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The daily life of a medical resident..
a.k.a "It's 2 AM and I'm looking at urine outputs."
Prog Note Dated 3/17/10 
Fri, Mar. 19th 2010


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The day starts with glorious, glorious sleeping in. We're having a relatively light patient census, right this minute, which will inevitably be wrecked by all the havoc from St. Patty's in Savannah. I mean, it's light out by the time I get up - nearly unheard of.

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So it's time to get dressed and hustle out the door, as the dog takes advantage of all the room in the bed. Note: night before prep is essential. My current agenda is sleep right up until 10-15 minutes before I have to be at the Hospital. Husband doesn't have to go to work until noon, so I kiss him goodbye.

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I manage to somewhat tame the hair, and haul out the white coat. A quick check of the pager tells me that someone in the ICU coded last night. There's a reason my pager doesn't live anywhere near the bedroom. After that, I'm out the door of our rental flat, above a cute little import shop.

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Savannah is gorgeous, and I enjoy the morning light on my 6 minute commute to work.

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And so I roll in at 7, just in time to start rounding on my patients, but with a pitstop to the resident lounge for breakfast. In exchange for working 80/hrs a week while on salary, the hospital gives us free cereal/sandwiches/etc 24/7. I eat a LOT of Cheerios.

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Boo YAH, 4 patients for the whole team. I check in on my hepatitis patient who really needs to stop drinking. Hint for the non medical: H is high. These are liver function tests. You do not want H's next to your LFTs.

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Meanwhile, Craig ponders his list, which is much longer than ours. They're post-call and it was a doozy of a night. I finally see the crazy colonoscope pictures from my patient who swallowed.... something. I still think it's a toothpick, but they deny it. Jess and Olga (the rest of the super-awesome Team Green) agree with me.

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Now that I've seen my patient, I can sit down and finish up orders while I make coffee in the lounge before morning report. Blessed coffee.



Our program director the GI doc does morning report, and he weighs in on toothpickgate as well. Note: he's not angry, he just gestures a bunch. On the board is the remnants from splitting up cross cover on the weekend.

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Since we finished rounds early (no pictures, so as to not violate HIPAA in a big way), the team swings through the ICU to check on our patient who had taken a turn for the worse who had to be intubated and taken to the unit. We hope the 10 platelets they have left start to work better as they get portable dialysis, hence the enormous bags of fluid laid out on the counter.

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I sign out my patients to the on call team (in handsome Memorial-Green scrubs) and put in my vacation requests for next year, after consulting with the husband. We went for Christmas off this year.

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Lunch conference is one of the residents presenting the latest New England Journal of Medicine, and I feel pleased with my choice of veggie sub over the stupid tempting chicken tenders in the caf. We are talking about cardiovascular risk reduction by low salt diet, so I'll take what I can get.

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After lunch is clinic, so I head over early to deal with the mound of paperwork that accumulated in the 1 week vacation I took. I cannot WAIT until we go to electronic medical record.

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I have a no-show, so I shoot the poo with my attendings between appointments. Dr. F was showing us....something he found on the internet. I also read up on something we saw today - a patient with polycythemia vera. I lurrrve my kindle, as the book I'm reading from weighs 8lbs in real life.

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Clinic is uneventful, so I hurry home. I've got plans to take full advantage of the gorgeous weather and take our dog Hurley for a nice long walk before Husband gets home.

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I head for Forsyth park, which is the communal backyard for downtown Savannah. People walk their dogs, picnic, play cornhole and guitar. Probably the best reason to live North of Victory. :)

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The dogs all make friends. Butt sniffing and play-bowing abound.

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We're temporarily a 3-mac household as my Husband's brother and sister-in law are visiting. They get home from Tybee island just minutes after me and I leave them to catch up on the internets as I get dinner ready.

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I set the table and figure out cocktails when my brother in law pipes up about a great drink he knows about that takes Ginger beer. Dinner is delayed as we take a side trip to the liquor store to stock up. In the background: Burnett's sweet tea vodka. Some of the best stuff on earth.

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Husband finally gets home from work and we devour an enormous pile of stir-fry before I could get a picture. But then we linger after with wine and cocktails, so life is as it should be.

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Rock band is fired up, and we hang out for the rest of the night. I find all of our Sundae fixings in the pantry, so we have ice cream during a showing of Zombieland.

And of course, I fall asleep about 30 minutes in. Chronic sleep deprivation means that I miss the ends to movies frequently. But hey, only 3 more months of intern year, so there's always hope for a full 6 hrs a night!
Wayne State University Class 2009
Comments 
Fri, Mar. 19th 2010 (UTC)
Lol, Craig's list. /inane comment
Fri, Mar. 19th 2010 (UTC)
Them's some scary AST/ALT.
Fri, Mar. 19th 2010 (UTC)
Erich!!
Fri, Mar. 19th 2010 (UTC)
Out of curiosity, what service are you on?

And thanks for sharing! :-)
Fri, Mar. 19th 2010 (UTC)
I have a bone to pick with you....Firefly is the best damn Sweet Tea Vodka there is, NOT Burnett's!

Then again, I'm in residency here in South Carolina, so that might explain my loyalty. ;)
Fri, Mar. 19th 2010 (UTC)
How cool, thanks for posting!
Fri, Mar. 19th 2010 (UTC)
I love your DITLs.
Sun, Mar. 21st 2010 (UTC)
this is cool :) can't wait to experience med school life.
Tue, Mar. 23rd 2010 (UTC)
Sleeping in is the best. I've learned to keep my pager far far away from my bedroom as well because they like to not update the board of who is on call and page the wrong people.
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