Friday, August 10, 2012

Another week done...

It's crazy how fast the time flies by! This week I was on night call, my first of many, and it wasn't too shabby. I think half of that has to do with having great residents to work with. We never really get scutted out and they love to talk and teach about PE skills or work ups on patients. With that...our attending right now is amazing as well. She really takes time to work through differentials and treatments for our patients even if they are very basic such as asthma or ACS. What is now second nature to her is somewhere in our minds...just not as organized and fluent as it should be. It's going to take one heck of a team to top this one next month but from the general consensus around here is that everyone is great soooo we'll see.

We have had a lot of lectures this week and I can honestly say i've taken something away from all of them...which is a rare feat in todays world where we have far too many lectures IMHO.

I really need to get back on my studying...night call really threw me off by a few days trying to catch up with sleep. Oh well.

Noxolo

Sunday, August 5, 2012

It always gets busy at the end

Yesterday was my first day on call and it wasn't too shabby. Here we are on Q4 call meaning we're on call every 4th day. We also alternate between day and night call. So either 7am-7pm or 7pm-7am. Yesterday I was on day call and of course it was slow. I mean really slow. Until the last couple of hours which is exactly what you would expect to happen.

It was nice to kind of have a more relaxing day, get a little bit of studying done and see how the residents handle their busy work when we were in a lull. I couldn't be more happy about our team this month. My Jr, Sr and attending all really enjoy teaching and make sure to stop and always keep us involved whether it be through pimping, PE skills or just running through protocol work ups on our patients. It has all been really fun up til now, but having a solid team who is willing to teach and recognize where we are in our training is the cherry on top.

Yesterday I also had my first admit which I was completely nervous for...why...I have no clue. So when you're on call your Sr will get a call from the ER and then someone, usually the med student, will go down and see the patient in the ER. We take a complete H & P, talk it over with our Jr, who then also has to see the patient and fill in/double check the important info we gathered.  I think I was really fortunate to have a patient who was very lively, friendly and kind of just along for the ride.

I think both of my patients were DC'd today so tomorrow may be a pretty quiet one. Which is never really the case...always studying, presentations, meetings, lectures, etc....but..it's fun. Even though I've only been on inpatient for all of 5 days now, I think I could see myself doing this....I guess we'll see

Noxolo

Wednesday, August 1, 2012

A whole new world....

Today was my first day of inpatient and let me say, it's a whole different world than outpatient. I like some aspects, others not so much...I guess it's just different. There is nothing like being back to the bottom of the totem pole....We have our attending, a Sr resident, 2 Jr residents, a 4th year Med Sub-I, another 3rd year med student and a post intern year doc acting as an observer this month. Needless to say, our team of 7 could beat just about any other IM team in a tug of war match this month!

In outpatient my days were more 8-4...see a patient, present, see with the Dr, then move to the next. With inpatient there are a lot more lectures (resident lectures, student lectures) and we all round on all our patients together...then more lectures. Either way I feel like I'm learning which is good, but it makes me feel like I know nothing still because it is never ending.

Such is life.

Noxolo