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First Year- Chapter 4
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I spent the rest of the night getting and processing eight admissions. I checked my watch it was 5 am. Fuck! Where did the time go? I had not been to sleep yet. I was exhausted and wanted to cry, instead I sent Dylan a text message. She was also on call that night.
How are u doing?
Fine how r u?
I’m dying.
LOL. Not too bad here. I wish I could help you.
I wish u could help me 2.
I miss u.
Me too.
Where is ur student?
Asleep
Sleeping! Lazy!
No she’s crazy. Sleeping is good.
LOL. I’m on rounds. Talk to you later.
K. Love u
Luv u 2
I decided to try to get a little snooze. I found the female call room. It was certainly different from what I was used to at home but at this point it looked like a 5 star hotel room. There were 4 bunk beds and sleeping bodies in three of them. I climbed up into the empty top bunk and just as I began to drift off, my fucking pager went off. It was the ER again. That could only mean one thing, another admission. FUCK! It was my first night on call as an intern and I was ready to quit. I dragged myself to the ER where I was introduced to Reggie James. He was a pleasant middle-aged white man with a longstanding history of emphysema and non-compliance. His emphysema was flaring. Despite advice from multiple people he continued to smoke. He wore his resistance to stop smoking on his t-shirt sleeve, his pack of cigarettes was rolled into them. The thing I remembered most when I first met Reggie was his stench. You smelled him long before you saw him. It was clear he had not bathed or washed his clothes for a long time. In addition to managing his lung disease, I made a note to consult with social workers to assess his home environment or find him a shelter.
On rounds the following morning I presented Reggie and his unfortunate homeless situation. I had not taken the time to review his old records and thought it was odd that Tina would smile when I presented his case. His breathing was already doing better by morning rounds and I was patting myself on the back for the great management. I left it up to Jenny to check the labs and vitals on her patient while I checked the results on everyone else. She presented the story as a tragic case of Jodie, an attorney who had been drinking too much since her husband left her. She reported again on rounds that morning the bleeding was a onetime episode but she was feeling a little weaker this morning. I thought it was likely the blues from her binge, compounded by her recent cold.
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Helena’s first lesson – please read the chart and prior medical records, dear. Oh, I’m so bumbed that Bette is going to be a FLEA. Sheesh…maybe she will be the type of FLEA that turns into a RILF (LOL). I can hope anyway. Helena sounds as though she is gaining momentum with her confidence. I hope she finds her comfort zone soon. I love how you are incorporating all the characters – it’s a great read.
Ahhh…the wonders of residency. I feel like I lived through this personally as I’ve heard similar stories and been an ear for rants from a very stressed and very tired friend. I definitely appreciate what you all do and am convinced that you have to be made for it! Bette is starting to sound like neurologist…no offense, but they really can be FLEAS!! I’m definitely loving being able to view all of this from Helena’s vantage point…here is Alice! This is going to be good! PPS
Let me correct myself. A “transitional year” intern might rotate through varies specialties, sugery, IM, ER, OB, before going on to their specialty training…. The one year IM intern, will only rotate in IM areas, the floors, the ER, ICU, CCU, maybe some electives…. It’s been awhile for me. I’ll open the door for correction. But one things for certain the first year is called the internship year. (Unlike the 3 year interns who still don’t know shit on Grey’s anatomy)…One other point, I’ll have to fix and make more clear. They are not working in the ER. They are one the medical floors/wards. These are admitted patients coming through the ER or occasionally directly by their private docs office…. The “attending” is the ultimate supervisory physician. They teach and supervise care. Typically each rotation, floor, ICU, CCU,ER, is a month long and the team changes from month to month and everyone moves on to a different area. This will become more apparent as the story moves one…This group will break up after a month. A new team will form with new attending, new senior residents, new interns working together… There are so many potential characters and moving parts weaving in and out. So to keep it easy. I just kept it Helena’s POV otherwise…Whew!!! That’s why it took me months to figure out how to do this semi-realistically…Maybe that’s why the TV shows suck at it. It’s too complex. Too many moving parts and characters…Bette won’t begin to study Derm until the following year…For now she is a FLEA (What a transitional year intern in a book titled “The House of God” called the IM residents. FLEA=Fat little egotistical assholes. Tina and the other senior residents, to be introduced, are perfect exmaples FLEAs) Good questions. That book is a great read to understand the world of docs in training. It might be a bit eye opening for the lay person.
I’m nothing so lofty as a doctor, but having more to do than you reasonably can handle is problematic and stressful, especially knowing what can be at stake. Hopefully this Jodie will feel to weak to be a vengeful shrew like another Jodie we all know.
some good work, So Hels and Dylan are still as one, only time will tell if they come out of it together.
ahhhhhhhhhhhhhhh… I get all sickie and stuff and you have to go and post post post… I feel like an ass for saying this but SLOW DOWN… sheesh… catches breath… hehe… love and hugs, JC (catching up has never been so much fun… and yeah I’ll be back :P)
This was fun to read. In fact I read it twice. More and more we are learning about these characters and the things that may happen in those who may pratice in a medical field. It can be hard always trying to get it right . Knowing that your mistake can lead to someone’s death. You have to have a strong mind set to do that kind of job, because it isn’t easy. But on to a brighter subject. Is this a H&T pairing or a H&B pairng? Or you haven’t made up your mind yet? Because I can see something happening with both these ladies.(B&T)
S so Helena now loathes Bette huh,,,lol..well I say it’s got to be about them as a couple? Or are you taking us a different route with them and it’s going to be a Tina,Dylan or Carmen pairing iwth Hels,,,I want to know,,,now,,,,HAHAHA!! Great chapter.
I haven’t read this chapter yet, but rest assured I will. I just have one question first, What happened to Chapter 3?
will loathe turn to love?? Enjoying the chapter, I felt like I was there!! Looking forward to the update!!!
Very good post! Wondering what that loathing Helena is doing will turn to with Bette. Keep up the good work Squirl, looking forward to the next chapter.
A lot of residency programs require a year of Internal Medicine before going off into their specialty. Derm, Neurology, I think even Psychiatry require a “transitional year”(That one year of IM). The first year of residency is called the internship. So an intern is just a first year resident. In this story Bette and Sean are both transitional year interns. I hope that clarifies things. A dermatologist my treat small burns but the bigger burns usually end up with surgeons.
Every Saturday is great but week days work great too. Loved Alice, always hate Jenny but I guess thats what were supposed to do. Bring on some more Squirl. Thank you, Md, aks Oma
This story is great. Bette is studying dermatology right. Why is she interning at Peabody clinic in the ER? I don’t understand I guess I’m a little naive regarding her field. Do dermatologist treat burn patients?
OMG, Alice is a social worker that is holding hands with Jenny, lol. Good chapter Squirl, I am looking forward to finding out just how Helena intends to get an efficient team up and running. A lot of potential attraction here… voluptuous Carmen, sexy Tina and loathsome Bette. I have to keep reminding myself that Bette is straight though… is Tina straight? BTW thanks for explaining all that IM/first year/intern stuff, it can be confusing.