Respiratory System Quotes

“Well I was up late last night and I was drawing this picture...” Pummy presenting immuno with Trush
::without dropping a beat:: “And its a wonderful picture!” - Thrush


“And then you see here the normal...” - Foley
::interupted by Pummy:: “yeah I just needed you to teach those two slides, since I couldn’t we will get more into that later.”

“And you’ve got this little guy here, and he wants to stop the party” - Issar giving a mini-pharm lecture on theophyline

“Oh... this was one of your actual patients... well then I won’t steal your thunder” - Pummy

“If your patients start to get goofy on you... you need to think about respiratory failure.” - Goya on physical findings of severe asthma exacerbation and altered mental status being a clue to respiratory failure

“The key thing you need to know about severe asthma is that you need to act quickly, you don’t have time to sit there and fart around...” -Goya

“There is a good study out about this, actually it was done by Kaiser... gotta throw my propaganda out there.” Goya on treatment for pulmonary embolism

“Well the police said this patient fell asleep at the wheel.. and he is not an ER doctor or a med student or anything, so this is abnormal...” - Pummy on Sleep apnea

“Where did Charles Dickens write about this problem???” Pummy
“Humpty-Dupmty” -Student
“Humpty Dumpty probably actually did have this problem.... that is why he fell” - El-Bershawi in regards to sleep apnea

“This is joe the fatboy, from the pickwick papers... and now you can discuss this albeit breifly at your next cocktail party...” - Pummy trying to give us some culture

“Okay and that is interesting... and we may p!$$ off our sleep partner... but is that the only reason we care about sleep apnea?” - Pummy

“And your patients, they never read the textbooks...” - Pummy

“We do have another patient who was kind enough to expire so we could do an autopsy...” - Pummy

“Okay, first I ask you about the pickwick papers... and now I ask you about a popular actor...” - Pummy voicing his frustration at our lack of knowledge about anything non-medical at this point
::the room is almost completely silent::
“That is good, that means they are smart.” - El-bershawi

“Other types of densities... you saw them before a couple cases ago? lacy pattern? does anyone wear lace anymore??? okay moving on.” -Pummy

“How about that lucency on the left side, what is that? Does he have two tracheas?... He’s got that new thing that is going around.... deviated trachea...” -Pummy pimping us on CT findings
“Okay, what do you call it when you come home from the dentist... you say look ma, no _____... cavities.”

“Let’s do some infectious disease calisthenics... this one isn’t too hard... come on... spit it out... what is your differential?” - pummy on the presentation of pharyngitis

“You are still in the virology part of your training so we have this question for you...” Pummy on a quiz question he was asking during large group “realistically most of you won’t care about this ever again after June.”
I couldn’t have said it better myself pummy =)

“How many of you are here today.... 200??? well come on the other 80 of you, go ahead and click in.” - Pummy on attendance to Large Group.

“Well a lot of people ask... who will eventually spend the time to find the cure to the common cold... I have a better question... who would waste their time looking for the cure.” Pummy on the multiple serotypes of rhinovirus and its high mutation rate which makes it impossible to engineer a vaccine for it.

“Well this patient comes in and it looks like she has a hot potato in her throat... and the first thing you should be thinking besides holy $h!t is...” - pummy the answer is epiglottitis

“Alright who answered 1 and 2??? be honest... you should all be ashamed of your selves... because how did they die? They were shot! And Franklin Roosevelt, how did he die?” - Pummy
“A wheelchair down the stairs?” - Student
“No that is not it either... malignant hypertension.” - Pummy “And what about Thomas Jefferson, how did he die?”
“Syphillis” - Student
“No! Not syphilis, although that did help him write the Declaration of Independence” - Pummy in regards to a quiz question about how some of our presidents died. ***the correct answer to who died from epiglottitis was George Washington

“Rhonchi are in the bronchi” - Pummy

“And the fun part of this is when you can predict what a chest x-ray is going to look like from your lung exam.... that is pretty fun.” - Pummy...... Riiiiight........

“And Birds... birds are the worst. For some reason people don’t think of birds as pets... they hug the bird, kiss the bird, but they don’t think the bird is a pet. When you ask them if they have any pets they say no, when you ask them if they have a bird they say yes...” - Goya on interstitial lung disease

“Purulent Tracheobronchitis wants to be pneumonia when it grows up.” -Pummy

“Hallitosis is better than no breath at all...” Quiz question from pummy.... he chuckles when 30% of us answer false.

“What is the most common cause of blood in the pleural fluid? The intern doing the tap...” Goya on pleural effusion.

“If it smells like pus, and looks like pus.... it’s pus” - Goya on Empyema

“I think the woman has a lower tolerance of everything” - Patel
“No comment” - El-Bershawi

“The lowest smoking rate out of any profession is among pulmonologists” El-Bershawi on lung cancer risk factors.

“Wait a second, did she just say that patients with HIV get infection from whores on the farm?” Student 1
“No, I think she meant from horses on the farm...” Student 2
“Oh...” Student 1

“See you all did very well on the quiz, less than a 100% was not acceptable” -Patel on large group after a disasterous midterm.

“How are you doing??? It is too much it seems.” Tiwari on the poor morale evident in the class

“I had a bunch of gadolinium MRIs during my training. I was part of a study that was developing that as an imaging modality.....That was a long time ago though.....anyway they never tested my kidney function.” El-Bershawi.

“You could give her a PFT.... maybe she is asymptomatic, but as a pulmonologist I am a bit paranoid, they always present to you without any problems. You need to lose 30-40% of your lung capacity before you start having problems.” El-Bershawi on giving a patient with sarcoidosis a pulmonary function test.

“As far as I know, if your books say otherwise... well they are probably correct...” El-Bershawi.

“What drugs can give you diffuse alveolar hemorrhage?” Patel
“Cocaine” Student
“Well, that is true, that’s why we don’t prescribe that anymore.” El-Bershawi

“Some magic seems to have occured here... They don’t transform into spherules until they are within a host.” Felton on his fungal life cycle image

“Well that is my part, and if you have any questions....” Venkentaraman giving a 15 min synopsis of Blood and lymph
“Oh God....I am confused again!” Patel
We know Dr. Patel.... we know

“Surgeons use colloid, Medicine uses crystalloid. Data suggests is doesn’t really make a hill of beans.” -Goya on fluid management of Sepsis.

“What drains into the R. Atria?” Kuehn
“SVC” Student
“Good, the SVC. What else?” Kuehn
“SVC” Different Student
“Right the SVC and the SVC.... what else?” Kuehn

“Are you guys exhausted?” Tiwari
“YES!” Entire Class
“I guessed that...” Tiwari

“Which species is going to attack us? We don’t know....” Tiwari on influenzae and its ability to trade antigens within other animals.

“Which vaccine you will get depends on a lot of factors, like your age. If you are young like me...” Tiwari on the flu vaccine