took out some staples today. it took like 10 seconds and a monkey could have done it but im still excited i got too.
then admitted a 30-something year old M with some major issues. his BNP was over 500 showing he was in heart failure...in his early thirties! he used to drink 30 beers a day from the age of 12 to 25 so that will do it. he also has some ridiculously uncontrolled diabetes and from it, his vision is almost gone and he is in renal failure.... in his thirties!! i have a feeling that this is the first of many of these to be seen in my career...
worked with a new intern today, she was impressed when i picked up a murmur, gallop and non physiologic splitting on this patient. she then asked me how i learned heart sounds so well and wanted me to email her the links i used to listen and learn them. thennnn she said she was going to steal me for the rest of the rotation to work with her :) things are looking up.
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