Today was the first week of my hospital week with Dr. T at PMC. After failing yet another family med quiz, I met Andrew, Mani, and Lauren O at PMC. There we met up with Andie (4th year) and Asma (PA), who gave us a list of patients and assigned us three each to check on. My first patient was an overweight lady with MRSA in her nose, so I had to gown up and glove up to see her. My next patient was a man who had TIA symptoms yesterday but feels fine now. His brain scan, however, also showed that he had a small 6 mm mass with vascular edema around it that suggested metastases (he has a 50 pack year smoking history) My third patient was in the ER for N&V, and I told her Dr. T would see her in the afternoon.
Sadly, that didn't happen. Dr. T was supposed to meet us at 11 for rounds; he didn't show up until 11:50. Then he saw about 2 patients before he left PMC to teach the 2nd years at school. From about 12:30 to 2:30 we rounded on all the patients and filled in any labs we might have left off the first time. He was supposed to meet us at 3:00 but instead didn't come until almost 3:50. And we had sixteen patients to see, of which he'd only seen 2. *sigh* Also, one student has to stay late everyday to take H&Ps on ER patients, and despite my better judgment I volunteered to stay (Andrew and Lauren hadn't wanted to do it and Mani didn't volunteer). At 5:40 pm I got called to the ER and did an H&P on a man presenting with what appeared to be acute cholecystitis (except his liver enzymes were elevated too). I finished with him around one hr later and only then did the rest of the team make their way down to the 2nd floor to see the ER patients. We didn't get out until 7:45 pm, and Mondays were supposed to be a short day.
On top of that, my health wasn't doing so well. I hadn't completely recovered from last night's fever, and in addition my head hurt and my throat was getting sorer by the hour, to the point where it hurt to swallow. As soon as I got home, I took my otoscope and took a good look at my throat. HOLY CRAP! Red tonsils with specks of white exudate...damn it, I got strep! Nooooooo! *sigh* Well, I can't go without seeing a doctor, so I'm going to show Dr. T my throat tomorrow and hopefully he'll let me take the afternoon off so I can go to the student clinic...assuming I can get an appointment. *cries* My life sucks
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Sorry about the late day. Hospital stuff all depends on the census, and it sounds like y'all are pretty stacked at the moment. Still, it is good you took call, since everyone had to be there late anyways.
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