I am a PGY-1 IM resident. I think I had food poisoning gastroenteritis two days ago. I felt nauseous at work and threw up during our academic half day. I missed the next day of work as I was so tired but I didn't want to miss call despite finding coverage. I remember as a medical student hearing stories from seniors (Fellows,residents,staff) that they would never miss work. One staff told me they hadn't missed work in 30 years. Another fellow said they came in septic.
Regardless, I show up on call and thought I was doing well after some tylenol. In a few hours I was awfully sick. I had no urine output, diarrhea was massive, muscle spasms had rendered me immobile and was very diapheretic. I did a consult somehow, and at this point was not functional. I asked the senior if I could get some fluids on the wards but he said go to the ER and it will be fine.
After 2L of NS, I felt so much better. I was walking around, and handling pages easily. The senior discussed the matter with the fellow, and the ER staff said I should go home as it could be dangerous. I was tired, but functional but it was an order.
I went home but I am worried about my reputation now. I feel I couldn't tough it out. Worse, I thought I was putting my patients in danger (mostly CHF) had I stayed. How do you balance these thoughts? How do you resolve this dissoance
TLDR – felt sick x2 days, worked a call shift and needed fluids. Told to go home by seniors and went home. Feeling guilty about not being good enough or harming my patients
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