This month (May), I am on ID, or Infectious Disease. It is definitely an interesting change of pace from last month's Internal Medicine clerkship. Instead of getting up at 6am to go to the hospital for short rounds, I am getting up at 6am, but staying home to handwrite notes for 4 hours before heading to the hospital and rounding on the patients. This is my first specialty rotation, and it is definitely very different. While we still want to make sure the patient is alive and stable, our entire focus is on the patient's infection. It doesn't matter if the patient has heart disease or diabetes. We are here to focus on treating the patient's infections. The only labs we really care about are those that are affected by the medications we are prescribing, and those that reflect the patient's infection: white count, viral load, temperature, etc.
The days are hard, but we are learning so much. I had forgotten so many of the medications from second year, and this had been a good review of antibiotics. I am so happy with our team. We have a good group of people, and I know that I can trust them to have my back. Our days are pretty long, from 6am to usually 5pm, but the last two or three hours are usually lectures by our attending physician, a renowned infectious disease specialist, and we are usually happy to spend as much time as we can with him. We conduct the lectures in the doctor's lounge, and that way we are able to get some water and much-needed refreshments. Oh, and go to the bathroom. I am so thankful for my kidneys and bladder. They take so much abuse, as it is frowned upon to go to the bathroom on rounds. Especially since we never know which route the doctor wishes to take that day, and sometimes you'd be late to the presentation of your own patient. That is REALLY frowned upon, needless to say. I am learning so much and feel privileged to be on this rotation, since it is a very popular and hard to get rotation. I look forward to learning the rest of this month.