A Hard Day’s Night

Sunrise over the city this morning, looking out from the ICU

 

Its 530 in the morning as I write this, and I’m about 2 hours away from finishing up my first overnight in the ICU. So far, no disasters. I have to admit though, in the hours before coming into work tonight, I can’t recall having ever been so nervous. I don’t know what I expected to happen, probably anything and everything, and most of it bad. We the ED residents, staff an ICU at a catholic hospital in one of the less affluent areas of the city. So the people that come in to this particular hospital, are usually pretty sick. So naturally, I was having nightmarish daydreams earlier today of being thrust into managing a code or something bad while my senior was downstairs doing an admission and unable to get here in time. So of course, in a panic, I broke out my ACLS notes, and actually bought an ACLS app for my phone, just in case shit did hit the fan. While there were no codes, sitting here tonight, being the only M.D. in a 20 bed ICU,  I think I actually felt like a doctor for the first time since actually becoming one. Granted in the 1.5 hours I was left alone, I only had to write orders for a fluid bolus or two and turf someone off the unit. It was a fleeting sensation, but it was there none the less.

About ER Jedi

I’m a resident doctor in Emergency Medicine and I’ve learned during the past few years that 1) I’ve had some pretty amazing experiences 2) I have a very bad short-term memory. So this blog is just a place for me to write about some of these experiences, from the ER, medical school, the wards and life in general. At least that way I’ll have some idea as to where I’ve been all this time. A scrap-book of sorts, a place to vent, organize some clinical tools and post a few good songs I’ve heard along the way.

Posted on August 13, 2011, in Uncategorized. Bookmark the permalink. Leave a comment.

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