Today was my first real day of psych at TSH, and boy was I off to a bad start. First I went to the wrong building, and in my hurry to get to the place where I was supposed to be, my beeper fell off my belt loop (and we're supposed to keep these things with us at all times) and I heard the sound of breaking plastic. All I could find of it was the clip, but I didn't have time to look for it b/c I was already late (and Dr. R, the attending in charge, knew it). It doesn't help that Dr. R is a real stickler for punctuality. I'm usually on time, but again, today was not my day.
I was paired with David, and our job was to take turns talking to the patients as they are brought into the interview room. Aside from us, we are accompanied by Dr. R, a social worker, and 2-3 nurses. The nurse did one interview and then David and I did the rest. My first patient was schizophrenic and didn't talk very much, but at the end of the interview she gave me a hug, which I thought was sweet. One of David's patients was a paranoid schizo named S who, when asked what regrets she had, said she regretted making love with 44 men in her lifetime (down from 45, the number she gave last week). She was approachable at first, but when Dr. R said she was putting her on a certain medication (clozapil), she got really pissed.
S: I'm not taking that drug.
Dr. R: That's fine, but for each day you don't take the drug, you got to get a shot.
S: Now look, Mrs. R, I don't like the way you're talking to me.
Dr. R: You're projecting, do you know what that means? You're bitter.
S: I am not better!
Dr. R: I didn't say better, I said bitter. And your medication is court-ordered, so you have to take it or else we're going to give you a shot.
S: Fine by me.
After this patient was a lady who didn't talk at all, just nodded yes or no (and they were very tiny nods so I had to watch real closely), and at some points she'd write her answers on paper. When she got up to leave, one of the nurses noticed menstrual blood on the chair and said, "Now I know that wasn't there a few minutes ago." Dr. R thought S had peed in the chair and said, "Did she pee? She would do something like that." But no, we said it was menstrual blood, so that chair was taken away and replaced with another one before the next patient arrived. We had lecture at 1:00 at JPS so Dr. R let us go at 11:15 (after giving David and me a very serious talk about how we are going to take our psych rotation seriously, we are not here to be breastfed and have our hand held b/c we are adults, and we are going to do a good job), but I still had to take care of my missing beeper. Fortunately I found it lying on the grass, so I won't have to get a new one after all. But...I ended up not leaving TSH until 11:45, and didn't pull into the JPS parking lot until 12:55. I had to call Anita and ask her to buy me something from the cafeteria or else I wouldn't have had a chance to eat lunch. (David didn't eat any lunch)
The JPS lectures were almost the same lectures we had last year (no surprise). I found myself nodding off after a while; driving more than 2 hrs in the span of 6 hrs can do that to you. After tonight, I'll be staying at Terrell until Saturday morning. So there'll be little to no blogging until then.
Tuesday, September 25, 2007
Monday, September 24, 2007
Terrell: 1st Day
Today was the first day of my psych rotation at Terrell State Hospital (TSH). We had to be there at 8:30 and I left around 7:00 and arrived with about 30 min to spare. There I met up with David H, Sital, and another 3rd year named Kyle from KCUMB. We had a brief orientation and then walked around the hospital grounds getting our dorm keys, parking permits, ID badges, bag full of psych necessities (beeper, video on extrapyrimidal symptoms, reading handouts, etc), and orientation to the computer system and dictation system. After that, we got some lunch at the local cafeteria, the "Chuckwagon," and our choices were very limited b/c the grill was out of order. Free food or not, if I live off the Chuckwagon I'm going to be as big as a blimp by the end of the rotation, so I'm planning to bring some snacks and food of my own.
TSH has a lot of land and buildings. Students are assigned to dorm-like rooms (built in the wing of the geriatric center) with three beds and two armoires. It's a very boring room (I've considered bringing my own TV but I didn't see a cable connection anywhere) where I'll probably do nothing but study (since there's nothing to do in Terrell). The bathrooms are community baths, even more scary-looking than the community baths at Jester (much to my dismay). I can put up with it, but Sital has never used a community shower before and was a bit horrified. Needless to say, since we got out around noon, no one is spending the night at Terrell tonight. I plan to commute and live at Terrell equally if possible. The drive is slightly under one hour, so commuting is definitely do-able.
TSH has a lot of land and buildings. Students are assigned to dorm-like rooms (built in the wing of the geriatric center) with three beds and two armoires. It's a very boring room (I've considered bringing my own TV but I didn't see a cable connection anywhere) where I'll probably do nothing but study (since there's nothing to do in Terrell). The bathrooms are community baths, even more scary-looking than the community baths at Jester (much to my dismay). I can put up with it, but Sital has never used a community shower before and was a bit horrified. Needless to say, since we got out around noon, no one is spending the night at Terrell tonight. I plan to commute and live at Terrell equally if possible. The drive is slightly under one hour, so commuting is definitely do-able.
Sunday, September 23, 2007
Final thoughts on Ob-Gyn
On Thursday, the day after the departmental exam, my other eight classmates and I met with Dr. A to go over our exams. When I saw my grade, I knew it wasn't great, and I was even angrier when I found out that I changed about 5 correct answers to incorrect ones! That scared me into doing a more intense review for the shelf exam. But for people doing their ob-gyn rotation at JPS, commit this to memory: for the departmental exam, focus on the lecture material. Many of the exam questions came straight from the case studies in the powerpoints, especially with Dr. A's lectures, which I did not review in thorough detail the night before the exam (I'd read Case Files instead). So for the dept exam, know the presentations well, and then go over Case Files for extra stuff. Also, Pretest did not help me very much; the lectures at JPS covered just about everything we needed to know for the shelf.
The shelf exam: alas, time and dysmenorrhea were my worst enemy (a little TMI there, but after hearing other girls talking in the bathroom I knew I wasn't the only one). The level of difficulty was about the same as the dept exam, but hopefully I did better on the shelf. I got my peds grade back, and I passed with a fairly comfortable margin, but we'll see what ob-gyn does for me.
Now...onward to psych. I'll be at Terrell State Hospital and have gotten some info from Asuka and Andrew about it so hopefully I won't be too unprepared. I also hear there's only one computer with internet access there so I may not be able to blog on a regular basis (though still more regular than other peeps, hehe). I'll take some pictures, too =)
The shelf exam: alas, time and dysmenorrhea were my worst enemy (a little TMI there, but after hearing other girls talking in the bathroom I knew I wasn't the only one). The level of difficulty was about the same as the dept exam, but hopefully I did better on the shelf. I got my peds grade back, and I passed with a fairly comfortable margin, but we'll see what ob-gyn does for me.
Now...onward to psych. I'll be at Terrell State Hospital and have gotten some info from Asuka and Andrew about it so hopefully I won't be too unprepared. I also hear there's only one computer with internet access there so I may not be able to blog on a regular basis (though still more regular than other peeps, hehe). I'll take some pictures, too =)
Wednesday, September 19, 2007
ObGyn Departmental Exam
Well, the departmental exam was this morning, so Marcus, Jedd, Blakely, and I went to the (craptastic) JPS library to study. Marcus and Jedd have delivered a total of 30 babies between the two of them (Marcus wins at 17 deliveries). I don't know how many babies I delivered; somewhere between 5 and 10. Those two had a major competition going. We were discussing birth control at one point and Blakely said one of the Dr. R's said if she ever needed an IUD, she could ask N. Boozer to refer her to him. How awkward would that be, having a doctor whom you shadowed put an IUD in you?? I wouldn't do it. Marcus said that there was something seriously wrong with Blue Team, with Blakely getting contraceptive advice from the profs and one of the other girls getting a vag sonogram done by one of their residents (again, don't go around quoting my blog to others since the stuff I write is pretty personal)
The exam itself wasn't difficult, but I knew I didn't study enough. There were a lot of percentage questions on the exam (i.e. what are the chances of cervical cancer recurring?) <--not an actual question, by the way, and there were even two questions where the answers were clearly right below the question (copied and pasted from another source, most likely). So I don't think I failed, but it won't be a high pass. We'll see.
The exam itself wasn't difficult, but I knew I didn't study enough. There were a lot of percentage questions on the exam (i.e. what are the chances of cervical cancer recurring?) <--not an actual question, by the way, and there were even two questions where the answers were clearly right below the question (copied and pasted from another source, most likely). So I don't think I failed, but it won't be a high pass. We'll see.
Tuesday, September 18, 2007
Last day of OB: "My Baby Died"
This morning during rounds I was sent to 2South to see if there were any patients that could be seen. All were complicated: 2 pyelos, 2 placental abruptions from my last night shift, and a 26 week PPROM who had a C/S yesterday. I decided to see the PPROM (preterm mature rupture of membrane) patient, and everything went well until I asked her how her baby was doing. To my surprise (and horror), she burst into tears and said that her baby died yesterday.
My thoughts? Oh sh**. The last note in her chart was a delivery note documenting that she'd delivered a viable baby girl, Apgars 5/8, yesterday around 6 a.m. There was nothing in there that the baby died, nor was there a picture of a purple flower on her door (the picture tells others that the woman inside the room has lost her child), so I had no clue what I was getting myself into and instantly felt both embarrassed and ashamed. Afterwards I told Dr. C what happened, and she asked me if I'd seen the chart beforehand. I said yes, but there was no indication that her baby had died. Later Dr. JC (the attending who listened to our student presentations) rounded on patients with our team, and we got to see the patients I mentioned above. Both placenta abruptions were housed in the same room, and coincidentally, they'd known each other for years. When Dr. JC got confused about which patient was the "murderess" (what we nicknamed the mother who'd inadvertently killed her baby by doing cocaine), the woman in question said, "My baby passed on." There was no remorse, no regret, nothing. She just wanted to leave the hospital to see her other children. Later on Dr. JC asked us, "So, what'd you think of that mother?" It was easy to get the two moms confused, except, as Dr. C pointed out, the "murderess" had the "crazy hair" =P At any rate, that mother is being reported to CPS and they'll probably take her other 8 children away from her...if they're even living with her.
Afterwards we had lecture and then some time to study before lunch. The library at JPS sucks. It's small, doesn't have enough tables, and loud. You can hear carts rattling from the floor above, and the librarian talks so loudly on the phone that you have to wonder if she knew the meaning of the word, "Shhh." Anita and I got a more peaceful study done at the HCW. While most teams had the afternoon off, my team was shortstaffed (Dr. P was put on terbutaline for her contractions and couldn't be here) so Anita and I stayed until 5. We saw some pretty interesting cases, too. I had two patients with pelvic pain and each time I forgot to ask some key questions (as Dr. T made sure to point out). One lady presented with what looked like pelvic pain, but Dr. T found out she had had rectal bleeding for a year. My last patient had a lump in her mons that disappeared when she lay down and became prominent when she stood up. That screamed "hernia" to me, and I was glad when Dr. T confirmed that it was indeed a hernia. Finally, I got something right!
At the end of the day, Anita and I were a bit sad to leave. As much as we complained about the early hours, the required attendance at most C-sections, and the two weeks of night shift, we both learned a lot with Drs. C, D, B, K, G, and M and we both became very fond of our team. So for those of you doing your OB rotations at JPS, Green team is a good place to be =)
My thoughts? Oh sh**. The last note in her chart was a delivery note documenting that she'd delivered a viable baby girl, Apgars 5/8, yesterday around 6 a.m. There was nothing in there that the baby died, nor was there a picture of a purple flower on her door (the picture tells others that the woman inside the room has lost her child), so I had no clue what I was getting myself into and instantly felt both embarrassed and ashamed. Afterwards I told Dr. C what happened, and she asked me if I'd seen the chart beforehand. I said yes, but there was no indication that her baby had died. Later Dr. JC (the attending who listened to our student presentations) rounded on patients with our team, and we got to see the patients I mentioned above. Both placenta abruptions were housed in the same room, and coincidentally, they'd known each other for years. When Dr. JC got confused about which patient was the "murderess" (what we nicknamed the mother who'd inadvertently killed her baby by doing cocaine), the woman in question said, "My baby passed on." There was no remorse, no regret, nothing. She just wanted to leave the hospital to see her other children. Later on Dr. JC asked us, "So, what'd you think of that mother?" It was easy to get the two moms confused, except, as Dr. C pointed out, the "murderess" had the "crazy hair" =P At any rate, that mother is being reported to CPS and they'll probably take her other 8 children away from her...if they're even living with her.
Afterwards we had lecture and then some time to study before lunch. The library at JPS sucks. It's small, doesn't have enough tables, and loud. You can hear carts rattling from the floor above, and the librarian talks so loudly on the phone that you have to wonder if she knew the meaning of the word, "Shhh." Anita and I got a more peaceful study done at the HCW. While most teams had the afternoon off, my team was shortstaffed (Dr. P was put on terbutaline for her contractions and couldn't be here) so Anita and I stayed until 5. We saw some pretty interesting cases, too. I had two patients with pelvic pain and each time I forgot to ask some key questions (as Dr. T made sure to point out). One lady presented with what looked like pelvic pain, but Dr. T found out she had had rectal bleeding for a year. My last patient had a lump in her mons that disappeared when she lay down and became prominent when she stood up. That screamed "hernia" to me, and I was glad when Dr. T confirmed that it was indeed a hernia. Finally, I got something right!
At the end of the day, Anita and I were a bit sad to leave. As much as we complained about the early hours, the required attendance at most C-sections, and the two weeks of night shift, we both learned a lot with Drs. C, D, B, K, G, and M and we both became very fond of our team. So for those of you doing your OB rotations at JPS, Green team is a good place to be =)
Monday, September 17, 2007
L&D: Last Day
We just got off nights, and we're immediately back in L&D for one day. Anita and I got to the floors at six and found only 4 charts (good), and we later learned that Dr. P was at Harris b/c she started having contractions. She's only 35 weeks along so I hope she's not going into labor. But...that left only Dr. C and Dr. M on the team, since Dr. D is on vacation. To help with that, they pulled Dr. C from Gyn-Onc. Anita and I didn't get to L&D until almost noon due to lecture. Dr. C had five C/S today so we barely even saw her, though she did say she talked to the woman who'd lost her baby at our last shift due to cocaine. And guess what? The woman didn't care that she'd just lost her child. She had no attachment to that baby she carried for 38 weeks. Guess some people aren't meant to be mothers. Anita got to deliver a baby with one of the midwives, but I didn't b/c my patient's cervix refused to dilate. Oh well. I don't know how many babies I delivered altogether, but nowhere near Marcus's grand total of 14 =P
Sunday, September 16, 2007
Night Shift: Saturday-Sunday
My last night shift of ob-gyn was definitely memorable. Not long after we arrived a woman delivered a 15 wk old miscarried fetus, and Dr. D carried it out in a little basin for Anita and me to see. The poor thing was only about 2 inches long, but its features were perfect. The arms, legs, and toes were all well-formed, and it was just so sad b/c it looked like a real baby. Later on, Triage was practically empty and our patients were L&D were nowhere near ready to deliver, so we were mostly hanging around the lounge talking when suddenly there was a call for doctors to triage b/c a patient had passed out in the bathroom and was bleeding badly. Anita and I were headed there when Dr. JP (the chief taking Dr. C's place for the night) said, "Where are you going?" and told us to stay in L&D with Dr. P. We discussed possible causes for her bleeding and it sounded like she had a placenta abruption. We heard a call for anesthesia to the OR, stat, but no one followed through. We asked one of the CRNAs what was going on, and she said the baby had no fetal heart tones. The mother had been 38 weeks along, and because she did cocaine about 2 days ago (also the last day she felt fetal movement), she lost her baby, making it an IUFD (intrauterine fetal demise). It's sad, tragic, stupid, and avoidable all at once.
Then, shortly after midnight, there was another call for anesthesiology to the OR, stat. We were all like, "Another one?!" Yes, it was another placenta abruption, but this time they acted fast. Anesthesiology ran to the OR, and a few minutes later a woman in a bed was wheeled to the OR with Dr. P, Dr. D, and Dr. S running behind it. Anita and I debated whether or not we could go observe the stat C-section, but decided against it since there were already at least 3 residents and 1 staff doctor in the OR. We didn't want to overstep our boundaries (though Dr. P later said it was a good teaching case and we could have observed from afar). Dr. S, one of the OB interns, later came out and said that the stat C/S was one of the most exciting things he'd ever seen. They had one minute to get the baby out, so Dr. P did a vertical incision (slash, slash, slash), pulled the skin apart, then did a classical uterine incision (slash, slash, slash), then pulled out the baby, all in about 45 seconds. The baby weighed a little more than 900 grams (about 2 lbs?) and was about 26 weeks along, but its blood gases were excellent (not acidotic) so its chances of survival were good. Thank goodness we had at least one happy outcome.
Dr. D was on an adrenaline rush as she told us what had happened in Triage. The woman had presented with vaginal bleeding and wasn't even sure if she was pregnant (how do you not know if you're pregnant after 26 weeks?), so they decided to do a sono on her to date her pregnancy. Initially Dr. D saw the heart beating, but somewhere in the middle of her exam, the heart stopped. She and Dr. P exchanged "Oh s***" looks and immediately called anesthesiology and all the others to get the OR ready. It was just one of those crazy coincidences that happened at the right time; if the woman had been sent home without the sono, her baby might have been lost. Dr. S told us another story that happened earlier this month (I think) where a mother coded in L&D (not the operating room), and one of the older attendings, Dr. B, sliced open her stomach while others were giving compressions in order to get the baby out. Baby survived, mom didn't.
We had 18 charts to see in the morning (Blue and Green), so Dr. JP sent Anita and me to the floors around 4:30 a.m. so that we could be out by 8:00. We've gotten pretty good at these notes, so with Drs. P, S, and D writing behind us, we were pretty much done by 7-7:30. Dr. D was especially glad since she flew to Nicaragua today for a week of vacation (I'm writing this late, but her plane left at noon) So it was an interesting way to end nights =)
Then, shortly after midnight, there was another call for anesthesiology to the OR, stat. We were all like, "Another one?!" Yes, it was another placenta abruption, but this time they acted fast. Anesthesiology ran to the OR, and a few minutes later a woman in a bed was wheeled to the OR with Dr. P, Dr. D, and Dr. S running behind it. Anita and I debated whether or not we could go observe the stat C-section, but decided against it since there were already at least 3 residents and 1 staff doctor in the OR. We didn't want to overstep our boundaries (though Dr. P later said it was a good teaching case and we could have observed from afar). Dr. S, one of the OB interns, later came out and said that the stat C/S was one of the most exciting things he'd ever seen. They had one minute to get the baby out, so Dr. P did a vertical incision (slash, slash, slash), pulled the skin apart, then did a classical uterine incision (slash, slash, slash), then pulled out the baby, all in about 45 seconds. The baby weighed a little more than 900 grams (about 2 lbs?) and was about 26 weeks along, but its blood gases were excellent (not acidotic) so its chances of survival were good. Thank goodness we had at least one happy outcome.
Dr. D was on an adrenaline rush as she told us what had happened in Triage. The woman had presented with vaginal bleeding and wasn't even sure if she was pregnant (how do you not know if you're pregnant after 26 weeks?), so they decided to do a sono on her to date her pregnancy. Initially Dr. D saw the heart beating, but somewhere in the middle of her exam, the heart stopped. She and Dr. P exchanged "Oh s***" looks and immediately called anesthesiology and all the others to get the OR ready. It was just one of those crazy coincidences that happened at the right time; if the woman had been sent home without the sono, her baby might have been lost. Dr. S told us another story that happened earlier this month (I think) where a mother coded in L&D (not the operating room), and one of the older attendings, Dr. B, sliced open her stomach while others were giving compressions in order to get the baby out. Baby survived, mom didn't.
We had 18 charts to see in the morning (Blue and Green), so Dr. JP sent Anita and me to the floors around 4:30 a.m. so that we could be out by 8:00. We've gotten pretty good at these notes, so with Drs. P, S, and D writing behind us, we were pretty much done by 7-7:30. Dr. D was especially glad since she flew to Nicaragua today for a week of vacation (I'm writing this late, but her plane left at noon) So it was an interesting way to end nights =)
Saturday, September 15, 2007
Night Shift: Friday-Saturday
Another semi-slow night in L&D. I got to scrub in on one repeat C/S and the woman had a whole bunch of adhesions that complicated the delivery just a bit. Other than that...not much aside from H&Ps. We got started on rounds around 5:00 and worked all the way beyond checkout. One of the patients I saw was an African lady who spoke French (sadly I never learned OB French; I don't even know if a French interpreter exists at the hospital) and enough English to answer my questions, so before I left I wished her felicitations. Then Dr. S cracked us all up by saying that he's asked patients if they ever had a "bebe retardo" or something like it (mentally-retarded baby). It just sounded so wrong. XD
Friday, September 14, 2007
Night Shift: Thursday-Friday
Yeah, so I've gotten lazy with the blog...ah well. Today was a bit more interesting because of the two deliveries I sat in on, neither were normal. In both cases, the moms were in their early 20's and G1P0. In the first case, the delivery proceeded as expected (I helped deliver and came close to dropping that slippery baby but caught it in time), but afterwards, the mother had a few lacerations that would not stop bleeding no matter what. Dr. D threw lots of sutures without success, so she removed those and then went deeper. It stopped the bleeding somewhat, but there was still oozing at the site. It seemed like the more she tried to sew, the more bleeding sites the lady had, yet her platelet count was fine. Then when we tried to put a vag pack in her, an earlier laceration that Dr. D sewed properly reopened and more blood spilled out. Poor Dr. D was stressed to the limit since Dr. C and Dr. H (attending) were in surgery, leaving her on her own. On top of that, the woman was developing major labial and vaginal swelling (hematomas?) so rather than attempt to sew anymore, they stuffed the vag pack in there and hoped for the best.
The second case was a woman who had been pushing for almost 2 hours and was so exhausted she couldn't push anymore. Somewhere in the midst of all the pushing, she suffered a huge tear, and her sister was terrified for the baby (who was in the canal for quite some time already). In the end Dr. H had to cut an episiotomy and use a vaccuum to pull the baby out (it did not look fun), but once that baby was out, both mom and aunt burst into relieved and happy tears. The bad news: Mom suffered a 4th degree laceration that went straight to the rectal muscle. Dr. H immediately called Dr. D into the room to repair it, saying she "needed the experience."
Tonight was a busy night in both triage and L&D; there were lots of admission H&Ps to keep us busy. I did get a chance to put my head down, but I wasn't sleeping; when Dr. C told Anita, "Wake your counterpart," I heard her perfectly. Dr. P still does most of the deliveries; if Anita and I want to deliver any more babies before this rotation ends, we have to latch on to Dr. D or Dr. C. Anita and I were pretty much in charge of postpartum charts today since our "three-man team" was stuck in L&D, so together we saw 8 charts before rounding with Dr. A on the patients in 2N. Can't believe it's already Friday.
The second case was a woman who had been pushing for almost 2 hours and was so exhausted she couldn't push anymore. Somewhere in the midst of all the pushing, she suffered a huge tear, and her sister was terrified for the baby (who was in the canal for quite some time already). In the end Dr. H had to cut an episiotomy and use a vaccuum to pull the baby out (it did not look fun), but once that baby was out, both mom and aunt burst into relieved and happy tears. The bad news: Mom suffered a 4th degree laceration that went straight to the rectal muscle. Dr. H immediately called Dr. D into the room to repair it, saying she "needed the experience."
Tonight was a busy night in both triage and L&D; there were lots of admission H&Ps to keep us busy. I did get a chance to put my head down, but I wasn't sleeping; when Dr. C told Anita, "Wake your counterpart," I heard her perfectly. Dr. P still does most of the deliveries; if Anita and I want to deliver any more babies before this rotation ends, we have to latch on to Dr. D or Dr. C. Anita and I were pretty much in charge of postpartum charts today since our "three-man team" was stuck in L&D, so together we saw 8 charts before rounding with Dr. A on the patients in 2N. Can't believe it's already Friday.
Tuesday, September 11, 2007
Night Shift: Monday-Tuesday
As expected, my entries during night shift will be short b/c 1) I'm typing them quickly so that I can get to bed, and 2) by the time I get home I've forgotten half the things that happened during the night. It was another slow night; Dr. P did all the deliveries while Anita and I did H&Ps. There were 2 C-sections, so I went to the 1st one. When the scrub nurse asked me if I got permission to scrub in, I said yes, b/c in our team a student is required to be present in all non-complicated C-sections. When I went in, Dr. C and the attending had not arrived and Dr. D couldn't make the first cut without them, so Dr. D and the scrub nurse began drawing pictures on the plastic portion of the sterile drape covering the patient's abdomen (which read "es un nino"). When Dr. C saw what we did, she was all, "Oh, for the love..." This C section was pretty much like the others. Then Anita went in for C/S #2, and my words about "being required to scrub in" came back to bite me when they were counting equipment b/c the nurse added, "Med student present: check."
We had some downtime from 4-5 a.m. in which everyone had a change to sit down and sleep. Later Anita and I ran into Dr. K in the halls en route to the resident lecture, and we let him know that we missed having him on our team. The good thing about today: we don't have to come in until later!
We had some downtime from 4-5 a.m. in which everyone had a change to sit down and sleep. Later Anita and I ran into Dr. K in the halls en route to the resident lecture, and we let him know that we missed having him on our team. The good thing about today: we don't have to come in until later!
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