Our house is so great for parties, why didn’t we do this sooner?! Oh yeah, #residency
Thank goodness for this manual. I’m half way through my Psychiatric Emergency Department rotation and have been struggling with the setting. Most of my patients are very ill. Most need to be in a psychiatric hospital, but due to limited resources they are waiting in the emergency room. It’s not ideal. Most staff do not have training in mental health in this ED. This can lead to escalation in emotions and behaviors on the part of the patient and staff that may have otherwise been avoided. I had a patient attempt to hang herself with a hospital room computer cord this week. She is physically ok but it’s exactly why its unsafe for our patients to have to wait for days in the emergency room before transfer to a psychiatric hospital. I wish we could expedite the transition to safer environments. It would take more resources dedicated to inpatient mental health treatment. More resources to prevention of the crisis in the first place would help too.
The month has flown by. Geoff and I have never worked together before but this month we are working in a small hospital on two collaborating services. He has just finished ICU, I am working with general hospital patients. We transferred our first patients to each other this month. When we see each other in the halls he says, “Hello Dr Alexander”, and I smile, “Hello Dr D’Cruz”. I’m also lucky my parents can visit on my day off. Amy and I had fun taking a painting class and drinking wine. I’m reading a book called “Of Two Minds” today before heading to my 6pm night shift. I’m love/hating this anthropologists assessment of psychiatry resident training. Will someone read chapter two so we can discuss? 🙂
Even though he is working typical Intern hours, 12-16hr days 6 days a week, Geoff still has notes to write when he comes home. Here we are eating dinner and his computer isn’t far away. I think in this shot he needed to look up a patient’s urgent lab result so that he knew if they were bleeding internally or not. Soon after dinner it’s to the couch for another discharge summary. Fortunately my work is more balanced right now so I can help out.
Geoff left for his first day of residency tonight. He starts on the Cardiac Critical Care Unit, night shift. The week of orientation activities has been fun for both of us. He is meeting his new colleagues and I am welcoming new residents to my two departments as well. Lots of excitement (and anxiety on the part of the new docs) is in the air. For me, I feel really proud to have completed my first year of residency. At this moment it feels like the hardest thing I’ve tackled so far. Fortunately I can see specific ways that I have grown professionally and personally. For Geoff, he says he feels the days leading up to today have been like waiting in line for a roller coaster ride. The closer he gets to the front of the line, the less he is able to step out of it! Now he can see the peak, as he slowly climbs to the top, the anticipation is constantly building. Tonight he has taken the plunge, abruptly dropped into his new duties. I’m so proud of him too.