Tuesday, December 22, 2009

Isolation

Families, Health care workers, Patients, PLEASE...

Stop fucking wearing isolation gowns all over the hospital. So much for universal precautions. These gowns were designed to protect your clothes from patient pathogens, and the patient from your pathogens. If agents get on these gowns and you leave the room with them on and masquerade around the hospital like dumb-asses, then you're theoretically stirring diseases around in the general public.

I fucking hate seeing this shit.

Wednesday, December 9, 2009

Bull Shit

Inpatient Peds Rotation

1) I hate it when you get two different instructions from two different higher-ups (residents). Then, invariably when nobody is around to help you when you need it, you do whatever you think is safest (note-writing procedure, for example). Then you get bitched out by the resident for "doing it wrong." Now you can't argue back or they'll make you out to look like a condescending and haughty med-student.

Too many times, mis-communication. You get mixed signals or incomplete communication and you just do your best. And too many times you get bitched out by some stressed out resident who has noone better to take out their anger on than you.

It's an annoying and long rite of passage and I'm sick of stuffing my pride to bend over and take it from cheese dicks. And I hear this happening all over my institution and at other institutions. It's part of medical education and you learn to let it roll off your back.

Thursday, December 3, 2009

Do it over again

3rd year here. In clinical rotations. If I were time-warped back to freshman year of college now, knowing what I know, would I do it all again? No.

I'm not sure what I'd do, but I'd try going into physics or computer science and finding my way to a reasonable job near a big city. I don't know, maybe 75K/year and I'd be plenty happy. Because in that non-medical job...I'd potentially have...

-Colleagues/Co-workers that were actually like me
-Weekends off
-Weekends off
-My 20s
-Did I mention my 20s?
-The freedom to fully explore my hobbies and interests
-An actual time to clock out and go home

I'm not saying medicine gives me no pleasure, or that I won't be a passionate physician that truly cares for his patients and his work. I can do that. But the sacrifices are so much, so great, that it is just barely, barrreeellyy worthit.

Even in medical school, hell all four years, you are asked to give up time and energy that very few your age are also giving up. There's worse...there are those soldiers who put their lives on the line for our country, who leave their families and stay abroad for months and months at a time in dangerous places for their stints. There are many who have to work many jobs to support their families in the hard economy.

So I am not saying medical students' lots in life are particularly difficult or unfortunate, not at all. I'm just saying man...we made a choice and we really do give up a lot for that choice. For the hope and promise of job security, prestige, financial security, and a great job, we go through so much.

Cuz you know what sets physicians...a "profession"...apart from "jobs"? The fact that we don't clock out and go home at 5pm. We are beyond the basic "job" where you come and do your work and go home. We are professionals...we do our jobs as doctors and care for patients. We don't watch the clock. In this profession, 60 hour work-weeks are touted as "nice", "light", "easy", and to some older docs, even as lazy. Especially when in training, a 60 hour week is considered extremely easy, and even 80 hour work weeks are considered normal and people lie about their hours to exceed even that. Weekends are never to be had off and families are rarely seen for many.

It's ridiculous. I'm getting so jaded already. I'm on an inpatient peds rotation, it's asking a lot of hours, weekends, staying until 10pm when I came in at 7am. And this is nothing compared to my up-coming surgery rotation...or actual internship.

It's so easy for kids in college to sit there and say "yeah, I want to be a doctor. I want to help people and save lives. I'll go through whatever it takes to get there, I really want to do it."

Do you really? Really? I'm amazed that as many accepted med students follow through and graduate, but I suspect a large number are disappointed, and "held hostage" by their mountain of debt, and knowledge of the time they invested.