Wednesday, January 12, 2011

This is from another blog on the internet i found. It applies because of #1-- for some reason our professors say SONTI-meter instead of CENTI-meter and it it the most mind-boggling and irritating thing i have ever heard. At first I thought it was just one doctor but then other ones that say it the same way kept coming out of the woodwork!! ahhhhh

I kept the other ones in just cause they are pretty funny...

"Top 5 Most Annoying Medical Terms
Day to day life in the hospital can be frustrating for so many reasons: tests don’t get done, patients won’t go home, interns won’t stop crying, etc, etc. These are all predictable and acceptable obstacles that go along with being a housestaffer. However, there are certain unacceptable annoyances that should not, and cannot, be tolerated. Signing out IV placements/rectals/NGTs to the covering resident. Clinic patients who come an hour late. And, doctors who “fancify” commonplace medical terms for unknown reasons, or, use silly medi-slang. Share your own with us and we’ll add them to the list.

1. “Sontimeter”- (aka centimeter) Hated for both its pretentious nature and the frequency with which we hear it, this term remains a mystery to all housestaff below the age of 35. Were all of these docs schooled in Old England? Well, throw another shrimp on the barbie, ’cause we’re not taking it any more! The word is CENT-i-meter. Like, red cent. Not like idiot-savANT.

2. “Labs are cooking”- What? If one phrase can get me to freak out, it’s this one. Why can’t you just say ‘pending’ or ‘not done yet’? Let’s get this straight- it’s not cooler or funnier to say ‘cooking’- it’s just dorkier. And G-d help the medical student that whips out this phrase; before you know it they’ll be telling their MS3 buddies how they were “droppin’ NGs” and “throwin in lines.” Stop them before it’s too late. Please.

3. Deh-breed-mahn(dbrd-mä) - aka: debridement. Commonly used by older surgical attendings and their tortured residents, who want to glorify the very unglamorous task of removing dead tissue from a sacral decub, by adding a french accent. For example: “My PGY2 attempted the de-breed-mahn of the stage IV decub, but had to stop midway through when the patient crapped all over it.” If they want to make the procedure seem more special, they should take the patients to their service.

4. “Goombah”- (Also see: “ditzel,” “fascinoma”)- Slangy terms that are used to describe an unidentified lesion on an imaging study. When I think of these words, I think of a 45 year old radiology attending who loves to be the guy that reads the films with the floor teams. He’s got, like, 8 canned jokes that he tells every time, 3 of which are somewhat inapproprite. Is there any reason to call a mass or lesion anything else but that? Trying to spice up a CXR report with slang is like calling cancer the “Big C.” It is just unnecessary.

5. “Thank you, doctor.” - Let me clarify before you freak out. This phrase is excellent and gratifying 50% of the time when uttered by a patient or a patient’s family member. Unfortunately the other 50% of the time it’s used by patronizing nurses; and in that case, ‘thank you, doctor’ really means ‘F you, doctor;’ or, ‘I told you so,’ or even, ‘Have a good 10 minutes of sleep, before I page you again, doctor.’"
during a lecture on the menstrual cycle and PMS my professor made this joke...

"does anyone know the difference between a women with PMS and a terrorist?

well,you can actually negotiate with the terrorist..."

On a side note, I wonder if its good or bad that I am getting back into my routine of taking an hour nap each day in the later afternoon. I cant fall asleep at night so I only get about 6 hours of sleep and then by the time i get home from school i am exhausted so i nap but then I cant fall asleep early enough to get enough rest before heading to school at 8 or 9am the next day....its a vicious cycle!

Tuesday, January 11, 2011

"I knew women were complicated....but learning about the endless pathology associated with their reproductive tract made realize how complicated they really are."
-Nolan

"When your pen runs out of ink, what should you be thinking about?

a) FMMSL
b) I need a new pen
c) bed time
d) where's the gin
e) four of the above"
-Sam

**FMMSL=Fck My Med School Life

Monday, January 10, 2011

Food for thought...

A human egg [oocyte with the surrounding supportive cells, together called a follicle] is the size of a dot a very sharp pencil would make on paper. In contrast, an ostrich egg is the largest and weighs up to 3.5pounds. [and yes, we are talking about the same kind of egg you eat for breakfast...]


“Menstruation are the bloody tears of a disappointed uterus” --an old saying taught in medical school

“The number of oocytes is highest before birth, around 6-7million, lots and lots of eggs, how many at birth? turns into 2 million. How many at puberty? turns into 400,000-500,000, how many of those will ovulate? 400-500. Thus, the overwhelming odds of the fate of an egg is to NOT ovulate. We are all examples of a special egg that has ovulated. Thats how special we all are. And it even gets more impressive when you think about spermatozoa. There are 35-40 million spermatozoa in a single ejaculate, and the odds of one of those spermatozoa meeting up with an egg is astronomically small. So its a way of thinking about how special we really are. We should take the rest of the day off we are all just that special....”
-Dr.G

Wednesday, January 5, 2011

and the fun begins again...

"OMG... 100 slides of diseased penises... this is a nightmare!!!"
-Jay referring to a pathology lecture of the male reproductive system

Sunday, January 2, 2011

Here we go again!

Today is my last day of winter break and the shit is about to hit the fan...second semester of second year. WOW did that come around fast!

I had a really enjoyable break and did not study one bit (well actually I did try to listen to some audio Board exam study stuff on my drive from San Diego to LA but I turned it off after 15minutes :) )

During break I slept a LOT. I know I was stressed during last semester but I really saw how much of it I had built up because for the first week or so I could sleep 10 hours each night no problem and then still take naps during the day. My brain and body needed to get rid of all the stress hormones I had built up. I caught up on lots of TV shows, read some books, went snowboarding, worked out, caught up with friends, etc etc Now I am going to sit under a blanket for another day and then head to class tomorrow morning to begin the Reproductive System [we begin with histology of the penis tomorrow at 8am...surely a great way to welcome us back...]


Last semester seemed to get harder and harder as it went by...I hope its the opposite for this semester. Our schedule is as follows:
Reproductive System until beginning of February [and it is back in normal lecture format like last year!!]
Gastrointestinal System [digestive system] until beginning of march [this is back in case-based learning format like all of last semester]
Dermatology [skin] and Emergency Medicine [different courses but at the same time] until April [with a week in the middle of March for spring break!]
Pediatrics for 2 weeks
Geriatrics for 1 week
Then the first week of May is blocked off for Orientation to Clinical Rotations where we are introduced into what our hospital rotations will be like. During this week we also get to learn how to suture [stitch], get CPR certified and other stuff like that.
Then we have the rest of May until June 17th to study and take our board exams and then we begin clinical rotations on June 20th!!!! Only 6.5 months away. I wish I could fast forward until then...

This is my rotation schedule:
I start with my Obstetrics and Gynecology rotation (June 20th-July 29th) and do not know which hospital I will be in yet
then Pediatrics at Arrowhead Regional Hospital from August 1-September 9th
then i have an elective from Sep 19 to October 14 and VACATION from October 17 to November 11 -- I can switch my elective and Vacation if i want
after I have an OMM rotation at a private practice in San Dimas from November 14 to Dec 9
- Internal Medicine at Downey Regional Hospital from Dec 19 to January 13, 2012
- Internal Medicine at Chino Valley Medical Center from Jan 16 to feb 10
- Psychiatry at Chino Valley Medical Center from Feb 13 to March 9
- Surgery from March 19 to April 13 at Citrus Valley Health Partners Hospital
- Family Practice at Arrowhead Regional from April 16 to May 11
Then Endocrinology at Rancho Los Amigos Hospital from May 14 to June 8 of 2012!


But before all of this I have to pass my first board exam!! i have no idea how i feel other than scared. panic hasnt come in yet but i assume that will come later, i have not registered for them yet but i will be taking the COMLEX [Comprehensive Osteopathic Medical Licensing Examination- the DO board exam] and the USMLE [United States Medical Licensing Examination- the MD board exam]. I have to take both because I will be applying to both DO and MD residencies and need the appropriate one that corresponds with each application. These exams which i will take in the middle of June will be the 1st of 3 that I will take in order to get licensed as a physician. I have to pass all of them to be able to practice. If not, I will have a degree from Western but I wont be able to use it!

This is some basic info about the exam:
It is administered in one day and consists of two, four-hour exam sessions separated by a 40-minute break. Each four-hour session also includes a ten-minute break. Candidates are expected to know the basic mechanisms of health and disease process. Specifically, level one covers basic medical sciences, including:
anatomy
behavioral science
biochemistry
microbiology
osteopathic principles
pathology
pharmacology
physiology

I will take level two during my fourth year of school and then level three sometime during residency. These two are more focused on clinical medicine [knowing disease and treatments in detail]. Annnnd, each test I take [both COMLEX and USMLE] are $500 each for each level. So I will be spending $3,000 just to take all these tests. AWESOME.

I KNOW i can do well on these exams but its just going to be so much extra work on top of classes. I should be studying an extra 10 hours a week for the exam alone and then starting in May I will be studying around 10 hours a day.

here we gooooooooooooo.....

Saturday, December 18, 2010

To do list for break: regain social skills, improve drinking tolerance, snowboard A LOT, read non medical text,sleep, DO WHATEVER I WANT EVERYDAY :)
oh, and i am gonna try and get rid of the 'wake up automatically at 7am' impulse