Hey guys, I'm Siobhan a second-year medical resident this is going to be such a bizarre week
So what figured I would document it and have you guys come along with me?
I'm currently on my night flow rotation, which means that everything's flipped
I'm working at night and I'm sleeping during the day and I've got a huge amount of responsibility now as a second-year resident
Admitting all the patients over night and being responsible for my team
So if you haven't seen my last video where I take you through a night in
Detail and tell you what I'm doing check it out. I'll leave the link above
Well emori my scrubs better get going starting at 5:00 p.m. Tonight
As a senior resident overnight
I'm
Overseeing the medical students and first-year residents that are on-call as a team were
Responsible for admitting all the patients being admitted to the internal medicine service pretty much anyone who doesn't need urgent surgery
I briefly see all the patients but then the junior members of the team do a very detailed assessment
Then I review their work and provide some feedback for their learning
Plus, I'm responsible for any code blues or emergencies that happen up on the ward. I
Got paged about a patient on the ward who's got a blood pressure
of about
70 over 48, but the problem is they don't have a lot of IV access
So, I'm actually heading back down to the ICU. I'm gonna get the ultrasound I'm gonna get a bunch of things and
Then put a central line on the ward and we can give her all the medication and fluid she needs
Right got all my supplies
Heading upstairs, I just need to get the ultrasound
Just finished up with the central line now the patient can get all the electrolytes
need some replacement blood and fluids, so
She's gonna be feeling a heck of a lot better
Anyway, let's go down to back to the emergency department
I'm dreading to find out how many patients are waiting. We need to see you me totally in a backlog now
920 now, I'm just leaving the hospital man. I'm feeling totally
Exhausted right now just wiped out think running up and down
Having some sick patients and then in the morning trying to divide up the patient and deal the staff
Yeah, I just felt it felt busy. Now. I'm gonna crawl into bed and sleep during the day
Morning guys
It's 7:00 p.m. I'm not at opeth morning. It's so confusing when you wake up at this time. My parents are coming for dinner
which is gonna be like my breakfast and they're gonna be here soon, which is why I actually set an alarm and
Then my plan is to be staying up all night and being productive and make it like my day
So let's stay. Let's try to do that
So my parents just got here using my parents
We're just heading for dinner now, I think what love is dude yeah
Okay, perfect. The food was great and it was awesome building with my parents
Before I could lose my motivation. I got myself to the gym
Now onto a night of studying
And if you make begins heading upstairs to meet the team for tonight
Okay, so I'm just getting back to the consult room I
was in the emergency department, the emerge doctor stopped me and told me that he's got a consult of a
Patient who is quite confused so I'm gonna get my junior medical resident to help me out with that
So I'll first call them and I'll tell you guys both about the consult
All right. So, this is David. He is one of the junior medical resident suites in his first year same position
I was in last year guys
And I basically have a consult for you. This is an older patient who's come into the emergency department
And became really confused
We're not quite sure why they did blood work. We're seeing quite a low sodium so that could explain it
But basically our job is gonna be figuring out
What's causing this low sodium? Yeah, is there anything else that we're missing in terms of what's causing?
This confusion. Okay. All right, if you're concerned about it, let me know. We can look at it together
But otherwise, let me know and we'll review it when you're done. Sounds good. Perfect. Okay
meanwhile, while David starts working in the consult I go over and actually eyeball or see the patient and make sure that their
Hemodynamically stable meaning their blood pressure their heart rate. Everything is stable and we can take our time figuring out what's wrong
Nothing needs to happen immediately
All right to review yeah, let's do it
Okay, so tell me the story. Why do you think is causing this hypernatremia?
Well, I think in her case, that you know, she's had some general decline in function
It might be that she's not been eating that well, but you know
There's some other investigations and I think that we should do just to make sure that we're ruling out anymore
You know concerning or scary causes that could be involved here. Yeah, absolutely
9:30 one more night successfully completed and
ready to go home
Get a good night good at it get get a good nap. Oh my gosh, look at that. I can't even talk time for bed
So that's what my backwards week has been like I guess you guys didn't get to see a whole week
But you could imagine every other night same thing the routine just continues and I become this nocturnal being
So anyway, it's a lot better than the 26 hours. I was doing a lot last year
I still do a little bit of that disuse that will come up again
but not as terrible and if you're interested in seeing what that was like check out this video in that video and you'll
See what it's really like to be up for 26 hours
Anyway, let me know in the comments what you're thinking. I would love to be able to hear from you guys
Otherwise, I'll be chatting with you guys next week. So bye for now