Lots to catch up and and I don't have much of a desire to stare at my computer for a long time so I'll just hit on the high notes of January.
I worked at Montclair Clinic twice this month and the most memorable patient was a 47yo female with bipolar disease who was there for us to 'check in' on how she was doing with her medications. She seemed very normal but the longer I talked to her the more I realized her slight irregularities in mood. She would try to laugh things off and smile and then she would get really sad and nearly started crying several times. She was on a ton of medication for anxiety, depression, bipolar disorder and of course, hypertension [everyone at Montclair is on HTN med's]. It was an interesting experience to talk to her because really, I had no idea what to say. I tried to listen and just nod along with it but there was no way I could relate to her problems or her family troubles. It is going to take me some time to perfect the empathy in me, to really TRY to put myself into a patient's shoes rather than just sit there thinking 'wow that sucks, dont really know what i can do...' [that is mostly what i was thinking]. Also, another component to add was the first year student also in the room who was watching me [and learning from me...LEARNING from ME..] At this time in the year, we are starting to 'pass the torch' of our duties to the first years as the year starts to wind down into prime Board studying time. Since none of us will want [or have time] to be doing extracurricular activities, the first years start to take shifts at Montclair and eventually will take over working there. Before they can do so, they must shadow one shift...and that is where the first year in the room comes in. He was shadowing me...a second year student. It is amazing to think that I already know enough to be able to start teaching other students. I am astonished that being 2 years in, I have already developed a feel for taking a patient's history and doing their physical exam.
This was the 2nd time I worked this month so this was already the second time I had a 'shadower' with me and I got used to the idea of someone watching and learning from me. I like the practice of having someone intimidate me. Well, intimidate isn't the best word. what i mean is, I like having someone watch me and make me nervous because that is pretty much how I am going to feel most of the time during rotations. I of course want to impress the residents and attendings i am working with [or at the very least, look competent] and to do so i need to be able to get through the nerves and think logically. This has always been a challenge for me so the more practice I get the better. My entire career is going to involve being nervous or intimidated so the more I am exposed to it early on and get comfortable with controlling my reaction to it, the better doctor i will become.
On that note, it is reassuring that I will some day be able to put the nerves aside [or hell, even not get nervous] when around patients and residents. I know that one day I will because when medical school started and we began doing standardized patient encounters, I was nervous as hell for each one. With palms sweaty, neck red and blotchy, I would enter the fake patient room and spend the first 5 minutes lowering my heart rate as I pretended [with all my power] to not look nervous. But now, almost 2 years in, I walk into a SP's room and just chat.... I may get nervous if I run out of questions to ask or say something stupid, but I don't get nervous by the situation anymore. Even better is that after the SP encounter we sit with the actor for 5 minutes and they give us feedback and everytime I get the same comments: you looked confident and organized, I trusted you, you connected with me really well, [and the best one], if this were a real doctor's appointment I would come back to see you.
Another very fun part about this month was learning all about pregnancy and then learning how to deliver babies. Residents from Riverside County hospital came to school to teach us, on models of course, how to safely help deliver a baby and what to do in different emergencies. I found myself really loving it and have started to consider what life would be like as an obstetrics and gynecology doctor. It would't be too bad except for the long hours, stressful situations, or extremely high mal-practice insurance [highest of ALL doctors in fact]. Even with all this negative information, I am still very interested in it and can't wait to see if I still feel the same way on my OB/GYN rotation which is the first rotation I will do starting June 20th! Oh, and I cant help but be a little hesitant about going into OB/GYN because the likelihood of me meeting men in this field is pretty low.... If you think about it, the only patients I will have are women and the only men that will be around will be the baby daddies...not a lot of single men mixed in there, right?!
Annnnd last thing to mention, I scheduled my USMLE and COMLEX dates which are June 3rd and 7th respectively. It is coming up FASTTTTT.
Oh, and we just ended a hell week of Cranial OMM which I will have to talk about later.... now I am going to go watch a movie and relax before studying some more for my Cranial exam on Monday...
Saturday, February 5, 2011
Tuesday, February 1, 2011
Reproductive System Quotes
“I’m baaaaaaack..”-Dr. May
“This is going to be an unusual system for you, because it is going to have lectures.” - May
“Then I’ll talk about the bulbouretheral gland...and then I’ll climax with the penis. That was not a Freudian slip.”-Dr. May
“Back in the Roman days they would grab their testicles and swear to tell the truth, of course if they lied.... they wouldn’t have them after that.” - May on the meaning of testes, which is to swear, thus the origin of the word testify.
“for the holidays I did some calculations…so between the D.O. males, the dental males, and the Podiatry males…if you took all the seminiferous tubules & stitched them together, where would they go? What happens is that they go from the archway at the west end of our campus, all the way to the ticket booth at Disneyland, provided you take the Ball road off-ramp. You know, that’s quite a distance. But if we threw in Dr. Keuhn’s, we’d get over to Fantasyland. A lot of tubules in there.”-Dr. May
“Some aboriginee tribes will slit the tunica albuginea to increase their manliness....ouch.” -May on the histology of the penis.
“I said that?! Oh my god...Okay, no, it’s switched. Yeah...Freudian slip again. I probably used the PC when i did that instead of the Mac, that’s the difference between the two.” -May
“what happens in the event that fertilization takes place? Or as I like to call..sperm meets the egg.”-May
“now this is what you call multiple ovulations...octo-mom has nothing on this here”-May
“....hate to get hit in the face with that tail. It’s like a bullwhip..ooo!”-May (referring to the tail of a sperm...omg..)
Clitoris…”a rudimentary homolog of the penis…I was accosted by a student after the lecture who happened to be a Nurse..I don’t know why she identified herself as a Nurse, and she said, ‘Excuse me, but there is nothing rudimentary about my clitoris it works very well thank you.’ And I said, ‘Uh oh, I guess I’m not being politically correct.’ ” -May
“Remember all that stuff we learned in the renal system, about mesonephric ducts and such? Well, here it comes again.” Dr. Kuehns’ First Slide followed with.....
“Well you guys didn’t have this stuff in renal, so I guess I will have to do a bit more explaining.” - Kuehn
“You are better off leaving ‘it’ in there as long as possible.” Khuen referring to gestation and pre-mature birth.
“We miss you guys, this is the first time we have really lectured to you this year.” -Wong
“I’ve talked to some urologist who have seen some pretty weird things.” - Parsa on his slide including a picture of a penis being strangled by a metal ring.
“They are either germ cell tumors or non-germ cell tumors. If they are germ cell tumors they are either seminomas or non-seminomatous, and that is about all there is to that.” – Parsa
“If an 80 yo has low grade prostate cancer its no big deal, but you know for money people will go ahead and do things, terrible things.” –Parsa on BPH.
“I use classic a bit too much, don’t I? Well it is classic!” - Parsa
“If someone asks you on your rotations which one it is, well 80% of the time you will be right if you say ductal carcinoma in situ” – Parsa
“You should know what this looks like a little bit, I mean come on how could you miss that?” – Parsa on fibroadenoma.
“I don’t know how I am going to finish this in one hour but…” –Parsa
“You actually have two..” Student
“Oh.” -Parsa
“Not good, cancer is in the brain. That’s it. Patient died.”-Parsa
“So! Cancer, cancer, cancer..” (Parsa just flips through slides)
“Its Friday 10 o’clock guys…happy hour is after 2”-Parsa
“You won’t have to take any notes.... just sit back and listen....” - Lin
oh Dr. Lin, if only we could understand you...
“I had a dream one day, I was in lecture speaking in front of a bunch of medical students. Sure enough when I woke up, there was an audience in front of me.... so if you don’t ask me questions....” - Lin
“You will cut this open, but there is no chocolate in there.” - Lin on endometriosis of the ovary causing chocolate cysts.
“Let’s remember, we are the idiot in idiopathic, we don’t know what is going on.” Dr. Gambone
“What’s the difference between a terrorist and a woman with PMS? You can negotiate with a terrorist...” - Gambone
“There’s worker sperm, and helper sperm. The point is the adage it only takes one isn’t necessarily true.” Gambone comparing bees to sperm and the events of fertilization.
“Clinical practice can be very psychologically rewarding, now a days it is not very financially rewarding, but you can get a lot of satisfaction out of it.” - Gambone
“Cleavage is the only word in english which can mean two different things and is spelled and pronounced the same way. In one sense it means to divide, in another it means to bring together.” Gambone’s english lesson in regards to IVF.
“Here this one looks like it is getting angry.” Gambone in regards to a Bartholin cyst of the female genitalia
“It’d be great if there was a treatment that would extend fertility... you could start women on this at age 16..... well we better say 18 so they are legally of age.... then they could have kids at 30.” Gambone on oral contraceptives not pushing back the age fertility of women.
“Now you can have PCOS without having any cysts... I know this is kind of upsetting.... I usually tell this to the class just after I tell them there is no Santa Claus, so they can deal with both upsets at once.” - Gambone on polycystic ovarian syndrome
“We used to get slapped, well there was never any physical violence, but we would get made fun of if we said that the ovary was ‘torsed’. It can undergo torsion, but ‘torsed’ is not a word.” - Gambone
“one of my favorite drawings, I hope it becomes your favorite drawing, you might have this up in your bedroom or something….Not in the kitchen, don’t put it in the kitchen.”
-Gambone, on drawing of ovary w/all the different follicles
“Hisuitism: all men are hirsuit…all men are other things too, but all men are hirsuit.”--Gambone
“You may ask your patients if they are sexually active... they may respond ‘No, I just lie there.” - Foster
“My favorite story is from a nurse practioner friend of mine, she told her patient ‘okay go ahead and take off your clothes and get on the table.” She came back in the room and her patient was standing on the table naked. She just did exactly as she was told.” - Foster
“Are there any risks of infection from the pessary?” Student
“Well... for one, the vagina is not sterile.... I mean we put things in and out of it all the time....” Foster
Everyone laughs at the obvious implications
“I suppose if you never had sex ever in your entire life, you would have 100% chance of not becoming pregnant... the bible notwithstanding.” -Foster
“You got say hold on and put one on, and that can be a barrier to use.” Foster on condom use.
“The female condom never really took off, when you look at it you can see why. It looks like something an elephant would wear.” Foster
“This man took his wife to the hospital, she was about to give birth. When they talked to the doctor, the doctor said well I am wondering if you would be interested in participating in this study, I have invented a machine which makes labor and delivery a little easier on the mother. What it does, we hook up both the wife and husband to the machine and it transfers some of the pain of labor to the husband. The husband said well I think I can handle that, and the wife was enthusiastic too, so they hooked them up. Well they set it to 10%, because they thought well maybe the husband doesn’t know what he is getting into...so they started off there. So they are sailing along pretty smooth, and the guy says crank it up a bit, I can handle it. So they turn it up to 25%, then 50%, and he was still just sailing right along. So the husband says just turn it up to 100% I can handle it. So the mother was laboring well, the baby was born, and everything went smoothly. In fact she was doing so well that they sent the mother home that day with the baby. But when they got home, they found the milkman dead on the doorstep. Well one person liked it anyway. Did I tell you guys that one before? I did??? You gotta stop me when I do that!!!” - Felton
“Gonorhea peaked at about a million cases during the 70s in the sexual revolution, by the way, I was a soldier in that revolution, actually I just had a desk job, I never actually saw any action....” Felton
“Have I read you the letter from my mother? It says ‘dear son, I’m writting this slow becuase I know you can’t read fast. We don’t live where we did when you left.... you sure you haven’t heard this one before... okay.... your dad read in the paper that most accidents happen within 20 miles of home so we moved. I can’t send you the address because the last family that lived here took the numbers with them for their new house so they wouldn’t have to change their address. This place has a washing machine, the first day I put four shirts in, pulled the chain, and haven’t seen them since. It only rained twice this week, three days the first time, and four days the second time. The coat you wanted me to send you; your aunt said it would be too heavy to mail to you with the buttons on, so we cut them off and put them in the pockets. We got a bill from the funeral home, if we don’t make the last payment on your grandmother, up she comes they said. Your father is doing well at his job, he has over 500 men under him now. He is still cutting grass at the cemetary. About your sister, she had a baby this morning. I don’t know yet if it is a boy or a girl, so I can’t tell you whether you are an aunt or an uncle. Three of your friends went off a bridge in a truck. One of them was driving and the other two were in the back. The driver lived, he swam out the window, but the two in the back drowned because they couldn’t get the tailgate down. Not much else to tell. Write more often, Love mom. PS I was going to send you some money, but the envelope was already sealed.” - Felton.
We will miss your silly jokes good sir.
“It’s a lot in the south…West Virginia only has 32 cases..that’s good, I’m from WV. Dr. Martin is from WV, too. Some people like to argue that they have such a good rate b/c we both left…but I don’t think that’s true at all.” -Felton
“And now I get to talk about my favorite STD.... Syphillis. Because it is interesting.... not becuase I have any personal experience with it....it is Interesting.” - Felton
“Well there’s a baby, and of course the mother.... its not just a skeleton usually.” - Castro on the skeleton she is using to demonstrate what labor looks like.
“Women were not meant to have liters. Even if they are super healthy, and their uterus is pumping out blood to the fetus, it just cannot keep up with 7 placentas.” Castro on multiple gestation pregnancies.
“No ultrasound is going to tell you if a woman has uterine tenderness, you have to figure that one out on your own.” - Castro
“What is the saying??? It’s been real? It’s been good? Well it’s been real good!” - Castro
::crickets in the classroom::
“Okay, you have no sense of humor...” - Castro
“This is going to be an unusual system for you, because it is going to have lectures.” - May
“Then I’ll talk about the bulbouretheral gland...and then I’ll climax with the penis. That was not a Freudian slip.”-Dr. May
“Back in the Roman days they would grab their testicles and swear to tell the truth, of course if they lied.... they wouldn’t have them after that.” - May on the meaning of testes, which is to swear, thus the origin of the word testify.
“for the holidays I did some calculations…so between the D.O. males, the dental males, and the Podiatry males…if you took all the seminiferous tubules & stitched them together, where would they go? What happens is that they go from the archway at the west end of our campus, all the way to the ticket booth at Disneyland, provided you take the Ball road off-ramp. You know, that’s quite a distance. But if we threw in Dr. Keuhn’s, we’d get over to Fantasyland. A lot of tubules in there.”-Dr. May
“Some aboriginee tribes will slit the tunica albuginea to increase their manliness....ouch.” -May on the histology of the penis.
“I said that?! Oh my god...Okay, no, it’s switched. Yeah...Freudian slip again. I probably used the PC when i did that instead of the Mac, that’s the difference between the two.” -May
“what happens in the event that fertilization takes place? Or as I like to call..sperm meets the egg.”-May
“now this is what you call multiple ovulations...octo-mom has nothing on this here”-May
“....hate to get hit in the face with that tail. It’s like a bullwhip..ooo!”-May (referring to the tail of a sperm...omg..)
Clitoris…”a rudimentary homolog of the penis…I was accosted by a student after the lecture who happened to be a Nurse..I don’t know why she identified herself as a Nurse, and she said, ‘Excuse me, but there is nothing rudimentary about my clitoris it works very well thank you.’ And I said, ‘Uh oh, I guess I’m not being politically correct.’ ” -May
“Remember all that stuff we learned in the renal system, about mesonephric ducts and such? Well, here it comes again.” Dr. Kuehns’ First Slide followed with.....
“Well you guys didn’t have this stuff in renal, so I guess I will have to do a bit more explaining.” - Kuehn
“You are better off leaving ‘it’ in there as long as possible.” Khuen referring to gestation and pre-mature birth.
“We miss you guys, this is the first time we have really lectured to you this year.” -Wong
“I’ve talked to some urologist who have seen some pretty weird things.” - Parsa on his slide including a picture of a penis being strangled by a metal ring.
“They are either germ cell tumors or non-germ cell tumors. If they are germ cell tumors they are either seminomas or non-seminomatous, and that is about all there is to that.” – Parsa
“If an 80 yo has low grade prostate cancer its no big deal, but you know for money people will go ahead and do things, terrible things.” –Parsa on BPH.
“I use classic a bit too much, don’t I? Well it is classic!” - Parsa
“If someone asks you on your rotations which one it is, well 80% of the time you will be right if you say ductal carcinoma in situ” – Parsa
“You should know what this looks like a little bit, I mean come on how could you miss that?” – Parsa on fibroadenoma.
“I don’t know how I am going to finish this in one hour but…” –Parsa
“You actually have two..” Student
“Oh.” -Parsa
“Not good, cancer is in the brain. That’s it. Patient died.”-Parsa
“So! Cancer, cancer, cancer..” (Parsa just flips through slides)
“Its Friday 10 o’clock guys…happy hour is after 2”-Parsa
“You won’t have to take any notes.... just sit back and listen....” - Lin
oh Dr. Lin, if only we could understand you...
“I had a dream one day, I was in lecture speaking in front of a bunch of medical students. Sure enough when I woke up, there was an audience in front of me.... so if you don’t ask me questions....” - Lin
“You will cut this open, but there is no chocolate in there.” - Lin on endometriosis of the ovary causing chocolate cysts.
“Let’s remember, we are the idiot in idiopathic, we don’t know what is going on.” Dr. Gambone
“What’s the difference between a terrorist and a woman with PMS? You can negotiate with a terrorist...” - Gambone
“There’s worker sperm, and helper sperm. The point is the adage it only takes one isn’t necessarily true.” Gambone comparing bees to sperm and the events of fertilization.
“Clinical practice can be very psychologically rewarding, now a days it is not very financially rewarding, but you can get a lot of satisfaction out of it.” - Gambone
“Cleavage is the only word in english which can mean two different things and is spelled and pronounced the same way. In one sense it means to divide, in another it means to bring together.” Gambone’s english lesson in regards to IVF.
“Here this one looks like it is getting angry.” Gambone in regards to a Bartholin cyst of the female genitalia
“It’d be great if there was a treatment that would extend fertility... you could start women on this at age 16..... well we better say 18 so they are legally of age.... then they could have kids at 30.” Gambone on oral contraceptives not pushing back the age fertility of women.
“Now you can have PCOS without having any cysts... I know this is kind of upsetting.... I usually tell this to the class just after I tell them there is no Santa Claus, so they can deal with both upsets at once.” - Gambone on polycystic ovarian syndrome
“We used to get slapped, well there was never any physical violence, but we would get made fun of if we said that the ovary was ‘torsed’. It can undergo torsion, but ‘torsed’ is not a word.” - Gambone
“one of my favorite drawings, I hope it becomes your favorite drawing, you might have this up in your bedroom or something….Not in the kitchen, don’t put it in the kitchen.”
-Gambone, on drawing of ovary w/all the different follicles
“Hisuitism: all men are hirsuit…all men are other things too, but all men are hirsuit.”--Gambone
“You may ask your patients if they are sexually active... they may respond ‘No, I just lie there.” - Foster
“My favorite story is from a nurse practioner friend of mine, she told her patient ‘okay go ahead and take off your clothes and get on the table.” She came back in the room and her patient was standing on the table naked. She just did exactly as she was told.” - Foster
“Are there any risks of infection from the pessary?” Student
“Well... for one, the vagina is not sterile.... I mean we put things in and out of it all the time....” Foster
Everyone laughs at the obvious implications
“I suppose if you never had sex ever in your entire life, you would have 100% chance of not becoming pregnant... the bible notwithstanding.” -Foster
“You got say hold on and put one on, and that can be a barrier to use.” Foster on condom use.
“The female condom never really took off, when you look at it you can see why. It looks like something an elephant would wear.” Foster
“This man took his wife to the hospital, she was about to give birth. When they talked to the doctor, the doctor said well I am wondering if you would be interested in participating in this study, I have invented a machine which makes labor and delivery a little easier on the mother. What it does, we hook up both the wife and husband to the machine and it transfers some of the pain of labor to the husband. The husband said well I think I can handle that, and the wife was enthusiastic too, so they hooked them up. Well they set it to 10%, because they thought well maybe the husband doesn’t know what he is getting into...so they started off there. So they are sailing along pretty smooth, and the guy says crank it up a bit, I can handle it. So they turn it up to 25%, then 50%, and he was still just sailing right along. So the husband says just turn it up to 100% I can handle it. So the mother was laboring well, the baby was born, and everything went smoothly. In fact she was doing so well that they sent the mother home that day with the baby. But when they got home, they found the milkman dead on the doorstep. Well one person liked it anyway. Did I tell you guys that one before? I did??? You gotta stop me when I do that!!!” - Felton
“Gonorhea peaked at about a million cases during the 70s in the sexual revolution, by the way, I was a soldier in that revolution, actually I just had a desk job, I never actually saw any action....” Felton
“Have I read you the letter from my mother? It says ‘dear son, I’m writting this slow becuase I know you can’t read fast. We don’t live where we did when you left.... you sure you haven’t heard this one before... okay.... your dad read in the paper that most accidents happen within 20 miles of home so we moved. I can’t send you the address because the last family that lived here took the numbers with them for their new house so they wouldn’t have to change their address. This place has a washing machine, the first day I put four shirts in, pulled the chain, and haven’t seen them since. It only rained twice this week, three days the first time, and four days the second time. The coat you wanted me to send you; your aunt said it would be too heavy to mail to you with the buttons on, so we cut them off and put them in the pockets. We got a bill from the funeral home, if we don’t make the last payment on your grandmother, up she comes they said. Your father is doing well at his job, he has over 500 men under him now. He is still cutting grass at the cemetary. About your sister, she had a baby this morning. I don’t know yet if it is a boy or a girl, so I can’t tell you whether you are an aunt or an uncle. Three of your friends went off a bridge in a truck. One of them was driving and the other two were in the back. The driver lived, he swam out the window, but the two in the back drowned because they couldn’t get the tailgate down. Not much else to tell. Write more often, Love mom. PS I was going to send you some money, but the envelope was already sealed.” - Felton.
We will miss your silly jokes good sir.
“It’s a lot in the south…West Virginia only has 32 cases..that’s good, I’m from WV. Dr. Martin is from WV, too. Some people like to argue that they have such a good rate b/c we both left…but I don’t think that’s true at all.” -Felton
“And now I get to talk about my favorite STD.... Syphillis. Because it is interesting.... not becuase I have any personal experience with it....it is Interesting.” - Felton
“Well there’s a baby, and of course the mother.... its not just a skeleton usually.” - Castro on the skeleton she is using to demonstrate what labor looks like.
“Women were not meant to have liters. Even if they are super healthy, and their uterus is pumping out blood to the fetus, it just cannot keep up with 7 placentas.” Castro on multiple gestation pregnancies.
“No ultrasound is going to tell you if a woman has uterine tenderness, you have to figure that one out on your own.” - Castro
“What is the saying??? It’s been real? It’s been good? Well it’s been real good!” - Castro
::crickets in the classroom::
“Okay, you have no sense of humor...” - Castro
Sunday, January 30, 2011
Dear Students: I apologize for not getting the test breakdown to you earlier but the exam wasn't finished until this afternoon. There are a total of 118 questions. I had to write about 5 Q's per hr instead of my usual 4 in order to make the point value of the exam similar to the midterm. [Note: this is because they made the midterm so damn hard and the test average was 75%]. My advice is to read the questions carefully and don't rush.
EXAM BREAKDOWN
Wagner-9
Felton- 5
Castro-72
Wong-3
Foster-29
After finding out the repro test breakdown which was given to us at 9pm the night before the exam and could have saved us hours of wasted study time on certain professors [It took me about 4.5 hours to get through Wagner's material and he has 9 of 118 questions]:
"Tara get the wine...Ron study the lectures. I am going to look up nursing schools"
-Vince
"I just deleted all the files other than Castro and Foster from my drive. What a waste."
-Aaron
"I'm sure this is all going to seem REALLY funny in 5 to 50 years"
-Eric H
EXAM BREAKDOWN
Wagner-9
Felton- 5
Castro-72
Wong-3
Foster-29
After finding out the repro test breakdown which was given to us at 9pm the night before the exam and could have saved us hours of wasted study time on certain professors [It took me about 4.5 hours to get through Wagner's material and he has 9 of 118 questions]:
"Tara get the wine...Ron study the lectures. I am going to look up nursing schools"
-Vince
"I just deleted all the files other than Castro and Foster from my drive. What a waste."
-Aaron
"I'm sure this is all going to seem REALLY funny in 5 to 50 years"
-Eric H
Found this on an internet blog
You've probably seen some version of that chart before. You may also have noticed how inadequate it is at helping you. Based on the faces, this is my interpretation of the chart:
0: Haha! I'm not wearing any pants!
2: Awesome! Someone just offered me a free hot dog!
4: Huh. I never knew that about giraffes.
6: I'm sorry about your cat, but can we talk about something else now? I'm bored.
8: The ice cream I bought barely has any cookie dough chunks in it. This is not what I expected and I am disappointed.
10:You hurt my feelings and now I'm crying!
None of that is medically useful and it doesn't even have all the numbers, so I made a better one with all the numbers:
0: Hi. I am not experiencing any pain at all. I don't know why I'm even here.
1: I am completely unsure whether I am experiencing pain or itching or maybe I just have a bad taste in my mouth.
2: I probably just need a Band Aid.
3: This is distressing. I don't want this to be happening to me at all.
4: My pain is not fucking around.
5: Why is this happening to me??
6: Ow. Okay, my pain is super legit now.
7: I see Jesus coming for me and I'm scared.
8: I am experiencing a disturbing amount of pain. I might actually be dying. Please help.
9: I am almost definitely dying.
10: I am actively being mauled by a bear.
11: Blood is going to explode out of my face at any moment.
Too Serious For Numbers: You probably have ebola. It appears that you may also be suffering from Stigmata and/or pinkeye.
Saturday, January 29, 2011
Saturday night [8pm-ish] on a test weekend
"so...i'm taking a break doing IPE... and now ima need a beer. Can we go out at 9? maybe just one? ...Bad things can happen when we are overwhelmed and do not seek task assistance. Therefore I would like to ask for help and re-distribution of workload to decrease error vulnerability. I will be awaiting your feedback so that we may continue to improve our inter-agency bot-bot coordination efforts in providing continuous mutual support."
-Laura, writing to Sarah on facebook
[to those who dont know, IPE is the 'Inter-professional Education' course we are forced to pertake in that really is just a huge waste of time. they make us read articles that use long drawn-out sentences and fancy words that basically just say 'work together and communicate' and then after we read them we have busy work assignments like writing an essay on the paper we just read...anyways, it drives us all crazy]
"so...i'm taking a break doing IPE... and now ima need a beer. Can we go out at 9? maybe just one? ...Bad things can happen when we are overwhelmed and do not seek task assistance. Therefore I would like to ask for help and re-distribution of workload to decrease error vulnerability. I will be awaiting your feedback so that we may continue to improve our inter-agency bot-bot coordination efforts in providing continuous mutual support."
-Laura, writing to Sarah on facebook
[to those who dont know, IPE is the 'Inter-professional Education' course we are forced to pertake in that really is just a huge waste of time. they make us read articles that use long drawn-out sentences and fancy words that basically just say 'work together and communicate' and then after we read them we have busy work assignments like writing an essay on the paper we just read...anyways, it drives us all crazy]
Tuesday, January 25, 2011
reason #1,537 I don't want a baby
"Risk of ANY chromosomal anomaly in fetus [including but not limited to Down's Syndrome] increases with maternal age. Risk is: 1:475 by age 25; 1:178 by age 35; 1;62 by age 40 and 1:18 by age 45."
Dr. C
Dr. C
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