M3 Progress Note Blue Medicine

25 y/o WF presents to ER with bilateral self mutilation of the wrists c/o feelings of dispair and frustration s/p 2 weeks on internal medicine service with no day off. Denies CP, SOB, N/V/D, NS, F/C
ROS: + insomnia, sleeplessness, decreased appetite, weakness, headache. otherwise negative.
Vitals: Tm: 97.6 HR 85 RR 18 (because it's always 18) BP: 112/68
PE: Gen: WDWN clearly distressed with a wild look to her eye resembling a caged animal, labile mood
CV: RRR no MRG
Lungs: CTAB no WRC, good air movement
Abd: s/nt/nd NABS no HSM noted
Ext: MAEW.
Neuro: PERRL, EMOI, CN II-XII intact, reflexes 2+
musculoskeletal: no atrophy, 5/5 movements in all limbs
GU: no dysuria, hematuria, oliguria
Endocrine: no heat/cold intolerance, hyperphagia, nocturia, polyuria
Psych: labile mood noted

Plan: 1. CT head due to headache and depressed mood r/o tumor
2. EKG
3. Chemistry, CBC, CXR
4. consult vascular and plastic surgery.

Don't be surprised to see this in the UMC system anytime soon. Medicine sucks. I mean, I see how some people like it. But not me. Rounding on people 3 times a day, updating the list several times, ordering test after test, changing someone's fluids from NS to 1/2 NS, adding potassium, waiting for the CBC to come back, it's so...detailed and micromanaged. I just don't have the patience for it. And the prescriptions. I hate pharmacology. No matter the setting. And medicine is all about some, well, just that. medicine. yuck.
2 more weeks till christmas. My first day off is thursday, and I get to spend that putting my dog down because it's the only time I have. so yeah, I can do this, right? Then I'll only have 1 month of house medicine ever and then never again. Why can't I be one of those people who loves everything, instead of disliking it all?

Yeah, completely set on pathology. now to just make up my mind where I want to do residency...