Almost done with my second month of wards...

This month...
3 disseminated histo
1 legionella pneumonia with bilateral carotid artery stenosis and a stroke
1 DKA in a previously undiagnosed type II diabetic
1 HIV diarrhea with a K of 2.9 and a Hct of 12
1 bacterial meningitis with mastoiditis requiring otologic and neurosurgical debridement
1 guy on his way to get a liver transplant who started bleeding to death from his periodontal disease; who had an ASD; flown in to our hospital rather than where his liver was waiting

and a bunch of others I can't remember right now...

I am learning a lot and it is slowly becoming less painful. But it still hurts.

Tonight the ladies in the program are having a happy hour get-together. I am leaving the baby with daddy and going. I might even take the bus there.

Oh, and I am losing weight - unintentionally. Hate me if you want to.

Need vacation.... but no breaks until January.

Why I chose internal medicine...

I had a call so good, so hard last night it just makes me giddy. Also makes me want to go back to the hospital to check on my ICU admissions. Bacterial meningitis (worst case the ID doc has ever seen), Bad Pancreatitis, and Bleeding Man at the top of the liver transplant list (who deserves that liver). My Amazing Lymphoma Lady came back too, for a second round of chemo. She won't be neutropenic for at least a week I hope... so time to tend to some really sick people. I learned a lot. I did a lot. And it makes me look forward to going in tomorrow- pretty darn early. Maybe I am an adrenaline junkie.