The Coming Reckoning

Two things right up front:

With that said, I write this post while experiencing a fairly complex, ebbing and flowing mix of trepidation, desperation, apathy, and outright nihilism. These are the emotions of a compromised fourth year student with a willpower wellspring shallower than a lunchbox. When you do nothing for almost three months, your brain atrophies; at this point, all I’m really capable of doing is following the smells of free food and clicking “Yes, I’m Still Watching” on the Netflix popup. This bodes poorly for my ICU rotation starting tomorrow. Continue reading

“Is There A Doctor On The Plane?”

I was all set to write a wrap-up of my month abroad before starting on another away rotation. I had a wonderful time, learned an incredible amount of information that I could never have obtained in the States, and got to spend a month exploring a wholly different culture. It was great. I was jazzed to write about it.

And then I flew home. Continue reading

Impostor Syndrome XXVII

Okay, so, my plan to write more and not less during Nate’s Summer Away From Home has not panned out. I probably should have expected that an audition/away rotation would take up more of my time than I thought, but I was pretending otherwise.

To recap, I spent last month taking shifts in the ED at a large county hospital on the West Coast. Like everything else here, it will remain unnamed out of the remote possibility that I can be identified. Continue reading

Away Rotations

One of the coolest parts about medical school is the ability to go to other schools, hospitals, or institutions to see what medicine is like at their house – to explore a different area of the country, a hospital where you want to match, or just to take a trip. Typically we’ll do this during the tail end of third year and early fourth year (i.e., right now) before residency applications go out in September. I’m doing two – one this month and another in the fall. Continue reading

“Nate Does Not Have A Career In Critical Care”

Disclaimer: I am especially salty tonight because I have trudged one small step closer to the inglorious age milestone of 30, and have little to show for it except two aborted jobs, knee pain, and a shitty Mazda with an outstanding recall for premature airbag deployment.

Read on.

This month, I’m taking a hybrid course called Critical Illness, which as you might imagine focuses on the unique aspects of caring for the very sick or injured. We spend a week learning “skills” in our simulation center, followed by some combination of an ICU week and two weeks of case-based learning, similar to what we did first year. Continue reading

Up and Away

I only have one month of research left! Thank god. I can’t wait to get back to clinical medicine.

Medical school is a fascinating place. It’s bound to be; you’re taking 100 or so of the highest-stress, maximum type A personalities that exist and forcing them to attend class, scrap for grades (sometimes), and cohabitate for four years. If we had time for lives and drama, it would make a fantastic reality TV show. Continue reading