Tag Archives: medicine

Doctor Who?

(EDIT:  HURRAY it’s my 100th post!!!)

(Hurr dee hurr, it’s a fandom joke.)

But it does accurately sum up the general feel of this first week of residency.

Because, let’s be honest, the difference between the end of 4th year and the beginning of PGY1 is a piece of paper with my name on it.  And nothing else.  I haven’t magically conjured more confidence or clinical acumen in my time off.

It’s actually quite the opposite.  It’s been about 3 months since I’ve had any clinical experience, and I’m definitely a little rusty.  Every time I go on vacation, I seem to lose a handful of techniques and knowledge details that I’m sure I knew before.  Here’s the short list:

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Trial by fire

DSCN4615Hey all.

Apologies, I’ve had a lot of other Life Things going on at the moment – graduating in 2 days, moving in 6, trying to get all my residency stuff in order, editing the 1100+ pictures I brought back with me from Europe…

The silver lining: I found two bottles of wine sitting in my cupboard, woop woop!

But yes.

Back to the blogging.

The blog’s been blowing up today, for reasons I can’t explain, so I’m just gonna run with it.  Got a story to tell you.  About the slightly insane trip to Europe.

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Rotation roundup: Internal medicine

Been a while – internal med can be a long, 8-week slog sometimes.  And summing it all up may be even more difficult.

This post has a bit of pathos infused in it.  After all, my classmates and I have been working year-round to be able to add that “4” to our signatures (already made that mistake 5 or 6 times today…).  I’ve only had a week off since Christmas and I’m really feeling the fatigue at this point.  Hell, it was a mental battle just to prep myself for writing this.  (Also I’m procrastinating – don’t really feel like memorizing toxin antidotes at the moment.)

But what kind of pseudo-blogger would I be without a little suffering?  A little (or a lot) of angst?  I’m even writing from an uncomfortable old wooden chair, sweating in the BC interior’s heat wave.

Irrelevant, I know.  The blog must go on.

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Rotation roundup: urban family medicine

And there it goes.  The very first rotation of clerkship, gone in a flash.  I’m excited to be moving on and trying something different… but at the same time, I’m rather bummed.  I mean, I just recently became accustomed to the odd schedule (2:30pm to 10:00pm followed by 7:00am to 2:30pm?  Ouch.),  never mind getting used to the clinic routine, the computer system, the GP’s approach to medicine, my preceptor… it’s all ending so quickly.  There’s just such a huge variety of stuff to see in family med, you can’t possibly cover it all, never mind become proficient at any one thing.  Well, except maybe upper respiratory tract infections.  And cough.  I am the cough queen.  Post-nasaldripAsthmaGERDDrugs.  It’s all one to me, like TBSyphilisSarcoid.

So.  Time to dish.

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My faith

It seems fitting to talk about our buzz word of the week – religion – running up to the holiest day on the Christian calendar.

We’ve mentioned religion in class and its effect on patient’s decision-making with respect to end-of-life care and the basic tenets of their belief systems.  We’ve also talked about it with respect to our own set of values and how it affects the care we give our patients.  Or rather, how it shouldn’t.  We’ve been told that it’s best to keep your religion and your practice separate.  Keeps things from getting complicated.

But I’d like to make the argument that it’s a flawed way of thinking.  Since I seem to blog everything better this way, let me tell you a story.

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Awesome words: medical edition (part IV)

(Part I, Part II, Part III)

I know, I know, we’re not technically done neurology yet.  But we’re pretty much halfway at the end of this week (huzzah!) so you’re getting an early dose of awesome this block, lucky you!  To start off this one, here’s a fairly terrible neurology joke:

Knock knock.
Who’s there?
Your Uncle.
Uncle who?
Uncle herniation.

Badum pshhhh.

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Fretting and fear

No post last week.  Hawai’i takes precedence over silly, trifle-ish things like blogging.  Case in point:

So yes.  It’s been nice.  But now we’re back to neurology.  Cranial nerves, anyone? [gag me]

I had a bit of a revelation during a clinical skills session recently; I didn’t just pick a challenging or difficult career, I picked a terrifying one.  At least, sometimes.

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