Friday, December 28, 2007

Geriatrics

I feel like i've been let off the ride, and i didn't throw up on anyone. phew.

The last (and more or less final!) two rotations were surprising. good-surprising.

Geriatrics was, predictably, slow-ish. Which was exactly what i wanted. I had tons of time to just talk with people, and to meet my own needs and then actually be available when i was supposed to be working. It was so pleasant, and then *I* was so pleasant! Patients kept remarking about how nice i was. Which i know is a defense strategy when folks are ill and vulnerable, but i also think it was because i honestly *am* nicer when i've slept, eaten, emptied my bladder and figured out that thing at the bank. And when i don't have to shoo people out of my presence because someone else is waiting. I could just, listen. And work at the pace people set for me.

One of the wisdom-chunks left for us this month was "whatever has taken 85 years to develop, will not be solved in an hour". which was a nice place to come from. (that said, the big challenge is discerning what has developed in the last hour, and really needs to be solved NOW)

I met some quality people, and had time to hear some of their stories, which is always my favorite part. It was kind of like, half internal medicine and half psych, which i figure is why i half really liked it. Fortunately, i happened to get a slow/light internal medicine half, which worked out well.

I got to do a little presentation on gay and lesbian seniors as part of the rotation, which was fun. Despite so much of the cool research on this topic having been done in the neighbourhood, none of them seemed aware of it. Which was both disappointing and lucky for me -- cuz i got to seem all fresh and up to date with information that had been sitting around the house for a few years. I learned a few things too -- like that after concentration camps in europe were liberated post- WWII, those detained for gay-ness had to finish their sentences elsewhere. I found that a bit chilling.

More soon on orthopedic surgery. and other stuff. cuz there is lots of other stuff. clerkship is ending, i am tasting glimpses of the time when i am no longer everybody's bitch.

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1 Comments:

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