1st Day...

So, today was my first day as the lowly intern. Interns seem to fall down to that bottom rung on the ladder of residency... back to the bottom yet again, but with some responsibility this time. Not that I can truly complain, today, because it was not a difficuly day... well... it never is difficult to act like a chicken without its head... you just run around flippantly trying to 'get your bearings' on the surroundings as well as how to operate the 'new' computer system.. which is like the vital life-line to the resident. it's a good thing that life-line is so very unfamiliar to me. fumbling with new access codes that could be it's own mini-book... novella if you will... trying to remember which goes with what and what goes with whatnot. a mountain of newness to become accustomed to.
voondebar [i am going for phonetics here]!
well... so i am at a place for less than a week and already have been pointed out as a possible 'trouble maker'... great... fantastic... but let me explain.
so the residency coordinator and chief resident each let me know that the lady from gme [graduate medical education] had called complaining about me during one of the orientation days. apparently during one of the sessions i had a maxim magazine out and was reading through it. although this probably, initially, doesn't look well for me... it is true, and actually explainable. first of all, the issue wan't that good, but it was meant to fill a time. you see, i had taken care of a few things [to be done in orientation] ahead of time... and the lady [perhaps now jokingly] told me to do something else to fill my time. when i saw this space on the schedule i reached for the maxim... and the rest is history. oh, well... time to be a good boy for now as far as that goes. besides... at least i was awake and trying to listen... moren than i can say for half of the attendants there, but unfortunately i don't think that the people in the back analyzing that type of behavior could tell who was sleeping, since i doubt so many complaints were filed.
anywho... after this and such the other interesting of note that i wanted to jot down was the first perscription that i dispenced as a doctor...
april, you will love this...
ketoconazole... yep... tinea for a pt. in clinic today. it felt weird to sign on that, which struck me awkwardly. alas, however the day was relatively responsibility free for me, but i can see how things will pick up. there was only 1 call today and the 4th year took it as it was a ed nothing. or at least nothing could be done anyway. not that it wasn't anything... or worth going... since i wish i would have gone and gotten the experience.
saw some interesting things in clinic... pt. with a brachial plexopathy and extensive lower arm/hand grafting d/t getting his hand caught in a conveyor belt and suffering subsequent burns... a guy with a complex boxer's fx that extended superiorly and became intraarticular... a boy with a bilateral rhizotomy performed for spasticity... a guy with multiply head surgeries s/p leiomyosarcoma removal on his vertex which invaded the parietal bone, where the cancer was removed, bone was cut superiorly and then moved back to help cover the defect and the healthy calvarium was covered with skin graft... what makes this guy's case even more interesting is that he also had a kidney transplant a few years ago and has a pacemaker... talk about complicated. but he looked amazing and his family was wonderful.
anywho... you get the gist. both the 4th yr. and i basically just kind of followed on coat-tails... which is good for the time being as i like to see some of the things that dr. hendrix does [plastic surgeon who did a hand fellow].
well... time to get some reading in... a little anyway... and reflect on what tomorrow will bring.
until then....
i really need to get some pics up... of this lower rung thing.
love to all,
-g