Wednesday, September 21, 2011

chugging along

still doing alright. today i am "pre call", so i went in to round and start the orders of the day. now i am at home doing reading. go in later today for call. i do ED call today, meaning i take the consults coming from the emergency folks. last time it was pretty fun, so i'm hoping it's ok tonight.

i feel like i'm getting the hang of things better. not as scared to order a full workup for whatever reason. trying to work on being more assertive, learning how to relay information more succinctly. getting my med students to do good work, trying to not do too much hand holding.

i have this reputation now amongst my co-interns as being the REGULATOR (hahaha!) when it comes to the students. all i have to say is that when i was a student (don't i sound like an old timer?) i was busted on by residents, and i'm not trying to perpetuate any bad cycles, but goodness, you are in SCHOOL and need to LEARN. is that too much to ask for? i saw a student stand by idly while a nurse was telling a co-resident "i can't get in touch with resident ___, but their patient is having acute onset of chest pain". the student pipes up "oh yeah, that's my patient, and they told me they were having chest pain". i asked the student "have you told your resident about this?" "oh no, not yet, i was just waiting for when we rounded later". "WHY HAVEN'T YOU TOLD YOUR RESIDENT THAT THIS PERSON IS HAVING CHEST PAIN THEY COULD BE HAVING A HEART ATTACK!" "oh, i guess i'll call them now..." no worries, the patient was taken care of, but do you catch my drift? i remember what it was like as a new M3, but you have to learn how to think independently after a while...or at least know to call up the chain!

so that is that...i'm going to do some reading and go on about my business. just know that even though i'm working hard, i still love my job! and i enjoy my med students too, hahaha...just have to whip them into proper shape!

Monday, September 05, 2011

on general surgery

i promise i'm alive, just busy. i'm on gen surg now, and i've gotten to first assist two lap cholecystectomies! not as much operating as when i was on plastics, but also my call schedule has been irritating...between pre-call and post-call i miss a lot of OR time. alas.

it rains a lot where i'm at...i swear! dreary labor day, but at least i'm not at the hospital! i went in this morning to round, but my awesome attending had already started and expressed surprise that i was there so early. (she had to come in to do an ex-lap and was like, why don't i start rounding because i got to get it over with anyway. nice.) so i got out a lot earlier than i thought. tomorrow's going to suck though, blah.

trying to decide what to make for dinner...the other day H and i ate the one bell pepper my plant grew! and it was damn delicious! today i got a 6-pack of baby cabbage plants so i'm going to try my hand at growing cabbages in individual pots, ha! i have plenty of serrano peppers growing, just need to remember to use them. but the cabbage...super excited about that! i hope they turn out. i saw a fig tree and i wanted one SO BAD but H said i couldn't get it...ha.

so this week is going to be fun. i get to do ED call tomorrow night! that means i answer all the consults in the ED versus hold down the floor. which will be a nice change. hopefully it doesn't suck too bad. (you just have to do a lot of calling attendings.) then we have a fancy dinner thursday night for a lecture series on friday morning. then i have my "24 hour period off" starting after rounding on saturday! call sunday night, blah, but what can you do?

ok, i need food now, so off to the store! just wanted to drop an update.

OH, also, the other day i did a rectal exam on a patient who we had been consulted on for a small bowel obstruction but was having diarrhea. and when i looked at the butt there was a whole baby carrot down there! a good three inches or so of carrot! like, it had gone all the way through the GI tract and out the other end with a small bit of nibbling...! and no, i don't think the person stuck it their based on their large habitus...i just imagine that would have been hard to do. so i don't think they were as obstructed as the primary team thought...ha! enjoy your carrots today!