Tuesday, July 19, 2005

blech

So today was hectic. Part of reason why I have to rush before leaving for clinic, didactics, or if I'm post call is because rounds take forever! Today the other intern was at clinic which is fine cause my senior saw his patients. But my god, someone randomly assigned almost 75% of the patients to me for some unknown reason. Thankfully the med students saw a bunch of them and wrote notes but I still had to see them and then answer nurse pages about these kids that I had no clue about so I had to first read about them which is reasonable. But then I get a page about an order I didn't write about blood for one kid and so I told the nurse to page the guy who wrote the order. I mean, come on, his pager number is right there. Why is this a difficult concept to grasp? Page the person who wrote the order. Anyway, so it takes forever to round because we have to have teaching points for every patient because we are learning afterall but sometimes I think it's okay to neglect this aspect of rounding in the interest of time and work that needs to be accomplished. I left much later than I should have but thankfully I didn't have a patient at 1 pm in clinic so I could eat lunch. It was almost a blessing that I had clinic so I could get out of there and breathe a little. Then I scared the other intern into thinking she was the only resident for all the kids when I told her I needed to sign out to her because the other intern, my teammate wasn't there. He was arriving in the afternoon after his AM clinic but his pager was off so I couldn't sign out to him. Hopefully tomorrow won't be as hectic but I'm not holding my breath.

All attempts to try and convince my attending that maybe, just maybe, one of my FTT kids may not be FTT failed. She cited the normal height as her evidence while I cited at least 5 different things in support of my claim and yet her 1 was enough to convince the masses. It wasn't worth my time and energy, what little I had at the moment, to fight it. Meanwhile, the kid has had the million dollar workup and all was negative. I read an article tonight that said such testing is useless because most of the time the tests are negative. Meanwhile, we're now on a zebra hunt to find a cause which most likely will never be identified.

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