seen from Tajikistan
seen from Libya
seen from United States
seen from United States
seen from Pakistan
seen from United States
seen from United States
seen from Yemen
seen from Malaysia
seen from Ukraine
seen from United States
seen from Canada
seen from Switzerland
seen from Ecuador
seen from United States
seen from United States
seen from United States
seen from United States
seen from Russia
seen from Malaysia
as usual
Gee, things got a little dark there for a minute. Ambulatory week has restored my sanity. As it always does. Because primary care doctor. I'm so glad I prioritized being at a 3+1 program. So. I'm feeling like a person again, just in time for a block of MICU to kick my ass.
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people on the wards
I just finished a block of wards, and will start another one soon. I mostly love outpatient medicine and mostly loathe inpatient medicine, but you don't get to be a good doctor without seeing really sick patients. That requires seeing inpatients, and I will leave IM residency a fully-trained hospitalist whether I like it or not.
The thing I struggle with most is the sort of assembly-line approach to hospital medicine. Get them in and out as fast as possible and hope to never see them again. It's difficult to develop relationships with patients under those circumstances. Difficult, but not impossible. And the relationships forged in the intensity of more serious illnesses can be very lovely.
As I left the service I have been on, I stopped to say goodbye to one family in particular. The patient stood up to give me a hug, and I realized I had never seen him stand before; I was surprised by how tall he is. His wife started to cry and I pulled her into a group hug. This all happened in the presence of a telephone interpreter, by the way. We had really bonded deeply without ever speaking the same language. At the end of my time with him, though, he made a point of learning a few important words. As I hung up the phone and went to leave, he grabbed my hands again and said the only English words I ever heard from him:
"Thank you, Doctor."
P.OB.S.D
My loyal long-time readers (hi, Parents!) will recall that I had a terrible attending for my MS3 OB/GYN rotation, who I referred to as Dr. OBnoxious, because I am extremely clever. This was two years ago. Last night I had a protracted nightmare wherein he kidnapped a group of us, tortured us, forced us to torture each other, and than murdered us one by one in gruesome ways. WTF, brain?! In other news, I'm back to being a PCP this week, and therefore am happy and love my job. I look forward to someday having a job that I can love for more than a week at a time. There's a light at the end of the tunnel.
happy PCP to be
I’m LOVING my continuity clinic. I inherited a panel of patients from an outgoing R3, and meeting them is really fun. It feels different than in med school, when I knew I was very unlikely to ever see a patient more than once or twice on an outpatient rotation. I have these folks for three years.
I’m sensitive to the fact that they were all just forced to switch doctors with the resident turnover, and some of them probably aren’t thrilled about that fact. But the visits are going really well. I’ve had a couple of people tell me how happy they are that I’m their new doctor. One said, “yay, I got the cool doctor!” So far I seem to have a really lovely group of people to take care of, and I’m enjoying every minute of it. The outpatient attendings are also exceptionally great to work with.
Primary care... <3
