Tuesday, 10 May 2011

First day on the wards...

Remember that very first episode of Scrubs?

Yesterday was that day.
I arrived later, I had the driving test in the morning. (The pulmonologist thought I was there yesterday morning... interesting.)

"Hi, welcome, the back half of the wards is yours."

There's two of us on the ward; a final years med student and a regular med student. The final years is on my half, which I really appreciate as she does 4 of my 12 patients (and needs prescriptions for them quite often).

I didn't know how stuff worked. I didn't know my patients. I didn't know jack about medicine. (I still don't.... or at least it feels like that).

I barely ate yesterday, I was so nervous. It wasn't really warm, but I was sweating. I almost cried a couple of times (to be fair, I was really upset about my driving test still, but that's another matter)... I left at close to 9PM in the end. It was just a nightmare, really. One of the nurses offered me a cup of coffee at some point. At the end of the day I finally knew more or less why my patients were there (only to have them sent home today ,but that's another matter), I had clerked my first official patient (who of course is too complicated for the med students) and I had figured out how to prescribe stuff.

Then, today at the handover it turned out that there were problems with my patient. I think I froze, and wondered if I did something to almost kill her. But she's on the transplant list for a reason, and I wouldn't be surprised if the same thing happened tonight.

Of course, it's Grand Round day. I think I almost threw up, but luckily the specialists are very nice and everything went fine.

By the end of the day I felt like I was getting the hang of the ward work...

... now I just need to learn some medicine.


  1. Man, sounds like a rough day. I hope the coming days go a bit smoother.

    But, really, you got this, doc. You are right where you need to be. And it won't be long before this day is nothing but a memory. This, too shall pass.

    You take good care, and have a smile for me. ;)


  2. You can do it! It's going to be a learning curve, because you are not used to the system, but every new doctor probably feels the same way. Ask the nurses for help when you need it and just BREATHE! You're going to get better and then, we'll all look back and laugh about how you couldn't eat those first few days and how it all turned out OK. :)