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	<title>Parcho, MD</title>
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	<link>http://parchomd.com</link>
	<description>The musings of a Southern-trained physician and his wife...</description>
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		<title>Chicago in November</title>
		<link>http://parchomd.com/2009/12/31/200/</link>
		<comments>http://parchomd.com/2009/12/31/200/#comments</comments>
		<pubDate>Fri, 01 Jan 2010 02:52:28 +0000</pubDate>
		<dc:creator>Rebecca</dc:creator>
				<category><![CDATA[Blog]]></category>

		<guid isPermaLink="false">http://parchomd.com/?p=200</guid>
		<description><![CDATA[So, we went back in November, despite Jeremy&#8217;s concerns that I would hate it the second time around.  While walking 20 miles through the city, we found lots of things that both surprised and excited us&#8230;..they are as follows&#8230;.
People actually push babies around in strollers in frigid weather!
There are true Southerners in the Clemson [...]]]></description>
			<content:encoded><![CDATA[<p><img alt="" src="http://parchomd.com/wp-content/gallery/chicago_nov2009_trip/pb140022.jpg" title="Chicago Sign" class="alignleft" width="200" height="150" />So, we went back in November, despite Jeremy&#8217;s concerns that I would hate it the second time around.  While walking 20 miles through the city, we found lots of things that both surprised and excited us&#8230;..they are as follows&#8230;.</p>
<p>People actually push babies around in strollers in frigid weather!</p>
<p>There are true Southerners in the Clemson alumni group&#8230;and of course we all know someone who knows someone (we are from S.C. after all!).</p>
<p>The &#8220;El&#8221; has &#8220;pretend&#8221; heaters&#8230;who knew?!?  We were very excited about them until we found out they sucked!</p>
<p>We used hand sanitizer more than ever!</p>
<p>It seems every time we visit (which has only been twice) there is abnormally warm weather, which gives us a very misconstrued idea of what life will be like there!<br />
<span id="more-200"></span><br />
Turns out the price of milk and coke are slightly higher.</p>
<p>There is no pizza in West Loop.</p>
<p>Half of Chicagoans must have come from the North Pole, given the fact they wear shorts and skirts in frigid weather!</p>
<p>We left the hotel the second day, walked a block, thought we could handle the cold, and one block later turned around to get more clothes/gloves/scarves, etc&#8230;we&#8217;ve got a lot of adjusting to do.</p>
<p>So&#8230;.it appears it really <em>is</em> a windy city, and boy the wind was cold!</p>
<p>Tri-Taylor is in fact <em>not</em> up and coming.</p>
<p>We have already taken our obligatory wrong way ride on the El headed toward the burbs instead of downtown.</p>
<p>My nose will be eternally red in this city</p>
<p>Also, I still liked it!</p>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>Ah, yes. It&#8217;s good to get a Ti&#8230;</title>
		<link>http://parchomd.com/2009/10/17/ah-yes-its-good-to-get-a-ti/</link>
		<comments>http://parchomd.com/2009/10/17/ah-yes-its-good-to-get-a-ti/#comments</comments>
		<pubDate>Sat, 17 Oct 2009 21:01:52 +0000</pubDate>
		<dc:creator>Parcho</dc:creator>
				<category><![CDATA[Asides]]></category>
		<category><![CDATA[Tweets]]></category>

		<guid isPermaLink="false">http://parchomd.com/2009/10/17/ah-yes-its-good-to-get-a-ti/</guid>
		<description><![CDATA[Ah, yes. It&#8217;s good to get a Tiger win!
]]></description>
			<content:encoded><![CDATA[<p>Ah, yes. It&#8217;s good to get a Tiger win!</p>
]]></content:encoded>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Stupid Gamecoks. Stupid Kentuc&#8230;</title>
		<link>http://parchomd.com/2009/10/10/stupid-gamecoks-stupid-kentuc/</link>
		<comments>http://parchomd.com/2009/10/10/stupid-gamecoks-stupid-kentuc/#comments</comments>
		<pubDate>Sat, 10 Oct 2009 19:57:42 +0000</pubDate>
		<dc:creator>Parcho</dc:creator>
				<category><![CDATA[Asides]]></category>
		<category><![CDATA[Tweets]]></category>

		<guid isPermaLink="false">http://parchomd.com/2009/10/10/stupid-gamecoks-stupid-kentuc/</guid>
		<description><![CDATA[Stupid Gamecoks. Stupid Kentucky coaches.
]]></description>
			<content:encoded><![CDATA[<p>Stupid Gamecoks. Stupid Kentucky coaches.</p>
]]></content:encoded>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>This is another test of Twitte&#8230;</title>
		<link>http://parchomd.com/2009/10/05/this-is-another-test-of-twitte/</link>
		<comments>http://parchomd.com/2009/10/05/this-is-another-test-of-twitte/#comments</comments>
		<pubDate>Mon, 05 Oct 2009 21:38:13 +0000</pubDate>
		<dc:creator>Parcho</dc:creator>
				<category><![CDATA[Asides]]></category>
		<category><![CDATA[Tweets]]></category>

		<guid isPermaLink="false">http://parchomd.com/2009/10/05/this-is-another-test-of-twitte/</guid>
		<description><![CDATA[This is another test of Twitter.
]]></description>
			<content:encoded><![CDATA[<p>This is another test of Twitter.</p>
]]></content:encoded>
			<wfw:commentRss>http://parchomd.com/2009/10/05/this-is-another-test-of-twitte/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>I&#8217;m wondering if this will be &#8230;</title>
		<link>http://parchomd.com/2009/10/05/im-wondering-if-this-will-be/</link>
		<comments>http://parchomd.com/2009/10/05/im-wondering-if-this-will-be/#comments</comments>
		<pubDate>Mon, 05 Oct 2009 19:57:40 +0000</pubDate>
		<dc:creator>Parcho</dc:creator>
				<category><![CDATA[Asides]]></category>
		<category><![CDATA[Tweets]]></category>

		<guid isPermaLink="false">http://parchomd.com/2009/10/05/im-wondering-if-this-will-be/</guid>
		<description><![CDATA[I&#8217;m wondering if this will be useful.
]]></description>
			<content:encoded><![CDATA[<p>I&#8217;m wondering if this will be useful.</p>
]]></content:encoded>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>I&#8217;m just testing Twitter.</title>
		<link>http://parchomd.com/2009/10/05/im-just-testing-twitter/</link>
		<comments>http://parchomd.com/2009/10/05/im-just-testing-twitter/#comments</comments>
		<pubDate>Mon, 05 Oct 2009 19:39:08 +0000</pubDate>
		<dc:creator>Parcho</dc:creator>
				<category><![CDATA[Asides]]></category>
		<category><![CDATA[Tweets]]></category>

		<guid isPermaLink="false">http://parchomd.com/2009/10/05/im-just-testing-twitter/</guid>
		<description><![CDATA[I&#8217;m just testing Twitter.
]]></description>
			<content:encoded><![CDATA[<p>I&#8217;m just testing Twitter.</p>
]]></content:encoded>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Coming along</title>
		<link>http://parchomd.com/2009/09/30/coming-along/</link>
		<comments>http://parchomd.com/2009/09/30/coming-along/#comments</comments>
		<pubDate>Wed, 30 Sep 2009 04:16:31 +0000</pubDate>
		<dc:creator>Parcho</dc:creator>
				<category><![CDATA[Asides]]></category>
		<category><![CDATA[Blog]]></category>

		<guid isPermaLink="false">http://parchomd.com/?p=141</guid>
		<description><![CDATA[We&#8217;re coming along here&#8230;just trying to get things set up.
]]></description>
			<content:encoded><![CDATA[<p>We&#8217;re coming along here&#8230;just trying to get things set up.</p>
]]></content:encoded>
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		</item>
		<item>
		<title>The First Call</title>
		<link>http://parchomd.com/2007/08/06/the-first-call-2/</link>
		<comments>http://parchomd.com/2007/08/06/the-first-call-2/#comments</comments>
		<pubDate>Tue, 07 Aug 2007 01:31:58 +0000</pubDate>
		<dc:creator>Parcho</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[exploits]]></category>
		<category><![CDATA[Medicine]]></category>
		<category><![CDATA[Residency]]></category>

		<guid isPermaLink="false">http://parchomd.com/2007/08/06/the-first-call-2/</guid>
		<description><![CDATA[We capped with 10 team admissions a little after midnight&#8211;so it was a busy admission afternoon/evening and not so much a busy early morning for admissions.  I admitted three patients and a fourth went straight to the ICU which counted towards our cap meaning little to no work on our part.  The other [...]]]></description>
			<content:encoded><![CDATA[<p><img src="http://parchomd.com/wp-content/uploads/2007/05/800px-pager_teletrim-150x150.jpg" alt="800px-pager_teletrim" title="800px-pager_teletrim" width="150" height="150" class="alignleft size-thumbnail wp-image-97" />We capped with 10 team admissions a little after midnight&#8211;so it was a busy admission afternoon/evening and not so much a busy early morning for admissions.  I admitted three patients and a fourth went straight to the ICU which counted towards our cap meaning little to no work on our part.  The other intern admitted four patients and our fourth year &#8220;acting intern&#8221; admitted two.  The upper level resident supervises all the admissions so we can say he admitted 10.  </p>
<p>There were three code pages throughout the day, but two were canceled quickly because the MICU doesn&#8217;t like to announce codes&#8211;they deal with them internally.  The final code came at about 4:30 AM&#8211;from <em>Radiology</em>.  Oops.  When I got there it was merely a respiratory code. The patient was tubed and shipped back up to the floor.</p>
<p>But the main problem with call is the &#8220;cross cover&#8221;.  I fielded phone calls all day and night on patient&#8217;s I&#8217;d never met.  I ordered some Phenergan. I gave a patient a bit of morphine. I sent off a couple of blood cultures. I even wrote a work excuse for a patient&#8217;s husband.</p>
<p>In all I worked 29 hours and slept a mere 2 of those.</p>
<p>Welcome to residency.</p>
]]></content:encoded>
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		<title>The First Code</title>
		<link>http://parchomd.com/2007/08/04/the-first-code/</link>
		<comments>http://parchomd.com/2007/08/04/the-first-code/#comments</comments>
		<pubDate>Sat, 04 Aug 2007 15:31:58 +0000</pubDate>
		<dc:creator>Parcho</dc:creator>
				<category><![CDATA[Medicine]]></category>
		<category><![CDATA[Residency]]></category>

		<guid isPermaLink="false">http://parchomd.com/2007/08/04/the-first-code/</guid>
		<description><![CDATA[I managed to find myself as the first physician present in a code situation today.
Talk about terrifying.
The nurses were performing chest compressions and giving bagged breaths for a patient this morning by the time I walked into the room.
I simply stood at the foot of the bed with a deer in headlights look and asked, [...]]]></description>
			<content:encoded><![CDATA[<p>I managed to find myself as the first physician present in a code situation today.</p>
<p>Talk about terrifying.</p>
<p>The nurses were performing chest compressions and giving bagged breaths for a patient this morning by the time I walked into the room.</p>
<p>I simply stood at the foot of the bed with a deer in headlights look and asked, &#8220;What&#8217;s going on?&#8221;</p>
<p><img src="http://parchomd.com/wp-content/uploads/2007/03/intubation.thumbnail.jpg" alt="Intubation" title="Intubation" width="76" height="128" class="alignleft size-thumbnail wp-image-14" />After an initial smart-assed response of, &#8220;Well, he&#8217;s not breathing&#8221;, I managed to get a bit of an event progression from the nurse who was already drawing up some epinephrine into a syringe.</p>
<p>Lucky for me&#8230;and the patient&#8230;a few more white coats with more experience arrived just as the nurse was finishing the history.  I was off the hook for &#8220;leading&#8221; the code&#8211;and the patient was better off for it.</p>
<p>Of course, I broke the number one rule of code situations&#8230;</p>
<p>I forgot to take my own pulse.</p>
<p>What a morning.</p>
<p><em>*Editorial Note: On Friday I carried the code pager for the day, and it did go off.  I was half way across the hospital and by the time I got there the code was finished.  Apparently the patient was a DNR&#8211;or some such. As such I don&#8217;t count that as the first code of my career.</em></p>
]]></content:encoded>
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		<slash:comments>7</slash:comments>
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		<item>
		<title>The First Admit</title>
		<link>http://parchomd.com/2007/08/03/the-first-admit/</link>
		<comments>http://parchomd.com/2007/08/03/the-first-admit/#comments</comments>
		<pubDate>Fri, 03 Aug 2007 22:02:52 +0000</pubDate>
		<dc:creator>Parcho</dc:creator>
				<category><![CDATA[Featured]]></category>
		<category><![CDATA[Medicine]]></category>

		<guid isPermaLink="false">http://parchomd.com/2007/08/03/the-first-admit/</guid>
		<description><![CDATA[I admitted my first patient today.
Last month I worked on a consult service&#8211;so I never had any of my &#8220;own&#8221; patients.
That all changed today when I admitted a patient with pulmonary hypertension.
It was mostly grunt work&#8211;filling out orders, doing a rectal, etc.  Ya know, the normal intern stuff.  We got the patient a [...]]]></description>
			<content:encoded><![CDATA[<p>I admitted my first patient today.</p>
<p>Last month I worked on a consult service&#8211;so I never had any of my &#8220;own&#8221; patients.</p>
<p>That all changed today when I admitted a patient with pulmonary hypertension.</p>
<p>It was mostly grunt work&#8211;filling out orders, doing a rectal, etc.  Ya know, the normal intern stuff.  We got the patient a bed and I then promptly &#8220;checked out&#8221; to the intern on call for the evening.  I felt a bit guilty dumping a sick patient on the overnight intern&#8211;but that&#8217;s what the 80 hour week does for us.</p>
<p>It&#8217;ll be my turn on Sunday when I have my first call day/night.</p>
<p>Should be a blast.</p>
]]></content:encoded>
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		<slash:comments>2</slash:comments>
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