It will get into the mid 20s tonight, with frost. And I don't yet own a windshield scraper.
Is it hot in Phoenix? Man, I'm going to miss those Arizona winters.
Sunday, October 28, 2007
Wednesday, October 24, 2007
Dave's Great Adventure!
http://www.myabcadventure.com/index.htm?movieid=C391D732-E1A0-483C-B2BB-FBFC55E28CBA
What can I say I am on medicine this month and have lots of free time!
What can I say I am on medicine this month and have lots of free time!
Tuesday, October 23, 2007
Friday, October 19, 2007
''72 Miami Dolphins or Lewis and Clark?
Most of you know that I have a brother in law who is a third year at Midwestern. He called last night because several of his classmates have heard that a group of students rv'd to Conshohocken and they are trying to get a group together. He was calling to let me know and figure out the logistics. I gave him Master Messner's website (as straight a shooter as you'll ever find). I am torn a little bit though. What do you think, should we be like the '72 Dolphins and their perfect record and hope that nobody emulates, or like Lewis and Clark, the trailblazers for others to follow?
Either way, The Legend Grows.
Either way, The Legend Grows.
Monday, October 15, 2007
Saturday, October 13, 2007
What my life in the hospital revolves around...
Two things:
1. The List
2. Unit clerks
The First and Great Commandment of Internship: keep the list updated. Common things told to any intern at my hospital:
"Take this person off the list."
"Have you printed me a new list?"
"Add this patient to the list."
"Why did you put this on the list?"
"Ummm... I lost my list." (medical student)
"It's time to run the list."
As for unit clerks, never underestimate the power they hold over your daily routine. They control all facets of your life. They control what (if any) orders get carried out.They control when you get to the OR. It's up to them to call you about new consults, which happens usually at shift change. (I can count on my pager blowing up at 5pm and midnight, every night).
Because of this power, they dictate when (or if) I'll get to eat, if I get any sleep on call, if I'll even get out of the hospital on time. Think you're safe when you're at home? Ummm, no. They'll call or page you whenever they need something, because when they need something, it's always urgent. And if you don't jump when they snap their fingers, you will get "written up". Beware the wrath of the unit clerk.
1. The List
2. Unit clerks
The First and Great Commandment of Internship: keep the list updated. Common things told to any intern at my hospital:
"Take this person off the list."
"Have you printed me a new list?"
"Add this patient to the list."
"Why did you put this on the list?"
"Ummm... I lost my list." (medical student)
"It's time to run the list."
As for unit clerks, never underestimate the power they hold over your daily routine. They control all facets of your life. They control what (if any) orders get carried out.They control when you get to the OR. It's up to them to call you about new consults, which happens usually at shift change. (I can count on my pager blowing up at 5pm and midnight, every night).
Because of this power, they dictate when (or if) I'll get to eat, if I get any sleep on call, if I'll even get out of the hospital on time. Think you're safe when you're at home? Ummm, no. They'll call or page you whenever they need something, because when they need something, it's always urgent. And if you don't jump when they snap their fingers, you will get "written up". Beware the wrath of the unit clerk.
Thursday, October 11, 2007
Tuesday, October 9, 2007
The saddest thing I have ever seen.
Today, I saw the sadest event I have witnessed in my medical career. I am on surgery and was carring one of the trauma pagers. I get a page that comes across saying 16 year old male, hanging. So I go down and as we are getting ready I find out it is one of our ER attendings sons I just finished my ER month and know him well.
So the ER attending was home today and he goes into the garage for some reason and finds his 16 year old son hanging, he grabs something and cuts him down, the paramedics arrive and he opens his sons chest in the field and is doing cardiac massage. The son comes by lifeflight and the attending roles in with the son, flew with him and he has his scrubs on covered in blood. His hands up to his elbows. He gives a quick story of what happened then turns and looks right at me does'nt say a word but I have never seen someones face hurt so bad. To tell you the truth my stomach still hurts. Not because of what the son looked like buy how bad his Dad was hurting.
All of the seniors are throwing lines in getting him ready to go to the OR. He was bleeding everywhere but supposedly still had a pulse. Rushed him to the OR don't think he is going to make it. Thing is the Attending seems like a good guy, by all acounts that could have been anyone of us. I kept thinking what if that was me. I am sure he had no idea. Hang onto those kids guys, its a crazy world.
So the ER attending was home today and he goes into the garage for some reason and finds his 16 year old son hanging, he grabs something and cuts him down, the paramedics arrive and he opens his sons chest in the field and is doing cardiac massage. The son comes by lifeflight and the attending roles in with the son, flew with him and he has his scrubs on covered in blood. His hands up to his elbows. He gives a quick story of what happened then turns and looks right at me does'nt say a word but I have never seen someones face hurt so bad. To tell you the truth my stomach still hurts. Not because of what the son looked like buy how bad his Dad was hurting.
All of the seniors are throwing lines in getting him ready to go to the OR. He was bleeding everywhere but supposedly still had a pulse. Rushed him to the OR don't think he is going to make it. Thing is the Attending seems like a good guy, by all acounts that could have been anyone of us. I kept thinking what if that was me. I am sure he had no idea. Hang onto those kids guys, its a crazy world.
Monday, October 1, 2007
Just committed my first patient to the nuthouse
I had clinic this morning and had a well child check no-show, so they put in a lady that thought she was pregnant. Ok, I thought, this will be a real no-brainer. Instead, I got a psychotic, delusional, manic lady who was off her meds. She was absolutely convinced she was 3 weeks pregnant, despite any evidence to the contrary. When I first came into the room she said in a strong English accent, "My, aren't you a tall drink of water." Didn't know what to say to that. She then proceeded to speak a mile a minute and tell me about how the oil fields in the Middle East release toxins into the air and that they have been getting into her brain. That ain't the only thing wrong with her brain. Oh, she also broke into Yiddish and Hebrew complete with the throat-clearing and all. Needless to say, two hours later I had her on a 72 hour hold and unhappily on her way to the ED to get admitted to the psych ward.
Just Finished 108 hr week
From monday Sept 24 to monday Oct. 1 have been in the hospital for 108 hours. I am on General Surgery if have not already firgured that one out. Mon. through Thur. 12 hour days then Friday to Saturday I have a 30 hr call. Come home Saturday sleep and back on Sunday to Monday for the last 30 hrs.
So lets hear it boys who tops that one. Make sure and include the documentation. Oh and this morning as we are rounding with a new attending and I am trying to keep my eyes open I get my @$$ reamed for some other interns poor H&P. This was quite possibly the worst H&P and as I am presenting the patient because that guy got off service today and started something new there is no information. All I knew was that he did not crap for 4 days had abdominal pain and I ordered everything but the kitchen sink up his rectum. But did he go you ask and the answer is YES.
7 months left!
So lets hear it boys who tops that one. Make sure and include the documentation. Oh and this morning as we are rounding with a new attending and I am trying to keep my eyes open I get my @$$ reamed for some other interns poor H&P. This was quite possibly the worst H&P and as I am presenting the patient because that guy got off service today and started something new there is no information. All I knew was that he did not crap for 4 days had abdominal pain and I ordered everything but the kitchen sink up his rectum. But did he go you ask and the answer is YES.
7 months left!
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