Updates over Pancakes

        After a little over a week of night float I’m thankful to report that the first night was by far the worst night. The work load is really hit or miss, and I think it depends who is staffing the ER. Some attendings are seasoned walls and can feel comfortable managing a wide variety of things, and will let very few cases slip by and be admitted to the hospital. While others are sieves that tend to let the simplest of complaints warrant an overnight stay. The two major problems I’m starting to see at least at this military hospital is that a lot of staff are pretty young leading to less seasoned staff running the ER, which means more things slip through to get admitted. Second, there are no observation beds in the ER. Other hospitals tend to have a 24 hour observation section off the side of the ER for lower acuity patients. Not here, so again more patients need to be admitted. So in short, some nights the ER might be full and we won’t get a single call, other nights it may not seem that busy, but we are somehow admitting all night long. Read more

The Intern

“What is that?”. “I’m not sure. Whats that smell?”. “I think, ya, that’s fear alright”. “poke it with something would ya, I’m a little worried”. As the two senior attendings examine the body quivering underneath the desk it slowly turns toward them and peers back with swollen, sunken beety red eyes. Only a few months ago these same eyes carried a sheen that could captivate the hearts of his friends and speak only the most heartfelt optimism to total strangers. Now when these eyes glance at people on the street they tend to walk the other way. For eyes like this could only mean that this person intends to either kill, or has been on a meth binge for the last week. In fact the only people that find interest in these once human eyes are the police. Read more