ystrdy start over

day nineteen

• tumor baby having a “huge agitation moment”

• resp cultures tend to be colonized

BUT if you see leukocytes that’s

more than just colonization

• TPN + PPI = precipitate in line,

lose your line

• “drifty sats," aside from which

vitals were normal

• pneumatosis = air in bowel wall

(not lumen)

- stool on xray can mimic pneumo

• nurse K---- has little badge clip

that reads “NICU: where little things

matter”

• I think my biggest beef with

the whole thing is how we all

just default to “life saving” and

life prolonging without ever giving

it much critical thought. Why

have we all just internalized to the

point of like…………… blind

obedience to a principle like this?

one that brings so much iatrogenic

suffering not only for patients

but families + providers + “system”?

- as in, this shit costs the “system”

so much fucking money, which it

doesn’t matter cuz money is

fake, but it’s also real enough to

have real life repercussions…

- long story short I just think

we all need to reconsider life

saving as the default mode of

medicine

• “episode of projectile emesis”

• resident Y----'s scrubs have

words inscribed in the lining,

printed in all caps: “JUST SAVING

LIVES, NBD”

• “46 is not an appropriate

glucose at all” gagged

Y---- so bad she accidentally

slammed her WOW against the

the door frame

tmrw