Morning guys. I’m Siobhan, a first year medical resident. Just got to the hospital, picked out my clinic room for the day and now this morning I’ll be doing a hematology clinic. So these are the blood specialists. It can be things like your blood’s count ar too high, too low, if you’ve been clotting or bleeding. So we’ll see what comes, I have no idea what’s heading my way this morning. So you can imagine in a hematology clinic, we’re looking at a lot of blood work. And so often when patients come in to their clinic appointment, we get them to draw some blood. And let me show you how it actually gets sent off to the lab, it’s pretty cool. First you load the blood work into a tube like this, then you choose a location and then it travels through tubing in the hospital by compressed air to its location. Cool, right?! So just finished up in the clinic, I saw about five patients. It was an interesting range between patients in their 30’s, some in their 90’s. So I always like that kind of variation. So just have to see four patients today on the ward, which is really not bad at all. I kind of like that I can organize my time the way I want to when I’m seeing patients on the unit. If I want to spend more time talking to one, if I want to dig into their file, I have that flexibility compared to in clinic, when you’re on a timeline and I just really notice the difference. Anyway, so now I’m heading to the obstetric unit, because we’ve got a patient in there. 5 p.m., I’m no longer on the hematology service. I’m now internal medicine on call, so I just had hand over and got my two pagers of the teams that I’m gonna be covering overnight. And now there’s actually a consult I already need to see in the emergency department, so I’m gonna go down see this patient. And then I’m gonna change into scrubs, so hopefully nothing messy or anything happens before then. So now I’m bringing all my stuff, trekking up to my call room and then I’m finally gonna get changed into scrubs. Oh man, I am so happy. I got my favorite call room. You get your own bathroom, window, bed and computer, best part of the whole thing. Alright, now for the transformation hematology and on call. I blame this corniness on being exhausted. So as you guys know, I used to go around with a side bag when I was on call and keep all my stuff in it. And I’ve started to switch it up, so now I take my my patient list, this Resident Survival Guide and I just put them in the side pocket of my scrubs. Okay, yeah, sure I’ll be right there. Okay, I was just called about a patient whose oxygen levels are really low, so I’m going down to assess the patient right away and they might need to be intubated. When I arrived, I immediately assessed the patient, spoke to the nurses and found out what happened. We put him on a higher level of oxygen and these colorful caps connect the oxygen tubes to the mask and control what percentage of oxygen is given to the patient. We also had the code blue crash cart nearby in case things got a lot worse. I ordered a bunch of bloodwork and a chest x-ray, which showed pulmonary edema, basically fluid around the lungs. We treated him with some medications and kept a really close eye on him for about an hour. Okay, crisis averted. I actually ended up calling the respiratory therapist and got the senior medical resident to come up after I, you know, ordered chest X-ray, did some blood work and in the end he’s actually recovered. So it’s really nice to see someone in a matter of an hour go from not responding at all to sitting up, talking, that’s a really rewarding part of the job. Back in my call room, get to take my shoes off, get to sit in bed and have some food. I remember getting a question asking if I sleep in scrubs or if you kind of change for bed. No no, definitely that’s the beauty of scrubs is basically you just get into bed, and so then if you have to get up in a moment’s notice, you’re just ready to go. I do take my shoes off, I’ve heard of people who sleep with their shoes on, but that kind of seems weird to me. It takes me two seconds to put shoes on, so it’s not a big barrier. So it’s 11:20 now. I only just have been in bed for like 20-30 minutes and just got called down for another consult. It sounds like there’s someone with a really really high blood pressure that’s affecting their kidneys, so I’m gonna go check that out now. So as I’m walking to see this patient, I’m thinking about what questions I want to ask them, what they are concerned about, what things I don’t want to miss, so I’m kind of making a game plan as I’m heading over there. It’s about 1:30 now, just finished up with that consult. Just admitted the patient and now I’m gonna get to head back up to my call room. I feel like phase one of getting tired overnight is this kind of like squinty feeling of your eyes. And I’ve definitely started to get that right now, so perfect time to go to sleep. Just got woken up to hear about a patient whose blood sugars are really high, so luckily I was able to manage that over the phone. And now I’m heading back to sleep. Just got paged to clarify an order. That’s always so frustrating, because I know that the nurses have to call to clarify, but you think ”I just fell asleep.” Anyways, so I was able to clarify it, but I might actually need to get up to go to the computer to do that, so then I can head back to sleep. So it’s 8 a.m. now, having a quick snack and heading to meet the team. Just got home. I’m actually feeling pretty good, like I’m awake, alert. I feel like I can take on the day, but if I don’t sleep, I know I’m gonna crash super early, so I’m gonna go and take a nap. But then I can actually enjoy the day, so I’m looking forward to it. 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