Archive for May, 2009

Really, Really Ridiculously Good Looking

Scope, Molly and Kendra photo shoot

“I’m pretty sure there’s a lot more to life than being really, really, ridiculously good looking. And I plan on finding out what that is.”
-Derek Zoolander

I met a nice photographer a few weeks ago outside a coffee shop in Brooklyn. I had Scope and Molly with me, and he asked me if he could use them in a pet photo project that he was working on. Of course, I said yes, and today I went to a studio close to my apartment, and we had a photo shoot for a few hours. I learned that Molly is a better model, although Scope is really, really ridiculously good looking. Micah forgot to bring his camera (bad Micah!), but he did snap one quick shot of me and Scope and Molly with his iPhone. Hopefully, David the photographer will allow me to post some of the finished photos on my site. I think he got some really good ones.

I See Dead People…Again

Molly chews on a severed leg purchased in Bushwick, Brooklyn

Yesterday was an interesting day in gastroenterology. It was my last day in the rotation. I can now say without hesistation that I don’t want to be a gastroenterologist. And it’s definitely not because of all the poop. Actually, I just got fairly bored with the “same-old same-old” of colonoscopies and esophagogastroduodenoscopies all day long. I need some variety.

Anyway, yesterday, I got it. I had the opportunity to visit the morgue and see a partial autopsy on a patient who died of metastatic hepatocellular carcinoma. All I can say is wow. I have seen plenty of cadavers in gross anatomy class. Although, they were already embalmed and had died probably months before. Honestly, at the point when I saw them, they barely looked human anymore. And I have seen a few recently expired bodies. But I had never actually seen a fresh corpse be dissected. It was a moving experience. I held his liver, lungs, and brain in my hands. His eyes were open. He actually looked very alive. It was a brand new experience for me, and one that I will forever treasure.

I have always loved pathology, and have considered going into it many times. I really enjoy the investigatory aspect, and I think it’s a fascinating field. However, as I’ve mentioned many times before, I really do enjoy having live interactions with my patients, and this is really not possible in pathology.

But, I’m now planning on doing an elective pathology rotation. I’m sure it will be a great learning experience. The dead really do have so much to teach the living.

Dorm Fire

This is just too hilarious not to watch.

Like Mother, Like Son

Like mother, like son

I realized the other day that I don’t have enough photos of my adopted son, Tom (don’t ever tell him that he’s adopted, he doesn’t know). So, I snapped a quick photo of us on my iPhone the other night. (Yes, I know the resemblance is striking.)

Tom is the best son I’ve ever had. He “gets” me. We love each other. He stimulates me intellectually. I change his diapers. It’s a perfect relationship.

I don’t have much to say about med school right now. It continues. It is good. I might have gotten bed bugs from a patient today.

Time to make veggie enchiladas.

I love you, Tom.

links for 2009-05-26

I Wish You Were My Doctor

I’m currently finishing up a gastroenterology elective rotation. Last week, I was working at the clinic, and I interviewed a patient who primarily complained of chronic diarrhea. After evaluating the patient, the attending physician agreed that the patient needed a colonoscopy, so I made him an appointment for a week later.

I happened to be in the colonoscopy suite the next week when he came in. By the time I saw him, he was already gowned up and lying on a stretcher, waiting to be wheeled into the procedure room. I walked over to him to see how he was doing, and I could tell that he was very anxious about the colonoscopy. “I’m scared it’s going to really hurt,” he said. I told him that it wasn’t going to be a joyride, but that the medications would help keep him relaxed. I then touched his hand and told him that I would be in the room the whole time. He smiled and said, “I wish you were my doctor.” I smiled back and told him that I still had 9 months to go before becoming a doctor. He replied, “I know, but I’ve just encountered so many uncaring doctors…ones that dismissed me and my complaints…but you’re the first one to actually listen.” I told him that I knew what he was getting at, and promised to continue listening to patients, even after graduation.

The encounter I just described is not the first one I’ve had like it. During my clinical rotations, I have met many patients who have illustrated the same kind of scenario where they have been dismissed by many doctors. Many of them have had all kinds of bad experiences with physicians, and when I show them even the smallest amount of compassion, they express deep gratitude to me.

Sometimes I think it’s really not that hard to be a great doctor in patients’ eyes, when so many patients have such a negative view of doctors to begin with.

So, there is something that I’ve wondered for a long time. When I first started med school, I believed that the world needed more physicians who actually listened to their patients. As a patient myself, I had encountered many doctors who were obviously not listening to a word I was saying. It made me frustrated, and it made me realize that there is a lot of room for improvement. I wanted to be a different kind of doctor–one who truly listened to their patients, and understood that very small gestures of compassion can go a long way. But I feared that the rigors of med school would beat all of those hopes and dreams out of me. I assumed that many young med students entered the field with these types of aspirations, but somewhere along the way they lost them, and that this is why I encountered so many uncaring doctors.

As I’ve mentioned before, I realize that as a medical student, I don’t have the time constraints that physicians have. I don’t have to see 20 patients in an hour. I also don’t have the same level of stress to deal with. I don’t have to worry about malpractice lawsuits, and I don’t have the ultimate responsibility for the patient’s well-being. So, I guess what I’m trying to say is that I think it’s very easy right now to be a good doctor. I have the luxury of time, and none of the stress of being an actual physician. So, I wonder what will happen when I graduate. Will I eventually become the type of doctor that I once loathed as a patient? Or will I still have patients saying to me, “I wish you were my doctor”?

Click Here To View the Original Post on Medscape

It’s Good To Be An Adult

My Easter Lunch

The pic above was my Easter lunch last month. I ate at the hospital, and as you can see, I balanced my “healthy” option with some “not-healthy” options. I love candy. And one of my most favorite things to do is raid the pharmacies after holidays in search of super cheap leftover candy. My hospital gift shop happened to have a huge variety of super cheap candy, so I splurged a little. Actually, I went back for seconds and thirds.

I don’t have a whole heck of a lot to say right now, but I realized I had not posted in a while, so I wanted to give some updates. I have one week left of my gastroenterology rotation, then in June, I will be doing a radiology elective, and then July 1st I take the USMLE Step 2 CK. I opted not to take any time off to study. I have yet to find out whether this was a good decision or bad.

Do you ever have those moments where you think, “wait, I’m an adult, I can do whatever I want”? It might sound strange, but I have those thoughts a lot. I wonder if I will continue to have them, even when I’m an old fart. Anyway, studying for the Step 2 CK has been like that so far. I have studied and done questions, but I definitely have not hit the books incredibly hard. I know I should. But I just haven’t had the motivation. And I’m an adult. I can study as little or as much as I want to. Today, I studied for a portion of the day, then went to the gym, and have taken the rest of the day off. I guess I keep thinking, “I’ve made it this far, so I must know what I’m doing.” I will study hard when I’m darn tooting ready.

It’s good to be an adult.

Learn Engrish

Anyone else see something inherently wrong with this advertisement?

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links for 2009-05-24

Lost Tribes of New York City

This might be the best thing, ever.

The Lost Tribes of New York City from Carolyn London on Vimeo.

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