Commonest Erythematous Palpation, Status Post

When I was a postbac student shadowing doctors in the hospital, I learned that medical centers have a status hierarchy all their own. It resembles a cult, actually. I wrote about this in “Medicine Dress Code:” medical students wear short white coats, residents have slightly longer coats, and attendings – highest on the seniority ladder – have near-wizard length, Merlin-style white robes. I have no idea where this custom originated or why it persists, but it is helpful in quickly indicating who you don’t want to irritate.

What I didn’t realize is that the medical world goes further into cult-dom than I originally thought. In fact, medicine has its own language entirely. Continue reading

Tearin’ Up (Someone Else’s) Heart

(Did you catch the 90’s song reference?)

As I’ve mentioned before, we’re currently in the middle of the “Homeostasis” block, where we cycle through systems of the body – the heart, the kidneys, and the lungs. An integral part of most medical educations involves something called “organ recitals.”

An organ recital is a session where small groups of med students cluster around a pathologist and a cart. The cart is filled with organs, all covered by smelly, formalin-soaked rags. The expectation with organ recitals is that you come prepared to apply your Powerpoint knowledge of anatomy to real, excised organs. Continue reading

My Heart Will Go On… Maybe

The past two weeks have been hard, hence the absence. We’ve been chest-deep in cardiology – everything from normal functioning of the heart to congenital defects to arrhythmias to drug treatments. And we still have a week to go. One could say the amount of material is, uh, disheartening, but that would be a bad pun.

(No worse than the chest-deep one in the first sentence, but you didn’t catch that one, did you?) Continue reading

No Pants Required

(I guarantee you this is not what it sounds like.)

Last week, we began a new unit, called “Homeostasis.” I am wholly unclear what “homeostasis” means, but it sounds important. The previous unit was all about the various infections you could catch and how your body tried and/or failed to fight them off; this unit is about the heart, lungs, and kidneys.

Everything about the heart, lungs, and kidneys. Continue reading

We Are All Going To Die (Medical Student Syndrome)

[Note to my classmates reading this: I know this isn’t exactly what’s in your lecture notes. Shut up and smile. Then go back to studying Th2 cells, because we both know you don’t know them.]

[Note to my mom: don’t read this, you won’t sleep until Thanksgiving.]

Hi. My name is Nate, and I’m a medical student.

Hi, Nate!

This week, my ninety-nine classmates and I are about to take the final exam for our second block. It’s called Microbes and Immunity, and can be briefly described as “how your body fights off infection, and by the way here are some examples of the thousands and thousands of different ways you can get sick and/or die.” Continue reading

The College Cup! (About That Noncompetitive Thing…)

Part of my school’s central mission in educating medical students is to keep its students well. We have built-in retreats, access to mental health resources, and a variety of clubs designed specifically to promote wellness. The capstone of the program is this: once a year, the entire school comes together to compete in an almost-two day competition called College Cup. As I’ve mentioned before, we’re divided into four “colleges,” Hogwarts-style, primarily for the purpose of small group learning and logistics. But during College Cup, people don their colors, swag out with Thunderstix and tanks and masks (?) and Braveheart-style body paint, and yell themselves hoarse. Continue reading

The Cup Of Shame

My dad taught me to play chess when I was seven or eight. We played intermittently from that day until I left for college ten years later.

(There’s a medical school-related part to this, chill out.)

I learned the game easily enough and began developing a strategy. But for four years, I never won. Not once. Not when I first learned the game at eight and didn’t know how to pack my own lunch. Not when I was failing long division at age nine. And not when I was ten and learning how to find the value of x in 2x+2=4. Continue reading

We Know We Don’t Know

We just took our first exam, a two-day test on six weeks of biochemistry, basic anatomy, and a few in-depth cases. On the first day of the exam, Thursday, we spent four hours writing essay answers to questions about metabolic disease, diabetes, cancers, and (weirdly) Tylenol poisoning. Friday’s part was half multiple choice and half short-answer identification of histology and anatomy slides. It was, in a word, hard. I probably failed, but whatever. Continue reading

Antagonist, Inverse Agonist, Same But Different

We have our first exam coming up this week, on six full weeks of material. The two-day test will cover biochemistry, anatomy, histology, pathology, and a bunch of other –ologies I don’t understand either.

Yes, I’m writing this to procrastinate, no, it’s not a good use of my time, and no, grandma, I don’t need a brownies care package. Your last one turned me prediabetic as it is. Thanks though. Continue reading