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PGY-1

Experiences from my intern year of residency

Halfway Done With Emergency Medicine

My stint of night shifts was front-loaded this month, and now I'm in the midst of my 5pm-1am critical care shifts. Needless to say, I'm looking forward to regaining my normal sleep-wake cycles in the coming week... especially because I…

Finished With Internal Medicine Wards – Forever!

April 30th was my last day of internal medicine wards forever, and I can now see the proverbial light at the end of the intern year tunnel. The last day was topped off by a great team dinner at Pasha and some reflection.

Stress Dose Steroids, Weaning, and ACTH Stimulation

Stress dose steroids are used in numerous scenarios including adrenal insufficiency, critical care, and the perioperative period. What's important to understand is that the peak physiologic production of steroid (cortisol) is roughly the…

First 10 Days Of VA Medicine Wards

Ten days into this rotation, and the struggle is real! It's difficult to really spend as much time as I'd like with patients, teach medical students, or even teach myself when I'm balancing the plans for 8-10 patients. I've definitely…

Finished With Transfusion Medicine!

Another rotation down. Easily my most laid back rotation of intern year, yet I still learned some vital information regarding blood banking, transfusion, adverse reactions, and basic pathology which should serve me well as an anesthesia…

Mr. Anesthesiologist – Are You Even A Doctor?

After a great city-wide conference this afternoon, I rushed to catch the elevator to begin my journey back across the Texas Medical Center. As the doors opened, an elderly man sat quietly in his wheelchair with another man beside him. I…

Typing And Screening My Own Blood!

While fourth year medical students around the country found out if they matched today, I spent the morning doing a type and screen on myself! The blood bank phlebotomist drew some blood, and I proceeded to run the centrifuge, gels, and add…

“Frequent Flyers” To The Hospital

Let me start by saying that this post is not meant to attack the chronic conditions of compliant patients who require frequent hospitalizations. As physicians, we're obligated to "do no harm" and provide the best care for our patients. Yet…