Pep-Talking Yourself in the Morning
When Your Resident Finds Out It’s Your First Rotation
1. Today is my best friend’s birthday as well as the guy i’m seeing
2. In four months i will be a fully qualified Operating Department Practitioner
3. I have a tabby cat named Florence Amelia
Today marks the halfway point of my psych rotation! Let me just say I am thankful to finally have 2 days off this weekend. I have been going since last Monday with being on call and all. I already told y’all about the colorful weekend. It didn’t get much easier throughout the week. We had a lot of complicated patients…out of the 13 we admitted over the weekend, we still have 7 plus one new one admitted last night.
We were supposed to discharge three today, but only one ended up leaving because two snapped on us. One lady wasn’t giving us an address to the group home she was supposed to go to—instead she gave us the address to a friend’s house where she apparently gets crack…now she is 50, she can make her own decisions, but we are supposed to release her to a stable environment…any way, she was in a very agitated mood when we talked to her today and needed a shot to calm down because she was so worked up. Since we had to give her the shot, she could no longer go home today. Another kid I had was telling me he was fine, basically saying what he thought I wanted to hear so he could go home. When we all talked with his mom we found out a very different story than the one he had been telling me for the past week. His mom agreed that he needed a little more time, which was not what he wanted to hear. He is a 19 year old that was literally sitting there and pouting like a 10 year old. I was surprised by how rude he was to his mom, and after our conversation he called his mom a “snake” that didn’t want to help him. This lady gave up her job to be with him and make sure he was okay with his paranoia and depression, but yeah, doesn’t sound like she wants to help you at all…
The new kid I got today was just wild…he was so nice and cooperative in our interview but straight up lied to me about pretty much everything—I know, shocker there, lol. Reading his ER note after our interview I almost thought I interviewed the wrong person, that’s how different everything was. We are trying to determine if he has schizophrenia, bipolar disorder with psychosis, or schizoaffective disorder. It will take some more history from him, which is apparently not reliable. Schizophrenia is the presence of psychosis in the absence of mood symptoms. Bipolar disorder with psychosis is the presence of psychosis only present with mood symptoms. Schizoaffective disorder is kind of in the middle—there are mood symptoms present for the majority of the illness, but the psychosis must be present for at least two weeks without any mood symptoms. So we need to talk to him some more and hopefully his family to figure out which he has.
Today was wonderful—we were done by 1:30, our attending treated us to lunch in the physicians’ lounge, and he let us go by 2! It is also our mid-rotation evaluation time, so we asked him how we are doing, what we can improve upon, etc. He said we were doing amazing, that he sees how hard we are both working, and how much he appreciates it. He just wanted us to make sure we have enough time to study for our shelf exam. He is a really nice doctor, I just wish he was more timely…lol. At least when he makes us wait, we have time to study!
Since we were able to leave early I got caught up on some studying! Went through some more cases in Case Files, did UWorld questions, wrote out and reviewed my incorrect and marked questions to work on difficult concepts, and even did some pharm flash cards—more productive than I’ve been in quite a while! Lately I haven’t felt like studying, which makes it difficult to study effectively. Now it’s time to get back into my “real” studying and check some things off of my “to do” list this weekend!
As always, any questions, just ask! 😊
Hi friends! So today was Day 8 of PiYo—I am absolutely loving it! No jumps, no crazy moves, just a great workout! I feel my flexibility coming back (yay) and some of the moves are getting a little easier already. Today was Sweat—and it definitely delivered! I’ve also been loving trying out the different Shakeology recipes—I have chocolate, so it’s like drinking a dessert every morning for breakfast :) Today I did 1 scoop of chocolate shakeology, 1 cup of blueberries, 1 cup of water, and ice—soooooooo good!
My challenge group is keeping me accountable for my workouts and what I’m eating, so I’ve been staying on track. I’ve even lost 0.6lb already! Even when we’ve gone out to eat, I’ve been making healthier choices. I would normally have ice cream every night, but haven’t since starting PiYo, which is a big step for me! Sweets are definitely my weakness!
All-in-all, I feel like it was a good first week—I just hope it continues into this second week too, lol. I haven’t noticed too much of a change in how I look (it’s only been 1 week!), but I definitely FEEL like I have more energy, which is great with rotations!
I’ve also been contemplating becoming a Beachbody Coach, but I want to make sure I can actually commit to it…That might be hard to do with med school and studying and everything…but it DOES go along with my wanting to help people…I don’t know—what do y’all think?
Call weekend is over! The floor was not completely full, 16/20 beds yesterday and today. My colleague and I were able to split it up so we each had 8 patients, which is not a bad patient load.
One of my patients was discharged yesterday, and we had 4 new admits from last night, which means 4 long admit notes to write for their charts. My two did not want to talk to me. The first one told me she wanted to “speak to a real doctor,” okay, no big deal. My second one was kind of funny. I went and knocked on his door and said his name and he was asleep. So I gave him 45 min while I finished up with my other patients before I tried again. He was “still asleep.” I saw some other sleepy patients before trying him again. This time he was not in bed, but not out on the unit, so I figured he was in the bathroom. I went and studied for a little while before trying him again. This time he was “asleep,” but had apparently gotten up and moved his chair in front of the door so I could no longer open it to ask for him. I found out this was a big no-no when I told the nurses. They discussed how he could not do that and he went for snack. After snack I saw him, knew it was him because I knew all of the other patients on the floor, so I said “Mr. So-an-so, would you mind talking to me for a bit?” and he just completely ignored my existence. Whatevs—I understand he’s still adjusting to being in the unit and is just displacing his anger/paranoia. I knew not to take it personally :) There was definitely a full moon this weekend…A lot of paranoid patients, delusional patients, borderline personality disorder patients…It was definitely a handful, but it was very interesting to see all of these different presentations!
Thankfully we finished early-2pm-and I was able to go home and get some family time in with my husband and our dog. I WAS going to be productive and get a lot of studying done, but I was just exhausted for some reason. Take note—listen to your body! I knew I was not going to get any good studying in, so I didn’t force it :)
Well, I have to “work” Mon-Fri this week. We have family coming to visit on maybe Wednesday, but I probably won’t get to do anything with them…welcome to the doctor life! I’m hoping I at least get to go to the zoo or aquarium with them—I’ve been wanting to go so badly!
As always, any questions just let me know!