your fan/my classmate robin introduced me to your site and i've been giggling to myself in the corner of the student lounge for the last 30ish minutes (instead of writing up my icm patient interview). just wanted to say hi, and a special shoutout to kevin for being a fellow dukie! i don't think i know you but i'm sure we have some mutual friends from back in the day.
Another perspective on the reality of anesthesiology:
My patient scheduled for resection of a large abdominal tumor the other day told me "Stop the crocheting!" as I was trying to cannulate his tiny, wispy veins. After three attempts (and three blown veins), I paged my attending who then took four attempts to finally get a 20-gauge IV.
After that, the morphine spinal, induction, intubation, the arterial line, and the central line all went smoothly, and I ended up transfusing 20 units of RBCs, 16 units of FFP, 16 bottles of albumin, and 12 units of platelets while the surgeons lost nearly 10 liters of blood during the eight-hour operation. I worked fast and furiously the entire day trying to keep up with the blood loss.
I managed to keep the patient off pressors the entire day, and I dropped him off in the ICU still intubated and hemodynamically stable. His pain was controlled well into the night (thanks to the morphine spinal).
When I saw the patient the next day, now extubated, he was thankful the surgeon had gotten the tumor out, but the only thing he remembered I had done was poke him trying to get the peripheral IV.
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Indifferential Diagnosis is a blog written by two medical students, Kevin and David, that offers an alternative and sometimes irreverent view of medical school from the inside. Enjoy.
8 comments:
hi guys!
your fan/my classmate robin introduced me to your site and i've been giggling to myself in the corner of the student lounge for the last 30ish minutes (instead of writing up my icm patient interview). just wanted to say hi, and a special shoutout to kevin for being a fellow dukie! i don't think i know you but i'm sure we have some mutual friends from back in the day.
your newest fan,
katie
Hmm we probably do.
Well-played, Kevin.
The frownie-faces are just killing me! Hahaha.
I agree! I love the frowny faces on the monitor!
Another perspective on the reality of anesthesiology:
My patient scheduled for resection of a large abdominal tumor the other day told me "Stop the crocheting!" as I was trying to cannulate his tiny, wispy veins. After three attempts (and three blown veins), I paged my attending who then took four attempts to finally get a 20-gauge IV.
After that, the morphine spinal, induction, intubation, the arterial line, and the central line all went smoothly, and I ended up transfusing 20 units of RBCs, 16 units of FFP, 16 bottles of albumin, and 12 units of platelets while the surgeons lost nearly 10 liters of blood during the eight-hour operation. I worked fast and furiously the entire day trying to keep up with the blood loss.
I managed to keep the patient off pressors the entire day, and I dropped him off in the ICU still intubated and hemodynamically stable. His pain was controlled well into the night (thanks to the morphine spinal).
When I saw the patient the next day, now extubated, he was thankful the surgeon had gotten the tumor out, but the only thing he remembered I had done was poke him trying to get the peripheral IV.
Special thanks to mulberry for driving the final nail into the coffin of anesthesiology for me.
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