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Three can keep a secret... - Nobody wears a white coat any more... — LiveJournal
...a tribute to becoming a doctor.
Three can keep a secret...
Finish that quotation, and tell me who it's attributed to :)

Doing well, I suppose.  Working long hours on Medicine again.  I'm taking a break to digest dinner after spending a hard few hours dodging bullets in the ER.  
The most important part of the History and Physical on Staff Medicine is "Who is your primary doctor?"  If they say nobody, and there are any medications at all listed on the ER admission sheet, ask "Where do you get your medicines?"  It's strange how many people don't see a doctor but have medications.  A little prying may save you a lot of work.  
In this case, an unconscious patient and two teenage daughters revealed that she was "supposed to be on antidepressants, but she doesn't take them."  Three phone calls and a little prompting later, I'm on the phone with a physician I know quite well, and he's sighing and telling me he'll be there soon.  
I got the 19-year-old with pyelonephritis instead.

I'm working on an entry at home about difficult patients - I spent several days last week with two sickle cell patients in the hospital; one was belligerent and combative and demanded that she get her medication the way she wanted it while the other was sweet and passive and cooperated with everything we asked of her.  My own visceral reaction to them, the nursing staff's response, and the way things panned out made for quite an exercise in introspection.  It's taking some time to compose.  I want to get it right.

In other news, my travel genes seem to have bred true.  My mother called me from Newfoundland to tell  me that she'd gotten reservations to the wrong city in the wrong province.  All is well; flexibility determined that their vacation would be on course.  But I was proud of her.  No panic.

Valuable sleeping time is going into the composition of this entry - I'm sleeping far more than I usually do on Medicine months; from 2130 or 2200 to 0530 or so - and I'm still dead tired, exhausted all the time.  And to boot, this call I'm on group call - I've taken phone calls from a patient with symptomatic gallstones (drink water and take some Advil, and quit eating hot dogs, they're gross), a possible pinkeye (see your local doc-in-the-box) and abdominal pain (probably nothing, but I sent her to be evaluated anyway).  It's nerve-wracking in a way that's quite different from the way my first Medicine call was.  I'm starting to grow up, so to speak.  It feels good.

Interested parties will be glad to know that the addition of a little lemon juice to my bottled water fixed the problem I was having, at least for now.

Current Location: $hospital
now feeling:: tired tired

9 whispers echo . o O ( ... ) O o . whisper a word
gamerchick From: gamerchick Date: June 10th, 2006 11:49 pm (UTC) (etched in stone)
If two of them are dead. That's Ben Franklin, I believe.
pwwka From: pwwka Date: June 11th, 2006 12:01 am (UTC) (etched in stone)
...if two are dead.

Darn. Someone got there before me.

I don't know why you put lemon in your water, but I know I have to do that or the plastic from the bottle makes the water utterly undrinkable. ::shudder::
From: broken_onewon1 Date: June 11th, 2006 01:07 am (UTC) (etched in stone)
Ben Franklin if you believe google
one_porous_page From: one_porous_page Date: June 11th, 2006 02:04 am (UTC) (etched in stone)
I'd be really interested to hear how you handle difficult patients. I don't always know how to effectively respond to someone who's being difficult. Especially when you know you have to be professional about the situation.
lakos From: lakos Date: June 11th, 2006 03:18 am (UTC) (etched in stone)
It drives me nuts having to put up with people who want to rant/yell/scream, and I just deal with them when their computers aren't working. If they're not doing what I ask them to, they're not going to die. Her work does a lot to help me put mine in perspective and help me be calm about people yelling at me that their margins aren't right in Word, and dang it their dissertation is due in 20 minutes.
waifofthenorth From: waifofthenorth Date: June 11th, 2006 07:46 am (UTC) (etched in stone)
*shudders at the thought of using word for a dissertation.
lakos From: lakos Date: June 11th, 2006 12:16 pm (UTC) (etched in stone)
"I have this 180 page document that was started in Word Star, converted to Word Perfect and now I'm using Word on it and I want to turn the foot notes into end notes."

waifofthenorth From: waifofthenorth Date: June 11th, 2006 05:16 pm (UTC) (etched in stone)
I'm glad I learned to use LaTeX. :)
coanteen From: coanteen Date: June 11th, 2006 04:18 am (UTC) (etched in stone)
I love one of my current ER staff. If a patient is being verbally aggressive or unpleasant (but is mentally sound, I mean; just being bitchy), she'll tell them outright she can come back to see them when they feel they can be civil. Amazing how many of them will rush out the door after her, abjectly offering apologies.

We have to be professional. We don't have to take verbal abuse from these jerks.

Psych or demented patients, now, are a different kettle of tea altogether. Or patients in extreme pain, but they're usually not yelling at anybody in particular, they're just...yelling.
9 whispers echo . o O ( ... ) O o . whisper a word