Round and Around We Go

Just in case you were wondering, I hate rounding with a broiling, incandescent passion.

Unfortunately for me, I’m on my medicine rotation, where rounding is not just a part of the day – it’s THE day. For those of you not indoctrinated into this hateful but necessary practice, rounding is when the “team” – the attending, the resident, the intern, the idiot,* and sometimes other people see all the patients on the list in the morning. You should take the word “morning” with a grain of salt, as sometimes rounds can begin at 6 AM and stretch well into the afternoon. Why this occurs will forever baffle me. Continue reading

A Lexical Update

Halfway through last year, I wrote “Commonest Erythematous Palpation,” a post illuminating some of the ridiculous medical terminology doctors use every day. As second year draws to a close – I’m just five weeks from the end of my last rotation, not that I’m counting or anything – I thought I’d provide you with an update with a more clinically-focused bent.

See, last year we learned all these fancy words, but it was like learning formal Spanish when most people in the real world use slang. It’ll carry you in a pinch, but people think you’re an idiot. Continue reading

A Second Look

I write to you this time from a cruising altitude of 35,000 feet, in the midst of my second travel nightmare of 2015. Frankly, though, nothing can top the horror of the Three Days In Ramshackle-Houston Where I Potentially Came Close To Having My Kidneys Stolen. As such I will refrain from discussing the joys of getting out of Portland with a broken plane and a pair of enraged business consultants with Very Important Meetings early tomorrow morning that surely cannot go on without their august presences. Continue reading

Divergent

Iiiiiiiit’s SOAPBOX TIME PART TWO!

Let’s start with a throwback to my surgery rotation.

Allow me to describe, briefly, the scene before a minor surgery. Like a lipoma excision, or a skin graft. The room is sterilized about fifteen minutes before the patient is wheeled back; no one is allowed in without a mask. Once the patient comes in and is put under anesthesia, they’re sterilely draped. You can’t even touch the lights without a special sterile holder, and anyone near the sterile field has to wear a ridiculous-looking full-length gown and specially-sized gloves. Continue reading

Soapboxing

A change from the usual today.

On Friday, the Washington Post published an interesting profile of a cardiologist in Arizona named Jack Wolfson. Dr. Wolfson has made a name for himself recently as a physician who encourages his patients to not vaccinate their children. Also, he goes on TV a lot now to talk anti-vaccine stuff, even as children in the southwestern United States have measles.

MEASLES! Continue reading

High Elopement Risk Today

Upon returning from winter break, I started up rotations again with psychiatry. Psych is unlike every other block in so many ways: there’s no physical exam, you spend tons of time with patients, and we have basically no idea why any major treatment works. Really.

I need to qualify the rest of this post, as usual when I say untoward things about people or fields where I’m working: patients here are clearly sick and need intense treatment, and there is nothing funny about people who are seriously mentally ill. Continue reading

Trauma Junior

My time on trauma was probably the most intense three weeks of medical school so far – even compared to the three weeks leading up to a major block exam, like I’ve written about before. When you hear “trauma,” you think of crazy accidents and dramatic TLC reenactments and emergency surgeries. There is some of that, but the majority of the time is spent in the ICU after someone has been stabilized “status post” getting hit by a Volvo. In other words, critical care. Continue reading