Monday, May 11, 2009

Recap


It seems like the last week has been incredibly hectic. Last Tuesday was a WILD day at work, because they had double booked us with patients. Ordinarily, they schedule 2 outpatient evals for us (1 for me, 1 for my supervisor). We also schedule feedbacks with patients we've finished the reports for and their families either the first or the last hour of the day. At lunch, we have our didactics meeting. I knew that I had to do a presentation in didactics and that we'd scheduled a feedback with one patient that morning and another patient at the end of the day, so I was expecting it to be a bit hectic. However, once I got there, I learned that they had actually scheduled three patients for us in addition to our feedbacks. One of the feedbacks was particularly difficult. It was a case in which we essentially had to tell a guy and his family that the deficits he had currently were, statistically speaking, as good as it was going to get. He asked us how long until he would be back to his old self. Wow, that was a hard thing to respond to, because barring divine intervention, he isn't going to regain any more function and is at a huge risk for another brain insult. It is a very fine line to walk. On the one hand, I never want to discourage a patient from working to get better and never want them to lose hope. And there is always the possibility of divine intervention! On the other hand, I think it is a cruel disservice to spin a yarn for people that makes them have unrealistic expectations. So it was kind of a sucky day, for lack of a better descriptor. My supervisor and I did a strange shuffling of the patients between us to get them all done without too much down time for any of them. I've been struggling since then to get the report done for one of the patients, because she's in a diagnostic gray area, and I am torn on how I want to couch her diagnosis. Eh, anyway...tomorrow I'll have another eval to do, so maybe it will be an interesting and exciting day as well!

Nanny Rebecca came down with a horrible case of bronchitis that turned into pneumonia, so she was out the end of last week. I kept Rebecca with me on Wednesday and Thursday while I attempted to do some writing (hmmm, maybe that's why the report was so hard for me to write!). On Thursday, we had a lovely little meetup with Julie and Addie, for which I posted a cute picture. I had taken more pictures, but apparently I had the camera on some weird function that made things kind of blurry. Not to mention the horrid flourescent lighting. But hopefully I'll have more opportunities to get some good snaps of the girls together. Earlier in the week, Rebecca went on a playdate with her friend Charlotte. I've got pics of that I need to edit and upload too, because they're so cute! Rebecca is about a month older than Charlotte but is probably 4 inches shorter and at least 10 pounds lighter. Yesterday, she wore a skirt that was size 3-6 months. Good grief!

I had the most lovely Mother's Day. I received several nice cards in the mail, but the nicest were the cards I got from Ramy and Rebecca. Rebecca signed hers herself. Clearly, she is destined to be a doctor, because she has the signature down already. I was taken for a delicious brunch at my favorite restaurant, Louise's Trattoria, in Los Feliz. Afterward, we went up to the Griffith Park Observatory and enjoyed the gorgeous weather and beautiful scenery. Rebecca thoroughly enjoyed playing in the grass!

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