The End

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I had my final call last night as an anesthesiology resident. I left this morning at 630, bailed on morning conference and went straight home to my wife, 19 month old daughter, and black lab. My exit was not as sexy as Zippy's -- for those of you who remember him and his post about his last day as a resident. JPP's recent thread about being thankful prompted me to start this thread. I'm not a frequent poster. I mostly have watched from the sidelines since I became a member of SDN years ago.

Last night ended on a sad note. 35 yr old male with history of protein C deficiency and subsequent CVA. Was treated with coumadin and yesterday fell and hit his head -- enter my midnight craniectomy for a subdural bleed. Both of his pupils were blown -- this surgery was unlikely to save him. Obtaining consent from his distraught mother was gut-wrenching. These situations never get any easier. The case was pretty straight-forward -- this is not intended to be a clinical post. (Although the neurosurg med student decided to transport the patient with ICU nurse to the OR solo without me while I was obtaining consent -- walked into the OR and congratulated her on her enthusiasm for getting the pt to the OR without me )

This case made me think about the big picture. My family and I are getting ready to move across the country, and it has been a little stressful -- afterall, who really likes packing and moving? I consider myself to be blessed to have this opportunity. I'm 32 yrs old and, God willing, will have a long life to live. Perhaps I am getting nostalgic since I have finally crossed the finish line -- but I am eternally grateful for my health and family. I am hopeful for my future as an attending and I am also hopeful for our specialty.

Congrats to all of you who are also finally reaching this milestone in your life. Take the time to celebrate and enjoy the moment.

Cheers.

Congrats and best of luck!

Well said.

Zippy's post-residency post was indeed famous!

Anyway, CONGRATS!

D712

Always appropriate this time of year...

Originally Posted by zippy2u

Last day of residency was ,without a doubt, one of the best days of my life... I was on call, 3AM get a call from burn unit to emergently intubate a big guy that had been 50% burned upper torso with smoke inhalation. Half a stick of STP and 100 o' sux-- all edema. I told myself I wasn't goin' out like this. Just rammed a 7.5 where I thought it should be and it slid in. BS bilateral and PCXR was solid. O2 sats golden and RT lady all happy. No procedure note, no charge sheet. Beeper left at OR board when no one was lookin'. Slid out hospital at 0645 with no goodby's, thank you's or gonna miss you's. Got to the apt. and loaded up U-Haul with 100% VA disability, 100% SS disability uncle( Vietnam, agent orange, PTSD--you know the bogus gig). Letter and keys in an envelope dropped in the apt. night box. No change or forwarding of address with post office, no cares about apt. or electric deposits. ZIPPY DONE EVAPORATED! Roll on out at 1700 with floorboard boom box playin' "Comfortably Numb", and a bottle of chilled Wild Turkey in the ice chest. Uncle drivin' and on outskirts of town we light up a big fat doober. I told him not to shut off the old biitch until we were home. Ole Hunter Thompson didn't have a thing on us that night... Regards, ---Zip

-pod

Originally Posted by h2oriderz

I had my final call last night as an anesthesiology resident. I left this morning at 630, bailed on morning conference and went straight home to my wife, 19 month old daughter, and black lab. My exit was not as sexy as Zippy's -- for those of you who remember him and his post about his last day as a resident. JPP's recent thread about being thankful prompted me to start this thread. I'm not a frequent poster. I mostly have watched from the sidelines since I became a member of SDN years ago.

Last night ended on a sad note. 35 yr old male with history of protein C deficiency and subsequent CVA. Was treated with coumadin and yesterday fell and hit his head -- enter my midnight craniectomy for a subdural bleed. Both of his pupils were blown -- this surgery was unlikely to save him. Obtaining consent from his distraught mother was gut-wrenching. These situations never get any easier. The case was pretty straight-forward -- this is not intended to be a clinical post. (Although the neurosurg med student decided to transport the patient with ICU nurse to the OR solo without me while I was obtaining consent -- walked into the OR and congratulated her on her enthusiasm for getting the pt to the OR without me )

This case made me think about the big picture. My family and I are getting ready to move across the country, and it has been a little stressful -- afterall, who really likes packing and moving? I consider myself to be blessed to have this opportunity. I'm 32 yrs old and, God willing, will have a long life to live. Perhaps I am getting nostalgic since I have finally crossed the finish line -- but I am eternally grateful for my health and family. I am hopeful for my future as an attending and I am also hopeful for our specialty.

Congrats to all of you who are also finally reaching this milestone in your life. Take the time to celebrate and enjoy the moment.

Cheers.

Classy post. Congrats man. Come back here from time to time.

Great post man.
Thank you for sharing and GODSPEED to you and your family with the next chapter of your life!
Congratulations.

Originally Posted by h2oriderz

I had my final call last night as an anesthesiology resident. I left this morning at 630, bailed on morning conference and went straight home to my wife, 19 month old daughter, and black lab. My exit was not as sexy as Zippy's -- for those of you who remember him and his post about his last day as a resident. JPP's recent thread about being thankful prompted me to start this thread. I'm not a frequent poster. I mostly have watched from the sidelines since I became a member of SDN years ago.

Last night ended on a sad note. 35 yr old male with history of protein C deficiency and subsequent CVA. Was treated with coumadin and yesterday fell and hit his head -- enter my midnight craniectomy for a subdural bleed. Both of his pupils were blown -- this surgery was unlikely to save him. Obtaining consent from his distraught mother was gut-wrenching. These situations never get any easier. The case was pretty straight-forward -- this is not intended to be a clinical post. (Although the neurosurg med student decided to transport the patient with ICU nurse to the OR solo without me while I was obtaining consent -- walked into the OR and congratulated her on her enthusiasm for getting the pt to the OR without me )

This case made me think about the big picture. My family and I are getting ready to move across the country, and it has been a little stressful -- afterall, who really likes packing and moving? I consider myself to be blessed to have this opportunity. I'm 32 yrs old and, God willing, will have a long life to live. Perhaps I am getting nostalgic since I have finally crossed the finish line -- but I am eternally grateful for my health and family. I am hopeful for my future as an attending and I am also hopeful for our specialty.

Congrats to all of you who are also finally reaching this milestone in your life. Take the time to celebrate and enjoy the moment.

Cheers.

Congrads. Best of luck in your new job and the next phase of your career. Please remember to find balance in your life between work and family.

Originally Posted by h2oriderz

I had my final call last night as an anesthesiology resident. I left this morning at 630, bailed on morning conference and went straight home to my wife, 19 month old daughter, and black lab. My exit was not as sexy as Zippy's -- for those of you who remember him and his post about his last day as a resident. JPP's recent thread about being thankful prompted me to start this thread. I'm not a frequent poster. I mostly have watched from the sidelines since I became a member of SDN years ago.

Last night ended on a sad note. 35 yr old male with history of protein C deficiency and subsequent CVA. Was treated with coumadin and yesterday fell and hit his head -- enter my midnight craniectomy for a subdural bleed. Both of his pupils were blown -- this surgery was unlikely to save him. Obtaining consent from his distraught mother was gut-wrenching. These situations never get any easier. The case was pretty straight-forward -- this is not intended to be a clinical post. (Although the neurosurg med student decided to transport the patient with ICU nurse to the OR solo without me while I was obtaining consent -- walked into the OR and congratulated her on her enthusiasm for getting the pt to the OR without me )

This case made me think about the big picture. My family and I are getting ready to move across the country, and it has been a little stressful -- afterall, who really likes packing and moving? I consider myself to be blessed to have this opportunity. I'm 32 yrs old and, God willing, will have a long life to live. Perhaps I am getting nostalgic since I have finally crossed the finish line -- but I am eternally grateful for my health and family. I am hopeful for my future as an attending and I am also hopeful for our specialty.

Congrats to all of you who are also finally reaching this milestone in your life. Take the time to celebrate and enjoy the moment.

Cheers.

Congrats bro!

can't wait! starting CA-3 year in 2 weeks...can't believe how the time just evaporates

Originally Posted by h2oriderz

I had my final call last night as an anesthesiology resident. I left this morning at 630, bailed on morning conference and went straight home to my wife, 19 month old daughter, and black lab. My exit was not as sexy as Zippy's -- for those of you who remember him and his post about his last day as a resident. JPP's recent thread about being thankful prompted me to start this thread. I'm not a frequent poster. I mostly have watched from the sidelines since I became a member of SDN years ago.

Last night ended on a sad note. 35 yr old male with history of protein C deficiency and subsequent CVA. Was treated with coumadin and yesterday fell and hit his head -- enter my midnight craniectomy for a subdural bleed. Both of his pupils were blown -- this surgery was unlikely to save him. Obtaining consent from his distraught mother was gut-wrenching. These situations never get any easier. The case was pretty straight-forward -- this is not intended to be a clinical post. (Although the neurosurg med student decided to transport the patient with ICU nurse to the OR solo without me while I was obtaining consent -- walked into the OR and congratulated her on her enthusiasm for getting the pt to the OR without me )

This case made me think about the big picture. My family and I are getting ready to move across the country, and it has been a little stressful -- afterall, who really likes packing and moving? I consider myself to be blessed to have this opportunity. I'm 32 yrs old and, God willing, will have a long life to live. Perhaps I am getting nostalgic since I have finally crossed the finish line -- but I am eternally grateful for my health and family. I am hopeful for my future as an attending and I am also hopeful for our specialty.

Congrats to all of you who are also finally reaching this milestone in your life. Take the time to celebrate and enjoy the moment.

Cheers.

Way to go!

Not the end by the way, the beginning.