27yo female status post first month of family medicine inpatient service, currently on vacation!
- loved coming back to my family medicine people after 2 months off service
- bonded with my co-intern and the amazing 2nd and 3rd year residents on our team
- met some awesome fourth-year medical students going into family medicine as they did their acting internships with our service
- saw a patient with the most interesting chest CT I’ve seen so far - congenital cystic bronchiectasis with compensatory hypertrophy of the other lung
- managed a patient with hypernatremia to 160 and a patient with hyponatremia to 124
- admitted a patient who was dying and talked with her husband about her prognosis, then listened to his stories from when they were young until we were both sitting there with tears running down our faces
- had a patient sign out AMA because even though she was just barely out of DKA, her partner was sick and she couldn’t stand to be in the hospital with him at home. She gave me a hug and I wished her the best before she left, and I still wonder how she is doing.
- bonded with my faculty advisor - she’s amazing and we have an uncanny amount in common
- practiced my Spanish - it’s still terrible but I can introduce myself and ask some very basic questions
- finally committed to memory the difference in iron studies between iron deficiency anemia and anemia of chronic disease (pulled out pathoma and NEJM)
- started to actually feel like a doctor - this is the stuff I want to do for the rest of my life
Assessment: 27 yo female intern who has successfully completed 3 months of family medicine residency
- leave for Cuba on Friday (as long as the hurricanes cooperate)
- clean our apartment and do laundry since that was put on the back burner while Boy and I were both working crazy hours
- looking forward to, but nervous about clinic next block. I loved the amount of time I had with patients and to learn about patients and think about management on inpatient - clinic means I have to make decisions while the patient is in the clinic and then send them home knowing I won’t see them again for at least a few weeks.