Confessions of an Intern

By feydoc

39.2K 998 194

These are musings of mine, told as I grow through residency. I hope to share a little insight into the making... More

I. Inpatient Medicine
Week One
Week Two
Week Three
Week Four
II. Emergency Medicine
Week Five
Week Six
Week Seven
Week Eight
III. Pediatrics
Week Nine
Week Ten
Week Eleven
Week Twelve
Week Thirteen
Week Fourteen
Week fifteen
Week Sixteen
V. Inpatient-Part deux
Week Seventeen
Week Eighteen
Week Nineteen
Week Twenty
VI. Night Float and Office/Week Twenty-One
Weeks 22 & 23
Week Twenty-four
VII. Obstetrics/Gynecology
Week Twenty-five
Week Twenty-six
Week Twenty-seven
Week Twenty-eight
VIII. Inpatient Medicine-take three
Week Twenty-nine
Week Thirty
Week Thirty-one
Week Thirty-two
IX. Office/Nightfloat
Week Thirty-three and Thirty-four
Week Thirty-five
Week Thirty-six
X. Human Behavior
Week Thirty-seven
Weeks thirty-eight and thirty-nine
Week Forty
XI. Inpatient--take four
Week 41 and 42
Week Forty-three
Week Forty-four
XII. Newborn/Obstetrics - Part 2
Week Forty-five
Week Forty-six
Week Forty-seven
Week Forty-eight
XIII. Cardiology
Week Forty-nine
Week Fifty
Week Fifty-One.
Week Fifty-two

IV. Surgery

632 15 2
By feydoc

                                                                 IV. Surgery

There are several branches of surgery, subspecialties within a specialty. I was supposed to be on General Surgery, where, depending on the milieu of the hospital system in your region or city, can mean the surgeon does everything, or is basically relegated to operating on things in the belly, on the skin or to wounds. There are likely many other skills included here: endoscopy and central line placement to name a couple.

Then there is trauma surgery...this is what I was reassigned to at the last minute. It is a zero to a hundred miles per hour in a minute job. There is a lot of hurry up and wait, even in a busy trauma center. These folks still do general surgery in their spare time, but when you've been torn up in a car wreck, or stabbed or shot by your homies (or wife, or girlfriend, or best friend, or...you get the point), these are the folks that try to put you together again. The saying "Life over limb," really applies here. They initiate the basics: ABCs as you learn them in Basic Life Support, and carry that forward into skilled placement of emergent central lines and airways, or they may stick a finger in your neck to make a 'dam' in your carotid so you don't bleed out. It is a structured approach to trying to correct chaos. In the moments most human beings would turn tail and run, blood pouring down the sides of the life flight helicopter as it lands, limbs laying next to a person in an obviously non-anatomic position, or someone in agonizing pain, with no obvious external injury, these folks jump in, rub their hands together and get to work.

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