Okay, so last Tuesday was my first "real" day as a fellow. (Wed, Thur, Mon
was more orientation stuff)
- couldn't fall asleep til 2am due to panic/anxiety
- Echo conference at 8am. The echo attending starts with one of the 1st years (me of course), but I held my own and actually answered correctly most of the questions directed for me for the ENTIRE hour. (except some random one about Bernoulli's principle)
- Met the 4th year EP fellow and seemed like he was impressed about my basic EP knowledge. (I had read the first 8 chapters of Fogoros EP book)
- oncall (my second call so far) at 7pm got called from Cardiac ICU attending about some 9 mo girl in fulminant heart failure (possibly myocarditis) on max Epi, max Dop, max Vasopressin, starting IVIg. Lactate of 20. Patient was in Toledo OH, so I had to ride a helicopter, cross state lines, to their PICU and pick up the kid. (And I just finished flight orientation the day before!!!) Had to stablize her in Toledo with some CaCl and NaHCO3. Got her back around 10pm. Transport went as smoothly as it could, (thank god for transport rotations at CHO). She was placed on ECMO about an hour after I got her back to the PCTU. (The PCTU was expecting to crash her onto ECMO on arrival)
- By 3AM, felt like a million bucks after that transport and days events.
- Got 2 hours of sleep, then back for a full day of 2 EP cases today
- gained access x1 (R fem) on my first attempt
- followed up on the transport patient in PCTU and bedside RN told me that I did a great job with the tranpsort. She said the PCTU crew talked about all clapping when I arrived (being my first transport, and one of the less stable kids we normally transport), but the family had arrived at same time so wisely refrained.
Although tired after a long 36 hours, I'm really happy to be at such a great program and learning from some of the best cardiologists.
