Last day of the medicine sub-I! I had four patients to see: my usual three plus the 18-year-old boy with the hand abscess. My liver disease lady had an INR of 7.6 (up from 1.7) this morning, which I think is a faulty lab error, but when I went to see her, she was sitting up in bed staring listlessly out the window. I wondered what she was thinking. Her bilirubin continues to increase, and she's getting more jaundiced, and I don't understand why, seeing how she's discontinued her Tegretol (for real this time, I hope). My trainwreck patient is doing much better, and my gonorrhea patient's joint swelling is finally going down. As long as he can walk, he can go home later today. Too bad I won't be able to stick around for it.
As expected, our cancer patient died last night. We had nine patients on our service, but it still took the team until 12:30 to finish rounding. I don't get it. Dr. C always managed to finish rounding before noon, whether we had 18 or 9 patients. Amy takes time to talk to the patients and listens to them if they have something to say, which is actually a good thing (just not for an impatient team of interns and med students). I can see myself doing the same, actually. I spent two hours of my afternoon filling out discharge summaries and getting drug info for my trainwreck and gonorrhea patients, and then I paged Matt and let him know I was leaving. Before turning in my badge, I got two Odwalla drinks for Beth (something of a goodbye/thank you offering) and went to the 4th floor library to see the pigeons. When I first arrived in Austin, I saw two pigeons taking turns sitting on an egg. Now that egg has grown into a small, fluffy-looking chick. =)
I had time in the afternoon to pack before driving to Andrew's for dinner. Unbenownst to me, Jeff had come over and Andrew had made curry again, so I neglected my salad in favor of curry and spring rolls. The three of us then hung out in front of the TV watching the Olympics, playing WoW (the guys), or just chatting. It's my last night at the house near the hospital; tomorrow Dina and Fallon are coming to Austin and we're going tubing =)
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wow, they worked ya 'til the last minute of rotation. isn't it great that there's no longer a shelf exam to worry about now? :)
Tubing sounds like a lot of fun. Dina mentioned if I wanted to join y'all. But I already made plans to spend my last weekend in Galveston with family.
Try to take some pics.
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