Just a vent
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i had a lousy day today. i got sent to the cath lab with folks that had never been there (i'd only been there once before). i was circulating a case where part of the iliac artery had to be punctured (instead of femoral) so that part of the aortic arch could be stented and a traumatic dissection could be repaired. turns out the iliac was so calcified we had to put in a graft, too. this person had external fix bilaterally, from toe to hip.
ok - so we get a back table all set up, patient comes into the room from sicu - no one told me (the circulator) she was contact/droplet precautions. great. i can manage that, though.
as we are beginning to count the back table, something, a large mote of dust falls from the ceiling onto the back table. this wasn't something microscopic, it was a giant dust-bunny. we had to scrap everything. i'm telling the cath lab manager that i really would like to change rooms so that they can figure out where this thing came from and clean the vents in the ceiling. no can do, he says. there are no other rooms. head cardiologist says, "just move the table to the other side of the room!" i object, but they forge ahead. :angryfire seething, i write up a quality report, and constantly monitor any possible crap falling from the ceiling. i feel like chicken little. case takes 6 hours to complete. patient still alive. i just feel drained.
tgif.