H&P
I wrote tons of acronyms and shorthand today, without really realizing that I did it…
I interviewed a 22-year old patient who was ready for a cholecystectomy (gall bladder removal). We had a great interview and exam, I don’t think I bothered her too much.
Young patients are good, because the majority of the findings are negative. It’s good practice for the OSCE which mostly contains 100% healthy “patients” (they’re actors).
After I was done, I went and met Dr. Thornton along with Tunisia, the other med student doing an interview. We talked for a little while but Dr. Thornton had to go consult on a patient (he usually sits and talks to us for a long time, but apparently THIS WEEK he has to be an attending physician first and a preceptor second). So, after the group part was done, I decided that I should go track down the patient’s chart at the nurses’ station. They said that it went down with her to surgery, and that I could find it in the OR…
So down to the Operating Room Suite I went.
I pressed the buttons that open the doors (marking me as somebody who at least knows you can’t push the doors open). I confidently walked up to the nurses’ station and asked “could I see ms. X’s chart? I interviewed her earlier today.”
She responded like I belonged there…”she’s back in Holding, and her chart is with her.”
Here’s where I made the mistake: I gave her the “I don’t know where Holding is, even though it’s the only place where non-scrubbed personnel are allowed — because I don’t know, that means I’ve never been down here before” look.
She said “follow the brown tiles.”
I found my patient and her chart, and talked a little bit (i think she was under a little bit of sedation) — not even her mom was down there.
I was feeling good, until a nurse walked up and said (to the patient) “Let me look at your chart before I hand it off to the nurse that is going to be taking you in.”
That was apparently my cue to close the chart and hand it to her. She gave me a “you don’t belong here, I own you” look and I walked out.
Still, my first time near an operating room (not as a patient) and I didn’t trip / embarrass myself. I am pretty satisfied with that…
-t


