IM, WK 2-7: Inpatient

Oh hey there friends,

I’m back with a short 7-week update, lol.

I’m a little over halfway done with my internal medicine rotation and man have I learned so much in this short period of time. Trying to balance life with studying and rotations has been a challenge, especially in regards to keeping my sanity and mental stability but things eventually fell into place.

In the past 7 weeks, I’ve completed 2 weeks on the floors, 2 weeks in Nephrology, and 3 weeks in Ambulatory (outpatient medicine).

The 2 weeks on floors, I requested to be placed on the family medicine inpatient team because I’m really interested in family and thought it would be a great chance to show my face and get to know the residents in the program. Compared to the other “teams” on the floors for IM, the family medicine team took on a few more patients and was on call longer than the others, so I saw how overworked interns are in this aspect. I also noticed how robotic medicine has become due to the EMR. The residents wanted to check up on their patients more than just rounds, but their notes kept them busy way past sign-out. This is where medical students come in handy; since the residents had to work on paperwork, we would check up on the patients, contact the nurses, and collect blood for labs. I learned how the hospital functioned and where everything was mostly during these 2 weeks. I also really enjoyed working with the family med residents, felt like I belonged! I’m looking forward to my family medicine rotation in November when I get to work with them some more, but in the clinic!

After completing 2 weeks on the floors (AKA patients admitted in the hospital), I chose to do an elective in Nephrology. If I want to make myself seem like a studious individual, I’d say I chose Nephro because the kidneys aren’t my strongest system. But, if I’m being honest here (which I am), I chose this elective because it had the best hours and allowed me to catch up on all the studying I fell behind on during the floors lol. The attending expected me to be there from 11am-2pm (with a lunch break from 12-1:45), but I chose to come in around 9 to follow some of the patients with the residents so I could present. I actually enjoyed my time in Nephrology because the attending REALLY loved to teach. He would lecture us after our lunch on different topics but make it interactive, so we were engaged too. When I say we, I mean me, the 2 residents, and the 4thyear medical student that was also on the service. I walked out of Nephrology finally understanding how to calculate acid-base disorders, how to interpret lab values and the conditions/ concept of dialysis. Thus far, nephrology has been the most academically challenging and fulfilling- honestly worth my time.

Now I’m back on Ambulatory. I started off in the clinic when I first started rotations, and I’m back on until the end of this week. Coming back after completing inpatient services really showed me how much I LOVE the outpatient setting. Preventative medicine is something I’m extremely passionate about, and I feel the most fulfilled with the patients coming in for their primary care visit. The clinic has two aspects to it, the first being a med-student run clinic where we see the patients ourselves and present to the attending who has the final say. The second being a resident-run clinic where the medical students just shadow the residents. I obviously prefer the med student-run, but we have to do both every day. My favorite part of the clinic is being able to actually explain to the patients what is going on in their bodies so they can understand why compliance is so important- the hugs and kisses I get from them remind me why I chose this field every day. Also, knowing other languages have come in handy SO MUCH! I’ve had patients that I’ve spoken to in Punjabi and Hindi. Since I am able to communicate with them in their native language, it’s easier for me to convince them to take preventative measures (getting vaccinated, and lifestyle modifications). I’m working on learning some Spanish since we have a huge Spanish speaking population- let’s just say I have a loooooong way to go LOL. Also, working with AUC alumni is so much fun, we really look out for each other at this school, it’s no joke.

Outside of medicine, life has been chill. I’ve been getting time to relax and just enjoy life in New York… a part of me doesn’t want to leave this state-but that’s a story for some other day. Besides my indoor plants dying, life has been good. I see myself growing in different aspects every day. There have been bad days leaving me to cry in bathrooms to great days resulting in a random Amazon shopping frenzy. There have been days where I jump out of bed excited to get to work, and then those days where I just can’t do it anymore. Medicine truly is a challenging marathon that knocks you down every time you get back up, but it’s worth it.

So my first shelf is in about 4.5 weeks, I don’t know if I feel prepared or not, but I’ll just say that I’m not LOL.

Till next time…..

Stay Happy,

Preety 🙂

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