April 20, 2008

v0v

i'm glad not to be an intern anymore.
i love jayna.
i'm sad that wendy's health is yo-yo-ing so much....but she is a champ.

this is my pet penguin.
My Haikoo(SM) Zoo pet, smunchy

time for me to go to bed.

Posted by Maggie at 7:54 PM | Comments (0)

March 12, 2007

ok...lets be honest....

i am never going to finish that previous entry.
let me summarize, i got yelled at all the time last month at the drop of a hat for no reason, or the reason of "asking to fucking many questions" but a jackass who i think truly believes that little magic men (leprechauns i prefer to think) make the "kidney" work. he truly believed that it was entirely possible for urine and serum createnine to be equal, even knowing that serum createnine was 0.9-1.0. if that means nothing to you, then ignore, but, suffice it to say, it is NOT possible in ANY world.

i am now in the SICU, which is neato. but frusturating, very hard to keep up, on call i am essentially responsible for up to 12 critically ill patients....anyway, the really crappy part is that we are on call q3 (every 3rd day, i am on call, so, for instance, this week, saturday i went to work at 6am, got off sunday at 10 am, monday i worked 6am-1pm, tuesday i work 6am till wednesday at 12 noon, thursday i work 6 am - 12 noon or 1pm, friday i work 6am till 12 noon saturday, and i am off sunday), ROCK ON! as you may imagine, this makes duty hours of <80/week a joke....but, i do still like the SICU, if i had to do this on a medicine ward or something as crappy as my last month (general surgery) i would be crying a lot, at least this is interesting. but, q3 should be illegal!

very poor SICU planning, last month there were 11 or 12 residents in the SICU, this month there are 6, and one is on a different rotation schedule, so for the last week or so ther will only be 5.

BLAH!

Posted by Maggie at 5:45 PM | Comments (3)

February 13, 2007

why i am not a surgeon, by maggie

so....as my reader may recall, during my 3rd year of medical school i thought to myself that i may want to be a surgeon when i grow up, surgery is cool, you get immediate results, and people realize what you do and appreciate it. however, besides realizing how fucking cool anesthesia is (a main reason for me choosing anesthesia over surgery) i hate that surgeons are often assholes who yell and shit, and who are difficult to get along with.
all that being said, i think that it is obvious where this post is going, especially knowing that this month i am doing a general surgical rotation.

i am working with a chief resident who i did not know terribly well prior to this rotation, but i had spoken with him several times in the past, and he seemed like a neat guy. you can imagine how i was surprised when in the first few days of the month (when my chief was out of town) numerous people told me he was a lazy little shit.

this brings me to....the first 6 hours of my rotation i had a senior resident, but he was post call, and was going to go out of town for two days after, so after he left at noon on thursday he was gone until sunday, and my chief was out of town for the first three days. SO, for the first nearly 3 days of the month i, an anesthesia intern, was the entire surgical team.

moving on, i have come to find that my chief shows up to rounds AT THE EARLIEST 30-45 minutes late, more commonly, 45-60 minutes late. he is also the first to leave at the end of the day, and offers excuses throughout the day about why he hasn't, doesn't or won't do various things.

i was off this past weekend, and when i returned monday morning i got a phone call from a nurse regarding a patient who had had an operation several days previously and was still on a dilaudid pca (read, strong narcotic by vein that is administered in small doses when a button is pressed), and she had her nurse call to see if she could get MORE IV pain medicine. since my senior resident (this is a different one than i mentioned from the first day, that is another story, lukily this guy is nice and a hard worker from what i can tell) and chief were standing right there, i asked if we were still giving her IV meds in addition to her pca (this is the first time i have ever heard of this being done, and essentially misses the point of the pca, and i disagree with it personally as well, i came upon intelligence that this patient abuses narcotics--i suspected it from the beginning, but ran into a medicine colleague who took care of her on 2 admissions in december, she sent the patient home after the first admission with 30 days worth of long acting morphine pills and percocet pills, and when she came back 10 days later, she said they were all gone--ANYWAY, this is highly unusual). after telling the nurse that i would put in an order for more pain medicine i asked my cheif/senior-->I WILL FINISH THIS ENTRY LATER 8), wait with bated breath

Posted by Maggie at 6:12 PM | Comments (1)

January 9, 2007

long boring update

Well, it's been a very long time since I updated.

Last month was total hell, I was on general medicine wards and it was SO painful!!
I'm in the ED now. It is something about which I feel highly mixed....I did my 1st ever LP on medince last month, and have done 2 in the ED this month, the 1st one in the ED was a chapmaigne tap (no red cells) an the R4 (senior resident) who supervised me for that brought my a bottle of champaigne today, which is neat 8)

I have had an upper respiratory infection for 12-13 days now, which is fucking ridiculous!!!

I am off for the next five days, which is awesome. I have several little diddies planned, visit to the dermatologist, dinner with my parents, dinner with neals mom and myra, dinner with the guys, dinner with anesthesia recruits....and sleep. Finally writing my thank you notes from Christmas, get an oil change for my awesome car....

OK, I don't have anything else to say, and so far haven't really said anything at all anyway.....

Posted by Maggie at 8:36 PM | Comments (0)

October 30, 2006

Gray's Anatomy should be drug out into the street and shot.

After being asked if *I* watched it for years I broke down and rented it, during the first episode I couldn't stop yelling "It's a PE!!" enough to even hear most of it, thinking maybe I was hasty in my decision to despise this show, I watched the 2nd episode, which I have blocked from my consciousness, but it was equally bad, if not worse!!!
So, if anyone reads this, do not ask me this, it infuriates me, the show is SO BAD!!!!

Posted by Maggie at 8:02 PM | Comments (5)