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
I am now done with my ICU month. I would just like to reiterate, again, that being on 30-hour call every third day for an entire month is total and complete bullshit that ruins your body and soul and no one should have to do it.
I have also been advised by legal counsel, also known as one-half of the Bringers of Life, that in my previous post I apparently ran a small risk of getting in trouble. I am not sure why; perhaps this is because I reference in somewhat pointed terms that one of my hospital sites (the Not A Real Hospital one) is run about as efficiently as a traffic jam. Continue reading
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
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