Nearly 4am here.
Crap day at work yesterday, first patient in the afternoon was a pregnant girl (10 weeks) having a reasonably serious asthma attack, and kind of ignoring it because she was also having some bleeding which was all she wanted to talk about. I said nothing we do is going to affect the baby one way or another but we have to sort your breathing out, now. So I ended up nebulising her and sending her to hospital in an ambulance, all of which took a good 45 minutes. This is when I hate GP - I am pretty experienced in respiratory and have dealt with many, many patients much sicker than her in my time, but you just don't have the equipment in general practise. And in hospital you have nurses who can at least watch patients (and often be much more helpful than that) when you have done what you can for a sick person but still have 10000s more to see - in GP the only people spare are receptionists, and it's not appropriate to ask them to watch someone with an asthma attack in case she gets worse. Anyway the paramedics were grateful because I had done a full assessment and had initiated treatment which I suppose is more than they usually have to go on, but I still felt totally stupid because I could do everything that needed to be done and that would be done in the hospital but just don't have the - stuff. I like the hours of GP, but it's not for me.
So then I was running an hour late and all my other patients were stroppy about it even though I had told reception to tell them I was dealing with an emergency.
And then I saw another pregnant girl (again, 10 weeks) who was probably having a miscarriage (6 days red bleeding, cramps) who was either oblivious to this or in denial about it, that really upset me. I sent her for a scan. And after that I had to speak to one of the senior doctors about something, and ended up crying on him and telling him I was pregnant and exhausted and not coping dealing with the pregnant patients. He was nice, but I feel so guilty I am up at 4am writing this, and I have to get up at half 6 and go back to work. He said I should tell the other doctors too and that everyone would be supportive, but I don't know.
My crap days last year involved being called to cardiac arrests whilst dealing singlehandedly with heart attacks and clots on the lung at 3am with no senior doctors in the hospital, since when did ^that constitute a bad day. I feel like I've lost myself.