Rounds with the new team started at 8 today. Of the three, we met Terrence, the 2nd year FP resident, and Sarah, the FP intern; the other, an ortho intern, is on vacation and won't be back until next week. Both of them were post-call (yikes), so we were all eager to get started. Terrence said that Jordan had told him good things about Angela and me, and that he would let us do as much as we wanted since we were nearly 4th years. Sounds good to me. From the few hours I spent with this new team, I could tell we were going to get along fine.
Our greatest dismay is that we're on call in two days and still have fourteen patients on service. With today being Sunday, we couldn't discharge anyone. An elderly patient with new onset CHF couldn't go home b/c his BPs were too high even on clonidine. My stroke patient couldn't go come before she gets diabetic education and has an OT see her. One of our "rocks" couldn't go to a nursing home b/c she needed transportation to take her to Oklahoma. Speaking of the rocks...Dr. L's exasperation with their families is really starting to show. Three of them are full-code even though there is no benefit to extending their life (one has metastatic CA, one has a trach and can't leave the hospital without one, and one is severely MR with candidemia) except to ease the consciences of their family members. With any luck, we'll have five patients go home tomorrow, but that still leaves our numbers at nine. >_< And with call in two days, I'd better find my Maxwell guide b/c with my new team for a refresher on writing orders.
Also, I think I'll get to help present at morning report on Tuesday b/c our most interesting case is Mr. Roboto and I'm the only one on the team right now who's been checking on him ever since he was admitted (Jordan's doing inpatient FP and Nanette's doing neuro right now). AWESOME. Actually I'm nervous I might screw up, but let's hope for the best =)
Sunday, June 1, 2008
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