IM Sub-I: The longest post-call

Because we were post-call today, Amy wanted us to start rounding at 8:00 a.m. in order to finish by noon. Considering how we rounded at 6:30 a.m. at JPS when we were post-call (granted, we also spent the night at JPS), this was nothing. Even still between 8:00 a.m. and 9:00 a.m., we only saw two patients in IMC. Amy and Angela take their time going through each patient's individual problems and then discuss a treatment plan amongst themselves that may or may not involve the interns and med students. Most of the time Zack, Yan, An, and I just stood around doing nothing. All of us missed Greg and Dr. C, who went through rounds at lightning speed so that even if we had 18 patients, we could start rounding at 9:30 and be done by noon. An saw Greg earlier this morning and he'd asked, "Do you miss me?" Yes, Greg, we do.

After morning report, it took us until 12:20 to see the rest of our patients. At 11:15 we had three patients left to see and thought we'd do quick rounds on them. No such luck; one lady kept talking nonstop about how she works as a horse trainer (even showed us her "guns") and had been healthy for most of her life until she got "T-boned" in a car accident months ago, etc. Yan had warned us that she was manipulative, going so far as to move during the MRI b/c "they didn't pull me out in 20 minutes." Angela later told An and me to go to pathology to check on biopsy results for our respective patients who had biopsies done yesterday. An's patient's FNA came back inconclusive, and while my liver biopsy patient was revealed to have cholestatic hepatitis, whether she has iron overload or not remains to be seen. I later told Angela the news and she told me to leave a note in the chart, but I forgot and didn't remember until I started writing this entry. Dang it, so much for making a favorable impression, even if I'm only here for a few more days.

I went jogging along Town Lake again and saw two women walking a total of six labs and retrievers. One dog was leashless and another had his leash attached to his owner's belt. Dang...