Is it the dying season? I have never been on a rotation where quite so many people die. I am told that Internal Medicine “is just like that” – but it’s wasn’t like that last year.
It feels sometimes that we are playing at being doctors. Take some bloods, give oxygen, intubate if necessary. But it seems that those who were going to die will die in anyway. I have never been a fatalist, but these days I have my moments.
A pneumonia patient was sure to survive, she was even HIV-negative. Only she was a meth user. I have never seen anyone crash that quickly.
A patient with cryptococcal meningitis was doing so well that I thought I would finally see cryptococcus survived. Twenty minutes after we had examined her (she was doing well, with no signs of impending herniation) I returned to draw bloods. She had died.