Dr. Oberstar is a first-year resident at the Harvard Longwood residency. E-mail: joel{at}oberstar.com Key Words: Resident's Perspective A short while ago I lost my first patient. The myriad emotions related to that event remain with me today. My mind is filled with questions: should we have given more fluids; should we have given more Lasix? Should we have given one or the other earlier or later in the course of her treatment? And, one question overrides all others: did I take good care of my patient? I imagine that such musings are neither atypical nor unexpected for an intern who has lost his first patient. Indeed, I suppose that, unpleasant as they may be at times, these questions are important to reflect upon, even if answers are not immediately forthcoming. There's so much yet to learn. When Mrs. C. came into the hospital, I was on my first week of inpatient adult neurology. I had just finished two months assigned to substance abuse treatmentwhere many patients were well on their way to dying, but in a very different way. Mrs. C. was an 82-year-old woman admitted with left-sided hemiplegia and dysphagia secondary to an acute ischemic stroke. During
That's My Doctor ...
Abstract
Dr. Oberstar is a first-year resident at the Harvard Longwood residency. E-mail: joel{at}oberstar.com Key Words: Resident's Perspective A short while ago I lost my first patient. The myriad emotions related to that event remain with me today. My mind is filled with questions: should we have given more fluids; should we have given more Lasix? Should we have given one or the other earlier or later in the course of her treatment? And, one question overrides all others: did I take good care of my patient? I imagine that such musings are neither atypical nor unexpected for an intern who has lost his first patient. Indeed, I suppose that, unpleasant as they may be at times, these questions are important to reflect upon, even if answers are not immediately forthcoming. There's so much yet to learn. When Mrs. C. came into the hospital, I was on my first week of inpatient adult neurology. I had just finished two months assigned to substance abuse treatmentwhere many patients were well on their way to dying, but in a very different way. Mrs. C. was an 82-year-old woman admitted with left-sided hemiplegia and dysphagia secondary to an acute ischemic stroke. DuringPreview Only. This article cannot be rented because we do not currently have permission from the publisher.
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That's My Doctor ...
Oberstar, Joel V.
Follow Academic Psychiatry
, Volume 26 (1): 45
American Psychiatric Publishing, Inc (Journal) – Mar 1, 2002
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