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16th January 2009

what a week.

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I am so glad it’s Friday. I’m on call tonight, which means that I can avoid the freezing cold weather for 30 hours. By the time I’m released, the weather forecasts that it’s going to be a balmy 20 degrees. I may not even need the extra layer of sweats over my pants tomorrow!

I overslept this morning, arrived to the hospital an hour late. I tend to be chronically on the “a little late” side, but it’s been a long time since I actually slept through my alarm clock and awoke in a panic. It didn’t help that it now takes an additional ten minutes in the morning to get ready with having to blow dry my hair and put on the three extra layers of clothing.

It’s been absolutely insane around here. On Tuesday, I received 4 different pages from my program director; I was post call and blissfully slept through them and didn’t get them until the next morning, where I found out that unless my clinic notes were completed ASAP, I was going to be put on suspension. I didn’t think I had that many open (I had had 31 last week, I worked on a bunch, was down to 27 and of those 10 of them I had finished and was just waiting for the attending to finish their part). But it was apparently too many and I was in trouble. So, I spent most of Wednesday night, any free time on Thursday and all morning getting all of the notes done and sent on to the attendings. They’re all done, but it was a massive devotion of time, and now I’m behind in discharge summaries and other stuff. It never ends.

Project number two on top of this was helping Chris out by massively editing/revising a personal statement. He found this absolutely amazing research fellowship to apply to, run by no other than Dr. Atul Gawande, my hero. It’s always a time-consuming project editing his papers. He tends to think and write in fragments, forgetting all of those lovely linking thoughts and words to keep everything running smoothly. I tend to be a much more verbous writer, which he doesn’t like, so edits often go back and forth several times before we’re satisfied. Unfortunately because we now are residents and have no free time, we didn’t have a lot of time to work on it. He sent it off yesterday and I still wasn’t entirely satisfied with the conclusion and felt that there were other areas that could have used polishing, but oh well. He’s promised me a great gift from India (he’s going in two weeks) as payment and if he gets it, I’m definitely using my vacation time to try to stalk meet Dr. Gawande.

Reason number three it’s been insane: I started my medicine clinics this week. It’s going to be a good change. I really like the attending that I’m working with; we’ve worked together on the wards last year and while he’s intense and sometimes difficult to read, he’s also a great teacher. He loves to do procedures and he believes in taking full ownership of the patients–no referrals out unless it’s absolutely important, which I love. He spent 15 years doing medicine in Nepal which probably explains some of his attitudes. Yesterday was a little bit frustrating; new department, new way of doing things, feeling a little bit like a medical student again, but I’m sure it’ll get better.

I’ve still got a lingering sore throat and my fellow has now developed a cold as well and I’m sure, infected me again. Sometimes I hate evidenced based medicine: I know very well that antibiotics are not going to help, but I’m just so tired of the dwindles.

I’m giving a talk in church on Sunday, on self-reliance. When he asked me, Bishop said that I was an “ideal” person to give it, that was before the above trouble, I guess. I’ve lived here two and half years and they finally managed to catch me with a Sunday that I was free and not post-call; actually I haven’t spoken in church since 2001, right after the terriorists attacks, eight years is a pretty good record! The VA blocks access to the LDS website, but I’ve managed to circumvent that; I just can’t print anything off which is great for the environment but not so good for my preparation. I’m more than a little nervous…

So to sum up: I’m hectically busy (I’ve just admitted another two patients so I have to rush away to finish their orders). Mom, I got your email, will look for the package, a few oranges sound nice but would probably freeze before I could eat them. Becks, here’s the update on my life. Barbara: I did get your Christmas card! Thanks! Still haven’t made it to the post office, but hopefully will next week, maybe a Christmas card for Easter. Ellie: I’m so glad you wrote! Please tell me more on how you’re doing. And to everybody else: hi! I’ll hopefully get to talk to you later.

This entry was posted on Friday, January 16th, 2009 at 11:32 am and is filed under Uncategorized. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

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