In the Life of a Fickle Intern

November 23, 2011

The Intern Life

Filed under: Personal Ramble — dailymedicine @ 21:05

Karl: have u further developed any of ur hot crushes yet?
Karl: haha
Me: wait, what hot crushes?
Me: did i have one?
Karl: ha!
Karl: several
Me: i’ve been on back to back busy months and i don’t remember
Me: ha
Karl: so then….no ­čÖé
Me: so sad
Karl: haha
Me; no?
Me: i forgot that i had crushes
Me: do you remember who they were on?
Me: maybe i can develop them again?

November 4, 2011

Shock Trauma

Filed under: Daily Lowdown — dailymedicine @ 10:34

I can’t believe how fast this month has gone by! It’s amazing how time flies when you live at the hospital. Trauma started out a little rough. I couldn’t get in touch with my preceding intern to get sign out the weekend before so I was a bit stressed. I didn’t know who my patients were; I didn’t know where to go; I didn’t know who my team was going to be. It turned out that she had only gotten an hour of sleep the night before and I assumed it was because of the rotation which freaked me out a little bit more. (Fortunately, it was for other reasons.) Nonetheless I was pretty clueless and nervous. ┬áThat first day was a blurb, trying to learn my new patients while working out the logistics of where, when, and how.

After that initial shock, everything has gone really smoothly. I like my team; I like my attendings. It just feels like I am always at the hospital. With the new intern hour restrictions, instead of doing a 30 hour call every third day with a day off, it ends up averaging out to be about 14 hours everyday. The hours are long but it really isn’t that bad.

There are two types of emergencies, broadly speaking. One is medical emergencies and one is trauma emergencies. Though most institutions have one ED for both, it’s a little different at the University of Maryland because they have the ONLY free standing Shock Trauma Center in the country so ┬áthe two types of emergencies are split. Trauma is anything that may require emergent surgery – motor vehicle accidents, falls from high places, stab wounds, gun shot wounds, etc. Though medical emergencies may require surgery, that’s a different story. The majority of the patients I have taken care of some sort of accidents.

My most memorable patient so far is a gentleman who was helping a lady change her tire on the side of the road on one of the highways and was ran over by the car he was working on because a 90 year old man couldn’t see because of the sun and ┬áran into the two parked cars. When this gentleman was brought in, his legs were mangled with broken bones visible underneath the skin. Scariest of all, his legs were pulseless. This indicated that there may be a vascular injury and his legs may not be saved. Luckily after hours and hours in surgery with Orthopedics and Vascular Surgery, his pulses came back. It was the crappiest feeling ever thinking that he might lose his legs for helping someone out. Though he’s still in the hospital, he looks great and is doing great. He will forever be crippled but he will be alive and walking (with lots and lots of physical therapy).

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