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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."
DITL: Dermatology, and findings thereof. May 21, 2012 
Fri, Jun. 29th 2012
For reference, all previous years:

2011, 2nd year
2010, intern year
2009, 4th year med school
2008, 3rd year med school
2007, 2nd year med school
2006, 1st year med school

From DITL 2012



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The day actually starts with the closing credits of Avengers. On a whim, my husband, best buddy and I went to see a movie, since we all had relatively light schedules the next morning. The boys are well caffeinated from 54 oz movie sodas and blurry.

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TIME WARP. Home at 1 AM, up at 7 AM. Actually, 6 hours isn't bad.

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Sleepy husband gets to stay asleep. I however, drag my happy butt out of bed.
It's too early for pants.

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It is NOT to early for breakfast. And protein, gotta love my 1 serving-to-go blender for AM smoothies. Still working out a good way to caffeinate them. In the meantime, I take the extra time to groom and look presentable, as it's my first day at the Dermatology clinic I'm rotating through as a medicine resident.

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See? Proof. (Though I will note that throughout my ENTIRE chief year, I never got to wear a feather headdress and say "Me Big Chief." Hollywood LIED.) That aside, I'm off and enjoying the fairly lovely view of Savannah marsh.

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Stuck in traffic, marveling at the disgustingness that is Arby's breakfast.. also results in me being 3 minutes late. Were I not a 3rd year resident with about 26 days left in her entire residency... I would be having a panic attack. As it stands, I apologize and tell my attending there was traffic.

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Through the door and we're off and running, as there's about 40 patients booked for just the morning. (Yes, those are painstaking crops to ensure there is NO identifying patient or clinic information. Hip, Hip, HIPAA!)

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When you deal with the same very specific set of issues over and over again (cancer checks. freezing premalignant lesions. acne. lather, rinse, repeat) - you tend to perfect documentation and patient information. Via handouts. Lots of handouts.


During a bit of precious downtime, I look at the reference books in the clinic. Vastly amused by the name of the tick-removal device.

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And just like that, morning's over! I grab a quick lunch heading over to the hospital, and call my mother to check up on some loved ones at home. (True sacrifice for DITL: Accidentally hung up while taking the screenshot, was embarrassed and chalked it up to "bad reception" when I called her back.)

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I grab a water from the resident lounge and shoot the poo with one of the surgical residents before noon conference starts. Those are feedback loops for the regulation of pituitary hormones... I think. New England Journal review day is not always the most engaging of topics.

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See example Tony, who is running a ward team and thus not entirely awake - that or he's playing Draw Something on his iPad. There's a hospital-wide obsession with the game right now. Either way, conference concludes, salad was tasty and we're off - Jess back to Rheumatology clinic and Audi to Neurology. By our powers combined... we could treat (almost) all the findings related to lupus. :)

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I leave my stethescope in the car before going back in the room (there is not much listening to lungs or heart sounds in derm) and return to man the liquid Nitrogen, which is pretty much the magic ray gun of derm. (Well, between that and the actual laser which I am Not Allowed To Touch)

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An afternoon of not-violating-HIPAA later and I'm home, after returning some pages in the car. (And yes, my pager is about a month off on the date. Too lazy to reset it after my batteries died) Happily, my plants survive despite my gardening attempts. I have killed at least three planters before these guys so I'm hesitantly optimistic.

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Dogs have also survived, even though I have been GONE FOREVER, OMG. We take awhile to relax on the porch in the backyard.

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Dinner is a quick affair, because I have to jet to practice. Husband is a saint, and agrees to clean up while I drive off to The Goose (supergoose sports)

From DITL 2012
.....

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Because it's time for Roller Derby! Yup, Trauma Protocol with the Savannah Derby Devils, reporting to practice.

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I chat with everyone as we gear up. One of the girls does wound care, so I tell her about an especially impressive non-healing arm we got in the clinic. Our bench-mate is mildly disgusted.

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We skate, I get banged up during a great hitting drill (I'm fresh meat, so 2/3rd of the people there way out-rank me in terms of skills) but by the end: happy exhaustion.

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Aaand home, for the night. Long day. Good day!

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Wait... Great Day! Sainted husband surprises me with flowers and beats me to the anniversary punch. :) I tell him he is wonderful, and offer sweaty, stinky kisses. He declines.

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Even better: the flowers come with the news that there is cold beer in the fridge. I commence my favourite method of soothing Derby bruises: beer and bubble bath.

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Setting aside more clothes for the laundry (tights + booty shorts + dress for practice 3x/week...it's neverending) we watch some ridiculous show about rednecks who got rich off Duck Calls.

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After that, the dogs are Ded for the night, and the humans head for bed too.


Wayne State University Class 2009
Comments 
Fri, Jun. 29th 2012 (UTC)
Ha - "It's probably lupus." Perfect.

Also, that's a lot of lab coats in one picture. Thanks for the pics, great DITL as always. Hope Savannah is treating you well.

EDITED because apparently hitting the space bar submits my post.

Edited at 2012-06-29 12:23 pm (UTC)
Fri, Jun. 29th 2012 (UTC)
Yay! I was hoping for derby shots!

For caffeine in the morning smoothie: Make a pitcher of coffee and keep it in the fridge. Use said coffee instead of, or in addition to the almond milk. It especially cuts the sweetness of chocolate protein powder. :)
Fri, Jun. 29th 2012 (UTC)
Aw, I missed you! Important (not) question: What single-serve blender do you use? I'm in the market for one and want one that isn't going to die on me. Way to go, Chief Resident!
Sun, Jul. 1st 2012 (UTC)
(grin) Hee.

You've come a long way, Doctor. :-)
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