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Signout

Out-of-body experiences of a medical resident

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SBselfborder.jpg Signout is hospital slang for the transfer of information between patient care teams. It is also the name of this blog, which represents one of the less dysfunctional ways in which Dr. Signout copes with her participation in a U.S. medical residency program.

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To view commentary on older Signout posts, please visit my old blog.


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January 31, 2007

Shock

Category:

That she was breathing independently was surprising enough, but that she was completely lucid just seemed improbable.

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January 28, 2007

Different conversation

Category: ICU

Back in October, I admitted a patient to the general medicine service with a three-week history of abdominal pain and progressively yellowing eyes. She was a large, pleasant, quiet black woman who was almost always accompanied by her husband, a...

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January 23, 2007

Grand Rounds

Category: Grand Rounds

At about this time last week, I asked for bloggers' thoughts on the interface of scientific evidence with health and health care. In an unscientific poll of the blogosphere, about 40% of you gave this theme the finger, while about...

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January 21, 2007

Deadline

Category: Grand Rounds

Don't forget: The deadline for submitting to this week's Grand Rounds is midnight tonight. Please note--as addended at the bottom of the original announcement--that although there is indeed a theme for this Grand Rounds, non-thematic posts will most certainly be...

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January 17, 2007

For those of you new

Category: Navel-gazing

Perhaps it's because I'm in training, or perhaps it's because I'm incredibly neurotic, but it never seems that what we do in medicine is without some subtext. A guy getting an MRI is rarely just a guy getting an MRI--there's always symptomatology, pathophysiology, or a social or emotional context to explore.

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Have a cookie

Category: Navel-gazing

Further proving the existence of God (just kidding! Hi, neighbors!), I am now writing under the ScienceBlogs umbrella. This is terribly exciting for me, and I look forward to being part of this formidable community of thinkers and writers. To...

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January 16, 2007

Tell us

Category: Grand Rounds

This Grand Rounds, let's talk about proof. I want your perspectives on the interface of scientific evidence with health and health care.

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January 14, 2007

The new black

Category: Hematology-Oncology

I just finished a rotation in pediatric hematology and oncology, where almost all of the kids I was taking care of had cancer. Most had leukemia or lymphoma with prognoses that were varying degrees of good. A few had other,...

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January 7, 2007

Voice

Category: Hematology-Oncology

There's a 3-year old kid on our pediatric hematology-oncology service who has a high-risk, stage IV, disseminated neuroblastoma: a bad cancer with a terrible prognosis. The mass in his liver is huge, and distends his abdomen way out of proportion...

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January 4, 2007

Behavior that persists

Category: Adolescent Medicine

Precious had been hospitalized many times before. She knew what worried doctors, and early on, she made damn sure we worried about her.

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