Sunday, July 01, 2007
Saturday, October 07, 2006
Starting third year medical school
This is the second month of my hospital rotations. Last month I was working in a family care clinic. It was a good place for me to start on as they simply threw me in with the patients and I got a lot of practice taking histories and physicals. One of the docs is scheduled as the attending physician each day that is in charge of the med students and residents. As a student, I would go meet my patient, gather information about why they are there, obtain other history, run through a review of systems to ferret out any other current problems, and a physical exam that seems appropriate to their visit. Then, armed with all the info I could think of asking, I would excuse myself and go present to my attending physician. Sometimes you have to wait in line but there were usually only a few of us and the residents require less of the attending's time anyway. My attending would then, without fail, ask a bunch of questions that I had not thought about. Then they would ask me what I think was going on and what should be done and finally they would go in the room to meet the patient with me to ask those questions I didn't think to ask and to repeat some of the physical exam themselves. They'd discuss whatever needed to be done with the patient and we would exit to go print out whatever prescriptions, lab orders, referrals, etc that were needed. I can't sign anything as a med student so the attending has to sign all those papers. Finally, I'd pop back in, give the patient the papers and sometimes some drug samples, and conclude the visit. Then I had the joy of charting the visit! Ugh, since I'm still figuring this all out, not only did the visits themselves almost invariably take at least an hour but I took another hour to write it all down. Usually I had my next patient scheduled and had to wait till the end of the day to finish charting. The charts I had to submit to my attending so they could check them over and sign them off. I was usually brain fried by the end of the day, which often went from 7am to 6pm, but I gained a lot of practical experience which I am glad for.
This month, I am working with a surgical urologist who has his office right by my hospital. He sees patients on Monday and Tuesday at his practice. The rest of the week is a mix of office visits with surgical procedures at the three hospitals in the area. My base hospital is actually made up of two hospital campuses, Mercy and General, that partnered together to form a single hospital system. Between the two campuses on the freeway is another hospital called Hackley. My doc sees patients at all three of them and he is a tall man so I am usually jogging to keep up with him in the hallways because I would most certainly get lost if I wasn't with him! It has been already a very interesting rotation working with my doc. I learned how to change catheters; I got to participate in a prostate biopsy and an inguinal hernia repair. I've watched some bladder scoping (thankfully they usually have a camera so I can see what's happening on screen), putting in ureter stents between the bladder and kidney and putting in a suprapubic catheter. A suprapubic catheter goes into a hole that the doc makes from below the belly button into the bladder to help drain if the usual catheter isn't doing the job. I even saw the process of breaking up kidney stones with shock wave treatment and how they put in the radioactive seeds for prostate cancer treatment. And this was all in the first week!
Well that kind of summarizes my third year experience so far. We have a lot of 7am lectures so I am often going to bed at 10pm. There are also a number of lunch meetings, afternoon lectures on Thursdays, and morning lectures on Fridays. Some of those meetings are journal clubs so we have articles to read beforehand and they expect us to be reading about everything we're seeing anyway. They keep us pretty busy but I've had the chance to go fishing a few times when we have nice weather!
Tuesday, August 29, 2006
I've Done 83 out of 145 crazy things
Level 1
(x) smoked a cigarette.
(x) smoked a cigar
() smoked weed
() kissed a member of the same sex
(x) drank alcohol
so far: 3
Level 2
(x) been in love
(x) been dumped
(x) shoplifted-including when you were little
() been fired (twice)
() been in a fist fight
SO FAR: 7
Level 3
() snuck out of a parent's house
(x) had feelings for someone who didn't have them back
() been arrested
() made out with a stranger
() gone out on a blind date
SO FAR: 8
Level 4
(x) had a crush on an older person 3 or more years older
(x) skipped school/class
() slept with a co-worker
(x) seen someone/something die
SO FAR: 11
Level 5
(x) had/have a crush on one of ur MYSPACE friends
(x) been to Paris
() been to Spain
(x) been on a plane
() thrown up from drinking
SO FAR: 14
Level 6
(x) eaten Sushi
(x) been snowboarding
() met someone BECAUSE of myspace
() been mosh pitting
SO FAR: 16
Level 7
() been in an abusive relationship (verbal)
(x) taken pain killers
() love someone right now
(x) laid on your back and watched cloud shapes go by
(x) made a snow angel
SO FAR: 19
Level 8
() had/been to a tea party
(x) flown a kite
(x) built a sand castle
(x) gone puddle jumping
() played dress up
SO FAR: 22
Level 9
(x) jumped into a pile of leaves
(x) gone sledding
(x) cheated while playing a game
(x) been lonely
(x) fallen asleep at work/school
SO FAR: 27
Level 10
() used a fake/someone else's ID
(x) watched the sunset
(x) felt an earthquake
(x) killed a snake.
SO FAR: 30
Level 11
(x) been tickled
(x) been robbed/vandalized
() robbed someone
(x) been misunderstood
() pet a reindeer
SO FAR: 33
Level 12
(x)won a contest
()been suspended from school
() had detention
(x) been in a car/motorcycle accident (two car accidents)
SO FAR: 35
Level 13
(x) had/have braces
() eaten a whole pint of ice cream in one night
(x) had deja vu
() danced in the moonlight
SO FAR: 37
Level 14
(x) hated the way you look
() witnessed a crime
() pole danced
() questioned your heart
() been "obsessed" with post-it notes
SO FAR: 38
Level 15
(x) squished barefoot through the mud
(x) been lost
(x) been to the opposite side of the world
(x) swam in the ocean
(x) felt like you were dying
SO FAR: 43
Level 16
(x) cried yourself to sleep
(x) played cops and robbers!
() recently colored with crayons/colored pencils/markers
() sang karaoke
(x) paid for a meal with only coins
SO FAR: 46
Level 17
(x) done something you told yourself you wouldn't
(x) made prank phone calls
(x) laughed until some kind of beverage came out of your nose
() kissed in the rain
SO FAR: 49
Level 18
()written a letter to Santa Claus
() been kissed under a mistletoe
(x) watched the sun set with someone you care/cared about.
(x) blown bubbles
(x) made a bonfire on the beach
SO FAR: 52
Level 19
() crashed a party
(x) have traveled more than 5 days with a car/bus full of people
(x) gone rollerskating/blading
(x) had a wish come true
() humped a monkey
SO FAR: 55
Level 20
() worn pearls
() jumped off a cliff or a bridge
() screamed "penis"
() swam with dolphins
SO FAR: 55
Level 22
(x) got your tongue stuck to a pole/freezer/ice cube.
() kissed a fish
() worn the opposite sexes clothes
(x) sat on a roof top
SO FAR: 57
Level 23
(x) screamed at the top of your lungs
() done/attempted a one-handed cartwheel
(x) talked on the phone for more than 6 hours
(x) stayed up all night
SO FAR: 60
Level 24
() picked and ate an apple right off the tree
(x) climbed a tree
(x) had/been in a tree house
(x) scared to watch scary movies alone
SO FAR: 63
Level 25
() believed in ghosts
() have/had more then 30 pairs of shoes
()gone streaking
(x) been in jail/visit
SO FAR: 64
Level 26
() played chicken
(x) been pushed into a pool with all your clothes on
(x) been told you're cute/hot by a complete stranger
() broken a bone
(x) been easily amused
SO FAR: 67
Level 27
(x)caught a fish/crab then ate it
() made a ........ video.
(x) caught a butterfly
(x) laughed so hard you cried
()cried so hard you laughed
SO FAR: 70
Level 28
(x) mooned/flashed someone
(x) had someone moon/flash you
(x) cheated on a test
(x) forgotten someone's name
(x) slept naked
(x) French braided someones hair/or tried
(x) gone skinny dippin in a pool/lake/hottub
() been kicked out of your house
SO FAR: 77
Level 30
(x) Rode a roller coaster
(x) went scuba-diving/snorkeling
(x) had a cavity
() blackmailed someone
() been black mailed
SO FAR: 80
Level 31
() Been used
(x) fell going up the stairs
( ) licked a beetle
(x) bitten someone
(x) licked someone
SO FAR: 83
Monday, August 07, 2006
Update continued...
The next morning, Wednesday, Meg and I set out to drive to New York where we'd be taking a flight out to Paris. This went, of course, not without a catch. I had taken my car in for an oil change and tune up in preparation for the trip a week prior. They suggested the power steering and transmission be flushed as well so I had them do that. Later we realized they hadn't changed the oil we had originally gone to have done, however, exams and packing put it out of my mind until just as we were finally ready to leave for NY. We looked up the earliest oil change place that would be open and stopped there on our way out of town. Lo and behold, as we waited the guy doing the oil change came in holding a palette with a sample of my power steering fluid (black) next to a sample of what it should look like (pink). What gives?! I just had that flushed less than a week ago! When we get back into town I will have to go ask the first car place about this but it seems awfully suspicious to me.
Besides the catch with which we started our trip, the rest of the way was a rather uneventful but enjoyable ride listening to audiobooks. Those things are the friend of any long car ride!
We actually didn't go straight to New York but stayed with Meg's uncle's family in New Jersey. They dropped us off in NY the next day so we could catch a bus to the airport. It took us an hour wait just to get into the city! Couple the traffic with how expensive everything is and I am not sure why anyone would want to live there. I think I am a medium town kind of guy. Phoenix may be big but at least it isn't crowded like NYC!
I have a definite allergy to dust or whatever is related to dust, like dust mites. As soon as we sat down on the plane I couldn't stop coughing because of a tickle in my throat. At first I thought it was the heavy cologne from one of our fellow passengers but finally zeroed in on the airplane blanket I had already draped on myself. As sooon as I took it off, the coughing ceased! That's happened to me before trying to sleep on old carpet and I think it is the same reason.
