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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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Emergency Department:

I don't mind working nights

I don't mind working nights for a couple of weeks at a time, but a month of nights--especially nights in the emergency department--just makes me crazy.

What logic we can get

Most normal people, I imagine, are asked to understand that good people make mistakes maybe once a day. In the emergency department, providers are asked to understand this about 10 times an hour. It gets old fast.

Gut reaction

I can understand why Dr. Dispo might have initially suspected this patient was a drug seeker: he was requesting narcotics; he was prone to great displays of emotion; he resisted other interventions to treat his pain, such as a nasogastric tube for decompression of his stomach.

Transfer pizza

The other day, I walked into the main charting area and smelled pizza. This worried me, as food odors in the emergency department are, more often than not, early wafts of the aroma of vomit. A nurse must have seen my raised eyebrow: "Transfer pizza," she said.

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