Day 38 - Sleep Day (01/11/2017)

Concluded the kidney case - a pre-renal acute kidney injury (AKI), caused by the patient being prescribed a new potassium-sparing diuretic, while still taking her old medications as well as ibuprofen. This was a good lesson in drug interactions, as well as making sure that time is taken to adequately explain medications to patients. The patient was hyperkalaemic, meaning she had high levels of potassium in her blood and was displaying characteristic 'tented' T waves on her ECG as a result of how this affects the heart muscle.

After CBL I returned home to catch up on sleep, with all the intention in the world of returning in the afternoon. Safe to say that didn't happen, but I did manage to get a lot of work done at home as well as cleaning generally for the house inspection tomorrow. Should be able to study well tomorrow, will have a fully day at hospital on Friday - may well have an overnight session from Saturday night into Sunday morning then do the formative test before coming home. That would at least give me the rest of the day to recuperate and be fresh(ish) for Monday and the start of Block 2, which is apparently a horrendous few days.


For the past week or so I've been using a new sleep mask, one I backed on the crowdfunding platform Kickstarter quite some months ago. As you may have gathered by now I have a lot of problems with sleep, particularly waking up in the night. This seems to happen less often if I use masks, and this one I really like because of its modular design - the eyepieces can be moved independently, allowing for a much more comfortable fit than the usual 'one size fits all' approach.

I recommend picking one up, the company is called Manta Sleep