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Peds call - Nobody wears a white coat any more... — LiveJournal
...a tribute to becoming a doctor.
Peds call
It went well, O Best Beloved, the colonoscopy did. I had to hand over my controls only two or three times, to Dr. S who is a man of distinct calm and an incomparable teacher. The first time was when the sigmoid folded over in a hairpin curve and there was almost no getting around it. The second was when my hands (my hands are small, O Best Beloved, not big enough for the oversized dial-and-button controls of a colonoscope) slipped off the dials, I lost the lumen, and I couldn't get it back. The third was at the ileocecal valve, when we discovered the blind pouch.
I had been prepped on what to use for conscious sedation; I listened carefully and repeated back the orders when the nurse feigned that she didn't know what I was going to do. I concentrated, and I watched the screen, and all those hours of playing video games are really useful for steering with the dials, and the simulator really does help, and O, look, is that a polyp? No, I don't...well... he says, examining it. No, I think you're right. Good eye. And we snared the polyp and we took pictures and when we got done he told me that I'd done quite well. The nurse reiterated that she thought so too. And I got back to clinic later on and Z passed me in the hallway and said "I heard you did a nice job on your scope this morning" and apparently it was a marvellous first scope.
I was so relieved.

It is one in the morning; I am sitting in the residents' call room with an engineering guy on a ladder in front of me. He is attempting to make the horrible whine that fills the call room stop. It has been going on since yesterday evening - over twenty-four hours now - I am the first person to call in and mention it. Tell me, all of you out there who are in the medical profession, does this surprise anyone? Because it didn't surprise me at all. Casually, R passed me in the call room hallway this morning. "Hell of a noise to sleep with." We are masochists.
I am waiting for my admission - seven weeks, pneumonia - to come up from the ER. I had just gotten home (about 2345) and crawled under the covers with Angel when my pager went off. At that point, I would rather drive back to the hospital while I am awake than get woken up by the "Your patient's on the floor" page and have to stumble into the hospital or drive sleepy.

The whine is stopped; the valve in the ceiling was sticking. Now there is only the hum (mechanical, ramdom, somewhat comforting) of the pharmacy robot, and the waiting for a patient. This call night has been too exciting by half already - one lumbar puncture and a code call I'd never heard of (apparently, someone forgot to tell the operator about our standardized code colours, so half the hospital turned out for a 'code duress' which ought to have been a 'code violet' which means security needs to come right away) and not much to eat either.

Seven AM will come soon.

Tags: ,
now feeling:: sleepy sleepy

3 whispers echo . o O ( ... ) O o . whisper a word
tablecolor From: tablecolor Date: October 13th, 2005 09:55 am (UTC) (etched in stone)
congratulations :)
deadrose From: deadrose Date: October 13th, 2005 02:19 pm (UTC) (etched in stone)
It amazes me what a person can sleep with, noisewise, without tuning everything out. When my dad was in his first couple of years of practice, working ER shifts on top of his regular clinic job, he could fall asleep anywhere, any time (and usually did). We quickly discovered that the fastest way to wake him up was to imitate the hospital operators, as long as we stopped him before he grabbed the phone :-)
From: broken_onewon1 Date: October 14th, 2005 06:15 am (UTC) (etched in stone)
Glad to see your gaming skills paid off. hope this finds you well,
3 whispers echo . o O ( ... ) O o . whisper a word