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Moonlighting

I was able to Moonlight this past week in clinic. It was good to be able to make this extra money since I gotta feed the baby now and my baby momma not working right now. and I haven't done my taxes yet, im too turned up.  I envision myself working outpatient clinic. Inpatient has too many moving pieces with taken recommendations from specialists, contacting nurses, needed to be constantly vigilant of the patients. And another downfall is not having the ability to follow up with the patient on a consistent basis which you can do outpatient. Also the schedule is nice. With the changes from the PTAL to the PTL it puts us residence and new situation. We no longer are able to get licensed during residency which now means that any moonlighting opportunities will be up to the discretion of our attending. Hopefully that means I can moonlight more sooner than later. One of the senior residents made quite a bit of money doing moonlighting. now that I am midway through second year I...
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NIghts

I had a rough week of nights with may sick patients. The first few nights i was able to get some sleep but the next  few nights were tough and I was unable to get any sleep. The nights are mostly consumed monetary telemetry as I have two patients with heart rates going up to the 180s at 2 o'clock in the morning.  The first patient was being treated for pyelonephritis with ceftriaxone.  Uncharacteristically, she  did not appear to be responding to the antibiotic as she was still spiking fevers, still looked in significant discomfort and continue to have chills.  As her heart rate increase I grew increasingly concerned that she may be going into complete septic shock.  Multiple fluid boluses were ordered and an additional dose of gentamicin was ordered.  After two nights of no response to the ceftriaxone and another night of me requiring a sporadic dose of gentamicin with fluent boldness and supplemental oxygen, and abdominal ultrasound was performed sh...
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Balance

 Finding a balance to life in general can be difficult.  this difficulty is multiplied exponentially  in residency and further after having a child. I am currently in my second year of residency and right when I felt like I have a resemblance of the stride,  another change in my schedule  has occurred.  Now that I have my own newborn precious baby girl, I have so much more admiration for those who were able to go to medical school, especially in the Caribbean, while simultaneously taking  care of a family.  life are some goals that have seem to conflict. One starting out the overwhelming focus is become a great clinician, learning is much you can, making as many experiences as possible and studying, a competent doctor.  One medical school is up to carve out my days morning study time followed by lecture followed by  Lunch, more studies, and the occasional social event. Nonresidents the every month changes from outpatient clinical rotatio...
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