The Funny Current

is actually a current controlling heart rate.

Month: August, 2013

Choosing

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.

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Prescription Writing Adventures

Today I learned you can write a prescription for magnum condoms. In fact, you can specify whichever kind of condom you want.

/Headdesk

In a Jamaican accent, “Hemorrhoids” sounds exactly like “MRI”.

I thank God that Bates and several other old texts still use the term “piles”, because it had to get that far for me to get what was going on.

Babies and Nerves

Babies are just 4 limbs of perplexity. It makes me wonder about this “hard-coded” maternal instinct in women. I’m starting to think it doesn’t exist in my head because I see little children and I think:  What do I do with this thing? Why is it gurgling and making it difficult for me to hold them?!

I don’t think they’re particularly cute and I’m really more concerned with what’s wrong with them. Is this just another manifestation of my dislike for small-talk? “Hey, let’s fast-forward over darn this baby is so cute, and you just tell me if she’s been pooping, playing, and speaking?”

Babies cries are also just inherently so ….piercing. They’re almost the purest definition of noise. It’s sound propelled by all the oxygen they can spare. The only break you get is when they realize they’re not breathing. It’s impossible to ignore, which makes me realize that postpartum depression and neglect is that much more horrible. Nature, you are a fiend. Clever, but a fiend.

Another thing I’ve noticed is that neural development really does take a long time. There was a 6 year old running all over the exam room, but they were wobbling. I did a double take because I thought maybe there was some other pathology going on. But no, just a long time for everything to myelinate and get into working order. It makes me hate demyelinating disease and muscular dystrophies more. They’re literally just stripping your nerves and muscles, taking away years of critical development and training.

 

 

In and Out

Inpatient vs outpatient are totally different worlds. In layman’s terms, we’re talking about your go-to doctor vs the hospital.

Having urgent-care facilities and bloodwork done around the clock is really nice, but there’s always this crazy sense of urgency and the feeling you’re falling behind somewhere. We’ll see how the 2nd day goes, but on the first day of Family Medicine clinic, it’s so much more relaxed and friendly. Vaccinations are huge. It makes me regret never paying attention to what shots I was getting.