Sunday, September 30, 2012

OB-GYN starts tomorrow and then elective after.

This is bad. I'd rather read up on regression analysis than OB-GYN CPGs.

Thursday, September 27, 2012

Witness to death as it approaches slowly but surely.

She's one of the fortunate ones. She is comfortable and the family members can say their goodbyes.

Sunday, September 23, 2012

Failed to gain 5 pounds. Then again, there is still a week of Fammed left.

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How unfair is it to expect you to know a patient you have never seen in your entire life and answer questions regarding her status based on a piece of paper?

I'm anticipating the hell we'll go through next Monday. Apparently, we need to know about unresolved patients admitted at the OBAS by 7 AM even though we are not part of the duty team and we've never seen the patient. What do they want? Do they want us to go to the OBAS at midnight or around 5 AM and check out the unresolved cases?

Then again, at the very least, I should read on the theoretical stuff. It's time to consume CPGs like there's no tomorrow.

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I can't bring myself to work on that damn research manuscript. I need a pressing deadline and the editors of the journal aren't giving any.

Tuesday, September 18, 2012

I don't think I'd ever want to be a hospice and palliative care specialist. I can't handle that many problems. Biomedical problems seem like a piece of cake compared to psychosocial problems. I guess I just find it so difficult to force people into changing their behavior.I'm also uncomfortable interfering in family issues.

I do appreciate the lessons on disclosure and the opportunity to focus on the psychosocial assessments of patients.

Tuesday, September 04, 2012

My endorseable pedia patient died today.

I'm not rotating in pedia anymore. The new student-in-charge just sent a message to me this morning. Some part of me wishes that I had been there when my patient went into code. Maybe the resuscitation would be successful if at least one of the original team who handles him is there.

I actually feared that my patient would die after I shift out of the ward. He just received a new resident-in-charge and a new student-in-charge. They would not be familiar with his own brand of toxicity. Of course, it could very well be that he is beyond saving at that point in time.

At the very least, I want to comfort the mother of my patient who had worked so hard to keep my patient alive.