Late last week, I wrapped up my third semester of medical school. In retrospect, it's pretty hard to believe that it's gone by so quickly. Actually, some weeks last what feels like months, hours become says, fifteen minutes is enough time to accomplish so much. Other weeks, however, fly by so quickly that I seem to move in slow motion while everything speeds by me. So, there's that. Time is elastic; it moves quickly and slowly but rarely constantly.
Next semester begins in January and brings with it a maddening push through remaining subject matter, toward the boards. Then, in July, I'll begin rotations in the hospital. Insane.
For now, however, I'm going to enjoy a few days under the same roof as my wife, studying less than I should.
Wednesday, December 22, 2010
Monday, November 29, 2010
It's a Little Less Funny Today
In 1982, after each episode of "Police Squad" aired, I'd get on the phone and call my grandmother, "Bamba," to discuss it, relive it, and laugh about it even more. At this point, I don't even remember all of the gags on the show but I'm not sure that it matters. (They've been recycled time and again through all of the "Naked Gun" films, anyway.) I do remember the two of us in hysterics about the shootout between some miscellaneous hood and Frank Drebin, each taking cover behind trashcans no more than two feet apart. That scene really killed us; I mean it just brought us down, made us laugh until we cried.
So, I guess I owe those memories to a short-lived television show starring Leslie Nielsen. The measly six episode run allowed a 9-year-old kid to get on the phone with his grams and to just laugh it up, to be fans, to be lovers of slapstick, goofy comedy.
Thanks, Mr. Nielsen. Rest in peace.
So, I guess I owe those memories to a short-lived television show starring Leslie Nielsen. The measly six episode run allowed a 9-year-old kid to get on the phone with his grams and to just laugh it up, to be fans, to be lovers of slapstick, goofy comedy.
Thanks, Mr. Nielsen. Rest in peace.
Sunday, November 28, 2010
Hands Off The Chic-Fil-A
As I was getting into bed some time after Winning Run had gone to sleep, she announced in a whispered voice "I just invented a game called 'Hands Off the Chic-Fil-A.'"
"That sounds pretty interesting," I told her.
"Yeah. I'm not exactly sure of the rules, though," she replied.
"Well, I can think of two of them," I offered.
And, with that brief exchange, she was back off into her dream, a magical land full of games played with delicious Chic-Fil-A sandwiches.
"That sounds pretty interesting," I told her.
"Yeah. I'm not exactly sure of the rules, though," she replied.
"Well, I can think of two of them," I offered.
And, with that brief exchange, she was back off into her dream, a magical land full of games played with delicious Chic-Fil-A sandwiches.
Saturday, November 27, 2010
So Long To Pinky, Here Comes The Thumb.
...and it's nearly December. Seriously, I cannot cannot cannot believe how quickly the time has flown since the semester started. We've completed Cardiovascular, Respiratory, Renal, Hematology/Oncology, and looking to wrap up GI in the next few weeks. Here's a very, very brief recap of some of the goings-on since my crazy-assed neighbor decided to rappel from her balcony on Christmas lights...
After winning the costume contest, I attended class in costume. I must say that being mostly naked in class (and being called on to stand and answer a question) was as near as I'll get to realizing the recurring nightmare of being in class naked. My wife was so proud, she cried tears of "joy" as she tried to remove her wedding ring.
The next day, at Dick's Drive-In, Bill Gates pulled into the parking lot and stood in line behind us. This is the absolute, honest truth. We noticed him, confirmed that it was him, and decided to just let him have a little peace. Plus, I was convinced that had I attempted to speak to him and shake his hand, a sniper would've taken me out on the spot.
Once again, I was reminded that I'm no longer in the southeast with my drive back from Seattle. I had to go by chains for my car to get over the pass and had an amazingly terrifying drive (for me). After getting over Snoqualmie Pass, the rest of my drive was spent in blinding snowfall with accumulation on the road. In the silence of my car, I kept repeating part of a Samuel Jackson monologue from "Pulp Fiction," telling myself aloud that I was like a little Fonzie: "And what's Fonzie like?" "He's cool?" "That's right, he's cool."
On successfully making it back, I noticed that my ass had been clinched so tight that I'd drawn up my seat into a permanent cone, an inverse vortex, a physical sign of my stress.
I'm a Professional Twice Over
For Halloween, several of us decided to dress as the cast of Arrested Development. The "costume contest" took place during a pot-luck luncheon at school prior to an interactive session. I went as Tobias Funke. Initially, I dressed in cords, a funky shirt, and Birkenstocks but quickly stripped down to "never nude" attire.David Cross as Tobias Funke
from "Arrested Development"
After winning the costume contest, I attended class in costume. I must say that being mostly naked in class (and being called on to stand and answer a question) was as near as I'll get to realizing the recurring nightmare of being in class naked. My wife was so proud, she cried tears of "joy" as she tried to remove her wedding ring.
The Best Week of Medical School I've Experienced
As part of our clinical skills training, we worked an emergency case on a simulated patient or Sim Man. The whole thing was pretty intense as, despite our efforts, it desaturated and was transported to the ICU after we intubated it. Still, I walked away from it thrilled to be a medical student and anticipating the applied practice of medicine instead of the didactics. Later that week, I passed my tests with flying colors. Generally, I felt pretty good about myself and my performance as a student which, based on how the semester has gone thus far, has been a pretty fleeting feeling for most of my classmates.Snow-Drive
A couple of weeks ago, I went to Seattle to visit Winning Run and accompany her to a dinner party hosted by a coworker friend. I applaud wonderful food and great conversation but, shit, dinner parties should be fun and not so damned serious or pretentious. At first, I thought we wandered into some sort of liberalism pissing contest that delved in and out of "foodie-ism" which, by all accounts, can be equally pretentious. Luckily, libations seemed to loosen everyone up, make the gang more approachable, and the conversation a little more organic and natural.The next day, at Dick's Drive-In, Bill Gates pulled into the parking lot and stood in line behind us. This is the absolute, honest truth. We noticed him, confirmed that it was him, and decided to just let him have a little peace. Plus, I was convinced that had I attempted to speak to him and shake his hand, a sniper would've taken me out on the spot.
Once again, I was reminded that I'm no longer in the southeast with my drive back from Seattle. I had to go by chains for my car to get over the pass and had an amazingly terrifying drive (for me). After getting over Snoqualmie Pass, the rest of my drive was spent in blinding snowfall with accumulation on the road. In the silence of my car, I kept repeating part of a Samuel Jackson monologue from "Pulp Fiction," telling myself aloud that I was like a little Fonzie: "And what's Fonzie like?" "He's cool?" "That's right, he's cool."
On successfully making it back, I noticed that my ass had been clinched so tight that I'd drawn up my seat into a permanent cone, an inverse vortex, a physical sign of my stress.
Thanksgiving
Winning Run made it in on Thanksgiving morning. That afternoon, we had dinner with several classmates and their families. In all, it was pretty fun and nice to be away from the books for a little bit. Now, it's just a downhill slide to holiday break before the uphill climb to the work of next semester, boards, and rotations. Yippee.
Monday, October 25, 2010
Batshit Crazy McGillicutty Escapes A Wintry Grave*
*By a "wintry grave," of course, I mean that temps are expected to dip overnight into the mid-30s.
Preface: I now live in an old apartment with a crazy-assed landlord and, other than the two other medical students I have as neighbors, a motley assortment of peculiar tenants. My upstairs neighbor, who's name I cannot remember -- and never will because the rules of decorum dictate that far too much time has passed to ask her (a misdelivered parcel is my best hope for insight) -- anyway, whenever I see this neighbor, she always asks if she's making too much noise. I politely tell her not to worry because I'm not home too much, that I'm often on campus studying. We share a little polite, if awkward, laughter because, truthfully, she's exceptionally loud and she knows it and because I feel too bad about forgetting her name to be honest and tell her that I think she should practice her godforsaken Irish dance at a time later than 5:30am. After the awkward laughter that trails into an even more awkward silence, she'll ask a little bit about medical school, about Winning Run, about my dog. Wash, rinse, and repeat the exchange almost verbatim the next time we bump into one another which is typically about every two weeks. The last few times we've spoken, I think she's been especially sauced as she's been a little more emphatic than normal (and slurring her words a little) about being sorry for the noise. I've been a little shorter with her because, well, it's a charade with which I've grown tired. For the love of all things holy, you make noise; it's a crappy old apartment, it goes with the territory, so, when you see me, please just smile and say "hello" or nothing at all. In summary: she's kinda* crazy (by "kinda" I mean "without a doubt, full-on, batshit crazy"), a semi-cougar, a lush with a boyfriend, a live-in daughter, and sometimes a granddaughter, who does laundry every day, and loves, loves, loves Irish dancing or clogging or jumping jacks at all hours of the day.
So, with the back-story complete, let's step back in time to an hour ago...
I was in my office with my headphones on and the door shut trying to settle into a study groove for the evening. As the temp has been getting pretty brisk overnight, I'd been closing the doors and using a space heater to warm the rooms instead of turning on all the baseboard heaters. So, I was in the office doing my thing and hanging out with Dylan who's with me while Winning Run wraps a major deadline on her project. All of a sudden, Dylan freaked, got really agitated, paced, and kept staring from me to the door and back. When I took off my headphones, I heard someone pounding on my door. It wasn't the forceful pounding knock of an authority figure but something, I don't know, a little crazier but just as urgent.
On taking a few steps into the hall, I heard a voice pleading for help, for me to open the door. Naturally, my adrenaline went through the roof. Then, I realized that it was from my back door and not the front like I'd expected. It was a woman's voice; my upstairs neighbor, I thought. As I pulled back the vertical blinds, I was a little freaked out by what I might see. To my surprise, I saw my neighbor in her sock feet, jeans, a fleece standing there beating on my sliding door, still pleading for me to open it.
I cautiously opened the door a little.
I got my phone and let her make a couple of calls. Her lifeline tonight (other than the Christmas lights) was her recently (like a few hours ago) ex-boyfriend. I offered to make her some tea to help her warm back up but she declined.
Luckily, her near-fatal frostbite prevented her from seeing the look of disbelief on my face as this was a topic that we'd covered many, many times before. I had a sneaking suspicion what was on the horizon but I chose to play along.
My goal was to get her the hell out of my apartment as fast as I could. Luckily, after ten or fifteen minutes of this, her newly "former" boyfriend arrived with her key. As I was going to open the front door for her, I turned to see her yell thanks and bolt right back out my sliding door, stumbling and nearly falling on her way out.
"What the hell just happened?," I asked the newly silent room.
And that, my friends, is why you should not do drugs or drink.
Preface: I now live in an old apartment with a crazy-assed landlord and, other than the two other medical students I have as neighbors, a motley assortment of peculiar tenants. My upstairs neighbor, who's name I cannot remember -- and never will because the rules of decorum dictate that far too much time has passed to ask her (a misdelivered parcel is my best hope for insight) -- anyway, whenever I see this neighbor, she always asks if she's making too much noise. I politely tell her not to worry because I'm not home too much, that I'm often on campus studying. We share a little polite, if awkward, laughter because, truthfully, she's exceptionally loud and she knows it and because I feel too bad about forgetting her name to be honest and tell her that I think she should practice her godforsaken Irish dance at a time later than 5:30am. After the awkward laughter that trails into an even more awkward silence, she'll ask a little bit about medical school, about Winning Run, about my dog. Wash, rinse, and repeat the exchange almost verbatim the next time we bump into one another which is typically about every two weeks. The last few times we've spoken, I think she's been especially sauced as she's been a little more emphatic than normal (and slurring her words a little) about being sorry for the noise. I've been a little shorter with her because, well, it's a charade with which I've grown tired. For the love of all things holy, you make noise; it's a crappy old apartment, it goes with the territory, so, when you see me, please just smile and say "hello" or nothing at all. In summary: she's kinda* crazy (by "kinda" I mean "without a doubt, full-on, batshit crazy"), a semi-cougar, a lush with a boyfriend, a live-in daughter, and sometimes a granddaughter, who does laundry every day, and loves, loves, loves Irish dancing or clogging or jumping jacks at all hours of the day.
So, with the back-story complete, let's step back in time to an hour ago...
I was in my office with my headphones on and the door shut trying to settle into a study groove for the evening. As the temp has been getting pretty brisk overnight, I'd been closing the doors and using a space heater to warm the rooms instead of turning on all the baseboard heaters. So, I was in the office doing my thing and hanging out with Dylan who's with me while Winning Run wraps a major deadline on her project. All of a sudden, Dylan freaked, got really agitated, paced, and kept staring from me to the door and back. When I took off my headphones, I heard someone pounding on my door. It wasn't the forceful pounding knock of an authority figure but something, I don't know, a little crazier but just as urgent.
On taking a few steps into the hall, I heard a voice pleading for help, for me to open the door. Naturally, my adrenaline went through the roof. Then, I realized that it was from my back door and not the front like I'd expected. It was a woman's voice; my upstairs neighbor, I thought. As I pulled back the vertical blinds, I was a little freaked out by what I might see. To my surprise, I saw my neighbor in her sock feet, jeans, a fleece standing there beating on my sliding door, still pleading for me to open it.
I cautiously opened the door a little.
"Oh thank God," she said. "I've been locked out on my deck for two hours. I'm freezing, I can't feel my feet."
"What? You've been locked on your balcony?," I asked. "How'd that happen?"
"I went outside without my phone or my keys and I got locked out. I've been out there for two hours. I'm so cold. I was yelling for help and throwing stuff down to get your attention."
"I've been in my office on the other side of the apartment, with my headphones on studying. I thought you were just moving furniture or something."
"I was throwing all sorts of stuff down and yelling for help."
"How'd you get down?," I asked.
"I through about throwing some concrete through my sliding glass door but I ended up using my Christmas lights to do a MacGyver and climb down."
"What?" I leaned forward to look past her and, sure enough, a single strand of Christmas lights hung there limply, a remnant of a seemingly festive escape. "You climbed down on that?"
"Yes. Oh my God, I'm so cold. I can't feel my feet. I think I have frostbite."
"I'm pretty sure that you're gonna be okay," I offered. "I think that, for frostbite, it's got to be pretty cold, like below freezing."
"Really?"
"Yeah, you'll probably make it," I assured her. "Now, how the hell did you get locked out by the sliding glass door? It's got a thumb latch on the inside."
"I don't know, it just locked me out. Can I use your phone to call someone to bring me my keys?"
"Sure."
I got my phone and let her make a couple of calls. Her lifeline tonight (other than the Christmas lights) was her recently (like a few hours ago) ex-boyfriend. I offered to make her some tea to help her warm back up but she declined.
"You must think I'm crazy. I mean, really, who does this?"
I pondered my response for a minute. "Ahhhhh...well, I'm just happy you didn't hurt yourself when you climbed down." (Why, yes; yes, I do think you are a big bowl of crazy.)
"I'm sorry to interrupt you. Just go back and study and I'll just stay here until he comes with my keys."
"Thanks but I'm just gonna stay here with you until he comes." There was absolutely no chance in hell that I was going to go in the other room and leave her unattended. Who knows what I would've found when I returned? Hell, she probably would've managed to get herself inextricably wedged in the over-sized chair in my living room or to simultaneously shatter all of my picture frames. So, I stayed in the room, maintained a safe distance, and opened the front blinds so that we could see when her spare key arrived.
"So, what do you do?," she asked. "I notice that sometimes, you're dressed in medical clothes."
Luckily, her near-fatal frostbite prevented her from seeing the look of disbelief on my face as this was a topic that we'd covered many, many times before. I had a sneaking suspicion what was on the horizon but I chose to play along.
"I'm a student at the medical school here," I told her.
"What are you studying to be?," she asked and she didn't mean what specialty.
"A doctor," I said.
"Oh, that's great."
"Yeah," I replied.
"I hope I don't make too much noise upstairs," she said.
"It's okay," I lied.
My goal was to get her the hell out of my apartment as fast as I could. Luckily, after ten or fifteen minutes of this, her newly "former" boyfriend arrived with her key. As I was going to open the front door for her, I turned to see her yell thanks and bolt right back out my sliding door, stumbling and nearly falling on her way out.
"What the hell just happened?," I asked the newly silent room.
And that, my friends, is why you should not do drugs or drink.
Monday, October 18, 2010
Stress Stress Stress Burnout Burnout Burnout
A blink of an eye and November is nearly upon us. Among other things, med school has been great for really making time elastic: in some cases you can do a world of things in fifteen minutes; in others, months rush past unnoticed. So it is. I'm closer to the end of this semester than I am to the beginning of it.
Honestly, I have no idea where the time went. Quite literally, I feel like my face has been shoved in a book since the semester started, frantically trying to coax the words from the page and into my memory. Anyway, it's now October. Post-season baseball. College football. Crisp, cool mornings with amazing amber light that makes you miss your grandparents, miss being a kid.
Tomorrow, I'll take the last test in our renal system and, in doing so, try to illustrate that I know a little bit about renal tumors, treating hypertension, acid-base disorders, identifying stones, proteinuria, and maneuvering the choppy waters of anti-hypertensive medications. (These among other things.)
I feel like a stranger to myself, to my family, and my close friends. This weekend, I'll head to Seattle to see Winning Run and try to be a normal cat for a few days. Perhaps in jest, a classmate sent the warning signs of burnout to the class. Rather than run down the litany of signs, it should have a single requirement: second-year medical student. Seems about right.
Back to the grind...
Honestly, I have no idea where the time went. Quite literally, I feel like my face has been shoved in a book since the semester started, frantically trying to coax the words from the page and into my memory. Anyway, it's now October. Post-season baseball. College football. Crisp, cool mornings with amazing amber light that makes you miss your grandparents, miss being a kid.
Tomorrow, I'll take the last test in our renal system and, in doing so, try to illustrate that I know a little bit about renal tumors, treating hypertension, acid-base disorders, identifying stones, proteinuria, and maneuvering the choppy waters of anti-hypertensive medications. (These among other things.)
I feel like a stranger to myself, to my family, and my close friends. This weekend, I'll head to Seattle to see Winning Run and try to be a normal cat for a few days. Perhaps in jest, a classmate sent the warning signs of burnout to the class. Rather than run down the litany of signs, it should have a single requirement: second-year medical student. Seems about right.
Back to the grind...
Tuesday, October 05, 2010
You're Talking About a Song?
In a brief respite from studying for my upcoming Renal exam, some friends and I went to hear one of our classmates perform a local venue. We grabbed some drinks and a spot and listened to her set with a ton of students from the 1st year class. We were chatting with one of the 1st year students when, randomly, he asked if we liked masturbation.
Aside from that comedic gem, nothing else is happening or has happened other than a ton of studying. Tomorrow is my first exam covering the renal system. I have tons of stuff to get through in advance of the test. As I didn't see Winning Run over the weekend, one of the little bits of joy has been getting Hipstamatic for my phone. Here are a few shots:
"Sure, man, I'm all for it," I said. My friend SJ piped up that she was also a fan.
"Yeah, it's a pretty good song," he replied.
"Oh, you're talking about a song..."
"Yeah, 'Masturbation' is one of her songs," he offered.
"Don't know it," I admitted. "Never heard it."
He looked a little perplexed but said, "You'll know it's the song when you hear something really uptempo."
"And you'll know it's the other if my hand is in my pants," I said.He looked like he was about to say something else before he thought better of it and just turned around. Conversation over. What can I say, I'm a winner.
Aside from that comedic gem, nothing else is happening or has happened other than a ton of studying. Tomorrow is my first exam covering the renal system. I have tons of stuff to get through in advance of the test. As I didn't see Winning Run over the weekend, one of the little bits of joy has been getting Hipstamatic for my phone. Here are a few shots:
The view from my desk.
A car hit the house across the street in the middle of the night.
Hops field at sunset.
Sunset from my apartment. Mt. Adams is in the distance.
Labels:
Hipstamatic,
honesty,
med school,
misunderstandings
Wednesday, September 22, 2010
Congrats, You Aren't Having a Heart Attack
Just walked out of a practical exam in which we are handed a clinical vignette and must tell our attending physician what treatment approach we'd pursue and, afterward, demonstrate a manual medicine technique on our partner. The scope included cardiopulmonary cases with specific treatments aimed at helping to alleviate a hypersensitive parasympathetic or sympathetic influence on the heart, edema, and cough.
On my second case, I was reading the vignette and avoiding the piercing stare of my attending. During practicals, he's completely stoic and poker-faced and, frankly, I get a little flustered. After what seemed like an eternity, I decided that my 14-year-old fictitious patient had a viral infection and had an inhalation dysfunction of the ribs that was impeding the biomechanical aspects of getting full excursion on inspiration. I stammered my way through my rational about why I thought the patient was medically stable in order to proceed with my course of treatment of the ribs to assist breathing. I listed a few reasons for why I didn't think he was having a heart attack. At the end of my list, the attending says "...and he's fourteen." This, of course, is in addition the fact that nothing in the vignette remotely suggested MI.
I turned to my partner and said, "Congratulations, you aren't having a heart attack."
Next stop, big test block tomorrow which marks the end of the respiratory / pulmonary system. Gonna spend a ton of the night and tomorrow trying to get cancer presentation, genetics, staging, treatment, and microscopic identification into my brain. (In addition to pulmonary embolism, deep vein thrombosis, occupational pneumoconosis, pharmacological treatment of asthma, various other "bugs and drugs.") Woo hoo.
On my second case, I was reading the vignette and avoiding the piercing stare of my attending. During practicals, he's completely stoic and poker-faced and, frankly, I get a little flustered. After what seemed like an eternity, I decided that my 14-year-old fictitious patient had a viral infection and had an inhalation dysfunction of the ribs that was impeding the biomechanical aspects of getting full excursion on inspiration. I stammered my way through my rational about why I thought the patient was medically stable in order to proceed with my course of treatment of the ribs to assist breathing. I listed a few reasons for why I didn't think he was having a heart attack. At the end of my list, the attending says "...and he's fourteen." This, of course, is in addition the fact that nothing in the vignette remotely suggested MI.
I turned to my partner and said, "Congratulations, you aren't having a heart attack."
Next stop, big test block tomorrow which marks the end of the respiratory / pulmonary system. Gonna spend a ton of the night and tomorrow trying to get cancer presentation, genetics, staging, treatment, and microscopic identification into my brain. (In addition to pulmonary embolism, deep vein thrombosis, occupational pneumoconosis, pharmacological treatment of asthma, various other "bugs and drugs.") Woo hoo.
Monday, September 20, 2010
Seven
I'm so much luckier than anyone has a right to be.
Thanks, Winning Run, for taking this crazy ride with me and being the pillar that holds me up. I absolutely, positively could not do this without your support. I'm thrilled to be part of the pack.
Thanks for seven amazing years; I look forward to many more on our adventure together.
"Like melted gold."
Thanks, Winning Run, for taking this crazy ride with me and being the pillar that holds me up. I absolutely, positively could not do this without your support. I'm thrilled to be part of the pack.
Thanks for seven amazing years; I look forward to many more on our adventure together.
Sunday, September 19, 2010
It's the New Normal
A couple of weeks ago, as I drove to Seattle to see Winning Run, I phoned a college roommate to catch up with him. Some years back, he moved away from Atlanta and started a family and pursued his career. Unsurprisingly, time, distance, and the general pull of life's direction prevented us from talking as much as we should've. Over the past year, Drewbie has phoned me numerous times and just left voicemails to say something like "Hey buddy, I'm thinking of you. I know you're working hard; keep it up." What's uncanny about it, is that he'd always call exactly when I needed most to hear a familiar voice, to get a brief pep talk, to have some unsolicited, unconditional support. I can't tell you how much these little nudges worked to get me over each hump.
During our conversation, he was telling me about what's been going on in his life with some familial health scares. As much as I'm overwhelmed by school, in the grand scheme of things, I have absolutely nothing about which to complain; things are pretty much OK with me.
As we closed our conversation, I told him that I wished we could talk more frequently and that the frequency of our conversations don't reflect my affection for him. To which he replied something like, "Hey man, I get it: you're in your 'new normal.' You don't have the time to call. Your normal is that you don't have time. That's okay, I get it. I'm just happy to talk to when we can. When I call, it's just to let you know I'm thinking about you."
Here's to the "new normal" and the practice of deferred gratification.
During our conversation, he was telling me about what's been going on in his life with some familial health scares. As much as I'm overwhelmed by school, in the grand scheme of things, I have absolutely nothing about which to complain; things are pretty much OK with me.
As we closed our conversation, I told him that I wished we could talk more frequently and that the frequency of our conversations don't reflect my affection for him. To which he replied something like, "Hey man, I get it: you're in your 'new normal.' You don't have the time to call. Your normal is that you don't have time. That's okay, I get it. I'm just happy to talk to when we can. When I call, it's just to let you know I'm thinking about you."
Here's to the "new normal" and the practice of deferred gratification.
Thursday, September 09, 2010
Sometimes You're a 1998 Mercury Sable ...
... and sometimes you're the fresh hood ornament. Here's to being the Mercury Sable.
Tomorrow morning's test quickly approaches. So far this week, I've managed to maintain my streak of being called on in each interactive session. The week began with being first out of the gate in a pharmacology session. You always want to be the first because the first question is typically easier than the subsequent ones and you get to relax for the remainder of the session. Luckily, I answered the question correctly and proceeded to enjoy the hell out of the remaining hour and fifty-nine minutes of the session while some of my peers anxiously sweated it out. Today culminated with my incorrect (or, rather, "non-indicated") answer of avoiding spicy and tomato-based foods as the most appropriate follow-up therapy for a particular patient with GERD. Nice but no cigar. Well, at the very least, I was thinking of a friend back home and using her to form an empirical plan of action.
Tonight, my plan is to get to bed at a decent hour (11pm? midnight?) and be back on campus at 6am for a final push into the test. Then, after 70-seconds per question for about 140 questions, I'll be able to relax and do more studying.
La vida pura!
It would've looked better on a Thunderbird.
Tomorrow morning's test quickly approaches. So far this week, I've managed to maintain my streak of being called on in each interactive session. The week began with being first out of the gate in a pharmacology session. You always want to be the first because the first question is typically easier than the subsequent ones and you get to relax for the remainder of the session. Luckily, I answered the question correctly and proceeded to enjoy the hell out of the remaining hour and fifty-nine minutes of the session while some of my peers anxiously sweated it out. Today culminated with my incorrect (or, rather, "non-indicated") answer of avoiding spicy and tomato-based foods as the most appropriate follow-up therapy for a particular patient with GERD. Nice but no cigar. Well, at the very least, I was thinking of a friend back home and using her to form an empirical plan of action.
Tonight, my plan is to get to bed at a decent hour (11pm? midnight?) and be back on campus at 6am for a final push into the test. Then, after 70-seconds per question for about 140 questions, I'll be able to relax and do more studying.
La vida pura!
Thursday, September 02, 2010
Well, Doctor, If You Must
In light of my less than stellar performance on last week's pharmacology exam, I dropped by to visit my professor to review my study habits and seek guidance. Not only is he one of the most intelligent people that I've ever encountered (read: freakishly genius) but he's also got an amazingly dry sense of humor that he quickly and deftly displays.
During our discussion, I told him how I'm studying with others, discussing the mechanism of action of the drugs, picking a prototypical drug in a particular class to learn, and, then, comparing the prototype's half-life, adverse effects, and contraindications with others. Then, I mentioned that I'm striving to find other materials that would help me to quickly assimilate the information. Like many other times, the gulf between what I aimed to say and what I said was wide, my friends. Here's how the exchange occurred:
During our discussion, I told him how I'm studying with others, discussing the mechanism of action of the drugs, picking a prototypical drug in a particular class to learn, and, then, comparing the prototype's half-life, adverse effects, and contraindications with others. Then, I mentioned that I'm striving to find other materials that would help me to quickly assimilate the information. Like many other times, the gulf between what I aimed to say and what I said was wide, my friends. Here's how the exchange occurred:
"So, Dr. _____, I'm really trying to quickly inseminate the information," I say confidently.Once again, victorious in the ways of oration.
[Awkward pause.]
"Well, Doctor, if you must," he says with a half-concealed grin.
"I think I'll just try to learn the material, sir."
Labels:
awesomeness,
Barry Bonds,
med school,
not what I meant
Saturday, August 28, 2010
Well ..
Cardiovascular system exam is over. Based on my previous pharm scores, I was thinking that I'd be able to prescribe Skittles. Today, I am certain that if I tried to do that, someone would swat the damned things out of my hand and give me a stern look. So, I'll be limited to making poultices, probably with mustard or eucalyptus.
Tuesday, August 24, 2010
"That Sonofabitch Just Might Make It"
It's the week leading up to our second exam and everyone around me is equally haggard. Last night, I got four hours of sleep and (actually overslept until 5:45). Tonight, it'll probably be the same. As I've intimated previously, I think the pace is pretty ridiculous and that the amount of info that's washing over us at any given hour is incomprehensible. That being said (again), it's effing amazing what actually makes it into your brain, what you can actually learn when pushed. It has, of course, been a week of peaks and valleys but, thus far, the peaks have been pretty cool.
So, last night we start talking the day's case. A while later, we realized that, without any provocation, we'd been thinking and speaking like practicing physicians. It was pretty cool; a step along the path to reforming my self-image into that of a doctor.
The Scholar: 1, Pharmacology: 248K.
I'm hoping this was my Dave Roberts moment. The crowd goes wild. (By "crowd," I mean me.)
Epiphany
Last night around midnight, my buddy and I were on campus almost ready to wrap up for the day. We were reflecting back on a case study exercise that we'd done earlier. (As a group, you and your peers are given info about a patient and must interview the patient for relevant info to complete a history, determine what lab values and physical exam findings are pertinent, identify areas for further assessment or diagnostic exams, and formulate a plan of action. Then, you have between 60 and 120 seconds to provide an oral presentation of this information to the attending physician.) Essentially, these studies are an integration of academic material, clinical scenarios, and the skills of speaking aloud to your peers aka preparation for 3rd year rotations.So, last night we start talking the day's case. A while later, we realized that, without any provocation, we'd been thinking and speaking like practicing physicians. It was pretty cool; a step along the path to reforming my self-image into that of a doctor.
Go Suck It, Digoxin-Induced Hypokalemia.
Two interactive sessions today, both on Heart Failure. This afternoon, I seemed to do much better on the questions: my rationale seemed to be based on some sort of reality and grasp of key concepts instead of how a third-grader might approach pharmacology. When I was called on, I stood and correctly answered a question regarding hypokalemia as induced by a drug-regimen. I went with my gut, stuck to my guns, and didn't look like as much of a clueless dick in front of my peers.The Scholar: 1, Pharmacology: 248K.
I'm hoping this was my Dave Roberts moment. The crowd goes wild. (By "crowd," I mean me.)
Tuesday, August 17, 2010
On To The Next One
" ... Don't be mad 'cause it's all about progression.
Loiterers should be arrested."
'On to the Next One' from Jay-Z's "The Blueprint 3"
Another week, another trove of insurmountable tasks to complete. I wouldn't quite call them Sisyphean but it definitely feels vaguely similar. After the last week of doing nothing more than studying, it should come as no surprise that this week is yielding more of the same. As will next week. And the week after. For the foreseeable future. [Sigh.] It is, however, pretty damned cool.
Brush That Dirt Off Your Shoulder
One of the major learning experiences of second year, thus far, has been the attempt to become comfortable with standing before your peers and attempting to respond to questions. You know, a whole "stand and deliver" routine. In addition to learning the course content, we're being given the opportunity to become more comfortable with failing spectacularly in front of our peers. This is a task for which I just might earn honors. What can I say? Everyone excels at something, right?We've been given little remote controls called iClickers (the hottest technology of 1999) that we use to respond to questions during class for real-time tallying. Prior to seeing how your peers respond, though, a student is randomly called to answer the question and, if you're really, really lucky, some follow-ups in front of your peers. Luckily, I was called on during a Pharmacology session to answer a question involving the selectivity of a Beta-antagonist. Being the exemplary pharmacology whiz that I am, I punted and guessed something that stuck in my head. Wrong. I looked to my peers who whispered the correct answer and called it out. Wrong again. I looked to other peers for more choices and tried to follow the prof's coaching. Wrong again. After what seemed like an hour, I stumbled on the designated response and was allowed to return, licking my wounds to the anonymity of being a less-active participant in the lecture.
I am never going to earn a prescription pad. Mark my words, I will be forced to "prescribe" Skittles to my patients. If those don't work, we'll move to either M&Ms or Reese's Pieces. The options are pretty much unlimited.
Thursday, August 12, 2010
This Is War
Not that I'm finished collecting my thoughts about my first year or anything, mind you, but it's day 4 of the 2nd year and I'm feeling like I've been in the trenches for months. All that bullshit "pie-in-the-sky" thinking that I'd be able to sneak off to see Winning Run in Seattle are teetering on the edge of the sinkhole that is being a med student.
Seriously. Day 4. Monday. Tuesday. Wednesday. Today.
In other news, I feel like I've learned a bunch in these four days. It is stunning what you can learn when terrified / trying / overwhelmed / sleep-deprived / enjoying it.
More from the front lines, soon. I promise.
Seriously. Day 4. Monday. Tuesday. Wednesday. Today.
In other news, I feel like I've learned a bunch in these four days. It is stunning what you can learn when terrified / trying / overwhelmed / sleep-deprived / enjoying it.
More from the front lines, soon. I promise.
Tuesday, July 27, 2010
Phound Photos
I finally looked at my SD card from Hawaii and the cross-country drive and stumbled across a few other shots that I like.
Some photos from the cross-country drive:
Moon-rise over Manua Kea.
Some photos from the cross-country drive:
Dylan looking at corn fields, 80mph.
Sunset in Nebraska.
Dylan at scenic overlook.
Picking burrs off of Dylan's face after he hunted field mice.
How To Fail at Business (Without Really Trying)
A few days ago, we were in the park with Dylan and happened to meet some other dogs for an impromptu dog congress. Turns out that one of the people there with a dog had a dog walking business. It also turns out that we're looking for a dog walker to let Dylan out during the day and get him a little exercise.
We met the other dog owners and got a business card from the dog walker. She seemed nice enough: sort of a hippie-type with plenty of wrist tattoos and unkempt hair. About two minutes had passed after she gave us her card when we heard her suddenly exclaim: "Where's my dog? Have you guys seen my dog? She was right here a minute ago..."
Everyone around started looking around for her dog and calling for it.
"She's across the street!," the dog-walker announced. She instructed everyone to refrain from calling her dog. As she ran across the road to her pooch, she kept telling it to stay there.
Winning Run and I made eye contact and pantomimed our disbelief. We agreed to promptly lose her card. She wouldn't be getting our business.
We met the other dog owners and got a business card from the dog walker. She seemed nice enough: sort of a hippie-type with plenty of wrist tattoos and unkempt hair. About two minutes had passed after she gave us her card when we heard her suddenly exclaim: "Where's my dog? Have you guys seen my dog? She was right here a minute ago..."
Everyone around started looking around for her dog and calling for it.
"She's across the street!," the dog-walker announced. She instructed everyone to refrain from calling her dog. As she ran across the road to her pooch, she kept telling it to stay there.
Winning Run and I made eye contact and pantomimed our disbelief. We agreed to promptly lose her card. She wouldn't be getting our business.
Monday, July 19, 2010
Manifest Destination
Last Thursday, we made it to Seattle after a fun four-day cross-country drive. If you're ever driving cross-country with a pet, you'll be happy to know that all Motel 6 locations are pet-friendly. You can, of course, find other places that are nicer and more expensive but it's comforting to know that this ubiquitous chain is there and will take you in for a modest little price. Depending on where you stop, you might have to contend with their progressive, hard-hitting "No Smoking" campaign designed to stop anyone from even thinking of lighting up in the room.
Mostly, we drove 12-hours a day with exception of the 3rd day when we drove a leisurely 7 hours into Salt Lake to visit Big Mike, my college buddy, and his lady. We took in an outdoor concert, had a great time catching up with the two of them, and enjoyed the break from the highway. The next day, we woke, had breakfast, and pressed on from SLC into Washington. Along the way, we stopped at a great overlook near Pendleton to drink in the horizon and let Dylan harass some field mice.
After a brief stay at my apartment near campus, Winning Run and I headed to Seattle to prepare for moving her into the apartment. I knew that she'd like the place but it's pretty cool, if tiny. A few blocks away is a great park on the shores of Lake Union with great views of downtown, loads of people flying kites, and plenty of seaplane watching. Compared with the weather we left in Atlanta (100 degrees, 1000% humidity), the climate here is amazing (early morning temp in the 50s, afternoon high in the mid-80s). Dylan loves it.
More pics:
All in all, it's pretty nice to be in a big city again. I love the energy of it and the people in it. After a year with my wife and dog on the opposite side of the country, I can tell you that having them in the same time zone feels like I've pulled off a coup. It's freaking amazing.
Next, I'm off to move into my apartment and to hear about Winning Run's first day at hear new job.
What deters smoking more than an overturned ashtray with a sticker on the bottom?
Hard to say ... an in-room lighter, maybe?
Mostly, we drove 12-hours a day with exception of the 3rd day when we drove a leisurely 7 hours into Salt Lake to visit Big Mike, my college buddy, and his lady. We took in an outdoor concert, had a great time catching up with the two of them, and enjoyed the break from the highway. The next day, we woke, had breakfast, and pressed on from SLC into Washington. Along the way, we stopped at a great overlook near Pendleton to drink in the horizon and let Dylan harass some field mice.
After a brief stay at my apartment near campus, Winning Run and I headed to Seattle to prepare for moving her into the apartment. I knew that she'd like the place but it's pretty cool, if tiny. A few blocks away is a great park on the shores of Lake Union with great views of downtown, loads of people flying kites, and plenty of seaplane watching. Compared with the weather we left in Atlanta (100 degrees, 1000% humidity), the climate here is amazing (early morning temp in the 50s, afternoon high in the mid-80s). Dylan loves it.
More pics:
A windswept rest area in Wyoming.
Overlook near Pendleton, WA.
Dylan in the morning.
Dylan in the afternoon.
Cool kite at sunset.
All in all, it's pretty nice to be in a big city again. I love the energy of it and the people in it. After a year with my wife and dog on the opposite side of the country, I can tell you that having them in the same time zone feels like I've pulled off a coup. It's freaking amazing.
Next, I'm off to move into my apartment and to hear about Winning Run's first day at hear new job.
Monday, July 12, 2010
Good Morning, America, How Are Ya?
In the immediate aftermath of finishing summer semester and passing my finals, I had little time to revel in the joy of officially becoming a second-year student. Instead, I had to pack my things, move them out of my apartment, and get them into storage before I left for vacation. As I abhor moving, it was only natural that I'd be spending the majority of my summer break moving myself into a new apartment, then going home and moving my wife across the country to Seattle.
After an endless week, I managed to shove the last bits of my things (mostly the remaining 300 rolls of toilet paper from a Costco pack) into the storage bin and get the hell to Seattle onto a plane to Hawaii for a week of R&R with my wife's family. I cannot explain how amazing it was to actually be in the same place as my wife for more than 48 hours. Good stuff, indeed. Two vacation shots:
After the vacation, I returned to ATL to help empty our house and, once more, drive across the country. In case you didn't know, the housing market sucks for sellers and we were beginning to really freak out at the prospect of having an empty unsold house. A few days before we left, however, we found some tenants for our place...big sigh of relief. The rest of the time, we spent on the "Winning Run 2010 Farewell Tour" seeing friends, visiting family, and eating and drinking too much.
We began our drive on the 11 JUL with our dog and hope to be in Seattle by the 15th. Yesterday, we drove 700 miles and have stopped in central Missouri.
I gotta say that it's pretty damned strange and a little unnerving to be in a motel with your dog. In good guard dog fashion, he's barked occasionally at strange noises which is followed by pleading cries of "Shh!!!! No bark!!!!" by the two of us. Guess it's not like the first night in any hotel is ever restful, I suppose.
After an endless week, I managed to shove the last bits of my things (mostly the remaining 300 rolls of toilet paper from a Costco pack) into the storage bin and get the hell to Seattle onto a plane to Hawaii for a week of R&R with my wife's family. I cannot explain how amazing it was to actually be in the same place as my wife for more than 48 hours. Good stuff, indeed. Two vacation shots:
Moon rise from the Joint Astronomy Center at Mauna Kea.
Waterfall at our lodging near Hilo.
Swimming was great but the water was frigid.
After the vacation, I returned to ATL to help empty our house and, once more, drive across the country. In case you didn't know, the housing market sucks for sellers and we were beginning to really freak out at the prospect of having an empty unsold house. A few days before we left, however, we found some tenants for our place...big sigh of relief. The rest of the time, we spent on the "Winning Run 2010 Farewell Tour" seeing friends, visiting family, and eating and drinking too much.
We began our drive on the 11 JUL with our dog and hope to be in Seattle by the 15th. Yesterday, we drove 700 miles and have stopped in central Missouri.
Gateway to the West.
I gotta say that it's pretty damned strange and a little unnerving to be in a motel with your dog. In good guard dog fashion, he's barked occasionally at strange noises which is followed by pleading cries of "Shh!!!! No bark!!!!" by the two of us. Guess it's not like the first night in any hotel is ever restful, I suppose.
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