Official MCW Class of 2009 Thread

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Ashers said:
You on the ortho elective?

Depends on which team you're on. If you're on Trauma, you might want the Handbook of Fractures. I survived just fine without it last year and this year on joints. They basically ask questions about anatomy.

CPR gave us blueprints of anesthesia or some other book that fit into the scrubs pocket. That was handy.
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Not yet but I thought I'd try to combine book orders to save on shipping.


You just applied to 67 programs? All ortho? Do you know anything about the program in Phoenix?
 
indo said:
Not yet but I thought I'd try to combine book orders to save on shipping.


You just applied to 67 programs? All ortho? Do you know anything about the program in Phoenix?
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yep, all ortho.

Don't know anything about the Banner Good Samaritan program, but the website says it's affiliated with universities. I think I"m going to add 1 to my list now since I just looked it up, and it'd be a way to get to Mayo Scottsdale. 😀 What's the difference between 67 and 68 programs?

Edit: so apparently the difference b/w 67 and 68 programs is how bad it looks with how much money I've spent. 1300 looks so much worse than 1275
 
You should be fine with Morgan & Mikhail and the book they give you for RPM. You really only need to study the notes for the test, anyway. Read the sections on inhaled/IV agents in M&M ahead of time if you want to impress your attending.
 
indo said:
Not yet but I thought I'd try to combine book orders to save on shipping.
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When I first read this, I thought it meant you weren't assigned to it yet. Are you going to be on it?

I know the M3 on ortho right now. He's on my team.

Don't be the guy where you say you want to do ortho, and all the residents think you're disinterested and don't really want to be there.
 
Ashers said:
When I first read this, I thought it meant you weren't assigned to it yet. Are you going to be on it?

I know the M3 on ortho right now. He's on my team.

Don't be the guy where you say you want to do ortho, and all the residents think you're disinterested and don't really want to be there.
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I'm not assigned to a location yet but it is my elective in Decembre. So, technically I'd bet I am assigned to a location already but I just don't know where it is. Doesn't matter though...it should be pretty dope regardless

Why would I be that guy? Actually, why would anyone act like that on any rotation?
 
Gimlet said:
You should be fine with Morgan & Mikhail and the book they give you for RPM. You really only need to study the notes for the test, anyway. Read the sections on inhaled/IV agents in M&M ahead of time if you want to impress your attending.
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good, thanks for the advice


I just realized the smileys represent different psychiatric diagnoses:
😱
:scared:
😡
:meanie:
🙁
:soexcited:
:biglove:
 
indo said:
I'm not assigned to a location yet but it is my elective in Decembre. So, technically I'd bet I am assigned to a location already but I just don't know where it is. Doesn't matter though...it should be pretty dope regardless

Why would I be that guy? Actually, why would anyone act like that on any rotation?
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:hardy:

+3 life points for use of outdated phrase
 
indo said:
I'm not assigned to a location yet but it is my elective in Decembre. So, technically I'd bet I am assigned to a location already but I just don't know where it is. Doesn't matter though...it should be pretty dope regardless

Why would I be that guy? Actually, why would anyone act like that on any rotation?
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I really don't know why anyone would be that guy, but that's what the M3 is doing now, and all the residents have asked me if he really wants to do ortho cuz they don't get the impression that he does. One said he can't tell if he even wants to be there. He also doesn't listen very well. I think the residents threw it up to being his first clinical rotation, then after him not changing with help from me and them, they changed their opinions.

If you don't want to be stuck on foot/spine, I'd email Anne Kinowski and request a rotation. Trauma would be fun, so would Sports/Joints. Hand and onc aren't as busy. When I emailed in July for my November rotation last year, it was too late for me to get my first choice, but I was on with 3 of us planning on going into ortho.
 
Thanks for the heads up! I'll email her tomorrow and see. I think I'm the only 3rd year student on Ortho that month. Thanks!
 
indo said:
Thanks for the heads up! I'll email her tomorrow and see. I think I'm the only 3rd year student on Ortho that month. Thanks!
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The one bad thing about doing trauma as an M3 is that the program director is the main trauma guy, and he won't write you a letter if you did that rotation m3 year -- if you decide to do ortho.

For people thinking about ortho, sports/joints is good because it's busier than other services, and there's a lot of faculty on there. The default foot/spine is also good. One of my friends did that last year and got 3 letters.

For people who don't want to do ortho hand or onc are pry good. Although, sports/joints gives a lot of time in clinic to learn the exam.
 
Ashers said:
The one bad thing about doing trauma as an M3 is that the program director is the main trauma guy, and he won't write you a letter if you did that rotation m3 year -- if you decide to do ortho.
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That's an f-ed up policy...what is his logic behind that? (Other than the fact that he's just a dick in general.)
 
Gimlet said:
That's an f-ed up policy...what is his logic behind that? (Other than the fact that he's just a dick in general.)
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Make those of us who did well M3 year on trauma scramble to get letters this year!

MY LETTERS AREN'T IN YET! One was sent 2-3 weeks ago, and it's not in. My adviser sent 1 last week, and it's not in. The only letter I have in to programs is a MEDICINE letter argh!
 
Ashers said:
Make those of us who did well M3 year on trauma scramble to get letters this year!
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Yep, that confirms it - he's just as much of a dick to ortho people as he is to anesthesiology residents and students. I met the new trauma ortho attending in the elevator sometime in August (can't remember his name)...he seemed nice...it'll be a good change of pace for that service.

MY LETTERS AREN'T IN YET! One was sent 2-3 weeks ago, and it's not in. My adviser sent 1 last week, and it's not in. The only letter I have in to programs is a MEDICINE letter argh!
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Serious? You've confirmed that they've sent them in to Jenni Crum but they aren't loaded yet? You need to call her about that! Worries me about my Olds letter (not that I'm really expecting it to be done yet).
 
Gimlet said:
Yep, that confirms it - he's just as much of a dick to ortho people as he is to anesthesiology residents and students. I met the new trauma ortho attending in the elevator sometime in August (can't remember his name)...he seemed nice...it'll be a good change of pace for that service.
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Jason Roberts. He's really nice. I met him last week. He graduated from residency here in 2007 (and I think he went to MCW for med school).

Oh, and with the prog director, I had tried to ask him for a letter because my chief last year told me he'd basically be writing the letter for him, and it'd be really good, but every time I emailed his secretary or called, she never returned the call/email until it wasn't about a letter. THEN one of the current chiefs told me the same thing happened to him when he was an M3; prog director wouldn't write a letter for him since he rotated as an M3, and he was on a different service M4 year.


Gimlet said:
Serious? You've confirmed that they've sent them in to Jenni Crum but they aren't loaded yet? You need to call her about that! Worries me about my Olds letter (not that I'm really expecting it to be done yet).
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I emailed her today, and I'm stopping by her office tomorrow. I would've said something earlier, but I thought "LoR 4" meant 4 were in, so I was like "Great! All are in!"

I'll have to trump the M3 tomorrow by going to sports clinic hehe.

OH! So today, he asked "So, are we done?" In a really loud voice at that! The residents made fun of him, then after a few min, we got to go. After we left, I had to tell him, "Just a hint, don't ask 'are we done?' ask something like 'Is there anything else I can help with?'"
 
Ashers said:
I'll have to trump the M3 tomorrow by going to sports clinic hehe.

OH! So today, he asked "So, are we done?" In a really loud voice at that! The residents made fun of him, then after a few min, we got to go. After we left, I had to tell him, "Just a hint, don't ask 'are we done?' ask something like 'Is there anything else I can help with?'"
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:laugh: I have a few ideas who that is. On surgery this month, it's more of a "leave when you feel like it" service. They don't rely on us one little bit.
 
My 2 letters have been found! Whew! So now programs don't have just a medicine letter. Thank you all for your concern. 😉 I had to get Mike Schwabenlander involved.

1 more letter to be written.
 
Ashers said:
My 2 letters have been found! Whew! So now programs don't have just a medicine letter. Thank you all for your concern. 😉 I had to get Mike Schwabenlander involved.

1 more letter to be written.
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That freaks me out. What do you mean by "found?" Like, they were lying in a pile on Crum's desk? I'm starting to get anxious for my last letter to come in, because a bunch of programs started coming up on the anesthesiology forum's interview thread that I applied to but haven't heard anything from yet. I'm hoping it's because these programs are waiting for complete (-MSPE) applications before offering interviews.
 
Gimlet said:
That freaks me out. What do you mean by "found?" Like, they were lying in a pile on Crum's desk? I'm starting to get anxious for my last letter to come in, because a bunch of programs started coming up on the anesthesiology forum's interview thread that I applied to but haven't heard anything from yet. I'm hoping it's because these programs are waiting for complete (-MSPE) applications before offering interviews.
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Laying in a pile somewhere. Apparently 1 was dated 9/10. The guy in CA sent it right after he wrote it, so it's been around here for a little bit -- that was 13 days since written, and I'll give it 7 days since received.
 
Ashers said:
Laying in a pile somewhere. Apparently 1 was dated 9/10. The guy in CA sent it right after he wrote it, so it's been around here for a little bit -- that was 13 days since written, and I'll give it 7 days since received.
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That is super lame. Unbelievable....
 
Ashers, I was feeling in a Hawaiian mood tonight, so I made some spam musubi for dinner...yum!

OK, actually I only made one spam musubi and then the rest I just rolled up into spam maki (sushi) rolls. But still good. It was my first foray into sushi-making.
 
Gimlet said:
Ashers, I was feeling in a Hawaiian mood tonight, so I made some spam musubi for dinner...yum!

OK, actually I only made one spam musubi and then the rest I just rolled up into spam maki (sushi) rolls. But still good. It was my first foray into sushi-making.
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Awesome. Congratulations. 😀 Maybe we should get a bunch of people together for a spam musubi (+ other more mainland food) party sometime.
 
Gimlet said:
Interesting story about UC-Irvine posted in the anesthesiology forum:

http://www.ocregister.com/articles/hospital-medical-record-2169907-patient-medicare
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On one occasion, inspectors found a completed operating-room record that showed the patient left the table that day at 10:30 a.m. The problem: It was 9:30 a.m. at the time and the patient was still in surgery.
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Big freaking deal. When I was an EMT, I'd fill out the paperwork while en route and go ahead and check the boxes like "CPR not performed" or "Pt arrived with no change in condition," even though the pt could still die en route. If something serious actually happened, I'd throw out the form and make the appropriate changes on the new one. This is no different. Now, if the information had been left in the chart and signed off on, that was a bad move.

In another case, a medical record for a patient was filled out in February 2007, indicating that the patient was stable throughout an endoscopy, a procedure where a tube is placed in the body. In fact, the anesthesia and endoscopy were not performed until three months later.
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Now that's shady.
 
TheProwler said:
Big freaking deal. When I was an EMT, I'd fill out the paperwork while en route and go ahead and check the boxes like "CPR not performed" or "Pt arrived with no change in condition," even though the pt could still die en route. If something serious actually happened, I'd throw out the form and make the appropriate changes on the new one. This is no different. Now, if the information had been left in the chart and signed off on, that was a bad move.


Now that's shady.
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I agree with your sentiment, but as far as billing is concerned, fudging times for the OR (where they bill for things down to the minute) is probably a pretty huge deal.
 
Gimlet said:
I agree with your sentiment, but as far as billing is concerned, fudging times for the OR (where they bill for things down to the minute) is probably a pretty huge deal.
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Yeah, it depends on whose paperwork was fudged. The anesthesiologists are down to the minute, and fudging = fraud. If I sign the post-op note or progress note with a time within 30 minutes of the actual event, I don't think it matters in the slightest.
 
Gimlet said:
What for?
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Unfortunately, I don't remember all the details I heard (I can't even remember the former chair's name). I do remember a friend who used to be faculty at the program said it wasn't as bad as the register made it seem (thought it was bad), and the guy stepped down because of the public outcry and his own humiliation.
 
Ashers said:
Important news flash:

Facebook has a Pirate Language setting. It is awesome.

That is all.
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I'd tell you about the Ninja Kill setting, but I'd rather not have my victims see it coming.
 
Hey! Where's eveyone at this month?

I'm on family medicine sub-i at St Marys.
 
akpete said:
Hey! Where's eveyone at this month?

I'm on family medicine sub-i at St Marys.
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medicine sub-i at Joe's. So far I think all of my patients have had a psychiatric comorbidity that plays a significant role in their chief complaint.

I can't wait for vacation and all the interviews in December and November.
 
Master Clinician! I'm at a clinic in Brookfield for about 8 half-days throughout the month...otherwise will be boppin' around school going to lectures and teaching the M2s and whatnot.
 
Peds endocrine. My schedule is a dream come true.
 
Ashers said:
so I have no patients until 1pm today, so I'm just sitting around until other people come to clinic and tell me I can leave.
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I don't even start my day until 1 pm today. I just went shopping and Starbucksing around Brookfield for the heck of it.
 
DoctorFunk said:
I don't even start my day until 1 pm today. I just went shopping and Starbucksing around Brookfield for the heck of it.
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I've done nothing today except heat up some french onion soup for lunch which will be so much better than a burrito I was taking to the clinic. I guess I also played with my cats.

I just wish it was the afternoon that were canceled and not the morning.
 
DoctorFunk said:
I don't even start my day until 1 pm today. I just went shopping and Starbucksing around Brookfield for the heck of it.
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ah, you suck. I'm exhausted but on call until 10pm, so I'm killing time in the 'dert library.


You owe me $5 still.
 
TheProwler said:
ah, you suck. I'm exhausted but on call until 10pm, so I'm killing time in the 'dert library.


You owe me $5 still.
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So sorry. I invested that money in the stock market. You might need to give me a bailout.
 
Agent Splat said:
medicine sub-i at Joe's. So far I think all of my patients have had a psychiatric comorbidity that plays a significant role in their chief complaint.

I can't wait for vacation and all the interviews in December and November.
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I hear ya. most of our patient's are drunk and crazy. one patient's friends keep sneaking in beer for her. another one is incompetent d/t alcohol hx and all his drunk friends are trying to become his guardian because he's got money.

this is my last month that is demanding in any way.
 
TheProwler said:
aw, that sucks. I've never actually been to the ER for any of my own illnesses.
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Totally. I may see now if the NP at sergeant can add one of the H1 antinausea drugs to my own personal pharmacy because they used benadryl compazine to break the migraine.

I've been to an ER 4xs in my life:
1. 7 yo, ran into my house on my bike, split my chin open, needed stitches
2. 10 yo, in FL, temp of 105F.
3. M2 year sent to the ED from radiology, had surgery the next day
4. Yesterday, stupid migraine.
 
As of today I have heard the following statement twice from patients:

"I wish I was pregnant.

The first time, it was from a 14 year old girl.
The second time, a 90 year old woman.

I gotta get out of this business.
 
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