You Can't Make This Stuff Up
Wednesday, November 26, 2008
Sunday, November 23, 2008
The Home Stretch
- When I was presenting my biliary colic case to him, I accidentally said 'cholecystitis' when I meant 'cholelithiasis'. So apparently, that means that I need to review my diagnosis and management of gall bladder disorders. Regardless of the fact that based on everything else I said I clearly just misspoke and didn't actually think that a woman with a relatively benign abdomen, no fever, no white count, normal abdo bloodwork and no ultrasound findings more compelling than sludge in the gall bladder actually had cholecystitis. But apparently that one brain fart means I'm an idiot.
- When I asked his opinion on anesthesia for my patient with the mangled hand I asked him if he thought I should do individual finger blocks or simply block the whole hand. On my evaluation he wrote that he thinks that I need to evaluate my anatomy of the hand if I think that a hand block is necessary for finger repairs. For the record, if anyone ever asks me if I want three separate finger blocks or a hand block, I'll take the hand block. But apparently, that question also attests to my incompetence.
- In a 14-year-old with melena stool, I neglected to ask the patient about binge drinking. And when the surgeon asked me about his alcohol intake, my response was "he's only 14!". When I asked him, he did indeed binge drink every weekend. So I looked bad. And naive. Oops.
- At the end of it all when I felt like I'd spent the entire shift being run off my ass, I realized that I had only seen about 1.5 patients per hour. My goal is currently 2-3. Sigh.
Wednesday, November 12, 2008
Time to Fess Up.
I didn't pass. There, I said it. It's official.
I'm okay with it. I know that it was a long shot. It was still a hit to the pride (hell, I think the last time I failed ANY exam I was about 19 years old) but I'm over it. And now I actually feel much better. I'm back to studying, but the stuff I WANT to know... not the stuff I think will be on some stupid exam.
Hopefully, it won't affect my employability. Most people just assume that since I'm not finished residency until December, that I haven't written it yet. I don't correct them.
So where do things stand now? I am 15 emerg shifts away from the end of residency. And in that amount of time, I also have to complete a research project (a study of consultant response times to pages from the ED and how the delay affects ED flow) and complete enough scans to become an independent practitioner of ED Echo.
Oh, and at the same time I'm still working at the clinic, looking for a job and trying to be a mom. Gah.
We're talking to four different communities right now, and visiting three of them next week. I'll keep you posted.