DMU................Self-proclaimed Super Geniuses

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babyruth said:
We love you ray and hope you and yours are okay. By the way, I always hold your Y chromosome against you, but just your Y chromosome in particular. In fact I wish my X chromosome would kick your Y chromosomes butt, but due to the restraining order, I don't think that is a good idea.
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cornpoo
 
cremaster2007 said:
Bernard I meant to ask you if that was a state habit, to shoot at people trying to help you............IT SEEMS SORTA FRENCH TO ME

But I am glad you are safe, I love you, and two days until the end of all things..........
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It kind of seems more serbian to me....but that's just my serbian chromosome. Nerds.

O'doyle rules.
 
Good luck on rotations everybody. Make sure you watch CNN tomorrow night as I might make the news for very wrong reason. God I love pop. GO BEARS!

dmak
 
DMAKSIMOVIC said:
Good luck on rotations everybody. Make sure you watch CNN tomorrow night as I might make the news for very wrong reason. God I love pop. GO BEARS!

dmak
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I've learned so much already. I've only been given 5 things to read by tomorrow (surgical knots text, surgical procedures text, ob/gyn reference, and 2 articles on hpv and cervical cancer).

I saw 29 patients in clinic, 3 additional pre-op patients, and one trip to the OR to assist stress incontinence surgery repair.

I'm also signed up for Golf (Gentlemen only Ladies forbidden) lessons on Thursday or Friday.

What a big day.

I love my roommate!
 
Portier said:
I've learned so much already. I've only been given 5 things to read by tomorrow (surgical knots text, surgical procedures text, ob/gyn reference, and 2 articles on hpv and cervical cancer).

I saw 29 patients in clinic, 3 additional pre-op patients, and one trip to the OR to assist stress incontinence surgery repair.

I'm also signed up for Golf (Gentlemen only Ladies forbidden) lessons on Thursday or Friday.

What a big day.

I love my roommate!
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you can love your roommate... just don't "LOOOOOVE" your roommate
 
Portier said:
I've learned so much already. I've only been given 5 things to read by tomorrow (surgical knots text, surgical procedures text, ob/gyn reference, and 2 articles on hpv and cervical cancer).

I saw 29 patients in clinic, 3 additional pre-op patients, and one trip to the OR to assist stress incontinence surgery repair.

I'm also signed up for Golf (Gentlemen only Ladies forbidden) lessons on Thursday or Friday.

What a big day.

I love my roommate!
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i started at 8, had a 2 hr lunch, and was done at 3:30. i think i could get used to this... 🙂
 
AwesomeO-DO said:
you can love your roommate... just don't "LOOOOOVE" your roommate
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Too late you're talking about Frenchie...

On a side note They gave me a pager today...now I'm really scared. You know what a pager means? Responsibility!!!! I dont want no stinking resposabillity.
 
My roommate rocks as well...question is, who rocks more, Portier's roommate, or my roommate? 😕

After today, I am positive that I am headed for a field where my patients are either dead or asleep. :laugh:
 
Life is Soooooo good now! I already forgot the last two years of suffering. Tomorrow night i get to do a football game in sioux falls where we just sit and watch.

here are some funny quotes for you guys from rounds this morning:

1) you are not a man until your PSA is greater than 2

2) If it looks like a black bird, call it a crow

3) If you pay in peanuts, you will get monkeys (talking about nursing home care)


Did i tell you guys about the $500 stipen they hand out for recruitment...that is for each month. looks like my car payment will not be a problem.
 
Another day down and another 33 patietns...plus OR time.

I guess I'm getting what I asked for!

Lucky, one word: Trains...damned clanging, whistling, driving all night trains. Bring ear plugs when you get here.

Now I've got to go pitch a deuce, and fill out all 700 logs.
 
trains make me horny. watch your back and lock your door.
 
I spent my entire first day getting orientated, and then when we got done it was time for 7 straight hours of student lecture. Then today they basically sent me on my way and I saw 2 inpatients in peds, can I tell you what its like getting a history on a 9 year old with bipolar disorder, severe separation anxiety, depression, night-terros, and sleepwalking. Well yes I could cause I had to basically admit him all freaking afternoon, and just when I thought I was done..........it was time to go back in a do a rectal on a 9 year old. My first patient was a repeat asthmatic who basically lives in the picu, and I did my damnest not to kill him, which has worked out well so far. I do like the rotation here, and after you get used to it its pretty good, except for that I am on the schedule 14 straight days. I get one off every 7 as I"m told, and I work from 7 until 5ish. At least you don't take call over night (done by 8), and oh yeah I have a pager too. Anybody else get asked questions a lot where they just look at the person and think WTF??
 
Yeah, I could get used to ER. Two days a week doing 24 hour shifts...doesn't get any better than this! I went out with the ambulance to assist with a code, good ole ACLS at my figertips! The guy didn't make it, not a great first code but it happens. I also got to put in a chest tube. Yeah, you heard right...a chest tube! THe surgeon asked if I had ever done one and I said no but I watched one being put into a cadavar. He said, ok, then I'll talk you through it. Nothing like a surgeon saying that to you on your first DAY to make you pee your pants! 😱 But I did it and it was cool! 😎 If anyone wants a cool rotation with a TON of independance do a rotation with Dr Frost at Mahaska Health ER in Oskaloosa!
 
Oh the new life where we have pagers and must dress up every day. let me tell you guys, the life in a hospital is a joke compared to life in road construction. the only thing that pisses me off is dealing with the delays that occur in a hospital. for instance, it takes about 100 forms to discharge a patient, and that doesn't even account for the time it takes to find the residency tending or whatever he calls himself.

so here is another quote i heard while doing team. "I love talking about patients and doing the academic stuff where we discuss their problem and go over assessment and plan; however, dealing with them is a whole new game."

If you guys get a chance, TEAM is really fun. I walk around with a 1st, 2nd, and 3rd year resident as well as a pharmacist and the main attending. we all discuss treatment options and the pimping is minimal. however, today i was asked a seizure question b/c the attending forgot himself. I get all smilely when the pharmacist who teaches at the pharmacy school does not know certain drug side effects (but i'm sure he asks questions about them).

so far the hot debate has been over the hawks and huskers. the attending is a huge nebraska fan: you can imagine where the problem begins.
 
cremaster2007 said:
Anybody else get asked questions a lot where they just look at the person and think WTF??
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Oh yeah that sums up today as a whole...

and another thing I found out today, they gave us way too much time in SPALS lab.
 
but i get to walk in and out unlimited times! 😀
 
Lucky - It's great to have you back! I hope you are taking care of Frenchie and the hairy beast in your venture to be the smartest doctor in the world. you have my vote (unless you remain a democrat).

for a treat i get to go and watch a high school football game tonight as part of my rotation. seems all the pregnant residents don't like the heat, but i think it's the 100+ dudes full of testosterone which scares them.
 
Docgeorge said:
Oh yeah that sums up today as a whole...

and another thing I found out today, they gave us way too much time in SPALS lab.
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Oh YEAH!

Even with pelvic exams, 10 minutes all told. (My doc don't spend much time trying to convince people to do what they've already decided not to do.)

He got pissed today when he had to change his note template to say "all other systems negative" from "all other systems unremarkable."

Call tonight...2 Hysterectomies, and 1 birth later I'm still hungry!
 
More great quotes:

1. let's look like a fetus and head out

2. from iowa football coach regarding people at iowa wanting bob stoops over him 6 years ago: "You have to understand that none of us were the first choice to the prom," said Ferentz. "None of us were the first invites and that's coaches and players."
 
Thanks Astro...I actually don't get the pleasure of sharing a roof with Portier until next month.

Gotta love the non-stop free food though...those pharm reps know how to please!
 
Well, I'm glad you guys are actually seeing patients. The OH Core had a full week of orientation in the hospital so I don't actually get to see anyone until Monday, hopefully... It's cool though, because they give you a heads up on all of the stuff you will encounter and there are lots of didactics, so they don't leave you blowing in the wind. Plus we start with an easy FP clinic clerkship, so I'm sure it will be a nice 7-5 or 6 kind of schedule. Only problem is I gotta drive 30 minutes to get there... not too bad I guess. We got pagers as well, but I probably won't be on call until my IM rotation in October. Good luck you guys!
 
yet ANOTHER great story for the weekend. my brother is was on call and did a case presentation at our noon conference over this today. a lady calls in totally distressed b/c she is having "SPONTANEOUS ORGASMS" d/t drugs unknown to her at the time: she was on a list of meds. turns out her psychotropic drug caused this. i don't see why she was complaining, but i guess it could be a mess.

here is a doctor's quote: "sex is great but i guess you have to go and get groceries sometime!"

The docs here are non-stop comedy.

Here are some cool things to know and act smart about:

1) cats cannot cause allergies until they are greater than 1 year old b/c that is the time they produce dander.

2) we are in the peak of rag weed season right now, and that might explain why you are seeing pediatric asthma patients.

Lastly, my first true pt was classic obstructive sleep apnea today: the lady fell asleep while talking to me.
 
I saw a kid with CHARGE syndrome today..........yeah I had to look it up too:

Coloboma
Heart defect
choanal atresia
growth ******ation, mental ******ation, cns dysfunction
hypogonadism, gonadal anomalies
ear anomalies, deafness, or both

he was in for pneumonia I believe.........he wasn't really my patient I just stopped in too look.

On the up side, I may only see 2 patients a day, but they are all mine. I write everything on them and have to figure out the plan. I also have to call attendings to staff admits, which is scary when you have to call them at 10 pm when they are home. We also get a lot of didactics at Blank, I really recommend it. We don't round on the floor, but we do meet at around 9 and discuss for about 2 hours the list and look at films and labs and get asked questions. It is very non-confrontational and laid back though.

We also have a 3 month old who has a collecting system that has expanded enough to put a fist in it. You should see the CT.


Quotes from my residents:

1) Plan observe her fluids and continue to watch her female issues ( he miss read the pysch sign in her chart)
2) Patient is a 3 month old presenting with fever, cough, rhinitis, and a hot mom
3) My question: What do we do if Golytely doesn't work?? Resident answer: It will work, we call it COLON BLOW

4) I couldn't THINK OF ANY OTHER REASON BETTER FOR HAVING A SATURDAY OFF THAN HAVING IOWA/ISU TICKETS: GO HAWKS

Alright guys I gotta read and answer questions lets let out a big GO HAWKS for tomorrow.
 
babyruth said:
Well, I'm glad you guys are actually seeing patients. The OH Core had a full week of orientation in the hospital so I don't actually get to see anyone until Monday, hopefully... It's cool though, because they give you a heads up on all of the stuff you will encounter and there are lots of didactics, so they don't leave you blowing in the wind. Plus we start with an easy FP clinic clerkship, so I'm sure it will be a nice 7-5 or 6 kind of schedule. Only problem is I gotta drive 30 minutes to get there... not too bad I guess. We got pagers as well, but I probably won't be on call until my IM rotation in October. Good luck you guys!
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I started after one day of orientation, I showed up at his office and he handed me a chart and was like go in see this pt and tell me what you think.

I've only needed one day to decide that FP is definately not for me. More power to the people who like this stuff...

Heres a funny conversation from today...

Me:The guy in 2 is worried about his prostate, and I have'nt done a rectal yet.
Doc: Hmmm...you got some fat fingers
Me:Thats his problem not mine.
 
my doc is golfing Friday, Saturday, and Sunday, so I get stuck checking up on his patients in the hospital all weekend... thanks dude!
 
After "sinking" my handheld today I'm at 97.....If you count babies delivered as seperate patients, then that would make 100.

What quals do you have to have to work in CA? No customer service skills or spelling ability?

Anyway, we should have contests to see who can do the most logs. Or maybe the least, since I would lose.

I delivered 2 babies at midnight on Friday.....boys (my specialty), one bloody, one cheesey.

I also got to go fishing at Clear Lake...caught 4 yellow fins.

Rotations kick ass. I wish we coulda' gone straight to this.
 
I agree rotations are much better than I could have dreamed, but I do hate the first like 2 days since you have no idea how to do the paperwork, or what they want you to do..............My face is sunburned to a crisp from being outside all day yesterday.........Damn hawks.............
 
cremaster2007 said:
I agree rotations are much better than I could have dreamed, but I do hate the first like 2 days since you have no idea how to do the paperwork, or what they want you to do..............My face is sunburned to a crisp from being outside all day yesterday.........Damn hawks.............
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I read in the paper (and heard at church...what the HELL!) that UI lost, and your little quarter back guy got his head crunched.

That's too bad.
 
Portier said:
I read in the paper (and heard at church...what the HELL!) that UI lost, and your little quarter back guy got his head crunched.

That's too bad.
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smirk Church smirk
 
Portier said:
I read in the paper (and heard at church...what the HELL!) that UI lost, and your little quarter back guy got his head crunched.

That's too bad.
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Is church part of your rotation.................gay people are a clean people bernard, they don't vomit, they have been that way since they came here from France :laugh:
 
Had a case of bacterial meningitis yesterday. Pretty interesting case. I got to assist with the LP. Pt's CSF white count was through the roof but nothing showed in the GS. There's nothing like a case like this to make your neck start hurting! 😱
 
BoneCruncherDO said:
Had a case of bacterial meningitis yesterday. Pretty interesting case. I got to assist with the LP. Pt's CSF white count was through the roof but nothing showed in the GS. There's nothing like a case like this to make your neck start hurting! 😱
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False Negatives are not that uncommon. Only 90% or so show gram stain. You are probably looking at Listeria if I had to take a wild stab (ony 30% positive rate) although I don't know your population. Were they all neutrophils?

Could be fungal too I suppose...
 
the VA is awesome, you're given 2-4 pts to admit, H&P, write orders for, and follow till discharge. the residents are very new themselves, so they actually ask for your input. It's scary when you both have that look of "uh, what the hell is that?!".
Seen a lot of chronic Liver Dx, EtOH withdrawal, and dementia.
QUESTION:are we suppose to enter in our logs pts that we only see when we do rounds w/ our attending? seems like a pain in the ass to fill out for each pt that is barely seen.
 
I would just do logs of pt you follow. there is no set number we are required to fill out, just do the ones you have. I hear you on the pains of filling out logs for pts you don't follow personally. I asked Dr. B about this in an email, and he said we do this just to have records.
 
PainlessChancre said:
the VA is awesome, you're given 2-4 pts to admit, H&P, write orders for, and follow till discharge. the residents are very new themselves, so they actually ask for your input. It's scary when you both have that look of "uh, what the hell is that?!".
Seen a lot of chronic Liver Dx, EtOH withdrawal, and dementia.
QUESTION:are we suppose to enter in our logs pts that we only see when we do rounds w/ our attending? seems like a pain in the ass to fill out for each pt that is barely seen.
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I do logs on everyone, but I'm crazy.

I also put liverwurst in my socks and look at pictures of Joann Whirley.
 
PainlessChancre said:
the VA is awesome, you're given 2-4 pts to admit, H&P, write orders for, and follow till discharge. the residents are very new themselves, so they actually ask for your input. It's scary when you both have that look of "uh, what the hell is that?!".
Seen a lot of chronic Liver Dx, EtOH withdrawal, and dementia.
QUESTION:are we suppose to enter in our logs pts that we only see when we do rounds w/ our attending? seems like a pain in the ass to fill out for each pt that is barely seen.
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Did anyone notice that they JUST put OMM as a clinical option for our logs?? Are we DOs or what?
 
Great quote regarding a drug seeker:

"he will be fine to leave as soon as his NEGATIVE CT comes back." He had the "worst headache ever and low back pain," so we LP'd his ars.



The last two nights we were wined and dined by a drug company and another that makes infant formulas. we had to hear a lecture, but other than that free beer, wine, and fillet mignon with garlic mashed potatoes could be a dream come true.

Ironically, the professor speaking insisted that infant formula from walmart is equally effective as the brand he works for according to his research.
 
Between surgery, orthopedics, and psych rotations, which one would you pick to take the USMLE during?
 
AwesomeO-DO said:
Between surgery, orthopedics, and psych rotations, which one would you pick to take the USMLE during?
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At Trinity? Definately Psych. I was told that you don't have long hours and don't work weekends.
 
BoneCruncherDO said:
At Trinity? Definately Psych. I was told that you don't have long hours and don't work weekends.
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i'd say psych too... i'm doing psych this month, and it's cake.
 
definetly surgery..........don't be a ***** awesomeo............

saddest day: I saw one child with shaken baby syndrome today, and another whose car seat handle broke and the child fell out onto her head leading to a broken frontal bone and either a cortical contusion/bleed or subdural hematoma.


I also saw an LP yesterday on a 15 day old.

I don't think I have any knew quotes as of now.............................. 😴
 
This is my first ever post from the bathroom.

The wireless definitely extends to the toilet.

Had a CME tonight at "Prime and Wine" on Acute Coronary Events.

There was Karaoke going on in the bar as we left....if you haven't been to the Prime and Wine on a Thursday night in Mason City, you haven't lived.

👎
 
One of the attendings hammered on a resident presenting some informating regarding the proposed pathological mechanisms behind stroke and TIA'S, and it made my day. "why do you spend 15 minutes talking about a mechanism which is not proven and NOT important to us clinically. I want to see clinical trials and hear what works so i know how to treat my patients. all the path is great to make sense of stuff, but it helps physicians none regarding treatment and care for patients."

that was a long quote, but it is so true. who cares what G-protein is affected or what drug class SHOULD work when the trials are showing placebo groups beat some popular drugs.

In sioux falls, it's all about EBM believe it or not...but this stuff is a bit more fun than EBM at DMU.
 
Astroglide User said:
One of the attendings hammered on a resident presenting some informating regarding the proposed pathological mechanisms behind stroke and TIA'S, and it made my day. "why do you spend 15 minutes talking about a mechanism which is not proven and NOT important to us clinically. I want to see clinical trials and hear what works so i know how to treat my patients. all the path is great to make sense of stuff, but it helps physicians none regarding treatment and care for patients."

that was a long quote, but it is so true. who cares what G-protein is affected or what drug class SHOULD work when the trials are showing placebo groups beat some popular drugs.

In sioux falls, it's all about EBM believe it or not...but this stuff is a bit more fun than EBM at DMU.
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Maybe they should start by making medical school not so detail orientated. It's not like we need all the extra to be "clinicians" anyway. They can't blame the resident! He's still transitioning from medical school mode.
 
FutureDocDO said:
Maybe they should start by making medical school not so detail orientated. It's not like we need all the extra to be "clinicians" anyway. They can't blame the resident! He's still transitioning from medical school mode.
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At the CME on Cardiology I was thinking about all the detail, and how I didn't care.

Sorta' like boards. How many questions did we have on Interleukins? And WHEN THE FiretrUCK are we going to need that in a clinic or an OR, or ANYWHERE besides the test?

Okie Dokie, back to workie
 
I went to an Emergency Medicine Conference at the U of Iowa today. The lectures were great...Sepsis management...burn management...difficult airways...drugs of abuse...and US in the ED.

Best quote of the conference...from the 'drugs of abuse' lecturer who happens to be the director of EM at Regions hospital in Minneapolis. So a hot shot surgeon trying to show him up asks the Dr, "what would you do if you had an MVA patient that came into your ER with flail chest, a head bleed, blood in the abd, and two femur fractures?" His reply was, "I'd set him on fire and send him to the burn unit!" Not funny if you don't understand the odd humor of EM docs but it was just after the burn lecture and it was pretty funny at the time!
 
so I had call last night which meant I was there from 0700-2200, and I had to do one day on the weekend so I decided to just do this day to get it over with which is another day of at least 0700-1700 and now I'm thinking that I didn't really think that through cause I am damn tired. I now know what residents feel like when they get one or two days off out of 14, but at least I am enjoying it there.



Resident: "Mom says that the baby has loose green stools"
Attending: "So do I, who really cares"

It made me laugh cause the attending taught a few lectures at dmu :laugh:
 
cremaster2007 said:
so I had call last night which meant I was there from 0700-2200, and I had to do one day on the weekend so I decided to just do this day to get it over with which is another day of at least 0700-1700 and now I'm thinking that I didn't really think that through cause I am damn tired. I now know what residents feel like when they get one or two days off out of 14, but at least I am enjoying it there.



Resident: "Mom says that the baby has loose green stools"
Attending: "So do I, who really cares"

It made me laugh cause the attending taught a few lectures at dmu :laugh:
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Look at cliff with his fancy military time...btw in michigan we have to be there at five. Still beats the hell out of sitting in class though! I think the first two years of med school are just to make you able to go through rotations with a **** eating grin on your face. "Would I like to do a prostate exam, why yes I would doctor, as long as I dont have to take a Go##amn test on it doctor!" And man do I LOVE weekends now! Surgery is a fun first rotation, its good to do it while you still give a $hit. Hows everybody doing? I know portier is having a ball lookin at cooters all day. Anyone wanna guess what field he goes into? Ive spent a few nights in the ER doing night call with the surgery residents and this has to be my favorite quote from a doc to a patient "SIR, SHUT THE HELL UP, THERE ARE ACTUAL SICK PEOPLE OUT HERE, STOP YELLING YOURE SCARING THE KIDS!" Mind you this guy was wasted and had been yelling for about half an hour. I don't know how im going to pick a residency, it seems like every service has a lot of great upsides and some pretty huge downsides. Ah well, take it easy homies.
 
Dartos, your cooter is the only one that makes me feel funny...like when I used to climb the rope in gym class. (Not La jefa's, yours)

That's a good question you brought up about residencies. I've been thinking ER or FP. However lately I've been leaning more towards ER because most docs (even FP's) are telling me it's a better quality of life and all that.

However, Dr Tan (and now your post) shows me that as an ER doc, you're going to be limited to non-trauma cases. When someone comes in with bit sticking out that should be sticking in, the surgeons are going to take over.

So an ER doc only gets the broke bones (closed fx), runny noses, late night STD's, and such. The realy god stuff (gunshots, stab wounds, head trauma) get handed off to the cutters.

Now I have to reconsider becoming a cutter. Damn. I don't really like surgeons...they yell too much.
 
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