Misc. Med Thread Vol. 3: caribbean diabetus strikes back

[MakeABanana]

Is that really a sign of brilliance?

To put his mind in context, I have never seen that attending off his game during a grand rounds ever. Always nails the diagnosis or generates a tight differential. He's the attending every other attending looks to when he speaks because they know he's gonna drop bombs of knowledge up in the lecture hall.

[Geoloop]

Lol at thinking 6 hrs is a long case. Just lol

^^^

lol

take out your tampon before your next surgery... I hear those can be quite irritating

LEL... Son, I am disappoint

Dat dere tampon toxic shock

fk you ****s

i will go cry in the nursery

[muscle beast]

fk you ****s

i will go cry in the nursery

lulz, seriously bro. Just be thankful you don't have to rotate through neurosurgery.

brb 12hr surgeries are the norm
brb falling asleep at least twice daily without fail
brb learning the entire brain vasculature and not being asked a single question for days at a time
brb absolutely amazing fukking surgeries/results but would not even consider doing it ever in a million years
brb life is good now man

[stevesteve12]

To put his mind in context, I have never seen that attending off his game during a grand rounds ever. Always nails the diagnosis or generates a tight differential. He's the attending every other attending looks to when he speaks because they know he's gonna drop bombs of knowledge up in the lecture hall.

he's rad or IM?

[MakeABanana]

he's rad or IM?

IM, specifically Infectious Diseases.

[Kaduceus]

fk you ****s

i will go cry in the nursery

In all seriousness my first day of a surgery rotation I wore Sperrys (no s&p crew). Like my ten year old worn out pair. My feet were throbbing at the end of the day. I was in pain. Thought only psychopaths could do this every day. My back hurt from my uncushioned feet.

Then I bought some danksos (actually have original Sanitas) and threw in some arch support insoles.

I can stand in these things until hell freezes over. Seriously.

It changed EVERYTHING.

[santal0l]

IM, specifically Infectious Diseases.

That explains a lot. Those ID nerds are damn smart.

[woodbarry]

Worst pimp question I've heard which my friend got asked on inpatient medicine was "name 93 different causes of hyperkalemia." A similar one asked by the same attending to another classmate was "name 18 causes of elevated troponin."

The thing is, this attending is so brilliant he probably did have all the causes memorized and ranked in order of incidence in his brain.

Sickening. I had a physician pimp me on Amiodarone for like 15 minutes I did fairly well because I looked it up since a patient was on it and I wasn't entirely familiar with it. The next day some kent of a nurse thought he'd be a wise @ss and quiz me on amiodarone too(without witnessing the doc do it the day before). I rattled everything off with an air of casualness he was completely taken aback. I didn't even bother admitting I got drilled on it and every other anti-arrhythmic the day before and my preceptor just smiled and kept his back turned. Not sure if people think since it works on all 4 mechanisms and has a stupid long half life that it is difficult to know? or why multiple people have tried to stump me on it.

In all seriousness my first day of a surgery rotation I wore Sperrys (no s&p crew). Like my ten year old worn out pair. My feet were throbbing at the end of the day. I was in pain. Thought only psychopaths could do this every day. My back hurt from my uncushioned feet.

Then I bought some danksos (actually have original Sanitas) and threw in some arch support insoles.

I can stand in these things until hell freezes over. Seriously.

It changed EVERYTHING.

Fuk is that why my lower back hurts when standing for 4 hours during rounds? Normally if I am walking I don't feel anything, but just standing kills my lower back and nothing else. Do you think inserts for my feet would take care of that too(not looking for doctor's opinion just personal)?

[DarkOmen]

That explains a lot. Those ID nerds are damn smart.

This.
During my ICU rotation there was this ID dude who was often on call so he'd come to the ICU for the consults, and he'd sit down and explain his consults and he would drop so much knowledge it was incredible to hear him talk. He was truly incredible. When he was there all the residents and attending would sit around him and just listen to him talk. He was a great dude, very down to earth.

[Austere]

Entering M4. Going into IM. I have lost all passion for this stupid profession. Surgery played a big role in that. I never thought I could hate a field that much.

The only thing that motivates me are the money, cars, and women I will receive as an attending.

[MakeABanana]

Entering M4. Going into IM. I have lost all passion for this stupid profession. Surgery played a big role in that. I never thought I could hate a field that much.

The only thing that motivates me are the money, cars, and women I will receive as an attending.

Damn, surgery made you hate medicine as a whole?

[vik66]

Last exam of M1. Fuark yeah

Renal NBME mini board then freeeeeeedom for 2 months. Doing research, but still

[santal0l]

Entering M4. Going into IM. I have lost all passion for this stupid profession. Surgery played a big role in that. I never thought I could hate a field that much.

The only thing that motivates me are the money, cars, and women I will receive as an attending.

What was so bad about your surgery experience?

[Austere]

Everything.

First of all, OR time sucked. Brb stand for 4 hours and hold the retractor. Laparoscopic cases were even worse. Managing the camera was basically a delts workout, except you would have an attending and resident yelling at you for not being perfect.

The personalities in surgery are quite abrasive. You miss a few pimp questions, and you get comments like "you have the memory of a rock" and "never read a book in your life, have you young man"? I heard both, verbatim. I was yelled at or criticized harshly on a daily basis.

This is before I get into the work hours. We had a 70-hr limit on hospital time. I understand other schools don't. That's even worse.

And finally, the nature of the field is just weird. It's not anything near medicine. I knew things were bad when I started an HPI and the attending said "Enough. This is Surgery. Imaging, Pathology, Vitals, Labs. All that matter. Get to it."

[Kaduceus]

Sickening. I had a physician pimp me on Amiodarone for like 15 minutes I did fairly well because I looked it up since a patient was on it and I wasn't entirely familiar with it. The next day some kent of a nurse thought he'd be a wise @ss and quiz me on amiodarone too(without witnessing the doc do it the day before). I rattled everything off with an air of casualness he was completely taken aback. I didn't even bother admitting I got drilled on it and every other anti-arrhythmic the day before and my preceptor just smiled and kept his back turned. Not sure if people think since it works on all 4 mechanisms and has a stupid long half life that it is difficult to know? or why multiple people have tried to stump me on it.



Fuk is that why my lower back hurts when standing for 4 hours during rounds? Normally if I am walking I don't feel anything, but just standing kills my lower back and nothing else. Do you think inserts for my feet would take care of that too(not looking for doctor's opinion just personal)?

Yeah if you are standing flat footed all day your back is going to take the load of supporting your torso

Get some danskos/sanitas/good inserts to get your heel above your toes. I can't explain it scientifically but it feels like my lower back curves how it's supposed to in that set up and all the weight of my bid is distributed evenly instead of on my lumbar region.

Do it. Sri. There's a reason everyone wears these.

[Kaduceus]

Everything.

First of all, OR time sucked. Brb stand for 4 hours and hold the retractor. Laparoscopic cases were even worse. Managing the camera was basically a delts workout, except you would have an attending and resident yelling at you for not being perfect.

The personalities in surgery are quite abrasive. You miss a few pimp questions, and you get comments like "you have the memory of a rock" and "never read a book in your life, have you young man"? I heard both, verbatim. I was yelled at or criticized harshly on a daily basis.

This is before I get into the work hours. We had a 70-hr limit on hospital time. I understand other schools don't. That's even worse.

And finally, the nature of the field is just weird. It's not anything near medicine. I knew things were bad when I started an HPI and the attending said "Enough. This is Surgery. Imaging, Pathology, Vitals, Labs. All that matter. Get to it."

you are going to see ****ty people in any specialty

Surgery is the BOMB

- OR for 4 hours = not rounding for four hours listening to patients entire life stories. Actually doing tangible things instead of ordering tests and drugs.

- surgery notes are a breeze. Just relevant things. I went from medicine to my gen surg rotation and they were like "cut out 80% of this note" I was over joyed. IM is 50% writing the same note from yesterday.

And hours suck regardless of what you're doing

[Austere]

you are going to see ****ty people in any specialty

Surgery is the BOMB

- OR for 4 hours = not rounding for four hours listening to patients entire life stories. Actually doing tangible things instead of ordering tests and drugs.

- surgery notes are a breeze. Just relevant things. I went from medicine to my gen surg rotation and they were like "cut out 80% of this note" I was over joyed. IM is 50% writing the same note from yesterday.

And hours suck regardless of what you're doing

They may be ****ty, but at least they can control themselves. Surgery is rare in that it people are openly rude to others, especially people under them. It shocked me.

Hours in pretty much every other specialty are better than surgery from what I saw at my school. I'll be a hospitalist, and at least I'll only have sucky hours every other week.

[dxw]

Surgery is GOAT

[DoctorGetSwole]

Lmao on what ****ing planet are surgery hours not worse than other specialties excluding special snowflake practice situations?

[Geoloop]

you are going to see ****ty people in any specialty

Surgery is the BOMB

- OR for 4 hours = not rounding for four hours listening to patients entire life stories. Actually doing tangible things instead of ordering tests and drugs.

- surgery notes are a breeze. Just relevant things. I went from medicine to my gen surg rotation and they were like "cut out 80% of this note" I was over joyed. IM is 50% writing the same note from yesterday.

And hours suck regardless of what you're doing

so much this, i rather be in surgery 24hours+ going in and out from surgeries than do regular shifts doing rounds... and thats what i try to do lol.

and notes too

[santal0l]

Would be borderline suicidal if my career didn't include OR time. Surgery is one helluva drug.

In regards to your comment about notes: So many notes are like 50% templated nonsense and 40% copy and paste with only 10% useful information. Why template in every lab result from the past week? That doesn't do anything other than make me skip over the majority of your note. There's no reason to have a 7 page long note except in the rare confusing case. Notes should be pertinent and to the point, not a rehash of information I can look at myself. On the other hand, I do agree that surgery notes can be too brief at times, which is also a problem.

[Austere]

Lol, forget I said anything then.

All I know is that when Trump talked about things being "worse than waterboarding," surgery clerkships are what he had in mind.

[MakeABanana]

They may be ****ty, but at least they can control themselves. Surgery is rare in that it people are openly rude to others, especially people under them. It shocked me.

Hours in pretty much every other specialty are better than surgery from what I saw at my school. I'll be a hospitalist, and at least I'll only have sucky hours every other week.

I've noticed that gen surg is one of those fields that attracts the weirdos with personality disorders and the socially inept. Not all surgical fields are like that though; on the other hand, ortho has some of the chillest (and interestingly enough, some of the nicest) mofos I've met throughout all 4 years of school.

Matching gen surg for intolerable personalities would be OB/GYN. For antisocial weirdos, it would be pathology.

[anonymous]

Dang I didn't realise I was in the minority here....

I actually like medicine. Gets my gears turning and I feel like I'm really involved in patient's lives and making a difference. I really want to get into teaching as well and have always been eyeing cards/pulm-cc/heme-onc, so IM continues to look like the best fit for me. I agree the notes are a pain, and I'll probably grow tired of it quick in residency, but every specialty comes with its downsides. Now to actually match, lol.

That being said, I really enjoyed surgery too, but seeing the toll it took on the residents and attendings I worked with really turned me away. That and it just didn't get my mind going as much. Absolutely loved the OR though.

[Geoloop]

I've noticed that gen surg is one of those fields that attracts the weirdos with personality disorders and the socially inept. Not all surgical fields are like that though; on the other hand, ortho has some of the chillest (and interestingly enough, some of the nicest) mofos I've met throughout all 4 years of school.

Matching gen surg for intolerable personalities would be OB/GYN. For antisocial weirdos, it would be pathology.

First day of my Ortho rotation.

Resident: Hey guys, seems like we finished up early today (10am), lets go for beers to X bar near the hospital, i buy the first round.

needless to say, we ended up shytface drunk that day lol

[JyzzMagnet]

how easy is it to get with the nursing students, on my interviews i noticed the "allied health" chicks were way hotter but most of the med students said the different schools dont really mix

[SwiftRick]

how easy is it to get with the nursing students, on my interviews i noticed the "allied health" chicks were way hotter but most of the med students said the different schools dont really mix

Just don't wife one up or get one pregnant

[Dr. Horse]

Everything.

First of all, OR time sucked. Brb stand for 4 hours and hold the retractor. Laparoscopic cases were even worse. Managing the camera was basically a delts workout, except you would have an attending and resident yelling at you for not being perfect.

The personalities in surgery are quite abrasive. You miss a few pimp questions, and you get comments like "you have the memory of a rock" and "never read a book in your life, have you young man"? I heard both, verbatim. I was yelled at or criticized harshly on a daily basis.

This is before I get into the work hours. We had a 70-hr limit on hospital time. I understand other schools don't. That's even worse.

And finally, the nature of the field is just weird. It's not anything near medicine. I knew things were bad when I started an HPI and the attending said "Enough. This is Surgery. Imaging, Pathology, Vitals, Labs. All that matter. Get to it."

It's normal to not like things that you suck at. I hate skateboarding because I suck at it, for instance.

.

[Austere]

It's normal to not like things that you suck at. I hate skateboarding because I suck at it, for instance.

.

It's tempting to say "lol u mad cause u bad," but I did well in FM and Psych and I really didn't like them either. Surgery's just a field that's kinda out there. Some people like it. Many more hate it.

[ViktorFrankl]

It's normal to not like things that you suck at. I hate skateboarding because I suck at it, for instance.

.

Surgery fawkin socked and I honored everything clinical years, umadbrah. Srs though, I hate the OR so surgery was never going to happen, but the prevalence of toxic personalities in surgery is definitely higher than elsewhere.

Edit: comments with regard to gen surg, I can't fairly comment outside that, except for ped surg