Sunday, August 31, 2014

Just a thought

Was watching some actual TV (like on cable) in what seems to be forever. Was on an American channel. Got to a drug commercial. 

Wow I had not remembered how targeted and long and potentially deceiving these pieces were. 

You’d think that the Pharma companies would consider that if they needed to purchase EXTRA advertising time just to fit in all the side effects that maaaaaaaybe the drug isn’t ready yet for the public.

I guess not. Profits.

#MLIMS 

Mjolnir

Was in an OR where we were doing an osteotomy. The resident was swinging away with the mallet on the osteotome but not much progress was made.

Exasperated, the attending exclaimed. “You got to swing on that hammer like Thor would, how else are you going to built those arms.”

I didn’t ask to specify whether he was a) a Norse mythology fan or b) a Marvel comic fan. Either way, I could dig it. 

#MLIMS

Thursday, August 28, 2014
On call. There is a table full of these in the ortho team lounge. No joke. 

#MLIMS

On call. There is a table full of these in the ortho team lounge. No joke.

#MLIMS

Sunday, August 24, 2014

Bet you can see where this is going

The other day we had a consult for Gyne service from the Emerg. 

So naturally the medical student goes first.

Apparently the chief complaint was some sort of discharge from her vagina, which only started recently.

I asked if there was pain, blood, odor, and was getting nothing on that. 

Trying from a new angle, I asked if there was anything new that she was doing around that time. 

Turns out she started having unprotected sex with her boyfriend and the discharge only happens afterwards. 

#MLIMS

Tuesday, August 19, 2014

Supersets

Was at the gym with a friend who is now a first year resident. We’re in the middle of our work out when he notices someone else come in.

He turns to me, “That’s a friend who’s a Orthopaedics R1”

He goes up to him, “hey Joe (not real name), aren’t you on call?”

"Yah but I checked the board, there is nothing for another half hour at least and nothing on the ER intake is for Ortho. I can squeeze a quick work out in."

I guess I shouldn’t be surprised, the gym is a block from the hospital and well, it’s Ortho.

#MLIMS

Monday, August 11, 2014
itscarororo:

ofgeography:

robin williams died today.
here is a list of things that robin williams was:
funny
sharp
kind
clever
and sad.
that’s important, the “and sad,” because sometimes sadness can feel like the only thing we are. it can feel all-encompassing. it can feel like the only thing anyone could possibly see, when they look at you: sad. that person is so, so, sad.
but there is always an “and.” we are never just sad. we are never only. we are always and.
we have all known people who were sad, who are sad; some of us are ourselves sad. being sad does not remove the other parts of us, though it can make them harder for us to see. when you are sad, you don’t necessarily feel like you are also funny, and sharp, and clever, and kind.
but you still are. you don’t have to feel like something to be it.
those things are written on your bones, they are woven into the fabric of your skin. sadness can feel so big, so big and overwhelming and complete, even when it is not a directed sadness. maybe especially when it is not a directed sadness, when it’s a depression that has no direct cause and nothing we can name.
sometimes the sadness is too big. people try to cut it out, or starve it out, or drink it down, or drug it silent. if this is you: i’m sorry. if this is you: you are not alone. if this is you: remember that the solution is never to give up, because you do not live in a vacuum. there are people waiting for you. there are films and songs and books and not-sadness waiting for you. i know that you don’t feel like waiting, but wait anyway.
if you need help, ask for it. here’s a link to crisis centers across the globe. if you live in the U.S., this is the national suicide prevention hotline: 1-800-273-8255.
robin williams died today, but the genie didn’t, and mrs. doubtfire didn’t, and peter pan didn’t. sean maquire didn’t, and professor philip brainard didn’t, and alan parrish didn’t. batty koda didn’t. john keating didn’t. you didn’t. 
don’t.

i wasn’t going to reblog anymore on this but i read this and i feel like there are probably some folks on here who might need to read it, too.

itscarororo:

ofgeography:

robin williams died today.

here is a list of things that robin williams was:

  • funny
  • sharp
  • kind
  • clever
  • and sad.

that’s important, the “and sad,” because sometimes sadness can feel like the only thing we are. it can feel all-encompassing. it can feel like the only thing anyone could possibly see, when they look at you: sad. that person is so, so, sad.

but there is always an “and.” we are never just sad. we are never only. we are always and.

we have all known people who were sad, who are sad; some of us are ourselves sad. being sad does not remove the other parts of us, though it can make them harder for us to see. when you are sad, you don’t necessarily feel like you are also funny, and sharp, and clever, and kind.

but you still are. you don’t have to feel like something to be it.

those things are written on your bones, they are woven into the fabric of your skin. sadness can feel so big, so big and overwhelming and complete, even when it is not a directed sadness. maybe especially when it is not a directed sadness, when it’s a depression that has no direct cause and nothing we can name.

sometimes the sadness is too big. people try to cut it out, or starve it out, or drink it down, or drug it silent. if this is you: i’m sorry. if this is you: you are not alone. if this is you: remember that the solution is never to give up, because you do not live in a vacuum. there are people waiting for you. there are films and songs and books and not-sadness waiting for you. i know that you don’t feel like waiting, but wait anyway.

if you need help, ask for it. here’s a link to crisis centers across the globe. if you live in the U.S., this is the national suicide prevention hotline: 1-800-273-8255.

robin williams died today, but the genie didn’t, and mrs. doubtfire didn’t, and peter pan didn’t. sean maquire didn’t, and professor philip brainard didn’t, and alan parrish didn’t. batty koda didn’t. john keating didn’t. you didn’t. 

don’t.

i wasn’t going to reblog anymore on this but i read this and i feel like there are probably some folks on here who might need to read it, too.

O Captain my captain

image

If you’re like me and currently going through medical school, chances are you were a child of the 80s/90s. Which meant watching a lot of Robin Williams growing up. It’s not often I give pause regarding celebrity deaths, but his made me sad.

It’s sad to think that Robin Williams’ issues got the better of him. He was Genie, Keating, Peter Pan, Alan Parrish, Sean Maguire, and Patch Adams…to name a very few.

He made me laugh, he made me cry, he made me marvel at his shear amount of talent, such as his monologue of flatulence while depicting a colonoscopy on his Live on Broadway show.

And now he makes me think. Hard. On the issue of mental health. Again. Even behind the brightest of smiles and infectious of laughs can hide turmoil. Like the old joke ends…”But Doctor, I am Pagliacci!” 

Mental illness is something silent, something scary, and something hard to understand. I think it’s hard to convey as well. Rarely does it enter the discussion until a big death like this and rarely does focus stick. I don’t think we want to think about things we can’t understand easily, so we end up making the whole issue taboo and then things just fade from attention. People who are truly suffering often suffer silently and alone. I can’t say anything at all of Robin Williams’ mental state, but if he was suffering silently, then others can be too. 

Of course this blog is about medical school and mental well-being, depression, and burn out are all such real issues. We all know it. Yet again the unease and taboo creeps up and the walls come up.

I guess if there’s any lesson that can be gleaned from is the crushing nature of depression, substance abuse, and destitute nature of mental illness. I aim to remember this great icon in the characters that he breathed life into. 

Take care of yourselves and each other. 

#MLIMS

 

Anonymous said: How hard is chemistry in your opinion

Hard. It was the Bane of my undergrad experience. 

Especially Analytical chem. 

Sunday, August 10, 2014

I don’t even know how

In the Gyne Onc OR today, there was a very large pelvic mass that needed resecting/debulking. This required a total hysterectomy. It involved the colon so we did a partial bowel resection with primary anastomosis. 

The attending (very old, weathered surgeon) tells me, “I always get a little bit nervous on these cases because one of my first experiences as a resident was working on a surgery that required this type of repair. The result was less than ideal as it was very technically challenging.” 

I asked him what happened. 

"I still don’t know how it happened exactly but the patient got very, very sick post op. Like around post op day number 3 we started to notice feces coming out of her vagina." 

Turns out the sigmoid colon got sutured to her vaginal canal following the hysterectomy. 

Yikes.

#MLIMS

Monday, August 4, 2014
Call on a stat holiday. No food service open in the hospital after a certain time and was too busy to get dinner at the time. Sustaining myself off these and cold coffee. 
#MLIMS

Call on a stat holiday. No food service open in the hospital after a certain time and was too busy to get dinner at the time. Sustaining myself off these and cold coffee.
#MLIMS