First Rejection

First rejection comes from a program in Michigan. I'm not heartbroken, dont worry. Just the way this process goes... What made this a lot more hysterical was this story:


I was working when i got the email. I was actually working with another visiting medical student who I have become friends with, call her K. We were speaking about interviews and such and I told her about my first rejection. I told her I got an email from another nearby hospital. She replied with "i didnt know programs email rejections" so i gave it to her to read so she could see what it looked like.

later in the day K and I were chatting and she mentioned her mom who is an ER doc. in fact, her mom and both her brothers are doctors. I asked her where her mom works and she blushed and bit and told me that it was at the hospital i just got rejected from. then she said "yeah, shes actually the program director there. it was a lil akward to read that email."

her mom wrote me my first rejection. HAH!

Visiting other places

This morning I went to visit Botsford Hospital in Farmington Hills. Its about a 40 min drive southeast of where I am living. The EM program is well known and after emailing the PD I set up a day to meet her and hang out in the department for a couple hours. I met an alumni from our school who is a first year there and shadowed him for a bit, then I spent some time with their chief resident [a 6 foot 4 gorgeous guy...time well spent I'd say.] I left after about 4 hours because I had a 2pm-midnight shift at my hospital.

I hope my time there helps me get an interview at the program!

Interview Invitation #3 and #4

Lakeland Healthcare in St. Joseph, Michigan

Good Samaritan Hospital in West Slip, New York

Week 3

The more I work in Michigan, the more i like it and feel a bit more comfortable here. The people are amazing. i have never had a bad experience or rude patient/ co-worker. The last couple weeks I have been getting to know the attendings, residents and staff and I am much more familiar now with the computer charting and 'lay of the land.'

I was on nights over labor day weekend. Saturday-Monday I worked 10pm to 8am. Unfortunately, my birthday on Sunday was me up at midnight and then sleeping the day away and then back to work the night of. I wasnt too upset because the resident [Dr. S] and attending [Dr.L] I worked with for 3 nights straight were great. Both were very funny and easy to work with so there was no problem with helping the time pass. On my last night a man came in around 5am after a horse stepped on his heel. His heel was basically flapping off and after X rays and an ortho consult, we decided all he needed was a tetenus shot and we sutured it back together. It was a very complicated lac so my attending helped me do the hard parts to make sure he could still use his foot properly. We did 24 stitches in all and it looked pretty good after.

Picture: On the left is my first time suturing EVER on a pigs foot. on the Right is the heel. I think I have come a long way :)

Of course labor day weekend was marked with lots of people drunk and hurting themselves. I did a lot of suturing, some of drunk people, some on kids. I am back on days now and having been challenged every day. There is always something new to learn in the ED.

I really like this program, hospital, and Michigan. These last 3 weeks have helped me shape my decisions a little bit on where I want to do residency but it is far to soon to make any actual decisions. My only thoughts now are that I think I would be happy living anywhere in this state.  I went to Chicago this past weekend for an AAEM conference and met several program directors from programs across the midwest. I then fell back in love with the city of Chicago and have become a little bit obsessed with the idea of moving there. If only all the programs there werent so hard to get into...

EMS Ride Along

My current rotation requires us to do 1 ride along with the county Sheriff. The special thing about them is that they are Paramedic/ Sheriff so they are allowed to arrest you and if they need to shot you, they are obligated to try to save your life right after. Basically, they respond to all calls- medical or not.

I got to the Sheriff Department in Flint, Michigan [voted the most dangerous city in the US last year] and had no idea what to expect. I met with a group of Sheriff's and then was introduced to Mike, the Sheriff/ Medic I was going to ride with. A 6 foot 4 in handsome 27 year old white guy, looked promising... until I stealthy looked at his left hand to then find his wedding ring.

The shift was from 3pm to 11pm and I had a blast. We rode around the city patrolling and when we werent responding to calls, we were scoping out the local real estate.

"Well thats kinda a cool house" -me
"Want it? You can buy it for a $1"

That was the theme of the night. We also stopped at Starbucks where we got free coffee just for being in uniform and got dinner to go later in the night.

We would cruise around and he showed me the city and then we would get a call, turn on the lights and sirens [of the Ford SUV] and we would speed like crazy.  I never felt scared because he didnt go to crazy, and would always slow down to a near stop when approaching an intersection that had a red light. We did go about 120 on the freeway though. And damn it feels great to be driving 80 on a city street and have everyone move out of your way!

 One of the first calls was a young man having a heroin overdose. This is also how we ended the night. In between we had a baby with a seizure, a deaf lady with a bug bite, a man trying to cash a fraudulent check at a gas station, etc Probably the most entertaining was a call we got at about 10pm, "women in her 40s shot" we responded to the call and when we walked into the bar, we found a middle aged white lady sitting in a chair with her leg extended, looking pretty comfy. Yeah, she was shot...with a beebee gun.

I am very happy I had this opportunity to see life as a first responder. It almost bums me out I did not try being an EMT or paramedic for a while. Life in the ED will be just as exciting though I'm sure. Im looking forward to doing another one this month if I have time and also doing another ride along in New York on my next rotation.

Still no Spanish....

I worked with the same attending for the last 2 days and he is wonderful. Loves to teach, challenge me with question yet is so encouraging and nice. Yesterday my first patient was a 20 year old who was a slam dunk case of appendicitis. I was suspicious of it, did some tests, clinical exams, imaging and then sent her up to surgery. I'd like to think I saved her life but its not exactly a mystery when your right lower quadrant starts to hurt, even she knew it was probably her appendix. damn. What made it super sweet was her uncle asking my out on a date before she was taken up to the surgery floor. I politely declined.

 Today was all about seizures, had several cases. Then the day ended with a 17 year old who was playing with a machete [why you ask? because he is a 17 year old boy] and got his arm sliced open. Was a 10cm laceration on his bicep that went pretty deep, deep enough for me to stick a quarter of my finger into the hole [after i numbed it up of course]. I ended up doing a double layer closure- took 5 stitches on the inside to put together the muscle then 15 sutures to close up the skin. I think i did pretty good for being tired, sick and tired [we had a lecture at 6 this morning].

I was very tempted to draw eyes and make a smiley face....

My first day without a Spanish speaking patient, EVER

Day 1

Well, after a brief spur of the moment excursion to salt lake city, I made it to Grand Blanc Michigan. My connecting flight consisted of an Obama hating 80 year old who wouldn't stop talking to me and my final flight had a good friend flying with me so it was a nice suprise to see a familiar face. We landed got our rental car (ford escape AKA my mini white escalade) and drove through downtown Grand Blanc to find somewhere to eat before we parted ways. After the 30 second drive through downtown...we found a place. After eating, I drove to the place im staying and was very lucky to find a great condo with a 4 month old golden retriever puppy. Im staying with not 1 but 2 EM residents. A lil intimidating but both are wonderful...and there is beer in the fridge.

Monday wake up was 6:30 and got to the hospital by 7:30. I walk in the main entrance and there is a hotel-like lobby with 4 story ceilings, a big fountain and a Subway Sandwich restaurant in the background. Not too shabby. Couldn't help but feel a lil overwhelmed in a new hospital, new city, new car, and a complete lack of direction. After the orientation, meeting a few people, and having breakfast with my $50 a week cafeteria stipend, I felt a lot better.

Orientation and tours ended around 10:15 and at 11am I started my first shift. Every person I met was welcoming and helpful. The attendings were the least intimidating doctors I have ever met. Each one was excited about meeting a new student and offered to help with anything I needed. I saw a lot of patients and it worked out that I had 4 SOB patients, 3 ending up having PEs. I helped my new roomate/ resident on a central line and attempted to start an arterial line but neither of us could get it (HIV pt with small vessels and septic so his BP was low--would be hard for anyone I imagine). I ended the shift with a 14 year old girl who had a seizure after smoking the new drug called 'spice,' a man made THC like substance that doesn't test + on any urine drug screens and is technically legal and very dangerous. She was fine but sad to see people making money off this stuff, legally...

I'm excited about my month here and look forward to more experiences. I'm nervous, of course, but forget all about that when working. I hope I don't do anything stupid at work (or home!) and can't wait to see more of Michigan. Detroit is close and I plan and driving to a couple other cities to check out other residency programs.

It's freakin humid as hell though...