Funny Professor Quote of the Day
You are a proctalgia fugax!
Saturday, September 5, 2009
Leslie
So I finally got to talk to my friend Leslie tonight... she's been in rehab for 2 weeks now, and has been clean over a month. Yay!
So to her...
Good job, girl! Im so proud of you... and you aren't missing anything out here in the "real" world. Just take your time, make the most of it, deal with what you need to deal with, and breathe! You can make your big decisions as you need to... and the answers to your problems will become clear over time. Just focus on you right now... and with all those stair exercises you'll have a new life AND a new gluteus maximus when you're done! We're cheering for you!
Some More (Random) Good Advice For Pre-Meds
1. Stay away from college counselors and pre-med advisors. They are idiots. Period. Unless you have managed to find one that you love (??? although I've never heard of this??), just stay away. It's damaging to your psyche, and they generally don't know what the f$%^ they are talking about anyways. You're much better off to use the AAMC resources (get an MSAR for the current year.. that's a book with every requirement for every med school in the US (and Canada I think))... it has all the information you'll need... and you can start making lists of the places you'd like to go. Then you can target the schools that have comparable stats to yours.
2. When you finally start filling out the AMCAS, use every space possible and put as much information as you can. You get 15 spots to put "extra-curricular activities". I don't care if you've never done an extracurricular activity in your life (which hopefully isn't the case), but you better fill up EVERY SINGLE one of those spots. It doesn't have to be a traditional activity either (like you were an RA, played a sport, did research whatever). When I got to spot 11 I was pretty much done with my research and my "real" stuff... but I used those remaining spots to give a little "extra" about myself. I used one to describe my language skills, one to describe my interest in photography, etc. Use the space to give information that there's no way the AC would know about you otherwise. In fact on one of my interviews I was asked quite a bit about my photography interest in a casual way. Now, use this with caution... there are some things that you have to do correctly First, do NOT misrepresent your level of involvement or expertise in ANYTHING. That could be really hairy in an interview. I have a great camera, and I love taking photos... but I really don't know crap about photography. And I said as much in my blurb.... basically that I was an amateur photographer who had been blogging my own photos of my international travels for several years. Period. I did not say anything that would lead someone to think that I was a professional photographer, etc. Just be genuine and use the spot to express some of your interests. If you're a mom, use a space to describe your experiences and your kiddos. What's it going to hurt? As long as you're not taking space away from a slot that could have described your efforts to cure cancer, you've clearly described what you DID do, and you're not misrepresenting any facts... use the space wisely!!!
Remember your important, relevant stuff goes FIRST... then fill the rest with whatever you can come up with:
Other things pre-meds might forget to put in the spaces:
- international travels, missions, study abroad, language learning
- scientific papers (if you've published an article, list and describe it)
- unrelated business endeavors
- Certifications (EMT, lifeguard, swimming instruction, etc.)
- musical talent, sports interests, (did you ever do a race for a cure?)
3. This is for those of you struggling with deciding on your undergrad major. I was told to "do something you like"... but I didn't really understand it at the time. I chose political science because at my school it was a well respected major with lots of faculty involvement, I had some interest in politics, the coursework was pretty easy, and I thought it opened up a lot of doors even if I never made it to med school. Ok, great... maybe it was all those things, but really I didn't enjoy it. Not for one second. I knew I didn't want to major in bio or chem... too technical and boring (I didn't want to be a lab rat)... but the thought of actually getting a degree in something I LOVED didn't even occur to me because I thought they were "fluff" degrees. I loved travel, photography, art, and languages. My passion for medicine is of no doubt... and my science classes that I took for pre-med would help me make it to med school (where you REALLY learn the fusion of science and humanity)... but what the hell did political science do for me? NOTHING. I have never, I repeat NEVER, used any of my skills from my degree. If I could do it all over, I would either major in a language or photography... because those are two things outside of medicine that I desperately want to develop. I could have been taking photos all these years and getting paid while waiting for med school... or while IN med school. Or I could be completely fluent in a 2nd or 3rd language that would really help me to be a great physician. So my (much drawn out) point is to pick something you LOVE as an undergraduate... you'll never regret it as a physician.
And for those of you saying that you want a strong science background to be a great physician... that's fine. But do it only if you love it. Because the required pre-med classes are what gives you the strong foundation. Just those basic classes have given me a strong base from which to learn all the medicine I'll ever want to learn. If you want to learn more in-depth science by majoring in chem, bio, whatever.. (which is really only going to be useful for synthesizing new plastics, classifying cellular receptors, and mathematically proving the 5th dimension)... then go for it. But that won't make you one drop of a better doctor unless you really LOVE it.
Friday, September 4, 2009
Passed, I think
Well, preliminary tally of the correct answers seems to indicate that I passed both the practical and the written part of the anatomy exam. I did better on the practical, and from what I can tell I "passed" the written by the skin of my teeth. Whew. We tested for 5 hours straight. Holy crap I was tired.
Let me just give you a little rundown of how it all works:
1. The class splits - half to the lab, half take the written... then we switch
2. I took the written first, and the course director had to tell AT LEAST 30 students not to open their booklet early. He said it over and over... and they were still doing it! These people got into med school???
3. The test was f#$$%% HARD! I studied every day for weeks and BARELY passed! It was multiple choice... but there was a lot of stuff I really didn't know the answer to at all. Some stuff I plain forgot, and a lot of stuff I knew.
4. Upstairs there are 7 labs. Each lab has 10 structures on the cadavers and 1 or 2 radiographic images or bone samples, etc. We get 20 minutes in each lab and its basically a free-for-all. You have to see everything and figure out what it is. If there's a hard one, then people "clog up" on it.. and then you can't see for crap. Let me tell you future docs, there is a WHOLE LOT going on between your clavicle and your shoulder... and you better get good at differentiating between strings that look flat (nerves), strings that look like maybe something can flow (arteries), and strings that have a little purple tint (veins). Its a nightmare! It's like a yarn ball, and to really figure it out you have to get up close and personal. Mmmmm. Then you have to wait cause there is ALWAYS a jackass who won't move from a structure because he can't figure it out. Nevermind that 8 other people have a blank space next to #14. Fuck em! He'll stay as long as he wants.
5. The brilliance of the exam prep is really evident at the end of the exam when there are two sheets of identical answer keys posted on the wall RIGHT NEXT TO EACH OTHER. That's super efficient with 180 students crowding trying to write down 140 answers to score themselves.
Well, that's pretty much it. Can't wait for next time.
Oh, 2 other good things happened. My friend "T" who's a 2nd year in Texas sent me a "care package" for my exams... so sweet of him. Complete with coffee, granola bars, a notebook, etc. Yay! I love care packages. And the second (while not good exactly) proved to be rather interesting. On my way driving home from my exam I was so tired and exhausted that I did not even notice there were two TOTALLY naked women standing on the side of the street. It actually didn't register in my mind for a good 20 seconds.
Thursday, September 3, 2009
First Block Exams Start TOMORROW!
And at the severe risk of having my pride handed to me on a platter, I would like to venture to say that I am feeling ok. I went to the review session for anatomy and embryo (which is tomorrow) and I felt that I knew 95% or more of what the professor discussed. Not true, however for biochem. I've really been putting that on the back burner... hopefully that doesn't kick me in the ass come Tuesday. I do have three full uninterrupted days for studying biochem after this anatomy nonsense is over... so hopefully I can whip into shape before then. Since I'm not a master memorizer, anatomy has been really hard for me... and I've literally put probably 100 hours or more into just this one class. Thankfully biochem seems to be more conceptual (and I have some chem background)... so hopefully I can make this work.
Thus far I've studied every day after class (and weekends too of course) for between 2-7 hours. Some days I am a rockstar and can study and study, somedays I can barely stay awake. My dissector (the clean one) actually has drool marks where I've fallen asleep on top of it. Most days I get at least 4 hours of studying.. just taking 2 days off for trial and 1 for being sick. I don't know if everyone studies as much as I do... maybe they study more... who knows?... but I am one of those unfortunate people who has the discipline to physically sit down and study... but I have a hard time absorbing what I read. Additionally my mind wanders every 2 seconds and I have to make myself concentrate. Yes, I know that's called ADD, and yes, I have it (we can save this for another conversation).
Anyway, I haven't been studying in groups for 2 reasons. 1) In the past, I have had difficulty finding people on my study wavelength. Everyone is either totally unprepared and I am wasting my time... or they are totally over-my-head gunners and it stresses me out. And 2) I am exhausted after a day of class or whatever.. and I need to come home for a nap before I start studying. Plus I like studying at home in my underwear (is that too much info?), drinking good coffee, cuddled up on the couch with my dog Luke laying near.
Well, we'll see next week if my methods are adequate. I might be re-reading this and thinking what a moron I was to study only 4 hours a day at home without a study group.
Wednesday, September 2, 2009
A Not So Subtle Message
So exams are on Friday (Anatomy and Embryology) and Monday (Biochem). The upperclassmen sent this link out today. Funny, right?
Tuesday, September 1, 2009
First Day With Real Patients
Today was my first day of my preceptorship. Essentially each first year gets assigned to a community physician, who they will spend several days mentoring over the next year. I was assigned to a general surgeon who specializes in bariatric surgery (weight loss surgery). I guess I wasn't expecting much... but I was pleasantly surprised. Not because I have a newfound interest in bariatrics... but because I really liked my preceptor. He's in his 60's, Irish (complete with accent) and totally cool. We chatted, we saw patients, and he called me "Doctor". I'm telling you, graduating from med school is highly overrated. Just slap those letters on the end of my name and lets get rolling!
Anyway...
He explained to me that he started working in bariatrics because he felt that obese people were shunned by the world... including by other physicians. He spoke to me about the stigma attached to being obese, and the fact that people (even physicians) have no tolerance for "fat" people. It's like a plague. Many physicians don't want a waiting room full of obese people, stigmatized as having a lack of control, smelling bad, having poor hygiene, sweating, etc. He also talked about the reasons why people get so obese, generally different reasons for men and women... for example obese women often have a history of physical and or sexual abuse. I thought everything he said was rather insightful and very humanistic.
He made me realize the prejudices associated with looking at obese people. Just like there is with a drug user, a smoker, or someone who has green hair... there is a perceived lack of credibility associated with obesity. If someone morbidly obese tells you something, your common sense says "ok, thanks for the input... but you are so clearly severely out of control in this one area of your life... how can I trust your judgement on anything?" The difference between obesity and smoking or drug use? You can't hide obesity, even temporarily. It is really a sad state of affairs.
Then we went and saw patients. Today he actually had to explain to one patient that her llama was not a significant enough support system to see her through the surgery (?!).... Identifying your support system is part of the requirements for the surgery... I guess she doesn't have anyone and loves her llama. Well, that's only one of her problems because she is also bipolar.
Any way, it was a good day and overall a great time. But don't misunderstand... I like him and all but I surely wont be signing up for a career in surgery anytime soon. I would like to have a paycheck before I'm 50....
Sunday, August 30, 2009
What I've Learned So Far...
Anesthesiology = you get to do lots of crossword puzzles
Gastroenterology = Playing Nintendo all day long (yes, I'm dating myself)
ER = Treat 'em and Street 'em
Psychiatry = If your patient says he's suicidal he automatically get three hots and a cot. If you don't like him, you can PEC him.
Pediatrics = kids, good. parents, bad
Orthopedics = Can you say EGO? The Ortho guy that gave a talk last week called himself heroic at least 8 times.
IM = so busy they can't possibly tell the difference between an ass and an elbow (or their own ass from their own elbow for that matter)
Radiology = greek isles while reading CT scans on your laptop
ID = Basically you treat everything with one of four medications. You really can't screw up too much
Dermatology = Oh, that's a rash. Or, possibly.... a ... um... bad rash
Surgery = I can't stand on concrete that long. Maybe if I was suspended from the ceiling?
Geriatrics = well, you won't be curing anyone
More to come..................
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