Took a lady with previously debrided labial abscess to the OR to debride the huge extension into her abdomen. The attending let me do the whole case. I got to cut out a piece of tissue 4 cm X 40 cm with the Bovie. Tied off 5 bleeders, and got covered in nasty stuff. I guess I'll never wear those shoes ever again.
Spent all night resuscitating a 92 yo guy with mesenteric ischemia, who spent all of the last month intubated being septic with C. diff. (Our hospital has a lot of C diff., I've seen more in three weeks than in 2 years of med student rotations). He has the worst past medical history I've ever seen, he has had EVERYTHING but a stroke on the ER's PMHx checklist. The family and him wanted everything done. I'm not sure if he went to the OR (there was some thought that he might actually have only had intermittent mesenteric ischemia, long story). I guess I'll find out in the morning.
Just finished a 94 hour week. I'm thru Day 7 of a 12 day stretch without a day off. I guess it's good to be busy, right Jason? Andersen and the boys at Club D wouldn't know what we're talking about. It's good though, I'm learning a lot and I'm involved with a lot of stuff. Way better than being a student standing in the back of the room while my attending blabs on and on.
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3 comments:
Sounds like you're getting to do a lot. That's pretty cool.
- Adam
Yeah, it's been okay so far. Today they negotiated a big deal where we cover and scrub with a huge urology group. I'll have some connections set up for people looking to become weiner doctors (Trent).
How's it been for you Adam?
It's been pretty good so far. I'm on call every other weekend for one night since we have night float residents during the week to cover our call on medicine/peds. My average week is 60 hrs., and weeks when I'm on call I'm averaging about 80. Peds is kind of a slow service though, so I've been doing a LOT of reading.
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