Today was so long. Seriously. I got up at 4:45 am, saw my 1 patient, and rounded with my team for a couple of hours. Then we reconvened at 1pm to round again until 4. Everyone else was long gone by then, prolly by noon. Why can't we round like surgery ? ************************************************************************************************************************* This rotation is awful and I can't wait to be done with it. Oh. And my second patient died on me. He had mets to his brain from renal cell carcinoma, so there was nothing we could do for him anyway. He shouldn't even really have come into the hospital b/c he was never with it while there. He just got intubated and was miserable. Poor guy, he was really nice even if he wasn't even AAOx1. ************************************************************************************************************************* It's bad my day was so long I had time to kinda forget about that. It may have had to do with the fact I took a nap in the 8th floor conference room before we rounded and so my day ended up being two days. Argh. Oh and now, we only have Shirley b/c the other guy is faking sick. Mom says he's a good medicine resident, but he's a fracking slacker and hopefully he'll get some piss poor reviews. I'll give him one anyway, as it's mean to stick Shirley with all the work. And I don't blame Jim b/c he's had his time off scheduled for months. He needs it, too, as he's moving. Thing is, mom compared the lazy guy with Jim and the lazy dude is smarter. A lot smarter. I like Jim and all, but man he's not really bright. These patients have medical issues, but they're not actually complicated. But these people MAKE them complicated, like my patient who we took on and off antibiotics for no reason and changed the orders on 5-6x. People forget how to do medicine when they do neurology. It's really crazy. If I ever have a stroke, I'm going to request that neuro see me as a consult and that a medicine team be my primary. True story. ************************************************************************************************************************* We have a "neuro intensivist" in the ICU and the guy is wacked. I mean, he's inefficent and he just plays with the patients meds and what not. Now, I know he has to bill for stuff and record use of "critical care" time, but my patient is pretty damn stable. He needs to find other things to do and not mess with people who are doing all right. I'm so reviewing him as an idiot in my evals. Eek. ************************************************************************************************************************* Now, I'm rotating at a big teaching hospital, so you think things would be okay. But they're not. I mean no one has died b/c they were dumb, b/c they're not THAT dumb. However, we could get people out quicker. Like Andy's patient who has respiratory issues. We don't have a pulmonary consult like some other hospital's and we could sure use one. The one I heard about can resolve issues with COPDers in 1 day. True story. He's got it all worked out to an exact science. That's how it should be with ICU stroke people as well, but neurologists don't understand that. As least not 2 of 3 that I've worked with. OMG *bangs head against wall*