Neurology was a fairly laborious rotation for me. I enjoyed the subject matter but not necessarily the copious amounts of paperwork and long hours that came with the rotation. Far be it appropriate for me to complain about these aspects for I know the amount of work that I and my rotation mates do pales in comparison with that which the residents and faculty members do. That said, one of the things I will remember most is when we received seven transfers overnight, meaning that apart from the in-patients being treated by the neurology service from the day prior, my colleagues and I had to scramble early in the morning to SOAP seven new faces and learn about their clinical histories; for comparison, we averaged receiving about three new transfer cases in the days prior.
Feeding into the difficult task was the fact that my alarm didn’t go off, and I woke up at 6:17am, over an hour after I was planning to wake up. The perfect storm of unfortunate happenings did not bode well, but thankfully we all did our part in getting to know the patients, putting in the necessary time to do physical and neurological exams, treatment orders, prescriptions, and the accompanying paperwork with the cases. I was proud of how we dealt with the influx of patients onto the service. With the help of the technicians, house officers (interns and residents), and attending professor, we managed to get through the day in a timely manner, and more importantly, deliver the best patient care we could.