Being the first day of the month, the ID team got a new intern and attending (the senior resident changed yesterday). This meant no more working with Dr. Para (he was one of my attendings when I was on ID last year, and wrote me a letter of recommendation for residency), and finally figuring out what my responsibilities will be for the month.
The day got off to a rocky start. Since I didn't know what time my new intern was going to be showing up for sign-in (hearing from the night team how the patients did overnight), I pre-rounded on my patients ("my patients" being the six people on the service who the third year med students are not following). Pre-rounding is one of my least favorite things to do. You go in at some ridiculous time to the patient's room, wake them up, check their vitals, listen to hearts and lungs, and chat with them when they'd rather be sleeping. Then, an hour or so later, they get woken up again and asked the same questions when the rest of the team comes by for rounds.
Anyway, so I pre-rounded, then introduced myself to the new intern, and then it was time to "run the list". That means going down the census and discussing how each patient is doing before rounds. I figured this would be a standard running of the list, which means you just give the vitals and say if they had any complaints overnight. I have been doing this for two years, after all--I know what the resident needs to hear. Well, my resident decided (without telling me beforehand) that he wanted us to practice our presentations before the attending showed up for rounds. So I had given a very concise summary of the last twelve hours, and he proceeded to correct my presentation. I've been giving patient presentations for awhile now; I think I know what I'm doing, but the resident then corrected everything I said and painstakingly walked through how I should present to the attending. Grr.
As it turned out, Dr. Maher has a great sense of humor and only likes pertinent points, so my presentations were pretty much exactly what he wanted.
Anyway, that was how we spent the morning ("morning" being 6:30-2). Then I grabbed lunch, wrote patient notes, filled out discharge instructions (which the resident then felt the need to show me how to do, even though I had already done it). We got a couple of new patients in the early afternoon, which the med 3's picked up, and then another new one, which I picked up (too many new patients in one day makes third year med students nervous). It was a great case for me, too: a patient with TB, transferred from another hospital. So I had to contact the Ohio Department of Health, get his TB records, figure out his treatments, and try to decide why he hasn't been getting better (he has been on treatment for two months; should be showing some signs of improvement). Figuring all of that made for a late afternoon (I left the hospital at 6:30), but at least I was doing something that I'm good at.
Hopefully the resident will realize that I'm a semi-competent medical student soon. This could get very frustrating very fast.
Wednesday, April 1, 2009
Monday, March 30, 2009
Day 1 of the sub-internship
Today I started my sub-internship (sub-i) on the Infectious Disease service at OSU. Everyone kept asking me why I'm doing my sub-i so late in the year, as most fourth-years do it early to get letters of recommendation, but because of my early match and the fact that my paperwork was due early, I had to do my Army obligations and preventive medicine rotations at the beginning of the year, when most people were doing their sub-i's. Of the 200+ fourth years, there are only four of us doing internal medicine sub-i's (there are four choices: internal medicine, surgery, OB/GYN, and pediatrics) this month. The other three are all going into radiology, so they were in the same situation as me (kinda): they were too busy interviewing and doing radiology rotations to do a sub-i, which isn't in an discipline they are interested in.
Anyway, so a bit of an explanation on what a sub-i is. It's a waste of time. All snideness aside, in theory it's a chance for us to practice being interns before we actually are interns. In theory, we are the primary physicians for 4-8 patients on our service (the infectious disease service has 12 or fewer patients). That means that the nurses are supposed to page us with questions and updates on those 4-8 patients and we're supposed to put in the orders and all progress notes and discharge information.
Now, that's all fine in theory, but let's talk about practice. Legally, medical students can't put in orders, can't write progress notes (well, not progress notes that count), and can't admit patients (another thing we're supposed to do). So, if sub-i's do everything that we're supposed to do in theory, we'd actually be doubling or tripling the work of our residents and the real intern, because they'd have to check over all the orders that we want to put in and correct them, they'd have to re-write our notes, and after the nurses paged us with updates on the patients, we'd have to page them to ask for permission to do anything (including put in the orders that we can't legally put in).
So back to my day. I got the hospital at 7 (a bit later than usual for an internal medicine service) to meet with the resident and intern (both of which are going to be switching to new services on the first of April). There are also two third-year med students, which will make the whole being-a-sub-intern interesting. I spent the morning rounding and trying to learn things about the patients, and then had orientation at noon (which is where I learned about what we're supposed to be doing and learning how do this month). Then after a few hours of pointless orientation, I came home. A terribly thrilling day, I know. Unfortunately, I forgot to ask what time they wanted me in tomorrow before I left... Oh, well. These won't be the residents who will be evaluating me, so it doesn't really matter :)
Anyway, so a bit of an explanation on what a sub-i is. It's a waste of time. All snideness aside, in theory it's a chance for us to practice being interns before we actually are interns. In theory, we are the primary physicians for 4-8 patients on our service (the infectious disease service has 12 or fewer patients). That means that the nurses are supposed to page us with questions and updates on those 4-8 patients and we're supposed to put in the orders and all progress notes and discharge information.
Now, that's all fine in theory, but let's talk about practice. Legally, medical students can't put in orders, can't write progress notes (well, not progress notes that count), and can't admit patients (another thing we're supposed to do). So, if sub-i's do everything that we're supposed to do in theory, we'd actually be doubling or tripling the work of our residents and the real intern, because they'd have to check over all the orders that we want to put in and correct them, they'd have to re-write our notes, and after the nurses paged us with updates on the patients, we'd have to page them to ask for permission to do anything (including put in the orders that we can't legally put in).
So back to my day. I got the hospital at 7 (a bit later than usual for an internal medicine service) to meet with the resident and intern (both of which are going to be switching to new services on the first of April). There are also two third-year med students, which will make the whole being-a-sub-intern interesting. I spent the morning rounding and trying to learn things about the patients, and then had orientation at noon (which is where I learned about what we're supposed to be doing and learning how do this month). Then after a few hours of pointless orientation, I came home. A terribly thrilling day, I know. Unfortunately, I forgot to ask what time they wanted me in tomorrow before I left... Oh, well. These won't be the residents who will be evaluating me, so it doesn't really matter :)
Friday, March 27, 2009
End of PM&R and looking forward to internship!
Today was my last day of physical medicine and rehabilitation, which is both a good and bad thing. Good because it means I'm that much closer to graduation, and bad because PM&R was pretty easy, and now I have my sub-internship to look forward to (ugh).
We ended the day with the typical start: checking on our patients, writing notes about their progress, and going to panel discussions, where we hear the inputs from the nurses, social workers, and therapists (physical, occupational, and speech). Fortunately, no surprises on any of our patients.
After panel we checked the board and discovered that we had four new patients coming today (that's a lot). Since there's not much that medical students can do, we wrote up the histories from the computer and copied the orders (that's about all we can do; for billing purposes, everything else has to be done by somebody who already has a degree). Then our resident sent us home early, which made me happy.
I spent the rest of my afternoon going over my internship information, which I got today. I have 13 blocks (four weeks each), which includes 2 blocks of internal medicine, 1 ICU, 1 ER, 1 pediatric clinic, 1 OB/GYN (ugh), 1 PM&R (should be a different experience at Walter Reed), 1 adult clinic, 3 electives, and 2 selectives (and no, I don't know the difference between an elective and selective). I chose research, allergy/immunology, and dermatology for my electives, and psychiatry at Bethesda and pediatrics at Walter Reed as my selectives (my other selectives choices were general surgery, cardiac ICU, general medicine, NICU, orthopedic surgery, and surgical ICU). Now I just need to figure out when to take leave. I get one month around Christmas (either the week of Christmas or the week of New Year's), so I need to choose another week for next year. I'm thinking sometime in the spring.
Obviously, there will be more on internship to come (probably a lot more to come, throughout my internship next year).
We ended the day with the typical start: checking on our patients, writing notes about their progress, and going to panel discussions, where we hear the inputs from the nurses, social workers, and therapists (physical, occupational, and speech). Fortunately, no surprises on any of our patients.
After panel we checked the board and discovered that we had four new patients coming today (that's a lot). Since there's not much that medical students can do, we wrote up the histories from the computer and copied the orders (that's about all we can do; for billing purposes, everything else has to be done by somebody who already has a degree). Then our resident sent us home early, which made me happy.
I spent the rest of my afternoon going over my internship information, which I got today. I have 13 blocks (four weeks each), which includes 2 blocks of internal medicine, 1 ICU, 1 ER, 1 pediatric clinic, 1 OB/GYN (ugh), 1 PM&R (should be a different experience at Walter Reed), 1 adult clinic, 3 electives, and 2 selectives (and no, I don't know the difference between an elective and selective). I chose research, allergy/immunology, and dermatology for my electives, and psychiatry at Bethesda and pediatrics at Walter Reed as my selectives (my other selectives choices were general surgery, cardiac ICU, general medicine, NICU, orthopedic surgery, and surgical ICU). Now I just need to figure out when to take leave. I get one month around Christmas (either the week of Christmas or the week of New Year's), so I need to choose another week for next year. I'm thinking sometime in the spring.
Obviously, there will be more on internship to come (probably a lot more to come, throughout my internship next year).
Sunday, March 22, 2009
Match day
Thursday was the official Match Day for graduating med school seniors, which means most of my classmates found out on Thursday where they're going to be doing their residencies (I've known since December, since the military match is early).
The day started with sleeping in (always a good thing), as 4th years get the day off. Then we had a "breakfast" (bagels and such) in the med school lobby before gathering at the Fawcett Center. At 11:30, they began the festivities with half an hour of incredibly boring speeches (well, mostly; Dr. Lucey, one of our vice deans, had some pretty funny statistics about how my class did in the match) and then they let us get our envelopes, which contained our match results (as I had already matched, I knew what mine would say). Then, at 12, they rang the bell, allowing us to open our envelopes. Nobody is allowed to know match results until 12 Eastern time. Kinda sucks for the students at University of Hawaii; their match is at 6am.
After that was a reception, and then the drinking events began promptly at 1 (I spent the time with Adrienne's family, so I didn't hit the bars until that night). Adrienne was rather excited--she matched at her first choice, and then her and Jeff put in an offer on a house, which was accepted. So new job and new house, all before 4pm.
We caught up with the rest of our classmates (at least, most of them) at 7pm, and everyone seemed really happy (I guess those who weren't happy probably weren't in the mood to be celebrating with the rest of the class). Almost everyone I talked to matched at one of their top three choices (that's considered a successful match). There were some pretty impressive names on that list, too, including Harvard, Johns Hopkins, Emory, Vanderbilt, UCLA, etc. All in all, it was a good day for OSU College of Medicine Class of 2009.
The day started with sleeping in (always a good thing), as 4th years get the day off. Then we had a "breakfast" (bagels and such) in the med school lobby before gathering at the Fawcett Center. At 11:30, they began the festivities with half an hour of incredibly boring speeches (well, mostly; Dr. Lucey, one of our vice deans, had some pretty funny statistics about how my class did in the match) and then they let us get our envelopes, which contained our match results (as I had already matched, I knew what mine would say). Then, at 12, they rang the bell, allowing us to open our envelopes. Nobody is allowed to know match results until 12 Eastern time. Kinda sucks for the students at University of Hawaii; their match is at 6am.
After that was a reception, and then the drinking events began promptly at 1 (I spent the time with Adrienne's family, so I didn't hit the bars until that night). Adrienne was rather excited--she matched at her first choice, and then her and Jeff put in an offer on a house, which was accepted. So new job and new house, all before 4pm.
We caught up with the rest of our classmates (at least, most of them) at 7pm, and everyone seemed really happy (I guess those who weren't happy probably weren't in the mood to be celebrating with the rest of the class). Almost everyone I talked to matched at one of their top three choices (that's considered a successful match). There were some pretty impressive names on that list, too, including Harvard, Johns Hopkins, Emory, Vanderbilt, UCLA, etc. All in all, it was a good day for OSU College of Medicine Class of 2009.
Wednesday, March 18, 2009
Sick professors and endless didactics
So, it's been awhile since my last post... sorry. There's just not a lot going on in Dodd Hall.
I had a couple of new patients yesterday--a man who was ejected from a single-car crash on Jan. 31 and a woman who had had a burst aneurysm in her head after being pushed against a wall at work (a center for "troubled" teens). The woman is rather easy and probably won't be at Dodd for very long, but the man has quite a few problems, including a broken pelvis (surgically fixed but still healing) and several other surgical sites. He also has quite a lot of pain in his foot due to nerve damage. The hospital where he was staying since the accident (not OSU) had him on all sorts of narcotics, which aren't that great for nerve pain, so we're working on changing him over to better medications. It'll be a long process, but on the plus side, his brain injury isn't too bad, so he might actually get to return to a somewhat-normal life, unlike many of the patient on the traumatic brain injury service.
This morning I saw these patients, then headed over to Children's for didactics and a quiz this afternoon. The topic this week was domestic violence and children with complicated cases (either medically or developmentally). Not too thrilling, and none of us really wanted to be there--tomorrow is match day for most of my classmates (the military matches in December, but civilians match tomorrow), so nobody was thinking about didactics anyway. As one of my residents put it, match day is one of the three important days that dictates the path of your life; marriage and birth of a child are the other two. So it's a really big deal, and I'm looking forward to celebrating with my classmates tomorrow.
I had a couple of new patients yesterday--a man who was ejected from a single-car crash on Jan. 31 and a woman who had had a burst aneurysm in her head after being pushed against a wall at work (a center for "troubled" teens). The woman is rather easy and probably won't be at Dodd for very long, but the man has quite a few problems, including a broken pelvis (surgically fixed but still healing) and several other surgical sites. He also has quite a lot of pain in his foot due to nerve damage. The hospital where he was staying since the accident (not OSU) had him on all sorts of narcotics, which aren't that great for nerve pain, so we're working on changing him over to better medications. It'll be a long process, but on the plus side, his brain injury isn't too bad, so he might actually get to return to a somewhat-normal life, unlike many of the patient on the traumatic brain injury service.
This morning I saw these patients, then headed over to Children's for didactics and a quiz this afternoon. The topic this week was domestic violence and children with complicated cases (either medically or developmentally). Not too thrilling, and none of us really wanted to be there--tomorrow is match day for most of my classmates (the military matches in December, but civilians match tomorrow), so nobody was thinking about didactics anyway. As one of my residents put it, match day is one of the three important days that dictates the path of your life; marriage and birth of a child are the other two. So it's a really big deal, and I'm looking forward to celebrating with my classmates tomorrow.
Wednesday, March 11, 2009
Didactics and free food
Not much exciting has been going on the last few days (hence the lack of posts), and not much happened today, but I felt the need to update, so this is what you get. We started the day with didactics and a quiz (which was, fortunately, fairly easy), rounding out the morning with 'geropardy' (Jeopardy questions about old people... my team lost because we liked to bet it all on daily doubles).
Anyway, I ducked out of class a bit early at 11:30 to head over to Meiling Hall, where I spent way too much time my first two years of medical school, to hear MAJ DeZee, an OSU College of Medicine alum and current internal medicine residency program director at William Beaumont Army Medical Center in El Paso, TX give a talk about humanitarian missions with the Army. I've actually heard him give this exact same speech before, during my first year. I also met with him at the American College of Physicians conference during my second year, so he was rather disappointed when I told him I decided to go into preventive medicine instead of internal medicine. I'll probably get to see him around Walter Reed next year, though, as he's taking over as the General Internal Medicine fellowship director at WRAMC. I hope that I'm working with him during one of my internal medicine ward months. He would be a really fun attending to have.
Between the lunch and the 'networking' (which was really just the Army students standing around and catching up), it was about 2pm when I first arrived at Dodd for my rotation. Apparently the attending didn't believe the residents when they told her that we were at didactics all morning and that I had a lunch, because she was grilling me what I was doing and why I hadn't seen my patients yet. Whatever. I just have to pass this rotation in order to graduate.
And now I'm tired, so I'm going to bed so I can get up early tomorrow and go to a case conference about testing sacral nerves. I'll give you a hint: it's not a test I would like done.
Anyway, I ducked out of class a bit early at 11:30 to head over to Meiling Hall, where I spent way too much time my first two years of medical school, to hear MAJ DeZee, an OSU College of Medicine alum and current internal medicine residency program director at William Beaumont Army Medical Center in El Paso, TX give a talk about humanitarian missions with the Army. I've actually heard him give this exact same speech before, during my first year. I also met with him at the American College of Physicians conference during my second year, so he was rather disappointed when I told him I decided to go into preventive medicine instead of internal medicine. I'll probably get to see him around Walter Reed next year, though, as he's taking over as the General Internal Medicine fellowship director at WRAMC. I hope that I'm working with him during one of my internal medicine ward months. He would be a really fun attending to have.
Between the lunch and the 'networking' (which was really just the Army students standing around and catching up), it was about 2pm when I first arrived at Dodd for my rotation. Apparently the attending didn't believe the residents when they told her that we were at didactics all morning and that I had a lunch, because she was grilling me what I was doing and why I hadn't seen my patients yet. Whatever. I just have to pass this rotation in order to graduate.
And now I'm tired, so I'm going to bed so I can get up early tomorrow and go to a case conference about testing sacral nerves. I'll give you a hint: it's not a test I would like done.
Saturday, March 7, 2009
Home health care
Instead of working on the traumatic brain injury floor at Dodd yesterday, I went out with a home health care nurse to see what home health care is about (it's a rotation requirement; I had no desire to do this). It was not a worthwhile experience.
Not much happened on these visits. I expected there to be some education to the patients about how to care for their ailments at home or how to get around better, but there was none of that. There wasn't even any sort of home "inspection", so to speak, to figure out what changes could be made to make things easier for the patient. In the first building we visited, the patient couldn't walk stairs, yet there were steps leading to the apartment, without an elevator or wheelchair ramp. In the second, the furniture was so cramped into the house that to get past the couch, the patient had to lift her walker over the corner of the couch because there wasn't enough room between it and the wall for her walker to get through, and the nurses didn't say anything about rearranging her furniture to make it easier for her to get around.
Maybe it's just my experience on my occupational medicine rotation (where I learned about the importance of making small changes to reduce injury/increase abilities), but I was rather taken aback by the fact that these things weren't addressed at all. I guess I don't see the point in having someone come out to the home to provide care if they're not going to address the issue of the home.
Not much happened on these visits. I expected there to be some education to the patients about how to care for their ailments at home or how to get around better, but there was none of that. There wasn't even any sort of home "inspection", so to speak, to figure out what changes could be made to make things easier for the patient. In the first building we visited, the patient couldn't walk stairs, yet there were steps leading to the apartment, without an elevator or wheelchair ramp. In the second, the furniture was so cramped into the house that to get past the couch, the patient had to lift her walker over the corner of the couch because there wasn't enough room between it and the wall for her walker to get through, and the nurses didn't say anything about rearranging her furniture to make it easier for her to get around.
Maybe it's just my experience on my occupational medicine rotation (where I learned about the importance of making small changes to reduce injury/increase abilities), but I was rather taken aback by the fact that these things weren't addressed at all. I guess I don't see the point in having someone come out to the home to provide care if they're not going to address the issue of the home.
Thursday, March 5, 2009
My first day as a "resident"
One of our vice deans gave us an interesting proposition: a half day off of being a fourth year medical student a week in exchange for a half day of being a resident for a week. It was an interesting offer; five of us on PM&R took him up on it.
So after a morning of being a fourth year (on PM&R, the translation there is, standing around looking like you're doing something while, well, not), we grabbed lunch and came back for our first afternoon as "residents". Near the end of second year, students take a course to teach how to take histories and perform physicals. Usually, these are facilitated by residents, but our students get, well, us.
It was a rather enlightening experience. For one, it forced me to remember how to do a complete history from scratch. Usually, we start by looking the patient up on the computer, and then talking to the patient to fill in the gaps, but the students are taught to start knowing nothing about the patient, which is much harder, and kinda pointless. Talk about reinventing the wheel.
The second thing that was enlightening was how much we've learned in two years. These kids know, well, nothing about how to take a history. They've practiced on each other and standardized patients, but everything there is scripted. These are real patients. So while they know the right questions to ask, they don't really know how to ask them. It was quite entertaining, actually. More so (and a bit painful) when they were presenting these histories to said vice-dean. Fortunately, Dr. Clinchot is probably the most laid-back vice dean in existence. He spent as much making fun of the fourth years for being mentally checked out pre-match (civilian match is on March 19; that's all my classmates think about) as he did correcting the students. Most of their mistakes came from being nervous about presenting to attendings, and the only way to get over that is to practice presenting to attendings.
Oh, and my med student did a good job, which makes me look good :) As a med student, the most valuable lesson learned is that your primary job is to make your residents look good. My med student will go far.
So after a morning of being a fourth year (on PM&R, the translation there is, standing around looking like you're doing something while, well, not), we grabbed lunch and came back for our first afternoon as "residents". Near the end of second year, students take a course to teach how to take histories and perform physicals. Usually, these are facilitated by residents, but our students get, well, us.
It was a rather enlightening experience. For one, it forced me to remember how to do a complete history from scratch. Usually, we start by looking the patient up on the computer, and then talking to the patient to fill in the gaps, but the students are taught to start knowing nothing about the patient, which is much harder, and kinda pointless. Talk about reinventing the wheel.
The second thing that was enlightening was how much we've learned in two years. These kids know, well, nothing about how to take a history. They've practiced on each other and standardized patients, but everything there is scripted. These are real patients. So while they know the right questions to ask, they don't really know how to ask them. It was quite entertaining, actually. More so (and a bit painful) when they were presenting these histories to said vice-dean. Fortunately, Dr. Clinchot is probably the most laid-back vice dean in existence. He spent as much making fun of the fourth years for being mentally checked out pre-match (civilian match is on March 19; that's all my classmates think about) as he did correcting the students. Most of their mistakes came from being nervous about presenting to attendings, and the only way to get over that is to practice presenting to attendings.
Oh, and my med student did a good job, which makes me look good :) As a med student, the most valuable lesson learned is that your primary job is to make your residents look good. My med student will go far.
Wednesday, March 4, 2009
Clinic day
Okay, I know I'm slacking on the posting. I meant to write this last night, but, well, forgot. Sorry.
Yesterday was my first real day on PM&R. We started with rounds (eh), and then went to a panel session, which was about an hour and a half meeting about the patients with the doctors, social workers, therapists, etc. It was incredibly boring, and my co-med student and I were both struggling to stay awake. After that, our attending, Dr. Fugate, taught us how wheelchairs should be fitted to the patient, and then demonstrated the full wheelchair exam on one of the patients. It's quite a bit more complicated than one would think.
After lunch I had clinic, which was rather difficult. Not because of anything I was doing--clinic is clinic, not too hard--but because of the patients I was seeing. Everyone had had some sort of traumatic brain injury that left them somewhat not-normal. Most of them weren't the brightest bulbs in the box to begin with, but now can't even hold even a menial job, and have very poor impulse control--and they know this isn't normal. After our last clinic, the attending and I talked about this and about how lucky we were that we could "think for a living", and I said I didn't know what I would do if I couldn't think for a living anymore. If I were in an accident or something that resulted in permanent brain damage and leaving me obsessive-compulsive or impulsive or something...well, losing my mind (literally) is one thing that I hope never happens to me.
Anyway, I need to go get ready for another fun and exciting day in Dodd Hall.
Yesterday was my first real day on PM&R. We started with rounds (eh), and then went to a panel session, which was about an hour and a half meeting about the patients with the doctors, social workers, therapists, etc. It was incredibly boring, and my co-med student and I were both struggling to stay awake. After that, our attending, Dr. Fugate, taught us how wheelchairs should be fitted to the patient, and then demonstrated the full wheelchair exam on one of the patients. It's quite a bit more complicated than one would think.
After lunch I had clinic, which was rather difficult. Not because of anything I was doing--clinic is clinic, not too hard--but because of the patients I was seeing. Everyone had had some sort of traumatic brain injury that left them somewhat not-normal. Most of them weren't the brightest bulbs in the box to begin with, but now can't even hold even a menial job, and have very poor impulse control--and they know this isn't normal. After our last clinic, the attending and I talked about this and about how lucky we were that we could "think for a living", and I said I didn't know what I would do if I couldn't think for a living anymore. If I were in an accident or something that resulted in permanent brain damage and leaving me obsessive-compulsive or impulsive or something...well, losing my mind (literally) is one thing that I hope never happens to me.
Anyway, I need to go get ready for another fun and exciting day in Dodd Hall.
Monday, March 2, 2009
Physical medicine and rehabilitation
Today was my first day on physical medical and rehabilitation, hereafter referred to as PM&R. All in all, it was a fairly perfect first day: I didn't even have to touch a patient! The day started with orientation, as they always do, and after having my brain numbed, I headed over to Dodd Hall (the rehab hospital) after lunch to begin work.
I and my fellow med student met up with our residents a little after 1, and got the brief rundown about how things work on the traumatic brain injury service. Even after that, neither of us was really quite sure what we'll be doing this month. All we know is that we have to show up around 8:30 tomorrow morning (sleeping in!).
And that's all I know. More to come later.
I and my fellow med student met up with our residents a little after 1, and got the brief rundown about how things work on the traumatic brain injury service. Even after that, neither of us was really quite sure what we'll be doing this month. All we know is that we have to show up around 8:30 tomorrow morning (sleeping in!).
And that's all I know. More to come later.
Subscribe to:
Posts (Atom)