STRESS!!

So it is a little stressfull working on the floor and having no time and trying to prepare for my journal club...it is tomorrow...I will let you know how it goes. At least I then have 5 days off in a row that I am really looking forward to. Work has been slow up until about 7pm and then we been getting slammed...last night we were really busy...saw once again some vomiting animals, admitted just one little dog who had been vomiting and his electrolytes were very off so he may have something else going on...radiographs didn't show a huge abnormality, but he may get a contrast series done today to make sure GI is moving as it should or an abdominal ultrasound. I will see when I go in today. Saw a vomiting cat who was really mean!!! So had to knock her out to draw blood and take radiographs,,,didn't find much on rads or bloodwork so owners just took her home with some supportive care and monitoring...they may be back. Saw a female cat who was straining to urinate...bladder was not huge...can see this in female cats with urinary tract infections, but also cannot rule out a stone or tumor...owners didn't want to do ultrasound or rads to look for anything else so just ran some bloodwork to make sure her values were ok, a urinalysis - which indicated possible infection (lots of white blood cells in there which is not normal) - so they are going to try antibiotics and some pain meds and if she continues to strain I said we will have to prob. do the ultrasound to look for another cause. Saw a couple lame dogs, but no one really wanted to do anything,,,the one just wanted pain meds because she had an appointment with her vet today and felt dog just needed some comfort overnight...he had some shifting leg lameness, some joint effusion--most likely either infection in joints, lyme disease (characteristic is shifting leg lameness), or some immune-mediated polyarthropathy (joint disease - treated with steroids)...but I guess rDVM gets that one, oh well, would have been cool to tap some joints and see what it is...also to take rads of all joints as well to evaluate them...maybe next time. Well, I can't write much...have to work more on my articles. I will write more after my shift tomorrow and let ya know how my presentation went.