Showing posts with label M3 surgery rotation. Show all posts
Showing posts with label M3 surgery rotation. Show all posts

Wednesday, August 19, 2009

I Can't Do This All On My Own

I know that I'm no... superman.

I love Scrubs. I always get asked if med school/medicine is really like scrubs. In a way it is. In a way it's not. The drama and inbreeding occur. But always having something witty and coming up with a diagnosis in 30 min doesn't necessarily happen. Although I think deep down us fans strive to make every day a bit more like Scrubs.

I officially have 5 more days of surgery left. Then a test. I am so unbelievably pumped no one has any clue!!! I move on to family medicine and I'm so excited. Today I had my first clinical skills assessments. Apparently I'm not too shabby at a history and physical, but thanks to surgery I don't document ANYTHING. Pretty much meaning it didn't happen. Ugh. I'm sure Fam Med and Medicine will remedy that very quickly. I just had no idea to write down in her HPI her sexual history, or whether she was using contraception, or what her pain was like. ARRG! that's points people! I'm almost worried I failed the damn thing due to documentation.

I also realized that the path interest group will be getting to a very very slow start this year. I'll be gone for some of september and a week or so in october. So our earliest meeting will be mid october at best. I need to start getting the ball rolling, but it's so hard with surgery being down my neck and taking up all my time. I suppose I'll start gathering my minions as soon as this rotation is over.

And Just a random vent: DO NOT CALL ME PAST 8 pm! Most likely I will be asleep. I have a friend who has consistently been calling around 9-10 pm. Now, I wouldn't be so angry if a lot of her calls didn't follow with the text "can you come watch the kids while I go to the store". Let's not get started. I know you're a single mom now, but go on the way home like everyone else. I am asleep because I get up at 3:30 every morning. I think if she does it again I'll be calling HER when I wake up. You would think between me TELLING her and not answering my phone she would have stopped by now. Ugh.

PIG meeting thurs. SO EXCITED (mainly for Chic-fil-a. I've already realized peds=not for me).

Until next time! stay dry!

You can find me curled up at 7 pm in my bed with my very own Scrubs marathon.

Monday, August 17, 2009

Tweet Tweet Tweet

Today has been full of rumors, gossip, and somewhat drama. And it's only monday.

The biggest ::whew:: moment was the long anticipated email stating our test was indeed on Wed. So we have a room and a time. So the gloves can come off...for now.

The only thing that can trump that is the realization that this friday is the back to school party. I happen to be on call this friday. What I didn't realize is that the SOM officially releases us at 5 pm friday and we don't have to be back until 8 am Sat morning. Basically meaning I get out of being on call. And we all get out of writing notes in the morning. Now, before everyone decides to beat me up in the back alley, I'll say that if our call doesn't go to replace Chasing Zebras and her partner's unfair 5th call night, I will replace one of them. So we can all have a fair 4 nights of call.

Also, some internal M3 drama involving Chasing Zebras came to light. Apparently two people on Peds decided they wouldn't get enough time to "study" for our test and decided to switch to transplant. However shady and wrong, none of the departments seemed pleased. Peds needs more than just one student, and transplant was scratching their heads going "wth" when 4 med students showed up for their service. Momma medschool warned me long ago that people would be coming out of the woodwork, ditching responsibility in order to go study or something.

So there have been many little birdies floating around UMC today spreading the good stuff around. Now, if I could just peel myself off the couch and get something done that would be marvelous.

Friday, August 14, 2009

This Is Me Flipping My Shit

You can find me in Dr. Medschool's office along with Momma Medschool Monday morning as I revolt against the fact that the surgery secretary has admitted to not doing her job and having to "find time" to give our test.

Funny, that test has been scheduled for Aug 26 since our syllabus was sent out on June 8th. And there's still no room, or definite date?

No, I have made plans after email confirmation we won't have anything to do after the 26. I don't know about the rest of you, but I'LL be taking my test Aug 26. Or she can personally explain to the pathology director of residency program why I can't come shadow in the department. And to Momma Medschool and Dr. Medschool as to why our test doesn't have a definite date.

Yeah, because you didn't do your job.

I thought people got fired over shit like this. Just a thought.

Thursday, August 13, 2009

Misery With a Side of Fries

I'd like to preface this post with the realization that there are officially 11 days of surgery responsibilities left. Less than that if you're not counting weekends.

The last 2 days of my general surgery rotation will be horrible. Today was mundane until they decided to to an ex lap at 4 pm. Usually, I've been home for over an hour by this time. So we go, I'm shooting bullets out my eyes, and then we can't see anything. It was a complete clusterfuck in the OR. So The Big One decided that it was too crowded and we couldn't see. Instead of telling us to just go home, she sent us off to study. Eventually, an hour and a half later, she comes and finds us in the surgery student lounge and tells us to go home. Ugh. HemeOnc doc and I decided that if it was anything else, it wouldn't have been as pissy. Like, if I was waiting to do a frozen section on some massive tumor, or she was waiting to do some bone marrow thingie. But the fact they wanted to open up someone and just go looking around at 4 pm was downright pissy. So I went to McDonalds and got some fries to make me feel better. It only worked for a couple of minutes.

I've also been fighting an internal/family battle. I've decided that my life may be made simpler with a blackberry. Downside: it's an extra 30 bucks a month. Something my mother (who pays for the phones now) refuses to pay. So it's either I don't get the phone or I pay the extra cash from my allowance I get every month. Wow, does it sound like i'm in high school? Because at first, that's what it sounded like to me. Now, being as I'm NOT in high school, I simply can't get a job to make up the extra money. Nor can I take out loans because that will result in a monthlong bitchfest starring my parents. Although I'm sure I'm going to have to take out a good chunk next year with residency costs and I'm GOING to do away rotations whether they like it or not. So I'm trying to battle it out if it's going to be worth it or not. I'll have until november to decide.

Otherwise, I'm absolutely PUMPED about starting family medicine. I just have about a week of surgery left, then the surgery test, then some path shadowing, then Family Med! Oh, and for those who aren't in the loop/not on surgery the secretary apparently "can't find a room" for us to have the test on Wed and may postpone it until thurs or friday. Seeing how I've made advance plans to shadow after emailing her stating i was going to make plans thurs and fri and double checked to make sure we didn't have any responsibilities after our WED test (she confirmed), I will raise all un-Godly hell if she decides she'll just have it another day. She's had it scheduled for Wed for 3 months. And "not having a room" or "it's not ready" is as good as an excuse as "i didn't get my notes done because I was tired and wanted to sleep in".

Bring it.

Thursday, August 6, 2009

Ooey Gooey

I learned a very valuable lesson today. Whenever in the OR wear gloves at all times. I learned this because one of the residents asked me to move the patient's arm while he tried to get subclavian access. It's just the patient's hand and arm, right? Well, apparently they put in an IV and I didn't see and it was kinda oozing since they didn't hook it up yet. So what did I do? Stick my finger in some of the oozing blood. Ugh. So I move the arm and go outside and immediately wash my hands a couple of times. It wasn't a big deal really. I don't have any wounds on my hands and it wasn't a needlestick. so I didn't panic or anything or felt the need to rush to student health. It was just annoying. sigh.

Other than that I'm completely pumped about my friend's wedding this weekend. I have to go in and write my notes on my two patients then I'm leaving to apparently come pack and head to the city of choice.

it seems like this surgery rotation will never end. 2 more weeks.

Saturday, August 1, 2009

Alpha, Bravo, Foxtrot Charlie!

So I just realized I have call monday night. Good thing I looked at the schedule. That could have been a big "oops". I really hate call. There's always some crap you have to deal with down in the ER. And me really not liking surgery, it's a bigger pain in my ass than it should be. ::beep beep:: bravo ::beep beep:: bravo ::beep beep:: shit hit the fan alpha. Ugh. Luckily I'll only have one more after monday.

So I'm excited about going back to UMC. I think the pissiest thing about VA is the constant back and forth. although I left my very nice big umbrella in the resident's cubby. So it looks like I'm going to have to make a trip back in order to retrieve it.

I start general monday and have a lack of information. We talked to one resident who didn't give us much information. I'm not even sure if we're supposed to see patients on monday morning before rounds. I would think not, since we don't know the patients and barely know the residents that will be there.

Oh well. We asked. if they just forgot to tell us then it's their problem. Although, I know good and well by now it'll actually be MY problem. But it's their fault.

3 weeks of misery left. woo!

Wednesday, July 29, 2009

Seriously?

So as I was amputating a guy's foot today (a real bloody case actually) the scrub tech looks down at my feet an asks "do you wear those shoes home?". I replied "yes". She said "then you should wear foot covers. No telling what bugs you're taking home with you from the OR." Yeah, ok, that's great and all, but my first day of surgery I did the whole shoe covers thing and it was a pain in the ass. Not to mention that the other doctors and staff wear the shoes in the OR, around in the basement, Up to the resident cubby, down around the halls, into patient rooms. I figured me doing the same thing while also walking around outside and leaving the shoes right inside the door wouldn't expose me to anything more dangerous than being at the hospital does anyway. So I appreciate the infection control speech, but honestly I'm exposed to nasty all day and will probably pick it up off the floor on the 3rd floor just as easily as I will in the OR.

Not to mention that I get one pair of scrubs at the VA and have to wash them myself until my time there is over. So...that's not a health risk: putting bugs in my washer even tho I wash it with hot water. OOOOOOkay then.

I think the worst part of the surgery rotation has been lack of time off. I'm quickly approaching burnout and I need a couple of days to not wake up at 4 am and do notes for ungrateful interns (I may write on this later, just something pissy that happened this morning). I'm exhausted to the point of insomnia and after 2 hours of sleep woke up shaky and nauseated. Granted, it could be the bean and cheese nachos paired with margaritas (2 for 1!) or the dehydration i'm suffering due to a lack of time to ingest water. It's almost like you're so tired your body is making you sick because it's the only way to get you to slow down. Or it could be the MRSA or VRE or whatever I picked up from the hospital due to me wearing shoes home (ugh). whatever it is, I'm up now and can't get back to sleep. So that's not going to help the getting up, seeing patients (our list doubled today. joy.) then being with it enough at educational rounds (aka pimpfest) to answer any questions. it seems like i'll be something slightly above zombie level.

I love the patients at the VA, but I'm ready to get back to UMC. At least when I get lectured about putting myself and my family into nosocomial dangers at home, I'll know they're at least washing my scrubs for me.

Sunday, July 26, 2009

Let Me Tell You About 'Nam

So after a week at the VA I have come to the conclusion that working there is like driving toothpicks under your fingernails. It's extraordinarily painful with all the paperwork and red tape and very angry secretaries. They yell at me at least once a day. Not to mention that HIPAA is disguised as FBI agents. I'm convinced. And the rent-a-cops in the parking lot on their oh so wonderful bikes are a special breed of stupid dressed in ignorance and topped off with the accessory of power trip.

But I LOVE the patients. They make my day better. They all pretty much appreciate that someone cares and someone tries. I had the cutest old man with a gangrene foot due to diabetes, but he just lit up when he talked about his granddaughter and his chee-tohs and little debbie cakes. I know...that's why his foot was falling off due to atherosclerosis and diabetes. But he was just so adorable while doing so. I couldn't help but just find him absolutely precious. I also love the patients with the old war stories. I had one guy tell me about his stint in 'Nam. I love it. I guess that's why I'm considering Geriatrics if I decide to do family medicine or internal medicine.

Although, I miss pathology dearly. I'm going to try to find some time to shadow so I can decide. My ultimate fear is getting to third year and hating everything and not knowing what I want to do.

And I FINALLY got to see harry potter! HemeOnc Doc and I went after we wasted about 5 hours at the hospital just sitting around and "studying". They left out the good fight scenes naturally as well as some of the story line. But it was a good idea. I'm excited to see the next 2 movies.

So today has been full of just stuff. Making bread since I'm out, and tried out a recipe from my new cookbook Cupcake Heaven yesterday. It was so good! It tasted like strawberry shortcake. A real winner. I'm just glad I got the day off. One of the guys that was supposed to come yesterday morning overslept so I did all his notes and he repaid me by doing all the ones I was responsible for this morning.

Until next time.

Monday, July 20, 2009

Out of the Bag

After 6 weeks of surgical experience I can safely say Surgery is not for me.

In fact, I'm starting to tell people this. So the cat is out of the bag. Like today. Where I told them I'm not doing surgery. Actually, I think the exact quote to one of the interns was "I hate surgery" and to the chief in reply to "what do you want to do?" I responded "NOT SURGERY". Does this mean I'm not going to fulfill my duties or pull my weight? No. Does it mean I will count down the days until the rotation is over? yes. I hate the OR. I hate scrubbing and just sitting there. I'd much rather go around doing scut work. I don't mind watching. I just don't like the whole sterile field thing.

I also don't like pediatrics. I didn't get around to telling them I have also eliminated that choice.

What are they going to do? Fail me because I told them upfront I don't like surgery? No. They would have to give me a good reason to fail me if that did happen.

6 more weeks. 6 more weeks of general surgery. Ugh. Is it 4th year yet?

And for the record, I'm jealous of the people who got to go to Destin while I rot at the VA. Enjoy some sand and sun for me! I want pictures and stories when you guys return!

Tuesday, July 7, 2009

Slowly Ruling It Out

So, even though I'm still waiting on General before I officially say Surgery isn't for me, I have 100% ruled out pediatrics. I started Peds surgery monday and by today I have decided that I don't like it. The NICU creeps me out. I love children, don't get me wrong. But I don't like the sick ones or seeing them in hospital beds. If you need a babysitter, I'm your person. If you need a pediatrician, please call someone else. I have the utmost respect for pediatricians and pediatric workers. But I can't do it. So I'm going to leave that to Cupcake Queen and HemeOnc Doc.

Other than that, surgery has already been a whirlwind and it's hard to believe it's almost halfway done. I'm chomping at the bit to get to Family Medicine because I know after 3:30 am awakenings and 5 am notes 7 and 8 am will seem like heaven. Also the people in the family medicine dept are amazing and I can't wait to work with them. And Baptist is pretty much the shit.

Oh, and America's obsession with Michael Jackson now that he's dead. I'm just glad that everyone is focusing on his music and legend and not the bad parts of his life. I hope he rests in peace, I hope his family finds solace, and I hope to God every station quits airing Michael Jackson specials and gets back to the regularly scheduled programs.

Friday, June 26, 2009

Mr. Cranky Pants

Apparently me staying up all night and getting about 2 hours of sleep=very grumpy Ewok. I need to make some cookies for my poor partner, because he witnessed the grumpy first had. Although I kept a lid on my temper, I did state that I was angry and just wanted to go home. Luckily we got released at 10:30. I came straight home, showered, and passed out until 4:30. Actually, my bad mood didn't start until rounds when it seemed to take ages for them to go through all their patients. Our attending is awesome, but sometimes he gets to talking and just won't stop. i guess it reminds me of my mother.

Anyway, I may go nap some more. Guess I need to start looking into careers that don't take much call. haha.

Wednesday, June 24, 2009

Surgery Salvation

So apparently, plastics wasn't for me but general surgery may be right up my alley. Can we all say it, all together now! SHIT.

Since being on the transplant surgery I've seen a hernia repair and a colon cancer resection. And can I say, both of the surgeries were AWESOME. So maybe there's hope for surgery yet! Although I'll be thinking a lot on what I decide to go into, I'm going to start giving surgery much more consideration. I hope I get to see an actual transplant surgery before it's over. But I guess I won't be hating general like I first thought I would. In fact, surgery hasn't been as bad as I first thought it was going to be.

Now if we can just make it through everything else so I can decide...

Tuesday, June 23, 2009

Genetics

Nothing fascinates me more than seeing where I get my characteristics. Although I look a lot like my mom, my personality is all my dad. My temper, my no bull attitude, my confrontational nature, and insomnia. I had no idea I got that from my father. Whenever I get extremely stressed, sleep goes out the window for me. Apparently, that happens to my father. Maybe it happens to the rest of the population as well, but my mom doesn't do that. And one of my cousins from my dad's side also does it. I talk in my sleep like my father as well. Now as long as I don't get his large nose or his sleep apnea I have nothing to complain about.

Transplant is awesome. There is actually no patient on the service to my knowledge as to right now. we're to go in and see if anyone came in overnight. otherwise, I guess we'll just be hanging out (but not in the surgery lounge. Maybe there will be a post later on lounge wars).

I still don't know what I want to do when I grow up, but I hope I figure it out fast.

Friday, June 19, 2009

The End! Sorta.

Officially done with plastics as of today. I had a rocky start, but ended up LOVING Dr. B and his resident Dr. M. I learned a lot in these first 2 weeks of M3 year. They are as follows:
1. never shave your legs at 5 am. I ended up losing a lot of skin.
2. I can be good at sutures and even learn more than one kind! Plastics taught me a LOT about sutures
3. I need to memorize my pager number because eventually someone will ask for it. like today. and it was fail.

So I'm excited about transplant. Mainly for more of the sitting vs. standing in one place in an OR for hours on end. My feet are really not having it! My back and legs are alright now, but my feet just can't get used to it.

I eventually need to start studying. I'm still waiting on my surgical recall to come in. But I have my pretest but I get home and just want to veg after a long day!

Props to HemeOnc Doc. She's seriously a saint. Patience like woah. She could deal with those I almost told to get an attitude adjustment. Woo hoo! done! On to peds where you belong!

Sunday, June 14, 2009

First Impressions

I begin my second week of surgery and still can't access the OR schedule. Meaning I have no idea what time and where i'm supposed to be. Fabulous. Apparently, not knowing anything including what you're supposed to do and go is the theme of M3 year.

My first week of M3 year was insane. Between school of medicine orientation and surgery department orientation, I was exhausted. Then my first full day of surgery ended up being a full day of lectures. My very first time in the OR got me doing sutures which the resident realized I wasn't lying when I said "I suck at this". My first week in the OR also made me realize that I'm going to have to get used to standing for 10 hours and pain from my lower back down. I'm going to be popping a lot of advil in the near future and try to suck it up best I can. I know my other partners in crime HemeOnc Doc and BBaller are in the same boat.

My first week of surgery has taught me this: I'm not sure it's for me. Granted, I have another 11 weeks before I'll make up my mind. But it's cut, sew, cut, curse, sew, pimp student. Although I've met some great surgeons who really do great work, I do find it very mechanical in nature. I've always considered myself more cerebral, but I'm still willing to give it a shot. Maybe I just don't find plastics a perfect fit for me. Maybe I'll like general surgery better. who knows. It is better than sitting in a classroom ever will be.

I'm working on a cleft lip repair presentation for the plastics rotation. Apparently everyone does it and I'm halfway done. I just need to find out how they do the surgery. I'll probably look it up tomorrow when I get there at 6 am to make sure I'm not late for the first surgery.

Also, my first EBM assignment (read: waste of my time) of this year ended up with me locking myself out of it because my computer decided that I was pointing in some direction of some link and then decided to click on it without me telling it to. So that ended up with an email to the scary librarian to reset my quiz. Ugh. I hate how they make us take tests so they know that we know how to use a database. Blah.

Ok, I think i'm going to work on some surgery pretest questions and then maybe go to bed early. It's been great to have a weekend off to recover from my first week. This year is going to be a very very very long one.