I have started on Nephrology...I am not a fan of medicine. I have actually learned a lot in only 8 days on the job, but I really miss the dept. I LOVE working in the ED...thus the reason I went into EM. But my decision has really been solidified since I am on an off service rotation.
Today was an awesome day on Neph b/c, I walk onto the floor, a pt is CRAZY screaming, F this and F that and don't touch me bitch and F you, etc...then I go to round on my new pick up, lift up his gown to look at his L femoral dialysis cath...BRIGHT RED MUCOUSY DIARRHEA!!! Sad for him, awesome for me, finally something to be urgent about. Next pt on rounds, we walk into the room, she is "panting" wheezing and B lower extremities are markedly edematous. Not my pt, but I blurt out (cuz I am excited that something is finally happening) we should get an upright CXR, stat EKG, enzymes, etc...I was so glad that this happened this morning, because the "high" of managing acutely a serious illness/condition (rather than monitoring chronic conditions) helped me get through the day. I love EM!!!!
For all of the old timers out there I know that these things prob aren't exciting to you, but honestly, I have been reporting on the amount of fluid pulled off each day for dialysis. Anything is more exciting than that.
All that being said, I wanna be in the dept.