Shadowing: Week 1

The most important thing I had to do before observing surgical shifts at the UC Davis Medical center was to get good shoes.  The recommendation by former interns: Dansko clogs.  The dress code for arriving is business casual, usually followed by a quick change into scrubs.

My first morning I shadowed a resident from the burn service.

English: Stevens-johnson-syndrome
English: Stevens-johnson-syndrome (Photo credit: Wikipedia)

Most of his patients were children seen across the street at Shriner’s hospital.  In clinic he checked on three boys: one with a dog bite, the next had Steven-Johnson syndrome (see pic) where skin is lost due to a drug interaction, a finally a burn.  The worst burn was in an adult from electricity.  The treatments are similar since all affected the integument.

Morning rounds with the vascular team were impressive.  Starting at 5:15am they raced like a pit crew from patient to patient, not only checking for changes overnight but replacing wound dressings.  A large number of their patients are diabetics, feet having the worst circulation.  In the afternoon they began an angiogram/stent of a carotid artery.  The patient was distressed but didn’t seem to understand her movements lengthened the process greatly.  I stayed late and heard the attending checking to see if she had suffered any brain damage…fortunately not.

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