day 3

today was a better day. it started at 7am [like usual] for morning report. picture us all in a large room with a projection screen in the front and our attending standing in the middle of the room controlling the computer.  we started with the patient that i admitted yesterday, the spanish speaking lady. i was hoping he didnt bring up my H&P like he did yesterday [which he ended up yelling at the intern about. he started by pulling up her old echo records from her previous admission, it showed she had aortic stenosis. he then pulled up another cardio consult that said the same thing. "Now," he said, "lets see if the H&P accurately portrays this in the physical exam." he looked over at us [he didnt know i admitted this patient] and when he caught eye contact with me i said, "yes, i did." he smiled and looked surprised and said, "see, this is why i like med students. they always look happy about something." he pulled up the H&P and scrolled to the Cardiac PE and read out loud my documentation of it was read something like "regular rate at 85 beats per minute with a holosystolic murmur heard beast at the right 2nd intercostal space near the sternum." i got a lot of praise from him after he read that, it felt good. hopefully he remembers that for a long time. to be clear, this is something normally expected of me so im not sure why he found it so great but any praise from that guy ill take...

after morning report, we rounded on our patients and then did some other stuff. i had some down time waiting for an admit so i went to hang out in the ER and ended up helping 2 resident suture the lower lip of a 4yo girl who had fallen and cut it open pretty bad. i made friends with her and tried to calm her down as best i could but naturally, she was screaming her head off. she had some calm moments like when i asked her what her favorite color was and she said pink and we bonded over my pink clipboard and her pink shoes. but for the most part, she cried. hell, i would cry too and you put a large ass needle with lidocaine into me and then leaned over me with a needle for 15 minutes.

i had an admit after this on a lady with dermatomyositis. a pretty rare autoimmune disorder. that was kinda cool. then i went home, probably gonna go to sleep by 9pm again.