CataclysEM

I want you to picture a dumpster. A bad one, full of rotting fast food, like a McDonalds-parking-lot-at-3am dumpster. One that no one bothers to lock or protect from animals because even the racoons will stay away from the fermenting, rancid waste.

Got a mental picture? Now place that dumpster aboard a Viking funeral of a ship, ablaze, sailing toward an enormous waterfall with nothing but jagged rocks below.

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Third Year Sucks Less

Yes, it has been very long. This is because my life outside of residency lately has been consumed with raising a small weapon of mass destruction named Otis.

This is Otis when I got him:

This is Otis now:

As you can see, he is a) much bigger and b) a Systematic Toy Destroyer. A well-meaning resident gifted me a plush toy for him; Otis ripped it in half in about thirty seconds.

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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

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

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.

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The B Pod

My emergency medicine rotation has ended, and all I want to do is go back to the ER.

Actually that’s a lie. All I actually want to do is sit on my couch and do my best Fat Bastard impersonation by watching eight hours of NFL Red Zone. Which, if we are being honest, is exactly what I am going to do. Being between blocks in the third and fourth years is a little bit like getting a 48-hour pass from prison: no responsibilities, no homework, no email if you don’t want it, and nothing to do. Continue reading

Bright Lights, Shiny Objects

This week I started my emergency medicine month and I am a kid in a freaking candy store.

I’ve loved emergency medicine, or the concept of it, since I was sixteen years old when I first took a lifeguarding class. I did this so that I could spend my summers on staff at jewcamp getting tan instead of shepherding campers around, because I am lazy and vain. Continue reading