RT Journal
A1 Van Allen EM
T1 PAracentesis by moonlight
JF JAMA
JO JAMA
YR 2011
FD April 27
VO 305
IS 16
SP 1635
OP 1636
DO 10.1001/jama.2011.472
UL http://dx.doi.org/10.1001/jama.2011.472
AB 
Filled with the serene confidence befitting a medicine resident at the tail end of residency, I leaned back in the sole reclining chair of the resident room while settling in for my last night on duty. A full moon reflected on the gentle waters surrounding the Golden Gate Bridge, and the waves bounced against the shore that lined the Veterans Affairs hospital, providing a gentle soundtrack for my final call. I basked in the confidence that comes after three years of being in the medical trenches, rife with what I imagined were gory battles against disease, extreme fatigue, and an unsettling exposure to the depths of human experience. There was simply no situation in the hospital that I could not break down, diffuse, or ameliorate, and no symptom I could not deconstruct, evaluate, and treat. So when an exasperated on-call junior resident burst into the room, I leaned forward and prepared myself to provide the sage guidance only a senior resident could give.