A year ago I was in Vegas attending ACEP SA and looking forward to starting my new career as an attending physician. Now I am an attending physician looking forward to attending ACEP SA in San Francisco. It’s been quite the year, with a LOT of things learned along the way…
- With a good supporting staff you can run two codes at the same time.
- It’s never easy when a patient dies… it’s even harder when they come back to life after you’ve pronounced them.
- Suddenly the painful bread and butter patients become your bread and butter.
- Nights and weekends, you’re the central line, intubation and OB specialist.
- Draining an abscess is still satisfying.
- I hate dictating.
- I realized one day about six months in, that I will probably be here to see some of my pediatric patients grow up, some of my elderly frequent fliers die, and I will end up with some “private” patients.
- The surgeon who yelled at you one day will be the one who comes in and places a chest tube and central line for you the next when you’ve got a major trauma and a full board and growing rack.
- The Darwin Awards exist for a reason as exemplified by the girl with the C2 unstable fracture that left AMA because I wouldn’t “schedule” her a neurosurgery appointment and who “had too much to do” to be transferred to the other hospital up the road. She ended up driving herself about 2 hours later to the hospital and couldn’t be taken to surgery until later that night because she’d stopped at McDonald’s for a full meal… while wearing her C-collar at least…
- Really sick peds patients still scare me.
- Necessity really is the Mother of Invention
A year ago when I became an attending at this small rural hospital, I posted a blog about being thrown into the water not sure if I would sink or swim. A year later, I think I’ve mastered dog-paddling; this next year I will probably be learning some simple strokes. Just keep swimmin’ Just keep swimmin’… I look forward to seeing you in San Fran!!