I was in clinic a few weeks ago, and overheard a conversation about a low anion gap, and needing to test for multiple myeloma, I was buried in notes, but I tucked it away in the back of my head to review causes of low anion gaps. I'm so used to MUDPILES or whatever other … Continue reading The Low Anion Gap Conundrum
I'm on the CCU right now, and there's a lot of learning to be had. To be honest, t he learning curve for me having not done inpatient medicine at my institution is a little steep for the practical things like, admissions criteria, and how t o make Epic work optimally for me. But on … Continue reading D-lactate vs L-lactate
"35,000 units of heparin are in." "1/3 of the protamine is in." Recently, in the OR, I was jokingly told that I have a "trumpet voice," meaning I make sure what I'm saying is heard. It's true, I have my teacher-voice. Not the, oh why are you on the table dancing around? voice, but the … Continue reading On being loud and Peanut Butter Cupcakes with Banana Caramel
Make these this weekend. Really. Make it. This recipe was my turning point. Intern year is hard man -- you are worked, and then you come home and you read, and you study, and then you're worked some more. You see things that you did not know were possible, you see pathology that you only … Continue reading Goat Cheese Crostini with Roasted Pomegranate Eggplant
Today was my last day of medical school classes. Four years, lots of friends, lots of memories, and a lot of fun. It was tiring, it was invigorating, it was exhausting, and overall it was pretty incredible. As approach actually getting my doctorate, the one thing I'll take away is that I will always be … Continue reading Mini-Medicine: Altitude Sickness
It happened, I matched! I'm going to be an anesthesiologist -- well, after a year of being a medicine intern. It was ridiculously scary opening the envelope even though it makes no sense: how slowly or quickly I open it isn't going to change the outcome, the outcome was already decided. But still, I opened it … Continue reading Coffee Crumb Cake
Yesterday was Pi Day. I made a pie. And I matched at a residency program, though I don't know which one, as did many fourth year medical students . It's the culmination of our medical school work, deciding what field we want to pursue, putting together an application, going through interviews, setting a rank list, … Continue reading Lemon Meringue Pie, Matching, and Pi Day
It's simple: you don't look at them A patient comes in, and you vaguely introduce yourself while sitting down to your computer (not looking at them), ask them what brings them (not looking at them), ask about their medications (not looking at them), ask about their pain (not looking at them). You turn around and … Continue reading Why don’t patients remember your name?
And they're in! Applications that is. Actually, they went in two days ago (9/15/15). Yep, I typed that whole date out. It's a date I'm going to remember. Four years. Remember this post when I started medical school? I do. The details are fuzzy, I honestly don't remember the white coat ceremony well other than … Continue reading And May The Odds Be Ever In Your Favor…
Yesterday was my post-call day. What that means is that I was "on call" or in-hospital for 24 hours prior, and I got to go home after watching 4 babies delivered in a foggy haze with judgment similar to after having 2-3 drinks, and pass on out. I'm currently on my OB/GYN rotation with 24 … Continue reading NSVD: normal spontaneous vaginal delivery: that time when I almost passed out.