Internal med

Vacation week is just around the corner and I have to say, I am looking forward to it like I never did before (ok, probably not true, because if I remember correctly, last year was even worse!)

I started this rotation still very motivated. After spending a very long 7 hours in the same house than my husband, he left for a week in Europe for work, came back for a week and left again for another 2 weeks... Not a very easy month really... 3 weeks out of 4 being single-mom while on rotation is sub-optimal at best. Luckily for me, Princess is 9 and very resourceful. I let her walk home from day-camp this week, so she is about half-hour alone at home (but I have fantastic neighbour, so she has a place to go if she has any issue). I know I shouldn't do it, but there is just no other way possible.

My rotation is very interesting, with few complex patients and a lot of time to do teaching. We take mostly about 30 to 60 minutes to discuss a subject and organize our differential diagnoses and investigations. I suppose this is my best rotation for learning. Internal medicine is very interesting and the practice is diverse. I suppose I could see myself do that... but, because I am so tired and in need of vacation, I have to say, I am not giving my 100% at the moment. I believe I am not doing too bad but still I am not totally satisfied with myself, but at this point, it will have to do.

I had done critical review about this article on Acetaminophen in chronic pain... Interesting read that made me question how I would use acetaminophen in my future practice (specially since I have an interest on treating chronic pain).

It feels good to be back in my "home hospital" too. To see other physicians on the ward that I know. I love to feel at home, to feel I belong somewhere (not a feeling I had while at the big university-hospital at the main campus).

So, not so bad after all... And then, in the upcoming months, we are going to prepare for CaRMS, apparently a very busy time ahead until mid-november...