I got to look at a path slide during a clinical rotation!

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yaah

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Amazing. Usually I don't get to see many path slides during rotations. Commonly, a biopsy will get sent off and the resident or attending will say, "we need to go look at that slide." Then, when the time comes for us to perhaps go and look at the slide, attending or resident decides that it is much more important and vital to 1) dictate another note, 2) Do ANOTHER physical exam which will reveal nothing, 3) Discuss potential medications, 4) Go to another conference on management of hemorrhoids, 5) check vitals.

Thus,normally, if I want to see a path slide, i have to go on my own time, and risk getting into trouble for not being a "team player."

This week, though, I got to see temporal arteritis. The rheumatologist we consulted wanted us to see it. I did not object! There are some clinicians out there who like looking at slides! Hurrah!
 
I, for one, personally am getting a growing distrust and hatred of windows. There are way too many things in computers now that are defaulted to a setting that tries to be helpful. Things are so helpful, in fact, that you have to jump through hoops to turn them off. My list of hated windows options includes the following:

1) That freaking paperclip "helper" icon. I often use computers that are not my own, and this thing is all over the place. Try to open a new blank email message for writing, "how can I help you? What type of message are you trying to write?" Bite me. You can help by getting the hell off my computer screen and letting me write my own message. I hate having to click on you to tell you to go away.

2) You can't type a word with consecutive capitalized letters in it. Thus, everytime I write "UMass" I have to go back after I hit the spacebar and correct it, because the stupid spellcheck is trying to be helpful and changes it to Umass. This also works when you try to type things in (such as things that look like numeric dates) and the program "helpfully" corrects them automatically for you. Also "helpfully" gives you ready made lists and indents the text whenever you start making lists.

3) All the windows control panels. They are so dumbed down that you can't actually make any changes that matter. If you try to, you get warnings like "this may cause irreversible systems failure" and you run away meekly.

4) The tendency of windows and internet explorer to save EVERY FREAKING PIECE OF INFORMATION that it ever downloads. Even if you clear your memory, your computer hard drive is still clogged with a billion little programs and files. And you can't delete them, because every so often one of them is vitally important and your computer won't start without it. Curses. All it does is slow down the computer. Windows is like a packrat grandmother who saves every single thing she ever bought. I better save this receipt for my new toothbrush I got at CVS. Better yet, I will save it with my old toothbrush, just in case I ever need it!

5) Popup blockers that are installed on people's computers. Many important websites have popups as part of their function. But with these idiotic "helpful" things installed, I can't use them, and god help you if you try to disable the popup blocker. Are you sure? Are you sure? Do you really want to do this? Yes! Get off my screen you ingrate! And by the way, a lot of the popup ads have no trouble getting through!!!

6) These awful ads that require you to "download a program" in order for them to function properly. You know the ones, you go to a page and a little blue box pops up asking you if you want to download the appropriate components. Then, if you don't, everytime you come back to the page the same darn box pops up. If you do, they send spyware along with it and you get screwed with even more popups.

7) the fact that vitally important programs always have names like rejklgjkglrehj.exe so you ever know what you are actually seeing on your computer. Don't delete kldfhsgdfkllr.exe, your computer requires it in order to load windows. However, rhfusdfjkhgrjk.exe is a virus that slows down your computer. Find the bad program!

8) The 8 billion default options on every toolbar on internet explorer. I don't need a "Search," a "Media," or a "print" icon. I can find it in the stupid menus. Stop taking up so much hard drive space!

But anyway, to answer your question. I doubt you can turn it off. It's one of the helpful functions Skynet has installed to make things easier for us, pacifying us until the machines take over and we are all destroyed by our computers in the horrible armageddon that the prophet James Cameron hath forseen.

Bring back the macintosh. So much more user friendly.
 
Thankfully, many of the annoying "helpful" features of windows can be turned off. I got rid of the paperclip idiot, the auto-correct (so no more UMass to Umass) and I also turned off the feature in word that underlines what is misspelled in red; i hate seeing all my mistakes shoved in my face. You can also get rid of many of the buttons on IE if you don't want them there.

One thing you might benefit from is a utility suite. I have System Suite 5 and love it. It will clean your registry, get rid of all the uneccesary files on your pc, scan for viruses, provide a firewall, defrag the hard drive and a host of other functions. Some of these things are also done by programs that are part of windows but System Suite's equivalent programs are better in my opinion.

If pop-ups are a problem, use Mozilla or Firefox for your browser. I use Firefox almost exclusively and have had no problems. The built in pop-up blocker can be tailored to allow pop-ups from certain sites. So far, I've had only one unwanted pop-up happen in a couple of years of daily use (Mozilla and Firefox).

Nice Terminator reference by the way 👍
 
Reading about the multitude of failures that is Windows is a really nice way to get my blood pressure elevated in the morning. I really hope karma exists, because then Bill Gates will be tortured endlessly as he toils in purgatory. The other day I spent about three hours trying to get all the worm-associated crap off my system, that Window's swiss-cheese-like "security" system let in. Die.
 
Cookypuss, our pathology lair of the future will be run with macs. I promise you this. On a mac, programs actually have real names, not asdlkjkltre.exe.

Doctor B thanks for the advice. I have done some of that, the problem is that all these computers in the library or hospital are usually on the default, and to windows, default means, "as many options and distractions as possible." This is what bothers me the most. I know I can get rid of lots of the options, but it is the fact that they are there in the first place.

Is there anyone out there who actually LIKES the paperclip icon?
 
I was just really crabby this morning. I mean, crabby in the morning is the baseline status; add malfunctioning computer courtesy of Billy and I'm horrific. Especially pre-caffeine. Hopefully one day I can get a Mac again (God willing, Yaah, that your prediction is correct) and I will throw this stupid PC out the fifth floor window.

As for my sh*tlist, eh. I'm far more mellow than I used to be. Now I mostly just fantasize about my plots for revenge, instead of actually acting out the impulses. Needless to say, there was a lot of petty vandalism back in the day. I'm MUCH better now. 😀

As for the 3.... I had been using the same name on eBay but 1 and 2 had been taken. So, in order to minimize confusing myself, I made all of my various login names 3. K.I.S.S., you know.

OK. Enough talk about my shabby attitude. Ten days from now when all of the gay 3rd year finals are over, I'll be a friggin ray of sunshine.
 
cookypuss3 said:
As for my sh*tlist, eh. I'm far more mellow than I used to be. Now I mostly just fantasize about my plots for revenge, instead of actually acting out the impulses. Needless to say, there was a lot of petty vandalism back in the day. I'm MUCH better now. 😀

I love revenge plots. I usually don't proceed to actually vandalizing anything, but revenge plots are fun. I have had them ever since 8th grade when I started getting really irritated at the idiot who had to play Jimmy Hendrix music EVERY SINGLE FREAKING DAY in our class lounge before class. The loser thought he was so cool just because he listened to jimmy hendrix.

I am wondering what the ****e actually stood for. I am trying to make an obscene word out of that but am having a hard time. Especially because you say you were trying to self-censor yourself anyway. I thought all bad words (except the one disparaging women) were 3-4 letters!

Cookypuss I will be looking forward to you as a ray of sunshine. I kind of like the ornery persona. I was a bit ornery today, but then again I am ornery a lot of the time, I just internalize it and get that ornery-ness working on my future ulcer vs CVA.
 
yaah said:
I am wondering what the ****e actually stood for. I am trying to make an obscene word out of that but am having a hard time. Especially because you say you were trying to self-censor yourself anyway. I thought all bad words (except the one disparaging women) were 3-4 letters!

Cookypuss I will be looking forward to you as a ray of sunshine. I kind of like the ornery persona. I was a bit ornery today, but then again I am ornery a lot of the time, I just internalize it and get that ornery-ness working on my future ulcer vs CVA.

I was guessing that the naughty blanked out obscenity was s*h*i*t*e, as our friends the Brits would say. If I'm wrong -- let me know. I'm always up for learning a new cuss word or dirty phrase.

Today was my last day at my path elective. I'm so bummed. Next is IM. Vomit. (Me, not the patients.) Couple this with the fact that I have to pack all my crap up and move within the next 2 weeks practically guarantees a solid ornery state for the next 6 weeks. And Yaah, I too have graduated to internalizing my unfocused rage, instead of plugging door locks with Crazy Glue or spray painting certain structures with, surprise, a Neitzsche phrase. Working on my ulcer as we speak. Where's my ****in Prilosec?!?!??!
 
cookypuss3 said:
Today was my last day at my path elective. I'm so bummed. Next is IM. Vomit. (Me, not the patients.)

Ha ha, no, the patients will be doing other smelly things. IM months sound so noble. Diagnostic dilemmas, treatment decisions, studying results of lab tests, yeah right. In reality it consists of calling the case manager, calling radiology to try to order a cat scan, calling the echo lab to order an echo (none of the above who actually want to do anything). And then finding out that all of the tests and studies you ordered don't help you with the diagnosis. Screaming for the biopsy so you know what is going on, but instead they keep ordering more radiology and more lab tests until finally they get the biopsy and everything perhaps becomes clearer, or more than likely it does not because all of the treatment and time has made the biopsy exceedingly nonspecific.

And don't forget to dictate! And fill out pages one and two!

And get ready for: "What medicines are you on?" "Oh, a bunch, there's a blue one, and a big white one...."
 
During my acting internship I grabbed medical students in my team and schlepped them to pathology department to look at some colon biopsies. They would never have the initiative to venture into the uknown pathology dungeons and bother the residents
 
Crepitus, my friend, I am the Mistress of Noodling, the art of subversiveness. (In addition, of course, to being the Queen of Pathology.) Have no fear. I will only use my talents for our advantage. Muhahahaha!!!!
 
Crepitus Fremitus said:
See, I thought everyone was self-censoring by putting in the *s manually; and so I thought I'd be clever (last time I try that) by using some ancient language spoken only by a few miscreants on some island (or peninsula) land at the far flung corner of the globe-- like the Scottish. And, I suppose, I can take limited credit for a paltry success. I mean, it did fool yaah.

Yup, shore did fool me! I guess I wasn't thinking outside the box. I thought ****e was 'ere of the emerald isle, not scottish. Perhaps it is doubly appropriate. Regardless, the blocker does not seem to block innuendo, thus we will probably survive.

Nilf I am happy to see you attempted to indoctrinate some students during your internship. (Ha, I actually just typed "inertship" by mistake, that's seems oddly more appropriate!) I am frankly surprised they had the time. Usually I would say I wanted to go look at some slides and be told that there were other priorities, like making sure people had PRN orders for tylenol or something.

2 weeks left. 2 weeks left. Today I got out my frustrations by taking the spray-jet of insect poison and going around looking for the little stingers. They are no match for me and my spray gun.
 
First, nice SNL/Eddie Murphy reference, CF. ("hear dog barkin', do he bite?")

Second, there is nothing about a sub-I in medicine that sounds noble (I too am finishing my surg-path elective this week and will be doing my sub-I next - bleck).

C. As far as bugs go, we're awaiting the cicada (sp? - they only come once every 17 years, so how the H*e*l*L# am I supposed to remember how to spell it) invasion down here in "the jungle." It's projected to be the largest insect emergence in recorded history (was it the third or fourth biblical plague?). I'm going to need a fire hose for bug spray and a snow shovel to get out the driveway. So I have that going for me, which is nice...

4. I do recall that during my medicine clerkship, I was actually ENCOURAGED to go down to pathology (and did so a number of times) to get the results on patients (bronchs, surgicals, blood cx, etc.). I did learn one thing from this - never practice pathology at a VA (never have I heard someone speak so forcefully about how terrible it is to practice in a field and yet, at the same time, say that it's the best field in medicine - a sadly bitter person who recommended any field with procedures for which one could charge).

Well, I'd comment more, but since I have to go for a field with procedures and one in which I can spread my wings and dominate, I'm too busy publishing a billion papers by sucking up, making connections and studying for Step II (because it really REALLY matters). Oh wait, I don't have to do any of that. WHEW.

OK, really, REALLY, I need some sleep.

P
 
I've gone down with different specialty services to look at slides several times. Many of the surgical services seem to have "slide rounds" where they review biopsy results with a pathologist; and in ID, we helped make the diagnosis of sarcoidosis after reviewing the slide with the pathologist. I don't know why, but the pathologist had not even considered sarcoidosis until we brought it up. During my pulmonary consult month, we went down to view several slides and we even got slides from another hospital when the diagnosis that was made at another hospital didn't make any sense. It's similar to viewing your own films, it's nice to be able to trust the pathologist/radiologist's interpretation, but sometimes, you need to tie in a significant proportion of clinical correlation with the histological results to make the diagnosis.
 
I admitted a young lady on the weekend with gross hematuria x 3 weeks.

On the consult service today, we're done with the new ones by noon, and what does the staff nephrologist say?

"Hey, remember Mrs. L with the RPGN from the weekend? Let's go look at her biopsy."

😱 😀 Oh yes, lets! Renal pathologist not there? Don't worry, I'll set things up and give you guys a page!

Of course, since it is my research supervisor on duty after all, I get some good-natured torture on how one rules against immune complex crescentic GN on a plastic PAS with some relatively normal gloms.
 
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