Sunday, March 27, 2011

"We got Kentucky back."


Cats beat UNC 76 - 69 tonight in the East Regional Final.  

I'm still way too excited to string together two thoughts, so all I'm gonna say is GO BIG BLUE!  It's such a thrill being a UK student while all this is going on.  Campus is going crazy.  Cops are everywhere.  I only wish I could go with my family to the Final Four next weekend, but I'll be cheering my behind off from here in Lexington.  Thanks, Jorts, for giving us the "Kentucky" back that we all know and love.   And it feels oh so sweet to do this by beating Ohio State and UNC.

Final Four bound, baby!  Houston, watch out! 


LOVE this team.

Tuesday, March 22, 2011

Happy Things

Home-cooked meals.

UK basketball wins.

Weddings.

Picking fresh veggies and flowers from the garden.

Adorable nieces.

Approaching College Station, TX on Highway 6, blaring the Aggie war hymn with the windows down, warm air in your face.

Smell of freshly cut grass.

Quiet evenings in with the hubby.

Post work-out highs.

Thinking about how cute my mixed kids are going to be.

Freckles.

Sunsets.

And of course, Disney World - The Happiest Place on Earth.




These are a few of my favorite things.

Wednesday, March 9, 2011

Thanks, but no thanks

I'm on my Emergency Medicine rotation right now and my lack of experience and confidence is biting me in the tail.  Unlike our other rotations during third year, we are not assigned to a particular resident or attending physician who is to mentor, teach, and tell us what to do.  I am completely on my own when I show up to the ER.  I can do whatever I want whenever I want it.  Freedom.  Some thrive off of this (ie my husband).  Others struggle (me).  We have a list of things we have to get done during this short rotation, such as starting IVs, placing a foley and NG tube, doing a stint and laceration repair, etc.  But there is no one there to make sure I get it done.  It's up to me, which means I have to steal it away from one of the residents.  I am not nearly aggressive enough to get in on the good stuff.

Confession: I am a third year medical student who has never put in an IV.  We spend so much time book learning and do not get nearly enough hands on education.

Yesterday I decided I needed to "man" up and just do it.  I went up to one of the EMS guys and asked him to show me how to place an IV on the next patient that comes in and then let me do it from then on.  He was very accepting and was excited about teaching me, so after showing me on the first patient, he grabbed me to take me to the next room where it was my turn to try.  I walked into a room with him to find a neurotic 45 year old man that had interesting views on life, and we were his audience for the moment.  He explained to me how he doesn't trust MDs, only DOs.  Army nurses are the only nurses that know how to place an IV because they are taught in stressful situations.  He then told me how he never lets attractive doctors near him because they only got where they are because of their looks, not their brains.  He then looks straight at me and says, "Yeah, so that means you better not touch me."  Ummm, thanks for the complement, kind of.

I botched my next opportunity on a guy that was screaming bloody murder as I tried to stick him.  Luckily the nurse messed up twice after me (well, luckily for my ego, not for the patient) and another nurse had to come in and give it a try.  My confidence was down to zero at this point, but the EMS guys came to the rescue.  They let me practice on them.  Yes, that's right, they sacrificed their own bodies for a scared little med student who had no idea what she was doing.  I am forever grateful.

Today I was assigned to Fire Station #1 in Lexington for an EMS ride-a-long.  Once again, the paramedics were awesome and let me do whatever I wanted.  I didn't get to stick the first patient we picked up because she was having seizures and was mentally handicapped plus had CP, so not the easiest thing in the world.  But the second patient was perfect.  A young, mostly healthy woman who was having abdominal pain.  Easy stick opportunity.  That is, until mama hopped in the back of the ambulance with us.  When the medic explained to the patient that I was a medical student and would love to try to start the IV, she was cool about it.  As I moved into position to start, the mom whispered to the Major on board, "She's suffering enough, I don't think we should make her suffer any more."  "Huh?" he responds.  "I'd really rather the medical student not touch my daughter."  That wasn't awkward at all.

And then to end the day, the Chief of the station came up to me and started chit chatting.  After about 5 minutes, he asks what program I am with.  I tell him I'm a 3rd year medical student on my ER rotation, and he looks at me funny and says, "What?  A medical student?!  How old are you?"  "26, sir.  Why, how old did you think I am?"  "19, tops."  In some ways I guess that's a complement, but at the same time, I wish I looked a little more mature.  No wonder people don't want me sticking them.  I wouldn't want a 19 year old poking me with a needle either.

Monday, March 7, 2011

Stereotypes

Since entering the medical profession I have learned there is a lot of competition and, dare I say, contempt amongst physicians.  I had no idea until I started clinicals this year and have had the opportunity to see physicians bash each other time and time again.  Here are a few examples of what I've learned.  Note: these are NOT my stereotypes, but ones that definitely exist.  I do not agree with many of them, and there obviously are exceptions to the rule, but they are pretty amusing.

1. Pediatricians hate surgeons.  In their minds, surgeons exist only to torture their little, precious patients and are the real enemy, not the disease.

2. Cardiologists think they are God's gift to mankind.

3. Surgeons think OB/Gyn physicians are butchers.  They get so little surgical training compared to a surgery residency, there is no way they could do a good job.

4. Everybody hates Dermatologists because they work ~30 hours a week, have no call, work no weekends, and make 4x as much as the average physician.

5. Neurologists are obnoxious. 

6. If you like people and have an ounce of personality, then you don't go into Anesthesiology, Radiology, Pathology, or Emergency Medicine.  Basically, you don't do the "shift work" fields of medicine.

7. It's Emergency Medicine versus the world.  I have to say this is the strongest rivalry in medicine.  I have had at least 5 different physicians in different fields ask me what I am going into, and then respond, "Oh thank God, not Emergency Medicine."

8. Family physicians are the stupid people who can't get into any other field.

9. Psychiatrists are lazy.

10.  Internal medicine doctors think surgeons don't know how to think.  They are nothing but a good pair of hands who have mastered a skill, and their brains bring nothing to the intellectual table.  Surgeons think internal medicine doctors never do anything, they just sit there all day wasting people's time and resources by taking days to diagnose pneumonia, only after ordering a battery of tests to rule out the most crazy diseases in the world.