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From the road... - Nobody wears a white coat any more... — LiveJournal
...a tribute to becoming a doctor.
From the road...
So to speak.
LiveJournal just released a client for Windows Mobile, which means that potentially I can use some of my Sudoku time to compose journal entries, which rumor has it are sorely missed.
I'm currently in $rural_county where my mother in law works, reviewing the possibilities of coming down here in a year and a half after I do my OB fellowship (assuming that nothing goes horribly wrong). Today is my afternoon to visit the next county north, where I'll be delivering, if I come, since this county doesn't have a hospital with an OB wing. They have an obstetrical group up there, which is good, except that that means I'll be trying to convince the OB-Gyns that they want to share call with a family doc. I wonder if the fellowship will mean anything to them.

It's a different world down here, in rural Indiana. My mother in law had a patient in the hospital, first day I was here. She shows me the blood gas. pH low, pCO2 high, oxygen sats borderline. "What do you think?" I think she's going to need intubated. Did you try her on BiPap?; She smiles slightly. "Guess I'll call $major_hospital..." It's an hour away, to the big city. There was a long pause while I processed this. They don't have an ICU here. They can do BiPap, but the only ventilators in the place are the two in the ER, for short term stabilization. ICU patients get transferred. This hospital averages 5 inpatients at a time...not even enough to cap our Medicine service.

I'm spending the mornng with Dr. Y, who's in the hospital employed group. It's a nice office, all new and shiny, with electric tables and twisty otoscopes, and you couldn't offer me enough money to use their paper charts. As much as I hate our current EMR, I'm beginning to see its finer points. Things like our electronic prescribing and tracking. And labs. I miss being able to track labs on one page. At least the community health center here has electronic charts, even if they don't know how to use them effectively.

It's beginning to become real, O Best Beloved. Before long there won't be any supervising faculty...
From the road...

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11 whispers echo . o O ( ... ) O o . whisper a word
daimones From: daimones Date: November 8th, 2007 09:05 pm (UTC) (etched in stone)
well apparently mobile has to encode html entities so you don't get formatting.

also, dice training for the kidlet. RP Go!

Operating without a net soon, mm? I trust you. =)
badninja From: badninja Date: November 8th, 2007 09:27 pm (UTC) (etched in stone)
If I ignore the fact I know those are huge plushie dice and have seen them in person, they make kidlet look very tiny. Thumbelina ftw?

Will you three be moving again, if you go down to rural indiana?
ayradyss From: ayradyss Date: November 14th, 2007 02:58 pm (UTC) (etched in stone)
Yep. One day I'll settle down...
gamerchick From: gamerchick Date: November 8th, 2007 10:18 pm (UTC) (etched in stone)
Is that Miri? She's huge!
lakos From: lakos Date: November 8th, 2007 10:40 pm (UTC) (etched in stone)
It is. She's huge, adorable, and gets into -everything-.

She'll be at New Year's, so you should see her there. ;)
surgeonufo From: surgeonufo Date: November 9th, 2007 12:06 am (UTC) (etched in stone)
Heya Doctor! :D

Long time no speak. I'm a first year at Albany Medical College! So you're starting an OB fellowship -- how was residency? Or are you still finishing that up. Still seems quite far away for me...
ayradyss From: ayradyss Date: November 9th, 2007 01:17 am (UTC) (etched in stone)
I'm finishing third year in July, then I'll be able to start the fellowship...so still going. But I still love it.

A first year this year! Best advice I ever got: It'll never get easier, but it's going to get better. :)
daimones From: daimones Date: November 9th, 2007 02:38 am (UTC) (etched in stone)
Sounds like something my lawyer journal friend person said. :)
turnberryknkn From: turnberryknkn Date: November 9th, 2007 01:04 pm (UTC) (etched in stone)
It's good to hear from you again.

Good luck with it all. :-)
animadverted From: animadverted Date: November 14th, 2007 02:04 pm (UTC) (etched in stone)
hey ayradyss, just wanted to let you know I've started reading and enjoying your blog. I'm a first year med student and everything's a novelty. I plan to friend you and certainly do not expect you to friend me back.

Basically, I just wanted to thank you for sharing your experiences and let you know that I'm appreciating your entries. I'd feel a bit weird if I didn't introduce myself. :P
ayradyss From: ayradyss Date: November 14th, 2007 02:56 pm (UTC) (etched in stone)
Welcome :) It'll be more fun once you're done with the classroom years. Promise.
11 whispers echo . o O ( ... ) O o . whisper a word