internal medicine
MS4
Admission Day Blues
Tomorrow is our team's second major admission day; we'll receive eight patients plus a possible ICU transfer. While having new patients on the service is great, these tend to be our longest days... and...
Rishi -
MS4
First Week of Medicine Sub-I
I almost forgot how rigorous hospital medicine can be, but being back on the wards has been a much-needed reminder why I went into this profession. It's also fun watching the MS2s (who just...
Rishi -
MS4
Day 1 Of Medicine Sub-I
What a return to the clinical scene! Although my upper-level resident is switching, I've gotten to know the two MS2s and two interns I'll be working with for the next four weeks. I couldn't...
Rishi -
MS4
Night Before Medicine Sub-Internship
All fourth year medical students are required to complete a one month sub-internship (sub-I) in internal medicine, surgery, pediatrics, or family medicine. Compared to core rotation students who focus more on interviewing patients, doing...
Rishi -
MS2
Finished With Internal Medicine
The VA hospital was an amazing way to end my internal medicine experience, mainly because of how extraordinary my team and attending were! As a parting gift, the VA graciously bestowed me with a...
Rishi -
Med School
Basal/Bolus vs Sliding Scale Insulin In The Hospital
The overwhelming majority of the patients I've encountered on the wards have diabetes mellitus (DM). While there are countless ways to manage DM as an outpatient (insulin injections, biguanides, sulfonylureas, etc.), sliding scale insulin...
Rishi -
Journal
Doctorly Penmenship
There's a well known stereotype that doctors have incredibly poor handwriting. While I accepted this "rumor" to be true, I've verified it first hand by working at St. Luke's where all the notes are...
Rishi -
Journal
Wasted Health Care Resources
Benjamin Franklin is credited with once saying "The definition of insanity is doing the same thing over and over and expecting a different result." Such is the state of modern healthcare. We all want...
Rishi -