picture this:
3 med students, sitting around the call room in the afternoon waiting for hospital admits and watching House on the TV in the corner.
Lots of debate and discussion about what they are diagnosing, tests they are ordering and treatments discussed. Its just like small group only much more entertaining. almost as good as studying i'd say...
Also, an observation: House and his 'team' look like complete assholes for talking about patients in mean ways. example from the show we were watching:
they made a bet about what the disease would end up being and one doctor said cancer. he ended up being right and gloated about this, even though it was cancer and they basically gave her a death sentence....
but really, we kinda do this all the time in real life as med students, residents, doctors, etc. obviously not this exact way but we still try to keep a distance and some humor about patients or else we would just constantly be depressed. I brought this up to the other med stuwies's as we watched and my friend greg said, "well yeah, it would be really depressing to think about how sick each person you see is, knowing that some of them are facing imminent death. i like to be able to laugh every once in a while."
Friday, January 27, 2012
Thursday, January 26, 2012
suturing, finally!
central line assist and suture placement= check. its gonna be a while until i get to actually do one but the more i see the better off i will be! [side note: that was the first time i have sutured human skin. very surprised that its taken this long!]
in the afternoon i went to the ER to admit a normal CP patient and when i got there, she was already being wheeled upstairs to her room. i went with her and the nurses into the elevator and right away i noticed how upset and sad the patient was. we got to the room and a CNA helped me translate with her. we started asking about her pain while she was crying. she then kept repeating that she couldnt stop sleeping and all she had been doing the last week was sleeping. then she let out that she had taken some pills. first, she said she took sleeping pills, then she admitted that she had been taking tylenol with codeine and ibuprofens by the handful. she admitted to taking 12 at once.
we went on to interview her about everything. her home life was terrible. she lived with her husband and 2 sons who verbally abuse her. she was severally depressed and could not stand being at home anymore. she really did have chest pain but it was more so from anxiety than anything else. she was so scared that we would not let her stay at the hospital overnight. after i convinced her that she was staying, she calmed down a bit but was still very tearful. we got a psych consult for her who gave her information on battered women's shelters and referred her to a counselor. thats about all we could do :/
in the afternoon i went to the ER to admit a normal CP patient and when i got there, she was already being wheeled upstairs to her room. i went with her and the nurses into the elevator and right away i noticed how upset and sad the patient was. we got to the room and a CNA helped me translate with her. we started asking about her pain while she was crying. she then kept repeating that she couldnt stop sleeping and all she had been doing the last week was sleeping. then she let out that she had taken some pills. first, she said she took sleeping pills, then she admitted that she had been taking tylenol with codeine and ibuprofens by the handful. she admitted to taking 12 at once.
we went on to interview her about everything. her home life was terrible. she lived with her husband and 2 sons who verbally abuse her. she was severally depressed and could not stand being at home anymore. she really did have chest pain but it was more so from anxiety than anything else. she was so scared that we would not let her stay at the hospital overnight. after i convinced her that she was staying, she calmed down a bit but was still very tearful. we got a psych consult for her who gave her information on battered women's shelters and referred her to a counselor. thats about all we could do :/
Tuesday, January 24, 2012
3 admits today. started at 8am, ate from 1-1:30, otherwise was on the go until 6pm. not complaining too much though cause i like staying busy. saw a 2nd year resident butcher a man's neck during a central line. lots of bleeding and 2 attempts later the patient had one in....
two interns today commented on my work, one said, "i hate to say it but your doing a really good job," and the other [the intern with asbergers] said i was the best student in the group because im thorough, efficient and are making my own A/Ps. that felt good.
two interns today commented on my work, one said, "i hate to say it but your doing a really good job," and the other [the intern with asbergers] said i was the best student in the group because im thorough, efficient and are making my own A/Ps. that felt good.
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