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punctured
July 6, 2006 / 10:28 PM

I’m OK, but there’s no doubt that July is a hard month for doctor types. My biggest challenge these days is remembering what it is like to be new, and just figuring out a system. It’s hard not to just take over and do what needs done. And, oh yeah, the other challenge about teaching new interns that they do nutty things like accidentally stab their attending physicians with a dirty scalpel.

I would have thought this would be a pretty obvious one, but apparently it’s not- so let me give you a friendly piece of advice. If you are ever a new intern that has thrust a bloodied scalpel into your attending’s finger with enough force to make a "tink" noise as it bounces off the bone. The right response when she points out the bone/metal contact is NOT "Well, of course, the bone is pretty close to the skin in that location."

Nooooooo. If your attending is terrified of needles, and now has to have three blood draws and six months of worry about whether she has contracted hepatitis, and can make your life a living hell for the next three years, you might consider instead: Begging pardon. Offering to stab your own finger. Washing her car. Writing her sonnets even but an anatomy lesson may not go over so well. Because, oh silly silly intern, I’m a doctor. I’m already very aware just where the bones of my hand are in relation to my skin. And, in case YOU forgot, I was reminded when you STABBED me.

I’m not sure this particular intern and I are going to be friends.

Posted by: Suzie
File under: is there a doctor in the house?
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Comments

Ouch.

As a fledgling intern who is struggling not to appear as too much of an idiot and newbie, I will definitely keep this lesson close to heart.

Good luck to both you and the intern!

Posted by Julia
July 6, 2006 11:12 PM

Ugh! I'm so sorry that happened! I'd be freaked out for MONTHS waiting to know if I got some dreaded disease. can you make this intern now spend a year working on impacted bowels and other such charming tasks?

Posted by JenBen
July 6, 2006 11:12 PM

I loved this time of year. When else can you hear the new Resident give orders to the paramedics for digitalis (a drug that paramedics don't care and really isn't appropriate for treating insulin shock), attempt to drive the physician response unit with the roof on the ground and the wheels up in the air, and ask "What setting should I order you to cardiovert the patient with?"

It makes up for the sadness caused by the Residents who just left after you spent all that time helping to train them and turning them into the best E.R. docs in the world.

Suzie, I hope you'll be o.k. Did you have the vaccines? If you read the "Deb" series on my blog, you know I know exactly where you're coming from. Hang in there.

Posted by Rob
July 6, 2006 11:25 PM

Aigh! That's awful -- don't you even get to stab the intern back?

Posted by Christina
July 6, 2006 11:49 PM

An "Omigod, I am so sorry" might've been in order. "Are you okay?" or "Can I bandage that for you, and did I mention that I am omigod so mortified and sorry?" would also be appropriate.

So omigod, are you okay? Aside from the needles (assuming one can ever get past THAT), are you in pain? Did you prescribe yourself the Good Drugs? I just figured the newbies were an annoyance, not an actual hazard. (Well, if hazards, then to PATIENTS, not other doctors! Silly me.)

Posted by shelley ju
July 7, 2006 01:57 AM

Ok...the Libra in me has to ask...maybe the intern was trying to make a joke so you wouldn't actually turn the scalpel back onto him/her? Maybe? No....sorry...just trying to keep the peace.

I hope at least you got to go get ice cream after having to face the needle! Take care.

Posted by daisy
July 7, 2006 08:44 AM

Ouch! 6 months of worried blood tests does *not* sound like fun.

I would exact lots of revenge if I were you.

Posted by amandamonkey
July 7, 2006 09:02 AM

YIKES. That is scary. And clumsy... how on earth.. ?? And yeah. 6 months is way too long to have to wait to find out any medically-related news.

Posted by Jen
July 7, 2006 09:34 AM

Oof! I never would have thought interns could endanger other physicians! Makes me glad our interns are few and far between, and not working in the phosgene lab.

Posted by Sarah
July 7, 2006 10:08 AM

Oh, oh, oh, that's just bad. I really hope you're ok and the finger heals fast (although, thinking of all you went through over a common slip on the ice, I have my doubts. Bluebird of optimism, I know . . .)
And I hope that intern gets a clue and tries to make it up to you. C'mon-- is a heartfelt apology so hard for them to manage? I can't believe the response was an anatomy lesson. WTF?!?!

Posted by Meira
July 7, 2006 11:16 AM

Well, how's your finger doing? I hope it wasn't too bad.

Posted by mikey
July 7, 2006 11:48 AM

I have GOT to ask. How did this happen? Did the intern make sudden moves? Turn quickly as you had your hand out? I am so sorry. How was the scapel dirty? I mean do you know the status of the patient it was used on? Still I know you know of the LOW statistics of disease transmission. You are in my thoughts though!

Posted by Billie
July 8, 2006 01:04 PM

A few months of bedpan duty and doing lice checks on the homelss folks that show up should teach this intern some humility.

Aside from that I am soooo sorry you have to go through months of worry and testing.

Sending good thoughts from the holy land.

Posted by treppenwitz
July 8, 2006 03:11 PM


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