Sorry for not blogging, Wendi!
My excuse has to do with the fact that I'm working every day of the week but one. This has been my schedule the last few days:
Sunday, 9/9/07:
6:30 a.m. to 7:15 p.m. Work. More or less a normal day, for a resident, that is.
Monday, 9/10/07:
5:00 wake up
6:00 (I tried to get there earlier because I was feeling so behind on work other mornings recently b/c of the patient load) gather vitals, preround, and start hospital notes, go over pts with the senior resident
9:00 round with team
12:30 rush off to drive to UCD for clinic, drive around looking for parking
12:30-6: run around seeing patients, including one who showed up 45 minutes late and I was told had a "foot problem" (so I said "okay, squeeze her in"), but ended up, ontop of her mmp (multiple medical problems) including CHF (congestive heart failure), hypertension, arthritis, etc., being there not for a "foot problem" but generally for "just not feeling well," with headache, nausea, shortness of breath, abdominal pain, and the works. She's also seen in our clinic about every week and hospitalized about once a month. "You're not going to fix her," said Dr. B, who staffed her with me. That kind of threw my whole afternoon off and made me superlate for the other patients, which I hate, hate, hate. I don't think that I will agree to any more squeezing those pts in from now on. My clinic, which generally I enjoy because it's more laid back than hospital medicine, turned into a very stressful afternoon, dealing with (a) patient(s) that may very well belong in the hospital that I left earlier in the day (except that she was female :)).
6:00 - 11 p.m.: Work on electronic clinic notes from my patients, respond to messages in my clinic inbox (I hate, hate, hate this), get signout from the senior about what happened in the hospital in my absence, do VA discharge summaries from home. I don't know which is more depressing-- staying at work late, or doing work like this from home.
11:30- 4 a.m: (a glorious 4.5 hours of) Sleep
Tuesday, 9/11/07:
5 a.m. I'm back at the VA hospital, finishing electronic d/c summaries at work and reading up to pick up a patient who was admitted the day before while I was at clinic, but then became "mine" to follow
6:00 a.m.- 7:00 p.m.: spent prerounding, ordering, rounding, writing consults, following up tests, admitting.
7:00- 8:30 p.m.: doing discharge summaries from that day at work
9:00- 9:45 p.m.: reading my friends' blogs, personal, and ucdavis e-mails
9:50- 9 a.m. Sleeping.
Why was I able to sleep in until 9 a.m. today? It was hard to even make myself get out of bed at that time! It's because I have my day off today! I actually was supposed to have Friday off, and give a noon case presentation today, but I realized that I couldn't make it through the week without a break, and I worked it out with the other interns to switch presentation days so that I could have a "mental health" day to stave off a meltdown from the pace. And knowing that I would have just one day to sleep in made all the difference yesterday and was the only thing getting me through the afternoon. I truly get giddy with the thought of a day off. My fourth day off in four weeks. Now I just have to make it through Thursday, Friday, Saturday, and Sunday of work before VACATION starts. I have never looked forward to anything, I think, as much as I am looking forward to this vacation for the sole reason that I need a break. Yesterday, I was asked two very interesting, and telling questions.
One was from Danny, the GI fellow, when I said I was there every day, all day: "How's that for your personal life??:
Me: "Do you really want me to answer that?"
And from one of the nurses around 8 p.m. last night, when I ran to get some graham crackers for sustenance as a break from working on my notes:
"Oh, Dr. Arness. You're back, huh?"
Me: "Um. Not really. I just haven't actually left to go home yet."
My question is-- how does this work with the whole work-hours thing? With the day and night float system in place, you really not supposed to stay past 7 p.m. or come in before 7 a.m. But honestly, there is no way to round on everyone and get the work done in those hours. I've been told that work from home does not count towards work hours-- so that, even though I spent like 6 hours after normal "clinic" hours doing stuff on Monday, I should not log it. Even though I came in at 5 a.m. and didn't leave until 8:30 because I was doing hospital work-- notes and d/c summaries, it apparently doesn't "count" for the work-hours thing b/c I could have done it at home. This seems a bit screwy to me, because what does the "on the job" work hours limitations do for you and your quality of life if you're working more, but just from home? Anyone? Sometimes I wonder if going back to a overnight call system would be better. It's kind of demoralizing to leave work or stop working really late and then just know that you have to do the commute, and come back in at the crack of dawn the next day... to start over. All I know is that the work is exhausting and I feel like I have no time. Okay, so there's my venting. Onto other things. I know I'm slacking big-time on the pictures, but here is one from my one social outing from the last week, which was "
Second Saturday," a monthly event held year-round in Sac, where galleries and shops in midtown open their doors for people to walk in and view the art and other things, people set up music and food stands all around the midtown area, and everything is very lively. Kate, Amy, Amy's friend Katherine, and I all checked it out this past weekend, which was very cool! I love seeing so many (young) people out and about! This might have to be a monthly thing. There are also things going, like concerts, on for "fourth Sunday" and "third Thursday," but I can not keep those straight! I'll depend on others to suggest going out to those things:)

Here's a pic from a long-ago Thai dinner. Jeremy is putting together a Picasa site where we can all dump our collective pictures, which I just checked out and from which I stole this pic and those that follow. Here is Adeel and me. I have no idea why the pic is so small.

And, as lame as this is, here I will share some pics from Apple Picking last Saturday, which I hoped to be able to go to (by getting out early on our "good," non-admitting day at the VA), but which didn't happen. Jeremy, Noelle, Anika, Oliver (who are now engaged!), and Kristen all had a fun time! They ate all kinds of apple goodies, including apple beer, caramel apples, and more... I had to live vicariously through their pictures (and, lamely, post them on my blog). Some people
do get out once in a while! I'm so jealous!

I hear the caramel apples were amazing!! I think Noelle needs a few more to fatten her up a bit.

Now the debate is.... whether to do something (including getting a jump on my presentation or d/c summaries for people that may leave the hospital today [that I was following, even though I'm off!] or tomorrow), running (need to go for a long one), or sleeping.... I try to get out sometimes, really!