I’m actually feeling ok for just this one last night. I had a patient get more physically ill than they really should be on a psych unit but not so much I completely couldn’t handle it workout the charge nurse making all the phone calls. The patient was actually super grateful the whole time and their condition improved a lot which was a nice change of pace. Dayshift was pissed but not at me, and there’s just something deeply satisfying about knowing the hospitalist is about to get verbally fisted for not admitting your patient to medical (as they should, there was a lot more luck involved in my success than is generally advisable in a hospital setting). I’m really, really good at holding a crisis together until sunrise, but at my last job they forgot how good I was to the extent that they stopped realizing it was me putting all the fires out, and eventually they forgot the fires even existed. It’s only been six months so we’ll see but so far but them telling me the hospitalist boutta find out about our unit manager is… nice. It’s just nice.