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24 Hours On Call
MON 5:40PM Ryder (seated) and emergency department nurse Mary Trono examine one of the patients who is being
admitted to the hospital this evening through the ED. "I'll be your doctor tonight," Ryder tells the patient. As part of the
admissions process, Ryder will ask the patient about her medical history and current condition and do a physical exam.
MON 5:46PM As Ryder examines
the patient, she checks for lymphadenopathy—swollen lymph nodes,
which are often associated with
inflammation or infection. While
she's conducting the physical exam,
Ryder asks the patient a number of
questions—such as "Does it hurt
when you lie flat?" and "Have you
been short of breath?" and "Does
it hurt when you pee?"—to help
her assess the patient's medical
condition and come to a tentative
diagnosis regarding her problem.
MON 6:09PM By now several new patients have been
admitted to Ryder's unit, and she's at a computer in the ED
writing their admission notes. In addition to the medical
history and physical exam results, she includes the reasons
the patients came to the hospital, their medications and
drug allergies, and an assessment of their problems.
MON 7:36PM The red team got to
the DHMC cafeteria for dinner just
before it closed at 7:30 p.m.
Laquer is now enjoying his meal
while Ryder answers yet another
page. "I've gotten called about a
few patients that we need to
admit," she says. She does manage
to eat between pages; despite the
hectic pace of the day, she knows
how important it is to find time to
eat. She makes sure the people on
her team stay well nourished, too.
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