(no subject)
I just finished my LAST EVER inhospital rotation as an attending and...to be honest, there were so many memorable moments that I should have documented, but I've just been so goddamn tired. I did work with an intern (whom I interviewed and within ten minutes knew that he was a fantastic, interesting, compassionate person who DESERVES MUCH BETTER THAN OUR PROGRAM) who made these two weeks as painless as possible despite having two senior residents whom I can't stand. I cannot overstate just how herculean a task that is.
But, the funny moment I wanted to share was, during a discussion about SGLT-2 inhibitors and how awesome they are but that we should know the side effects yadda yadda yadda and I pimped the med student, asking him, "Do you know what Fournier's gangrene is?"
"Is it...a...degloving injury?"
"..."
"..."
"I'm...probably gonna regret asking this but...what exactly is being degloved?"
The poor kid couldn't answer. I finally tossed him a bone (ha) and said that I'd never heard of it being described in such a manner, but that it was really only a degloving injury for me. The team was dying from laughing and a fellow attending, who was sitting nearby, started laughing.
The other thing I wanted to mention was that the last hospital patient I will have seen as an attending here was a frail older man who reminded me very strongly of my dad. He had been suffering from waxing/waning delirium since hospitalization in early April and...I think we diagnosed him with hepatic encephalopathy because he had markers of liver failure (e.g., splenomegaly, thrombocytopenia, mild elevation in INR, history of heavier EtOH) and he cleared up beautifully with lactulose. I have never seen such a transition and it feels so good (and kind of badass) to have been able think of this in front of a team of learners. We usually dismiss delirium in patients and we'd completely reversed it in him. Once he was mentally clear, he was the nicest person with the kindest eyes and...I actually almost started crying when I left his room for that last time. (But, during rounds, my intern got word that he had been accept to an inpatient rehab facility!)
I was in clinic yesterday and a very sweet R2 came up to me and told me that she really thinks I should be on the Curbsider podcast because "you are really funny and would fit right in and they need more women on the show" and I don't think I have every had a more touching compliment. It just reaffirms my desire to CREATE something fun for others to enjoy because making people laugh, engaging in witty banter...that's my favorite thing to do and to be a part of. And it's why I like medicine rounds so much (and will probably be the one thing I miss about this job).
Anyway, after 12 straight days of working, I am now on vacation and...holy hell, there's so much that I need to do. However, I don't plan on being at all productive today. Yesterday evening was similarly a complete wash. I went on a walk while listening to the Penumbra Podcast Season 2 Q&A (I didn't like it as much as previous ones? But it did have its moments and I really love hearing about Vibert's writing process) and then watched some of Branagh's Hamlet because I've been having a craving for that movie for a while. Then I passed out at about 10:30 and slept for 9 hours.
My plan for today has only two things: write and gym. Before that: I might nap.
But, the funny moment I wanted to share was, during a discussion about SGLT-2 inhibitors and how awesome they are but that we should know the side effects yadda yadda yadda and I pimped the med student, asking him, "Do you know what Fournier's gangrene is?"
"Is it...a...degloving injury?"
"..."
"..."
"I'm...probably gonna regret asking this but...what exactly is being degloved?"
The poor kid couldn't answer. I finally tossed him a bone (ha) and said that I'd never heard of it being described in such a manner, but that it was really only a degloving injury for me. The team was dying from laughing and a fellow attending, who was sitting nearby, started laughing.
The other thing I wanted to mention was that the last hospital patient I will have seen as an attending here was a frail older man who reminded me very strongly of my dad. He had been suffering from waxing/waning delirium since hospitalization in early April and...I think we diagnosed him with hepatic encephalopathy because he had markers of liver failure (e.g., splenomegaly, thrombocytopenia, mild elevation in INR, history of heavier EtOH) and he cleared up beautifully with lactulose. I have never seen such a transition and it feels so good (and kind of badass) to have been able think of this in front of a team of learners. We usually dismiss delirium in patients and we'd completely reversed it in him. Once he was mentally clear, he was the nicest person with the kindest eyes and...I actually almost started crying when I left his room for that last time. (But, during rounds, my intern got word that he had been accept to an inpatient rehab facility!)
I was in clinic yesterday and a very sweet R2 came up to me and told me that she really thinks I should be on the Curbsider podcast because "you are really funny and would fit right in and they need more women on the show" and I don't think I have every had a more touching compliment. It just reaffirms my desire to CREATE something fun for others to enjoy because making people laugh, engaging in witty banter...that's my favorite thing to do and to be a part of. And it's why I like medicine rounds so much (and will probably be the one thing I miss about this job).
Anyway, after 12 straight days of working, I am now on vacation and...holy hell, there's so much that I need to do. However, I don't plan on being at all productive today. Yesterday evening was similarly a complete wash. I went on a walk while listening to the Penumbra Podcast Season 2 Q&A (I didn't like it as much as previous ones? But it did have its moments and I really love hearing about Vibert's writing process) and then watched some of Branagh's Hamlet because I've been having a craving for that movie for a while. Then I passed out at about 10:30 and slept for 9 hours.
My plan for today has only two things: write and gym. Before that: I might nap.