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June 28, 2005

i've watched many moves in the last two weeks

two of which were the virgin suicides and ghost world. when i watched the virgin suicides neal advised against it, because it was an insufferably depressing movie. i didn't particularly find it to be so, i kind of felt that all their suicides were the logical conclusions for those characters to come to....
however, i just finished ghost world, a movie NOT known as tragicall depressing...and yet, now i feel more down than any movie has made me feel in a while....strange. i did quite like it, i was rooting for seymour the whole time...

i also saw star wars episode 4 for the first time yesterday. neal was proud.

Posted by Maggie at 4:22 PM | Comments (1)

June 27, 2005

SFO

So, Shell and I got back from San Francisco late last night, where we were for Katie's wedding.
Everything was WONDERFUL. We were worried about metting Sujit(her now husband), but he is great. They are PERFECT for each other, and he is very sweet to her and the way they look at each other.....anyway, Shelley and I couldn't be happier with him. The wedding was beautiful, Katie looked so stunning...
Anyway, it was great. The only problem was getting people out the door on time!!
Good food there.
The flight out was fine, but the flight back was wrought with loud talkers and screaming, kicking kids. It was the longest flight I have been on, 4.5 hours out and 4 hours back, I don't get how people do international flights. I thought I was going to die.

Posted by Maggie at 4:31 PM | Comments (1)

June 20, 2005

FREE!!

FREE at last!
for two weeks!
yay

Posted by Maggie at 6:01 PM | Comments (2)

June 9, 2005

well...

...no one else has died, however, one of my patients (who carries no fewer than four psychiatric diagnoses) does pray for death...which i take to be a bad prognositic sign for her and for me.

if i have to do a transitional internal medicine year i feel i can do my duty as an american for pupulation control

Posted by Maggie at 5:16 PM | Comments (0)

June 5, 2005

oh for fuck sake!

so...
i have admitted 5 patients
1 left
1 left and came back within 24 hours
1 died
1 is still in the hospital and last i knew doing ok
1 is dying!

it is not ok for 2/5 patients of mine to die.
however, when i left yesterday the one guy was still living. BUT not by much. his colon perforated (after he had a barium enema earlier that day so his belly was full of air, barium and bacteria) and he had emergency surgery. he coded in the OR, it took 45 minutes to revive him. and as of noon saturday he was ventillator dependant and would only keep his BP up on an epinephrine drip, after his sigmoid colectomy they were unable to close his belly. several bad prognostic signs. will be surprised if he is living when i get in on monday.

WHAT THE HELL!!?! aparrently i have an ability to lead to peoples death

on another note: my toe injury was like 6 weeks ago, there is no signs of a new toe nail to speak of. i feel like that is a bad prognositc sign for my toe. and i am starting to worry that i will never again have a big toenail on my right foot!!!

Posted by Maggie at 9:49 AM | Comments (0)

June 1, 2005

mr. ****

so, the first patient under my care died today...well, he didnt die under my care, he died in the care of the intensive c are unit, and actually, he may or may not have died yet...but...i took care of him for three days before he went to the ICU.

he came in with a urinary tract infection, developed aspiration pneumonia, desated to 74%, developed a small bowel obstru ction, went to the MICU, became septic, was intubated, required norepinephrine to keep his BP up, and if he survived would h ave lost his left leg because the blood flow was cut off.

today his family decided to remove care, which would be what the patient would have wanted, as his wife said and as even i knew, he would not have wanted as much as he got.

after i talked to his wife for a few minutes she gave me a hug, which i thought was nice. i would like to think i went to see the patient for his family, for whatever that would have meant, but, i went cause i felt like i needed to for me.

ANYWAY---
we also got new residents today. you know that first episode of scrubs where there is the chief resident who in JD' s head just says "I'm a tool, tool, I'm a giant tool, I am a tool" and later "I'm a dork, I'm a dork" and so on, well, I fee l as though this may or may not have been based on my new senior resident. who micromanages me as well as expects me to do t hings that are beyond my level or what is appropriate for me...GAA!!

Posted by Maggie at 1:10 PM | Comments (0)