Just got home from my first overnight call. Ann and the kids are gone, and I'm still running on Diet Mt. Dew, so I thought I'd post a little.
All in all, it wasn't that bad. I had two sickies to watch out for last night. On one of them, the guy had DKA that made his belly seem acute, so our service was following him. The guy had a private attending, so the nurse decided that we could handle all his issues since we're in house. It took several pages and conversations to convince her that insulin pumps, regular Accuchecks, and bothering to call the Medicine attending are good ideas when your sugar is 440.
I sort of feel like a third year again. The computer system is pretty hard to navigate, the phones are weird, and it takes twice as long to do basic scutwork as it used to. I only got one hour of sleep last night, but I wasted probably 2-3 hours by being inefficient.
Got my first emergency surgery last night too. A guy going septic after a perfed ulcer got him peritonitis and an ex-lap. Free stay in the Step Down unit included.
All in all, a pretty busy week. I'm also on call Sunday thru Monday @ 6am, so I'll be close to 90 hours this week (and I was off July 4th too). I scrubbed around 12 cases, and have rounded on a lot of patients. It's a lot harder being responsible for 25 patients as an intern, than 3 as a student. But I'm getting a little better at it already. I like doing consults a lot, because they have been good learning experiences so far.
Jason, I get a whole month of Cardiothoracic surgery in December. I's going to be brutal.
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