l*******8
发帖数: 1745 | 1 比我想象的好多啦!
早上6:50am到,先去telemetry看肝昏迷的重病人,记下lab,然后去floor看其他三个病人
,问问他们的CC,看看有没有什么新的lab,vital signs.
然后7:30morning report,又被分到一个病人.
morning report结束后,都8点多了,赶紧去telemetry,准备准备,以为要present,在
telemetry查房的时候.结果被告知一个不幸的消息,我的肝昏迷的病人的血,lab抽不出
来,这下只好自己抽了,好在有两个M3学生,三个人,一起去找那些tube, gauze,alcohol
pad, butterfly needle,然后就是一个M3先抽,抽不出来;我接着抽,还是抽不出来,最后
只好,另一个M3学生抽了radial artery 动脉血.然后有去regular floor看了下刚分给
我的新病人(chest pain, gerd, huge gastric henia),病人还好,交代了他要bed rest
, keep iv fluid,他不想吊水,也不想睡在床上.
哦,去哪里,哪里就有事情,护士page | k**e
发帖数: 2728 | 2 nice, thanks for sharing, i like the last paragraph, now start practicing my
smile, too :)
alcohol
rest
【在 l*******8 的大作中提到】
: 比我想象的好多啦!
: 早上6:50am到,先去telemetry看肝昏迷的重病人,记下lab,然后去floor看其他三个病人
: ,问问他们的CC,看看有没有什么新的lab,vital signs.
: 然后7:30morning report,又被分到一个病人.
: morning report结束后,都8点多了,赶紧去telemetry,准备准备,以为要present,在
: telemetry查房的时候.结果被告知一个不幸的消息,我的肝昏迷的病人的血,lab抽不出
: 来,这下只好自己抽了,好在有两个M3学生,三个人,一起去找那些tube, gauze,alcohol
: pad, butterfly needle,然后就是一个M3先抽,抽不出来;我接着抽,还是抽不出来,最后
: 只好,另一个M3学生抽了radial artery 动脉血.然后有去regular floor看了下刚分给
: 我的新病人(chest pain, gerd, huge gastric henia),病人还好,交代了他要bed rest
| s*******8
发帖数: 118 | 3 Good job!哈哈，不但要笑，还要和她们聊聊天，有机会介绍一下自己，注意他们的变
化，比如头型，指甲，然后就多夸他们几句。记得上周我有个病人出院，我11点的时候
跟病人交待说大约2点出院手续可以办好，护士问我为啥非等到2点，我说你们都很忙，
我如果说11点半，到时候万一手续没办好，他不就跟你们发脾气了，那个护士听了很感
动，说希望每个医生都能像你一样体谅我们。 | s***n
发帖数: 150 | 4 不错的开始，就你那性格，老，中，少护士肯定通吃。 | c*********r
发帖数: 541 | 5 I second this
【在 s***n 的大作中提到】
: 不错的开始，就你那性格，老，中，少护士肯定通吃。
| k*****e
发帖数: 372 | | D*********r
发帖数: 371 | 7 要是能把你和大家交流的情景录下来就好了，这样大家都可以借鉴学习，呵呵，有了护
士的鼎力支持真是要轻松好多啊。
我去我们这里的ed感觉护士和住院们没啥交流，不过马上就可以见到新的实习医生了嘿
嘿。
alcohol
rest
【在 l*******8 的大作中提到】
: 比我想象的好多啦!
: 早上6:50am到,先去telemetry看肝昏迷的重病人,记下lab,然后去floor看其他三个病人
: ,问问他们的CC,看看有没有什么新的lab,vital signs.
: 然后7:30morning report,又被分到一个病人.
: morning report结束后,都8点多了,赶紧去telemetry,准备准备,以为要present,在
: telemetry查房的时候.结果被告知一个不幸的消息,我的肝昏迷的病人的血,lab抽不出
: 来,这下只好自己抽了,好在有两个M3学生,三个人,一起去找那些tube, gauze,alcohol
: pad, butterfly needle,然后就是一个M3先抽,抽不出来;我接着抽,还是抽不出来,最后
: 只好,另一个M3学生抽了radial artery 动脉血.然后有去regular floor看了下刚分给
: 我的新病人(chest pain, gerd, huge gastric henia),病人还好,交代了他要bed rest
| a********e
发帖数: 3771 | 8 第一天开门红啊，cong！
奔个穿scrub的pp吧。这个要求应该是众望所归的呵呵。
以后有空多写点和上级医生、attending沟通的内容吧。 | k**e
发帖数: 2728 | 9 reckon? :p
i reckon this, too.... xixi
guaiguaihu's got one super nice personality.
【在 c*********r 的大作中提到】
: I second this
| a*********8
发帖数: 22 | | | | F********1
发帖数: 151 | 11 Thanks for sharing! Add Oil!!! | c*********r
发帖数: 541 | 12 这个你让我说什么好。你要不google一下先
【在 k**e 的大作中提到】
: reckon? :p
: i reckon this, too.... xixi
: guaiguaihu's got one super nice personality.
| k**e
发帖数: 2728 | 13 please tell... i have no idea...^_^
second is too popular a word to find out with google..
【在 c*********r 的大作中提到】
: 这个你让我说什么好。你要不google一下先
| c*********r
发帖数: 541 | 14 执手，无语
你还是改用中文把
【在 k**e 的大作中提到】
: please tell... i have no idea...^_^
: second is too popular a word to find out with google..
| k**e
发帖数: 2728 | 15 i have to practice my English!!! :P
【在 c*********r 的大作中提到】
: 执手，无语
: 你还是改用中文把
| f*****d
发帖数: 6 | 16 还是很有条理的,第一天能有如此表现
alcohol
rest
【在 l*******8 的大作中提到】
: 比我想象的好多啦!
: 早上6:50am到,先去telemetry看肝昏迷的重病人,记下lab,然后去floor看其他三个病人
: ,问问他们的CC,看看有没有什么新的lab,vital signs.
: 然后7:30morning report,又被分到一个病人.
: morning report结束后,都8点多了,赶紧去telemetry,准备准备,以为要present,在
: telemetry查房的时候.结果被告知一个不幸的消息,我的肝昏迷的病人的血,lab抽不出
: 来,这下只好自己抽了,好在有两个M3学生,三个人,一起去找那些tube, gauze,alcohol
: pad, butterfly needle,然后就是一个M3先抽,抽不出来;我接着抽,还是抽不出来,最后
: 只好,另一个M3学生抽了radial artery 动脉血.然后有去regular floor看了下刚分给
: 我的新病人(chest pain, gerd, huge gastric henia),病人还好,交代了他要bed rest
| w******e
发帖数: 357 | 17 3rd this.:)
【在 s***n 的大作中提到】
: 不错的开始，就你那性格，老，中，少护士肯定通吃。
| g***r
发帖数: 285 | 18 things i think will be important as an intern/resident:
1. find a good bathroom, no matter where you are, always know which bathroom
is clean and private and less visited(especially least visited and lowest
risk of contamination), i used to have an intern that hides in the bathroom
when we round with a very tough attending,
2. know how to intubate and put in a central lineand know your acls well, so
in case patient crashes, you can at least pretend you are doing something
that seems to be helpfu | D*********r
发帖数: 371 | 19 did you write this? it is really good. and ... are you fatman's majia? haha
bathroom
bathroom
so
,
【在 g***r 的大作中提到】
: things i think will be important as an intern/resident:
: 1. find a good bathroom, no matter where you are, always know which bathroom
: is clean and private and less visited(especially least visited and lowest
: risk of contamination), i used to have an intern that hides in the bathroom
: when we round with a very tough attending,
: 2. know how to intubate and put in a central lineand know your acls well, so
: in case patient crashes, you can at least pretend you are doing something
: that seems to be helpfu
| C****o
发帖数: 994 | 20 非常实用，而且很有条理。
gomer一定是个well-organized doctor
bathroom
bathroom
so
,
【在 g***r 的大作中提到】
: things i think will be important as an intern/resident:
: 1. find a good bathroom, no matter where you are, always know which bathroom
: is clean and private and less visited(especially least visited and lowest
: risk of contamination), i used to have an intern that hides in the bathroom
: when we round with a very tough attending,
: 2. know how to intubate and put in a central lineand know your acls well, so
: in case patient crashes, you can at least pretend you are doing something
: that seems to be helpfu
| | | d******a
发帖数: 127 | 21 To gomer (gomer),
Unfortunately, I don't agree most of your input.
>> 2. know how to intubate and put in a central lineand know your acls well,
so in case patient crashes, you can at least pretend you are doing
something that seems to be helpful; or you can do what my friend does, shows
up very late for the code and ask, how long has it been? 20 minutes? let's
call it, time of death...
Lots of PG3 or Internist don't know how to put a central line or intubation.
Now IM is calling medicine, Call | u***e
发帖数: 611 | 22 我也听说了现在IM resident越来越少做procedure了。一个PGY2告诉我他一个central
line都没做过。我现在在ICU，也还木有机会做。。。。。插管也都是呼吸师插的。现
在分科是越来越细了，你不qualify就不让你做。 | g***r
发帖数: 285 | 23 to answer diarrhea,
it is true that nowadays they don't require many more procedures as they
used to, which is sad, depends on what you plan to do in the future, if you
just want to be a clinician and see patients in clinic everyday and it
probably will be ok not to know how to do procedures,
if you plan to be a hospitalist, then you should at least know how to
intubate and how to place central lines,
if you subspecialize, i think endocrine doesn't have any procedures, but
almost every other spe | g***r
发帖数: 285 | 24
central
you can ask respiratory therapist that if you could give a first try to
intubate, be humble and let him or her teach you, just remember purely by
chance you will get it right in 50% of time, so no worries,
i think for every residency training program, there will always be
opporunities to do more if you desire so, if you started out in icu, there
bound to have a patient with fever and central line already in place, a good
opportunity to switch the line out and culture the tip if you ask
【在 u***e 的大作中提到】
: 我也听说了现在IM resident越来越少做procedure了。一个PGY2告诉我他一个central
: line都没做过。我现在在ICU，也还木有机会做。。。。。插管也都是呼吸师插的。现
: 在分科是越来越细了，你不qualify就不让你做。
| s*******8
发帖数: 118 | 25 我个人觉得作为intern还是应该利用一切机会去完成这些procedure，像我们program,
如果你打算moonlighting,可你连central line都不会，那会很麻烦，因为你负责收ICU
的病人。记得我在ICU轮转的时候大约put了20个lines.一个是因为和我一起轮转的ER
resident早就 sign off了，他经常会让我锻炼，在就是找机会，比如像gomer讲的你可
以change line。5个central line是远远不够了，因为你需要指导你的intern,如果你
自己还不熟练，怎么去帮助别人。我还算比较幸运，除了还差2个thoracentesis外，其
他的都sign off了。
good
a
do
【在 g***r 的大作中提到】
:
: central
: you can ask respiratory therapist that if you could give a first try to
: intubate, be humble and let him or her teach you, just remember purely by
: chance you will get it right in 50% of time, so no worries,
: i think for every residency training program, there will always be
: opporunities to do more if you desire so, if you started out in icu, there
: bound to have a patient with fever and central line already in place, a good
: opportunity to switch the line out and culture the tip if you ask
| g***r
发帖数: 285 | 26
ICU
in my residency they gave us this stack of cards and you fill out the
details, and at the end of rotation you bring to your attending to sign off,
but many attendings didn't bother to check just signed everything you give
to them, i guess had i put in cardiac cath and ercp they would also signed
off for me as well,
my training also involved rotations in rural hospital where i was the only
one running the hospital and icu, there was surgical resident as back up but
i was first to get called
【在 s*******8 的大作中提到】
: 我个人觉得作为intern还是应该利用一切机会去完成这些procedure，像我们program,
: 如果你打算moonlighting,可你连central line都不会，那会很麻烦，因为你负责收ICU
: 的病人。记得我在ICU轮转的时候大约put了20个lines.一个是因为和我一起轮转的ER
: resident早就 sign off了，他经常会让我锻炼，在就是找机会，比如像gomer讲的你可
: 以change line。5个central line是远远不够了，因为你需要指导你的intern,如果你
: 自己还不熟练，怎么去帮助别人。我还算比较幸运，除了还差2个thoracentesis外，其
: 他的都sign off了。
:
: good
: a
|
|
