6/22(月)
●本日の新患・診断(担当患者: 7人)
・CCC
・イレウス
・虚血性腸炎?
●今日一日
8:00 病院 →回診・オーダー
11:00 食事
11:30 勉強
12:30 サマリーづくり
退院時3人
CTでの診断他
17:50 食事
18:15 今日のまとめ
入院患者さんのサマリー作成
21:00 お茶。
21:15 サマリー作成
22:00 ふろ
22:15 勉強
当直
23時 熱発・脱水 ??
26時 熱発・嘔気・DM ??
27時 アナフィラキシー
28:10 精神的ストレスによる絶食
29:10 3度目の仮眠。さすがにもう寝れるだろう…
6:10 再度救急。眠い。DM→感染→薬→低血糖
眠ると逆にからだ壊れそうだから、寝るのやめる
8:20 文字通り、今晩最後の救急!
●本日行ったこと・みたもの
・胃管挿入
●今日うまくいかなかったこと・失敗
・朝、早起きできず。体に負担がたまっているので採血を1週間休むことにした。科長にいろいろ言われてしまったが、まあ、しょうがない。作れた時間で勉強しよう。
・ある薬を出すつもりが、間違えて別の薬をだしていた…。もともとたいした薬ではなかったし、薬剤師さんのチェックを受けて、修正できたけれど…。 少し気が抜けるときがあるのかな?
●今日気づいたこと
●今の気持ち・今後学びたいこと
・今日は、時間が余っている…とたまっていたサマリー作業をやっていたら、時間がどんどん過ぎていった。サマリーは時間かかるなぁ。
・今日は、研修初めてあたまにきた日だった。今夜は寝付いたと思ったらおきることを繰り返し(まあ、所詮おまけな研修医はたいしたことしてなかったけれど)、さすがに朦朧としていた7時過ぎ、昨日も一日動いて、今日もこれから一日動くからどう体力使っていこうかな、と考えていたそのとき、患者さんを部屋まで運んででもストレッチャーからベッドに運ぶ余力がなくなっていたときにそこのナースに、
「先生も手をだして! 疲れているのはみんな一緒! へらへらしていないで」
24時に病院にきて、もうすぐ仕事終わるひとに言われたというのが、かちんときた…
ちょっと、NsとDrの仲が悪くなっていく理由が分かった気がした。
●明日の予定
・脳Angio見学
・先週入院された患者さん3人のサマリー再整理
・UpToDate仕上げ
・サマリーフォーマット書き換え
◆たまっている宿題…
コメント
What a lovely day for a 1976678! SCK was here
投稿者: 1976678 | 2011年04月08日 07:10
I was wondering if you ever considered changing the layout of your blog? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having one or two images. Maybe you could space it out better?
投稿者: dummy | 2011年04月10日 01:49
It's not that I want to copy your web site, but I really like the design and style. Could you let me know which theme are you using? Or was it custom made?
投稿者: Concert Tickets | 2011年04月10日 21:19
Many thanks for sharing this excellent write-up. Very inspiring! (as always, btw)
投稿者: http://www.planmybaby.com | 2011年04月11日 20:31
I have read a few of the articles on your website now, and I really like your style of blogging. I added it to my favorites blog site list and will be checking back soon. Please check out my site as well and let me know what you think.
投稿者: college scholarships | 2011年04月12日 18:26
Youre so awesome, man! I cant believe I missed this blog for so long. Its just great stuff all round. Your design, man...too amazing! I cant wait to read what youve got next. I love everything that youre saying and want more, more, MORE! Keep this up, man! Its just too good.
投稿者: Florida home insurance | 2011年04月15日 03:15
What a lovely day for a 3728943! SCK was here
投稿者: 3728943 | 2011年04月15日 10:53
Is that true? I'll spread this information. Anyway, nice posting
投稿者: Silva Marsters | 2011年05月22日 10:23
Comfortabl ymca, the content is definitely one of the best within this significant matter. Certainly with the results and will thirstily anticipate your own future posts. Just saying kudos will not just do, for your amazing lucidity with your posting. I may instantly get hold of your current rss to sleep in up to date with any kind of revisions. Environnant les lightful operate and far success with your online business business!
投稿者: Matilde Hillan | 2011年05月23日 09:43
Just to let you know' your web page looks extremely strange in Mozilla on a Mac
投稿者: Sam Schudel | 2011年05月24日 10:13
On which often subject, i think must don't agree with some of your respective points when doing much more indepth homework on it. Having said that, not all of your current points really are wrong.
投稿者: Gema Heiney | 2011年05月25日 10:43
What a lovely day for a 159515! SCK was here
投稿者: 159515 | 2011年05月26日 07:34
Extremely nice post you got there, thanks for letting me read, I will come back for much reading of your posts in the future
投稿者: Performer5 Reviews | 2011年05月26日 08:25
That is the precise weblog for anybody who needs to search out out about this topic. You notice so much its almost hard to argue with you (not that I actually would want窶ヲHaHa). You definitely put a new spin on a subject thats been written about for years. Nice stuff, simply great!.
投稿者: saranramos | 2011年05月26日 17:45
My spouse and i got quite fulfilled when Emmanuel could do his preliminary research from your precious recommendations he discovered when using the weblog. It is now and again perplexing to simply find yourself giving out thoughts that people today have been trying to sell. And we already know we have the website owner to thank for this. These explanations you've made, the straightforward website menu, the relationships your site aid to create - it's got most spectacular, and it's facilitating our son and our family feel that that concept is entertaining, and that's exceptionally fundamental. Many thanks for all!
投稿者: Tene'e | 2011年05月26日 18:33
As a Newbie, I am constantly exploring online for articles that can benefit me. Thank you.
Emanuel Carthens.
投稿者: Tiffany Lamps | 2011年05月26日 20:44
With the whole thing which appears to be building inside this particular area, your opinions happen to be rather exciting. Nevertheless, I beg your pardon, but I can not subscribe to your entire plan, all be it exciting none the less. It would seem to everybody that your opinions are generally not entirely validated and in actuality you are yourself not really totally convinced of the point. In any case I did enjoy reading through it.
投稿者: microtek scanner | 2011年05月26日 22:02
The very core of your writing while appearing reasonable at first, did not sit very well with me personally after some time. Somewhere within the sentences you managed to make me a believer unfortunately only for a very short while. I nevertheless have got a problem with your jumps in logic and one might do well to help fill in all those breaks. In the event that you can accomplish that, I could surely be amazed.
投稿者: trek road bikes | 2011年05月26日 22:58
I love what you guys tend to be up too. Such clever work and reporting! Keep up the terrific works guys I've you guys to blogroll.
投稿者: reasons for debt | 2011年05月27日 01:50
Howdy! This is kind of off topic but I need some help from an established blog. Is it hard to set up your own blog? I'm not very techincal but I can figure things out pretty quick. I'm thinking about making my own but I'm not sure where to begin. Do you have any ideas or suggestions? Thank you
投稿者: radar detectors | 2011年05月27日 04:52
Thanks for giving your opinions. As a author, I'm generally searching for new and different approaches to think about a matter. I actually uncover fantastic creativity in doing this. Thanks a lot once again
投稿者: Yer Scolnik | 2011年05月27日 06:38
Amazing blog. I was checking continuously this blog and I窶冦 quite impressed! Very useful information particularly the last part. I care for such information a lot. I was looking for this particular info for a long time. Thank you and good luck.
投稿者: Wyatt Popularis | 2011年05月27日 10:08
There may be noticeably a bundle to learn about this. I assume you made sure nice points in options also..
投稿者: Edwayne | 2011年05月27日 10:30
There is evidently a lot to know about this. I believe you made certain nice points in features also.
投稿者: install car amplifier | 2011年05月28日 12:28
TCA Peels are one of the best chemical peels for skin care. TCA peel can be used to treat acne scars.
投稿者: TCA Chemical peel | 2011年05月28日 15:51
I would like to show some appreciation to this writer for rescuing me from this type of challenge. After looking through the the web and finding notions that were not beneficial, I figured my entire life was gone. Existing devoid of the approaches to the problems you have fixed as a result of your good post is a crucial case, and ones which may have badly affected my entire career if I had not discovered your web blog. The expertise and kindness in controlling the whole thing was useful. I don't know what I would have done if I hadn't come upon such a subject like this. I am able to at this moment relish my future. Thanks very much for your reliable and effective help. I won't think twice to propose your web blog to anybody who should receive recommendations about this issue.
投稿者: Samsung SGH-L760 download | 2011年05月29日 02:34
Much of the information. Soon I come back to the blog.
投稿者: profile elewacyjne | 2011年05月29日 15:25
Fantastic article! I really like the second section, I know exactly what you mean! This blog is great thanks again!
投稿者: great post | 2011年05月29日 15:45
Hey well done for another interesting viewpoint, I'm a frequent visitor so I figured it would be nice to put up a link back to your post from my site here: http://bestseosoftwarereviews.net/rec-read ....my profession is not 100% relevant but I think my readers can also benefit reading your musings too, I hope you don't mind!
投稿者: best seo software | 2011年05月29日 22:48
This is one of those couple of moments where you are surfing the web and by accident stumple across an excellent post. Thanks for Sharing it.
投稿者: bisexual | 2011年05月30日 11:24
Just right points?I'd word that as any individual who really doesn't write on blogs much (in fact, this can be my first submit), I don't assume the term 'lurker' could be very turning into to a non-posting reader. It's no longer your fault the least bit , however possibly the blogosphere may just come up with a better, non-creepy identify for the ninety% people that revel in reading the content material .
投稿者: Coleus | 2011年05月30日 15:36
Congratulations on having Hands down the most sophisticated blogs Ive come throughout in some time! Its just incredible how much you can eliminate from some thing as a result of how visually beautiful it窶冱. Youve put collectively a terrific blog space -great graphics, videos, layout. That is undoubtedly a must-see weblog!
投稿者: twitter | 2011年05月31日 01:07
You lost me, friend. I mean, I imagine I receive what youre saying. I am aware what you窶决e saying, and you just seem to have forgotten that might be various other folks inside world who view this challenge for it happens to be and may even perhaps not trust you. You could be turning away numerous folks who could have been lovers of your respective website.
投稿者: firewall | 2011年05月31日 02:12
Great written content and great layout. Your blog post deserves all of the positive feedback it has been getting.
投稿者: Stacey Kaelker | 2011年05月31日 08:23
I feel that is an enchanting aspect, it made me suppose a bit. Thanks for sparking my thinking cap. Once in a while I get such a lot in a rut that I just really feel like a record.
投稿者: Address | 2011年05月31日 14:28
I picture this could be numerous upon the written content material? in spite of this I still imagine that it is usually suitable for nearly any form of topic material, as a result of it could regularly be enjoyable to determine a warm and pleasant face or possibly hear a voice when preliminary landing.
投稿者: ebay stealth guide | 2011年05月31日 16:32
Now after which I'll stumble across a article like this and I'll recall that there really are still exciting pages ...
投稿者: beijing package | 2011年06月01日 00:49
Does your site have a contact page? I'm having a tough time locating it but, I'd like to shoot you an email. I've got some creative ideas for your blog you might be interested in hearing. Either way, great website and I look forward to seeing it expand over time.
投稿者: movies online | 2011年06月01日 05:39
I am extremely impressed with your composing skills and also while using layout on your blog. Is this a paid theme or did you customize it yourself? Either way maintain up the excellent good quality writing, it is rare to see a great blog like this an individual nowadays..
投稿者: yahoo | 2011年06月01日 07:24
Fantastic, always enjoy reading your point of view.
投稿者: New Construction Windermere FL | 2011年06月01日 09:59
Your blog would increase in ranking if you post more often.
投稿者: Eko Pufy | 2011年06月01日 11:26
Just what youre declaring seemingly accurate. I recognize that ought to say the ditto, and yet I merely believe that putting it in a manner that everybody is able to fully understand. I should say also adore the photographs you put in in this article. They fit so perfectly in what you're saying. Internet marketing guaranteed you will arrive at more and more using what you have arrived at point out.
投稿者: Lloyd Wong | 2011年06月01日 11:37
Nice post. I was checking continuously this blog and I am impressed! Extremely useful info particularly the last part. I care for such info a lot. I was looking for this certain information for a very long time. Thank you and good luck.
投稿者: Shawn Dempsey | 2011年06月01日 12:49
What you're saying is completely true. I know that everybody must say the same thing, but I just think that you put it in a way that everyone can understand. I also love the images you put in here. They fit so well with what youre trying to say.
投稿者: Double Umbrella Stroller | 2011年06月01日 17:13
Impressive blog. it's good to view some valuabe content on a free resource. Great to stumle across this web site. Thanks again for your knowledge.
投稿者: Carpet Boise | 2011年06月02日 05:13
What a great post!
投稿者: Lura Hanvey | 2011年06月03日 03:37
We stumbled over here by a different page and thought I might check things out. I like what I see so now i'm following you. Look forward to looking over your web page for a second time.
投稿者: Columbus Permann | 2011年06月03日 06:11
היי רציתי להמליץ לכם על חברה מובילה במכירת רהיטים, מזרונים ,מזרנים ועוד .
投稿者: מזרון | 2011年06月03日 06:23
This is a great blog Friends! Really want to lose weight fast? REALLY? Top Ranked Product by Lance Armstrong's Livestrong. IT WORKS! I use it. Get sample here - http://bit.ly/fusion5
投稿者: HoW To LoSe WeIgHt | 2011年06月03日 09:50
What you're saying is completely true. I know that everybody must say the same thing, but I just think that you put it in a way that everyone can understand. I also love the images you put in here. They fit so well with what youre trying to say.
投稿者: Jogging Stroller | 2011年06月03日 14:44
What a great post!
投稿者: Kirstin Haymore | 2011年06月04日 00:35
Thanks for that awesome posting. It saved MUCH time Thanks for this nice post you窶况e made!
投稿者: Flight Simulation Games | 2011年06月04日 09:55
Great post.
投稿者: Ebonie Caristo | 2011年06月04日 11:20
Please let me know if you're looking for a article writer for your weblog. You have some really great articles and I feel I would be a good asset. If you ever want to take some of the load off, I'd love to write some material for your blog in exchange for a link back to mine. Please shoot me an email if interested. Cheers!
投稿者: Linn Kaminski | 2011年06月04日 15:16
Hi! I know this is somewhat off topic but I was wondering which blog platform are you using for this website? I'm getting tired of Wordpress because I've had issues with hackers and I'm looking at options for another platform. I would be great if you could point me in the direction of a good platform.
投稿者: Florinda Karratti | 2011年06月04日 15:16
Thanks for making the honest attempt to speak about this. I believe very strong about it and would like to learn more. If it's OK, as you gain more extensive wisdom, would you thoughts including more articles very similar to this one with additional information? It would be extremely useful and helpful for me and my friends.
投稿者: sell my mobile phone | 2011年06月04日 18:23
Thanks for another great article.Where else could anybody get that kind of info in such an ideal way of writing? I have a presentation next week, and I am on the look for such info
投稿者: pandora beads | 2011年06月05日 15:21
Thank you for sharing this helpful info!
投稿者: Bethel Arruda | 2011年06月05日 15:47
Do you mind if I quote a couple of your posts as long as I provide credit and sources back to your blog? My blog site is in the exact same area of interest as yours and my users would truly benefit from a lot of the information you provide here. Please let me know if this ok with you. Cheers!
投稿者: Bettie Garelik | 2011年06月06日 00:17
Today, I went to the beach with my children. I found a sea shell and gave it to my 4 year old daughter and said "You can hear the ocean if you put this to your ear." She put the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is completely off topic but I had to tell someone!
投稿者: software creator ;) | 2011年06月06日 04:25
Hi there! Fine post! But this blog is always loading rather slowly.
投稿者: watch | 2011年06月06日 12:25
I like when you talk about this type of stuff in your posts. Perhaps could you continue to do this?
投稿者: mbt chaussures paris | 2011年06月06日 17:32
Have you thought about adding some social bookmarking buttons to these blogs. At least for facebook.
投稿者: SEO Companies | 2011年06月07日 04:51
היי רציתי להמליץ לכם על מקום שבו דואגים לכם לאירוע מושלם על מכלול מרכיביו .מפיקה אישית ומקצועית תלווה אתכם משלב הרעיון ועד שלב הביצוע אשר יהפוך את האירוע שלכם לחוויה המושלמת.
投稿者: מקום לבר מצווה | 2011年06月07日 07:01
Thank you for sharing this great post. Very inspiring! (as always, btw)
投稿者: Supplements | 2011年06月07日 08:46
Can one publish a hyperlink for this weblog upon my personal web site. Iテδ「m certain my personal visitors will discover this particular data truly fantastic.
投稿者: polo lacoste | 2011年06月07日 11:07
Youre so cool! I dont suppose Ive read something such as this before. So nice to get somebody with authentic applying for grants this subject. realy i appreciate you for starting this up. this fabulous website can be something that窶冱 needed on-line, somebody with a bit of bit originality. helpful task for bringing interesting things for the web!
投稿者: acrylic nail supplies | 2011年06月07日 13:02
I found so many interesting stuff in your blog especially its discussion. From the tons of comments on your articles, I guess I am not the only one having all the enjoyment here! keep up the good work.
投稿者: Newrat | 2011年06月07日 17:05
It's the little things that matter, that's what I believe.
投稿者: marketing agency | 2011年06月08日 08:25
Advertised . a useful concept.I'm going to have a very good tiral of the notion asap while have already aggravated by these products for years.Thanks to you on your continously blog post regarding successful tips.It genuinely accomplish me a fantastic favour.
投稿者: Vincent Godfray | 2011年06月08日 09:37
I discovered this information earlier today while at work. Very helpful. Sent the url to myself and will likely bookmark it when I go back home.
投稿者: Mitsue Teagues | 2011年06月08日 20:06
An fascinating discussion is worth comment. I think that you must write more on this matter, it may not be a taboo subject however generally persons are not sufficient to speak on such topics. To the next. Cheers
投稿者: Teak Furniture | 2011年06月09日 01:50
I know this if off topic but I'm looking into starting my own weblog and was wondering what all is needed to get set up? I'm assuming having a blog like yours would cost a pretty penny? I'm not very web smart so I'm not 100% sure. Any suggestions or advice would be greatly appreciated. Cheers
投稿者: Ferienwohnung Le Sapey | 2011年06月09日 04:00
Can you know where by to have a great myspace pattern?
投稿者: Cayden | 2011年06月09日 04:18
Hi, I just ran across your web site via yahoo. Your viewpoint is truly pertinent to my life right now, and Iテ「竄ャ邃「m really pleased I discovered your website.
投稿者: Link Building Service | 2011年06月09日 09:27
Good work, I just stumbled your weblog and wanted to say that I窶况e truly enjoyed browsing your blog posts. I have subscribed to your feed and I hope you write again very soon!
投稿者: Boost Outlook | 2011年06月09日 13:29
I will observe youテ「竄ャ邃「re a specialist inside your area! I'm beginning an online site soon, as well as your particulars is going to be very helpful personally.
投稿者: beat by dr dre | 2011年06月09日 18:42
I like the precious information you offer in your articles. I can bookmark your blog and feature my kids test up right here generally. I am relatively certain they're going to be told loads of new stuff right here than anyone else!
投稿者: VERIFONE VX670 | 2011年06月10日 06:24
I am ipressed by the quality of opinions on this website. There are a lots of useful resources here. If wanted to know more about green smoke reviews, than by all means come in and check our stuff. I am sure I will visit this place again soon. Brilliant, it's a great post. All the best.
投稿者: Neil Gunsborough | 2011年06月10日 20:42
Incredible! This blog looks just like my old one! It's on a entirely different subject but it has pretty much the same page layout and design. Excellent choice of colors!
投稿者: Raymon Hogancamp | 2011年06月10日 21:41
Thank you for another essential article. Where else could anyone get that kind of information in such a complete way of writing? I have a presentation incoming week, and I am on the lookout for such information.
投稿者: rosetta stone french | 2011年06月11日 00:05
Admiring the loiter again and again and travail you distress into your blog and exhaustive tidings you these days. It's lofty to come across a blog every in days gone by in a while that isn't the unaltered unwanted rehashed communication. Wonderful pore over! I've saved your plat and I'm adding your RSS feeds to my Google account.
投稿者: tractors | 2011年06月11日 01:37
It's not that I want to replicate your internet site, but I really like the design. Could you let me know which theme are you using? Or was it tailor made?
投稿者: scratching post thoughts | 2011年06月11日 05:13
So you are seeking some benefit with memory improvement. Improving upon your memory just isn't a herculean undertaking. It just demands the suitable method. Just a few technical and psychological tricks can assist you to enhance memory all all through your lifetime. But when you are in search of special ways to improve memory, you'll want to to begin with figure out what memory is. What's memory and how does it give good results? Memory is definitely the psychological faculty of your brain for recollecting details from previous training and encounters. There's two different kinds of memory: Brief phrase memory: This memory outlets advice only to get a handful of minutes, or numerous seconds. Long run memory: This is often the memory which a person saves intentionally or unintentionally. Normally, factual knowledge demands conscious efforts to recollect the formerly saved memory.
投稿者: memorize by repetition | 2011年06月11日 11:34
My coder is trying to convince me to move to .net from PHP. I have always disliked the idea because of the costs. But he's tryiong none the less. I've been using WordPress on a number of websites for about a year and am concerned about switching to another platform. I have heard good things about blogengine.net. Is there a way I can import all my wordpress posts into it? Any kind of help would be really appreciated!
投稿者: dried flower arrangements | 2011年06月11日 13:23
Changing into conscious in the course of your dreams and taking management of them is amongst the most fulfilling and enjoyment stuff to try and do with your brain. With about a decade of lucid dreaming, I've made use of my dreams to talk with everyday people who ended up very important to me, to grieve entirely and deeply so I could allow go of an individual I cherished, to take on wild adventures I'd never ever get to get in authentic life, to have nightly vacations for the period of actually stressful instances, as well as to conquer my irrational fearfulness of creepy-crawly issues (specially centipedes - so gross!). I nonetheless you should not like bugs, but now they do not freak me out anymore on the grounds that I put into use lucid dreaming techniques to beat them in my dreams.
投稿者: dream journal | 2011年06月11日 15:53
Required to give back that not much remark only to thanks once again of these spectacular techniques you've got provided in this posting. It窶冱 so particularly generous with normal folks as you to produce unreservedly what many of us can have marketed for an e-book to earn some dough for their own reasons, primarily in view that you might have tried it if you wanted. The tactics also acted being easy way to realize that almost everyone has similar desire in the same way my own to comprehend significantly more about it condition. I窶冦 there are countless easier opportunities up front in case you read through your blog post.
投稿者: Sasha Gray | 2011年06月11日 17:09
If you are going to this page then you definately are looking for the secret approaches regarding how to train puppies. Right here is some very helpful news you might like to hear: there definitely are no insider secrets for puppy training. You'll find many properly established helpful hints which deliver you which has a roadmap to train your small four legged friend. On these pages, you'll be able to discover many of individuals recommendations. Our page is really a excellent resource for all those hoping to learn ways to train puppies and also adult canines. What may make this blog so distinctive is we will not examine canines as a singular entity.
投稿者: how to train a miniature pinscher | 2011年06月12日 01:28