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.
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05-26-2016, 05:11 PM #1021أشهد أن لا إله إلاَّ الله و أشهد أن محمد رسول الله
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05-26-2016, 06:06 PM #1022
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05-26-2016, 06:10 PM #1023
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
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05-26-2016, 06:12 PM #1024
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05-26-2016, 06:14 PM #1025
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05-26-2016, 06:19 PM #1026
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."Man cannot remake himself without suffering, for he is both the marble and the sculptor."
Cancer free since 2013
Misc Plastic Surgeon
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05-26-2016, 06:39 PM #1027
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05-26-2016, 08:07 PM #1028
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)?337 crew
767 crew
misc millionaire crew
misc island will be purchased w/ 100th million crew
currently CEO $30/day crew
Pokemoncel
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05-26-2016, 08:14 PM #1029
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.
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05-27-2016, 07:55 AM #1030
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05-27-2016, 08:17 AM #1031
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05-27-2016, 08:30 AM #1032
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05-27-2016, 08:30 AM #1033
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05-27-2016, 08:59 AM #1034
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."Misc MD Crew
Foreveralone Virgin Crew
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05-27-2016, 09:07 AM #1035
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."Man cannot remake himself without suffering, for he is both the marble and the sculptor."
Cancer free since 2013
Misc Plastic Surgeon
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05-27-2016, 09:10 AM #1036
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"Man cannot remake himself without suffering, for he is both the marble and the sculptor."
Cancer free since 2013
Misc Plastic Surgeon
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05-27-2016, 09:14 AM #1037
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.Misc MD Crew
Foreveralone Virgin Crew
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05-27-2016, 09:20 AM #1038
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05-27-2016, 10:23 AM #1039
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05-27-2016, 12:33 PM #1040
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05-27-2016, 02:22 PM #1041
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.Last edited by santal0l; 05-27-2016 at 02:28 PM.
-Too cool for crews Crew
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05-27-2016, 02:43 PM #1042
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05-27-2016, 02:53 PM #1043
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.أشهد أن لا إله إلاَّ الله و أشهد أن محمد رسول الله
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05-27-2016, 03:10 PM #1044anonymousGuest
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.
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05-27-2016, 03:11 PM #1045
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05-27-2016, 03:23 PM #1046
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05-27-2016, 04:14 PM #1047
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05-27-2016, 04:21 PM #1048
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05-27-2016, 04:57 PM #1049
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05-27-2016, 05:23 PM #1050
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 surgLast edited by ViktorFrankl; 05-27-2016 at 05:29 PM.
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