January 4th, 2004

Nescafe rabbit

A few thoughts...

Went to bed last night around 0200-0230. Way too late for having to leave at 0900 this morning. A bit too early to catch a dear friend of mine who peeked on, then posted, withdrawing from conversation. I wish now I'd stayed up.

NYE quotes are half-typed. Someone reminded me about the 8 computer simulations in anaesthesia that I need to be doing before Tuesday, and the exam I haven't studied for again, so this afternoon after we get back from family Christmas I'll be doing those. And maybe reading, although I'm tempted to go straight to Pearls as this book is too damned long for me to have procrastinated it like I did.

This year, O Best Beloved, I want to get back in shape, or at least use my Curves membership semi-regularly; apply Mike's two-hour rule to studying (every night, sit down and do nothing but study for two hours, then go live your life) with a half-hour, then break modification where necessary to keep me focussed; and keep the credit cards where they are after spending almost my entire loan check clearing them, so that my summer loan will pay for a trip to Hawaii.

This year I want to have a life again by fall.
Nescafe rabbit

(no subject)

There are a number of frightening bad-game gaming stories on theferrett's post found here.
Posted a snippet of Michel's backstory on towerfall, for those interested.

All the online scenarios have been gone through at least once. I'm not convinced my hours are being logged properly, though; will worry about that if they try to complain that I haven't done the work.
Tomorrow: 0630 is the Urology lecture. Then over to the VA, where I will room-hop a bit and try to get more IV starting practise, and maybe another intubation. It's really quite exciting.
And this is the point where I realise exactly what kind of an LJ-slacker I've been...
Friday, the last day, the day I was going home for vacation, I went from room to room looking for a case that was starting. And I found one, and they let me intubate, even though the patient had bad teeth and was supposedly a little touchy to do. Induce, test for blink, mask ventilate. It took me some time to figure out how to do the mask ventilation so that my fingers popped the jaw open instead of holding it closed, but suddenly it did, and it was awesome. Ventilate and pre-oxygenate, then get the little silver flashlight with a blade on it, and slide it in. They slid it in, showed me how. Then handed it to me. Look down the throat and put the blade in the vallecula, which is the spot right behind your epiglottis. Then pull toward the toes - don't tilt or lever - and suddenly the epiglottis lifts, and you see a black opening with a little V of white in it. That's the trachea, O Best Beloved, and I almost dropped the blade, I was so surprised. "I see it!" They almost laughed. "Here, put the tube in." And I slid the tube in. "Did you see it?" I saw it, I saw it slide down the trachea where it belonged. And then we inflated the cuff and watched for fogging and a CO2 pattern and it was so beautiful.
Doing things. It's the only part about anaesthesia I like.

Then I went home. I have tomorrow and Tuesday, and my exam is Tuesday at 1400, and then I'll be done with anaesthesia and I'll walk over and find the Trauma Surgery people and I'll get my brief orientation to Trauma Surgery, on which I will be the only medical student for 9 blessed days. I love being the only medical student on a service. I don't have to worry about whether I'm bossing the others around.

Taking the rest of the evening off from anaesthesia, tomorrow I will study specific anaesthetic agents and that icky pharmacology stuff. I will also finish Michel, who is practically done, tonight.

Stories, perhaps, tomorrow.
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