Endo........Colo

First, I just want to say that I'm super excited about all the snow we're supposed to be getting tomorrow!

So, we're three weeks into our first rotation and I'm quite comfortable diagnosing sinusitis, otitis media, and URI's. Last week, however, we finally saw something different. A patient was scheduled for a procedure and had pre-op blood work done which showed an H&H of 6.8 and 22! When asked, the pt. did not have any complaints and felt fine. Needless to say, the procedure was not done and two units were transfused bringing the H&H up to 10 and 32, not great but better than it was. An endoscopy and colonoscopy were ordered to see if the source of the bleeding could be determined. Yesterday, my preceptor asked if I had any interest in watching the scopes....do I ever!!

Today I showed up for the endo/colo, which was done in the OR. While I was looking at images of the esophagus, the Z line, and other such fun endo things, one of the nurses asked if I wanted to stay for a lap chole....it was my lucky day! As far as the endo/colo...no source of bleeding was found...still stumped. The lap chole was great...I just kind of stayed in the corner, out of the way so as not to contaminate anything.

Anywho, I just thought I would share my fun for the day. When I came back from the OR, I saw a few patients, then went out for a few home visits, and then came back for a prostate exam and some OM. Just another awesome day in the office of internal medicine :)