Wharton’s Jelly

As I mentioned last week, I’m currently taking a hybrid classroom/clinical duties course centered around immunology and the immunocompromised patient. I’ve just finished a week on the stem cell transplant unit, where most patients have received a bone marrow transplant to treat leukemia. In general, these patients come to the hospital for one of three reasons:

  • To get their bone marrow transplant;
  • Their leukemia relapsed;
  • They developed an awful complication called graft-vs-host disease.

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Wedge

Turns out you don’t have much time to blog during surgery. At my school, the surgical rotation is split in three: two weeks for a “subspecialty” rotation, which for me was anesthesia, and then three weeks each for paired general surgery services. My pairings were trauma and laparoscopic GI surgeries, better known as “GI-Lap.” Continue reading

Big Pimpin’

Yesterday I told you about the move to a pass-fail system. Regrettably, the change does nothing to ameliorate the other major stressor of being on the wards – pimping.

Pimping is an old method of Socratic-teaching-gone-wrong where a senior doctor instills his or her worldly knowledge in you by asking question after question until you can no longer answer, then humiliates you by either explaining the answer like you are a toddler or by requiring you to look it up and present the topic the next day. Or hour, if life really sucks. Continue reading