Thursday, January 8, 2015

Friday January 2, 2015

Friday was next 24 hour call shift (now q6 since one of the other doctors returned from off-island).  There were 2-3 c-sections and two admissions (plus multiple phone calls and consults).

The most interesting patient I had admitted was a 13 year old girl coming in with DKA.  I had managed DKA in adults several times on our inpatient service, but this was the first time managing a child. It was also interesting because I needed to physically write out all the protocols (insulin drips, hypoglycemia, etc) by hand - I had gotten so used to simply opening the DKA orderset in EPIC back home and click-click-click... move on.  Looking back, I think having to write out the orders really tests your knowledge of the etiology and management of the disease.  There are also limited computers and no wifi, so you have to rely on *books* and other sources to look up information.  I actually felt like I was doing real medicine.

Another strong learning point was in the interpretation of Xrays.  There is no on-call radiologist to read your films - you are it.  The films are read several days later, but by that time you hopefully have treated whatever the patient had.

1 comment:

  1. My Brothers and Sister all over the world, I am Mrs Boo Wheat from Canada ; i was in need of loan some month ago. i needed a loan to open my restaurant and bar, when one of my long time business partner introduce me to this good and trustful loan lender DR PURVA PIUS that help me out with a loan, and is interest rate is very low , thank God today. I am now a successful business woman, and I became useful. In the life of others, I now hold a restaurant and bar. And about 30 workers, thank GOD for my life I am leaving well today a happy father with three kids, thanks to you DR PURVA PIUS Now I can take care of my lovely family, i can now pay my bill. I am now the bread winner of my family. If you are look for a trustful and reliable loan leader. You can Email him via,mail ( Please tell him Mrs Boo Wheat from Canada introduce you to him. THANKS