I'm super sleepy right now. This rotation started out light but somehow the "VA spa" Red team grew to fourteen patients and didn't diurese, and we have some very ill patients. I don't mind -- challenge is good -- and in fact my day was less bad today because I got to Gram stain :o) I have missed one Gram stain, third year, of course when my mentor was rounding and I wanted to make a good impression. I have not missed one since. I also spin my own urine, examine my own peripheral blood smears (and now know how to make them), review images with radiologists. Oh, and I EXAMINE my patients. Should it worry me that I might be the only intern doing so? And that I try but still don't do all these things on all my patients each time I should? I really worry about the future of medicine.