MCW Class of 2010, Part 3

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Andy15430 said:
True quote of a question a girl asked our professor during class today: "Is it true that the anal wink reflex is diminished in receptive gay men?"

I guess I don't see how enjoying getting rammed up the butt would diminish one's reflexes any. I suppose the reflex could be suppressed (think: gag reflex + pornstars), but it should still be present in any gay man you would be testing it on, I would think. I mean, just because I like getting poked in the eye doesn't mean my blink reflex would be diminished, so why would it be any different for the anus.

Here's an interesting little history tidbit about the anocutaneous reflex for anyone curious:
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Yikes. Well, in that case, a stripper winked at me once.
 
Xandie said:
Just so you guys know, third years do actually get 11 days off over the holiday. In a row!! I'm so very, very excited...
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That will be nice. I've been trying to tell wifey that she'll be lucky to see me 11 hours in a row next year. I always aim at setting low expectations...that way you can be 85% sure you will exceed them. 😉
 
Andy15430 said:
How often were you taking NSAIDS? I wonder how much damage you can do with a few days of probably overdoing it with them? I'd be interested in hearing the purported mechanism, too. Who told you to do it?
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I was in GI during my medicine rotation. Apparently, they aren't as benign as previously thought. With capsule endoscopy, they are actually finding small, asymptomatic ulcerations in the GI mucosa of the jejunum after as little as a single dose of naproxin.

I would also speculate on the anal wink issue.... remember that the internal anal sphincter is smooth muscle. In the OR, we actually use a series of dilators (use your imagination) for anal surgery (fun, right?). After using these dilators, the wink is gone, and you have more area to work in.

Anyway.....
 
donnyfire said:
I was in GI during my medicine rotation. Apparently, they aren't as benign as previously thought. With capsule endoscopy, they are actually finding small, asymptomatic ulcerations in the GI mucosa of the jejunum after as little as a single dose of naproxin.

I would also speculate on the anal wink issue.... remember that the internal anal sphincter is smooth muscle. In the OR, we actually use a series of dilators (use your imagination) for anal surgery (fun, right?). After using these dilators, the wink is gone, and you have more area to work in.

Anyway.....
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where can I get my hands on some of these dilators? Andy asked me to ask you. honest.
 
Andy15430 said:
How often were you taking NSAIDS? I wonder how much damage you can do with a few days of probably overdoing it with them? I'd be interested in hearing the purported mechanism, too. Who told you to do it?

...
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Ooh, didn't see this earlier. I was taking them about five days a month, and stacking them with Extra Strength acetominophen, to0, with my doctor's approval. I never could tolerate narcotics. I did this for probably ten years. It was lovely. I ran across the L-Glutamine in an ad-azine for Life Extension, a vitamin company. There's some research on L-Glutamine preventing GI ulceration in chemo (doesn't look good after all from my cursory skimming) and I haven't looked very hard for further stuff on the NSAIDs lately.

At the time I half suspected it was placebo effect that was doing the job for me, and I didn't want to mess that up with anny inconvenient "facts". Burning pain stop=good.
 
donnyfire said:
capsule endoscopy
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That is so cool! Did you actually do this in the GI clinic, or did you just read about it in the literature?


Hey Marc and Ashers...random comment. Did you know the MST3K guy did a commentary for The Matrix? Apparently the audio is available for download. I would like to hear that synched with the movie sometime.
 
Andy15430 said:
That is so cool! Did you actually do this in the GI clinic, or did you just read about it in the literature?


Hey Marc and Ashers...random comment. Did you know the MST3K guy did a commentary for The Matrix? Apparently the audio is available for download. I would like to hear that synched with the movie sometime.
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that movie just begs for it. so do the Star Wars movies, despite being very good. Same with Lord of the Rings. amazing how even really good movies are so easily....what's the word...commentaried.

http://www.rifftrax.com/Html/Catalogue4.html

Mike Nelson is a genius. I know what I'm doing over Christmas break. Besides looking at First Aid.
 
Andy15430 said:
Trimethoprim-sulfamethoxazole, I believe.
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I know what those are! I know what those are! I know what those are!

[/Med student fantasizing that the first two years of basic science education are worth anything]
 
So our dear Nancy informed our class that the same level of detail on the regular exams would certainly be expected on the final, while the other three profs before her said they wouldn't go into the same level of detail as they would have for the regular exams. In essence, her material is more important than theirs.
 
TheProwler said:
So our dear Nancy informed our class that the same level of detail on the regular exams would certainly be expected on the final, while the other three profs before her said they wouldn't go into the same level of detail as they would have for the regular exams. In essence, her material is more important than theirs.
Click to expand...

Or Nancy is the only one telling the truth. Remember at the beginning of the semester when the profs all said they wanted you to understand the "big picture" and be able to figure out the exam questions from there? And how that lasted until the first question about how many NADH are made or how many ATP are needed for some random reaction?

I found the questions on the final to be the same level of detail as the midterms. Disheartening I know, but trust me when I tell you that you would be surprised how much biochem is hidden in the recesses of your mind right now.
 
Andy15430 said:
That is so cool! Did you actually do this in the GI clinic, or did you just read about it in the literature?
Click to expand...

We actually did a couple of these (both for lower GI bleeding where we couldn't find the source on colonoscopy/EGD), and what I told you about the jejunal ulcerations comes from my attending (so I have no data to back it up).
 
DoctorFunk said:
Or Nancy is the only one telling the truth. Remember at the beginning of the semester when the profs all said they wanted you to understand the "big picture" and be able to figure out the exam questions from there? And how that lasted until the first question about how many NADH are made or how many ATP are needed for some random reaction?

I found the questions on the final to be the same level of detail as the midterms. Disheartening I know, but trust me when I tell you that you would be surprised how much biochem is hidden in the recesses of your mind right now.
Click to expand...


Wasn't Biochem the class where they had each lecturer write 5 questions, and they used 4 of them for the midterm and 1 for the final? They didn't have the lecturer differentiate between the midterm and final questions, so in essence, the final exam questions were equally as in-depth as the midterm questions. I thought it was a sh!itty system.
 
Andy15430 said:
Wasn't Biochem the class where they had each lecturer write 5 questions, and they used 4 of them for the midterm and 1 for the final? They didn't have the lecturer differentiate between the midterm and final questions, so in essence, the final exam questions were equally as in-depth as the midterm questions. I thought it was a sh!itty system.
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yes, biochem was like that.

You'll find the micro final much more reasonable.
 
Andy15430 said:
Wasn't Biochem the class where they had each lecturer write 5 questions, and they used 4 of them for the midterm and 1 for the final? They didn't have the lecturer differentiate between the midterm and final questions, so in essence, the final exam questions were equally as in-depth as the midterm questions. I thought it was a sh!itty system.
Click to expand...
One of my classmates asked this exact question to Deschenes (sidebar: Funk just walked by), and he said that it's not the case. They do write questions that they know will be on the final, and he said explicitly that they will be less detailed. Hopefully they don't intentionally mislead us.
 
TheProwler said:
(sidebar: Funk just walked by)
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Yes I did, and I shall be walking by one more time to get the hell out of this place again. Now that I had the chance to look at our old micro exams in the computer lab, it's time I retreated back to the Hall of Justice.

As far as the biochem final goes, I sure hope Deschenes was correct when he told you guys that. It's possible that they changed their tactics this year, since it is only his second year as course director (I think). But I've found the same strategy applies in med school as it does when you are getting ready to take a shower in prison: hope for the best, but plan for the worst.

Disclaimer: DoctorFunk has never been to prison.
 
DoctorFunk said:
As far as the biochem final goes, I sure hope Deschenes was correct when he told you guys that. It's possible that they changed their tactics this year, since it is only his second year as course director (I think).
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I'm pretty sure Sabina was the course director last year, so this should be Deschenes first year as the head honcho. Last year was his first year even teaching in the course, AFAIK.
 
Andy15430 said:
I'm pretty sure Sabina was the course director last year, so this should be Deschenes first year as the head honcho. Last year was his first year even teaching in the course, AFAIK.
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Yeah, I forgot all about Sabina being course director last year. I guess that shows how much I appreciated his work.

Little known fact: Funk has only gone to a teacher after a test once to discuss/contest a question, and that was one of Dr. S's infamous "board-style" liver function questions last year that had at least 2-3 correct answers. He was a complete bastard to me and the other two guys that went with me, utterly condescending and dismissive. I took solace in the fact that at least I have the common sense not to grow a porn 'stache.
 
Agent Splat said:
Prisons smell like body odor. It's pretty nasty. Especially in the summer. The inmate uniforms look oddly like scrubs.
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I got suckered into watching 2 consecutive specials about gang and racial violence in prison on the National Geographic channel the other night. I was sincerely shocked at the kind of lives prisoners lead. It's amazing what you have to go through just to survive in prison. You have to know who you're allowed to talk to, where you're allowed to walk, eat, shower, crap, etc. One slip-up can get you shanked by a member of a rival gang. The way they made it seem, if you're a white guy in prison you basically have to join the Aryan Brotherhood or the Nazi Low Riders in order to not get your ass killed by the Southern Mexicans or the Blacks, and once you're in the gang you are pretty much subject to the whims of the head honcho of your gang who may decide that you need to attack a member of another gang just because he feels like it. Crazy stuff...
 
DoctorFunk said:
I took solace in the fact that at least I have the common sense not to grow a porn 'stache.
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:laugh: :laugh:

I seem to remember him getting really defensive about any challenges to his questions. You just have to get challenged on that kind of thing when you're dealing with neurotic med students, though. (Not that you're neurotic, Funk, but a good chunk of the class is.) It was funny to see Dr. Mitchell's reactions during the practice test questions in CER the other day. You could tell she was just dreading having to read each one and have it picked apart by the class.
 
Andy15430 said:
:laugh: :laugh:

I seem to remember him getting really defensive about any challenges to his questions. You just have to get challenged on that kind of thing when you're dealing with neurotic med students, though. (Not that you're neurotic, Funk, but a good chunk of the class is.) It was funny to see Dr. Mitchell's reactions during the practice test questions in CER the other day. You could tell she was just dreading having to read each one and have it picked apart by the class.
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as i told Ashers, I think when she said "I love you guys" she actually meant "loathe." Welcome to the class of 2009, Dr. Mitchell. Muahaha.
 
flavor.jpg
 
Andy15430 said:
I'm pretty sure Sabina was the course director last year, so this should be Deschenes first year as the head honcho. Last year was his first year even teaching in the course, AFAIK.
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Sabina is still course director this year. Deschenes said, while reviewing the previous exam questions, "Now, this is an example of a question that would be more detailed than I would ask you on the final. I would expect you to know this and this about this concept, but not this little fact." He also suggested looking for the two or three main take-home points on each of his lectures, plus any relevant technology. I did not assume he meant us to apply this strategy to anyone else's lectures.

I don't think Sabina made any claims about being less detailed on the final. Dahms is about details; that's just how she is. Oh, well. At least I know where to focus my efforts.
 
Deschene is in his 2nd year of being the new chairman, or something to the like. And it is his 2nd year at MCW as well.
 
Agent Splat said:
Prisons smell like body odor. It's pretty nasty. Especially in the summer. The inmate uniforms look oddly like scrubs.
Click to expand...
I've only been in the county jail in the winter, but it didn't smell that bad to me, at least not so much so that I remember the scent.
 
akpete said:
Deschene is in his 2nd year of being the new chairman, or something to the like. And it is his 2nd year at MCW as well.
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Deschene's a nice guy, but he doesn't seem like chairman material (he's laid-back - I would think a chairman would be more agressive), so much so, that I was wondering if he was just coincidentally listed first, but I guess not.
 
DoctorFunk said:
He was a complete bastard to me and the other two guys that went with me, utterly condescending and dismissive. I took solace in the fact that at least I have the common sense not to grow a porn 'stache.
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He wasn't too nice the one time I met him either....

lol @ porn 'stache


I think this is next year's director:
ronjeremy.jpg
 
jennifer_aniston7.jpg


Biochem is just one of the pieces of flair that physicians have to wear.
 
TheProwler said:
Deschene's a nice guy, but he doesn't seem like chairman material (he's laid-back - I would think a chairman would be more agressive), so much so, that I was wondering if he was just coincidentally listed first, but I guess not.
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I remember a business consultant saying once, "All the real killers are charmers." You can never tell.
 
Folks, you're letting me down with the lack of witty banter and irrelevant pop-cultural references. Here I am, actually spending an evening at the library, and I don't even have this thread to distract me. What's this world coming to?
 
DoctorFunk said:
Folks, you're letting me down with the lack of witty banter and irrelevant pop-cultural references. Here I am, actually spending an evening at the library, and I don't even have this thread to distract me. What's this world coming to?
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Sorry. I just had the mock anatomy exam and I had to run out for a pack of cigarettes for the pooch.
 
The pelvis sucks and blows.
 
Although, I did see one cadaver's anus wink.
 
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