Best message from the NRMP ever! I’m so excited for Friday to find out where!
4
Kind of a momentous moment in an M4’s life…rank list officially certified.
The countdown continues…almost 24 days to go!
And meanwhile on ENT…
Fellow: Can you close? I’m going to sit for a minute.
Me: (terrified expression)
Fellow: When was the last time you sutured?
Me: April?
Fellow: Eh, it’s fine. Go ahead.
Why dating your senior resident is tricky…
(and other musings for a post-ERAS-submission M4)
- I finished my MICU rotation last Friday. On Sunday night, my senior resident and I went out to dinner. And then out again for drinks this Thursday. He’s adorable. And hasn’t called again. (This is why you really shouldn’t date your resident)
- I started ENT this Monday, and it is just very…small. I’m at a children’s hospital, which probably contributes to the “smallness” of the procedures, but I’ve also noticed that the residents speak very quietly and I’m in turn forced to be that annoying medical student who constantly asks - um, what I am looking at? (This is why senioritis setting in so early is bad)
- My cousin is getting married at the end of the month, and my bridesmaid dress is oh! so! pink! Like a pink poof. Of taffeta. (This is why brides should really be much more considerate when choosing dresses?)
- I have a blister on my toe. Ouch.
ICU Hilarities
Resident: Type and Screens (for blood) have to be repeated every 3 days.
Me: (sarcastically) Why, does the blood type change?
::Silence all around the room::
Resident: (completely serious) Does the blood type change? No, it doesn’t. You can’t be A one day and then O the next.
This is an example of sarcasm fail (and the Type and Screen is to check for antibodies, as I found out after I awkwardly tried to explain that I was asking the question sarcastically/rhetorically)
The Art of an ID consult
Our patient has these fevers that sort of happen sporadically. We couldn’t figure out what was causing them, so we asked for an infectious diseases consult from our friendly, neighborhood ID fellow.
Here’s what happens when you have the M4 sub-I talk to the ID fellow:
ID fellow: What’s the reason for the consult?
Me: He keeps spiking fevers up to 38.6 every night, well not every night, but like, most nights. And only at night. And we’ve done CXRs and cultures and can’t really figure out what’s going on.
ID fellow (looking through chart): When was the patient last in Mexico?
Me: About a month ago?
ID fellow: Have you thought about brucellosis?
Resident: Is that the one from pet cats?
ID fellow: Well, cats - but I was thinking maybe brucellosis from cows given his recent travel history to Mexico.
Me: Oh, you mean from a pet cow?
ID fellow: Who do you know that has a pet COW?
-
In my defense, didn’t Laura Ingalls Wilder or Caddie Woodlawn or the girl from Charlotte’s Web have a pet cow?
Step 2 CS today.
Missing a post-call day to take my Step 2 CS. I’m actually really excited to see what’s for lunch…
Medicine Sub-I Thoughts
Pros:
- No shelf exam! (Seriously, there is no bigger pro than this one - it’s awesome)
- It kind of scares me how much information I actually managed to pick up through osmosis as an M3
- The pimp questions have all been asked before so I know the answers :)
- The M3s bring in doughnuts.
Cons:
- Putting in orders is confusing at times. Why are there six different formulations for every drug?
- Discharge summaries, bleh.
- Staying for sign-out…um, can I please wait until I’m an intern to do this?
