5/17(水)
●本日の新患
・DM & HCV−LC?
(担当患者: 8人)
●本日の診断
・急性肝炎 → HAV
●出勤→帰宅
6:15→23時
●本日行ったこと・みたもの
・採血6人 うち一人、かなりの強敵だったが、何とか動脈ではなく静脈血に成功!
・点滴ライン ナースさんたちが失敗しまくっていたものを成功!
…でも、固定は一人でできず…
・ERCP&BD
…後のアミラーゼ1400、WBC13000。疼痛対応
・DPC勉強会
●今日うまくいかなかったこと・失敗
・GFの予約を自分の名前でやっていて科長に怒られる…
なかなか、ローカルルールはいまだにつかみきれていない
上級医のサインも一緒に書いて指示出して、と言われるけれど、ひとの名前でサインはしたくないなぁ… でもしょうがないかなあ…
●今日気づいたこと
・DPC勉強会はMRさんがしてくれていたけれど、途中で話していたジェネリックの批判から、焦りを感じた。でも、本来「科学的」な薬物であれば、ジェネリックももともとのくすりも同じものなわけで。まあ、だからこそあせるんだろうな。製薬会社さんの構造改革はこれからどれくらいすすむのだろう?
●今の気持ち・今後学びたいこと
・MRさんがお願いしておいた文献をいろいろくれた…。読まなきゃ…。
●明日の予定
・ERCP後の患者さん、造影CT予約??
・金曜の新患プレゼンに備えて資料作り
・退院連絡書き溜める
・LC&ヘルニアMRIチェック→整形外科へ
・Crohn DEXA結果待ち
(本日できなかったこと)
・調べ物をしてくださったMRへのお礼メール
・UpToDateの上級医からの証明文章書き
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