Thursday, October 30, 2008

One Hundred and Eighty-four, Diapers

I started Newborn Nursery on Tuesday.  I changed my first diaper then.  It was goopy.  But I did a good job!

Wednesday, October 29, 2008

One Hundred and Eighty-three, Two Days

I joked with my friends before starting the Pediatric rotation on how long I'd go before I came down with something.  The results are in!  I went a paltry two days before getting feverish, having extreme cold chills, a headache, and some muscle aches.  In my defense, I do believe this is related not to the kids I saw yesterday as much as to the flu vaccine I received yesterday at noon.

Tuesday, October 21, 2008

One Hundred and Eighty-two, Dungeons and Dragons Character

I Am A: Neutral Good Human Wizard (3rd Level)

Ability Scores:
Strength-10
Dexterity-11
Constitution-14
Intelligence-13
Wisdom-14
Charisma-12

Alignment:
Neutral Good A neutral good character does the best that a good person can do. He is devoted to helping others. He works with kings and magistrates but does not feel beholden to them. Neutral good is the best alignment you can be because it means doing what is good without bias for or against order. However, neutral good can be a dangerous alignment because it advances mediocrity by limiting the actions of the truly capable.

Race:
Humans are the most adaptable of the common races. Short generations and a penchant for migration and conquest have made them physically diverse as well. Humans are often unorthodox in their dress, sporting unusual hairstyles, fanciful clothes, tattoos, and the like.

Class:
Wizards are arcane spellcasters who depend on intensive study to create their magic. To wizards, magic is not a talent but a difficult, rewarding art. When they are prepared for battle, wizards can use their spells to devastating effect. When caught by surprise, they are vulnerable. The wizard's strength is her spells, everything else is secondary. She learns new spells as she experiments and grows in experience, and she can also learn them from other wizards. In addition, over time a wizard learns to manipulate her spells so they go farther, work better, or are improved in some other way. A wizard can call a familiar- a small, magical, animal companion that serves her. With a high Intelligence, wizards are capable of casting very high levels of spells.


Find out What Kind of Dungeons and Dragons Character Would You Be?, courtesy of Easydamus

One Hundred and Eighty-one, Everyday Doctoring Stuff

Last week Wednesday I received an email from the Beatnik.  He'd recently done 129 questions to see what Dungeons and Dragons character build he would be and was curious what our friend circle would get.  This was in the morning.  I set aside this task since I was heading into the hospital and decided to confront this monster of a quiz later on that day.
Wednesday continued and I learned that I would be participating in a big surgery starting at 2 PM called a "free fibula flap" surgery.  If you Google it, the second hit that comes up does a good succint job of describing it.  I describe it below in brief.  Anyway, we didn't finish the surgery and I didn't get back to the apartment until 1:00 AM Thursday morning from the hospital.  I had a pounding headache from lack of food and liquids but I had just seen an amazing surgery.  I saw a slew of emails from all of my friends who had replied their character builds throughout the day as they completed the 129 question quiz.  The last one was from the Beatnik again, addressing all of us.  Here it is, and pardon any language that might be offensive to you.

The Beatnik's question to the world:
"Well our party is pretty varied.  We have Drock as the all powerful wizard.  I'm the tree hugging hippy druid.  Crazy Blonde is the know it all Wizard.  Woodwind is the touchy feely Cleric and Lord Chaos is our soul devouring Fighter/sorcerer.  The Engineer is our totally not gay Bard.  And I know you are all wondering the same question I am,

 

WHAT THE FUCK IS DAVE!?!? TAKE THE GOD DAMN TEST!

 

Our group make up would put Lord Chaos in the front.  Me and Woodwind in the middle with the Engineer close behind (Dancing or doing whatever the fuck bards do), Crazy Blonde and Drock as our artillery in the rear (tee hee).  And I know you are all curious about one thing,

 

WHERE THE FUCK IS DAVE?

 

I know me too.  Kinda fun, maybe we should all cosplay sometime (shudder) 

love,

The Beatnik 

p.s.  TAKING THE FUCKING TEST DAVE! "

Reading this at 1:00 AM, I quickly sent out a reply to everyone:
"I just saw a guy’s left jaw taken out, then a bone from his leg taken and put in with a metal bracket to work as a jaw, then his pec from his left chest pasted over the bone, and then multiple skin grafts.  This morning I briefly read your email at 6:00 AM before running off to the hospital.  There I have been until 1 AM right now.  I don’t think I need a test to tell everyone that I’m some type of good cleric

I’ll take it one day. 
-Dave"

I felt that while this might be harsh, it helped explain why I hadn't replied and that I'd get to it when I had a chance.  Little did I realize but in the couple of hours of sleep I got, the Beatnik had responded:
"Lol, now was that so hard?  I kind of realized your crazy schedule after a little while.  You're doing something right now that I could never do.  I know that you're in a world of doctors and people who do this shit all the time.  But, those of us who don't have MD in front of our names are pretty impressed by what you're doing right now.  Just thought you should know. 

Keep up the good work Cleric Dave,

The Beatnik"

This was 6 AM Thursday morning after a 4 hour nap.  I paused.  

and continued to pause.

I have become so inundated with cholecystectomies (gallbladder removals) and hernia repairs (fixing weak areas of bellies and groins) and other surgical terms that I was missing out on the simple fact that the majority of humanity never sees the things surgeons and the OR staff do.  Yeah, during the surgery I wondered who the hell thought up taking someone's bone from a leg to rebuild a jaw, but the actual procedure never amazed me because it made sense.  To laypeople though, it's practically magic.  The patient sees the difference between what they used to look and feel like compared to how everything is after a surgery and it's amazing.  

That's what my two months on Surgery have boiled down to: Amazing.

Friday, October 17, 2008

One Hundred and Eighty, Surgery? Check!

I passed my Surgery clerkship.

Today at my oral exams, an interesting interaction occurred.  I was examined by two surgeons both of whom I've had some form of interaction with during my rotation.  At the start of the exam, one of them asked me in what field of medicine I was interested.  I'm not prone to lying for the sake of cozying up to someone so I stated the fact that I was undecided but was building an idea of what was important to me.  One of those realizations was that I did not feel I would be up to the lifestyle of a surgeon.  Hence I was thinking I'd end up in family medicine or pediatrics.  Then the examination continued.  I did fine in the exam and as I was shaking their hands in preparation to leave, the fellow who had asked me what I was interested in told me not to go into family medicine or pediatrics.  "It would be a waste."

Thursday, October 9, 2008

One Hundred and Seventy-nine, Mail Goggles

Read all about it.  It's Genius!

In other news, shelf exam tomorrow in Surgery.