Archive for the ‘medical school’ Category

A little update

So,I’ve been researching iPod/iPhone Medical apps for Medical Professionals and Medical Students. The process is a little slower than I would’ve hoped. I found a few but, a little more trial and error is needed before I compile a list. When I am done I will post it and write a little more. ER Stories, PY rotations and more! In the meantime,you can follow me on Twitter @zh3n.

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Possible career move?

Being placed in the ER on my rotations has been fantastic! Why I say that is because I know like the hectic pace and THE absolute craziness of it. I am,by trade and PY medical student and we have been placed in different departments and I have grown to love the ER.

Dare I say it. I think I want to become an ER doctor! Ack! I said it! Here’s an example. A patient was wheeled in that was in a car accident. Patient “A” had a collapsed lung,spitting blood complaining about chest pains,and I immediately wanted to do the most difficult thing we had to do. I have yet to do a Tracheotomy. I don’t know if I will get to do it anytime soon because that takes training…lots of it. I’ve seen it being done and I would love to do it one day.

If I can keep that rush going when I am saving lives then, that’s what I want ALL the time!

The ER and rules

So,I got to work last night and they were short staffed. They pulled myself and two other interns to be techs for the first part of the night. I don’t care what anyone says, being a tech is hard work. They do just as much as we do and even more. They round, draw blood,chart and take vital signs, you give credit where credit is due!

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(Yes,that’s me and those are my navyblue scrubs. Just got in from work)

I worked with some cool people last night and kinda wanted to give them a shout out(they know who they are). After a few hours of being a tech,I was told to go and help out in the ER. I get there and there was trouble off the top. There was a CODE:Brown because they were having issues with an elderly lady. She was brought in by the ambulance that was called by her family.
They said,”we have been trying to give her some medication but she has been fighting us”. I just wanna say, that the elderly, are pretty strong. I was pushed by a 67 year old and I stumbled backwards and almost hit the floor.
There is always something going on in the ER. I can almost guarantee that, my night will be eventful. It’s fast-paced,hectic and I get an adrenaline rush. So when I was pushed by that lady, I gained my footing and by the time I ran to get a shot, security was involved so there were four more people in the ER getting in my way on top of someone else yelling in another room(I don’t know why).
The shot was given,she finally calmed down in maybe 5 minutes. We treated her and transfered her to another floor. That was just the start of my night; went to the PY ward and came into contact with another lady. There is snack time on the floor before the patients go to bed. So we helped put snacks out and, being the weekend, the food was limited because food service delivers Monday morning or something.
Anyways,one of the ladies was standing in the middle of the hallway and I saw that she had dropped a few things that she had planned on eating. It turns out,she had been hoarding the snacks like she was hibernating!
I said, “ma’am you can’t take all the food off the cart because there are other patients that have to eat as well and there has to be enough snacks for everyone”. She had all this food wrapped up in her jacket and said,” her family needed to eat”. How do you respond to that except to say, again “ma’am you can’t take all the food”.
She was NOT happy with me and she yelled and screamed at me. I am governed by rules that will NOT allow in me to feel certain emotions or take things personal. It’s hard..it’s really hard but if I expect to get through my nights or days and my career as a doctor, I have to use these rules. Now, I am not saying be stoic or harsh, but show emotions accordingly. It took everything in me to not get mad at the lady that pushed me.
People come into a hospital everyday needing and wanting help. Not matter our political views or our opinions, we made a choice to serve, help and hopefully fix things and make people feel better. I take that with me everyday.

Medical reference sites for medical students

Recently, I was looking for some medical reference sites and some sites for medical student research. I came upon some only through another med student who was talking about his day in the medical program. Jackson Chung, full-time medical student and part-time blogger wrote about these reference sites Medical Reference Sites for medical students

Social networking sites- A new way to screen Medical student applicants?

This is a pretty interesting article although, worrisome. I’m sure most of us have been to one or two out-of-control parties and, post our pictures on facebook or myspace. Well. Here’s an article that says, maybe that is NOT good idea! The Student Doctor Network. It asks the question. Is it Ok, to post your good/fun times on any profile that is NOT private without taking into consideration that it may cost you a job? Guess I need to at least, post an appropriate profile picture!

First time drawing a patients blood

The other night, it was my turn to draw blood from a patient at the hospital. Now. We’ve all practiced on dummy hands and feet or fruit but, never on an actual patient. We all took the Phlebotomy Class, sat through a drab lecture and watched the long videos. We could do it “Grey’s Anatomy” style and practice on ourselves, which I’m told use to be done but not anymore. I’m thinking that might’ve actually not been a problem for me because at least we would’ve real patient experience.

We draw blood and do labs at a certain time because by then, especially when a patient has just been admitted, we wait for all their paperwork to come in. I go in this patients room at 6:15 am, hoping she was an early raiser. She usually is but not that morning. I wake her up and I say,” Hey Mrs. So and so. We need to get some blood drawn for testing”. She’s cool about it and sits up in the bed.

So, I get all my stuff ready butterfly needle(awesome needle that actually looks like a butterfly with a retractable needle to prevent sticking oneself), two tubes(with the right colored tops), cotton, band aid and tourniquet. I tie her arm waiting for a vein to pop up. Usually, she’s a pretty good stick and it takes no effort to get her blood, not that morning! I tap her arm, veins pop up and as I go to stick her, the vein moves. It’s called “Rolling veins”. I do it again and, as I go to hold her vein in place with my thumb, I see it move again! I finally move to the other arm, doing the same thing I did with the previous arm.

On the left arm, the good vein just so happens to be at the corner of her arm. I stick the needle in there, go down as far as I needed and boom, blood comes out into the tube that I attached to the butterfly needle. As I grab the band aid, while holding the cotton over the stick, I tell her not to move before I put it on there. Somehow she flinches and the needle slides out before I pull the tubing to retract the needle and her blood drips on her pajamas and bed sheets!

So,not only did I have trouble getting her blood on my first try, she flinches and her blood goes everywhere. I’m thinking,”GREAT. I must look like a total idiot”! Now I’m nervous about drawing blood and people flinching. My confidence has been shot and I will probably freeze up the next time. No matter how nervous I am, I am suppose to walk into that room and act like I have been taking blood for years. Never mind you getting a kid or someone that does NOT like needles screaming and wiggling around while you’re trying to draw blood thrown on top of my confidence being shot. That doesn’t help at all!

Night shift at the hopsital

I did my first graveyard shift at the hospital yesterday. Granted,it was a Minor one 7pm to 7am,it was hard none the less. I got there at 6:45pm,clocked in and got my round sheets. We had 22 patients on the floor and it was 3 of us and 2 RN’s. It ended up being a pretty slow night,patient admitting wise,which is always good you don’t really want too many people entering that hospital; that’s GOOD! At at about 11:30pm things slowed down on our floor (there was a code blue-someone went into Cardiac Arrest). We sat around and told weird creepy ghost stories, which creeped me out because I began to remember Nightmare on Elms Street or Friday the 13Th where someone would be running down the hallway of a hospital and no one would be around. I went out into the hallway, down the lobby and there was no one there. Two student nurses entered the front door and walked to Neonatal but that was it. Here’s a shot of it

 

 

Creepy empty hallway!

Creepy empty hallway!

 

 

I have to get myself and my body adjusted to this shift..quickly. We are starting off with these shifts and working our way up to longer shifts. Ugh! It’s no Grey’s Anatomy or ER. The gossip is the same. Everyone is either divorced,married or sleeping around. People are really nice except one nurse I worked with on day shift Wednesday,even the patients complained about her being difficult and harsh. Just when I thought it was going to get easier,it didn’t. It has,however gotten a lot more interesting. I had to deal with actually knowing someone that was admitted,that didn’t turn out too bad. Working with a troublesome patient that wanted to go AMA( Against Medical Advice) she was 19 but. was there by court order so that kinda over-ruled anything she wanted to do…