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And then there were three... - Nobody wears a white coat any more... — LiveJournal
...a tribute to becoming a doctor.
And then there were three...
Apparently this did not post earlier.

1: numair, ellisande, etc, etc: http://www.worldofwarcraft.com/thread.aspx?fn=wow-general&t=267914&p=1#post267914 <- Fileplanet/World of Warcraft have signup spots for a chance to play in the stress test beta test for a week :)

2: This is from Thursday.
Saw ICU-Transfer-Patient early in the morning. Note: "Feeling much better today. Abdomen somewhat firmer than yesterday, but pt. denies tenderness or pain. Tolerating some PO intake. Overall better."
I did not take the dressing down and look at his wound; I was taught to only examine surgical wounds if I were the surgeon or the only person examining the patient. Besides, the ET nurses tend to the wounds. And when they tended to it, not so very much later, it was squirting a bit of fluid, and they called surgery, and surgery opened it up, and shortly after that he crashed. Sats to the 30's. They called a code on his next-door neighbor, then suddenly he was coding. I heard the neighbour called over the PA. Not him. Several codes today; it was not a good day for the intern on call.

But he is now in the ICU, meaning that I have only three patients to follow. S promised me an admission today, and then remembered that I am to present at moning report tomorrow. He took the admits, told me he would hand them over in the morning. "Read. Work on your presentation." I am terrified, but apathetic. I did spend my day working on the powerpoint, though. Hypocalcemia. 8 AM.
And Friday, O Best Beloved, I am going to take my Medicine Sub-Internship exam and my OSCEs. Saturday morning I round, Sunday I am on call, Monday I am post-call, Tuesday I have the day off and Angel gets his gall bladder out, Wednesday I start my ER clerkship. And I must start thinking, very hard.

Do I change my schedule to do a family medicine elective here, away from my Angel for another month, here where I am considering applying for residency? I think, maybe, I should. But I do not look forward to a month away from home.

More happened. It was a busy day. But my head is beginning to throb - sushi has this effect on me, inducing migraines, sometimes. I think for now I will leave you.

now feeling:: thoughtful thoughtful

5 whispers echo . o O ( ... ) O o . whisper a word
numair From: numair Date: August 29th, 2004 02:40 am (UTC) (etched in stone)
eee! Thank you! (sends much love!)
ayradyss From: ayradyss Date: August 29th, 2004 12:46 pm (UTC) (etched in stone)
Thought you might like to know that. You'll be on a different server from the regular beta, so I can't uber all your gear for you, and it may not be the most stable (being a stress test) but you can at least try and play. :)
numair From: numair Date: August 29th, 2004 03:50 pm (UTC) (etched in stone)
And that's what matters! Hee!
amasashi From: amasashi Date: August 29th, 2004 03:31 am (UTC) (etched in stone)
You know, Nykki, it's funny. Suddenly family medicine is appealing to me. Before I always thought of it as boring and low-profile. I don't know if it's because of my experiences at the hospital or if it's from reading all your entries, but yeah, it's appealing to me.

I have a quick question. When did you start learning how to do patient interviews and physical exams? I know some schools have regular classes for it starting in the first year, but for us, we only touched on it briefly the first two years and so now at the hospital I'm feeling rather.. inadequate and incompetent. I was just wondering if things were the same way with you.
ayradyss From: ayradyss Date: August 29th, 2004 12:44 pm (UTC) (etched in stone)
Family medicine has its fair share of boring colds and musculoskeletal. If you have a chance, though, get out of the hospital and the academic setting and work with an FP or an IM doctor out in the community. It's a totally different world from academia.

We had a class on history-taking first year and a class on physical exams second year and I felt incompetent and inadequate anyway when I started doing them. Sometimes I still do. You just keep doing them, and hope you'll find a resident or staff who really loves to teach. I have had some wonderfully tolerant patients who sat still as I searched for a heart murmur for minutes at a time, and others who put up with me testing reflexes over and over again, and that patience was immensely helpful.
5 whispers echo . o O ( ... ) O o . whisper a word