1/6(土)
◆今日の気持ち
(外科 4ヶ月目)
・副作用、注意しきれない。対処できるような余裕が必要か
・患者を見に行くフットワークと、腕を磨く気概が足りないとのアドバイスを受ける。深く考え込みつつも、悩みこむ。採血よりも本や論文が読みたいのは、研修医として間違った感性なのか。…間違えている気もする。フットワークは、ちょっと前、薬?アレルギーを見つけたときとか直属の先生に叩き潰されたのとかで凹みすぎたか。受け流して貪欲にいかないと、さらにやる気がないと思われるのが当然か…。検査も、いつも手術とか用事があるなか看護師さんにたまに頼んでも連絡もらい損ねるのが普通だし、何かいい手段を、考えないと…
・弱いものはいじめられるのが医療って場所なのかもしれない。でも、どこの業界もそうなのかもしれない。ともあれ病院の場合は研修医の位はそのうち上がるけれど…。だから、まだ位が低い研修医のうちはいじめられるのが自然の摂理か。気にせずほえほえと受け流していくべきなのだろう。
◆今日うまくいかなかったこと・失敗
・急いでいなければカルテを書いてから上の先生を呼ぼう
●目指す医師像
総合内科医 問診を極めたい
西洋医学的には1〜2剤のみつかう医師
症状には漢方を使用する医師
●今日の新患・診断
・鼠径ヘルニア
・交通事故・軽症
・CPA
・下剤内服による低K?
・嘔気 胃腸炎?神経性?
・尿管結石
●今日の病院滞在時間
15時〜当直
●今日行ったこと・見たこと・知ったこと
・交通事故でSpurling test
・プリンペランは催奇性あり
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