One of those days

Where if I was writing a book I'd fill a chapter or two. Entirely with work stuff. Or 90% of work stuff.

The stuff you don't see in private practice or learn about at school.

Like a person whose blood glucose is so high our meter reads "hi" to which both doctors I asked about it quipped "did you say hi back?" No, dammit. I didn't. And oh, btw the meter range is to 700. So 20 units of humalog and 30 minute later it finally comes to a level of 600 which the meter can read. And then the guy suddenly perks up and wants to go on his way, thank you very much. While I was all for calling the taxi or ambulance to allow an emergency room to manage my friend here. The doc didn't blink and eye. Oh yeah- and remember those guidelines about I'm going to get graded on my patient's HgbA1c? Taking bets this guys will be by highest yet. And not sure why his failure to take his insulin to be my responsibility. But
I lean libertarian and live and work in a democrat ruled bubble.  Insulin? 'yeah. I'm supposed to be on it'. Did you take it? 'well, no.'  When was your last dose? 'awh, gee, maybe 3 weeks ago? It's been  a while.' Oh yeah, and he's lost 45 lbs the past month. or more. And was in the ER "not too long ago" in DKA. still wearing his bracelet from that visit.

Nice guy, tho. More than I can say for some others.

And so I get home with 12 charts to finish and the remote access gives me communication failure errors. alot. and crashes. Reboot, relog on. same thing. Which means..... I get to finish tomorrow after another day of insanity. literal insanity. for both the patients and me, I think.

School news- This week as JMs school music performance. as kinder/first graders they play the sticks, drums, triangles and cymbals.  JM is in a class or rambunctious boys and they got.... you got it.... the sticks. And I cracked up watching his teacher about have a stroke trying to get them to hold the sticks on their shoulders and not hitting each other with them. 

I am their "garden parent" and I"m getting to know them. they're 70% boys. And their teacher doesn't have the experience harnessing that sort of energy. And I have get to harness and contain all of them at once, either. At least not doing anything learning based. They play a mean duck duck goose.

The garden took over the past week of my life. Not MY garden in my backyard. But the school garden. I was sucked into being on the garden committee by being the only person personally known by the rest of the garden committee to actually have a garden.

If you can imagine 4 people going on pintrest and pinning about 3 dozen great ideas and then forming a committee to try to do all these great ideas before trying them at home... that's the garden.  I'm not on pintrests. I don't have that kind of time. But I've found myself landing there when doing other searches and some of the ideas have been great and others are 'uh, did you try that? yeah? and the result sucks? I'm so not surprised. Most of everything I've tried from there was a catastrophic failure."  They had meetings ad nausem to talk about all their great ideas. I had a conflict with each of them except for the one on my birthday which I decided to take a long bubble bath instead. But things like drainage, slope, you mean I have to water these things? all the time? what do you mean full sun isn't great for all plants? ARGH. And like a train wreck that might be able to be prevented I've been there trying to fix the tracks so that train doesn't take out innocent bystanders.

So aside from trying to fix irrigation issues and slope issues and overall garden issues I also got to be the classroom parent for Sonia's and Jon's class. (who after a few days of my being there, they call him jonmichael now, sometimes.) And while other class garden parents had to talk to garden head cheese to ask her for plants ahead of time I could go to my piles of sprouted seeds, other seeds, plants I needed to thin and plant 2 whole garden boxes easily. AND we had the only strawberry plants. Which seems to draw nearly everyone's attention. I mean how exciting to carrots and signs saying there are seeds there when there are pink and red strawberries begging all adult and kids to pick them.   Today was the big garden ribbon cutting ceremony and the reason I've got sunburn and blisters from getting the dang thing ready. And today I worked all day but Sonia was appointed by her teacher to be their garden parent class liason. She's a walking talking encyclopedia of gardening knowledge so she schooled the school board and the benefactors on all things related to her class's square foot garden. She also informed me that my handwriting on the "CUKES" stick looked like "cakes" and that "nonone knew that cukes stood for cucucumber" which might not be 100% true. But if that is true - is that a local new england thing or did I pick that up somewhere else along my life? The odd regional differences sometime amuse me. Like this week in the garden and I was talking to someone who when to Boston College and someone else pipes in about a "great restaurant" I'd like. They have philly cheesesteak. huh? Philly in that means philladelphia. Not Boston. And I said, yeah, I'm sure it's great but I can't say I'm a big cheesesteak fan. Nor am I a big fan of lousy geography skills or stereotyping people based on one food.  I mean really, San Diego you want people to ask you everytime you travel if you tried the san diego style street taco restaurant in thier po dunk town? because we live in street taco heaven here and even here you have great and less than great street tacos. And THEY say they're Tiajuana style. 

I think I followed that squirrel down the rabbit trail a bit too far tonight. Sorry.

In theory this coming week we'll be visiting Texas and becoming official Texans. This sounds kinda exciting.
In actuality, Larry doesn't have that leave officially approved, by the dozens that need to approve this but the absolute earliest we could leave is sunday. We'll be missing the first week of CST testing. So sad, I know.

I took the truck in to make sure that it could actually make it across the desert of west Texas and while it was pouring antifreeze into the driveway, it's been behaving perfectly fine since I brought it to the mechanic. We will see. I should probably make sure all our AAA cards are up to date and unexpired, tho. I love our mechanic. His advice - it's working, leave it alone, travel with gallons of water and antifreeze. And he wouldn't charge me because he didn't think it needed fixing. Time will tell on that.