Morning guys. I'm Siobhan, a first-year medical resident.
It's currently Tuesday morning, and I'm on my Rheumatology rotation
So I actually chose to wake up early this morning to be able to get some research done - basically
I've got two big deadlines coming up and
maybe today I can kind of show you guys
what do we do outside of just clinical work, because it's actually a whole lot more than just going to work and coming home.
So for instance right now, of course, I've got to be studying Rheumatology
Then I've got two research projects that are on the go, and then on top of that
I've got a group of medical students that I get to teach the next two months
Tonight is the first night that we're meeting
So it's gonna be a jam-packed day so come along and I'll tell you all about it as we go
Okay just arrived in the resident room, just gonna drop off my stuff.
On this rotation in the hospital
We are responsible for seeing any rheumatological issues in any of the hospitals in the city
We've got three residents
and we've gone to three different hospitals and we're gonna reconvene in the afternoon to go over the people we saw per hospital
So, actually, most of Rheumatology is done in the outpatient clinic setting
But then we also do one week in the hospitals- that's this week for me. The other three weeks in this block
I'll be doing in the clinic, so I'll try to give you a sense of that as well, because there are different types of patient issues
I find that in rheumatology if people are in hospital with their rheumatological issues, they're very sick
In the outpatient they can actually be quite stable, so you get to see a really wide variety of patients
All right, heading down to the ICU first that are to see the sickest patients first early in the day
So done in the ICU, now heading to the step-down unit - so it's kind of like
one step down from the acuity at the ICU and one step up from
being generally in the ward, so it's not like in between you're not quite ready for the ward yet
Okay done with seeing those sicker patients and now just heading to grab some lunch
All right got my salad gonna bring it upstairs into the resident room so that I can review some bloodwork while I'm eating
All right, so I'm in the Rheumatology resident room
Oh, I can show you what it looks like! I've got a computer to do some work, some Rheumatology textbooks
lockers
my stuff, my salad, and
a whiteboard for teaching. I actually haven't had a chance to tell you what Rheumatology is.
So basically, Rheumatology is a subspecialty of internal medicine and it deals with
inflammation in the body, and not just any kind of inflammation. It typically has to do with when a person's body
starts to attack itself, and we call that an autoimmune
condition. Okay, actually there's a whiteboard here, so I'm a terrible driver
but maybe I can try to try to make this make sense. So normally our body is pretty good at identifying
when something bad shows up, and then it produces
these antibodies that are gonna attack and fight the bad thing
but sometimes, it's just your own self and
there's nothing wrong with it, but these antibodies will come and attack at anything.
And obviously this is bad.
One condition you guys might have heard of which we see a lot of Rheumatology is called lupus and
in the TV show "House MD", he always says "it's not lupus" - in this field
it's often lupus, so I've actually been to a lupus clinic, so every single person that you see has lupus
so it's definitely not always lupus, but sometimes it is.
Okay, it's just coming up on 2:00 p.m.
I just saw another couple of patients, now back at the Rheumatology resident room
And I'm just gonna update the list. So, we keep online lists,
update the things that happened to the patients overnight, so that
anyone on call or if resident was seeing the patient that I saw the next day
they would know what happened. So, gonna quickly do that and then I'm meeting up with
the fellow, who was a fourth year resident, so she knows the time, and then we're heading over to a different hospital.
F: We're heading to the General Hospital to see our other patients on citywide service.
Yeah, so we'll see - are there any new.... we have one new? Two new patients there? F: We have a couple..two new people and a lot of follow-ups
F: So it'll be fun Okay, and then we're seeing our staff there as well? F: Yes we're meeting our staff too
So full team and get to review everything that's happened today. F: Yeah, exciting
Okay, so it's just about 5:30, clinical part of the day is done
Now I get to start on with the teaching part. The really cool part
is that I remember being a medical student going to these sessions.
So it's really cool to have a bit of a role reversal at this point.
So it's 9 p.m. now, pretty late, a bit of a long day
but I actually had an amazing time at clinical skills, and I got to teach with one of my good friends Heather
sho is this amazing artist and was able to draw these diagrams on the board, which was incredible because I could never do that.
What am I gonna do now?
Uhm, I
I want to just go and watch Netflix and curl up and pajamas and go to bed
but, I think I'm gonna force myself to sit down and do a little bit of work on research at this point.
I've got to present a poster presentation next week at Resident Research Day.
It's kind of like a
school science fair project or something - you put what you did on a poster, people walk around, ask you questions
and there's some awards that are given out, so it's no different really except that it's about patients and clinical cases and research.
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So, otherwise I'll be chatting with you guys next week, so bye for now!