Update
Oh, blogging... I have wanted to blog for a while, (and believe me, gotten threats on my life to blog) but really haven't had a chance. Surgery and OB took a ton of time out of my life. Of course, I could have blogged last month on my elective, but I was a turd or was reading Ortho stuff to occupy my time. Developments recently: I do not want to do OB as a career, but we all knew that. GYN Onc is very interesting and they are huge operations. Doing an ex lap for Dx and staging of Ca... pretty big wack. (wack is the term for a big operation). Doing a Transabdominal hysterectomy, bilateral salpingectomy, omentectomy, cytoreduction, and pelvic and periaortic lymph node dissection for ovarian ca... really f-ing cool operation, awesome anatomy in the pelvic bowl, and fun to do. A little FYI: that operation written in medical-ese looks like this: TAH-BSO, Omx, cyto, c P&PA LND. Hell of a time saver. Anyhoo... enough about that.
You'll have to excuse my digressions, I have a lot on my mind right now. That and I had 30 oz of coffee and only one bagel to balance it out.
Other things... I keep having information rammed down my throat about the rural and underserved population and how it is essential to take care of them. Yes, people getting health care is important, but there is something to realize. This is not socialism. The vast vast majority of Americans don't want socialism. Also, this population does not want to see physicians. I had a patient tell me she didn't want a mammogram even though she had breast cancer in her family. She said, "well you have to die from something." Agreed, but breast cancer is a nasty thing and a mammo is the best thing we have to screen for it. Ladies: please do yourself a favor and get a yearly pap and mammo. I know it's uncomfortable, but look at the alternative: cancer, surgery, chemo, radiation, death. And besides, who doesn't want to look through their legs and see my smiling face? Sorry that was uncalled for. I'll blame the coffee and... South Park
Oh, I ran a marathon a couple weeks ago. It went as expected. It hurt like a son-of-a-whore. I thought I was going to die at mile 18. Why would they design a course to be flat for the first 13 and then hilly for the second 13? That's just shitty. I'm planning my next marathon. Probably another fall one, but maybe I'll ramp up my training and do one this spring? We'll see.
Next step is to do a tri this summer. Hopefully a sprint, but maybe an Olympic distance. Again, we'll see.
Family Practice is a joke. There are no definitive diagnoses, just a treat and see mentality. Shoulder pain? Probably a rotator cuff or muscle weakness. Take some Anaprox 550 mg BID and let me know in 3 weeks. There are no CTs, hardly any X-rays, and god forbid an MRI. It's just pushing pills and waiting. It blows. Needless to say, it's not my style.
Other things: oh god there are so many. The cynicism has been building gradually for a while now. I'm on the world's longest dry spell. I don't even want to talk about it. I'm working to remedy the situation.
Look for a post about the preceptor that I have. I swear to all that is good and holy that he has Parkinson's. This guy has a resting tremor, an intention tremor, a nervous laugh, a small town mentality, and an odd personality. He screams family practice. Stereotypical. I can't make this stuff up. He lectured me on criticizing other physicians. I'm assuming he has been burned before by other docs because he doesn't really treat any diseases, other than strep throat and diabetes... he treats the symptoms. I'll say more later.
I'm off to more studying of Allergies and Asthma. Ugh. Boring.
You'll have to excuse my digressions, I have a lot on my mind right now. That and I had 30 oz of coffee and only one bagel to balance it out.
Other things... I keep having information rammed down my throat about the rural and underserved population and how it is essential to take care of them. Yes, people getting health care is important, but there is something to realize. This is not socialism. The vast vast majority of Americans don't want socialism. Also, this population does not want to see physicians. I had a patient tell me she didn't want a mammogram even though she had breast cancer in her family. She said, "well you have to die from something." Agreed, but breast cancer is a nasty thing and a mammo is the best thing we have to screen for it. Ladies: please do yourself a favor and get a yearly pap and mammo. I know it's uncomfortable, but look at the alternative: cancer, surgery, chemo, radiation, death. And besides, who doesn't want to look through their legs and see my smiling face? Sorry that was uncalled for. I'll blame the coffee and... South Park
Oh, I ran a marathon a couple weeks ago. It went as expected. It hurt like a son-of-a-whore. I thought I was going to die at mile 18. Why would they design a course to be flat for the first 13 and then hilly for the second 13? That's just shitty. I'm planning my next marathon. Probably another fall one, but maybe I'll ramp up my training and do one this spring? We'll see.
Next step is to do a tri this summer. Hopefully a sprint, but maybe an Olympic distance. Again, we'll see.
Family Practice is a joke. There are no definitive diagnoses, just a treat and see mentality. Shoulder pain? Probably a rotator cuff or muscle weakness. Take some Anaprox 550 mg BID and let me know in 3 weeks. There are no CTs, hardly any X-rays, and god forbid an MRI. It's just pushing pills and waiting. It blows. Needless to say, it's not my style.
Other things: oh god there are so many. The cynicism has been building gradually for a while now. I'm on the world's longest dry spell. I don't even want to talk about it. I'm working to remedy the situation.
Look for a post about the preceptor that I have. I swear to all that is good and holy that he has Parkinson's. This guy has a resting tremor, an intention tremor, a nervous laugh, a small town mentality, and an odd personality. He screams family practice. Stereotypical. I can't make this stuff up. He lectured me on criticizing other physicians. I'm assuming he has been burned before by other docs because he doesn't really treat any diseases, other than strep throat and diabetes... he treats the symptoms. I'll say more later.
I'm off to more studying of Allergies and Asthma. Ugh. Boring.
posted by runrMD08 at 9:45 AM
2 Comments:
this post is pure RJM: wrought with tangential thoughts, brief mentions of extreme exercise and erudite medicalese.
keep on keepin' on...you'll figure this all out in time.
-DLMWS
This post is gauche and wildly inappropriate. and I love it. I would like to say that I would not like to look between my legs and see your smiling face...in fact the very thought of it makes me start laughing. largely due to the mocking demonstrations of pelvic exams that you do on a regular basis.
You should blog after eating 30 oz of coffee and one bagel all the time. I like you better this way.
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