A patient who needs to see a respirologist has refused to go back to the respirologist because he waited 45 minutes at the hospital for his PFTs then left without actually having said PFTs. In my head I was thinking "45 minutes aint that bad". He kept telling me about all the people who were going in before him blah blah blah. I was surprised at how little sympathy I felt. Sometimes things don't go according to plan. Sometimes you just gotta wait. Then this guy tells me that he's found ways to deal with his anger and he thinks he can go off his medication... hmmm I don't think so.

The thing about having all 10 minute appointments is that when someone comes in and says they're going to kill themselves - suddenly I'm 20 minutes behind before I even talk to them. Plus, when the nurse is in the room talking to the patient and weighing them etc. at 9 o'clock, I actually don't even get into the room until 9:10. Bam, I'm behind schedule. I've given up on being on time. I'm trying to keep my lateness to less than 20 minutes now. That is pathetic.

So, I know I've been a bad poster. Very bad.

I came home from California and got sick on the plane and then spent a week with the flu while trying to get ready to start my new locum.

Started my new locum to come in to the surprise that the physician I'm covering for sees a patient very 10 minutes... including physicals and well baby visits. To me, that's unacceptable. I see a patient every 15 minutes, physicals for 20 and well babies for 20 in my own office. I have asked them to change this for me and they said "sure"! but as of yet I'm maybe getting 50/50 compliance on that. I feel run off my feet, strung out, and like a bad doctor. I'm also in a bit of a slump and my exercise level has tanked along with my mood and body image. My gym sent out emails that it's going to close so now I need to find the time to look at new gyms. I'm having palpitations. again. This only happens when I'm stressed out.