Busy Doctors, Wasteful Spending -
There is no more wasteful entity in medicine than a rushed doctor.
Segmental Anatomy of the Liver.
The liver is divided into 8 segments. These are delineated by the 3 hepatic veins, dividing the liver vertically into 4, and then through the horizontal plane for superior and inferior portions.
The echoes of my steps resonated within the expanse of the hospital garage. As I made my way to the end of the aisle to my stall, a couple caught my eye.
A tall man, his hair only beginning to turn grey, faced a woman of similar age, dressed in a beautiful white summer dress. Next to them a car, its trunk agape, half packed with a box of personal belongings and a white plastic bag full of clothes sat waiting. Still, they stood, pausing, ruminating.
They stared longingly into each other’s eyes, a deep seeded pain overwhelming them as tears trickled down their delicate features. A warm embrace as they held each other tightly and wept.
I wondered what terrible tragedy had befell them. Did a loved one’s health take a turn for the worst? Did a loved one just pass away? Did their mother, father, daughter, or son, just perish from this earth? I could not help but wonder.
But it was not my place to ask.
I watched helplessly as they buried their heads in each other’s shoulders and comforted one other.
I continued walking.
Anonymous said: Being a doctor and a writer?
Honestly however, I am not quite following the question.
I saw a patient on the ward on call recently where the patient’s complaint was some mild shortness of breath. Upon reviewing the progress notes, one of the issues low down on issues list was titled PE.
My heart skipped a beat.
Pulmonary embolus. My thoughts raced at the possibility that this patient had a recurrence. I quickly went back to see the patient but found that his story and physical exam did not quite add up to what I had imagined. I decided to go back and read the chart notes carefully again.
The more I read the notes in its reverse chronology, the less this PE sounded like a pulmonary embolus until I finally found the source, some ten pages back, buried in the middle of their already thinned chart.
Over time, a relatively benign finding had been unintentionally shortened to a grave and emergent issue by the student writer. I breathed a sigh of relief.
It was yet another reminder of how shorthands and acronyms can cause miscommunication.
To the reader MP who wrote me a message about someone they know and the situation they are facing.
It looked like there were two parts to your message and I only received the latter half, which makes it very difficult for me to understand the context of the message. However, if you are having concerns about his behaviour around others, then I think it is worth discussing the situation with him first. Have an understanding of his actions before seeking additional help from an outside party.
Without really knowing this person, I think I am ill qualified to make any assumptions or judgments about him. I think it is still best that you discuss this with someone who can support him or guide him.
For the students who have survived their foray into clerkship, congratulations for making it this far. You are only a year away from finishing your medical schooling. Here are some words of wisdom as you draw closer to the end as an undifferentiated stem cell and down the new path as a resident.
Related posts: A Word with First Year. A Word with Second Year. A Word with Third Year.
Anonymous said: hope you don't mind the question but around how much does an intern makes?
In actuality, the salary for a resident varies from year to year and from province to province. This website here gives a good summary of how a typical resident salary changes based on those two factors. Once you complete your residency however, a physician’s income becomes dependent on what kinds of services you provide, the number of patients you see, and how you set up your practice.