Halfway through sub-i

7 Oct

Well I’m halfway. Last week I worked every day of the week. A patient coded while myself and my co subi were alone on the floor. Backup came, of course, but it was terrifying nonetheless. Next time we’ll know what we can do, instead of just auscultating while the patient is struggling to breathe.

I’m getting into the flow of things. Said bye to some patients I’ve grown fond of. One patient has her adult daughter by her side almost every moment day and night. Her daughter feeds her, changes her diaper, and keeps her company all through the night. I felt happy and sad to see them go. Will I get to ever know what happens to them? That’s goodbye for real?

I feel like a job is done when patients leave, but really its just that my part is done. They are rarely completely healed, just stable and safe to go home.
It feels good to feel myself becoming more efficient, less afraid, growing. But I also feel myself hardening a bit. Like things don’t affect me as much. It partly comes with experience I guess but mostly just helps to work faster. There are limitations to hospital care and as much as I love the pace and intense patient care, and I love the interdisciplinary work, but I also feel sometimes like just a pit stop or a bandaid. Are the changes I make going to impact their health down the road? Will their primary care doctor make any changes? Will they follow up? Are they any more healthy?

Two Mondays to go.

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3 Responses to “Halfway through sub-i”

  1. A Hopeful Doc October 9, 2013 at 1:37 pm #

    I feel that way even when I worked during summers as a transporter. Connecting with and talking to patients, if even for 5 minutes, makes lots of studying worth the effort. Do you think you’ll end up in a specialty with a lot of patient-physician continuity?

    • Sunny October 10, 2013 at 8:11 pm #

      I hope so! I was thinking of doing hospital work but want the option of switching to clinic work later or at the same time. Unfortunately it seems less common nowadays to do both hospital and clinic work at same time.

      • A Hopeful Doc October 11, 2013 at 12:44 am #

        If it’s any encouragement, my friend’s dad is a family practice doc in a tiny town where he had his own clinic for a long time (so he’d round on his patients in the hospital.) Just recently, like five years now, he has added more community based health initiatives as well as managing healthcare at a couple of nursing homes.

Whutchu sayin'

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