The One With the Appropriate Gift

During my first year of medical school, a textbook author named Barbara Fadem played a huge role in my education. An expert on behavioral health, Barbara guided us in how to address defense mechanisms, recognize substance abuse, and approach complex ethical issues.

For whatever reason, one particular line from her textbook has always stood out in my mind:

From Fadem, Barbara. Behavioral Science in Medicine. 2007: 26: 493.

From Fadem, Barbara. Behavioral Science in Medicine. 2007: 26: 493.

This concept has always made me chuckle at its seeming absurdity, because who in an urban environment even raises chickens, let alone thinks to package their eggs up for their doctor’s appointment?

But this week, my jaw dropped as I walked into a patient room.

Because there, on the counter, with “Mindy’s Farm” scribbled on top, was this:

“Mindy,” I began, giggling. “You have no idea how appropriate this gift is.”

———–

Also, I’m taking this opportunity to wish a very happy Father’s Day to the man who always read me countless stories and taught me to ride my bike and to drive, who still washes my car and changes my oil, answers my frantic 6 AM phone calls when my car door freezes shut, and supports me no matter what. Love you, Dad!

The One Where Fourth Year is Like Preschool

Today, I donned my bright blue raincoat and red rain boots and trekked out into a downpour on what would be my very last first-day of school. After 22 years of first-day jitters and picking out new outfits, my formal education is just one year away from its end, and I can’t even begin to believe it.


But this year, my fourth year of medical school seems to bear more resemblance to my first year of school, in preschool, than my most recent year of school, my third year, and here’s some examples of how:


Pre-school/Fourth Year:
Teacher / Clerkship Director: So I know that sitting still all morning is really tiring, so instead of going to noon conference, why don’t you play outside in the sun or take a nap for an hour?
Third Year:
Clerkship Director: All noon conferences are 100% mandatory, and we may or may not be taking attendance… you’ll never know.
PS/4th:
Allows you a leisurely wake-up at 8 AM, and maybe even a mid-day nap.
3rd:
Demands that you’re up before the crack of dawn and fully alert by 5 AM, and you sure as hell won’t be sleeping again until at minimum 10 PM.
PS/4th:
Who doesn’t love snack time?!
3rd:
Hmm… did you even eat lunch today?
PS/4th:
No exams, just simple projects to fill the time and allow you to fully explore your creativity.
3rd:
Oh yes, and on top of working 5 AM – 9 PM, we’d like you to study for an incredibly nit-picky 100 question national exam every 6 weeks. You’re welcome!
PS/4th:
Plenty of time to get to know your classmates, visit with family, and enjoy yourself with friends.
3rd:
What’s a friend?
————-
Happy Medical Mondays and happy June!


For my new visitors, I’m K, a brand-spanking-new fourth year medical student in the US, fresh out of my Step 2 boards-studying cave and still growing accustomed to the bright lights and free time on this side of third year. I’ve got plenty of new blog ideas and, now that Step 2′s over, plenty of time to put them together, so stay tuned. For now, take a look around (and maybe even subscribe or follow me on FB/Twitter), or hop on over to visit our lovely hostesses Emma and Jane to peruse some other fantastic medical blogs.

The One Where a Stranger Caught My Happy Dance

I interrupt my Internal Medicine Shelf exam / USMLE Step 2 studying to bring you a very important message:

…I just walked (okay, I’ll be honest, danced) out of the hospital for the LAST time as a third year.

More than a few people witnessed my triumphant hospital exit…

And the next time I don my white coat and enter the hospital, I’ll be a fourth year.

…I can’t even believe it.

Excuse me while I take a moment to squeal:

I did it! I did it! I did it! It’s over! I’m no longer the low man on the totem pole! I’m a fourth year! I did it! So happy, so happy, SO FREAKING HAPPY. 

Andddd back to work.

<3, K

Even More Ways to Know You’re a Medical Student…

41. As fourth year approaches, you tell your long-lost friends that you’re “putting in a standing order for potlucks qmonth.”

42. One of these long lost friends responds, “Phew, my insurance will cover that!”
43. Your favorite GI bug is Bacillus cereus because come on, let’s B. cereus!
44. You’ve perfected your cow drawings and puns to most creatively reserve your team’s COW (Computer on Wheels) for rounds.

Mooooove it along. This one is for Team 3.

45. You crave graham crackers and saltines when you’re exhausted.
46. When your patient tells you that there are invisible people cooking bugs in his house, your immediate reaction is to simply nod and ask, “And how long has this been going on?”
47. Your white coat weighs more than your backpack, and at any given moment you can produce a stethoscope, a reflex hammer, a penlight, 2-3 different texts, patient lists dating back two weeks, and no fewer than five different colored pens.

From A Cartoon Guide to Being a Doctor

48. A small child sees you in the hospital cafeteria and shouts, “LOOK, MOM! IT’S A DOCTOR.”
49. After informing this child that you’re a medical student, not yet a doctor, said preschooler scoffs and rolls her eyes.
50. Your impressive upper body strength earned via surgical retraction is quickly turned to mush by your six-days-per-week internal medicine rotation.
51. It’s not uncommon for someone at a bar to ask how you dealt with “chopping up a dead person and stuff.”
52. You make claims like, “Of course we all have a second stomach for dessert!” because you “learned that in medical school.”

So of COURSE you have room for this!

53. You plan next year’s vacation around the available options for international rotations, just so that the medical school will help fund your next big trip.
54. You spend your days informing patients of the importance of having a PCP and receiving all the right screening tests, but you haven’t actually gotten a physical since you started medical school.
55. You once brought a real human skull home for Thanksgiving, much to the disgust of your mother and father.
56. While spelunking in Budapest, you quickly mark yourself as a weirdo when you begin wondering aloud if the same fungal illnesses exist in American and European caves, because no one wants histoplasmosis.
57. The highlight of your week is when your resident tells you, “It’s Cinco de Mayo. Why don’t you head out and drink some margaritas for all of us?” at 1 PM on a Sunday.
58. Your friend casually mentions that her head hurts, and you immediately slam her with seven follow-up questions. (When did it start? What does it feel like? Have you felt anything like this before? Are you nauseous? Does your mom’s brother’s lawyer’s dog’s neighbor have a history of headaches like this?)
59. You are the only person on the team who is able to take the time to delve deeper into the patient’s history or to listen to their grievances, and you easily earn the patient’s trust and admiration. Sometimes, they’ll even tell you you’ve restored their faith in the medical system.
60. Your blog has been sadly ignored for several weeks while you juggle six day work weeks and upcoming board exams. (But there’s plenty of stories just waiting to be told, promise!)
————
Happy Medical Mondays! Can you believe it’s May already? And beyond that, can you believe I have just THREE more work days until I’m completely DONE with third year?! It feels like I just hit the wards for my very first day on Labor and Delivery, and now, somehow I’m gearing up to take my very last shelf examination.
For my new visitors, I’m K, an almost-fourth year medical student in the US just finishing up internal medicine and very much looking forward to having the time to get back to blogging and share all the stories I’ve collected with you. In the meantime, take a look around (and maybe even subscribe or follow me on FB/Twitter), or hop on over to visit our lovely hostesses Emma and Jane to peruse some other fantastic medical blogs.

Have a Good One!

This morning, an elderly couple approached me in the hallway.

“Honey, can you help us find this?” the woman inquired, reaching out a tremulous hand with her instructions for reporting to her endoscopy appointment.

I smiled and waved them on, taking a few steps down the hall to point them to the Endoscopy suite.

“Thank you so much,” she nodded, retrieving her paper from my hand.

“Anytime,” I responded. “Have a good one!”

…it took me an entire flight of stairs to realize what I’d just said.

Oops…

Follow on Bloglovin

Medical Mondays and the One Where He’s Perceptive

“Good morning, Mr. B!” My resident announces our presence to our elderly, slightly demented patient. He’s been there for the better part of a week with a now improved acute kidney injury, but somehow I haven’t managed to meet this patient until today.

The patient pauses, his glance darting from my resident to me and back, eyes widening in surprise. “…TWO doctors? Two of them?” he asks incredulously, voice booming.

I smile and reach to shake his extended hand. “Not quite, Mr. B. He’s the only doctor for now. I’m just learning!”

Mr. B nods. “Just learning, I see. I see. God bless you, just learning!”

My resident’s eyes meet mine. “Yes, but she’ll be a great doctor someday.”

I pause, hoping that I’m not actually blushing.

Mr. B shoots alternating looks at the two of us again as my resident listens to his lungs. “Hey,” he says, focusing on me. “Is this your boyfriend?”

I watch color flood into my (admittedly very attractive) resident’s cheeks. “No, sir,” I respond. “He’s been a great teacher, though.”

Mr. B lets out a sigh. “Too bad. You’d make a great husband-wife team.”

I glance up at my resident, whose eyes betray his inward laughter and we exchange our usual smirks. And just for a moment, I wonder if that patient has caught on to something we haven’t.

-————-


I can’t believe it’s already another Medical Monday. Time has been absolutely flying this year!

To old friends: welcome back! Thanks for bearing with me and my spotty posting habits; I promise I haven’t forgotten about you!

To any new visitors: Hello and welcome! I’m K, a third year medical student, currently slugging my way through my Internal Medicine rotation. Somehow, I find myself with a mere six weeks left of third year, and fourth year cannot come soon enough… although I wouldn’t mind a little more time to figure out what residency to choose!

Follow on Bloglovin