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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…

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