What did you do/learn this week that was interesting?

[slinquii]

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I'm feeling disillusioned by the med school application process and need some inspiration. Give me some examples of things I can look forward to. Tell me about some funny/sad/inspiring patient encounters or experiences you've had. Share some interesting pathology you've seen. I think it will help keep me going...

Thanks

 

[gutonc]

Last week I learned about Menetriere's disease. This week I learned that, just because the GI who referred the Menetriere's patient to you didn't find cancer on the biopsy, doesn't mean that it isn't there.

 

[slinquii]

Gutonc, thanks for the reply. I can't wait to learn about this.

Anyone else?

 

[gutonc]

Gutonc, thanks for the reply. I can't wait to learn about this.

Anyone else?

Menetriere's disease? You won't.

 

[nlax30]

I learned that as you go further in training, training/career decisions seem to get more complicated and stressful.

First med school, then specialty choice, then WHICH residency, then whether to specialize further, then maybe which sub-specialty, then which fellowship, then which modalities to sit for certification in, then the job search (what type of practice, which city) vs whether to do an additional fellowship in a sub-sub-specialty....

I don't want to adult anymore.

 

[slinquii]

Well this sucks.

 

[nlax30]

I'm feeling disillusioned by the med school application process and need some inspiration. Give me some examples of things I can look forward to. Tell me about some funny/sad/inspiring patient encounters or experiences you've had. Share some interesting pathology you've seen. I think it will help keep me going...

Thanks

Sorry, I didn't read far enough along to see this part.

Recently had a "STEMI" call that turned out to be an infected/purulent pericardial effusion from an untreated recent trauma.

 

[nlax30]

Seriously though, this whole process flat out sucks and those patient encounter moments that you truly crave to "keep you going" don't seem to come often enough. Did receive a random letter from an older gentlemen I recently cared for in the hospital that I ended up coming in to handle while on call one night that turned into several hours there in which he basically said once I go out and start practicing that he would like to be my first private patient. I still have the letter and plan on keeping it as those sort of things don't happen often, or at least aren't relayed to us that often.

 

[PlutoBoy]

Seriously though, this whole process flat out sucks and those patient encounter moments that you truly crave to "keep you going" don't seem to come often enough. Did receive a random letter from an older gentlemen I recently cared for in the hospital that I ended up coming in to handle while on call one night that turned into several hours there in which he basically said once I go out and start practicing that he would like to be my first private patient. I still have the letter and plan on keeping it as those sort of things don't happen often, or at least aren't relayed to us that often.

That's awesome.

 

[obiwan]

I'm feeling disillusioned by the med school application process and need some inspiration. Give me some examples of things I can look forward to. Tell me about some funny/sad/inspiring patient encounters or experiences you've had. Share some interesting pathology you've seen. I think it will help keep me going...
Thanks

Well a patient last week told me that I was wearing a nice shirt so that always feels good to get a compliment which offset the time a patient complained to risk management that I wasn't compassionate enough to her with respect to her chronic pain issues.

Just hang in there kid. Wish I could tell you that it gets easier but it doesn't. However, you'll meet some nice people along the way and learn a thing or two about how to take care of people so all in all, you'll look back on it when you're finally an adult and can't imagine that there is something else that you would be doing

 

[aim-agm]

Menetriere's disease? You won't.

It's on STEP1 and (very, very superficially) covered in First-Aid, so they'll learn a bit about it in med school.

 

[gutonc]

It's on STEP1 and (very, very superficially) covered in First-Aid, so they'll learn a bit about it in med school.

And then immediately forget it.

 

[PlutoBoy]

Well a patient last week told me that I was wearing a nice shirt so that always feels good to get a compliment which offset the time a patient complained to risk management that I wasn't compassionate enough to her with respect to her chronic pain issues.

But were you compassionate enough though?

 

[obiwan]

But were you compassionate enough though?

I wasn't not compassionate

 

[ArkansasMed]

Took care of a patient with HLH. You should read about it, interestingly associated with adult onset stills disease.

 

[Candidate2017]

I did nothing, learned nothing, forgot innumerable medical knowledge this week, traveled to a new city and some residents took me out to a fancy dinner where I grilled them about their call schedule. It was wonderful. You can look forward to this in 4th year med school.

 

[whoknows2012]

I did nothing, learned nothing, forgot innumerable medical knowledge this week, traveled to a new city and some residents took me out to a fancy dinner where I grilled them about their call schedule. It was wonderful. You can look forward to this in 4th year med school.

Took this with my phone looking into the microscope as we diagnosed a gentleman with dic, ferritin 20,000 with HLH. You can see the macrophage with ingested pmns

Edit: meant to quote previous post

 

[Raryn]

Menetriere's disease? You won't.

It's one of those things so obscure the first time you see it might be on the ABIM... where you just click a random choice and move on.

Took this with my phone looking into the microscope as we diagnosed a gentleman with dic, ferritin 20,000 with HLH. You can see the macrophage with ingested pmns

Edit: meant to quote previous post

Awesome picture. I made that diagnosis twice in residency, nasty disease.