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 title will make sense later. Trust me.
As I’ve mentioned before, I split most of my residency training time between two hospitals: a large tertiary care center that has all the bells and whistles, and an understaffed county hospital that on occasion struggles to perform basic functions of a healthcare facility, such as checking routine vital signs or (spoiler alert) admitting patients.
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
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?
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
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
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