Random non-pathology and only peripherally related to pathology thread

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
Members do not see this ad.
OMG Dave Chappelle just did this skit on venereal disease with a bunch of puppets and I am still laughing. It was like Sesame Street, only the Oscar the Grouch like character was telling the kids to just give up because everything was hopeless.

Dennis! There's some lovely filth down here!
 
Ah damn I missed it...usually watch that show semi-religiously. Been watching Harold and Kumar go to White Castle.

Damn...I been downloading Team America since yesterday evening. And it's only 60% done! Damnit Jim!
 
I better get my butt to the movie theatre before Team America is replaced by another female movie. But @#$! I am on call this weekend plus there is the Mich/OSU game plus I have to give a presentation on thursday and I am on the VA rotation.
 
yaah said:
I better get my butt to the movie theatre before Team America is replaced by another female movie. But @#$! I am on call this weekend plus there is the Mich/OSU game plus I have to give a presentation on thursday and I am on the VA rotation.
Click to expand...

Screw that. I can burn it on a disc and give it to you when we meet up at the bar. Of course, assuming that after I download it, it doesn't end up being a corrupted file.

I'm gonna be on the West Siyeed during the MI/OSU game. I have a sneaking suspicion that it won't be on TV. Plus, it's a noon game which means in CA it'll start at 9 am. I don't know if they show football games that early over there.
 
Naw, UM/OSU is a national telecast, I don't think there is anything running opposite it. One of the few like that. It'll be on out there.

p.s. no bar tomorrow night. Have to prepare for my presentation to the department. If it was a presentation to the IM folks again, I wouldn't care. But these people, I have to work with them for 4 more years!
 
yaah said:
Naw, UM/OSU is a national telecast, I don't think there is anything running opposite it. One of the few like that. It'll be on out there.

p.s. no bar tomorrow night. Have to prepare for my presentation to the department. If it was a presentation to the IM folks again, I wouldn't care. But these people, I have to work with them for 4 more years!
Click to expand...

OK so that means I have to get my arse up early. Yep shouldn't be a problem since it's 3 hours back...it'll be like getting up at noon 🙂

Oh well, if you miss it in the theatre and want it on a disk, let me know. I can drop it off in your mailbox or something.
 
AndyMilonakis said:
OK so that means I have to get my arse up early. Yep shouldn't be a problem since it's 3 hours back...it'll be like getting up at noon 🙂

Oh well, if you miss it in the theatre and want it on a disk, let me know. I can drop it off in your mailbox or something.
Click to expand...

There's always next week. Or december!
 
yaah said:
There's always next week. Or december!
Click to expand...

You are right...there is always next week. My Michigan interview next week is the last one for the month. December is gonna be a killerrrrrr! Step twoozies and 5 interviews somehow miraculously scheduled somewhere in between.

Harbster and I will still be hittin the Guinness tomorrow...we shall discuss possible plans for the week to come; maybe we can get together then.
 
yaah said:
p.s. no bar tomorrow night. Have to prepare for my presentation to the department. If it was a presentation to the IM folks again, I wouldn't care. But these people, I have to work with them for 4 more years!
Click to expand...

hope you finished your presentation. it better kick ass! 😀

you're several beers behind...we'll talk later about next week.
 
It went fine. I was actually done with it around 9pm or so, and only that late because I was procrastinating. So I probably could have met you somewhere. Anyway, it went well. It was exactly 12 minutes (plus questions) which is the director of autopsy mandated length of time. If you go over, he starts interrupting you. (Because he says we have to learn how to give an effective presentation in 12 minutes for future presentations at meetings, etc). I got a tough question from Dr Appelman which I expected. Then again, I was talking about the liver. We had consulted one of his colleagues about the case when signing it out, who wasn't there, so I decided not to answer his question with "nuh-uh!! Dr X told me that!"
 
Well, we ended up hanging out in Dearborn last night so you would've had to drive a bit. But next time we hang out, it'll be his turn to drive down to Ann Arbor (and my turn to pay for drinks) so there is more fun to be had...
 
I like how you go to the west coast and you gain a few hours. Then you get used to it. Unfortunately, a few days later, you still have to end up going back home...then you lose 3 hours and your sleep schedule goes from partially f'd to completely f'd.
 
I don't adjust that quick - when I went to Utah for 3 days last winter I never really adjusted, and was going to bed at about 10pm and getting up at 5. Of course, the day I left I had to get up at 4:30 to drive to the airport in a blizzard with a foot of snow on the ground and me in my rented Ford Mustang which was like running on ice wearing dress shoes.
 
Well, at the time my baseline was altered. Perhaps I am remembering incorrectly and I was actually waking up at 4. But at the time I was on break - I had no electives starting from just before thanksgiving until I went back on dermatology in early february. So my interview there was at the end of january and I wasn't really getting up at 5 every day! I'm not that insane.
 
It's the best I could come up with. I think "bite me" would have more pizzazz and fire to it. But I agree it's 10 pm. I'm jetlagged. I'm tired. And I have an interview tomorrow morning.
 
AndyMilonakis said:
And I have an interview tomorrow morning.
Click to expand...

Well I have about 55 trays of prostate needle cores to look at.

Good luck on your interview! You may find that they get easier as you go on, but they also get somewhat more tiresome because you find yourself answering the same questions, albeit perhaps in slightly different ways.

By the time I got to my MGH interview I was a well oiled machine. Then when I went to Utah I had had so many interviews I felt like I was toying with them. In a small sense, of course. Go ahead! Ask me a tough question! Is that all you got! Here is my well practiced answer!
 
It'll be fine...the interview is here at Ann Arbor. I've gotten used to interviews now--either you sit there and try to digest a lot of information or they ask you pretty much the same questions. I've varied my answers here and there and they seemed to be well received.

I cancelled my first 3 interviews which I scheduled as my warmups. I'm glad I did because during the first interview, the butterflies are gone and nights are no longer sleepless nights. I slept real good for my 2nd interview--we're talking like 10 hours! Didn't need no NyQuil either.

Have fun with your nutsac specimens. It's funny that tomorrow, I'll be interviewing with faculty I've met and worked with during my path rotation. My last interview in the day is with a faculty member who wrote me a letter of rec.
 
deschutes said:
And I have 6 weeks' worth of blood, amniotic fluid and discharge that is the Ob/Gyn rotation. I win.
Click to expand...

I actually liked OB/Gyn (the work more than the people though). I was the male punching bag. I took it like a man and they liked me for that. I left bruised and battered yet stronger and more cynical.

Have fun with the discharge...smells like berries and flowers.
 
AndyMilonakis said:
I actually liked OB/Gyn (the work more than the people though). I was the male punching bag. I took it like a man and they liked me for that. I left bruised and battered yet stronger and more cynical.
Click to expand...

Ha! That's funny because I did that too - I totally let them treat me like crap and I let them take out their anti-male frustrations on me (I am talking about the residents). A lot of them were having man trouble at the time so I heard lots of complaining. I actually liked the people more than the work though - except for Gyn-onc which was really neat.

Andy, I found the home school interview to be really nice - because they knew you well and most of the interviews were about my goals and desires in a residency program. And they would be honest and tell me about the places I had been and what were the pluses and minuses.
 
That's good to hear about the home interview...that's what I was expecting really. The path people at Michigan are really nice too so I expect things to go nicely tomorrow.

As for OB, the work and the residents sucked. But the residents sucked more. One of the residents, who were also going through man troubles, handcuffed me and proceeded to whip me in the Triage room and beat me over the head with the elephant speculum.
 
Just don't dress up like a man. Halloween isn't for another 11 months by the way.
 
Deschutes what kind of hospital are you doing OB at? Mine was a referral center, lots of high risk mothers. That can be unfortunate if you want to attend lots of deliveries, but fortunate if you want to just hang around and not be involved.
 
yaah said:
Well I have about 55 trays of prostate needle cores to look at.
Click to expand...

from one of my path attendings on a rotation when i was considering path:

"prostate cancer is a low power diagnosis. it's more of a gestalt than anything"

have fun. :meanie: 😎 😀

--your friendly neighborhood glandular tissue sucks caveman
 
yaah said:
Deschutes what kind of hospital are you doing OB at? Mine was a referral center, lots of high risk mothers. That can be unfortunate if you want to attend lots of deliveries, but fortunate if you want to just hang around and not be involved.
Click to expand...
Tertiary referral centre. *bangs head on keyboard*

If I had a chance to do my clerkship year over (and by that I don't mean remediation!), I would have picked travel over grief. Hindsight = 20/20.

I still have nightmares about the day when I will be the only MD on board a trans-Pacific flight and a woman starts going into labour.
 
Yeah my attending says about prostate cancer when I ask him why something isn't cancer, "I can't explain why this isn't cancer." When I ask why a case is cancer, "because it looks like it."

Prostate cancer is an "I know it when I see it" diagnosis. I actually like it.
 
I've always wondered about those diagnostic techniques.
Have you ever thought if that puts us on equal footing with the clinicians and their physical exam findings?

~
Devil's advocate aside, the "feel" part of path is what gets me. I don't think I'll ever forget when I got to the point where I could slide a biopsy onto the stage, glance down at it and think, Whoaa... that's some sick kidney!

I guess it's all about the calibration. You calibrate to your attending.
 
I think a lot of it has to do with experience. I kinda miss second yr of med school where we learned all that histopathology. I felt that I had a comfortable grasp with a bite size morsel of pathology.
 
yaah said:
Andy, I found the home school interview to be really nice - because they knew you well and most of the interviews were about my goals and desires in a residency program. And they would be honest and tell me about the places I had been and what were the pluses and minuses.
Click to expand...

I found this to be exactly the case. Another common and related topic of convos was where else I had already visited. I think one of my interviewers kinda tried to bait me into dissing a program. I think the comment was, "That's interesting, we usually don't compete with institution X for good candidates." Although, I've seen only 2 other places which I liked (one more than the other of course), I felt that I had to tread this line of conversation judiciously.

Is this something that people have encountered at other interviews? Maybe it was just the fact that this was my home institution and they felt more comfortable chatting about this subject matter with me.
 
deschutes said:
I've always wondered about those diagnostic techniques.
Have you ever thought if that puts us on equal footing with the clinicians and their physical exam findings?
Click to expand...

things that make you go hmmmmmmmm . . . . . 😎

every field has its "gestalt" diagnoses. it's what makes attendings attendings 🙂


--your friendly neighborhood someday will diagnose from the doorway caveman
 
deschutes said:
You know what makes me go hmmmm? Evidence-based medicine.
``Well, in my experience...``

(damn alien keyboard)
Click to expand...

you said a very very naughty phrase.

Yeah, about EBM, that crap drove me nuts on the floors and clinics. "Hmm...I don't know what to do...hey let's read Uptodate...what a load of cookbook crap!"
 
ALERT. ALERT. Someone has mentioned EBM. One of the things that bugs me about EBM is that "solid clinical evidence" is often based on a limited study that shows a one percent improvement with a certain intervention.

danger.jpg


Actually, I didn't hear a lot of dissing other programs. Some of it was there, most of it subtle, like "Our program is stronger in x" or "we are just as strong in x"

More common were flattering comments towards other programs, as I said.
 
deschutes said:
``Well, in my experience...``
Click to expand...

your problem isn't with evidence based medicine. evidence based medicine for the most part works. i would hope path uses EBM and not some random voodoo to come up with protocols and such 😛

anyway, the type of medicine described here is eminence based medicine, or "The ability to make the same mistake with increasing confidence over an impressive number of years". 😎

--your friendly neighborhood SNAP writing caveman
 
Homunculus said:
your problem isn't with evidence based medicine. evidence based medicine for the most part works. i would hope path uses EBM and not some random voodoo to come up with protocols and such 😛
Click to expand...

Yeah there is EBM in path, but it's not as objectionable. Of course, I am biased.
 
Have you guys thought about starting a non-pathology Part Deux thread? This thread's crazy long!
 
Blasphemy! 😀

We're out to set records! I wonder what the longest thread is actually 😕
 
AndyMilonakis said:
Blasphemy! 😀

We're out to set records! I wonder what the longest thread is actually 😕
Click to expand...

Just go check out the lounge. It isn't even close. We aren't setting any records there.
 
That's what I thought. I've checked out the lounge once or twice. This thread is a baby thread compared to some of those threads there. There's some long thread called "Found my Broken Antenna" or "Have you seen my baseball?" or something.
 
Start a new thread? I think we should keep going and see where this takes us. I can't picture a time when an SDN Moderator would whip by and say -"Thread closed - too many posts".
 
deschutes said:
Start a new thread? I think we should keep going and see where this takes us. I can't picture a time when an SDN Moderator would whip by and say -"Thread closed - too many posts".
Click to expand...

Well, yaah is our moderator here and he started this whole behemoth of a thread. Him closing the thread would be...umm...wrong. It is analogous to handing a kid a twinkie and then snatching it away from it as he chomped down half of it.
 
It's weird what gets posted in those threads. People post about how they are getting up and it is raining outside. I swear some people live with computers attached to their chests so that all they have to do is roll over and they are online. Hey - I went almost 24 hours without accessing this forum today - so there! I had to deal with a neck dissection today and a frozen section case from hell where the surgeons sent down 9 specimens for frozen all at once. That burns me a bit. Of course one of them was positive, so we got #10 later. Then they sent the neck dissection which appears to be full of metastatic disease, unfortunately.

Weirdest specimens over the past couple of days:
1) Perineal debridement for Fournier's gangrene (including a testicle and spermatic cord which was involved by necotizing inflammation). Crazy.
2) A basal cell carcinoma of the shoulder that seriously measured 13x11 cm and was hacked off with 1-2 cm margins all around. The guy was only 49, and was injured by some kind of sandblaster at work on the shoulder, and the abrasion he got never healed. That was no abrasion, mister! That was a so-called rodent ulcer and you are lucky to still have your arm! Probably one of those guys who hates doctors and says they are out to get him, then he goes to the doctor and gets most of the skin from his upper arm hacked off and replaced by a graft from his ass or something.
3) Debridement of hydradenitis supprativa from the buttocks. LARGE hydradenitis.
4) A 7 cm inguinal neurofibroma that was clinically thought to be lymphadenopathy.
5) Colon biopsies for colitis in a 74 year old patient who was recently diagnosed with AIDS. He acquired it via a homosexual experience once his wife moved into a nursing home. The biopsies were non specific, but when we were looking at it the conversation went like this:

Attending: This is a strange biopsy. What did they call it?
Me: Erythema and non-confluent ulcerations extending to the hepatic flexure.
Attending: It kind of looks infectious, but it almost look like an HIV patient. Does he have HIV?
Me: Well, it doesn't say. He is 74 though with no prior biopsies here.
Attending: Ah, probably not then.
minutes later I go to look up his history after the biopsy is still confusing
Me: Holy @#$! he was just diagnosed with HIV and has a CD4 count of 300!

I find it amazing sometimes to see what you can tell on a biopsy!
 
yaah said:
Hey - I went almost 24 hours without accessing this forum today - so there!
Click to expand...
Wow sounds like someone's yearning for a cookie.

Here. Enjoy.

Cookie%20Lemon.jpg
 
I missed the bottom half of the last page on my previous fly-by...

Homunculus said:
evidence based medicine for the most part works. the type of medicine described here is eminence based medicine
Click to expand...
Yes, EBM works. EBM was used before the word "EBM" was coined. The practice of medicine is historically evidence-based - we are simply seeing it applied to a larger N.

I like the concept of EBM in practice to counter eminence-based medicine, but it appears to have developed its own set of demons. The befuddling wizardry of statistics, for instance. And the all too common phenomenon of losing the patient behind the numbers and guidelines.

And I'm flogging a dead horse, but in my experience 😉 I notice a lot less of the look-at-me-I-know-my-newest-studies! type EBM talk in path.
 
Wow, we really got bombed with snow. 🙄 I think if I scraped all the snow off of my front yard there would almost be enough for a small snowball. 4-6 inches my butt. I think the weatherman has been watching too many of those late night infomercials on how bigger is better.
 
It warmed up a bit though. The snow at my place is almost all melted. There is a disfigured remnant of a snowman though.
 
You must log in or register to reply here.

Similar threads

WildWing
FAQ - Pathology
Replies
2
Views
2K
mike-sheree
mike-sheree
H
Pathology assistant arrangement
Replies
2
Views
2K
octopusprime
octopusprime
C
2024 Pathology boards pass rates
Replies
17
Views
4K
coroner
coroner
WEBB PINKERTON
pathology resident turned cowardly vigilante
Replies
2
Views
2K
octopusprime
octopusprime
KeratinPearls
Impressive ChatGPT Pathology at Work
Replies
2
Views
2K
SunBakedTrash
SunBakedTrash
Top