So, Family Med isn't bad at all! I didn't think I would hate it, but I didn't think I'd like it as much as I do. I don't even mind studying! I've been reading and taking notes without being told. It's scary! Maybe there's something to this "primary care" business. I think the best part of all is that I wake up in the mornings and don't have the urge to slit my wrists.
Although I think I still got too giddy over the atrial myxoma we had on our service.
So, Tuesday night my computer had some issues. Major issues. Motherboard died issues. So now I'm going to have to wait another 5 weeks to fix it. I didn't make it over to UMC in time to turn it into the laptop depot so they could fix it. Plus I'm going out of town for a month so I wouldn't be able to pick it up anyway. So I guess I'm going to just have to go without until I can get back to university. Luckily my father has now rigged up interwebs to his computer so that I can use the desktop. It makes me realize that I will always need a laptop. I miss watching movies in bed. So right now my laptop is hanging out in my trunk in case I can make it to UMC before 4pm.
I didn't realize that I'll be dealing with those "end of life" issues as soon as I have. There is this little old lady that I've been working with since I started. She has acute mental change and now has started falling apart. The NG tube is giving her a nose sore. She won't wake up or respond, but she will start saying "ow!" when you touch her legs or feet (DVT paired with now gangrene of the toes due to lack of blood). Her family insists that she's up and talking and laughing and it just happens that whenever anyone that's not family comes into the room she's unresponsive. I mean, the lady is in her late 90's. It's time to just let go. We've gotten hospice on board and hopefully she'll be able to have some peace.
We've actually been having several of our patients on the "discharge to Jesus" list. Meaning that they're not going to make it out of the hospital alive. It's amazing that I hardly ever saw that on Surgery, but get hit smack in the face with it on Family. I like it though, since I'm probably going to go into the geriatrics direction if I decide on a primary care like Fam med or medicine (although from the M4 it seems as if I won't get along with the personality types that are found in medicine. but we'll see).
Hope everyone has a safe and wonderful Labor Day.
2 comments:
I had a "consult Heaven" at the VA. And some legit crazies this week with my preceptor...it's great!
Hey. I am about done with my family med rotation, and it sounds like you are just happy to be done with surgery...
family med is chill and pretty good. I think about a career in primary care sometimes, but most of the time, I can't imagine being anything else but a specialist. I think it's a personality thing, but so much of it is based on where you do your rotation. There has to be something else drawing you towards PCP type stuff besides not wanting to slit your wrists in the morning.
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