It’s Always Sunny in Philadelphia… commentary later?
Always wear the mask with the visor.
I thought it was just a simple stitching of a cut…but I dodged some arterial spray to the face, but the guy behind me wasn’t wearing anything and had to move twice as quickly.
Sometimes, myocardial oxygen demand is higher than supply, leading to ischemia and symptoms of chest pain. How to ameliorate this? Increase supply and decrease demand.
A one-liner in my Anesthesia textbook led me to searching for a video. I think this is succinct and explains the apparatus really well.
It’s ridiculously sexist that men’s pants have pockets and women’s pants don’t.
I can’t believe this also happens with medical scrubs.
What, women don’t need places to put gauze and scissors?
I hope you people don’t end up in an ER with a female doc wearing your ridiculously underequipped scrubs.
Let me also tell you that back pockets are close to useless. Depending on if you guessed your size-inflated number right, you’ll either be stuffing your hand deep into your sagging butt pocket or trying to wiggle out something that’s compressed to your behind.
We need to remember not to internalize failure. I’m going to make a Marvel reference… you have to be like Havoc (Cyclops’ brother), get blasted with critique and mess up, learn from it, don’t mess up again, and blast it out. You didn’t know how to get records faxed? Well now you’re the king/queen of requesting records. You forgot to ask about someone’s last menstrual period? Well now all your female patients aged 10-80 get asked. Not only do you say hi to your patients, you say good morning to everyone on your way to the patient’s room, and try to remember a few people’s names on the way. If need be, know ONE football player’s name and complain about how he could have made a better play. You’ll probably be right half the time.
Gosh, just have to keep this image in my head everytime I feel down and stupid because I didn’t think about the next step.
It seems like you can take on 1 of 2 attitudes when you’re working in a hospital– either good that you’re helping people, or a bit morose because you’re really being faced with an existential crisis everyday.
The first patient I was responsible for at this current hospital arrived as a very sick man. He was unlikely to do well purely because of a flagrant cancer that hadn’t been responding to treatment. Amazingly, he’s stuck around for almost 2 weeks, but at this point we’re discussing how to make his last moments peaceful. Having to go in every morning to check on this man always made me think of how we’re all ultimately going to die. Dust to Dust, right? No matter how high you “ascend” in life with your wealth, status, power, it doesn’t mean anything because when you get sick, you’ll be just as unkempt, smelly, undignified, and ill as anyone else. You start to go down the line of, “what’s the point?” And this must be what severely depressed people think about all the time.
(I can’t help but think of this funny story told at a contest… a man is describing how he and his friend always go to Pizza Hut, obviously for pizza. One day, he goes and asks for his usual, and the waitress says, “I’m sorry, but we’re out of pizza today”. The man just looks at her, completely side-lined, and takes a good look around the room, seeing a multitude of people similarly confused. And he starts to ask himself, “Why am I here? Why are any of us here … ” )
On the other hand, you’ve got people boasting about saving the day, or salvaging a lab value on a patient. Maybe they’re at peace with the idea that death is a great equalizer and you don’t take anything with you when you’re on your way out. Or is that a result of not thinking about it too much? It wouldn’t surprise me that there is a subconscious protective reflex built into us.
I think I’m just noticing this more because I’ve never had to spend any time in a hospital as a patient. Hospitals are kind of grisly. Yes, there is a lot of healing and miraculous recoveries, but ultimately it’s a place where for sick people. Another plus for Preventative medicine.
I’m in a waiting room and the nurse calls in “candida”. I feel bad for this woman.
3rd year is all about figuring out what field you want to devote your life to. And as an inexperienced student, I find myself liking rotations where the preceptors are sharp and good-teachers. So I’m getting a really mixed experience right now, which is unfortunate, since I had Family Medicine on my radar, and as the rotation draws to a close, I find myself…shifting away from it.
Time is definitely a big problem. The schedule can be messed up for any number of reasons, ranging from patients being late, doctors being slow examiners, or being bogged down by having to confirm labs or radiology reports. The end result is that you get frustrated and are constantly watching the clock or bemoaning your extra hours. Logically, the only thing you really want to do after that is just get done and leave. But if you think about it retrospectively, you’d feel awful because you’re valuing your personal time over other people’s health.
So purely from a student POV, I had better structure in Internal Medicine (where you’d expect to be busier), because I actually got out of the hospital when I was supposed to. Here, it’s varies between 5-7PM. This pattern for however long I’m going to live doesn’t really appeal to me.
Today I learned you can write a prescription for magnum condoms. In fact, you can specify whichever kind of condom you want.