Saturday, October 16, 2010

CV-ICU Part 2

J 54
My week in this unit was slow. Not much going on. People are fairly stable, just keeping an eye out for them and make adjustment as needed. The only issue I had was the fellow that was in the unit. He's Egyptian CTS who is doing critical care training. He was sent up by his dept for extra training. He drove me crazy. He doesn't understand how to use the EPIC and even the nurses from his patients were coming to me for orders and what not. We lovingly call him Dr. "Useless". haha. He really should stick with surgery but at the same time he needs more patient contact time.

J 66
The unit is upstairs and pretty much it's me and the PA/NP. The staff I was with pretty much treated me as a 2nd or 3rd year where he would come in so I can go for breaks/lunch and sometimes around for lines and new admits. It's been interesting. There are times I'm like, I'm not ready to handle the unit by myself. This is the first time where I truly experienced that I am a doc and have the privilege to take care of patients the way that PA/NP couldn't. I'm definitely not ready to run the unit by myself but I'm sure that by the end of 4yrs, I should be able to. I'm glad that they don't just throw us into units and have us run it by ourself. That would be too scary.

Overall, it's been a really good experience with a good fellow, Mike. He pretty let me do what I'm comfortable in and wanting to learn and he would just supervise. Very good teaching, Dr. Boss. (gotta love the last name esp on the unit when we called by last name without dr. in front)

Saturday, October 02, 2010

CV-ICU ... part 1 ... hearts

ICU ... much more intense and faster paced. First day was orientation and just hanging around to learn about the patients and the units.

For the last 2 weeks, I've been in what they called the heart units, pretty much all patients have some sort of heart surgeries or are on artificial hearts. These patients wer very sick.

For the 1st week, the unit had more thoracic patients than hearts but it definitely turned around the second week. Heart patients then started rolling in like crazy. All it takes was one day of multiple admissions with several people going nuts with plenty of work for us. It was fun though. My co-resident working on a patient withthe fellow and the NP was busy with other surgeons rounding on their patients and phone calls. So I was pretty much covering for whatever else going on for other patients. It was a definite adrenaline rush.

By now, I have already done multiple central lines, arterial lines and even tried a bronchoscopy. Bronchoscopy, oh my!. It's a video game in medicine

It's been so fun; there are just so much hands on things to do. Really glad that I'm anesthesia. it's tiring and takes up so much of energy, but I really think it's so worthwhile for me. Totally enjoying it.

Friday, October 01, 2010

SalonBlu

I'm in search of a salon here in Cleveland that can give me a Asian layering haircut that I've had from my favorite hairdress in SF. Since I won't be going home as often as I like, I really need one here. My hair is now long enough where once it gets out of shape, it gets annoying and makes me want to chop it all off. I do want to keep my hair long for a while.

So I found this salon from Groupon and was pretty much 50% off with a facial/massage. The salon was quaint, cute and would love to be able to love it and make it my place for next 4 years. Unfortunately, I ended up with Sammy and by the way she was cutting my hair, she's still fairly new and needs more experience. Also I couldn't see how the other 2 hairdressers do since one was doing coloring and the other was styling. Also they don't seem to know what Asian layering style cut means. So I walked out with a fairly uniformed layering, a trim and not much of thinning out as I would have like. Even the bangs was done well. Bangs were cut but there wasn't much of a flow from bangs to the rest of the hair.

I guess this was an okay haircut until it grows out of shape and try another salon. There's a couple that I want to try. I think the next one would Michael Christopher salon.

SalonBlu
Michael Christopher Salon
Laura Lee Aveda Salon (Coventry)
Rosalina's Markfrank (Shaker Hts)
Lucia's Salon