The Nights Watch
Hi. I have just completed a stint of night shifts – twelve in the last fourteen days – and I feel like a moldy, rotted potato.
As I write this, I’m trying to “flip back to days” for a regular day shift tomorrow, as the cruel scheduling gods have elected to grant me one day of work during normal people hours (albeit on a Saturday) before switching back to a third week of uninterrupted nights. Continue reading
“This Is Fine” Redux: A Hepatic Recap
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
Intern Year is Over
The new interns started their orientation this week.
I say this mostly because it means I am just a few short days away from no longer being “the intern.” This is fantastic news, mostly because it relieves me of the duty of explaining to non-medical people the vestigial and archaic distinction between an intern and a resident. Just so everyone (grandma) remembers:
I made that diagram. Aren’t you impressed?
Night Float
I am back in the Cardiac Care Unit this rotation. If you recall my earlier tribulations from my previous CCU block, this means I am once again forced to Constantly Replete Potassium. I have never really forgotten how much I hated the CCU – all other rotations are judged in relative fractions of CCU terribleness – but I had, at least, airbrushed out the violent rage induced by being interrupted every eleven seconds about electrolytes.
(This post is, in fact, not about electrolyte repletion, although there will be frequent references. You may all breathe a sigh of relief.) Continue reading
Rules for the House of Pain
There is a Bible in medicine for interns. Published in 1978 by an intern doing his first year in internal medicine, The House of God is a cynical and hilarious look at the dehumanizing, cruel, and sad life that is residency. Continue reading
I Took Step 3 And It Was Stupid
So I know the last time I wrote, it came off a little bit angry and a little bit sad. I said things like “none of this matters,” and “bloated, terminally diseased healthcare system,” and mentioned Wharton’s Jelly again.
I am happy to report… that I took Step 3, the final step in the general medical board exams. And it was stupid. Continue reading
The Kids Are Not All Right
The state of the Class of 2021 is…not strong. If we are being honest, our ranks are presently decimated by illness, wear and tear, and, yes, the brutal Southern California winter.*
(*Ha! Sucks to be you, bomb cyclone sufferers. Whatever that is.)
It’s 3 AM And I Wanna Go To Bed
If you’re wondering why you haven’t heard from me in awhile, it’s because I went directly from the Potassium Repletion rotation, which I absolutely despised, onto internal medicine wards. I am not sure why it is called a “wards,” rotation, but basically it’s the same thing I did in med school – rotating on an internal medicine team. I actually finished my “IM” rotation two weeks ago and have since been on an obstetrics service catching babies, but that’s a story for another time.
I’m behind. Residency is hard. Leave me alone.
