Back in the grind after a two week vacation. I am working at a community hospital in a largely Latino community. So amazing. First shocker was pictures of the virgen de guadalupe on the wall, followed by the perfect Spanish spoken by various specialist who are also Latino. It was empowering to see Latino specialists. I feel like I rarely meet Latino physicians. And it is so incredibly refreshing to have pts who look my grandparents, nmother, brother, sister. My Spanish was in major hibernation and now it is flowing smoother each day. I can just feel the connection between my patients and I. after an encounter today my patient asked what clinic I worked at and were disappointed that I was all the way at the university.
Beyond the amazing environment this has been a chance to see how far I have come. Last time I was on wards in the inpt I felt much less confident and more frazzled by pages from nursing or just note writing daily. I find that I am much more efficient than I was as an intern. Next challenge is learning to think quickly and admit prs. Today I learned the chest pain work up.
Cp: EKG x 2, cardiac markers x three, ua, cxr, morphine, Asa, oxygen, nitrites, and beta blocker. Tsh, lipid panel. Start high dose statin. Heparin gtt. TTE. And then consider stress test vs adenosine movies vs cath.
I also learned to build my problem bloat based on lab abnormalities. Also learned that for anyone who is anemic do iron studies as well as fobt.
I have a lot to learn still. Looking forward to it.
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