Medicina por dolor = pain medicine

So I was on call yesterday, long call, meaning I was in the hospital for 24+ hours. I can officially say that during that entire time I did not sleep one bit. I found myself in the midst of being a rough translator for three hispanic patients. I can say that I am quickly getting over my reservations of speaking spanish with native speakers. I guess when a woman is trying to push a baby out, the last thing they are worrying about is grammar lol. But real talk, I dont know exactly why, but I sometimes get the feeling that non english speaking patients dont get quite as good care as anglophones. So last night I got attached to a patient who was working on delivering her 5th pregnancy. She was having a pretty difficult time considering that with each successive child, the birthing process is supposed to ease up. I was drafted because of my rudimentary knowledge of espanol. I found that I didnt really have the time to be shy so I jumped right in as best i could. I basically was trying to be a birthing coach for this poor lady, whos significant other was not around. Not to sound like a bleeding heart, but I really felt for her, because in this very tender and personal moment she was in a room filled with people who could barely say hello in her language, much less tell her how to deliver a baby.

So i tried my best and after hours [and hours] of pushing she told me she couldnt do it anymore. I know it broke her heart to get the C-section, cause it broke mine. After all that labor and pushing, she still had to go under the knife. I just hope a lot of things, i hope that the team i worked with picked up a little more spanish so that they can help their patients that much more. In the most pure and non self serving  sense, i  honestly dont know how they birth people without someone in the room with some grasp of spanish [those translation phones only go so far], I also hope that this feeling never stops; the connection that comes when you are in a patients room, by their bedside encouraging and doing all you can to help. Its such a genuine and raw feeling that it pulls you in everytime. I found myself rooting for my patient, I felt invested in her. So much so that I stayed for the C-section at the end of my call [and almost passed out, but thats another story… lets just say that over 24 hours on your feet and no food dont work well in hot ass sterile garments lol]. I could never do OB, but this rotation is teaching me a lot, about this thing called medicine.

I love what I do. I am unbelievably lucky to be a part of this.

ok good night, didactics en la manana

Julian

Otra vida, Otra vez

What a day. I had one day that will go into history books. I was at PG hospital and though it started like any other day in a new service; by lunch time it took a predicted yet beautifully unexpected turn for best. [I’ll save that for later]… I have my 5 hot things for early December and they are pretty caliente [if i do say so myself]


-Music-

I am loving Amazon’s mp3 store. I’ve gotten some gems from them for dirt cheap. I got the swingingest Christmas CD out there, Ella Wishes You a Swinging Christmas. Anyone who reads this or knows me, should know that I love me some Ella. And this CD is classic Ella and her spin on Christmas.


-Author-
Junot Diaz, Because of what happened to me earlier today and my whole OB experience, I was reminded of Diaz and some of his writings. I find some loose parallels between him and his characters and myself.  Just the whole walking the line between americaness and a foreign identity. I’ve always liked Diaz’s writing style and narration, it somehow feels like he’s speaking on the same wavelength as me or something [idk, its weird] . And So i found some short stories from the New Yorker and listened to a few of his interviews.
http://www.newyorker.com/fiction/features/2007/12/24/071224fi_fiction_diaz?currentPage=all
http://www.newyorker.com/archive/2004/06/14/040614fa_fact1?currentPage=all

– Clothing-
Gap had a buy one get one free shirt sale so I got the yellow plaid shirt I’ve been wanting for a while. 


– Experience-
Today on the Labor and Delivery service I was lucky enough to witness and help in a delivery. The Mom was a Hispanic woman and this was her second baby. I met her this morning with my resident and when the resident was asking her questions I noticed that she didn’t seem to understand the questions well. So I put just jumped in and helped translate. I was comfortable enough to get through the basics and since her nurse [the usual translator] was busy we got through it pretty well. So this was in the morining and after lunch I went down to the floor to see what was going on and everything just sped up. She was going to deliver and it was coming fast.
So the resident called me over and had me gown up to assist.  So I got right in and was there to help. I tried to help her and I was translating the usual commands (empuje = push, fuerte = strong, respira= breathe, bueno bueno mami = good job mom!)  I wasnt anybodies hero or anything. It just felt good to help. So the whole delivery went pretty smoothly, but i have to just say that it was better than i ever thought it was. The whole room was on one page, supporting the mom and rooting for everything to be ok. And when the little girl was finally out, you could feel the energy overwhelm you. It almost like an electricity that everyone could feel. The mom was just thanking god and so happy.  As happy as we all were. It was just one of those moments that i’ll EVER forget.


-The Future-
Getting ready for my future and seeing that its rapidly approaching almost has me like a deer in headlights. I find myself feeling like I dont know what to do. I dont know to go left or right, all i know is that I have to move. I think that the key to taking charge of your future and realizing it is to walk forward with faith. Just to know that the right thing is going to come my way and to do what I must day to day with the finish line always in the back of my mind. 
2010 is going to be a year when dreams start to materialize.


aight, i have a health fair to work with in the morning… I pray it goes well


hasta luego
Julian 

take care






a tiempo = on time

When I become an attending physician Im going to do things differently. Im going to take a true interest in my students. I am going to teach them clinical skill, get to know them and treat them like adults by holding them accountable for things. I dont think its too much to ask for people to be places on time. Its not a big deal for people to be professional, look professional and act professional. I mean damn, what are we really here for? When are people gonna cut the crap and stop the bull. When are people gonna grow up?

I’ve had some trouble in my rotation, because when it comes down to it, a lot of people lack professionalism and couth. There are people who, though i really dont want to judge, arent in this for the right reasons. I say that because if they were, it wouldnt be like pulling teeth for them to be where they are supposed to be and to put in the duty hours that are expected of them. When I become an attending, i will keep my service efficient  and i will stay on top of things. No one will ever be able to say that I didnt let them know what was expected, its enough that we have to learn beaucoup info about these medical specialties in a short time, while working more than 8 hour days and q4 calls in the clinics or on the wards.

As an attending I will have the responsibilites of the students clearly delineated and I will let them know where they have to be. People will know when and where they have to be all the time. That way if someone is absent, it willful. I will not tolerate blatant disrespect, in the form of lateness. I just dont get it, It REALLY doesnt take that much to get to where you gotta go in the morning. Because, real talk, if you can be other places on time [clubs, parties, movies or where ever the hell you slither off to…] you can bring your ass to the hospital on time.

Its just not that hard. Do what you have to. bottom line and  I know as an attending I will be the rebel. I will lay things out, make their responsibilities clear, and i will do my best to see everyone in action to give a real thorough and thoughtful evaluation. I will keep my same amiable personality and encourage students while at the same time not caudal them or even raise my voice when something goes awry.

I dont know, I guess its just the frustrations that I am dealing with. But I am really going to turn things around for this OB rotation. I know its not gonna be one of my favorites [material wise and time wise] but I really want to pass this one with honors, so If it takes less sleep and earlier mornings, So be it. I can do this and I will do this…

Ok time to go to bed, i got a long day ahead of me

buenas noches

Julian