Always Smile
Follow Every Rainbow
正文
Intern year is almost over, I have worked with so many different interns, residents and attending. There is one physician that I just can not forget, that is Dr. C.
Dr. C is a MD JD, went to a good medical school and trained in the top university medical centers. He just finished his training last year, and was brought in for a senior position for the special skills he has. The 1st time I got to know him because of the grand rounds he made about medical futility. I always admire the very highly educated people so I googled him, but never had chance to talk to him.
When it is time for me to do my ICU rotation, I found out he is my attending, but got warned by my co-interns that he is very tough which made me a little bit nervous. The day before the switch day, we had a patient need to be transferred to ICU, we were doing a central line and A line, and he stopped by to see the patient. Patient felt a little bit uncomfortable with the drape over his head, and he stood at the bedside lifting the drape the whole time, I offered to help him, he said "I have to earn my pay", aha, interesting, not sure he is joking or just sarcastic.
The 1st day with him, he brought in his presentation guidelines and require all of us to follow, which is a very detailed guideline including everything, and warned us he is "east-coast style", if we do not know our patient, we will be skinned. He is not kidding, we learned what east-coast style, pimping and be skinned means the next 2 weeks. Interestingly at the bottom of the guideline it says:" As for me, all I know is that I know nothing." - Socrates
It is the March, and ICU census is high and lots of them are sick. He required us to know everything about the patient, from system to system, including lines and prophylaxis. And even more tough, you can not read off the paper or computer when you present assessment and plan. I can remember the main problem, but it is tough to remember all the details including maintenance issue. But his rationality is everything can change in a critically ill patient, which he is right, and it approved he is right.
When he is pimping, my god, you have to talk about all the theory behind it, why patient has this condition, what caused it and how to treat it. I have never met a physician who thinks so systemically, thoroughly and logically. I went back to read after rounding with him, everything he talked about is from the clinical guideline. It is very impressive.
One thing he is different from other attending is that he spent lots of time talking to the patient family members, he wants to be called at night if something happen to the patient and he will come to hospital if it is necessary. But lots of time, he is here late anyway, he checks with residents around 6pm and 10pm, sometime midnight. Not sure how he is able to do all of these, he told us at the beginning he has no wife, no kids and no dogs, basically he has no life outside of work. But I am thinking this is not going to be forever, he is going to get married and have kids and have a life outside of work, then how he is going to balance his life and work? I do not know, I guess need to wait and see.
Everything he does is 10/10, he is perfectionist, nothing can deviate from it, and he can get really angry if the clinical guidelines are not followed through, almost everybody on the team got skinned if you do not know your stuff. He does his work perfectly and required other people to do the same thing. I saw him questioned the nurse the sequential compression device is not on, if the MAP need to be 70, 69 is not ok.
I have never seen a physician worked so hard, caring so much about the patients or work, and so perfect to the guidelines, and how much he has to remember in order to do this. But he told me at our one-to-one meeting, there is only one thing between us, that is time, which means as time goes by, I will know more. I believe I will know more, but to be as good as him, to be thinker like him, probably not. I will try very hard to be that way, but I am not sure.
But I also see the ego side of him, maybe he is a man, or maybe he knows a lot and he is confident what he is doing. You can call it ego or confidence, which I do not have that yet.
Two weeks flied by, I have learned a lot from him, not just the medical knowledge, but the way of thinking. I am very glad I have worked with him, my way of learning is totally different after that. Although I was very nervous when I was with him. I guess I have no self-esteem in front him.
Dr. C, keep up the good work!
Dr. C is a MD JD, went to a good medical school and trained in the top university medical centers. He just finished his training last year, and was brought in for a senior position for the special skills he has. The 1st time I got to know him because of the grand rounds he made about medical futility. I always admire the very highly educated people so I googled him, but never had chance to talk to him.
When it is time for me to do my ICU rotation, I found out he is my attending, but got warned by my co-interns that he is very tough which made me a little bit nervous. The day before the switch day, we had a patient need to be transferred to ICU, we were doing a central line and A line, and he stopped by to see the patient. Patient felt a little bit uncomfortable with the drape over his head, and he stood at the bedside lifting the drape the whole time, I offered to help him, he said "I have to earn my pay", aha, interesting, not sure he is joking or just sarcastic.
The 1st day with him, he brought in his presentation guidelines and require all of us to follow, which is a very detailed guideline including everything, and warned us he is "east-coast style", if we do not know our patient, we will be skinned. He is not kidding, we learned what east-coast style, pimping and be skinned means the next 2 weeks. Interestingly at the bottom of the guideline it says:" As for me, all I know is that I know nothing." - Socrates
It is the March, and ICU census is high and lots of them are sick. He required us to know everything about the patient, from system to system, including lines and prophylaxis. And even more tough, you can not read off the paper or computer when you present assessment and plan. I can remember the main problem, but it is tough to remember all the details including maintenance issue. But his rationality is everything can change in a critically ill patient, which he is right, and it approved he is right.
When he is pimping, my god, you have to talk about all the theory behind it, why patient has this condition, what caused it and how to treat it. I have never met a physician who thinks so systemically, thoroughly and logically. I went back to read after rounding with him, everything he talked about is from the clinical guideline. It is very impressive.
One thing he is different from other attending is that he spent lots of time talking to the patient family members, he wants to be called at night if something happen to the patient and he will come to hospital if it is necessary. But lots of time, he is here late anyway, he checks with residents around 6pm and 10pm, sometime midnight. Not sure how he is able to do all of these, he told us at the beginning he has no wife, no kids and no dogs, basically he has no life outside of work. But I am thinking this is not going to be forever, he is going to get married and have kids and have a life outside of work, then how he is going to balance his life and work? I do not know, I guess need to wait and see.
Everything he does is 10/10, he is perfectionist, nothing can deviate from it, and he can get really angry if the clinical guidelines are not followed through, almost everybody on the team got skinned if you do not know your stuff. He does his work perfectly and required other people to do the same thing. I saw him questioned the nurse the sequential compression device is not on, if the MAP need to be 70, 69 is not ok.
I have never seen a physician worked so hard, caring so much about the patients or work, and so perfect to the guidelines, and how much he has to remember in order to do this. But he told me at our one-to-one meeting, there is only one thing between us, that is time, which means as time goes by, I will know more. I believe I will know more, but to be as good as him, to be thinker like him, probably not. I will try very hard to be that way, but I am not sure.
But I also see the ego side of him, maybe he is a man, or maybe he knows a lot and he is confident what he is doing. You can call it ego or confidence, which I do not have that yet.
Two weeks flied by, I have learned a lot from him, not just the medical knowledge, but the way of thinking. I am very glad I have worked with him, my way of learning is totally different after that. Although I was very nervous when I was with him. I guess I have no self-esteem in front him.
Dr. C, keep up the good work!
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