The hospital has been quite the adventure. Not everyone can say they’ve spent the night in a hospital built in the Soviet Union, but I spent a night shift at the hospital with a Rheumatologist and a Danish medical student. The Rheumatologist has been a fantastic teacher – he explains many medical concepts quite well, and is planning on giving us a run-down of heart sounds next week, to be followed up with trying to identify some of the valve disorders by auscultation in patients that already have a confirmed disorder via echo, with some patients with no heart pathology mixed in. Curiously, he almost seems more like an internist that also happens to have specialized in Rheumatology, as his knowledge of the other fields of internal medicine also seems very sound. This may be due to the frequency with which he covers the night shifts, for which he covers three or four departments – or perhaps for his second (or maybe third) job translating medical journal articles into or out of Russian, allowing him to keep up on the local literature.