I started my second block of Internal Medicine this week, and I’m at a different hospital just a few miles away from the med school. It’s so different and way less busy, hence me having some time study AND blog tonight!! More on that in a sec, though. First I want to quickly recap my New York City trip this past weekend!
New York City
My boyfriend grew up near New York City, so I wanted to use my weekend off to go explore with him. We had a big flight debacle (which you may have seen on my Insta Stories) and ended up having to come back to my house Friday night. Our new flight didn’t get us in until Saturday mid-day so we rearranged our plans a bit. Saturday we walked all around Hoboken, hung out with some of his friends on their apartment terrace, and then ventured over to the West Village to hang out with my college roommate. We ate chips and guac, got a few drinks, and watched ND beat Michigan State before taking at 20 minute turned 1.5 hour Uber ride home (NYC TRAFFIC IS TORTURE.)
(Oh look, the white top I wear constantly!)
Sunday morning we slept in and then did a few tourist-y things. We walked the whole High Line, wandered through Chelsea and more of the West Village, and then made a pit stop for lunch and NFL games (him, not me!) Our last stop was spending some time at the 9/11 site and the new Freedom Tower. We didn’t have enough time to do the tour, but just being there was pretty moving. Can you believe it’s been 16 years?
We both got a little work done in the early evening (luckily we are both similar in that doing no work would make us way behind and a little anxious!) and then met his parents for a really nice dinner. Monday morning it was time for me to head back to St. Louis. I had the day off from clinical rotations, but wanted to be back in time to take my godfather to lunch. If you’ve been reading for a while you may remember that my godparents live in Dublin and I’ve visited them a few times. This time he came over here and we had a great sushi lunch catching up and then toy shopping for his grandkids.
Internal Medicine at a New Hospital
Tuesday was my first day at the new hospital! I got assigned a team which consists of a chief resident, intern, and PA student. We round with one of the physicians and also have a pharmacist and two pharmacy students that round with us. It makes for a very team oriented approach, usually bringing the patent’s nurse into the room as well, which is really nice.
I’m still getting use to how the hospital and teams run. My first four weeks of internal medicine were pure craziness with around 14-16 patients, call every fifth day, and a hospital constantly buzzing with codes, pagers, and phones ringing. We sat in a little office with our team where we were always helping to answer pages, calling for a consult, checking in with social work, or writing patient instructions before discharge. It was busy and stressful at times, but exciting to be an integral part of the team.
This new hospital is smaller, more newly renovated, and just has way less noise. I haven’t heard a single overhead page for a rapid response or a code! All of the teams sit together in a big “library,” we have to go outside to use a phone, and lots of the pages happen via secure text message to the residents. It’s so calm all the time!
Our list is much smaller at around 6-9 patients each day, but the same physician covers more than one team so rounds often still take the whole morning. And since we don’t have a specific call day, each new patient just gets assigned to the teams based on how much room they have. We have gotten at least one new patient each day so far.
I’m still in my first week so I’m sure things will change and I’ll settle into a routine. Though I like being busy with patients, it seems like I’ll have a lot more time to get studying in which will be really helpful for my upcoming exam. It’s also just good to experience a variety of different hospitals and see how different the practice of medicine can be.
Bed time now – my workday starts around 6:45-7am so I need to get some sleep! Hope you’re having a great week!
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