First Time in a While

For the first time in a while today I took a bus downtown (amongst other places I went shopping today) to do some holiday shopping. Why haven't I done this much recently you may ask? Residency.

It was quite lovely. Just getting on the bus (for the first six months I lived in Chicago I did not have a car, no longer an option and I enjoyed that) was a throwback to when I was new to this city that I love and it was exciting--my own personal renaissance--and it's much less stressful. Curse you medicine for making me get up obnoxiously early. I still enjoy using the bus and train, so to be able to look out the window and just enjoy the parks and buildings that I was being driven by was nice. Then I moseyed around the shopping streets and stores, taking it all in. I didn't have any particular goals for my shopping, but I found some nice things for folks.

Residency is rolling right along, rather nice in fact. I'm done with a month of medicine --and went so far as to take the last week off of that rotation to avoid committing a homicide or slitting my wrists (seriously you medicine folk, you're crazy). And now I'm doing a month of inpatient psychiatry. Which I'm loving. My attending is scheduled to take several days of vacation after Christmas, so I don't know what I'm going to do.

Peeeeeep

Carrying a pager must be like having a child. It's chained to your side. It never stops making noise...and when it does you worry why it's being so quiet. If you ask it to wait because you're busy it chirps every two minutes until you give it attention. You can't turn it off because somebody may die. And at the end of the day, when it's time to be quiet, you look at it and say "if you make just one more peep"...what does it do? It peeps. 

Fellow resident: can we put patient on depakote sprinkles??? Once in my life I want to order depakote sprinkles!! ...or a ketamine dart. That would be fun. 

Back on Medicine

So I'm back on medicine. And as expected, I am miserable. It's just not my thing. Getting up at 4:30 in the morning with the knowledge that I may not get home until after six, seven, even NINE some nights just makes me hate life.

And yesterday some dimwit nurse called me to tell me that one of my patients had refused their 2pm heparin dose. She told me this at 4pm....

A few days ago a unit secretary called to tell me that one of my patients was returning from the OR, and would I mind putting in a diet order because the nurse was asking. When I said (cheerfully) that I did it almost an hour ago, the secretary said "OH! Ok, I'll look."....why neither the secretary or the nurse bothered to look irks me.

Today I had not one, not two, but three patients who claim to be Jesus...I think they're all lying, because none of them could turn that glass of water into the wine that was much needed after today.

Derp

You spend an hour ripping out old caulk that's probably been there since the bathroom was remodeled (I'm guessing early Dubya years)...and get all proud about how perfect your new WHITE caulk job is...and then you look at the drying result...and realize you bought clear-drying caulk...Derp.

Also derping up your day is the fact that a tire picks up a nice-looking bolt. Somehow the tire has yet to go flat, many hours afterward (perhaps unbeknownst to me the car has runflats?). I try to take it to my usual tire place, where they will patch-plug the tire. But it's Sunday, and they're not open. So I have to get creative. The only place open is a Pepboys, ok great. I get there...and they (a huge place) only plug a tire. Not on my car thank you very much. Grrrrr. Derp. As of this moment the car is parked in a spot of the garage that nobody ever parks in, in anticipation of potentially having to swap out the tire for the spare.

Yeah...I've only been in residency for three months...

The other night I was doing my usual short call, and I got a phone call from the primary service regarding a patient with (what else) suicidal ideation...but there's a twist. This individual also happens to be a doctor. Oh goody. And wait!! she's also a borderline, a group of patients I find particularly challenging. None of this makes makes me feel good. Long story short, the patient denied any active suicidal ideation, what was said was "who wouldn't have thoughts of killing themselves if they had pain like this." So, a gray area. But there was a past suicide attempt. I wanted this patient in the hospital, because there was a pattern that looked like it was about to be repeated, but the patient did not meet requirements for committment. And then the patient eloped prior to discharge...security was called and

Here's where things hit the fan like a steamy cowpie in June, the patient goes home, sends an email to her outpatient psychiatrist saying that I was right, that I should've kept her. Doctor calls the police. Patient leaves her house, and shows up on the floor after I've signed out to the night resident. Then the patient codes. What has the patient done...taken over 100 pills of oxycodone, percocet, and valium...

I cannot even begin to put into words what I felt in that moment. Anger, at myself and my inexperience, frustration with the patient, anger at the patient. It completely ruined my day. I kept asking myself over and over again what I could've done. What trick of the trade did I not know regarding how to commit her....because doesn't every psych resident deal with a borderline who's also a physician who knows exactly what to say and has been planning a suicide attempt for two weeks....
One of my attendings stated that "it's ok to feel that way. First year residents are constantly afraid that they'll be exposed as a sham and not knowing anything. But it's ok, because first years really don't." While that didn't exactly make me feel great, it is an accurate representation of how I feel at the moment. I've been told by several people in the crew that I did everything I could, and that I did everything right...but at this point I don't know how much of that is avoiding a problem with me going off the deep end, or if I really did do everything I could do.

People in my program have been very nice about it, stating that more or less "it happens, and sometimes there's nothing you can do." Pardon me if that's comforting, yet not.

People keep calling me Doctor...

...and I don't think they're being sarcastic.

I've been taking solo call now. It's crazy it's hectic, it's long. And I love it. 

 

My new rotation for the past two weeks has been to manage the psych calls from the emergency room. The hours are nice (11-4:30), but it can be a bit zany. I get called for just about every drunk guy in the ED, because apparently every drunk guy that comes into the ED also endorses suicidal ideation. Lovely. After 4:30 I put away the dedicated psych admit phone (that of course I get to carry...). And then transfer my pager over to the system wide psych pager and hold that until 8pm, when the night resident takes over. Some days it's been zany, and other days not at all.

I've seen a transgener patient with psychogenic seizures, borderline personality disorder, and (because the rest wasn't enought) hereditary blindness.

I've (twice) seen a rapid cycling bipolar patient whose cycle is so rapid that she's floridly manic in the morning, but slides into a depressive state in the evening. When the regular hours C/L team seems her in the morning/afternoon she's (again) floridly manic. For some reason two days running she asked to speak with psychiatry (which after 4:30 is me). By the time I get there she's anything but manic.

More often than not, after hours I get the typical calls -- suicidal patients in the ED who may or may not actually be suicidal. Once in a while a patient will plotz somewhere on the floor and it's my job to make sure that they don't leave without being fully evaluated. Sometimes they ask for something to help calm them down, sometimes it's obvious they're about to threaten the staff.

All in all, it's been a pretty cool rotation.

I Dreamed a Dream

I dreamed that during my call last night I got paged to see a suicidal patient...in my dream not only did I forget to see the patient, I forgot to sign him out to the night resident. I woke up so freaked out I didn't fall asleep again for three hours. 

...I think it's the adrenaline. I also find myself not needing/wanting to eat much when I'm on call. 

Gee...thanks

My one admission today was a turnkey. The consult doc and the unit doc arranged it. Then both left without putting orders in or alerting the poor schmuck who is on call (that would be me...) who gets the call from an angry nurse saying PATIENT NEEDS ADMIT ORDERS!! WHY DIDN'T YOU PUT THEM IN....uhhhh because this is the first I'm hearing of it

QOTD

I go down to HR (a never-ending conundrum) to get some special ID card I need. 

The guy at the desk looks up and goes "What's up doc?....damn, I should just get a carrot I say that so many times a day."

New Rotation

Done (for now) are the dog days of internal medicine. I have another month coming up in November, and I doubt I'll see the sun at all that month, but enough about that. Now I'm "managing" the intake for psych patients in the ED during the day, and until 8pm I'm on call. It has been hectic, a bit chaotic as one would expect, but actually a bit fun. This week, I seemed to get patient's who came in packs, all with the same problem. While it made dispo relatively straightforward, keeping the patient's and their individual problems straight was more of a challenge!!

The doc that spends 20 minutes fleshing out minutiae on a GOMER....great for the patient. Really annoying for the psych intern who avoided Internal Medicine specifically because of GOMERs....

A thorough exam....

I was off yesterday, and come in to be handed off a patient who was admitted the day before. I read through the H&P "no abdominal dissension." I get to see the patient an he has what looks like 3/4 of a basketball on his stomach from a hernia repair. Good job guys. 

Facepalm

 I ask for a negative pressure room. Clerk calls bed control and says they're on this this and that floor...did you want me to see if there's one available? ....no dingbat. I was bored and was just making conversation....let me find your THINK button

Rounds

I shouldn't have to ask if that's urine or soda....

Chicago Problems

Anyone who's driven in Chicago for even six months understands why you grumble but let it go when all three major expressways have *at least* one lane closed in July and August, why you gripe when a taxi driver nearly takes your life for the sixty-third time that week and laugh about it later, and how just one bozo with an Indiana plate can incite a murderous rage from a dark place you didn't even know you had.......

And I need to know this because??

A diabetic who just got two of his toes chopped off informed his nurse at midnight that he has erectile dysfunction and wants it in his chart....WHY

Internal Medicine

Whoever wants to do internal medicine as a resident is out of their flippin' mind.

My shift is ostensibly 6-5. I've never left before 5:30, and that was the absolute earliest. Most days it's close to seven. So far one day it's been after 9.  Part of it is the senior is (understandably) a micromanager, but with three interns to micromanage we end up moving at her pace.

In either case I just get frustrated. And I don't know why people would want to match into that field of medicine.

Reflexology

Letting an MS3 practice using a fancy shmancy neurology reflex hammer. He was tapping away at what he thought was my triceps tendon....

...but he found my ulnar nerve instead. 

Thanks bud. I was worried I had lost it. Found it!

Is that a bad thing

My first rotation has been neurology. It's been an interesting experience this far. The first few days I felt like a complete moron...but more on that later. 

My new neurology attending came in this week, and started talking to me. After a few minutes she says "You're not from da SousSide and you'll never talk like one."

...an this is a bad thing??

*Pleasure* to make your acquaintance

The new neurology senior resident comes into the room, and you've never laid eyes on him before. He takes your coat off the chair you've been sitting in for half an hour, and says "that's my chair."

He then proceeds to dress you down (in front of everybody) over a note you wrote five days ago on a patient he has yet to lay eyes on (yet he can't even tell you the patient's name). Yeah, it's a real pleasure to meet you. I can't wait to work with you...jerk. 

Best Airport Security Agent...Ever

Going through the X-ray machine, and I jokingly say to the TSA agent:

"Strike a pose?"

TSA Agent: "There's nothin' to it."

Win. You're the best TSA agent ever.


You would only get this if you've ever heard the song "Vogue" by Madonna.

First Day of Residency

The First Day of Residency was...overwhelming. I was ten minutes late thanks to what is normally a 35 minute ride taking an hour. I felt so bad. The director and the program coordinator both called and emailed me though. I got my full schedule (start on neurology), and then got what seems like eighty-four volumes of the encyclopedia thrown at me. After a while I felt like Charlie Brown: "wamp wamp wamp wamp wamp wamp wamp wamp wamp." Right...I'll totally commit that forty-seven step process to memory by the time I need it in three days time. Heaven help me. It was also quite hot in that room, and I felt queasy the entire day. Then I get home and I feel all achey, like I'm getting sick. Grand. So I went to bed before 8pm. Two weeks prior I hadn't even been getting home until 10pm, so it was a weird change. It's exciting, more than a little unnerving, but I am looking forward to the coming weeks!

Graduation

Was not at all what I hoped it would be.

A four day trip turned into fourteen hours in Miami.

Grandmama had a stroke. I didn't even want to go. Stayed in ATL until she was stable. Mom got on the phone and said "here's your ticket. It leaves in two and a half hours." What? So I hauled it to the airport. Thankfully a friend picked me up at Miami International (at midnight) and drove me to the hotel, and then to the arena. The day was largely a blur. I noticed that one of the physicians who'd written a letter of recommendation for me was hooding graduates. When it came my turn to go up on the stage, I made sure that he was the one hooding me. He recognized me and gave me a hub, "oh my gosh I'm seeing all of my students here today!" It was one nice thing about a very bad day. I'd be lying if I didn't own that I had tears in my eyes most of the ceremony. I didn't want to be there. I was there alone.

Afterward the same friend invited me to lunch, then I realized his entire family would be there. And they paid for my lunch. THEN he drove me back to the airport...I'll need to buy him at least one meal for his troubles.

I then fly back to Atlanta, where we thought she was going to go soon. But she didn't. I had one more week of work, and I couldn't keep sitting there. So I get back to Chicago, and after two days of work I get the call. I was able to go into work that day, but that turned out to be my last day at that job. Not that I was really distraught about it because I was ready for that job to be over. But I felt bad about having to say, "um, yeah, I know I said my last day was Saturday, but it's today. Sorry about that. I'll come into tomorrow if you need me." But they didn't. So I'm done.

The funeral was a funeral. My family asked me to sing "Amazing Grace." At my grandmama's funeral. Grand. I couldn't look at anybody while I sang. Then, after the graveside (because one hour of torture isn't enough, we need another 30 minutes) the bottom fell out of the sky. It was just a crappy weekend.

Me: "What city is that office in?"

Person: "Homeless asshole."

Me: "....Would you mind spelling the name of that town?"

Person: "H-O-M-O-S-A-S-S-A."

....oops.

Our education system at work

Me: do you have any medical conditions or take any medications?

Person: No. I only take medicine for my thyroid and cholesterol...

Me: .......*logic fail*

Your ADD medication isn't working

Spent 20 minutes on the phone with someone rustling papers and pull bottles with the attention span of a cocker spaniel. She never did find what she was looking for...and was still rustling through papers when the call ended.

TMI

Patient: I used to take Cialis every day. But I haven't in a while. 

Me: (knows the answer but there's always a chance) and what for sir?

Patient: To get a hard-on!

...I'm sorry I had to ask. Glad you feel tact is overrated. 

You're not Helping Me...

I was sifting through the routine calls when I get a call from a mother trying to pay the bill for her THIRTY year-old son. She calls the day of the payment deadline, but she cannot get anywhere "no matter what number I call nobody is helping me. They keep asking for my son's member ID number."

I'm immediately annoyed because even if a thirty year-old is unemployed his mommy shouldn't be handling the issue. Then the mother proceeds to get very annoyed at me, and asks three times for her son's member ID number. Three times the answer is the same: "Ma'am, I cannot give out that information. Your son is over 18 and federal law prohibits me from doing so without him explicitly authorizing me to do so." She continues to ask again, as if I'm really just doing it for fun.

After the third time she just says "You're not helping me. Bye." Click. I'd be lying if I said I felt bad about being unhelpful.


That is one thing that has been driven home while doing this job: people do not pay attention, or listen. And they do so, blissfully.

Med-studentitis??

For the last few weeks I had bee experiencing a random PAIN in my left hip. 

What kind of pain you say?

The kind that hurts.

It started in my left leg, near what I thought was my quad. Ok, grand. IT band syndrome. A few friends of mine who run get it frequently. But I'm not a neurotic obsessive runner. I do about six miles of cardio two or three times a week. If I weren't working insanely late hours (and a lot of paid overtime) I would love to do a bit more. But I digress...The pain would be random. I would be sitting (read lounging) in my chair at work answering for the 6745th time that day a question that I cannot comprehend why I'm being asked...when this hellish pain would seize my left leg/hip. The pain then started to migrate up into my hip and lower back. Even better!! Now I have either piriformis syndrome or sciatica. Oh goody!!!! Now I either have a hypertrophied muscle, or a nerve/spinal problem. Dear Lord help me. So I start doing stretches. A lot of glute and hamstring stretches while I'm standing there just listening to somebody ask a question that I know is going to result in a transfer to an esoteric customer service agent who just does only that (I just love my job right now...). It seems like it's starting to get better. But it still randomly shoots through my back. I start to freak out. I'm far too young for this!!!

Then I go play tennis. And the pain becomes obvious. I'm out of practice. Right before the onset of the pain I hit for the first time in four months. And ran and hit some serious ball. Oops. I'm still too young for all this...

Sweet Home CHICAGO!

So, the time has come to discuss my match. In short, I matched at my number one hospital, in Chicago. I'd prefer not to reveal where for a whole host of reasons. I got an email yesterday with a list of things to do as long as my arm. So there goes my Sunday off!! I'm hardly complaining, as I'm quite excited. Though it certainly did not factor anywhere near the top of my list, the fact that I do not have to move is an incredible bonus to the results of the match. 

It has been a long, long, long, challenging, and at times frustrating journey. At this point, I'm elated, and content. Not sure what else to say about residency at this point.

On another note, I've started doing yoga again. I did it in order to improve my flexibility--I can barely touch my toes, though that's improving--and to mix up my workout routine. It's really challenging!!! I did it often on the island with an amazing teacher, but the reasons were more mental than physical. I guess that's just as important, because it would allow me to forget about that stupid pharmacology test for an hour, and focus more on not falling down during Warrior 3.

Work is...well work. I'm still not crazy about the job. The first half hour really takes some motivation to psych myself into a long day of answering questions from people...many of whom aren't that swift. (stop being judgmental luckyone). 

One member had his daughter call in, asking for a Mandarin interpreter, only to inform me that we are actually needing to speak with his wife. Ok, cool...except OH YEAH, she doesn't speak Mandarin. She actually speaks Cantonese, which the interpreter (that took five minutes to get connected with) does not. Well no worries, I can just get a Cantonese interpreter. But he'd rather not, and would rather just translate (from the interpreter) into Cantonese. So we basically have an episode of both I Love Lucy and The West Wing occurring on my phone.

Later the same day I had a gentlemen, and after a few minutes it was obvious that something was just not right. This guy was not paddling with both oars in the water, the elevator did not go up to the top floor, or he wasn't firing on all cylinders. You decide which metaphor is appropriate. Among other things, he informed me that the numbers listed for his wife and son (his number, the primary's) weren't correct. Ok, no problem. BUT WAIT...he doesn't know there numbers. Well sir, my mind-reading crystal ball isn't working today, so I'll have to leave yours (the primary's) on the account. Later in the call he remembers the number...oh but wait, it gets better, at the end of the call he tells me that he can't remember which son's number he gave me. So the number might be for his OTHER son, who isn't listed on the policy. Well Hell's fire sir, what the flippin' [bleep] am I supposed to do with that?!?! Remember, my mind-reading crystal ball isn't working.

And if one more person asks me what their premium is for a plan that they (supposedly) selected, I may just scream. It blows my mind how someone picks an insurance plan without looking at the price. I myself would look at the price first, because it could offer vaccinations made from the saliva of Christ, and if I couldn't afford it then it's a no-go. 

Singin' Doo Wah Diddy Diddy Dum Diddy Doo

I MATCHED!!!!!!!!!!!!!!!!

Just in case you didn't hear me:

I MATTTTTTCHEDDDDDD!!!

I was a nervous wreck for about a week, and I had a lot of difficulty sleeping. Friday and Saturday I was in just about the foulest mood possible going into work...not always a good thing. Sunday we did nothing but watch TV. I was definitely not the most pleasant person to be around. I didn't want to talk. I didn't want to think. I wanted total mindless activity just for a few days, which is normally unlike me.

This morning I woke up earlier than usual. Decided to tackle some laundry. Then I decided to de-stress with a p90X stretch video...which worked until I pulled my left trapezius muscle. Oh well, whatever! I took a shower and a few minutes later I had an email telling me I have a jay-oh-bee.

This is probably the last post that I'm going to make with the "medical school" label on it! So weird and freaky!!

Day

Encounter of the Day:

Me: Asks a question.

Patient: *struggles to remember who was her insurance provider for a policy that ended two weeks ago* Finally decides to blame me for her memory loss (if she actually ever knew it in the first place..."Why you askin' that? That's not REVELANT."

...well you got me there...it's not revelant...It is, however, relevant.

On another note: I had a call from a patient who apparently either loved the sound of her own voice, or had nobody to talk to. She talked for fifty minutes about her problems. A future (hopefully) psychiatrist, I figured I'd let her vent. At the very least since she is a paying member who is responsible for my salary she deserves the right to voice her experiences and frustrations. So I listened. I listened for fifty minutes.

Just before that I had a forty-five minute call from a member who had a great attitude, but a horrible disease. I felt a little less deserving to complain about ANYTHING after hearing her story about dealing with SCDS.

I'm going through a member's benefits, and he finds out that diabetes monitoring was not covered as preventative care.
Guy on the phone: "Well...You know what, now that you mention it, I think they misdiagnosed me. I don't think I have diabetes then!"
Me: "Well sir, I'm not your doctor so that would be between you and your doctor to discuss. If you think you need a second opinion that's between you and your doctor."
Member: "Yeah well, you're not gonna write any of that down are you??"
Me: "Sir, at this point I haven't written anything down, and you don't have to discuss anything you don't want to."
Member: "Yeah, well I don't have diabetes."
Member is 6'4 340 lbs...yeah dude, it's absolutely impossible that you'd have diabetes.

Later I got a call that made my day.

"You're a breath of fresh hair. Don't ever let anybody change you. It was a pleasure to talk with you."

Some days...you just have to laugh.

Definitely one of the more bizarre calls I've taken recently.

The long and short of it went something like this:

Member is incredibly frustrated with the process. Can't say I blame you. It's a clustergem (AREN'T THEY A GEM!!! I'LL DRINK TO THEM!!!...wait, no singing...or drinking.) Member rattles off about nine psychiatric medications. Oh good. 

Member then begins a rant about the Big Frickin' Insurance Company.

"I just...I just wanna find somebody important in that damn company...and I wanna ream their rear ends!...and I won't use lube!!

Don't laugh. Don't laugh. Don't laugh. Don't laugh. Don't laugh. Don't laugh. Don't laugh. Don't laugh. Don't laugh. Don't laugh. Don't laugh. Don't laugh. Don't laugh. Don't laugh. Don't laugh. Don't laugh.Don't laugh. Don't laugh. Don't laugh. Don't laugh. Don't laugh. Don't laugh. Don't laugh. Don't laugh.Don't laugh. Don't laugh. Don't laugh. Don't laugh. Don't laugh. Don't laugh. 

...but I had to laugh. I put the microphone on mute and I snickered...quite loudly. I wrote down the quote and showed it to my supervisor. Who didn't know whether to laugh or guffaw. Some days you just have to laugh.

I have to say one of the most complicated conversations I've ever had, word for word, is trying to explain the spelling of "Uric acid" and "gout" through a Cantonese interpreter... This was my third Chinese interpreter call in a row. It was a long evening!

Oh my

That horrible...horrible moment when you're in the bathroom at work and you hear somebody going "aghhhhhh" "yeahhhhhhh" "mmmmm"....and you know he's alone.

I'm like...uh. I'm done. But I'm going to pretend not to be sos I can stay in this stall and never have to know who that was

My interviews are over, work is rolling right along, so about the only thing I have to write about is more...colorful...customers at work, and match list. Match list is probably the more kosher topic. I've made my list, but I haven't certified it yet. I just wanted a little more time to think it over. I know my top two and bottom two, and I'm fairly certain of those. It's the middle bit that I'm wobbling over. They're all pretty much equal, so it's hard to find something that differentiates them other than the town they're located it. It might just come down to one that doesn't have a Chipotle...

Me: it's 10pm, I just got home. I'm hungry, need some food.
Brain: go to the gym!!!
Me:...I need food...
Brain: So eat and go to the gym.
Me: Ok, I'm at the gym, but I'm still kinda tired.
Brain: YOU MUST FINISH.
Me: Fine!
................
Me: it's 1235, I've gymed and showered. Bed time
Brain: Yeah right!! You just ran six miles. I'm not ready to sleep yet.
Me: You tricked me.

Two very hard verses to live by...

Matthew 5:39: "But I say unto you, That ye resist not evil: but whosoever shall smite thee on thy right cheek, turn to him the other also." This is totally unnatural for me. If somebody hurts me I'm inclined to hurt them back, and I want it to come back with interest. I'm good at it, which I'm not proud of. I'm also inclined to displace that anger. Even worse.

1 Thessalonians 5:18: "In every thing give thanks: for this is the will of God in Christ Jesus concerning you." Does that one really need explanation? There's plenty of things we probably don't think or want to be thankful for. 

The job...

It's hard to write about the new job without breaking a ton of rules...but guess I can share a few gems.

I'm not a commuter. I may rue the day I stated this, but I have no desire to do 30+ minute commutes for the rest of my life.

- Caller gets mad at me because he designated his wife as the primary, and not him. He then blames me for scamming him. Okkkkkk.

- Caller gets mad at me because she can't read an English (apparently) mentioning that if she didn't choose a doctor for her HMO, Big frickin' insurance company will do so for her...at some point in the future. Yup, that's totally my fault.

- More than one member being less than five feet tall...and almost weighting 400 pounds. I'm not the most accurate calculator of BMI in my head...but that's just a smidge high.

Gee, thanks?

United Airlines sent me an email advertising flights to DETROIT!!!...for only $157 roundtrip...well that's just what I need in January

Plugging Right Along

I have *finally* settled into a work routine. The first weeks it was impossible due to traveling for family visits, interviews...and oh yeah that little Winter Storm Ion and polar vortex thing. The job itself is ok, a bit repetitive, but it's temporary. That's all for now...