Sub-Internship Makes My Life Seem Like A Blur

This week has seemed a blur as I have started into my medicine sub-internship. I say that because I am realizing just how busy it is going to be when I am an intern full time next year. I had to ask Steph to look at the calendar to remind me what actually happened this week outside the hospital.

I was on call Monday and Friday this week. Being on-call entails being at the hospital from 6:00 am one morning until 1:00pm the next day – about 30 hours total. During an on-call day, our team can get up to 10 new admissions, usually starting in the afternoon. There is a senior resident, three interns (including me) and two junior medical students, so we take turns going to meet the new patients, usually in the emergency room. On Monday I got two new patients – an older gentleman that had fallen in his home and been stuck on the floor for two days before being found by his neighbor, and a lady with multiple sclerosis (MS) with a bladder infection. As an “intern” I am in charge of meeting the patient, conducting a full history and physical, writing all the admission orders, and then taking care of the patient while they are in the hospital. I still have the senior resident who looks over all my orders before they go out to make sure they are ok, but it is a new experience to be in charge of making so many decisions. I am at a new location that uses a computer system that I am not familiar with, so it has been an uphill learning experience on that end as well.

That first call night I got about six hours of sleep, which was great – I didn’t have to go home and sleep the next day. But I did miss the Labor Day ward BBQ that Steph went to with the boys. She said some of our friends helped her with the three boys and that the boys loved playing on the playground.

My other call night, Friday, I got about 3 hours of sleep. I got two admissions again, this time a man with a cellulitis (skin infection) in his left leg, and a really complicated patient that has a 3rd clot in his left leg and shingles all over his body because he had a lung transplant a few years ago and is on medicine to suppress his immune system. Things were a little busier overall for our team, so I was up more of the night and pretty tired the next day. It is nice to have that post call afternoon to recuperate before having to go back in the next day.

Then, on top of normal call coming every 4th night, we have “short call” that occurs the day after our post call day (so call day, post-call day, short-call day, and pre-call day). On short call we start taking admissions in the morning and can get up to 4 as a team. Most mornings we are already busy with seeing how the patients did overnight, writing progress notes, filling orders, calling consults, and rounding as a team to talk about our patients, so to add admissions on top of that makes those days pretty busy as well. I guess I never realized how much paperwork goes on in the background behind patient care.

Wednesday night I had my first Alpha Omega Alpha (AOA) meeting. AOA is the medical school honor society – only 32 of the 200 people in our class were invited to join. Dr. Kolesari shared with us how he ended up as a family practice doctor and the director of the anatomy program at the medical school. Then we were introduced to the different programs that AOA members typically take part in, including helping to prepare the 2nd years for the Step 1 test; helping with testing the 2nd years for their physical exam test; helping with the Make a Wish foundation; serving at free clinics; and more. It looks like one of the goals of AOA is to find ways to serve the medical college community and our community at large.

I had Thursday off, which was such a nice break after the busy week. I helped Steph to take the boys to their last art class. They made tropical trees, “grass” (plastic) skirts, and other decorations for a luau that we had Saturday night at the Nielsen’s house. The luau was really fun, except for the mosquitoes that bit all of us in about 20 places each. Camden looks the worst with pink spots all over his face. There was a fishing pond and a treasure hunt for the kids, and dinner and desserts. Then we came back to our place for games last night.

Thursday afternoon and Friday all day Steph participated in getting several ultrasounds of Isaac, to help with training residents and some nurses on how to conduct ultrasounds. She got to keep several of the ultrasound pictures, got food, and even will get paid $100 for participating. I also made about $70 this week from selling old text books. Oh, speaking of money, we got our residency interviewing and relocation loan this week, so we now will have money to help pay for applications, interviews, and then moving next summer.

On Tuesday I looked over my application for residency programs one last time and then hit the submit button. I ended up applying to 100 dermatology programs and 6 transitional year programs. The ball is now out of our court and we will wait to hear for interview invitations. Keep us in your prayers so that we can get in somewhere. :)

Today I had to go into the hospital to round on my patients, so I finally got over to the church about 1:00pm for the last 20 minutes of choir practice. Mainly I went to help Steph with getting the boys back home. The Kearls invited us for dinner tonight, so that should be pretty fun. And I have tomorrow off, so that will be very relaxing. I am looking forward to when this month is over so that I can have my weekends back and more time to spend with the family.