The doc that spends 20 minutes fleshing out minutiae on a GOMER....great for the patient. Really annoying for the psych intern who avoided Internal Medicine specifically because of GOMERs....

A thorough exam....

I was off yesterday, and come in to be handed off a patient who was admitted the day before. I read through the H&P "no abdominal dissension." I get to see the patient an he has what looks like 3/4 of a basketball on his stomach from a hernia repair. Good job guys. 

Facepalm

 I ask for a negative pressure room. Clerk calls bed control and says they're on this this and that floor...did you want me to see if there's one available? ....no dingbat. I was bored and was just making conversation....let me find your THINK button

Rounds

I shouldn't have to ask if that's urine or soda....

Chicago Problems

Anyone who's driven in Chicago for even six months understands why you grumble but let it go when all three major expressways have *at least* one lane closed in July and August, why you gripe when a taxi driver nearly takes your life for the sixty-third time that week and laugh about it later, and how just one bozo with an Indiana plate can incite a murderous rage from a dark place you didn't even know you had.......

And I need to know this because??

A diabetic who just got two of his toes chopped off informed his nurse at midnight that he has erectile dysfunction and wants it in his chart....WHY

Internal Medicine

Whoever wants to do internal medicine as a resident is out of their flippin' mind.

My shift is ostensibly 6-5. I've never left before 5:30, and that was the absolute earliest. Most days it's close to seven. So far one day it's been after 9.  Part of it is the senior is (understandably) a micromanager, but with three interns to micromanage we end up moving at her pace.

In either case I just get frustrated. And I don't know why people would want to match into that field of medicine.