its just like summer camp. you spend everyday all-day with new people and have some really good and some not so good times. you bond, learn new things and then at the end of it, leave with some new facebook friends. but really, you know you arent gonna talk to them very often anymore and its really just a quick hug goodbye and your off back to your normal life.
today was my first day at a new hospital and it was a rough day. the last place i worked, the interns were fun to be around. they joked and laughed with us, all while teaching at the same time. we had a fun place to 'hang out' in between working and morale was high...the new hospital i am at is very different.
the director/ chief of staff doctor is a real morale killer. we had morning report at 7 this morning and for the entire 1.5hours of going over patients, he pretty much just made the interns look and feel stupid. no wonder they all look like they hate their lives. the last place i worked the interns looked tired and overworked too, but they were still happy. no one goes into residency thinking its going to be easy, but when you have someone that makes you feel like shit all the time it really just adds to the stress of the situation. im hoping that i will slowly be able to become friends with these interns as i did the last ones so that my time here does not become completely melancholy. i really do miss my last interns and the friends i worked with there....
we spent the morning doing the obligatory orientation and learning the new system. we werent given very much direction, just thrown onto the ward and told to go see a patient. we also got to figure out the electronic medical record system on our own. went flustered around for a bit then gave up and had lunch around 1 [i was running on 1 tall starbucks coffee from 6:30 am...needless to say i was hypoglycemic and crumpy and about to snap at anyone that looked at my wrong]. we ate lunch and then i got a text from our intern about an admit from the ER.
[side note: if its one thing i have begun to perfect...its adapting to new situations and environments without getting flustered. ive learned to be patient, breathe and just realize that at some point, im gonna do something wrong, screw something up, and get scolded for it. its just the name of the game and im prepared to apologize and move on. being a 3rd year is all about apologizing and moving on without taking criticism too seriously...but thats another topic for another day. lets just say my skin is a hell of a lot thicker than when i started this whole mess.]
they admit took a couple hours and then i dictated my admission history and physical over the phone. then i found out a resident was doing a central line down in the ICU so i jumped down to the first floor to see it. the other 3 students on my service were already there. they had just seen one done on a patient and then getting ready to do another one on a young guy who was under precautions for suspected TB. this was the first time i had seen a central line placed and it didnt go to smoothly. the pt had a big thick neck so even with ultrasound guidance, it was hard to get the needle into the jugular. we spent a while doing it and had to push 2mg of morphine while we did because of the pain we put him in [when i say we i mean the resident, we just watched and helped her]. its sad, but one of my thoughts was feeling sorry for this kid because he had such an unexperienced doctor doing it with no attending supervision and it could have gone a lot smoother if someone was helping her. when we were finishing up his heart rate was in the 200s and we had to push drugs to get it down. it wasnt as dramatic as it sounds but it wasnt an uneventful procedure either. i pray he doesnt get an infection but i would think the chances of getting one are pretty high. one of us med students got to suture the line down and i hopefully will get to do one in the near future [suture, not the central line. that shit is scary and i wanna see a lot more of them before i attempt one when im a resident. and ill make sure to have an attending there...] ok now im just rambling. i need to go to bed since i have to be back in the hospital again soon.
No comments:
Post a Comment