Sunday, December 12, 2010

Infectious Disease

Finished one of our crazy rotation. ID in any hospital is busy, so being busy at CCF is no surprise at all.

The service is great despite being long days. The staff are really nice and tried to teach as much as they could. Also there's at least one lecture everyday then the residents have their required lectures depending on individual department. Sometimes I felt like I was just running between patients and lectures all day.

Then we have to come in one day during the weekend. Those days are usually lighter depending on the number of consults and the fellow. I have been getting out by 4pm and usually with 3 consults or so. We also had to see our own patients from the week as well.

Everyday, we had to see our old patients from previous day then pick 2-3 new consults. Sometimes we would double our list in one day. When we get too busy or had one too many complicated patients, our staff would help out too. At times I would have to see 6-8 pts before lecture and new consults rolling in around 9am.

There are some interesting patients being that it is the Cleveland Clinic. One that I had was a patient with a mass growing the brain but negative cultures. The biggest question was what is it. That was never answered but the extensive work up needed required thinking and see what the next set of work up would be required. He may one in which we would never know the answers to.

Other than the occasional strange cases, most of the consults were post surgical infection. I have learned much of the antibiotics, what they are, when to use it and how to manage them. Also learned about the prior tests that should be done before consults. I think this is definitely a good intern rotation especially for the IM residents.

Overall, this has been a good rotation. Totally recommending it.

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