The world of medicine is like a bubble. A lot of people THINK they know what goes on there, but unless you're down in the trenches it's unlikely you do. So here is my semi-anonymous blog, here to tell you what really goes on in the life of a medical resident.

Friday, January 30, 2009

Miss Me?

It's been a busy time since I last posted. I finished residency. For good. I worked full-time at a walk-in clinic, which made me realize several things:

1. I can deal with uncertainty
2. Walk-in clinic medicine is not bad medicine by definition. It is what you make it.
3. When you have no idea what is going on, have the person come back in a couple of days. If the problem hasn't resolved, it will likely have declared itself.
4. You really do prescribe the same 5 meds over and over.
5. Improving your flow at a WIC will carry over into other areas.

Most importantly, it made me realize that I would NOT want to do WIC medicine for the rest of my career.

Thankfully, I packed up my family and we headed down to our new town. And I started my new job. For the first time ever... I am THE doc. Staff. The buck stops here. The end of the line. Holy... crap.

After much time had gone by and I had no urge to update here, I wondered if it was time to hang up my blogging shoes. It's been a good 3 years. But I don't know that I have much more to say.

Then again, maybe I do.

I'll continue to ponder this one for the next little while. Thanks for your patience, for those of you still checking in here.

89 Comments:

Anonymous Anonymous said...

Thanks for the update. We will be here when you are ready to blog again. It is always interesting and reassuring to know that other people's lives get the same curve balls thrown at them. Just keep swinging! Good luck with your sweet family and new job..

10:49 PM

 
Blogger ditzydoctor said...

yes dr couz i missed you! :) i'm glad you're back (well, sort of)

7:29 AM

 
Blogger Julien's mommy said...

yep, I missed your updates too....I hope you don't stop blogging altogether....

12:37 PM

 
Blogger Resident Anesthesiologist Guy (RAG) said...

Hope you continue, but I understand if you don't. I went private and have enjoyed being able to be more open. I've had a harder time catching up on blogs, so I've noticed a decrease in blogging desire as well. Hoping you continue, though.

3:12 PM

 
Blogger Milk and Two Sugars said...

Definitely still checking in, and glad to hear things are going well. :)

7:27 PM

 
Blogger Wannabe, P.A. said...

If it's your source in inspiration that you worry will dry up, then remember, you're starting a whole new part of your life! I think you'll find yourself coming back.

11:48 AM

 
Anonymous Anonymous said...

Oh don't go. This is the only blog I regularly read!

7:23 PM

 
Anonymous Charms said...

I'd miss you if you left. I check your blog regularly. It's one of my favourites!

5:00 PM

 
Blogger stacychen said...

This comment has been removed by a blog administrator.

9:21 PM

 
Blogger Basil said...

This comment has been removed by a blog administrator.

8:28 AM

 
Anonymous Anonymous said...

I still check! Please keep blogging!

dkflygirl

12:25 PM

 
Blogger Dragonfly said...

Good luck with the new job.

10:33 PM

 
Blogger Changa said...

You can't leave us hanging!

4:12 PM

 
Anonymous Anonymous said...

oh no Dr. Couz you can't leave us! I have really enjoyed your blog over the past few years. Always thought provoking and interesting for me as a nurse. :) Sarah from WB's

4:16 AM

 
Blogger Lisa b said...

Congrats on the new job Couz.

11:20 AM

 
Anonymous Anonymous said...

Hi, my name is Matteo Cosi, I'm a casualty registred nurse at IRCCS San Matteo Pavia Hospital, Italy.
I'm writing to get some help for a work we are building up: we'd like to improve the ways to deal with the major trauma patients inside the ER shock room.
Getting standard the assistance nurse protocols we'd like to reduce the waiting times at the ER,
and make them reach the CT as soon as possible.
I'd like you to give me informations about your way to deal with the major trauma patients within 15 minutes.
How are you organized with the nurs' work?
How you got a team with predetermined issues?
Above all I'd like to know if the nurse follow standardize protocols, and know this ones.
Thanks.
E-mail: aldeide.t@libero.it
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5:32 AM

 
Anonymous Anonymous said...

Hi, my name is Matteo Cosi, I'm a casualty registred nurse at IRCCS San Matteo Pavia Hospital, Italy.
I'm writing to get some help for a work we are building up: we'd like to improve the ways to deal with the major trauma patients inside the ER shock room.
Getting standard the assistance nurse protocols we'd like to reduce the waiting times at the ER,
and make them reach the CT as soon as possible.
I'd like you to give me informations about your way to deal with the major trauma patients within 15 minutes.
How are you organized with the nurs' work?
How you got a team with predetermined issues?
Above all I'd like to know if the nurse follow standardize protocols, and know this ones.
Thanks.
E-mail: aldeide.t@libero.it
Skype: Teomach

5:33 AM

 
Blogger vernk said...

yes the WIC is interesting, and yes i would not want to do it for the rest of my career either!! at my facility we have one WIC md who is dedicated to that area. does not venture out into the other zones. the obvious consensus that most of our staff have is that the md doesn't offer great throughput. picks and chooses what to see and treat. bounce backs are tremendous in number. stops taking patients at early hours. takes breaks....i dont get breaks why do they? its rediculous that the uppers allow this. but alas, who are we to question...

9:50 AM

 
Anonymous Anonymous said...

i think she's gone

:(

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8:57 AM

 
Blogger Julian West said...

Please don't go. For your honesty(if indeed it is), I have great admiration of you, and feel you to be a good soul. As a medstudent I am eager to see how your career shapes.
Please continue writing. pretty please.

12:56 PM

 
Blogger Debera said...

I really missed ur post.... I am glad you are back.....

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Blogger Shelley said...

I just came across this blog, and it's very encouraging to know I'm not the only one who feels completely incompetent in rotations. I'm a PA student, and this is my first rotation (ER). Beyond lac repairs and URI diagnoses, I feel like an idiot half the time, and I too hear the snide comments made by the staff about their coworkers. It's a bit depressing, and it's only my 2nd week on the job!! Thanks for the blog.

8:48 PM

 
Blogger Ella said...

are you ever coming back???

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Anonymous Monty said...

Hello, you have tried to your best. I agree with you and really liked it. Great effort... Keeps it up!!!!

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Anonymous Anonymous said...

please continue from time to time I love to know what I am getting myself into and also it is motivating

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Anonymous bulging Disc said...

its a amazing post.will be stay here when you are ready to blog again. It is always interesting and reassuring to know that other people's lives get the same curve balls thrown at them

3:09 PM

 
Anonymous matt from centrifuge hire / rental said...

well done on coming back and blogging, its usually one of those things that gets left behind when your busy. Even if you don't stay in WIC you will take away experince

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Blogger layoutseed said...

Pretty good post. I just came by your blog and wanted to say that I’ve really enjoyed reading your blog posts. In any case I’ll be subscribing to your feed and I hope you write again soon!

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Anonymous Anonymous said...

How are you doing these days?

2:44 PM

 
Anonymous Anonymous said...

It's been quite some time...I guess this means you're not coming back?? Either way, i enjoyed reading your posts from the very beginning and will still come back to check from time to time to see if you decided to pick things back up

9:14 AM

 
Anonymous Anonymous said...

Hope you come back to let us know what your life is like right now.

Thanks for a great blog.

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Blogger Jayphia said...

Just stumbled across your blog - looks like I'm a couple of years behind! It seems that I'm following along the same path in residency and with similar interests/values so I'm sad to see that you've stopped blogging. Hope everything has turned out for you and thanks for sharing your experiences :)

6:51 PM

 
Anonymous Sarah said...

Very interesting perspective. I'd like to read more, but it looks like you're done for good.

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"But I don't know that I have much more to say...Then again, maybe I do."

Many readers of your blog are still looking forward for you to update this blog and to hear again from you. I personally think that you have many more things to say and share, eh.

2:54 AM

 
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