Not a new "b!tch," but a "b!tch" nonetheless...
I'm on peds neurology this week. I'm standing call with the ward for exposure to residents and interns so they'll know me. I interview with the director and chief resident my last week here.
So this 2nd year I'm on call with is writing orders. I look over her shoulder as she does a few, then she stops looks up at me and asks, "Do you know how to dose meds?"
I say (stupidly), "Yes. I was a pharmacy tech. I can dose meds by weight and BSA."
She asks, "What's the dose for iron?"
I say, "How much do they weigh? It's 3-6mg/kg."
She asks, "What are we treating?"
I say, "Iron Deficiency Anemia." This was true since that's all they talked about at report.
She says, "Are you sure?"
I say, "Well who are we talking about?"
"Room 3"
"Who is that? I don't even know who we're talking about"
"You were in report."
"Yes, but I still don't know which patient you're talking about."
"Well...."
So I look, it's patient BLAH, with Iron Deficiency Anemia. The dose per my electronic copy of Harriet Lane is 3-6 mg/kg. I say again, "It's 3-6mg/kg."
"So how much are you going to give?"
"Their weight times 3-6mg/kg."
"Isn't it based on age?"
"Lemme check."
She then says, "If you want to know, always check the bible" as she holds up the Harriet Lane.
She wanders away to write her order as I scratch my head and try to figure out what the hell she was trying to "teach" me.
I chase her down and say, "So how much did you give?"
She says, "4mg/kg."
I say, "How'd you pick that?"
"That's what they said."
"That's what who said?"
"The Harriet Lane and the Resident."
"How'd you pick 4 versus 3 or 5 or 6?"
"They just said 4."
I was tired of talking about weight based dosing to Laurel or Hardy or whoever she was impersonating so I let it drop.
During the night tonight she's consistently asked me "Do you have any questions?" Then when I do she says, "I don't know that...that's an interesting question." The I look it up myself...which I would have done even without her asking me, "So do you have any questions?"
WTF, mate?
I guess she really wants to teach me something, but it appears she only wants to teach me things I already know. I need to forget some things so I can help her to feel good about being a resident I guess.
Luckily the senior resident on is Dr Ho, DO. She's no Jane, but she is sane...in the brain...sugar cane....not to blame...I got GAME!