"yeah....um, I was just going to ask her that..."
-response any medical student will give when they get caught having not asked a question that should have
example:
[while walking to the patient's room with the resident]
resident to med stewie: "What is her height, we need her BMI."
med stewie (scrambling): "yeah....um, I was just going to ask her that..."
resident to med stewie: "did you ask her what she wants her code status to be?"
med stewie (scrambling): "yeah....um, I was just going to ask her that..."
and of course:
resident to med stewie: "Did you do the DRE?"
med stewie (scrambling): "yeah....um, I was just going to ask her that..."
Monday, January 30, 2012
don't fuck up
Today our hospital director [and apparently very rich doctor] rented out a room at Flemings steakhouse for dinner and fed all of the students, residents, and some local doctors. we all got off at 5:30 and were expected to be at dinner at 6:30 [we didnt have a choice, we had to go...i guess i cant complain since it was probably around $80 a person and it was an incredible meal]. he does this once a month and one of the residents told us he drops like $2,500-4,000 a month on it. his own personal money. kinda ridiculous.
kinda of an odd moment is when he had his lawyer friend talk to us for 45 minutes about how to avoid being sued, " because lets face it, most of you will be."
apparently its inevitable?
his first piece of advice: "don't fuck up."
his second piece of advice: "have a good bed side manner and even if you dont care, make your patient think you do. patients do like to sue doctors they like."
life lesson learned. thanks?
kinda of an odd moment is when he had his lawyer friend talk to us for 45 minutes about how to avoid being sued, " because lets face it, most of you will be."
apparently its inevitable?
his first piece of advice: "don't fuck up."
his second piece of advice: "have a good bed side manner and even if you dont care, make your patient think you do. patients do like to sue doctors they like."
life lesson learned. thanks?
Sunday, January 29, 2012
2 weeks down...
i worked 72 hours this week and 60 last week. im fucking tired.
yesterday the last thing i saw before i got off was a 40something year old lady being wheeled in on a gurney by paramedics, strapped onto a board with a c-spine collar on. she was crying and yelling. i read the EMS report:
"42yo F found laying on grass unconscious. when patient came to, she admitted to drinking 2 bottles of vodka this morning and then falling off her bicycle."
love the ED. you cant make this stuff up.
yesterday the last thing i saw before i got off was a 40something year old lady being wheeled in on a gurney by paramedics, strapped onto a board with a c-spine collar on. she was crying and yelling. i read the EMS report:
"42yo F found laying on grass unconscious. when patient came to, she admitted to drinking 2 bottles of vodka this morning and then falling off her bicycle."
love the ED. you cant make this stuff up.
Friday, January 27, 2012
House MD
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."
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."
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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