*sigh* Today was made of all sorts of wrong. I am falling into the bad habit of diagnosing every kid who comes in with a runny nose and cough with the same three drugs Dr. RR normally uses based on age group, but each time Dr. RR crossed out my assessment and wrote something else in its place =( I read online that kids aren't usually given antiemetics, but he still gives some kids a Phenergan suppository after they've been vomiting for a while. One kid who came yesterday for vomiting came back today with a higher fever, stomachache, and pharyngitis, so I said we should do both a strep and flu test on him. Later Dr. RR changed it to flu test only; he said if the flu test is negative, then we can give the kid some Amoxil. The test was positive for flu, and we both wondered how we didn't catch it yesterday. We also had a teenager come in with a suspected testicular torsion after getting kicked in the groin during a fight; I wasn't allowed in the room, but Dr. RR told me that his swollen testicle was three times its normal size. Yikes.
The downer came when Dr. RR pimped me on knee pain. I'd gone on UpToDate yesterday and looked up all sorts of knee pain, but didn't think I'd need to know the treatments in detail (stupid me). Apparently there's a lot more ways to treat knee pain than NSAIDs, rest, and steroid shots (as commonly seen in the ortho clinic). *sigh* Then Dr. RR had me to a knee exam on him, i.e. how would you diagnose meniscal tears (McMurrays) or ACL tear (Lachman vs drawer test); for a while I thought I was in OMM again. So now I have to "remediate" again on certain knee disorders. =( This downward trend has got to stop.
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