I Don't Know What To Do With My Husband???

Most of you know that Adam and I got married on 12/10/11, and I moved to Lexington by myself on January 2nd 2012. Pretty short "honeymoon phase." It was quite the adjustment at first going from such a wedding high to a grad school low...ha. But, we are living together now until Nov. 13! Woo! And in hindsight, moving away for grad school was probably the best thing I could have done. I have fallen in love with Lexington and the people there, and Adam is very distracting haha. I love him to death, but we are such goofs that if we would have been together the whole time I would never have gotten anything done.  He loves to cook big dinners every night, watch every movie that comes out, go for walks, go shopping, work out, create our own happy hour with fun cocktails, play with the dogs....anything other than me sit down and study. I'm playing house, so sue me. 

Eventually I will need to crack open the books when I get home from work like I normally do, but I can give myself one more week of house right? Sure, why not. 

Also, Adam is about to accomplish a huge goal this weekend....he is running his 1st marathon!!! I'm so incredibly proud of him. He has worked so hard, and didn't even do a 1/2 marathon first, just going for it. Of course I have to work this weekend so I told him if he has to call 911 I will already be there, aren't I supportive? Pretty bummed I won't get to be there on the sidelines, but I bought him lucky socks so they better work. Run, Forrest, Run!!! (Forrest Gump is my ALL TIME FAVORITE MOVIE ever....yes, I walked down the aisle to the theme song, so it's only natural that my husband becomes a runner.)

Hi, Methodist. You are fab.

Sorry for the delay friends...I have been busy with this rotation, actually working 10 hour shifts instead of the 6-8 hours I have been working. I am so thankful I got this rotation approved at the last minute. I am on the hospitalist team at IU Health Methodist Hospital in downtown Indianapolis and LOVING it.

My preceptor right now is again, like my surgery rotation preceptor, someone I NEED. My first week went something like this.

Preceptor: So, the first week you are basically just going to shadow and get the hang of things right?
Me: Yep, sounds good but I have been doing H&P's on my own since July so I'm comfortable doing that whenever you need me to.
 Preceptor: (Day 2)- Okay so here are your patients for the day, look them up, do the consults, write the notes then I will sign off.

So....no shadowing then? Woo hoo!

Kind of stressful at first, but I am so grateful for preceptors who trust you and let you participate. It is so nice to not sit on the sidelines and actually be a part of the healthcare team. I have had other experiences where I wish I were utilized more and that was kind of frustrating. I am such a nervous person that preceptors who push me off the dock and force me to swim on my own are what I need to get a lot out of the rotation....and man am I getting a lot out of this one.

First of all, Methodist is in the top 1% of hospitals in the nation. It is such a great experience to see such a "well oiled machine" do its thing. The computer system for EMR here is so efficient and I have barely heard any complaints about it which is kind of unheard of. It is so user friendly I basically taught myself how to use it after a 10 minute tutorial. Second, this hospital is "team based" to the max. Every morning we have a "huddle" where EVERYONE involved in the patient's care meets very briefly just to touch base on how the patient is doing medically, when is discharge expected, what does PT think, do they need OT, where are they going when they leave, are there any barriers, do they need a PICC line before they go, what is the insurance approving etc.? Its so awesome how everyone works so well together. Third, and not to sound unprofessional, but all the patients are a mess....otherwise they wouldn't be there. Hello every problem possible with contradicting treatments for each one. I start looking through their history and chart and feel like I'm going to pass out because my head is spinning, but that is also what makes this rotation so interesting and motivating. I also get the "ICU pick ups" right when the patient leaves the ICU....so just barely not trying to die, right? Okay, yeah, sure no problem.....or something....

Side note, most of my patients are >85 which makes things even more complicated, but we all know about my almost pathological obsession with the elderly....I LOVE THEM TO PIECES. Yes, Mr. 90 year old, please hold my hand throughout your entire exam you precious man.

So, this rotation is awesome, I'm exhausted, my preceptor is great, Methodist is the bomb.com all of hospitals, and I'm living with my husband for the longest stretch of time yet since we got married in 2011. WIN.

Work Hard, Play Hard Part 4

Its that time again, time to move on to the next rotation. Time is seriously flying... which is bittersweet. Everyone looks forward to graduating, but Thursday night TV nights curled up on the couch with your friends will sure be missed.

Pictures from fun events that happened during this week are below. And, I think I am done with weddings for the year...nope take that back I promised my mom I would be her date to one in December. That will be my 8th wedding this year! I love love so weddings are way fun :)

                                    Celebrating Amanda's Bachelorette Party in Nashville, TN.

                                           Horsey love and line dancing at Wild Horse Saloon.

Rehearsal dinner at Chateau Pomije.

                                       Amanda's wedding weekend with my forever friends in St. Leon, IN.

Beautiful wedding details from Chelsea's wedding in Bloomington, IN.

                                              Corey Smith concert for Brittany's birthday!

Birthday girl, Brittany.

My last Thursday Night Live :(

                                                               Pumpkin patch in Indy!

Adrian's Orchard.

Raynauds...Or something.

Hello dear friends. Yes, I am on my psych rotation which has nothing do with Raynauds ( a condition where your fingers turn various shades of blue, white, red due to vasoconstriction brought on by cold temperatures, stress etc.)

I do however, have a friend who shall not be named who had an awesome encounter with Raynauds and I wish I would've been there. Don't worry I have permission to blog about this on their behalf. 16yo girl presents with dusky fingers and not feeling well at school. Her mom brings her in and they go through family history, other relative symptoms, all that good stuff. Friend who shall not be named is convinced this girl has Raynaud Disease, and mom is convinced too.

In walks Mr. Preceptor who looks the patient up and down, barely even speaks to her and goes to the drawer and starts looking for something. Pulls out an alcohol wipe, swipes it over her fingers and says, "you haven't washed those jeans yet have you." It's a miracle, she was cured! :)

Ahhh yes the ever so common dark denim wash vs. Raynauds on the differential diagnosis. So trendy.

20 Second Time Out

Alright I've decided this rotation will be very a dull time for blog posts. Yes, I hear wild and unbelievable comments all day, but it just isn't appropriate to post on here. These veterans have been through more than I can imagine and although sometimes they even laugh at the things going through their minds, turning it into sarcasm or a blog post just seems wrong.

To be honest, I often leave work feeling depressed because when the patients unload all of their problems and feelings off of their shoulders I kind of feel like they land on mine. I have to seriously shake it off on the drive home so when I get back I can play with my sweet Abby dog and not just curl up in a ball and go to bed.

So, for the next couple weeks I probably won't be posting much. I think its safe to say psychiatry won't be the specialty I choose although I greatly appreciate all the help they offer to their patients. I get too attached to people and think I would bring work home too often....