night and day

February 8, 2010

up & at ’em!
well, good morning! 5:36 AM looks so different from today’s standpoint: the beginning of a new day rather than the end of a call night. just 24 hours ago, i was working on admitting yet another RSV baby in the emergency department, and now i’m sitting in my kitchen drinking coffee as if i’m a rested morning person.

fake it ’til you make it, right?

the good news (very good!!) is that i’m done with overnight call until may! i do have one NICU moonlighting shift (for camera and anthro $$) and various and sundry emergency department shifts in march/april, but both are very different (and much preferable) to spending every other night in the hospital.

so, yay! i think it will take a couple of days to get back into my regular early-to-bed/early-to-rise schedule, but my body will sure be grateful to get back into the rhythm of actually going to sleep on a regular, nightly basis. oh, the things we take for granted . . .

recommitting to education
you may (or may not) have noticed that i have been seriously slacking in the reading/studying department. le sigh. i think night float just got the best of me by the end! fortunately, my schedule is about to become more reading-friendly, and i am going to have the opportunity to do more teaching in the next couple of weeks.

because i think i need some accountability (and concrete-ness) for this effort, i’ll just put it right here: my goal is to read at least something for 12 out of the next 14 days, and to incorporate a daily mini-teaching-session for my med student (and interns if possible) every weekday that it is feasible over the next 2 weeks.

feel free to virtually wrist-slap me over the internet if i don’t do this. seriously.

Q&A of the day
i like this one! and, just so you know, you can still submit to the anonymous portal. i’ve loved getting to see what everyone has been curious about!

“i’ve always wondered . . .as a doctor, is it weird to see patients who are naked or are you completely desensitized to that kind of thing?”

so — the thing is, i’m in pediatrics. therefore, a lot of the patients i examine are just babies and kids, and that’s certainly not awkward at all — it’s just challenging in that you have to employ lots of tricks to allow for a decent exam (ie, prevent them from crying/freaking out).

of course, there are adolescent patients where the vibe changes. instead of distraction techniques (it’s amazing how enthralled a 9-month-old can be with something like my picture ID!), it’s all about explaining what i am doing and why. for example, doing a breast exam on a teen is much less awkward if you are showing them how to do a self-exam while you are doing it.

i will say that i am desensitized to all of the patients i see (i would feel TOTALLY WEIRD seeing an older person, though!). that said, it’s still completely awkward and un-fun for me to examine adolescent males — not really because of any anxiety on my behalf, but because i can FEEL theirs! i think that once i’m doing it more frequently (and in the endocrine world, i will be!) it will become less torturous.



workout report:
saturday — 12 mile long run with 4 mile tempo segment — which went very well! this was done on relatively hilly terrain in CH. splits:
miles 1-4: 9:03, 8:28, 8:48, 8:34
miles 5-8: (tempo) 8:13, 8:02, 8:06, 7:56(!)
miles 9-12: 8:50, 8:44, 8:45, 8:31

sunday — 4 miles recovery on the TM (0.5% incline, 9:13/mi pace) + weights
– 2 x 12 pushups
– 2 x 12 squats with tricep press
– 2 x 12 bicep curls (12 lbs)
– 2 x 12 walking double lunges (8 lb weights)
– 2 x 12 seated rows (40 lbs)
– 2 x 15 ball roll-to-tucks

return of the laptop lunch
plain yogurt, kiwi, snap peas, walnuts, and some seeded flatbread
reading: none. but this is hopefully the last time i will have to say this for a while!


  • Reply Susan February 8, 2010 at 2:13 pm

    I tell people that it is my joke to poke old people's butts on a daily basis. I have to check their skin!! Seeing people naked doesn't phase me at all anymore, unless it's a younger male, in which case it's just kind of awkward for both of us. But we get through it.

  • Reply Anonymous February 8, 2010 at 2:32 pm

    I am counting down until I am call-shift free for a few months…3 more to go!! Love your laptop lunch, so cute!

  • Reply Anonymous February 8, 2010 at 3:03 pm

    congrats on being done with overnight call (at least for now). i bet that feels really good 🙂

    and that lunch system is sooo cute. is it a lunch box? i love how there are different compartments/sections. feeds the compulsive organizer in me 🙂

  • Reply Chelsea February 8, 2010 at 5:25 pm

    Yay for being done with overnight call. I'm sure making $$$ moonlighting makes it a little less painful than a regular shift.

  • Reply hjlongmo February 8, 2010 at 6:48 pm

    That question made me laugh – my mom's an oncologist specializing in breast cancer, so she jokes that gets to play with boobs all day. It also reminds me of how dentist try to talk to you will checking out your teeth (so annoying!) for some reason! Congrats on being done, enjoy getting back to a normal routine!

  • Reply Maggie February 8, 2010 at 7:16 pm

    It is amazing how desensitized you get to bodies when working in health care – in almost all situations it becomes so routine you don't even think about it like that other than trying to make the patient feel more comfortable. I do pelvic/genital exams all day so I got over the embarrassment fast! As Susan said, the young men are occasionally a challenge as they get SOOOOO nervous it rubs off on me, but as long as I can act unphased (and crack some jokes) it's usually fine.

  • Reply Carrie February 8, 2010 at 10:01 pm

    That was my question!!! Thanks for answering it. 🙂 Since I'm not a clinician, I have just always wondered about the nakedness issue. Now maybe I won't feel so weird the next time I'm at the doctor's office.

  • Reply BroccoliHut February 9, 2010 at 1:39 am

    Whoa–you're a laptop lunch fan too?? I may or may not have been part of a LLB flickr group pre-blog days…

  • Reply atilla February 9, 2010 at 2:59 am

    love the anonymous q & a

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