By the time rotation 9 came around I was starting to feel like maybe I knew a little bit more what I was doing. No more nervous orders for Tylenol or worrying about what would come next into the ER…just take them as they come. By this time at least I was feeling more comfortable with who was “sick” or “not sick” which as a new physician is one of the most important fundamental skills to know.
One feeling that we need to get used to as family physicians is knowing a a little bit about a lot of everything. One of our attendings recently summarized it well by saying, “as a family physician you better get used to not being completly 100% comfortable with the decisions you make.” I’m slowly coming to the realization that this statement is true and some days becoming a specialist sounds quite appealing because at least then you at least know “a lot” about a little. Unfortunately our patients don’t come in nicely wrapped packages with one problem or the other. One of the major improtances of family physicians is tho have someone who can coordinate the care of all of the specialists around and to make sure that what one speciaist says doesn’t do harm to our patients when they have more than one thing wrong.
1. Bridge Port Brew Pub: the vegan bowl is killer, so is the haymaker pale ale
1313 NW Marshall Street
Portland, OR 97209
2. Lucky Lab: Hawthorne St. any place that lets you take your dog is great.
915 SE Hawthorne Blvd.
Portland, OR 97214
3. Pizza 360: I think we go here once a week. The spinach salad is great and so is the sun dried tomato pizza. They use fresh ingredients and local fare.
Address: 3425 SE 192nd Avenue Vancouver, WA 98683
Email: firstname.lastname@example.org. Provecho: best burritos and quesadillas in town!!! All fresh ingredients, authentic food.1801 Main St
Vancouver, WA 98660
4. La Botega: I like it better for lunch. Great European style deli with great meats and cheese. The home made sweet potato chips are great too. I haven’t been for wine tasting yet but I plan to soon!
1905 Main St.
Vancouver, WA. 98660
This entry is a bit late as usual but better late than never. Second time around for both rotations went well, it’s nice to go back to something and realize that you actually have learned something! I was lucky to be on pediatrics for rotation 7 because it was over Christmas and the hospital gave us an extra few days off (that also meant more work for the 5 days that the other half of the group had off) Nevertheless, it was a nice break. Unfortunately I did not get a chance to make it back to MI for the little break but at least I had some time to sleep in and rest for a few days!
Matt’s brother came to visit during Christmas and of course, we had the biggest snow storm and the coldest weather that has been seen in Portland for 40 years. It was amazing how the whole city just shut down! People weren’t making it to work, which also meant parents were avoiding the hospital so it was slower than it could have been given the time of year. Good thing I had Matt’s urban assault vehicle to drive to work. Since the roads weren’t plowed it would take me around an hour to drive a 25 minute drive. Matt and Brad were stuck with the good old Honda, which wasn’t of much use on the snowy slushy roads. They did manage to make it to downtown sushi at least but not without almost getting stuck in the ruts in downtown Portland. The snow storm at least made me feel like home and we even had a white Christmas, not to mention Dorito loves the snow!
After finishing up the month on pediatrics I moved on to OB back at SWMC. I have to say that I’ve had better months, it seems to me that it was “pick on Kristin month” but thankfully, I survived. Despite some grouchy staff I rounded out the month with lots of nice deliveries and even had my first continuity delivery. ( my first patient I had seen throughout her pregnancy) She even delivered on one of the nights that I was on call, how nice of her!
I still love OB but I think part of the frustration with doing it in family medicine is that I just don’t feel I have the experience by not doing it day in and day out. (I have to keep reminding myself that this is why we have attendings at our side whenever we need them and for all deliveries and I have two more years!) I’m sure that feeling will go away with time and practice but it still raises my blood pressure a bit when I’m in the Family Birth Center. The other frustration is some of the staff on the OB floor that just seem to have it out for the residents. I know I’m not the only one who has caught slack from certain staff but I hope the atmosphere there doesn’t make me loose the drive to want to do OB when I’m done. I know a lot of the senior residents were “turned off” from OB because of the environment there but I do see small changes happening and I’m sure there will be more to come.
I should probably end on a good note so I’ll be boring and talk about the weather. People say the weather out here in the winter is the worst but I’ll take it any day over MI weather. Despite the two weeks of snow we had so many nice sunny days, mixed in with rain of course! I have been pleasantly surprised on how little actual rain and clouds we have had this year. Lucky us!
It’s been a while since I’ve written. Time to catch up I suppose. Rotation’s 5 & 6, the “easy” months went by fast. These are known as the “easy” months because the hours are a little better (60-70 hours a week instead of 80) and we are allowed to take one of our vacations during these rotations. I took my much needed vacation at the beginning of month 5 to Gold Beach with Matt and Dorito. We had a fabulous time, got to see Kim and Brian and their new puppy “Sucio” and even had some good weather. (We were lucky because Oregon in October can be pretty cold and wet) More about vacation in another post.
Community Medicine was a nice break from the long hours of Internal Medicine. More days in the clinic too which was nice to have some continuity with my patients. I also felt like I started to learn the ins and outs of the clinic being there more than on half day a week. Not only was it nice to learn about the ins and outs of the clinic, I also feel that I got to know more about what is available for my patients as far as community resources and how much a majority of the population depends on these resources for basic health care and personal needs.
Surgery was a whirl wind rotation and I had the chance to work with many amazing people. I also had the chance to see and assist with procedures that I am telling my patients about. It’s nice to be able to tell them exactly what they are going to go through and what the expected recovery should be. I also got the chance to practice my suturing so now if any of you cut yourself I can make you just like new!
Yellowstone was a great quick trip. It’s amazing that in just a short hour I can be in Sacramento with Kim! After I landed we drove to Brian’s mom’s house, spent some time in the sun by the pool and packed up the car. Since I was up for pretty much 48 hours straight, I slept most of the way to Yellowstone and we arrived four hours later in the dark. When I woke up the next morning I couldn’t believe my eyes! The scenery was so beautiful….mountains all around us.
We spend the day hiking after sleeping in as much as we could on our little cots….at least we didn’t get eaten by a bear. There was one that came close to our campsite to sniff out our goods! Someone yelled “go away bear” right when Kim got up to go to the bathroom and we thought they were kidding…apparently the next morning we found out there really was a bear. Lucky for Kim she survived her trip to the bathroom.
The early birds got up at the crack of dawn to scale half dome and the lazy ones (us) took our time and went on a nice leisurely 7 mile hike. Beautiful views and good company made it the perfect hike and the perfect vacation. We were pretty tired when we got back but not as tired as the group that climbed all the way to the top of half dome. Maybe someday I’ll go back and go all the way to the top. That night we had a nice campfire and made tin foil dinners…the first of many tin foil dinners to come I’m sure! We also made cookies on the open flame and of course the all important s’mores! We made it through the night with no more bear incidents and had a nice drive back to Lodi to pick up “Sucio”. I was sad to say goodbye and go back to reality but happy to see Dorito and Matt when I got home.