Wednesday, January 27, 2010

Guess who's back, back again...

As usual, it's been too long since I posted an update. Earlier today I made the journey back to Indianapolis, having finished my clinic duties in South Bend. Now, I've got a day off tomorrow, which will be entirely spent studying for my family medicine final exam on Friday (can't wait!).

As you might expect, I have a hard time talking or writing for more than three words in a row without making a music reference so here we go... as I pulled back into the city today I kept hearing this song playing over and over in my head. I have no idea why it's called that, but I think we can all agree it is the antithesis of an epic fail. Which as we all know would be an epic win. Oh, and it also sounds kind of epic in general.

And while we're on the topic, I was thinking. (Dangerous, I know) Anyway, at my school, the grades you can get are "pass", "high pass", "honors", and "fail". I think there should be an "epic fail" category, reserved only for those students who do something so egregious that words normal people use can't express it. Like accidentally burning down a hospital, or defibrillating your attending on rounds or something.

Wednesday, January 13, 2010

Still doing Family Medicine. Enjoying most of it, except all the studying.
Hardest parts? Patients with ADHD, depression, and anxiety
Funniest? When I'm almost finished seeing a patient, I always ask if they have "other complaints or concerns", in hopes of not missing something they forgot to tell me. There's a lot of older folks in the practice I'm at, and a surprising number of them say something like, "well, I've got some complaints about society in general", or "yeah, the government".
Most unexpected? My preceptor keeps his puppy in a cage in his office all day.

Anyway, I can't think of any more.

Tuesday, January 5, 2010

New Year, new rotation

Finally getting back in the swing of things, after the holiday season, and I'm finally back in the clinic after a month in the morgue. It was a nice break, but it's good to be back to doing medicine on 'the living' for a change.

So, I've finished two days of my family medicine rotation, still in South Bend. It's been pretty good so far. I'm in a community practice in town, and they have me primarily with one preceptor for the month. Fortunately, he seems like a pretty good guy, and I found out that he takes an annual fishing trip somewhere in Canada every year, so I'm anticipating we'll continue to get along well.

Anyway, my role is pretty much to go in and see patients before he does (as long as things are going well and we're not too far behind schedule), talk to them about why they're there, do my exam, and make a diagnosis (hopefully the right one!), and then come out of the room, talk the patient over a little, and then we go back in, and my preceptor does his part of the visit while I mostly watch.

As you might imagine, it's like a test with every patient, to see if I can figure out what's going on, what needs to be done, and why. As a rule, common things are common, and to be honest, it's not to hard to diagnose somebody with something like the flu. However, things do get more complicated, and those are the times when it's really satisfying (at least right now) to make the right diagnosis, and know what to do about it.

To sum up, so far I'm enjoying the rotation, and except for all the lake-effect snow, I'm still enjoying being back in South Bend.