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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.

Email me: signoutblog@hotmail.com

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


Signout recommends:

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End-of-Life Care:

Kind of your job

Category: ICU

In my intern's anxiety over patient death, there might have been more than mere laziness.

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Patients affect us in this way

When my patients cry--and they do, often--I sit down. When Dr. Leaky cried, I stood up.

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What we're supposed to do

As I've become angrier and angrier with our decision-making process in cardiology, I've become more and more distant from my patients and their families.

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As if from inside the earth

"I'm a sick, sad old man," he said, and was quiet for a while. Then, foggily, as if from inside the earth, he said, "Is this worth it?"

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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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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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Weighing something

Category: NICU

Before they can let their child go, some parents need to see that everything that can be done has been done-and sometimes, we agree to cause a child prolonged suffering in order to fill that need.

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