Our 'prep' solutions and sticks are backordered. Chloroprep. For a block yesterday I watched a colleague use alcohol swabs to prepare. I've been told others use the skin-safe wipes from the dispenser.
Backorders have been part of my career since the late 2000's. Before then it was unthinkable.
Ironically, many times before a new drug comes out, it's cheaper alternative goes on backorder. Most people don't think of why but I often make the connection.
During Covid the Glide Scope 4 blades were backordered, which makes sense because it's a favorite size and means to intubate someone. It's back fortunately now.
Speaking of Covid, I ate lunch yesterday (I know, surprise, right?) with a surgeon whose brother died from it, and a pediatrician. Both men were of Latin heritage. Apparently in South America (under the equator, where it's winter, and around the equator too) there's lots and lots of deaths. The healthcare isn't like ours. A big university hospital only has like, six ICU beds, that's it. The pediatrician asked me if my son was, um, you know what? The answer is no. It's because of me, and my autoimmune (one involved clotting easily, I need to take aspirin, and I do every day). I would clot like crazy. And I'll watch others to wait and see for enough like us...
He told me the myocarditis is 'transient'...and he's a big believer in that whole type of therapeutics...but he admitted it's a 'hard sell'. I told him I heard of a boy who was previously healthy who died three days after dose two. He's never heard of it.
All three of us believe another wave is coming. Because it's a winter virus and that's what winter viruses do. You get a break in the summer. He would know those well, the children get all kinds of seasonal illnesses, and he's spent his whole career on it.
The learning points here are 1) if you study Spanish Flu wave three was the biggest and most lethal. That's not to say it is and not to say it isn't. 2) It is possible to disagree and be civil in the most delicate of medical settings. Note how my knowledge of how the world is really ran never entered into the conversation. 3) for any situations, spread out the information like a tapestry before you. Look for what is highlighted (what they tell you), add to it what you know from your looking things up, and after that, focus on the shadowy gaps and things that simply don't connect up or support the other things. A prime example would be therapeutics/cures/treatments/prevention in my last conversation. Gaps--areas where the truth is hidden--are often our best insights to what is true. Censorship topics would also be similar guides to what is true.
I worked long and hard yesterday. I got home after nine thirty p.m.
But I brought my best self to each case, to each patient, and each team of surgeons and techs and nurses.
Even the last one, where the surgeon was upset to be missing bedtime with her two daughters, I was able to recall our five top favorite books, and to share them with her for her older daughter who absolutely adores reading and bedtime.
Here they are--they make great gifts:
- Yummy Yucky by Leslie Petricelli. All of her books are delightful.
- Goodnight Gorilla
- Anansi and the Moss Covered Rock
- Quack Quack Moo
- The Huntersman and the Crocodile, a West African Tale