Based on the suggestion of a couple of people, I decided that now was the time for me to develop my very first blog. I have some down-time right now as greeter at EHHOP (it's a slow day because of the rain), and so I thought that now was as good a time as any to start writing down the experiences I have been having in medical school. I am already two months into my first year and a lot has already happened (so I'll be playing a little bit of catch-up), so the purpose of this blog is to document some of the events as I go through medical school at Mount Sinai School of Medicine. I am not normally a public person, especially as far as thoughts and feelings are concerned, so this is going to be treated as an experiment, at least for the first couple of months. I would really like to keep a running tab of the things that happen around me, so that I can take a look at it during the times when everything seems to be a blur. If everything goes well, I may want to put together blogs on other topics, such as travelling and photography... but I'm getting ahead of myself.
I guess the best place to start is with today: with a 4th year senior clinician I saw a 40 yr. old woman presenting with depression, caused originally by her high-stress job, and continued once she left the job and has been unable to find work. She had also been an alcoholic many years ago, and recently started to drink again, most likely because of her depression. We ordered a bunch of liver function labs and prescribed her Celexa, which she had taken before and had been working for her.
The experience was interesting because it highlighted how the history-taking process can be very difficult: for instance, when asked a straight-forward question such as "Have you had any surgeries?" the patient responded no, but it was only after reviewing her past medical records was it that we found out she had had breast implants.
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