Its absolutely remarkable (but really not all that surprising) how much willing teamwork goes on here.
Given how busy and disorganized we are, it can be real difficult to get everyone together and on the same page; however, every morning my team (which consists of me, a nurse, a psychologist, a physical therapist, an occupational therapist, and a wound nurse) round on all our patients (about 12).
Its a very fun and cooperative attitude--as opposed to all my other teams and my pain-in-the-ass interns in residency.
The other services that we consult here are surgical subspecialties: 1 plastic surgeon; 1 neurosurgeon; 1 almost brain-dead, 147 year old orthopedic surgeon, and an OB/GYN doctor.
Additionally, there is 1 pediatric ER doctor and 1 adult intensive care doctor. One of the internists here is a cardiologist and one is a pulmonologist.
Occasionally, and often without notice, a urologist, an ophthalmologist, and maybe someone else will show up to help.
Between all of us, we fill in all the holes--including making any and all medical decisions that we wouldve gotten consults on in the hospital. There's no ID or oncology or GI consult. There's definitely no palliative care here.
But, have no fear, should we have a question about blood sugar management, or vitamin D deficiency, or even thyroid storm or myxedema coma....I'm here to help.
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