Well, i just finished my second week of second year and am already sleep deprived, stressed and a little bitter about life. getting off of summer vacation/break is one thing but being thrown into school (especially with this new curriculum) is exhausting. I was speaking with my good friend/classmate Sarah who had gone on a long trip as well and both of us seemed to be in the same boat of depression. Not a true 'SIGECAPS' depression (that is a mnemonic for all the symptoms of depression we learned in Psych last year- sleep disorder, interest deficit, guilt, energy loss, etc etc) but just a minor depression...mostly sadness. It is very hard to have been allowed to sip from the glass of freedom and then now be dyeing of dehydration as it was taken away.... seriously, thats exactly what it feels like. free time has gone down the drain, sleep has been severely reduced and life is back to normal as a medical student. only now, I am an MS2 and classes are going to be more difficult and we are expecting to know stuff. i cant use the excuse that i am just a first year anymore. I CANT IMAGINE when one day i cant use the excuse 'I dont know, im just a medical student' or 'i dont know im just an intern' or 'i dont know im still in my residency.' There will be one day when i am on the top of the pecking order and i cant say 'i dont know' its gonna be Doctor, what do you want to do? and i will HAVE to know.....shit that scares me
well anyways, these two weeks have sucked (for lack of a better word). But last night I worked another shift at Montclair and that definitely added a bright light to the tunnel. First off, I got about 5 hours of sleep on Wednesday night mostly because I had coffee in the early afternoon and then couldn't fall asleep (and im sure anxiety wasnt helping) then I got up Thursday to be in class for 8am. After just an hour of one of our only lectures this week, i met with my small group at 9 until 12 going over our cases and answering the questions about differentials, further testing, treatments, mechanisms of treatment,etc. Then i took an hour lunch and went to OMM from 1 to 5. After OMM i went straight to the Montclair clinic were I worked until 10pm. Now THAT was a long day but it wasnt to bad because it was women's clinic and i have been wanting to work one for a while now.
SOoooo, one of my patients last night was a 41 yo F (who did not speak English). She presented for a routine women's health visit (you should start to learn the short hand too--42 year old female---that one was hopefully not to difficult). Basically, she was here for a pap smear and breast exam. This was the first exam I have seen and I felt privileged that this women trusted me to learn from her. The resident at the clinic did the exam, i watched as he explained and the clinic coordinator assisted. Sadly, the coordinator was the only one in the room who spoke Spanish and it was probably not the most uncomfortable experience for the patient. But, I was there and learned how to do both a pap smear and a breast exam and I will always remember her as my first womens health patient. There is another first.....and I may have ruled out OB/GYN with that one...
ok. its time for a nap, dinner and then a fun night of studying and playing music very very loudly in my headphones to keep up my moral. that is the silver lining of studying...good music. monday is our 2nd endocrine exam, its on the thyroid gland and adrenal glands...then next week we learn about the wonderful world of diabetes. that is gonna be an important week since its gonna affect my daily work for the rest of my life. ill try to pay attention and learn some stuff for my future patient's sake...cant make any promises though
back to spending the best days of my life (early 20s that is) studying. Only have a few weeks of them left since i turn 25 soon
Friday, August 20, 2010
Sunday, August 15, 2010
Tuesday, August 10, 2010
PTH, FSH, LSH, GH, etc etc etc
"Studying endocrine = alphabet soup....CK14-, lower p27 index , PTH+, Ki-67+, cyclin D1 overexpression in >90%, DNA ploidy, Rb gene loss, HRPT2 gene mutation (hereditary hyperparathyroidism and jaw tumors syndrome)"
-Nolan
The acronyms just keep on coming....I think getting a medical degree is partly based on learning what a bunch of letters mean in the medical context. That way, you have to pay a doctor just to translate each others writing. its actually pretty brilliant!
-Nolan
The acronyms just keep on coming....I think getting a medical degree is partly based on learning what a bunch of letters mean in the medical context. That way, you have to pay a doctor just to translate each others writing. its actually pretty brilliant!
Monday, August 9, 2010
Day One...again
Today was my first day of second year and it was.....uneventful. Unfortunately, school began just like every other day and before I knew it, I was sitting in a histology lecture again trying my hardest to keep my attention span. After 3 hours, we had lunch and got to catch up with each other but after that there was a realistic feeling of work looming. Our first quiz is Wednesday [in 2 days], then another one Friday and our first exam is Monday [one week from today]. We are going to be studying the endocrine system for 3 weeks and every week will be the same... Our school has changed the curriculum and we will be doing a part Problem Based Learning instead of lecture style. Basically, we are given 5 cases with questions and in a group of 10 selected peers we will meet up and come up with a diagnosis and answers to the questions. The quizzes we have are all based on these cases and then after the quiz we get lectured on them. If it sounds confusing its because it IS confusing and its going to take me a good amount of time to 'learn how to learn' best in this style of teaching. For example, this is next weeks schedule
Monday: Exam 1 [from the previous weeks material]
Tuesday: the entire day is blocked off to meet with our group to go over the 5 cases and for self study
Wednesday: 8:30am to 12-Quiz on the cases we covered Tuesday and then 3 hours of lecture on this material
1pm- 5pm-Essentials of Clinical Medicine [this is the class where we learn to deal with patients and see standardized patients [actors] every other week]
Thursday: AM is blocked off again for groups to meet about another 5 cases
1-4pm- Osteopathic Manipulative Medicine
Friday: 8:30am to 12-Quiz on the cases we covered Thursday and then 3 hours of lecture on this material
*note, there are some Medical Ethics classes and other randoms thrown in their as well. Also, this will change with each system but the general set up is the same.
As you can see, things are very different from the usual lecture day. I am not sure how i feel about it yet but im thinking positively and im sure it will be good for me to have my own free study days.
Sooooo, now that Africa and my incredible summer are behind me, im gonna go learn lots of stuff so i can eventually go back and be able to help [and not just look over people's shoulders].
And another thought, today was my last 'first day of school' EVER. Thats because next year [actually in July] I will be spending my first day of third year in a hospital...and then rotating in and out of hospitals. CRAZY to think about
Tuesday, June 22, 2010
ONE down THREE to go
Well, its been a lil over a week since my first year ended and its hard to reflect on what I just accomplished. It's also very hard to grasp that it has been a full year of quite possibly the hardest working year of my life. Having met so many new amazing people, I can't help but love what I am doing even though at times I was very miserable. Most of the time I was having fun, even if most of it was spent in the library. I was still in the library with friends and still had plenty of opportunities to get to know my classmates. Honestly, my classmates are the major contributing factor to my sanity. It actually is hard to relate to friends who aren't in my class because med school has become such a major part of my life....well, it IS my life. But, now I am on summer break and get 8 weeks of guilt free time. Right now I am sitting on my friend's couch in London just having made a great breakfast. I plan on sitting here for a lil while longer and then heading out into the city. Tomorrow is an England World Cup game and I am meeting a friend to watch it, should be a great time in a pub somewhere :) Then Thursday night I leave for MALAWIIIII!!!!!
Of course, I didnt let go of all responsibilities since break has started. Last week before I left for London, I volunteered for the third [or fourth, cant remember] time at the Montclair clinic. I had two patients, a Spanish speaking 45yo Male and a 44yo Female. The man was the first time i encountered a patient who did not understand English at all. I worked my way through it as best as possible. I led him to exam room one and with a smile on my face the entire time (it was the only way i knew to break the tension) I took his blood pressure, pulse, temperature, respiratory rate, height and weight. After doing his vitals, the only thing I could manage to say was 'dalor?' as I pointed to his eye [it looked a lil red and droopy...dalor means pain]. He said no....thats it. After an awkward pause and another smile, I told him [in english which he obviously couldnt understand] that I would be right back. I then got the Clinic Coordinator [our saving grace at the clinic...she helps us with everything] to interpret for me. Through her, we asked him a few questions and it was all I needed because he was just there for a BP check and medication refills for HTN and Diabetes.
After this patient I had a 44 year old lady who could speak English and suddenly I felt 20x more confident in myself. It seemed like a no brainer since i could ask her any question i wanted [retrospectively, having this spanish speaking patient was pretty good for my learning curve]. She was here for HTN medication refills but also because she wanted to switch her anti-depression medication. She was just put on them at her last visit 2 months ago and since then she was having major side affects of 'shaking' and 'trembling.' I asked her a ton of questions about her symptoms and didnt do any physical exam cause I didnt really think it through and didnt think it was needed. I went back to the resident and presented the cause and it became pretty clear that I did not do enough. He asked if I did any physical tests and educated me on why a neuro exam would be very important. So, I went back to the patient and did a full neuro exam to rule out any other causes. I did reflexes, muscle strength testing and sensation testing...all were intact and within normal limits. After going back and giving my pertinent negative findings to the resident, we went to see the patient together and ended up switching her medication.
Retrospectively, I really should have known to do the neuro exam and present this to the resident in the first place. We just learned about this a couple months ago and it should have been in the back of my mind when I was listening to the patient. I felt pretty stupid for having forgotten it. Its hard to see a patient, learn all their symptoms and really critically think while i am in front of them. Its hard enough trying to pretend and look semi-competent while in the exam room... its another to actually BE competent. So, I took this experience as a valuable one and next time, I will slow myself down a bit and not feel bad about thinking things through and making the patient wait while i study their chart and my notes. After all, thats what doctors are supposed to do, right?
On that note, I am also VERY happy I have been volunteering at the clinic because if I am already learning and becoming more comfortable with patients and charting, I wont make these basic mistakes when I start rotations. Then ill just look like a rockstar!
Anyways, it was a very long night at the clinic and we didnt get out until 10:30pm [we start at 5pm.] We had a resident that was pretty slow but he was also valuable as he spent a lot of time teaching us about the patients and also giving us pointers while writing our SOAP notes [the exam documentation complete with Assessment and Plan for treatment]. Sadly, its this kind of stuff that makes me dislike medicine. We spend about 20 minutes with the patients but then at least an hour on their chart. granted, charting will go much quicker and smoother when we are more experienced but for now, everything I am about to write gets scrutinized in my head a couple times before it actually get puts on paper. This is a legal document and I have to make sure everything is complete and accurate. Well... that and the resident and clinic coordinator have to sign off on our charts and i dont want to look/sound like a complete idiot. I havent been doing this for long but I should have some ideas of how to do this, it has been a year after all!
Every shift after our last patient appointment at 7:30pm, we all finish up our patients documentation [SOAP notes] and give them to the resident and then to the clinic coordinator to sign off. It has become a competition each shift to see who can write their chart without getting 'called back' from her to correct something.
I didnt get called back at this shift, she said my charts looked great and were done very well :)
A small triumph but a triumph nonetheless.
be back in a month when i return from Africa, will have lots of medical stuff to write about then!
Sunday, June 13, 2010
Musculoskeletal Quotes
"And on his 2nd birthday you can imagine how happy we all were saying 'Yay! He's up to the 0th percentile!" -Dr. Rega about her son Darwin's inherited shortness
"I hate to break it to you, but fat shows up on x-rays.. can you hide it? No... Can patients hide it with clothes? No... but don't tell your patients that, it might give them a complex" Dr. Fraix on X-ray imaging
"Which finger do you guys think this is? It's the middle finger. It's my way of being politically incorrect to you. Just kidding, it's the ring finger." -Dr. Fraix
"Being a guy he was like 'I'm a guy, its not big deal... it'll go away.." Dr. Fraix describing the typical mentality of 20 something male patients.
"Dude, do you think this is a big deal?" -Dr. Fraix asking a professor about an injury that he was 'being a guy about' and ignored while in med school. Then later describing the wound saying 'Dude, this thing looks angry."
"I just lust after these nuts..all different kinds" -Dr. Redding on nutrition
" 'David... why are you so happy all the time...' Dr. Sugarman said to me... and I said.. well the first reason I won't tell you about... but the second was and attitude of gratitude." - Dr. Redding
"I started going to a doctor on a regular basis, even though I lectured him on being overweight... he was a student here at one point and I was worried about him." Dr. Redding on his longevity.
"I show this, not because it is a chicken wing from Hooters..." Dr. Finley on a picture of knee cartilage destroyed by osteoarthritis.
"They come in and can barely move and say okay Dr. I am ready to get that total joint replacement, and you think they are going to get up from their chair and rise like lazarus...that is not true, their pre-surgical status predicts their post-surgical status" Dr. Finley on joint replacement surgery.
"If you have ever driven over a pothole in the street, then you know what Osteoarthritis is." -Finley
"I had a dream that I was lecturing a group of students, and sure enough, when I woke up, there was an audience in front of me." Dr. Lin
"Do you understand this? No? go read my notes. If you still don't understand it...read them again."-Dr. Lin
"Any thing??? Is everything all right? I know these are very big words..." Dr. Lin's version of asking 'any questions?'
"Achondroplasia.. a failure of endochondral bone growth... this is what you see in the little people in the circus..." - Lin
"Am I talking to fast? No? Good, most orientals talk too fast and talk too soft." -Lin
"Should we begin, so you can go home, and study, and study, and study..." -Lin
"Sometimes you need to take the patients history to diagnose a muscle weakness. If you have a body builder come in and tell you they used to lift 310lbs and they can now only do 295lbs now... you have to trust them, there is no way for you to test their strength." - Lin
"You guys have all seen Barbara Walters on the TV right? She looks a little funny." - Dr. Wong on Botox and its cosmetic applications
"Nice thing is they dont know you so they cant sue you" -Dr Milton on performing muscle biopsies
"I weigh my board exams through guessing" -Dr Milton
"That's the thing, they are boring" -Dr. Milton on muscle biopsies.
"What is the first think you do if a patient comes into your office and then falls down dead on the way out the door? Well my father told me you need to turn the patient around so it looks like they were coming towards you not leaving" Dr. Milton.
Have any of you done a muscle biopsy? Its not so bad, you'd be surprised you can jam this thing into a persons bicep and they don't fight you to much." - Milton
"That works for the classic presentation of the disease, so you have to put a sign on your clinic that says 'only the classic presentation of the disease here please.'" - Milton
"So you are a nytella and you are sitting in a pond, and a moose comes by and munches on you... and your guts spill out into the pond..." -Milton trying to describe active transport???
"Atrophy... gee you know... it loses the mass... there's nothing secret about that" -Parsa
"These are the things were going to get to... you know.. objectives.." - Parsa
"If you are eating chick... kentucky fried chicken... you know the red and the white.." - Parsa
"All of the things I said were important are the things that you need to know for the test..." -Parsa during his most concise and hence enjoyable lecture to date.
"Ejection from a vehicle....thats probably not a good thing" -Doherty during ER lecture
"If you are going to sleep [during this lecture], don't sleep during this part..." - Sherman
"We took it back with us in a skippy peanut butter jar, and luckily customs didn't make us open it..." Faeber on a pathology sample they took home from Haiti.
"Here's Charlie Sheen being examined, not it's not him..." -Faeber on a photo of a patient examination technique.
"Is that me making that noise? It sounds like a river running?" -Faeber on the clicking from everyones lap-top after he told us he was going to go over all the concepts he felt were of importance.
"Lumbar vertebra are more prone to herniation because they are load bearing... for your big fat head." - Fraix
"Because the spinal cord is near and dear to our hearts..." - Fraix
"The reason I like to do EMG is because I get to poke people with needles and shock them... but don't tell people that..." - Fraix
"You are a physician, you need to make sure something else isn't going on... - Fraix about differential diagnoses.
"And thats why i get payed the big bucks...I dont get paid to diagnose Osgood-Shlatter, my grandmother can diagnose that" - Fraix
"I am going to keep repeating these things to you, because when you get on rotations you are going to be tempted to say 'fracture' when you see growth plates. And your attendings will wonder 'what are they teaching you at that school??? Obviously nothing..." - Fraix about growth plates on X rays
"You'll point at it and be like 'thats the problem!' Again, my grandmother could diagnose that" -Fraix on AC injury
"I would get a call on friday asking me to take a patient, so I would bring my junior resident with me who was a linebacker for stanford. I would walk into the hospital with him behind me and say 'what, do you want me to take this patient???" - Dr. Fraix on bullying his way out of getting stuck with a case.
"unfortunately you dont get these arrows in clinic" [on X rays in powerpoint]
"i'll also have patients do heel-toe walking...its not just for drunk driving, its for diagnosing too"
"so the moral of the story is..when you're out doing crack cocaine or whatever dancing all night...take a break!"-Fraix.
"i kinda feel like a talk show host" -Fraix passing the microphone around during large group
"other than guessing, did anybody find anything?" - Fraix
"Ottawa, its not just another place in Canada. Hopefully I didnt offend anyone by saying that.."
- Fraix
"as a medical student you want to put yourself out there because people dont expect much from you" -Fraix
"How many views is better than one view.... 2 or 3" -Fraix on how many xray views to ask for
"You look at your patient and realize 'oh my god he's from the 1950's." -Fraix on a stock photo of a child with DMD.
"XY, you remember it because guys will ask... why do I have to pick up my clothes off the floor, why do I have to get up early..." - Fraix
"Dr. Parsa talked about this 'c'mon guys what do you need to know... its necrotic, it's classic..." - Fraix doing a classic immitation of Parsa
"oh hypothermia, you might think to yourself, we can freeze people and thats a good thing... no it doesn't work out that way..." -Docherty on the effects of hypothermia.
"people will get really specific, 'oh i'm allergic to donuts', well thats okay, b/c we aren't going to feed you right now." -Docherty on taking a hx for a trauma patient.
"These guys are getting up close and personal" - Rao on two rugby guys on top of each other.
"when bones break break its loud...it even echoes off the wall" - Rao
"Must be better than 20/50 with both eyes ::repeats twice:: you know... that would be a good test question..." - Rao on requirements for the sports physical.
"I remember when i was a freshmen medical student and they were calling us doctors...thats pretty funny" -Dr Lee
"Im sitting there looking at the finish line at an old lady that looked like she just came out of a beauty palor with a shirt on that said 'circa 1909' on it as there are young kids laying in the medical tent hooked up to two IVs and im thinking 'whats wrong with this picture?'" -Dr Rice at a San Diego marathon
"This is a steroid induced, genetic freak..." - Rice on body building hypertrophy pic.
"being a freshmen medical student is not a good excuse to abuse yourself" -Rice
"can you imagine the stress of being a chronic sniper???" - Rice
"one monkey is no monkey" -Rice powerpoint
"You can see here ::points with a pencil to ppt on screen::" Steinmen trying to point out radiologic findings without the use of a laser pointer.
"If they got hit by the coca-cola truck & were involved in a lawsuit, then none of them got better..." Steinmen on the surprising finding on a study involving chronic back pain and treatment outcomes.
"I hate to break it to you, but fat shows up on x-rays.. can you hide it? No... Can patients hide it with clothes? No... but don't tell your patients that, it might give them a complex" Dr. Fraix on X-ray imaging
"Which finger do you guys think this is? It's the middle finger. It's my way of being politically incorrect to you. Just kidding, it's the ring finger." -Dr. Fraix
"Being a guy he was like 'I'm a guy, its not big deal... it'll go away.." Dr. Fraix describing the typical mentality of 20 something male patients.
"Dude, do you think this is a big deal?" -Dr. Fraix asking a professor about an injury that he was 'being a guy about' and ignored while in med school. Then later describing the wound saying 'Dude, this thing looks angry."
"I just lust after these nuts..all different kinds" -Dr. Redding on nutrition
" 'David... why are you so happy all the time...' Dr. Sugarman said to me... and I said.. well the first reason I won't tell you about... but the second was and attitude of gratitude." - Dr. Redding
"I started going to a doctor on a regular basis, even though I lectured him on being overweight... he was a student here at one point and I was worried about him." Dr. Redding on his longevity.
"I show this, not because it is a chicken wing from Hooters..." Dr. Finley on a picture of knee cartilage destroyed by osteoarthritis.
"They come in and can barely move and say okay Dr. I am ready to get that total joint replacement, and you think they are going to get up from their chair and rise like lazarus...that is not true, their pre-surgical status predicts their post-surgical status" Dr. Finley on joint replacement surgery.
"If you have ever driven over a pothole in the street, then you know what Osteoarthritis is." -Finley
"I had a dream that I was lecturing a group of students, and sure enough, when I woke up, there was an audience in front of me." Dr. Lin
"Do you understand this? No? go read my notes. If you still don't understand it...read them again."-Dr. Lin
"Any thing??? Is everything all right? I know these are very big words..." Dr. Lin's version of asking 'any questions?'
"Achondroplasia.. a failure of endochondral bone growth... this is what you see in the little people in the circus..." - Lin
"Am I talking to fast? No? Good, most orientals talk too fast and talk too soft." -Lin
"Should we begin, so you can go home, and study, and study, and study..." -Lin
"Sometimes you need to take the patients history to diagnose a muscle weakness. If you have a body builder come in and tell you they used to lift 310lbs and they can now only do 295lbs now... you have to trust them, there is no way for you to test their strength." - Lin
"You guys have all seen Barbara Walters on the TV right? She looks a little funny." - Dr. Wong on Botox and its cosmetic applications
"Nice thing is they dont know you so they cant sue you" -Dr Milton on performing muscle biopsies
"I weigh my board exams through guessing" -Dr Milton
"That's the thing, they are boring" -Dr. Milton on muscle biopsies.
"What is the first think you do if a patient comes into your office and then falls down dead on the way out the door? Well my father told me you need to turn the patient around so it looks like they were coming towards you not leaving" Dr. Milton.
Have any of you done a muscle biopsy? Its not so bad, you'd be surprised you can jam this thing into a persons bicep and they don't fight you to much." - Milton
"That works for the classic presentation of the disease, so you have to put a sign on your clinic that says 'only the classic presentation of the disease here please.'" - Milton
"So you are a nytella and you are sitting in a pond, and a moose comes by and munches on you... and your guts spill out into the pond..." -Milton trying to describe active transport???
"Atrophy... gee you know... it loses the mass... there's nothing secret about that" -Parsa
"These are the things were going to get to... you know.. objectives.." - Parsa
"If you are eating chick... kentucky fried chicken... you know the red and the white.." - Parsa
"All of the things I said were important are the things that you need to know for the test..." -Parsa during his most concise and hence enjoyable lecture to date.
"Ejection from a vehicle....thats probably not a good thing" -Doherty during ER lecture
"If you are going to sleep [during this lecture], don't sleep during this part..." - Sherman
"We took it back with us in a skippy peanut butter jar, and luckily customs didn't make us open it..." Faeber on a pathology sample they took home from Haiti.
"Here's Charlie Sheen being examined, not it's not him..." -Faeber on a photo of a patient examination technique.
"Is that me making that noise? It sounds like a river running?" -Faeber on the clicking from everyones lap-top after he told us he was going to go over all the concepts he felt were of importance.
"Lumbar vertebra are more prone to herniation because they are load bearing... for your big fat head." - Fraix
"Because the spinal cord is near and dear to our hearts..." - Fraix
"The reason I like to do EMG is because I get to poke people with needles and shock them... but don't tell people that..." - Fraix
"You are a physician, you need to make sure something else isn't going on... - Fraix about differential diagnoses.
"And thats why i get payed the big bucks...I dont get paid to diagnose Osgood-Shlatter, my grandmother can diagnose that" - Fraix
"I am going to keep repeating these things to you, because when you get on rotations you are going to be tempted to say 'fracture' when you see growth plates. And your attendings will wonder 'what are they teaching you at that school??? Obviously nothing..." - Fraix about growth plates on X rays
"You'll point at it and be like 'thats the problem!' Again, my grandmother could diagnose that" -Fraix on AC injury
"I would get a call on friday asking me to take a patient, so I would bring my junior resident with me who was a linebacker for stanford. I would walk into the hospital with him behind me and say 'what, do you want me to take this patient???" - Dr. Fraix on bullying his way out of getting stuck with a case.
"unfortunately you dont get these arrows in clinic" [on X rays in powerpoint]
"i'll also have patients do heel-toe walking...its not just for drunk driving, its for diagnosing too"
"so the moral of the story is..when you're out doing crack cocaine or whatever dancing all night...take a break!"-Fraix.
"i kinda feel like a talk show host" -Fraix passing the microphone around during large group
"other than guessing, did anybody find anything?" - Fraix
"Ottawa, its not just another place in Canada. Hopefully I didnt offend anyone by saying that.."
- Fraix
"as a medical student you want to put yourself out there because people dont expect much from you" -Fraix
"How many views is better than one view.... 2 or 3" -Fraix on how many xray views to ask for
"You look at your patient and realize 'oh my god he's from the 1950's." -Fraix on a stock photo of a child with DMD.
"XY, you remember it because guys will ask... why do I have to pick up my clothes off the floor, why do I have to get up early..." - Fraix
"Dr. Parsa talked about this 'c'mon guys what do you need to know... its necrotic, it's classic..." - Fraix doing a classic immitation of Parsa
"oh hypothermia, you might think to yourself, we can freeze people and thats a good thing... no it doesn't work out that way..." -Docherty on the effects of hypothermia.
"people will get really specific, 'oh i'm allergic to donuts', well thats okay, b/c we aren't going to feed you right now." -Docherty on taking a hx for a trauma patient.
"These guys are getting up close and personal" - Rao on two rugby guys on top of each other.
"when bones break break its loud...it even echoes off the wall" - Rao
"Must be better than 20/50 with both eyes ::repeats twice:: you know... that would be a good test question..." - Rao on requirements for the sports physical.
"I remember when i was a freshmen medical student and they were calling us doctors...thats pretty funny" -Dr Lee
"Im sitting there looking at the finish line at an old lady that looked like she just came out of a beauty palor with a shirt on that said 'circa 1909' on it as there are young kids laying in the medical tent hooked up to two IVs and im thinking 'whats wrong with this picture?'" -Dr Rice at a San Diego marathon
"This is a steroid induced, genetic freak..." - Rice on body building hypertrophy pic.
"being a freshmen medical student is not a good excuse to abuse yourself" -Rice
"can you imagine the stress of being a chronic sniper???" - Rice
"one monkey is no monkey" -Rice powerpoint
"You can see here ::points with a pencil to ppt on screen::" Steinmen trying to point out radiologic findings without the use of a laser pointer.
"If they got hit by the coca-cola truck & were involved in a lawsuit, then none of them got better..." Steinmen on the surprising finding on a study involving chronic back pain and treatment outcomes.
Sunday, June 6, 2010
Are we there yet?
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