Wednesday, July 9, 2008

First Rotation ever

TOday I started on PSYCH ER. I was nervous, anxious, excited, scared all at once. I worried I wouldnt' know an answer, not know what to do. All in all it was ok. Lots of sitting, standing, waiting, and pacing. All for the few moments we get to spend with a patient. The first part of the morning we met with the attending, ate breakfast, and then an hour later ate again at the staff meeting. The rest of the day i shadowed one of the 4th years. when it was finally my turn to interview a patient under her supervision i totally bombed. the patient was talking a mile a minute, fidgety and jittery, and i just didn't konw what to say or do. after the 4th year walked me thru the write up i had to present to the attending. He kept saying - no i don't need to know that, what else, ok what else, as i frantically scrambled for words, thoughts, from the sheets in paper in front of me. My patient was drug seeking - and i had not a clue. how did the attending konw? am i so naive? i have a lot to learn. nothign crazy yet. and there are so many acronyms and words and terms and things to keep track of. the physical exam was a joke . listen here listen there feel here feel there and oila done. seems like a lot of bad habits are being learned as we lazify the physical exam it took us two years to learn in medical schoool. Who percusses anymore? who actually saw what they wrote in the chart? its a blur. when i got home i felt so emotional, drained, confused and just brain dead. and i didn't even do anything today. i know tomorrow will be better but wow. so much to learn. ok gotta read about depression now.

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