last call

Wednesday was my last call.... It is kind of weird that after all time did go by really fast and my time at UofL is coming to and end. On the other hand it does not feel like it at all, since I am still pretty involved in things and still have to work almost every day. Wednesday was once again a very quiet day. All our patients were stable.... I got to admit my first patient to the ICU ( do all the exams) and as it turned out yesterday my gut instinct war right about one symptom... After examing the patient I thought she might have something wrong with her gallbladder... And yesterday on ultrasound they found stones in her gallbladder and signs for infection.... So I was really happy about that. Later in the evening I finally got to put the first central line in and after that our attending went out to get dinner at Qdoba for the team!!! That was really cool. I really like the team and we had a fun half hour sitting down and eating together. After that there wasn't much to do, I went to bed and never got called again.... In the morning I then had to stay quite long, since no other students were here and I couldn't just hand over some of our work like the post call student usually does. But that also meant that I got things to do. I got to take out sutures in two patients, but that was also when my first mistake happened. In on of the patients I took out the wrong sutures, but when I realized that something was not right, I stopped, called my resident and he put them back in. I felt really,really bad about that... When I got to the patient I did not find the sutures where I thought they should be, so I thought I had remembered the side wrong, cause on the other side were sutures over the hip..... Well next time I have to make sure and not assume I remembered wrong.... I am not sure if it had happened if I hadn't been sleeping not so well for quite while, but that's still not an excuse...
Friday was another quiet day, since our patients were still stable and the gunshot wound from a week ago really started to annoy me. He stareted to have a really bad attitude and did not show any appreciation for anybody, who has helped to save his life.... It was really hard to keep being nice to him and not ge totally frustraded when examining him! I really do not like working with those kinds of patients, but it was good practice to stay calm and be nice no matter what else I would have liked to do. All my other patients are really nice and I enjoy seeing them making progress and getting better.....