Not My Hill

The journey through second year of residency is an interesting one. As I’ve mentioned before, we are tasked with two major, new responsibilities: performing most procedures and seeing a much greater volume of patients. We’ve all gone through a substantial adjustment period. It’s been hard.

One of these journeys is toward two, or greater, patients per hour. I hit this milestone rather infrequently. In fact, it is about as likely for me to achieve this as I am to win a game of Oregon Trail. It is far more likely that I will die of dysentery, or make it no further than Fort Collins before my oxen quit on me. Continue reading

Discharge to Home

When you go to the ER for medical care and are discharged home, almost every ER will send you home with “discharge instructions.” In a perfect world, this would contain information that is actually relevant to the patient’s medical condition and cover what was done in the ER, the results of lab tests and imaging studies, and “return precautions” – when to come back to the ER. Continue reading

The Liver ICU

The second year of residency begins. The new interns have arrived (we have already lightly haz- uh, introduced them to residency) and are bright-eyed and fun to work with… just as I go onto off service rotations for two months.

Those of you who are loyal readers of this site (hello Grandmas, parents, and random fan club from South Africa) may notice a website name change. “Status Hazmaticus” proved too difficult to remember. I also realized that since my quest to complete my medical training has been marked by a tremendously amount of bumbling, falling, and general clumsiness, a more accurate website name – “Crashing Resident” – was in order.

Crashing Resident is also a play on an existing terrific website, Crashing Patient, which is an online textbook for emergency medicine and critical care. Continue reading

Putting In Orders

Although most of my medical school classmates have already begun their formal residency rotations, we here at the Necessarily Anonymous Emergency Medicine Residency have yet to officially start. This is, depending on your point of view, either because our residency is warm and fuzzy and wants us to have a high quality of life, or they lack so much confidence in our abilities that they feel it necessary to train us up for an entire month. Continue reading

Intern

So, we’re interns now. At some point in the last two weeks, someone handed me a pager and an ID badge that says “M.D.” after my legal name. Next week, my co-interns and I start taking introductory shifts in our emergency room.

Continue reading

Are We There Yet?

Am I still a medical student? I am legitimately no longer sure.

In the last four weeks, I’ve flown to five different cities, taken a two-week family vacation to Japan, stayed in enough hotel rooms to bankrupt a minor consulting firm, and worn a suit enough to notice that I am clearly fatter than when I had it first tailored in 2012. Continue reading