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Showing posts with the label emergency

On a steep learning curve...

...and remembering curve. Last week went pretty well overall. I was very lucky to be surrounded by a lot of helpful and patient people (especially the amazing ER pharmacist) and to share the experience with another intern (a neurology resident from Texas). So many things to remember after a year of thinking about very different things! What antibiotic to use for an uncomplicated urinary tract infection ? How to do a complete neurologic exam ? How to calculate an anion gap ? Plus, how to be the one who makes the decisions? Should I ask the attending about this or should I just do it?  {the hospital, Burlington, and Lake Champlain} Friday, I admitted my first patient. Until then, I had been "treating and streeting" everyone (which is not a phrase I've used until this moment, but it's fairly descriptive...so I'll keep it). The admission process was very frustrating. When the patient came in via EMS , I thought, this person is sick. I will need to admit this p...

Surreal

Residency orientation started on Tuesday, and so far it has been very school-y: sitting in lecture halls, meeting all the other new residents, hearing about benefits and protocols and policies. I've gotten to meet all my fellow family medicine interns, and I think they're all going to be really great. Fletcher Allen  seems to be a very friendly place...and judging by the fact that our future landlords (a cardiology fellow and a hospitalist, both at Fletcher Allen) have let Tessie and me stay in their home for the past week and a half (while they are still there!), I think the friendliness is genuine.  {new ID badge...the baby rattle means that I am allowed to deliver babies (at least that's what I'm assuming)} I'm getting a little nervous about Monday, when I'll see my first patients as a "real" doctor in the Emergency Room. It is so surreal to see my new ID badge and to think about introducing myself as "Dr. Dorwart." Yikes! Shw...