the good, the bad and the crazy

 -day 4 and so far inpatient psych is

good - I have a wonderful attending that let's us pretty much do everything. Admission notes, interviews, MMSE, discharge summaries, etc. Some of the other teams are still on "needs supervision" to talk to their patients or write a progress note but we have full reign which I appreciate.
- Our weekly lecture series is going to be great if today is any indication. There is a full time pharmacist that works on the unit and he gave us a great lecture on antidepressants today. Yay for learning pharm!
- I have a favorite pt that likes to compliment me in another language and dances in his wheelchair whenever there is music or mention of the same. You can't be sad when your pt is dancing in his wheelchair.
-Did I mention 9-5, no weekends, no call?

bad - Psych is depressing. Pt's have no insight, poor hygiene, hear voices and scream at you. Treatment is medication (sometimes forcefully) and structure. But a reading room without books and a place that smells like urine half of the time is not exactly my cup of tea.
-I hate the old fashioned keys needed to get into anything on the unit. The entrance is key coded but the rest of the until requires keys. And of course none of the keys fit well so it can take 5 sec or 15 min to open a door. We have computers that are fingerprint access enabled but we need a key to get into the nursing station. Does this make any sense?

crazy-  enough said. Stories will follow.

Pscyh, The Big Apple and Life as I know it-

So, today will mark day three of psychiatry. I'm at an inpatient geriatric psychiatric hospital so my experience is thus limited. However in just the first two days I've gotten to see and do quite a bit and my schedule is strictly 9-5 with no call or weekends so I'm not complaining. And of course I'm in NYC so I'm going to live up these next six weeks.

Museums, broadway, apple picking upstate- check, check, check! Shopping, eating out at super yummy and fancy restaurants, fun runs in Central Park- Yes, yes please and sign me up!

In any case. I'm back in THE City and I'm ready for whatever, whenever and lots of it. And I'm pretty sure psychiatry will keep me entertained during the day at a minimum. Bring it!

Coast to Coast

24 hours ago I was completing my last rounds of inpatient Family Med.

Today I am trying to fit New York City appropriate clothes into a suitcase so that 

tomorrow I can fly across the country in preparation for my psych core that starts Monday.

Life is busy. I will update soon, promise!

"for the dead and the living, we must bear witness." — Elie Wiesel

Today a patient died. I met him in the ER just five short days ago. At that time he was talking, breathing, living. But then he got sick.Very sick. And surgery and medicine and a stay in the ICU could not fix his failing organs or return him to health. His family watched in disbelief as each day he got sicker and sicker... And today they had to say goodbye.

As a doctor in training I am privileged to be with patients all stages of life and sometimes even death. Today is a day to remember and as such I am reflecting on all the patients that I have met whose lives I glimpsed before they were over. I will remember... the smiles, the jokes, the lives of my patients. 

I will remember them because to remember is to bear witness, and this is something I can do.

---

This day in September, ten years ago started normally enough for most people. Preparing for work, boarding a plane, going about their day to day business... no one knew what unimaginable things the day would bring. I was in Boston at college, in class and not privy to the first tower being hit.... but as the news started to make its way around campus and throughout the world my would be husband came to meet me and as class ended I walked out to see him standing in the hall, waiting and in the instant I saw him,  I knew. 

I didn't loose a family member and I only vaguely knew people affected by the attacks, at least at that time.... However we later moved to NYC and then I met countless people who had been there, witnessed the towers falling, walked over a bridge to safety or fled the city afterwards. I know families that decided they could no longer live in NYC and I know people who never-not in a million years- considered leaving. 

New Yorkers have solidarity when it comes to 9/11. So today I partially feel like I'm on the wrong coast. 

People still talk, people still remember, but the events are not quite so raw, not quite so close to home... Of course those that lost their lives on 9/11 were not all New Yorkers. And really it doesn't matter where one is today or where one was ten year ago. What matters is that we remember for those affected by 9/11 and especially for those who lost their lives.

It has been a decade, but we still remember. It is one thing we can do.