3/30(金)
◆今日の気持ち
(脳外科 5週目)
・今日で最後! どこまで自分が成長できたのかぜんぜんわからない今までだったけれど、来週からやっと他の研修医が見える。尺度がやっと見える。目標と勉強方法を整理しなおす作業を、情報集めてやっていかねば。
・胃の解剖復習しないと
・若いうちは医局にいちゃだめ、と苦言をもらう。でも、病棟に行っても勉強すること少ないタイミングって多いし、なかなか指導医のカルテ読めないし、先生方の指示もいろいろ個性あるから見れば見るほど分けわかんなくなるし…。おしゃべりできる能力があれば。病棟にいるのもいいのだろうけれど、そゆの苦手だしな…
●今の目標
・次の環境でがんばる!!
●今日の新患・診断
・交通事故
・精神症
・20歳女性尿路結石。水かなにか悪さしたのかな…
・胃ポリープEMR後、その影に隠れたポリープ
●今日の病院滞在時間
8時〜18時
●今日行ったこと・見たこと・知ったこと
・GF
カメラを飲み込んでもらう、前に梨上陥凹にきちんと当てないと
咽頭あたりで胃カメラの方向・位置が分かりにくくなる…
嚥下運動にうまくあわせると飲み込んでもらわなくてもすっと入る
食道でair入れすぎると微細なものを見つけられなくなる。でもきちんと十分入れないとだめ
スピードが甘い。速くしなきゃいけないところを遅く、ゆっくりいかなきゃなところをいっきに、進んでる
時々位置が分からなくなる。目印を意識する。大彎のひだとか
自転車と同じで慣れが必要
・頭部外傷
健忘。電話で言われていても脳外科的健忘でないことは多い。事故の瞬間を覚えていないのは、ふつう。
・オキシドール
洗浄。嫌気性菌の除去。
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