Sleeping in until 8am feels pretty good.
I got a really cool case the other night. A guy decided it would be a good idea to kick in a plate glass window. Of course, the window won, and took a big chunk of his calf with it. He completely severed the gastrocnemius, and about 50% of the soleus. Somehow, he managed to avoid any major tendon or arterial damage. I was on solo call the night (backed up by a senior resident who was at home). I got down to the ER, Dopplered his pulses, called my attending, scheduled the emergent case, and operated (assisted of course) on him postcall. I actually felt like a real doctor for once.
The OR staff don't like us much, they requested a meeting with our program director this week. They wanted him to give the nurses a list of which residents could do what in the OR, so the could "supervise the residents in the OR". No joke. We did get in trouble because some of us haven't been wearing our ID into the OR. Anyways, after the meeting a new Surgery PGY-2 they just hired told one of the circulators that they all had the reputation of being a bunch of female dogs. That was really helpful. I learned the hard way at Maryvale: don't pick fights with the nurses.
Subscribe to:
Post Comments (Atom)
3 comments:
That's sweet! I've began to realize that keeping the nurses happy is not very easy, I know that they are an important resource (even more when I am on at night), but some of the nurses are soo bossy and they think they are Nurse M.D. or D.O.. Its hard not to just go "Caywood" on them. I Figure I got three more weeks of in house work, and than I can.
Damon how has your program been so far, is it considered a new program? has the teaching been solid? Are you thinking of staying past your internship? Has Zeek joined a gang yet?
that resident deserves a standing ovation for telling those OR nurses off. give that man a klondike bar!
My program is further along at this point than I expected, but we still have a long way to go. We get a decent amount of cases for now, but we'll need more teaching attendings when us 5 interns become 2nd years.
Right now, all of the central lines in the hospital go to one surgeon, and he isn't quite ready to let us give it a shot (almost all the patients in this hospital are insured). And he isn't very good at them anyways. The ICU is a closed unit, so only the intensivists can write orders pretty much, but that's already changing.
Long story short, it's okay but not great yet. But don't worry, we do have a few other options in case things don't work out (Zeke's gang needs someone to do medical care). We are giving it until December to make rapid improvement, and then we'll strongly pursue our other options.
Post a Comment