Back from a long hiatus.
So, Sherry and I are living together in a crack-style house with mattresses on the floor, and a picture of a dead Latina girl, who I have named Rosalita (She's currently buried in the floor boards). The main source of heat is the gas stove and there are ghetto light fixtures everywhere.
The rotation is going well, it's pretty much what I thought it would be: lots of acute on chronic disease pertaining to the kidneys, heart, and lungs. Cases I have seen run the gammit, but lots of pneumonia, acute renal failure, and CHF/COPD exacerbations. I have seen guillane bare (its a French disease), stage 3 lymphoma that ruptured through the colon, metastisized lung cancer, diverticulitis, MI, C diff, endocarditis, urosepsis, VRE, CNS lymphoma, BOOP, and the list goes on.
My preceptors are both nice and easy to get along with, one doesnt like to talk about the possibility of the patient's dying, and the other is a realist and will say things like: "he going to die 2 days" or "I sent him to hospice, he is going to die in a week". Days are long, but I think it is going to be a goo rotation.
Write soon!
Monday, April 6, 2009
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