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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.


Signout recommends:

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ICU:

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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Stand up straight

Category: ICU

I should not expect that when I am the loved one of a patient, I can demand any of the indulgences that families can demand of me--not kindness, not time for my own grief and anger, not a sensation of loss of control.

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Coping is fun

Humor in the ICU is notoriously dark and free-flowing, and that's part of its appeal.

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Trusted to take care

Category: ICU

I overheard the attending doctor in the patient's room. "This man needs fluids. Bolus two liters of normal saline. Why isn't he getting more fluids?" I have been asking myself the same thing for the last four hours.

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Shock

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

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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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Avoid peoples' stories

Category: ICU

I hereby pretend to subscribe to whatever logic has made it possible for this man's existence to get to this point, and tomorrow morning, you should, too.

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