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Tuesday's Entry... - Nobody wears a white coat any more... — LiveJournal
...a tribute to becoming a doctor.
Tuesday's Entry...
Tuesday, up to the OSCE section when I stopped updating:
Woke up this morning and felt like puréed shit. I don't know why I persist in my delusion that I can sleep off my migraines. So I got up, threw up, and realised I had no Benadryl with me, which I should have tried for last night. Fortunately, Diana had some that she never takes, and I am now feeling alive, if sleepy. Called Angel last night. He dropped his being social to talk to me, which made an immediate and undeniable improvement - in my mood and my headache. I was able to sleep, although not long enough. I don't think I'll be getting enough sleep here.
Today : 7 stations to go through, each one to teach us a new skill for our use in rounds. Lumbar puncture first, using little rubber babies with saline hoses. Find the posterior superior iliac spin e, go straight across, and stick. On ten tries, I'm batting 0.500 or so... I hope real lumbar punctures go a little better. I think I feel what I'm looking for, but I'm not sure. Maybe I should get a needle and stab tubing for a while to practise. I'm scared of that one, and reqs say I have to do one observation only. But I want to be able to do it. I want to be a competent medical student, and a good one. Is that so much to ask?
Session 2 was writing prescriptions, which we've been over several times before in class. I nearly fell asleep there, as the Benadryl whacked me upside the head. then written and verbal orders - the part of medical school that really scares me. I need to look up a good card for doing an H&P with, or my nerves will kill me.

If I hear someone say ''competency'' one more time, I think I'll scream. We keep hearing all about the competency-based curriculum. Which in its little-tin-god form is cool, but in its implementation is just bizarre. I don't even remember what the competencies are , but we have to pass them all. Silly school.

Tired. Bored. Want to go home. They say we'll be out about 3:30, which puts me home by dinner. I can't wait. I miss my Angel. I miss my house. I don't like these cold and uncomfortable rooms, the endless repetition of advice and instructions. My brain is saturated, my mind is full. I can't learn any more.
After lunch: OSCE prep, EKGs, and suturing - with two hands, even!

OSCE session: met Amir (sp?), who's from Iran but lived in LA originally. Made some small talk and was proud of myself for not feeling too awkward.

More will come...

now feeling:: bored bored

4 whispers echo . o O ( ... ) O o . whisper a word
fyrfitrmedic From: fyrfitrmedic Date: June 11th, 2003 12:52 pm (UTC) (etched in stone)
There's nothing like being out on scene at 0-dark-00 with a patient that's going to hell and trying to get medical-command orders from someone on the other end of the phone or radio who's utterly clueless about such things. More than once I've had to pull a 'say yes or no, doc, I'm giving [dose] of [med], right?'...
ayradyss From: ayradyss Date: June 11th, 2003 01:47 pm (UTC) (etched in stone)

Re: motives

That's what I'm afraid of doing. :)
Any tips from your end on what's best (format, vital information that one should always include, etc?)?
fyrfitrmedic From: fyrfitrmedic Date: June 12th, 2003 08:04 am (UTC) (etched in stone)

Re: motives

The two best tips I can give are:

- listen to the medic on the other end of the line

- don't be afraid to *be* a doc; it's called 'medical command' for a reason.

If the medic sounds like a putz, don't be afraid to be conservative.
From: rabever Date: June 12th, 2003 05:21 am (UTC) (etched in stone)


Hi Nykki,

Michelle laughed at your posting for her birthday. She was pleased! But surprised to hear you thought she made you the underachiever. We're going to meet Juliette in front of the cathedral tomorrow for lunch. We had to have Stephanie look up her number in the Strasbourg phone number because the number i called was a wrong number, so I promptly handed the phone to Michelle. So she got Juliette and she offered us her apartment to stay in, which would be a tribute to you, I think, but we were already staying with Stephanie. Juliette is taking a train somewhere at 2 pm so we will have a quick lunch with her. I'm glad we get to meet her though.

Hope your drive to Lagrange goes well.

4 whispers echo . o O ( ... ) O o . whisper a word