Maybe poor nutrition is part of the reason I got dizzy and had to scrub out and sit down during the central venous line placement today. It was hot in there, and I was breathing my own air through the mask (I hate that; I think I have a very low CO2 tolerance), and the colours suddenly became very vivid and bright, and I started to get floaters in my vision, and I broke out in a sweat - and apparently was pale enough to cause the nurses alarm when I said "I'm feeling a little dizzy." So I sat down and they pulled my gown off (after I'd gone to all the trouble of scrubbing in, just to cut a few sutures and make a baby of myself) and wheeled me out into the hall. Dr. E was sweet about it; he'd complimented me as I came in on knowing what I was doing with my admit note in orientation yesterday (he noticed! I didn't think he even looked at it!) and said as they were wheeling me out - "Well, guess I'll have to lower your grade to a High Pass now."
Everyone gets dizzy in surgery sometimes. Except that I never do. Damn those rebreather masks. And damn not having anything to drink all day. I think I have a very high fluid intake requirement; I seem to get dry quite easily unless drinking 10-12 glasses of ice water a day. Maybe I was just hypovolemic. I'm agonizing way too much over this; I was just there to observe and cut sutures. It wasn't vital.
Have two patients for tomorrow. D, the fellow, has a particular format for us to present them in morning rounds - like lightning, not more than 20-30 seconds each. We have 30-60 patients and round on them all in 2 hours. We did five in Peds in 2 hours. On the good side, it's a format - and formats mean I can make up some notecards that'll make my job much easier and print out blank forms, then scribble like mad as the residents give out orders. Go back after rounds and lectures to write notes, hit the OR (and get pimped) and study until afternoon rounds.
It's not such a bad schedule, for a 12-hour day.
I will not be reporting on M&M rounds on Wednesdays. This, if you don't know, O Best Beloved, is when the hospital staff gets together and presents all of the complications of their cases, and then the doctors argue about who fucked up and why. It's also known as "why didn't you put her back in the OR?" and "don't you think you should've suspected something before then?" rounds. For liability reasons, because you know where I go to school and what hospitals I'm at, I'm going to avoid talking about them. Too much. I will most definitely keep the service that screwed up confidential.
Fell asleep in Grand Rounds. The lights were out. I don't know how I'm going to survive this schedule. And now I've got to read up on pancreatitis, hyperalimentation, and gastroschisis before tomorrow. At least I don't have surgery. I'm just going to look stupid in clinic all afternoon.