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!].
Friday, September 28, 2012
Sunday, September 23, 2012
Interview Invite #?? I lost count...
I have been getting lots of good emails asking me to come interview at their program. I have lost count actually, its up to 6 or 7. Keep em coming!! Still waiting for the ACGME programs though!
Friday, September 21, 2012
Thats It!
As always, the last day of my rotation came and went and it was just as anti-climatic as always. There is always the idea that you will say bye to people and they will tell you how great you were and that they will miss you...but the reality is no one else knows its your last day and most are too busy to care. Some say bye and 'good job' but thats about it. Some give you a hug, high five, whatever. Either way, you walk out of the hospital with relief that another month came and went and you worked your butt off.
on to the next!
on to the next!
"Congrats, You helped save that mans life"
Today was my last shift and it was a nice end. Helped save a life!
A 60ish year old man came through the door in full cardiac arrest. He had been in his car driving when others saw him vere off the road. Someone on the scene immediately started CPR and the ambulance came quickly. In the ED we kept CPR going, gave him meds and shocked him twice. He came back to sinus rhythm! We did a quick EKG on him and determined he was having a massive heart attack. Cardiology was called and within minutes he was taken upstairs to the cardiac cath lab to un-plug the vessel.
I heard later in my shift that he survived.
A couple other patients I had during this shift was a woman with a WBC count of 41 and INR of 22! Thats pretty unheard of!
Oh, and we had a 20something year old male come in for chest pain...which started when he was pole dancing at his party the night before. That was a fun HPI to illicit!
A 60ish year old man came through the door in full cardiac arrest. He had been in his car driving when others saw him vere off the road. Someone on the scene immediately started CPR and the ambulance came quickly. In the ED we kept CPR going, gave him meds and shocked him twice. He came back to sinus rhythm! We did a quick EKG on him and determined he was having a massive heart attack. Cardiology was called and within minutes he was taken upstairs to the cardiac cath lab to un-plug the vessel.
I heard later in my shift that he survived.
A couple other patients I had during this shift was a woman with a WBC count of 41 and INR of 22! Thats pretty unheard of!
Oh, and we had a 20something year old male come in for chest pain...which started when he was pole dancing at his party the night before. That was a fun HPI to illicit!
Wednesday, September 19, 2012
Almost done
Just as I was getting used to Michigan life, its time to move on. I have 2 more shifts in the ED here and then Im off to New York City for a month. I will be staying with Anna in Manhattan and working in Brooklyn. Im very excited.
My month in Michigan has been great. The first few weeks were a rough transition into a brand new world and I was pretty sick for about a week...with everything I was not my usual bubbly self. That has come back and I am bonding well with the other students and residents. I was offered [indirectly they hinted at the fact that they interview all students that rotate through] an interview but unfortunately it wont be while I am here so Im gonna have to fly back out for that later this Fall.
My month in Michigan has been great. The first few weeks were a rough transition into a brand new world and I was pretty sick for about a week...with everything I was not my usual bubbly self. That has come back and I am bonding well with the other students and residents. I was offered [indirectly they hinted at the fact that they interview all students that rotate through] an interview but unfortunately it wont be while I am here so Im gonna have to fly back out for that later this Fall.
Tuesday, September 18, 2012
Interview Invitation #5
After getting in contact with the PD from Henry Ford Macomb, I set up an appointment to meet with her and visit the program [the same I did with Botsford last week]. Through this meeting and having a wonderful afternoon together, I was offered an official interview. Woo hoo!
Sunday, September 16, 2012
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