One lethal anomaly, 3 miscarriages, and 1 ruptured ectopic in the office. All. Before. noon.
ugh.
I think I hit my quota of badness for the month in just those 4 hours.
Friday, February 25, 2011
Friday, February 18, 2011
Quote of the day
My nurse to a new patient, for whom English is not her native language: Are you sexually active?
Patient: I walk a lot.
Patient: I walk a lot.
Monday, February 14, 2011
Whirling vortex of CRAYZEE
Pretty much sums up my day. Oh, and there was stoopid in there as well. Between the staff and my patients and the phone...
ugh. Hopefully tomorrow will be better. I'm just asking for my patients tomorrow to have functional synapses. It'll help a lot.
ugh. Hopefully tomorrow will be better. I'm just asking for my patients tomorrow to have functional synapses. It'll help a lot.
Saturday, February 12, 2011
Thinking about where I am
Career-wise.
I'm 5 years out from residency. I'm far enough out that I don't have the jitters when I'm in the OR like I did when I first started out. I was terrified to do laparoscopies.
Now scopes are my bread and butter. Do several a week. Rarely decide to convert from scope to open.
Vag hysts were evil. I hated them, they took a couple of hours and I would struggle. Now, I do several per month. I still hate them, for technical reasons - visualization, access to structures I need. I now whine if they take more than 45 minutes. But I'm now good at them...and I'm now the only GYN in town who does them on a regular basis - everyone else does total laparoscopic hysts pretty much exclusively.
I think surgically, I'm at the top of my game now. I've learned little tricks and tips on my own - even told my old GYN-Onc mentor a trick I figured out.
In terms of practice style, I'm close enough to residency to be up-to-date yet have experienced enough to have evolved the begininng of the "Gut feeling."
Experience. Experience. Experience. And that is why we practice.
I'm 5 years out from residency. I'm far enough out that I don't have the jitters when I'm in the OR like I did when I first started out. I was terrified to do laparoscopies.
Now scopes are my bread and butter. Do several a week. Rarely decide to convert from scope to open.
Vag hysts were evil. I hated them, they took a couple of hours and I would struggle. Now, I do several per month. I still hate them, for technical reasons - visualization, access to structures I need. I now whine if they take more than 45 minutes. But I'm now good at them...and I'm now the only GYN in town who does them on a regular basis - everyone else does total laparoscopic hysts pretty much exclusively.
I think surgically, I'm at the top of my game now. I've learned little tricks and tips on my own - even told my old GYN-Onc mentor a trick I figured out.
In terms of practice style, I'm close enough to residency to be up-to-date yet have experienced enough to have evolved the begininng of the "Gut feeling."
Experience. Experience. Experience. And that is why we practice.
Tuesday, February 8, 2011
Whining
I graduated from medical school in 2002. 9 years ago. Did a 4 year residency (aka poorer than dirt for 4 years while working my ass off).
Just sent in my payment for my student loans. I still owe nearly 70K on them. It seems like they'll never go down to 0.
:(
Just sent in my payment for my student loans. I still owe nearly 70K on them. It seems like they'll never go down to 0.
:(
Wednesday, February 2, 2011
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