I missed a few days, partially because by the time I’ve been getting home I’m usually too exhausted or have other things to work on in the limited time I have before I go to bed in order to get at least 6 hours of sleep. On my previous IM rotation almost a year ago I was scheduled for 12 hour shifts, but only would really be there for about 8-9 hours because my residents would usually let me go once I’ve finished my notes. This rotation, the expectations are a bit different and rightfully so given that I’m now a 4th year. It’s not a bad thing, and I’m grateful for the opportunity to be able to continue getting closer to resident work level.
Today I was discharging all the patients I was following. One of the them was one I had since I started on the medicine service. The other 2 were new ones I just picked up yesterday, a atypical vertigo picture and a COPD exacerbation secondary to pneumonia. The COPD patient actually decompensated a little bit during the day so we ended up keeping him. What is kinda cool about medicine is that no matter how many times you see similar conditions there’s always something to learn or to brush up on. Each day I feel like I’m able to improve upon something or there’s some opportunity to do some additional research. I also like being able to sit at the table with people who are smarter than me and listen to their approach to different medical problems and to learn from them.
nANIMOv 