Well, I am def not in Michigan anymore!! I went from suburban white population to the most diverse patient population ever! Its a crazy ED with TONS of people.
We had orientation on Monday morning and being emergency medicine, we had the rest of the day off. We then met Tuesday morning for lectures and then simulation lab.
Sim lab is great. Its a life-like [or as best as it can get] mannequin laying in a clinic bed with monitors, screens, everything. just like the ED. the room is small with a window in the back just like in interrogation rooms in the police department...the ones where they can see you but you cant see them. So the attendings running the sim lab stand back there and talk for the patient through the speakers in the room. and the mannequin blinks, has a pulse, breath sounds, all of that. Its a great learning environment but very intimidating. its nice that we do it in a group, not by ourselves!
Then Wed I had my first shift and of course my first patient is a typical Brooklyn guy in his 30s. Ya know, the tough guy with lots of tattoos and a thick accent. Well, he was there for chest pain but it wasnt hurting enough to stop him from hitting on me. After i did a quick history and physical exam, I brought my attending over to see him. Immediately he says "hey doc, you gotta tell your med student to stop asking for my phone number. im married." the attending and I laughed it off. After we spoke with the patient and were walking away she pokes me in the side and said "you know, its kinda frowned upon here to hit on your patients." Thank god she knew he was joking and played along! I had some more trouble from that guy later but he didnt stick around for too long considering there was really nothing wrong with him [at least life threatening!].
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