All right! 3rd year of med school officially started and with it, after another long orientation, I got my first patient. Unfortunately, because I showed up in the middle of the day, I had to pick up a patient who has already been in the hospital for weeks. This means going through a lot of charts (dozens per day, by various MDs, nurses, pharmacists, therapists, etc.) There are two problems with this: 1) I have no idea how to use the hospitals computer system and have to click around for several minutes before I can get to where I need to go. 2) So many abbreviations! I know that doctors like shorthand, but just with this one patient, there are a dozen abbreviations that I've never seen before. Some even have multiple meanings. I've figured a lot out from context: SBP = systolic blood pressure, but SBP treated with cefotaxime is spontaneous bacterial peritonitis... seems easy to figure out, but when your eyes are glazing over the 24th progress note, its easy to confuse the two. Others, I still have no idea... the google helps, but I'll just have to break down and ask someone about some of them tomorrow.
We were told that within 72 hours most of this will make sense, but I have a hard time believing that. We'll see. Meanwhile, I gotta figure out how I'm going to preround tomorrow morning (see the patient before the residents and attending physician does) and prepare myself to present my patient to the attending (focused, yet thorough - seems like an oxymoron to me).
mfp = my first patient