I rounded on my own today unexpectedly because my preceptor had business to take care of in the morning. We had a new prostate cancer patient today which was really interesting for me because I did my 3rd year monograph project on Zytiga, which was only approved for castration resistant prostate cancer last year. The attending was aware of this drug already so I didn't really get to do much teaching on it but it's nice to see tie ins from the classroom for me.
The local pharmacy students took me to an off site cafe for lunch today and I got to see what they meant by a cheap meal:
This plate of curry potatoes, chicken cutlet and veggies with rice was just $2.45 USD! How do you even make it that cheap?! There's no way you can get that much food for that little money in the US, except maybe the $1 menu at fast food places...
In the afternoon, I went to "mortality rounds" which happens once a week. Being an oncology rotation, quite a number of patients will die on us so these rounds are meant to bring up cases that were more acute or sudden where we didn't expect the patient to pass so soon. The idea is to see whether we could have done something different to prevent the death. Both patients that were discussed today passed away within 24 hours of admission to the hospital so it was very somber but insightful to see the thought process of the physicians. These rounds are actually coupled with a physician journal club so I got an unexpected refresher on sepsis guidelines (always good to review!).
The last thing in the afternoon was presenting a patient, which I have to admit I was a little rusty on after 6 weeks of community. It'll come back with time but I feel I need to pick up the pace with working up patients again. The mix of paper and EMR doesn't make it any easier but I guess I should be grateful that there is even some form of EMR here. Today was a long day though (7 am - 6:30 pm).
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