It is kind of amazing that it has been over a year since I last posted on this blog. Wow a lot has happened in that time. I knew residency would be hard but I thought the hard part was going to be the number of hours and the dedication that would take on my behalf. I didnt realize the emotional strain that it would have on my wife and I.
Now that I am in my second year I have begun rotations in the core anesthesia specialities. I have my thoracic and cardiac rotations coming up soon which I am sure will be taxing as far as time and mental concentration.
What I have found to be true over the past year in anesthesia training is that my perception of myself drastically changes day to day or even hour to hour. One day I can do no wrong, intubate anyone that rolls in the OR door, place any epidural or spinal, make all the correct clinical decisions and the next day make wrong clincial decisions, be unable to get an epidural in anyone and basically have anything and everything go devastatingly wrong.
It has been eyeopening to see the new CA-1's come in fresh and green and not knowing much and then seeing myself with technical and informational saavy regarding anesthesia. But then a Ca-1 asks the simplest machine question and then I realize how little I know once again about certain topics.
To a new subject, I think it is great that McCain picked Sarah Palin. I think that there is a desperate need for someone to come from outside Washington and to have, hopefully a new outlook on ways to do things, hopefully she has the fortitude to stand up to the standard operation and the ways to do things that is embedded in Washington. That is why I love McCain, he has stood up to the conventional operations of Washington.
I look at Barack Obama and see nothing, nobody. When this guy talks, it is nothing but fluff. When McCain was asked questions in the first debate, he attacked Barack's stance on the issues and then immediately revealed his own vast knowledge and experience on a wide range of issues. Barack basically says his double talk "I agree with most of what Senator McCain says, but I have a different way of looking at certain important topics, and when I am president I will...." and his knowledge and experience about any and all subjects is severely lacking. It is amazing that such an inexperienced politician such as himself has made it this far in any election. He has a few things going for him, charm, being black, and when he speaks it is with smoothness, though there is absolutely no substance is about 95% of what he says. There should be an exam that both politicians should take on a wide range of past and present political issues and the results should be made public.
Thats all for now....
