Dr. Engholdt

Dr. Engholdt

Inner Strength Will Get You Thru Anything

"If there's something you know you can do....but your mind keeps throwing up road blocks...just drive right through them!"

My Life As An ER Intern...

This is the story of my life as an Emergency & Critical Care Intern at the Animal Emergency Center. I wanted to start this page as a way for my family and friends to keep in touch with me. I have discovered that for the next year of my life, I will be a slave to this internship...you won't see me and possibly won't hear from me. I apologize already...and that is why I want to give something back to each and every one of you for standing by my side through what may be the toughest year of my life. I don't want to lose any of you...I want you to know what I am going through...I want you to experience it with me...so I have decided to place it all here within these pages. Please let me know what you are all up to...this will help to keep me sane...and it will give me a reason to smile on those days when I find myself locked inside the clinic bathroom cyring!! (yes it does happen...in fact the clinic bathroom is fast becoming my place of calm in the middle of what I like to refer to as Hurricane AEC)

I think about you all and I wonder what you are up to...I wish I could talk to each of you every day...especially on those days when I just need to hear a friendly voice. I want you all to know that without your support I will not make it through this year...so stick with me through the rough times because I think I see some clear skies ahead.

Friday, August 17, 2007

Your Dog Ate What???

I have about 1 hour before I head out to work again...my last day for a couple days, have the weekend off...what am I going to do? Don't know yet...got an invite to the zoo...may do that...may go hang down by the lake...not sure yet, all depends on what I feel like when I wake up on Saturday morning/afternoon. My kitties are going crazy...it is hard on them when I work so many days in a row...they count on their paws until I have days off to hang with them. Apache has developed her habit back of trying to kill me while I sleep by trying to knock the picture down from above my head. As soon as I wake up she is content and then lays down, next to my head on my pillow!!! (this is a new position for her!!) and goes to sleep. Webster just screams in my ear until I wake up, open up the covers, and let him snuggle into my left armpit...they both have their sides and Apache gets very irritated when Webster tries to sleep on her right side!!! And, they both love it when it is just me in the bed...they get me all to themselves. So my night last night was gastric foreign body night. I admitted 3 dogs..one ate a pair of black thong underwear that we fished out endoscopically, another ate a happy meal transformer figurine that we pulled out endoscopically (still intact minus one arm he had chewed off), and another ate the whole garbage which unfortunately for him contained corn cobs that he did not chew and swallowed whole...yeah those things do not pass!!! But, we are very expensive for ER surgery so she wanted me to just stabilize overnight and he was getting transferred to his rDVM this morning for likely intestinal surgery because based on Rads he looked obstructed. I also saw a little dog with a big abcess on his face, a dog with impacted anal gland, a sick cat with a fever who I just gave SQ fluids to and sent home on antibiotics (cat had painful belly, but what can you do when owner wants to spend no money??). Last patient of the night was a dog in severe respiratory distress...cyanotic mm (blue gums)...arrhythmia but couldn't really hear murmur, tachycardia...wanted to give fluids and take rads....owners say no, want to check with rDVM first..wanted me to do nothing but keep in oxygen overnight...woman is bawling the whole time...I say that I can do that but she is critical and may die without us knowing what is going on and it may be something we could have prevented...she actually sends husband home to get rDVM phone number and wake him up to ask his opinion (keep in mind it is 2am!!!!)..they come back and decide they are going to take her home and wait until can see rDVM in the morning... I am very surprised that rDVM would suggest that...I am wondering if it is because dog was seen my him a week ago and had a cough at that time and he said to just watch it, is also giving steroids for skin allergies....glucorticoids and heart failure---not good....that is maybe why...either way I send dog out door gasping for breath and blue....not without having them sign an AMA form t cover my butt (against medical advice form)...out of my hands now. I am getting more used to the job..still dread going to work...hate the long hours...always at least 18 usually 19-21hrs. I got home at 5:30a yesterday, showered, went to bed and for some reason felt like getting up at 9:30a, going for a run, and then cleaning my bathroom...now I am waiting to go back to work...it is Friday so yes it will be very busy...always is...the good thing about this job?...I have finally lost my "tweakness" (nervous, panic attacks...buh bye)...the job is tough, the hours are long, I am constantly sleep deprived, I am losing touch with everyone I once knew, but hey, what doesn't kill ya only makes ya stronger...(at least it better--sheesh!!)

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The Story of the Five Balls

Imagine life is a game in which you are juggling five balls. The balls are called work, family, health, friends, and integrity. And you are keeping all of them in the air. But one day you finally come to understand that work is a rubber ball. If you drop it, it will bounce back. The other four balls - family, health, friends, integrity - are made of glass. If you drop one of these, it will be irrevocably scuffed, nicked, perhaps even shattered...either way, it will never be the same and may be lost forever. Be careful when life starts to get rough...juggle carefully. And, once you truly understand the lesson of the five balls...you will have the beginnings of balance in your life.