Well, I’m almost halfway done with clinical. Crazy. This week was definitely a whirlwind, being in the PCTU (pediatric cardio-thoracic unit). Remember Tuesday? When I had a super long day because I basically took over my preceptors entire position while she was gone? Well, I did it again today. But this time, with much more success. I actually went to rounds by myself and made it through those alive, updated all the patient forms, caught everyone up on the sheets as far as weights, intakes, TPN orders, and formula orders, and then wrote a few notes.
And I know for a fact that I learned a lot this week, because during rounds I caught that the addition of a specific drug would put a patient over his fluid requirements for the day. In this population, that’s extremely important. So, because of this, I made a recommendation to decrease the volume of his TPN order, which was exactly what happened! It was such a good feeling.
Throughout this rotation, I came across so many different congenital heart defects. From as basic as ASD/VSD (atrial/ventricular septal defects), which are basically a hole in the heart, to patients who have only one ventricle (so the body basically gets no blood), D-MGA (malposition of the great arteries; so basically the arteries are switched and your lungs get oxygenated blood and the body gets unoxygenated blood), and so many more! Usually these kids come along with a lot of other anomalies as well, from scoliosis to heterotaxy to having only one of an organ, like a kidney, or two of an organ, like a uterus.
That is what’s amazing about this internship, is the patient population I’ve been introduced to. I’ve seen so many crazy medical conditions. I’m seriously searching medical conditions on a regular basis, internet search engines and I have become great friends. Thinking about internships and wondering where to apply? If you really enjoy a challenge, definitely consider U of M!!
And I know for a fact that I learned a lot this week, because during rounds I caught that the addition of a specific drug would put a patient over his fluid requirements for the day. In this population, that’s extremely important. So, because of this, I made a recommendation to decrease the volume of his TPN order, which was exactly what happened! It was such a good feeling.
Throughout this rotation, I came across so many different congenital heart defects. From as basic as ASD/VSD (atrial/ventricular septal defects), which are basically a hole in the heart, to patients who have only one ventricle (so the body basically gets no blood), D-MGA (malposition of the great arteries; so basically the arteries are switched and your lungs get oxygenated blood and the body gets unoxygenated blood), and so many more! Usually these kids come along with a lot of other anomalies as well, from scoliosis to heterotaxy to having only one of an organ, like a kidney, or two of an organ, like a uterus.
That is what’s amazing about this internship, is the patient population I’ve been introduced to. I’ve seen so many crazy medical conditions. I’m seriously searching medical conditions on a regular basis, internet search engines and I have become great friends. Thinking about internships and wondering where to apply? If you really enjoy a challenge, definitely consider U of M!!
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