Internal Medicine Sub-I – Days 7-11

This week as gone by super fast. Not too much to update on. Still the usual feelings of not doing enough but at the same time feeling like I’m miles ahead of where I used to be and that I am making real contributions to the team and patient care. I did get feedback from the attending this week who said that he thought I was doing well and above what was expected of me which felt good, but can’t help that voice that says it’s not really real.

I think for the first time, one of the patients I was following passed away while in the hospital. It was very sad and I fear that her last days were not the most comfortable (she had Alzheimer disease and was constantly fighting us off, even her daughter). The patient past away early in the morning before shift change and with the family in the room. My resident spoke with the daughter afterward which I think was really impressive example of empathic medical condolences, something I would like to be able to practice, but feels like an opportunity I probably won’t be allowed to have until I’m a resident myself.

Otherwise this week we also got a bounceback, though it’s questionable whether or not she needed to be admitted, but it’s ok I don’t mind, she is a very nice lady, easy to talk to and she would help me practice my Spanish.

It’s been a long week, but I don’t feel super drained. I have a baseline tiredness, but I feel relatively energized to go in to the hospital. The only terrible, worst-ever thing is the traffic to get there and go back home. It’s the worst.

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