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    September 29

    from interns to residents

    season 1 episode 1

    bailey:
     
    i have five rules
    memorize them
     
    rule 1
    don't bother sucking up
    i already hate you
    that's not gonna change
     
    trauma protocol,phone list,pagers
    nurses will page you~
    you answer every page at a run,a run
    that's rule 2
     
    your first shift starts now
    and last 48 hours
    you're interns,grunts,nobody,bottom of the surgical food chain
    you run labs,write orders,work every second at night until you drop and don't complain
     
    on-call room
    attending ??
    sleep when you can where you can
    which brings me the rule 3
    if i am sleeping
    don't wake me unless your patient is actually dying
     
    rule 4
    the dying patient better not be dead when i get there
    not only you killed someone and you woke me for no good reason
    are we clear?
    <someone raises her hand>
    yes?
    someone:"you said 5 rules,that was only 4"
    <pager beeping>
    rule 5
    when i move,you move

    season 4 episode 1

    yang:
     
    i have five rules
    memorize them
     
    rule 1
    don't bother sucking up
    i already hate you
    that's not gonna change
     
    izzie:
    trauma protocol,phone list,pagers
    nurses will page you~
    you answer every page at a run,a run
    that's rule 2
    <nobody moves>
    you suppose to follow me
     
    alex:
     
    your first shift starts now
    and last 36 hours
    you're grunts,nobody,bottom of the surgical food chain
    you run labs,write orders,you work every second at night until you drop and you don't complain
     
    grey:
    on-call room
    sleep when you can where you can
    you know
    but not with anybody
    not attendings
    especially not attendings
    sleeping with attendings...not a good idea~
    where was i
     
    george:
     
    rule 3
    if you're sleeping
    do not wake you unless the patient is actually dying
     
    yang again:
    the dying patient better not be dead when i get there
    because not only will you have killed someone, you will have woken me for no good reason
    are we clear?
     
    lexie:
    that was 4,you said 5
     
    yang:
    rule 5
    when i move,you move
    <yang looks at the pager,nothing happens>
     
    看着原来的实习生们都趾高气昂的带学生了,真是搞笑啊~
    想象我们自己虽然水平也不咋样,也都带大学生了,真是惭愧啊...
    September 23

    最近看的电影~

    熊猫说我们有代沟了,伤心...
    所以交待下最近看的片子~
     
    hot fuzz
    适合大多数人看的片子,一点动作,一点悬疑,一点幽默,一点点点点的恐怖,不太习惯的英式英语的发音~
     
    snatch
    今天一起看的,2000年的片子,很赞,喜欢"疯狂的石头"的一定要看,还是听不太懂的英式发音,尤其是brad pitt,故意含混不清,绝倒~
    是我们科室一个主任医生推荐的片子,个人觉得他还是很有生活品味的,人长的也斯文~
     
    trainspotting
    主题很灰暗
    钻马桶的镜头很经典,今天的外滩画报上提到ewan时,还说他是从苏格兰最肮脏的厕所里出来的,orz~
    不是所有人都会喜欢的,当然如果决定看,还是要看未剪切版的~
     
    后两部因为年代久远,down不到的同学们可以找我拷,反正近期不会删的~
    别说我介绍的太简单,因为多说了看起来就米劲了~
     
     
    September 08

    记一次难忘而有意义的值班~

    检查
    是卫生部来人的,搞的一片人心惶惶,各个环节都要好好粉饰一番;
    就连护士小姐都规定要露出自己的小腿来取悦检查团的眼球...
     
    连班
    由于种种原因,带着我值班的那个住院医生要连续值周四和周五两个班,所以白天他老是在休息室处于"昏迷"的状态...
     
    疼痛
    一个腹腔镜切胆囊的病人,术后第一日;
    照例是个小刀,照例应该可以下床走走了;
    可是她却连平躺也做不到,因为疼痛;
    老法师也讲不出个所以然,床边B超做了两个,都是阴性;
    于是杜冷丁50mg六个小时打了两次,第三次病人要打杜冷丁的时候,我们都有点开始怀疑是药物依赖;
    所幸的是,到了晚饭时分,病人开始缓解了,否则那个晚上就更high了...
     
    不应该出现的急诊
    本来周四不是我们收急诊的日子;
    可是楼上已经收了6个急诊病人,于是开始由我们收急诊了;
    一个上消化道出血的病人,我们楼面的住院医生接了个电话,拿了套病号服和空白的病史就冲急诊去了;
    病人都没有时间到病房,直接从急诊室去手术室,实习的同学一起跟去开刀,我留守病房;
    开刀结果是胃癌,广泛转移,仅仅是离断了胃周可见的血管,止血后关腹,一个平时还挺健康的老头,据说还天天跑步...
     
    急诊2号
    到11点多,住院总说还要收个腹膜炎的病人;
    为了照顾我们楼面连班的医生,于是准备让楼上的值班住院医生去手术;
    病人还没有上来,护士开始准备加床,做病历牌子,我就先在那个加床上眯了会,然后赶在病人看到我睡他的床之前起床~
    他们说我还睡着了,因为听到我打呼了;
    我就是个没心没肺的人,在哪里都能睡着...
     
    肠系膜静脉栓塞
    这就这个病人腹膜炎的原因;
    住院总一开始就能明确诊断,挺令人佩服;
    开刀的时候,楼上的住院说,"这种刀你来开开挺好的,可以练练打结",因为分肠系膜不断需要结扎的;
    我想:那你打那么起劲干啥,让我也打几个嘛;
    最后还是只有剪线...
     
    2个半小时的睡眠
    4AM-6:30AM.
     
    ICU换药
    双筒造瘘;
    下面的造瘘口气味实在太可怕,一面弄,一面恶心,差点就真的吐了,可能因为缺少睡眠的关系;
    我知道在病人面前这样不好,可我也很无奈...
     
    周五的手术
    本来安排周五我要去参加两个胃癌的手术的;
    后来只安排了我去早上的那台刀;
    手术台上还是很high的,下了手术就象烂肉瘫在沙发上了...
     
    最后的对话
    我们楼面值班的住院医生问住院总,为什么你开了一天一夜都精神抖擞,我却老是睡不醒呢;
    那天住院总一共开了6个;
    我的答案是:睡太多了,物极必反...