Friday at LAC-USC

What a great break for me – I get to go to the LAC-USC hospital for a day in the OR. After calling and getting the assignment this afternoon I called my great friend Charlotte Garcia who I will be training with at Women’s and Children’s tomorrow. I will be doing GYN at the County in the morning and will first attend the weekly conference which I have missed for the past month and one half.

I am so excited to be able to go and see my friends and practice some great anesthesia. Charlotte is really “the Bomb” when it comes to providing sound safe anesthetic for her patients. It is always a great treat to work with her and learn a few of her tricks. She text messaged me the other day “pimping” me about the relative histamine release between morphine and meperidine. It took me several hours and a lot of searching before I think I found the right answer. Both of these medications are histamine releasers but I believe morphine is more. So what did I do, I fired back a question to her about meperidine. We just had the pain lecture with Dr. Berger and he showed us diagrams of all of the receptors that are involved in nociception. One of the receptors that meperidine works at is the NMDA receptor which is one of the modulators of pain in the periphery.

In the morning I am taking my camera so that I can post some pictures of my day at Women’s and Children’s hospital. It has been a while since I have done anything with the camera and I am looking forward to doing this very much.