Dishwasher, washing machine, or heart murmur? Your guess is as good as mine...
-Lisa
Friday, September 10, 2010
Wednesday, September 8, 2010
i should probably get a law degree on the side...
as much as school sucks and the new curriculum is kicking my ass, i have really really really enjoyed studying the heart. i find it fascinating and i can see myself going into cardiology. that all depends on how i do on board exams but who knows, its on the table of future specialties for now:)
Today we had our first lecture from a lawyer in our Physician and Society class. It is the first of 6 lectures we will get from lawyers and boy is it interesting to hear what I will be dealing with in the future (well hopefully not...but depending on what i go into its usually a given that I will be sued). We talked about introductory stuff like why people sue (apparently most are from the feeling that the doctor is 'hiding something') and some law vocabulary. We got a brief rundown of law and then moved on to talk about individual cases. Most medical malpractice suits are held in civil courts because they are disputes over monetary value. The good thing is there is a cap of $250,000 that the plaintiff can win in 'non economic loses' (basically pain and suffering). The bad thing is that a patient can sue you over ANYTHING as long as harm was done. Oh, and most arbitrations take about 18months to resolve. can you say anxiety???
The biggest piece of information we gained after sitting through this 3 hour lecture was DOCUMENT WELL. well that and dont fuck up...and dont leave tools inside someone before suturing them up in surgery. oh, and if a patient says dont touch my ovaries, DONT remove them during surgery even if they are bleeding out and it will KILL them because they will sue you..and that is battery (unlawful touching/procedure of a patient without consent). Battery is a criminal charge....bye bye license and all your money...hello jail.
[the lawyer that lectrued was one that defends doctors and she actually had this case. the women was dyeing in surgery from a hemorrhage in her ovaries and he took them out to save her life. she sued him. he won. damn straight he won.]
Today we had our first lecture from a lawyer in our Physician and Society class. It is the first of 6 lectures we will get from lawyers and boy is it interesting to hear what I will be dealing with in the future (well hopefully not...but depending on what i go into its usually a given that I will be sued). We talked about introductory stuff like why people sue (apparently most are from the feeling that the doctor is 'hiding something') and some law vocabulary. We got a brief rundown of law and then moved on to talk about individual cases. Most medical malpractice suits are held in civil courts because they are disputes over monetary value. The good thing is there is a cap of $250,000 that the plaintiff can win in 'non economic loses' (basically pain and suffering). The bad thing is that a patient can sue you over ANYTHING as long as harm was done. Oh, and most arbitrations take about 18months to resolve. can you say anxiety???
The biggest piece of information we gained after sitting through this 3 hour lecture was DOCUMENT WELL. well that and dont fuck up...and dont leave tools inside someone before suturing them up in surgery. oh, and if a patient says dont touch my ovaries, DONT remove them during surgery even if they are bleeding out and it will KILL them because they will sue you..and that is battery (unlawful touching/procedure of a patient without consent). Battery is a criminal charge....bye bye license and all your money...hello jail.
[the lawyer that lectrued was one that defends doctors and she actually had this case. the women was dyeing in surgery from a hemorrhage in her ovaries and he took them out to save her life. she sued him. he won. damn straight he won.]
Thursday, September 2, 2010
CARDIO!!!
Its my birthday! Big 25. Im spending the morning in the library studyin cardiology. Hey, its way better than endocrine. But, who knew i would need all that physics I learned at SDSU. To summarize. Endocrine=alphabet soup, Cardio= equation city. Its gonna be hard but I am excited, its the heart...how can that NOT be interesting?!
Sunday, August 29, 2010
Endocrine Quotes
“You will all agree I hope that this is your favorite lecture of this system.... it’s the only lecture of this system...” - May
“there’s a certain amount of shrinkage in there…that’s normal.”-May
“this one he had a lot of trouble taking it out, it’s just extending always.”-Parsa
On insulinoma... “Very classic, you give them insulin and they jump right out of the chair...” -Parsa
“He got shut down” - Mehta on a student trying to answer a question during large group
“The answer was true” - Mehta on the answer to a polling question that we are supposed click in on, but haven’t had a chance to yet...
“I’m going to make a disclaimer.. I don’t know where my phone is... so if it goes off...” - Mehta --> a few minutes later her phone begins to ring --> “I still don’t know where it is, I dropped my real phone in the ocean this weekend.”
“Dr. Bi these next questions are yours, so don’t go anywhere.. come down here.” - Mehta on Dr. Bi wandering around the room to ask students questions.
“I can tell you that 76% of the class will become endocrinologists” Dr. Mehta on the right answer to a quiz question.
“I’m afraid to touch this thing again... It’s upsetting my mojo.” Pummy
“These pathologists, they come in late, they take out a journal...They are very busy saving lives.” Pummy
“Our pathologist just finished his coffee, so we’ll go back to him.” Pummy handing the mic off to Parsa after he walks in ten minutes late.
“Is his name really Elmer?” Pummy“Yeah, I think so...” Dr. MehtaEmory: “No, that’s not my name...”Dr. P will refer to him as Elmo for the rest of the large group session.
Dr. Mehta asks a question to us during large group. The room is filled with Silence.“John” Mehta calls out... “C’mon theres gotta be a John in the class...”There’s an Elmo, but no John.” Pummy
“An adenoma, is an adenoma, is an adenoma...” Dr Parsa
“Dr. Davis, should we ask you for a consult? Is that appropriate?” PummyDr. Davis, slowly grabs the mic, turns it on, and says “Yes.” and nothing else.
“So would ACTH affect the cortisol levels?” Pummy repeats a question from a student while wearing the lapel mic to Dr. Mehta.“The question is, would ACTH affect the corti....oh yeah, they can hear you...” Mehta
Mehta: “We had a patient who was called Annie, but my program director called her Robert.” - on her patient with Congenital Adrenal HyperplasiaPummy: “Where did she get Robert? Is it like Elmo? Did she just pull it out of the air?”
"you dont want her to go blind and then have to cut off her feet...so do you tell her to stop eating tortillas?" - Mehta
“Casey??? I didn’t want you guys to miss Dr. Pummerantz” - Mehta asking for the answer to a question in class.
“Hey, I’m running this show here, okay??”-Mehta
“...which is interestingly funny...”-Mehta
“Go ahed to the next sli... no wait go back...” - Parsa on having someone help him advance through his slide set.
“It’s not just a fanm it’s informative...” Pummy on the packet of papers that he has been waving in front of his face to cool off actually containing our quiz answers.
“We have a biochemist in the room.” -Mehta“What do I talk about?” - Kandpal
“When I asked my son, where do we get cholesterol, he said... McDonalds... and I said... Correct” - Kandpal
“We are all going to McDonald’s after...Supersize me baby, oh yeah!” -Dr. Pummy
Mehta:“So more than 66% of U.S. adults are obese..what’s the future of America?”Student (yells out in class): “Hispanic!”Mehta: “I’m not going to repeat that...”
“I’ve also taken Niacin..you know, I try ‘em all once,”-Walters, on drugs..
“Where is cholesterol made” RajStudent “The skin”Raj “yes”Mehta “Dr. Kandpal the student said skin, is that correct?”Raj “No”
“Look you’ve got a twin!” Mehta to Emory about the elmo doll Dr. Pummy put on the podium.... no one in the room understood why....
“Why is LDL bad... because the DO said so...” -Hu
“What if he goes home and dies?” MehtaEmory “That would be bad....”
Dr. Mehta calls on Casey.Casey: “I’m going to phone a friend [pulls out iphone] Ryan are you there?”Ryan: “Hey Casey, what’s up?”Casey: “Ryan, they are asking me a question and I don’t know the answer...”
“Why are we concerned about obesity?” - Mehta“Because americans are fat.” -Student“I didn’t say it, a caucasian did...” - Mehta
“...I start thinking, spontaneous human combustion. Seriously, I thought I would catch on fire!”-Walters, on Niacin
“...and if you don’t believe it..we have proof!”-Parsa
sunday funday (thats complete sarcasm FYI)
I have my first cumulative final tomorrow. Not that all of medical school isnt cumulative...its not like i can just forget stuff after i was taught it, im sure i will need to know most of this stuff for life, but being TESTED cumulatively is a different story. Covering a weeks worth of new material and 2 weeks worth of OLD material (pretty much learning about the entire endocrine system in the body) in a weekend? i don't want to say its impossible because I have to do it and that would be discouraging...but you can see where i am going with this. good lord tomorrow cant come fast enough, at least we get the afternoon off after the bloodbath.
from earlier today on facebook:
Leigh's status (she lives below me): WTF!!! Why does the car alarm right in front of my room keep going off???
(our responses to her status)
Dorothy Habrat: thank god im at the library!
Lindsay: i have no idea, im about to throw a gallon of milk at it. not yours dorothy, i will use mine.
Leigh: While you are throwing things from your balcony, I wouldn't mind if you "accidentally" hit one of those power scooter kids either :)
Dorothy: Library studying-1, Home-0
from earlier today on facebook:
Leigh's status (she lives below me): WTF!!! Why does the car alarm right in front of my room keep going off???
(our responses to her status)
Dorothy Habrat: thank god im at the library!
Lindsay: i have no idea, im about to throw a gallon of milk at it. not yours dorothy, i will use mine.
Leigh: While you are throwing things from your balcony, I wouldn't mind if you "accidentally" hit one of those power scooter kids either :)
Dorothy: Library studying-1, Home-0
Wednesday, August 25, 2010
only 2 more days of endocrine....YAAAAAYYYY!
i live a pathetic life these days, and endocrine is OFF the list of interest (mostly because it is so damn tricky). life is pretty much 75% school and then 25% having a good time. but we still have a good time so thats all that matters.
its ok though, only 1 more year of classroom work and then they release me into the wild (what you would call the hospital). the more i learn the more i get excited. its also really fun to hear the 3rd years, who we got really close to last year, talk about their experiences.
oh, this was a fun quote from class today:
(after a question was asked to us about what drug you would prescribe a patient and everyone answered correctly):
"yes very good...theres really no science here this is just route memorization. theres really no way around route memorization in any subject.....whats your best long acting insulin? (as he casually goes back to the lecture topic)" -Dr. W
So today was our first standardized patient encounters of the year and my job was to counsel a patient on their drinking habits, even though they came in for back pain. it was an exercise on communicating with our patients and building repore again....blah blah blah. To get us back into the swing of things, they put us into groups of 6. Each one of us got 12 minutes with a SP (standardized patient--ps they call them standardized because every patient seen is the same to each student regardless of age or sex..they are all coming in with the same stories and symptoms so we can discuss them in lecture later). While we talked, 5 other students watched and then after the 12 min we got 5 min of feedback from the actor and our peers. after the encounter, the SP left the room and a new one came in. we had 3 scenarios, a diabetic patient, a smoker and an alcoholic then we had the same SPs come back and we pretended to do follow up visits. not sure if that makes sense but oh well.
Anywho, it was fine...nothing to write home about. its much more fun seeing ACTUAL patients. today was another 8:30 to 5 day and i got to unwind a bit by playing volleyball with my classmates. its always a good time. ok, im getting back to work. studying again till 12 and then bedtime.
its ok though, only 1 more year of classroom work and then they release me into the wild (what you would call the hospital). the more i learn the more i get excited. its also really fun to hear the 3rd years, who we got really close to last year, talk about their experiences.
oh, this was a fun quote from class today:
(after a question was asked to us about what drug you would prescribe a patient and everyone answered correctly):
"yes very good...theres really no science here this is just route memorization. theres really no way around route memorization in any subject.....whats your best long acting insulin? (as he casually goes back to the lecture topic)" -Dr. W
So today was our first standardized patient encounters of the year and my job was to counsel a patient on their drinking habits, even though they came in for back pain. it was an exercise on communicating with our patients and building repore again....blah blah blah. To get us back into the swing of things, they put us into groups of 6. Each one of us got 12 minutes with a SP (standardized patient--ps they call them standardized because every patient seen is the same to each student regardless of age or sex..they are all coming in with the same stories and symptoms so we can discuss them in lecture later). While we talked, 5 other students watched and then after the 12 min we got 5 min of feedback from the actor and our peers. after the encounter, the SP left the room and a new one came in. we had 3 scenarios, a diabetic patient, a smoker and an alcoholic then we had the same SPs come back and we pretended to do follow up visits. not sure if that makes sense but oh well.
Anywho, it was fine...nothing to write home about. its much more fun seeing ACTUAL patients. today was another 8:30 to 5 day and i got to unwind a bit by playing volleyball with my classmates. its always a good time. ok, im getting back to work. studying again till 12 and then bedtime.
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