Goodbye and Hello!

Leaving Rapid City, South Dakota

Svikki MD

I officially wrapped up my first assignment as a locum physician! It was a great experience and I am glad I headed out to South Dakota for 6 months. Sure, it would’ve been even nicer in a non-pandemic world but even with a raging pandemic, I had a really good time.

On my last day in front of the critical access Lead-Deadwood Hospital

Each assignment I do will teach me new things about life, medicine, travel, people, and so much more. Even though it was only my first assignment, I’ve learned a few things for future assignments.

  • Luggage: I arrived at the airport in Rapid City back in October with a full suitcase, a full weekender bag, a full carry-on suitcase, and my purse. I left with the same amount of luggage. However, I shipped three medium-sized boxes of stuff to my dad’s and mom’s places. I really didn’t buy much on my own (except several books) but with Christmas and my birthday occurring during my assignment, a few extra items accumulated. Lesson learned: leave some breathing room in your luggage on the way there to allow for room for items that will accumulate.
  • Wardrobe: I packed about two weeks’ worth of business casual clothing. Only a few items were for casual wear. I really should’ve asked what the dress code was, especially during a pandemic. I ended up wearing scrubs to work every day! At some point, I stopped wearing my fancy Fig scrubs because I didn’t want to have to run to the laundromat and do laundry constantly. So I wore hospital scrubs daily. I could’ve left all those business casual clothes at home which were most of the contents of my large suitcase. Lesson learned: inquire about dress code. If business casual is required, curate a week’s worth of wardrobe that mixes and matches to minimize items packed.
  • Textbooks: I packed about 6 medical textbooks with the intention of working through them during the 6 months. I at least opened each book, some more than others. It was too many options though. I also packed several reference books. As you can imagine, this led to a pretty heavy weekender bag. Lesson learned: focus on 1 or 2 books to work through so it’s more realistic it’ll be done. I found that many of my reference books come with online access, so I activated them all and can access them through an app on my phone or computer in the future instead of schlepping them with me! Also, UpToDate is usually my first stop anyways… if you know, you know.
  • Hobbies: similar to my textbook situation…I packed too many different art supplies: acrylic paints, watercolors, India ink pens, pastels. When faced with too many options, it felt intimidating to start anything legitimate. I did use some of the items for Christmas and Birthday cards but not enough to justify packing all those things. Lesson learned: limit art medium to 1 or 2 options and focus on improving those skills during the assignment.

Family Time

Due to the pandemic, friends and family weren’t as free to come to visit me in South Dakota as they otherwise may have been. Two friends did make it out and I am grateful for that. It was fun showing them the area. Now, I’m happy to have some time with my family before my next assignment starts.

Dairyland

I flew to Wisconsin from South Dakota to visit my father and his wife. It also happened to be Easter weekend so my father’s wife’s children plus partners came to visit. It was a great feeling being surrounded by a fully vaccinated crew of people (except the two small children… but children probably won’t have to wait too much longer to get vaccinated hopefully). The weather was gorgeous and we even went on a boat ride on the lake. I stepped into my role as Easter bunny once again (it has been a while) and hid the eggs for the kiddos. Being able to sit around a table and have conversations with people was so lovely.

After that weekend, I headed towards Ohio. I made a pitstop for the night at my friend/co-resident’s home about halfway along the route. She has an adorable golden retriever that loves to cuddle… bliss!

Buckeye State

Now, I’m spending time at my mom’s place in Ohio. We’ve had a couple of days of really nice weather. I’ve already visited my peeps at my residency. It in no way feels like I graduated 8 months ago. Talking with the other residents about their clinic schedules, I can still very viscerally feel the anxiety associated with 15-minute appointments, precepting, and trying to stay sane. It gets better, my friends!

My mother and I did a little Goodwill run yesterday. I’ve mentioned before how much I love thrift stores. The environmental benefit of reusing clothing, the wallet-friendly prices, and supporting local organizations are just a few of the perks. It’s also so fun not knowing what you’ll find! I found a viscose H&M dress that still had the original tag. The original cost of that dress was more than I spent on my whole purchase. The other purchases were a beautiful rayon jumpsuit from Lucky Brand, two super soft cotton tank tops from Old Navy, and a cotton pajama set from Victoria’s Secret. At retail prices, that would all cost at least $190 (estimated from a quick online search of comparable products on the company websites). I paid $27 for everything. Each piece fits perfectly into my existing wardrobe and fills a void.

I would rather go thrift shopping than go to a mall any day! Macklemore, hit me up!

Thrift shop GIF - Find on GIFER

mfg

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Speared Fish & Sweet Deals

I’m on call all weekend and it’s actually been a bit busy. But I definitely wanted to keep up with the weekly post. So let’s dive in!

Svikki MD

Outpatient

We were very unstaffed from a nursing standpoint this week. The nurses that were there rocked it though and got us through. I probably saw the most patients this week since starting work. It was a mix of interesting cases and a lot of COVID.

Inpatient

I spent Thursday in Rapid City working with a hospitalist who has been taking care of COVID patients for the past 5 months. We reviewed treatment protocols, his experience with patients, the patterns of decline/improvement he has been seeing with them and discussed safe patient scenarios to keep at my hospital in Deadwood (and when to transfer). I’m very grateful they were willing to let me come and discuss with their doctors. There is also more awareness for them now that we will be admitting COVID patients.

Call

I’ve been on call for 4 of the last 7 days. That lead to a few more admissions to my inpatient panel. Between seeing them on the floors and seeing patients in the clinic, this week has once again flown by.

I’m getting used to constantly being on call for my own patients. Late night and early morning phone calls don’t surprise me anymore.

Spearfish

I live in a town called Spearfish. The town symbol is exactly what you might think it is…a speared fish. Exhibit A:

Spearfish is a quaint community with the main street filled with restaurants, bars, and shops. The public library is a block off of the main street, just next to the police station and fire department. There is a community bank up the road. It reminds me a bit of a larger version of the town I grew up in. However, unlike Muscoda Wisconsin, you don’t have to drive a mile before you hit your grocery store, fast food restaurants, and the local hospital.

The surrounding land is pretty flat and sits adjacent to the Black Hills. Someone recently mentioned to me that there is a recreational path that runs through Spearfish. This seemed like a safer option for me to explore than finding trails in Spearfish canyon without cellular reception. You never know, something could happen and no one would be able to find me.

Spearfish Recreational Path

I’ve spent the last two weekends exploring the rec path. It’s a concrete path that works it’s way through meadows and woods. The people are friendly and almost everyone you cross paths with smiles and says hello. I’ve been doing a power walk/jog combo for the 3.5-miles back and forth. The trail itself is much longer than that. It feels great to be outdoors and amongst nature. I’m interested to see how well maintained the path will be when we start having snowfall again.

Along the trail, there is the D.C. Booth Historic National Fish Hatchery. It’s free to enter. According to their pamphlet:

Created in 1896 to propagate, stock, and establish trout populations in the Black Hills of SD and WY, D.C. Booth Historic National Fish Hatchery is dedicated to fish culture and resource management. After a very successful fish production history, the hatchery’s current mission is to help preserve the U.S. Fish and Wildlife Service’s historic and cultural heritage.

I took a walk around the grounds for a bit and checked out the fishies from below in the Underwater Viewing Windows area.

Although there are many, many trails in the broader area, the rec path seems like a safer alternative for the time being. The weather has been fairly sunny recently and the temperatures tolerable with a fleece while working out. I don’t think it’ll be long though before I switch out the sports shoes for the snow boots again.

Hey Macklemore, can we go thrift shopping?

I love thrift shopping. It’s something I learned to love from my mother. In big metropolitan cities, I shop for clothes and shoes and in smaller cities, I check out the thrift store before buying items new if I can. The environmental impact our consumer society has on the planet has not gone unnoticed. Also, I will save money any day I can! Most (if not all) of my Ralph Lauren sweaters, J. Crew jeans shirts, and Gap turtle necks are thrifted. I usually can’t find pants for my long legs but I have issues with that in regular stores too.

When I first arrived in Spearfish, I noticed the kitchen was missing a few essentials I needed for meal prep. I found most of them in good condition at the St. Vincent de Paul store a few blocks away. When I needed winter gloves and some shopping totes for groceries, St. VdP had me covered. My greatest deal I’ve made so far was yesterday.

I won’t be home for Christmas

I’ve decided that if I am going to spend Christmas far away from family and friends, I’m going to decorate my apartment this year and have a Christmas tree. I stopped by St. VdP to look for decorations. They currently have a deal going where you can fill as many Christmas decorations into a box as you can for just $10! I filled up on ornaments, beads, lights, stockings, a snowman mug for hot cocoa, two decorative small trees, and a Christmas tree stand. All for just $10. I felt like a rock star. Now I just need to find a tree. When the Christmas season is over, I’ll repack everything and donate it back to St. VdP. So, it’s really more like a $10 rental fee.

I’ll show you the tree once I have one and it’s decorated

If the other items I purchase during my time here are in good condition when I am ready to leave, I will donate them back. It’s an earth-friendly, wallet-friendly alternative to Amazon Prime.

It’s almost the most wonderful time of the year!

One thing I love: Pre-Christmas season….it’s so close, I can taste it. Literally, see the next section.

One thing I ate: Lindt Lindor White Peppermint Truffles. That melting white chocolate with the refreshing taste of peppermint…I’m in trouble.  

One thing I’m grateful for: the invitation I received to have Thanksgiving at my colleague’s house with his family. Although I declined because I already have plans for myself that day, I truly appreciated the thought of inviting me to their family time since I’m out here in South Dakota alone. That being said, please remember, a Zoom Thanksgiving is better than an ICU Christmas. Please only celebrate with your household or core group of people. Our healthcare system can’t handle much more and I want everyone to be as healthy as possible.

mfg

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