - Over-balanced and needed a hand up. Didn't need to go to hospital.
68F - Has now managed to # some vertebrae after a recent series of minor falls.
42M - Left hospital before Rx was completed for a Na+ imbalance and the hostel he resided at wanted him returned.

The day got better or rather I did and all is well in the world.

Be Excellent to Each Other and See You at the Big One!

Taz

Fresh Week.

26F - Haematoma on the back of her head from an alleged assault.
103F - To a rehab from home post possible stroke.
76F - SOB.
83F - Tibial skin tear that will need surgery in the end.
8/52M Hospital to hospital transfer
Assist with a pt who may have been on the floor for three days.
64F - Bipolar and aggressive in a nursing home with frail residents.
86F - Hyperkalaemia? Rehab to Hospital.
50M - IP sleeping it off.

Be Excellent to Each Other and See You at the Big One!

Taz

A better day.

18F - Headache, there was something odd about the presentation and we found out later there was something strange on her CT.
??M - Assist with a motor bike rider who came off at about 80kph, walked out of hospital without injury.
21M - Psychosis, paranoia.
65M - Back pain.
35F - IP who got aggressive in the back so I threw her out and reported it to the Cops.
71M - Abdo pain.

Be Excellent to Each Other and See You at the Big One!

Taz