On the Plus Side…

Unit manager comes to me and says she got a note from a grateful mother.  I saw her 8 year old for a sore throat, and I do remember that something wasn’t sitting quite right with me, on instinct, (I even x-rayed her neck) but she wasn’t saying anything scary and didn’t have a scary exam. I do remember telling mom I didn’t think she needed to be in the ER now, but I told her what to watch for and said she should have a very low threshold for pulling that trigger if the girl’s symptoms changed at all.  So mom did say I scared her, but she did pull the trigger early the next morning. The girl had a huge retropharyngeal abscess that was surgically drained and she spent 3 days inpatient on IV antibiotics.  She was glad I had scared her and told the truth about my being uneasy, and said I was very specific about what to watch for so she was able to tell right away when things got worse.  Her daughter is doing fine.


Lose focus in this game for one second…..




WelI. I guess thats why i am 30 pounds overweight. The app is called “loseit” and its free. And every day I slip , I kind of emotionally give up and then dont write anything down for the rest of the day either. Yesterday i forced myself. OMG. so this is what i’m eating on days I don’t care ?  Which is most days. I guess this is the point of writing it down. But shit.