Earlier this week my mood really started to dip. I finally started doing my light therapy. But the problem is- when I feel depressed I don't want to get out of bed in the morning- so then I am late and don't have time to do it before work. But I finally have got myself to do it. I also have this alarm clock that wakes up up by slowly turning on a light. The problem is, the last time my mother was here she unplugged it to clean, and I haven't set it back up. It is a pain to program, and I keep forgetting until I am too tired and in bed.
It is a lot harder to get out of bed now that the sun is not there to wake me up. I love waking up with the sun- and the birds.
I have signed up for a yoga class on Monday, and a nature hike next weekend. So I will be doing something. Today I have felt like I am just recovering from the week. A couple of days this week I felt really feverish- I almost wondered if these were hot flashes, but I think I'm too young still plus I take the pill. And then I had chills too. One day I almost didn't make it through the day.And another day this week I had a headache so bad I wanted to cry, despite taking painkillers. So physically it wasn't a great week. And I have been pretty irritable too.
I did get some interesting patients this week- including the first case of pure anterior interosseous nerve palsy that I have ever seen. If I hadn't had to study for the CHT exam, I wouldn't have recognized it- because the doctor just put down some really vague weakness diagnosis. And I have a doctor requesting the new post-surgical Dupuytren's tension-free protocol that I have heard and read about- but never had a chance to do before. And I have been having success treating a patient for trigger finger by immobilizing the DIP joint- something I am trying for the first time after reading about it and talking to a couple of therapists who are doing it.
We hired a new therapist, so my inpatient coverage days will come to an end, probably at the end of October. Which is good- I really don't like acute care anymore. When I did it at the hospital where I first works, we actually did comprehensive evaluations and- for selected patients- gave meaningful treatments. But we didn't see everyone. Here the OT's are really just there to write up the note saying where the person should go and what equipment they need. It is all about how many patients you can see in a day. I'm not that productive, I can't do what the last therapist used to do. So I am glad to stop doing it.
Time to go back and watch another episode of Dr. Who.