Monday, March 14, 2011

Volunteer Day 03: Women's Services

The view at my 'desk'.


Today was my third day up in Women's Services (also 4 North, The Nursery, or L&D depending on where I get put that day), instead of watching the entrance/exit, and answering calls for the four hours they had me I was actually putting together charting packets. Once I got a system down it actually wasn't all that bad, and made the time go by so quickly.

I actually had two sets that I had to do, one for the nursery and another for L&D; I actually had no idea that the unit clerks actually had to put together all these packets, it's pretty time consuming when you're only doing that, I couldn't imagine doing that, answering the phone, letting people in and out, answering questions for visitors and working on minor parts of each chart-- I'd probably go nuts considering the sheer amount of space and time it actually takes up. Other than that there wasn't much I had to do, I did stock the snack fridges when I first got there, no biggie there.


I won't lie, I did check out one of the neonatal doctors most of my shift, well when he'd walk by me... Oh and I may have snuck a few glances at one of the male family medicine students that was doing rotations, super cute. Not that anyone cares about that.


Anyways, once I have my M.D./D.O. I hope I remember how hard everyone, including the volunteers, below me works, and that I need to respect them. I think that's what the one nurse I see at work all the time was telling me, and I finally get it... Although the nurse that ignored my paging to get out will not get respect, that was just rude.

But all and all, it was pretty good day at my hospital.

Thursday, March 10, 2011

Elective Clinical Rotations I May Want To Take:

1. Emergency Medicine
* Critical Care
2. Pathology
3. Hematology and Oncology
4. Cardiovascular Medicine
5. Internal Medicine
6. Obstetrics/Gynecology
* Pediatric Critical Care
7. Pediatrics
* Pediatric Emergency
** Pediatric Critical Care/Subspecialty
8. Thoracic Surgery
9. Preventive Medicine
10. General Surgery
11. Rheumatology
12. Nuclear Medicine
13. Orthopedic Surgery
14. PM&R
15. Psychiatry
16. Family Medicine
17. Infectious Disease
18. Neurology

Of course I'll probably change my mind a million times before it's actually time for me to decide, but as of right now these are what are interesting to me. I do know I have no interest in urology, radiology, plastic surgery, dermatology, ophthalmology, orthopedics, and otolaryngology; maybe I'm weird...

 */**:  If elective above is taken then I'll also take this/these as well.

Friday, March 4, 2011

Things My Shitty Job Has Taught Me:

Lesson 1: How to deal with assholes and overall difficult people: Working at Shitty LLC. it seems like all I ever really deal with are drunks, idiots, assholes and generally hard to deal with douche bags. Usually the drunks are showing off for their friends, or if they’re alone the booze have amplified a shining facet of their personality that makes them oh so fun to deal with. They like to make rude comments, and just be a pain in my ass.

The idiots make me feel like banging my head into a brick wall, or beating them with a foam bat until my itty bitty heart is content (that could be a longggggggg time).  Other than annoying me I don’t really mind them since once they leave my coworkers and I mock them. Although drunken idiots are a whole new level and I ALWAYS wish they get stopped for cops for drunk driving.

The assholes and the generally annoying are the ones I hate the most; they have a way of ruining my whole night. Sadly at Shitty LLC. there isn’t much I can do about it but smile and help them as much as I can (without murdering them), I always imagine they’re the types that kick cute little puppies and steal candy from little smiling babies. Douche bags.

My two years at Shitty LLC. has made me realize that I’m not always going to get the awesome patients that you just want to run around bragging about, and that I’m just going to have to grow a pair and deal with them, and not allow my minimal time with them to ruin my shifts (too much anyways). Having annoying, stupid, drunk douche bag patients is part of the game that is medicine, and there isn’t much I can do to change it but to grin, bare it, and later change some facts and talk about it on my blog—like Dr. Grumpy.

On a side note, I will admit that these people cause me to spend about 15% of my shift wondering why in the hell I really want to save people’s lives.



Lesson 2: How to work horrible hours without complaining – much: I work 22 – 6 exclusively, sometimes with little to no sleep at all. I’m sure people doing medical school know how I feel with being up for up to 36 hours at a time, so I look at this as really good training for school. I already know what it is to walk around with an IV of Redbull/Espresso attached to me pumping my body full of caffeine; which sounds about on par with medical school from what I’ve read.



Lesson 3: How to work 8+ hours without a break: The managers at my company are slave drivers, no one on my shift gets a 30 minute break to sit down and relax for a minute, from the minute we walk in we’re usually busy, Shitty LLC. is much busier on the weekends than during the week, so some days we barely get the chance to sit down and have a drink before we’re off and running around like chickens with our heads cut off again.

That’s pretty much how I imagine rotations to be, just go, go, go with little chance to actually sit down and breathe for a minute. The lack of breaks has taught me not to complain, but to deal with it, and to just allow myself to crash when I get home, granted in school you can’t sleep all day, but hey that’s what Redbull is for right?




Lesson 4: Wear comfortable shoes: After 40+ hours a week on my feet without a break my feet tend to kill me, we’re talking walking like a geriatric patient. It’s made me realize the need for a good pair of comfortable shoes, no matter the profession you’re going into. I mean really who really wants to turn into a mega-bitch/dick because your feet feel like someone is ripping the bottoms open with a dull knife? I sure don’t that’s for sure.



Lesson 5: How to say ‘NO’… usually: I’m usually someone that wants to help everyone, or for whatever reason please them. Shitty LLC is slowly teaching me how to tell people ‘Not just no, but hell fucking no!’ Granted once I’m in rotations and residency I can’t actually say no to my superiors, but once I’m established as a physician working (hopefully) in EM somewhere I’ll be able to say no without feeling too badly. Maybe.



There’s a lot more that Shitty LLC. has taught me, but I think those are maybe my top five, any more than these you’ll probably want to shoot me in the head.

Tuesday, March 1, 2011

Volunteer Day 01: 4 North

Yesterday was my first day of volunteering at my local hospital; after some discussions with the head of the volunteer program it was decided that I would work in the maternity ward. Maternity has never been my first choice for anything, I'm not a fan of screaming babies, and really, looking at them all day may make me decide I want one. Considering that I'm just now starting the process to become a doctor, having a baby would mess up EVERYTHING. But Mrs. HeadofVolunteerServices (HVS from now on) was so enthusiastic about the program that I couldn't say no.

My morning officially started at 0830 with me running a few minutes late since I had to pick up my badge from Human Resources, and being escorted up to Maternity (4 North from now on) to start my day. The ladies of 4 North were extremely welcoming and just all around nice. I knew from the start that I would love working with them.

The actual work is actually pretty boring, watching the the monitors to allow people in and out, answering calls from the patients, stocking the fridges, making the random bed, and running minor errands for the unit. The slow pace is something that I hate. I work 22-06 most nights so the slower pace would more than likely cause me to fall asleep; something that isn't very good at all. On top of that I really dislike crying babies, as I've already said. They get on my nerves and I tend to want the parents to calm them down so they're not wailing, granted newborns are less annoying that the ones a few months older than them.By the time I left I had a pounding headache, and a need for some espresso that could make even a die hard anti-coffee person crave it.

I'm hoping that maybe next Monday goes a little smoother for me, and I learn to enjoy 4 North, if not I'm going to have to speak with Mrs. HVS about maybe transferring to the ER.

Wish me luck.