I love this... I LOVE THIS bracelet.

Do you ever discharge a patient only to lie awake at night and wonder if you could have done better for them in terms of follow-up? I didn't sleep until 1 am last night because I was fretting over a discharge I did yesterday. Now, today, I'm going to fix it because I can't have another sleepless night (I'm too tired already).

Yesterday was a long day and an exhausting day. Went in early to round on my internal patients before family medicine day. Worked until 8:30 in the evening. Came home and crashed. Starting over again today. I have a patient who's going down hill and nobody can figure out why. Her husband is very angry and yells at me over the phone or in person. All I can tell him is that I'm doing the best that I can.

Last night I made the YUMMIEST dinner ever. Amy's Nawlins shrimp (really Webbers cookbook, but Amy made them for me first and I love them), arugula/toasted pumpkin seed/chevre salad and rice. Yum! Ben laughed at me because I was enjoying it so much - but hey, I like food!

what happened to you thatmirrorbelongstofrank?? I just went to see if you've written anything new and it looks like you've gone private? How do I request and invite?

Oh my god, M and 2S hit it right on the head - so many COPD exacerbations and swine flus my first day (Tuesday). We were there from 7 am to 7 pm to get through all the consults in the ER. One very sad case, which lead to a woman with an exacerbation of COPD/heart failure being tubed in the ICU. We started the DNR conversation, but she wasn't ready and now she's vented and I'm not sure anyone will every know her wishes. Hopefully she talked them over with her husband.

In addition, one of our employees of the hospital has been admitted to ICU with swine flu. We're all a little freaked.

I start internal medicine today for two months. I am dreading it. I feel this is really my downfall because I'm not a detail-oriented differential diagnosis junky and that's what internal really is. I feel ill-prepared and nervous and I'm not looking forward to two months of this sinking feeling when the alarm goes off in the morning. And, this rotation starts at 7 am, which when I was in med school was the norm, but here in the community is on the early side since everything else starts at 9. This is going to be a shock for my body-clock!

I think the winter blues are coming upon me. The dark dark evenings and lack of time to do outdoor exercise during the week is sinking in again. Bah humbug.