"What's so great about Dermatology?"

[username456789]

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Disclaimer: This thread is in no way meant to disparage or make fun of any specialties, Derm included.

So I was discussing various medical specialties with two other classmates, and the topic of Dermatology came up. We're all M3s, although one of them really doesn't have his finger on the pulse of specialty competitiveness (he just assumed anything involving surgery was uber-competitive and anything involving non-surgery was pretty easy). He was very surprised to hear us talk about Derm as being perhaps the most competitive specialty there is. Which then led to his questioning "why?" The usual argument/assumption, I suppose, is it has a combination of good (but not amazing) pay/good hours/good lifestyle/relatively short residency. But is it really that much more amazing than many other specialties to warrant a mad dash for Derm each year during residency applications? I guess his stance was basically that Derm seems boring to him, and wonders why so many 250+ all-stars try to bend over backward each year to match.

Thoughts?

 

[jdh71]

Disclaimer: This thread is in no way meant to disparage or make fun of any specialties, Derm included.

So I was discussing various medical specialties with two other classmates, and the topic of Dermatology came up. We're all M3s, although one of them really doesn't have his finger on the pulse of specialty competitiveness (he just assumed anything involving surgery was uber-competitive and anything involving non-surgery was pretty easy). He was very surprised to hear us talk about Derm as being perhaps the most competitive specialty there is. Which then led to his questioning "why?" The usual argument/assumption, I suppose, is it has a combination of good (but not amazing) pay/good hours/good lifestyle/relatively short residency. But is it really that much more amazing than many other specialties to warrant a mad dash for Derm each year during residency applications? I guess his stance was basically that Derm seems boring to him, and wonders why so many 250+ all-stars try to bend over backward each year to match.

Thoughts?

In my med school class derm sort of self-selected, and only two of the astronomical board scores went for derm, ostensibly two girls who were actually interested. I think there might be some people who go after derm simply for money and lifestyle, but like your friend, I think it's pretty boring, and I think most others do to. There are plenty of 250+ needed residencies for other interests, rad-onc, urology, neuro-surg, ortho, ENT, ophthal, top 5 IM, top 5 surg . . . Maybe the derm peeps are just that much more vocal about it?

 

[OveractiveBrain]

Disclaimer: This thread is in no way meant to disparage or make fun of any specialties, Derm included.

So I was discussing various medical specialties with two other classmates, and the topic of Dermatology came up. We're all M3s, although one of them really doesn't have his finger on the pulse of specialty competitiveness (he just assumed anything involving surgery was uber-competitive and anything involving non-surgery was pretty easy). He was very surprised to hear us talk about Derm as being perhaps the most competitive specialty there is. Which then led to his questioning "why?" The usual argument/assumption, I suppose, is it has a combination of good (but not amazing) pay/good hours/good lifestyle/relatively short residency. But is it really that much more amazing than many other specialties to warrant a mad dash for Derm each year during residency applications? I guess his stance was basically that Derm seems boring to him, and wonders why so many 250+ all-stars try to bend over backward each year to match.

Thoughts?

Lots of money (latin names, so you can bill for more)
Lots of money (people pay cash for acne and hair creams)
Lots of money (we live in a vain country and people are willing to pay)
Lots of money (botox is easy, you hire PAs to do it FOR you)

Hours are ballin (no emergencies, no call, no inpatient)

What you're getting at with the end of your question is the thing that plagues people who actually want to do good. The people with good hearts, with good souls want to touch the lives of patients. To really cure disease, mend the wounded, and cure the sick. Too many people enter medical school with good intentions but are then met with hours upon hours of misery, the world closing around them, their relationships lost, their souls beaten. The response? "Man, i did really well... and for what? I hate patients, I have no friends, I lost my hobbies, and now I'm in debt. Do I really want to do family medicine?" BOOM the dermatologist is born. The REASON they went into medical school is no longer the REASON they want to do derm. They want a life. They want money. They did well enough to get it, so why not?

The unfortunate thing is that you have to committ to derm pretty early. So everything you do is derm related. If, in the end, you really DONT like derm, well too bad. All you've done is derm, so now youre committed, convinced that derm is what you want to do.

 

[45408]

There really aren't that many spots for it - like 300 per year. It would be relatively competitive even if it paid an average salary with hours comparable to other medical specialties, by virtue of its limited size. I only knew of two people who wanted it in my class, and one of them said she really liked it.

Plus - at least at my program - the residency hours are quite cush. I see the derm residents rolling in after I've rounded on 15-30 patients, had breakfast, and gone to morning conference and am on my way over to my first case (their dept is right by some of the ORs). They're completely off for 5 out of 6 weekends.

 

[NOsquid]

It's the ultimate lifestyle specialty. Residency is relatively humane (weekends off, though you do need to read a lot...from your couch while playing with your kids), rare emergencies, practice is less than 40hrs/week for ~300k.

You could probably make more on average in specialty surgery or cards but training is much more painful, practice can be as well (eg interventional cards). Derm is just the Goldilocks.

You can do lots of good in Derm. Skin disease can be awful, and I think it's interesting - a LOT more complicated than the people who knock derm think. But it's true plenty of Derms will end up on the cosmetics end of the spectrum rather than the start-a-leprosy-clinic-for-indigents end, or whatever BS they wrote in their personal statement.

 

[Law2Doc]

...We're all M3s, although one of them really doesn't have his finger on the pulse of specialty competitiveness (he just assumed anything involving surgery was uber-competitive and anything involving non-surgery was pretty easy). ...

The "why is derm competitive threads" pop up on pre-allo at least 3 times a year and have been done to death. Next time you might want to do a search rather than try to act like this is a novel question. In short, well paid, lifestyle hours, less call, lots of repeat business, fewer patients dying on you, and if you are into it, there's a lot of freaky derm illnesses. It's also a very visual field because it's all on the surface, out in the open, whereas in some of the diagnostic fields your patients can't point to the problem.

A bigger concern in reading your post was that there are folks late in their 3rd year of med school who don't know which specialties are competitive or not. It means your school is doing a really crummy job at informing folks about the various specialties. You should start trying to parse out the various fields by the time you get this deep into third year (it's May already -- you guys will be applying soon). Just my two cents.

 

[username456789]

The "why is derm competitive threads" pop up on pre-allo at least 3 times a year and have been done to death. Next time you might want to do a search rather than try to act like this is a novel question. In short, well paid, lifestyle hours, less call, lots of repeat business, fewer patients dying on you, and if you are into it, there's a lot of freaky derm illnesses. It's also a very visual field because it's all on the surface, out in the open, whereas in some of the diagnostic fields your patients can't point to the problem.

A bigger concern in reading your post was that there are folks late in their 3rd year of med school who don't know which specialties are competitive or not. It means your school is doing a really crummy job at informing folks about the various specialties. You should start trying to parse out the various fields by the time you get this deep into third year (it's May already -- you guys will be applying soon). Just my two cents.

1. Sorry to clog the series of tubes with my redundant question. This was meant to be more of a discussion among medical students and (hopefully) residents regarding what actually compels people to go into Derm, and whether or not all the associated stereotypes really are solidly based in reality.

2. The classmate of mine who only vaguely understands residency competitiveness has been gung ho Family Medicine from day one and had never looked back/had a reason to. Sure, he's heard derm is "pretty competitive", but apparently had no clue as to just how competitive it is.

 

[JimmyChitwood]

I hear you...it's always something I've just accepted and never actually thought about (which I think was what you were getting at). It's obviously great for the lifestyle and I feel like that attracts far more to the field then those that seem to be "genuinely interested" in dermatopathology and the like. But I don't know if I would be fulfilled by it or not. Maybe pulling in some fat stacks like some derms do would change my mind...

 

[TexasPhysician]

1. Sorry to clog the series of tubes with my redundant question. This was meant to be more of a discussion among medical students and (hopefully) residents regarding what actually compels people to go into Derm, and whether or not all the associated stereotypes really are solidly based in reality.

2. The classmate of mine who only vaguely understands residency competitiveness has been gung ho Family Medicine from day one and had never looked back/had a reason to. Sure, he's heard derm is "pretty competitive", but apparently had no clue as to just how competitive it is.

A derm resident friend of mine chose derm because "I hated every aspect of medical school. I hated dermatology the least of all fields because I will get paid great, have great hours, and help make people pretty". I kid you not.

Other derm people I know actually do love the field. Every person is different.

 

[45408]

A derm resident friend of mine chose derm because "I hated every aspect of medical school. I hated dermatology the least of all fields because I will get paid great, have great hours, and help make people pretty". I kid you not.

Other derm people I know actually do love the field. Every person is different.

just makes me wonder what s/he was expecting from medicine.

 

[OveractiveBrain]

A derm resident friend of mine chose derm because "I hated every aspect of medical school. I hated dermatology the least of all fields because I will get paid great, have great hours, and help make people pretty". I kid you not.

Other derm people I know actually do love the field. Every person is different.

Its what I said, only in valley-girl derm speak. Shocking that all the derm people I despise actually did better than I did on Steps and Exams... You just cant tell from the outside...

 

[RySerr21]

its w/o a doubt the pay and the lifestyle. while abroad this summer speaking with a medical student from another country, she was shocked when I said how competitive derm was. In her country, its the 'family practice' specialty. She siad if you go in to derm people know its b/c you couldn't get in to anything else. She said the most competitive specialty is pediatrics. I found that pretty humorous, and interesting.

 

[alwaysaangel]

A very pretty classmate of mine once told me she wanted to go into derm or plastics to make people more beautiful...

 

[ADORE]

A very pretty classmate of mine once told me she wanted to go into derm or plastics to make people more beautiful...

... I'm on the edge of my seat. Did she or is she just pretty and dumb

 

[ProtossCarrier]

I know that derm has great hours, very little call (for that reason alone I can understand why people want to do a residency in it), versatile and you can have regular hours. One Derm residency PD of a prestigious program told me they only have call like once a week or something ridiculous like that. On the other hand I was never really good at the subject and just don't plain like derm much at all. I still prefer it over Peds, but not by much.

Maybe I just have a liking to the specialties with worse working hours but cover a much larger array of diseases.

it would be helpful if you include a signature that says that you actually DO NOT live and practice in the United States.

 

[EgotiStick]

Suffering from hypercynicism the way that I do, there is only one way to think of dermatology: Laughing your way to the bank. In your Ferrari. With money flying out the window.

But seriously, like almost every field, there are the money grubbers and there are what most would describe as the "true physician" archetype we all [used to] aspire to be. This is the same for every field, and if you ask any physician he most certainly has opinions of this nature about his competition.

You can still do really meaningful research in derm, they definitely need lab busters and next-new-treatment hounds. Or you can do really meaningful things off the back of a fishing boat paid for in cash. It's your life, after all.

 

[DoctwoB]

The skin is the largest, and arguably most important organ in the body. Like the liver, or heart, which we don't judge people for specializing in. Why hate on people that go into the field that take care of it just because it makes good money/lifestyle. Sure, some go into botox and pimples, but many others go into derm-onc.

I personally don't find it very interesting, but I feel the same way about nephrology. Just because you don't care for it doesn't mean that people that go into derm aren't passionate or only care about $$.

 

[MossPoh]

A very pretty classmate of mine once told me she wanted to go into derm or plastics to make people more beautiful...

I wish this weren't a recurring theme. There seems to be a "type", at least during the first 2 years, that guns really hard for derm and plastics. They always seem to be on the aesthetically fortunate side of the equation. They also seem to be a little more guided by money and enjoy the tv representation lifestyle of plastic surgeons (not many tv dermatologists).

While I don't think it is a worthless field by any stretch of the imagination, I do think many people go into it for the wrong reasons. I also think that, realistically, a good primary care doctor can take care of 90% of dermatology problems without selling a lotion or cream in the process, but we do love our specialists.

 

[WellWornLad]

It should be emphasized that plastics and derm are unique among specialties in that people will pay vast sums out-of-pocket for their services. Also, the majority of dermatologists that I've met (and all of dermatologists I've met in private practice) worked 3 days a week or less, which is impressive given their average salary.

Basically, no other specialty comes close for the amount of flexibility you have. Private practice is still a gold mine and requires minimal overhead (low malpractice premiums, simple procedures = no/few ancillary staff, private patients = no dedicated insurance staff), you can supplement clinical income with skin care product sales or quasi-medical "spa" treatments, you've got a better chance of getting hit by a bus than taking call, and because most of what you deal with is non-life-threatening, patients have no expectation that you'll be at their beck and call.

And no, I have no interest in pursuing dermatology.

 

[alwaysaangel]

It should be emphasized that plastics and derm are unique among specialties in that people will pay vast sums out-of-pocket for their services.

Yup. Horray for a fabulously vain society. Even I (a 'starving student') have shoveled out about $3500 to a dermatologist who did laser hair removal (best money I ever spent). He was in the office 1 day per week, in his other office another day per week. The rest of the week his nurses did simple procedures without him.

Pretty genious.

 

[ACSurgeon]

it would be helpful if you include a signature that says that you actually DO NOT live and practice in the United States.

Why would that be helpful in this case? Her comment had nothing that didn't apply to American medicine.

 

[muhali3]

As said, there are two types. The ones whose focus is primarily cosmetic and the ones whose focus is primarily medical.

and I've also noticed the tendency of attractive people wanting to do derm/plastics. some type of psychopathology going on over there.

 

[Democritus]

As said, there are two types. The ones whose focus is primarily cosmetic and the ones whose focus is primarily medical.

and I've also noticed the tendency of attractive people wanting to do derm/plastics. some type of psychopathology going on over there.

It's probably more related to a higher ego.

 

[EgotiStick]

As said, there are two types. The ones whose focus is primarily cosmetic and the ones whose focus is primarily medical.

and I've also noticed the tendency of attractive people wanting to do derm/plastics. some type of psychopathology going on over there.

If they were going into cosmetics, it MIGHT make sense... otherwise its just jealousy on the outsiders' part.

 

[EgotiStick]

It's probably more related to a higher ego.

There's a lot of butt-hurt on this forum (actually everywhere) about docs going into competitive specialties to feed their egos.

 

[AlexMorph]

There's a lot of butt-hurt on this forum (actually everywhere) about docs going into competitive specialties to feed their egos.

I smell someone who wants derm and doesn't want to be attacked for being vain.

 

[311]

Disclaimer: This thread is in no way meant to disparage or make fun of any specialties, Derm included.

So I was discussing various medical specialties with two other classmates, and the topic of Dermatology came up. We're all M3s, although one of them really doesn't have his finger on the pulse of specialty competitiveness (he just assumed anything involving surgery was uber-competitive and anything involving non-surgery was pretty easy). He was very surprised to hear us talk about Derm as being perhaps the most competitive specialty there is. Which then led to his questioning "why?" The usual argument/assumption, I suppose, is it has a combination of good (but not amazing) pay/good hours/good lifestyle/relatively short residency. But is it really that much more amazing than many other specialties to warrant a mad dash for Derm each year during residency applications? I guess his stance was basically that Derm seems boring to him, and wonders why so many 250+ all-stars try to bend over backward each year to match.

Thoughts?

There is a lot of derm in FM as well .

 

[muhali3]

If they were going into cosmetics, it MIGHT make sense... otherwise its just jealousy on the outsiders' part.

I think good-looking people just feel more welcome to join derm, because the derm community is already quite attractive. The same goes for orthopedic surgery attracting buff guys, because there are already a bunch of buff guys in ortho, so they feel like they fit in.

 

[Iwy Em Hotep]

Because almost every disease has a skin component, and I hate relying on labs/imaging to make a diagnosis.

It is very gratifying to walk in, spend 5 seconds looking at the patient, and say, yep, that's what you have. No relying on tools or machinery that might fail on you. It's just you, treating patients with your skill, exactly how medicine was originally done before we gummed it up with the "draw a rainbow/pan-CT" culture nowadays.

And...patients get better! You diagnose X, give them Y, and boom, they come back better and happy and can STOP taking Y.

Even if you don't know what it is, you can always cut it out, take a look under the scope, and figure it out that way. Cutting something out on the skin is easy, unlike almost every other organ.

Derm. It's medicine, it's surgery, it's path. It's all patients, ages 0-120. It's not rounding, it's not primary care, it's not crazy-long operations. It's definitely not acne/warts/eczema/botox all day.

 

[thechad]

it would be helpful if you include a signature that says that you actually DO NOT live and practice in the United States.

I'm relatively sure that this person took where they live/practice out of their signature (it used to be there IFIRC) because no matter what point they made while posting, the counter point was always something around the lines of, "LOL MEXICO!!!," regardless to the actual content of the post...(case in point: your post).

 

[Charles_Carmichael]

I smell someone who wants derm and doesn't want to be attacked for being vain.

I'm definitely not interested in derm (and my post history can confirm that), but I get the same feeling as the person you're quoting when I see most of the anti-derm posts.

 

[quepatho]

Its what I said, only in valley-girl derm speak. Shocking that all the derm people I despise actually did better than I did on Steps and Exams... You just cant tell from the outside...

A very pretty classmate of mine once told me she wanted to go into derm or plastics to make people more beautiful...

Yeah, for some reason my classmates who act like/look like the biggest meatheads and ditzes are absolutely acing their classes and killing step 1.

 

[AlexMorph]

I'm definitely not interested in derm (and my post history can confirm that), but I get the same feeling as the person you're quoting when I see most of the anti-derm posts.

That would mean that every person who has issues with all the folks wanting to go into derm simply couldn't cut it, which we can both agree is not true.

Sure, some people are probably jealous that they aren't academic rock stars and must now bust their hump in IM, for example, for the rest of their lives. But, I also think a significant number of people simply are aggravated by derm sucking up hard-working, intelligent people simply to prescribe accutane to rich teenage girls. Yes, I did employ some hyperbole there. Not every derm doc just prescribes accutane but at the same time, very few go around fixing deformities of the poor.

 

[Slack3r]

...very few go around fixing deformities of the poor.

Is this a requisite for acceptable medical practice to you?

 

[AlexMorph]

Is this a requisite for acceptable medical practice to you?

Most definitely not. If that were the case, an overwhelming majority of clinicians wouldn't pass that test. The point I was trying to make with that statement, going back to my original post, was that derm attracts a certain kind of candidate. One who is intelligent and hard-working and places a high level of importance on having a sweet life. Nowhere do I say that is wrong. I just want them to accept this and stop trying to defend wanting to do derm as some higher calling involving complex medicine and life-saving procedures. That stuff is present in plenty of other fields as well, but they chose derm for a reason.

Just stop pretending and own the true reason why you want to do it.

 

[Democritus]

There's a lot of butt-hurt on this forum (actually everywhere) about docs going into competitive specialties to feed their egos.

There's nothing negative in my statement. I may even pursue derm if I prove to be academically capable. There's nothing wrong with prioritizing lifestyle.

 

[westphi]

The skin is the largest, and arguably most important organ in the body.

Arguably, yes. But the heart, and brain might beg to differ...😎

 

[45408]

Derm. It's medicine, it's surgery, it's path. It's all patients, ages 0-120. It's not rounding, it's not primary care, it's not crazy-long operations. It's definitely not acne/warts/eczema/botox all day.

Yeah, that's a bit of a stretch....

 

[FutureMDSurgeon]

Derm, the bailout specialty...for the ppl who wanna hit the reset button. Nobody is stupid enough to believe that you're doing it because for your love of the skin.

 

[2012mdc]

Most definitely not. If that were the case, an overwhelming majority of clinicians wouldn't pass that test. The point I was trying to make with that statement, going back to my original post, was that derm attracts a certain kind of candidate. One who is intelligent and hard-working and places a high level of importance on having a sweet life. Nowhere do I say that is wrong. I just want them to accept this and stop trying to defend wanting to do derm as some higher calling involving complex medicine and life-saving procedures. That stuff is present in plenty of other fields as well, but they chose derm for a reason.

Just stop pretending and own the true reason why you want to do it.

But isn't that true for all the "lifestyle" specialties that are at least somewhat competitive?

Derm seems to get the most flak. Is it because it's hyper-competitive? has a cosmetic aspect? thought to be the most cush?

Are people that choose derm just the most honest with themselves? I don't care what most people say, there are a lot of people who don't see medicine as a higher calling but instead as an interesting career with very solid job security that pays well. If you actually enjoy skin, derm does have enough variety to be interesting, pays well, and has great job security.

I don't have a vested interest as I'm not doing derm but it seems to be a lot of the hate comes from jealousy and/or ignorance of the field.

 

[username456789]

I don't have a vested interest as I'm not doing derm but it seems to be a lot of the hate comes from jealousy and/or ignorance of the field.

Agreed. It's hilarious that people in medicine constantly chastise their colleagues who decide "I want to make a solid salary with a reasonable quality of life", whereas anyone in just about any non-medical field who DOESN'T feel this way is looked at cock-eyed.

Our entire professional culture is so backasswards.

 

[AlexMorph]

But isn't that true for all the "lifestyle" specialties that are at least somewhat competitive?

Derm seems to get the most flak. Is it because it's hyper-competitive? has a cosmetic aspect? thought to be the most cush?

Are people that choose derm just the most honest with themselves? I don't care what most people say, there are a lot of people who don't see medicine as a higher calling but instead as an interesting career with very solid job security that pays well. If you actually enjoy skin, derm does have enough variety to be interesting, pays well, and has great job security.

I don't have a vested interest as I'm not doing derm but it seems to be a lot of the hate comes from jealousy and/or ignorance of the field.

You make good points. There are other specialties that are very competitive and afford you a good lifestyle. However, nothing in medicine hits the combo of high pay for least amount of hours worked while not having to deal with other BS like derm, and that is what draws people to it. Once again, nothing wrong with going for derm, but those who pursue it should just be honest about it and try not to BS their colleagues and make it seem like they are providing an invaluable service to society.

 

[AlexMorph]

Agreed. It's hilarious that people in medicine constantly chastise their colleagues who decide "I want to make a solid salary with a reasonable quality of life", whereas anyone in just about any non-medical field who DOESN'T feel this way is looked at cock-eyed.

Our entire professional culture is so backasswards.

Sure, there are certainly those on this forum who certainly do that. But if you look at most of the responses, I think people just want those who pursue derm to cut the BS and stop pretending that their calling in life is to fix skin and that they are doing God's work.

 

[username456789]

Sure, there are certainly those on this forum who certainly do that. But if you look at most of the responses, I think people just want those who pursue derm to cut the BS and stop pretending that their calling in life is to fix skin and that they are doing God's work.

This is somewhat of a slippery slope, as I imagine a sizable percentage of individuals who went to medical school in the first place did so out of less-than-virtuous/altruistic reasoning.

 

[quepatho]

but those who pursue it should just be honest about it and try not to BS their colleagues and make it seem like they are providing an invaluable service to society.

Is anyone else thinking of the Seinfeld episode with "Pimple popper, M.D." There's such a great scene...

http://www.youtube.com/watch?v=mGFoAX2Rf6g

 

[Day man]

Is anyone else thinking of the Seinfeld episode with "Pimple popper, M.D." There's such a great scene...

http://www.youtube.com/watch?v=mGFoAX2Rf6g

also where kramer acts as dr. vanostram and inspects the mole on kruger's back...all because he has a long white coat from a butcher/meat shop thanks to his newfound love for the meat slicer. incredible episode. god i love that show.

I intend to use this format for all mty SOAPs:
"male mammal...approximately 30-60 years of age. Weight?...oh, indeterminant."

http://www.youtube.com/watch?v=5JGkMB2gFC0

 

[AlexMorph]

This is somewhat of a slippery slope, as I imagine a sizable percentage of individuals who went to medical school in the first place did so out of less-than-virtuous/altruistic reasoning.

Sure, and I'm saying you are much much much more likely to find that person doing derm than general surgery.

I have no problem with them doing so, but I would appreciate less BS being served up.

 

[sideways]

It's also the snowball effect. If derm was exactly the same as it currently is with respect to money and lifestyle, but the only difference was that it was the least competitive specialty in medicine, within a few years (once the current crop of med students, already permanently in the "if i get into derm all my classmates will think i'm awesome" phase, graduate and move on) no one would want to go into it.

That's a fact.

 

[AlexMorph]

It's also the snowball effect. If derm was exactly the same as it currently is with respect to money and lifestyle, but the only difference was that it was the least competitive specialty in medicine, within a few years (once the current crop of med students, already permanently in the "if i get into derm all my classmates will think i'm awesome" phase, graduate and move on) no one would want to go into it.

That's a fact.

I think you are ignoring the reason behind it being popular. It's popular exactly because of the money and the lifestyle.

If you cut their salaries in half and they had to work 50% harder to earn the same, derm would become pm&r.

 

[quepatho]

also where kramer acts as dr. vanostram and inspects the mole on kruger's back...all because he has a long white coat from a butcher/meat shop thanks to his newfound love for the meat slicer. incredible episode. god i love that show.

I intend to use this format for all mty SOAPs:
"male mammal...approximately 30-60 years of age. Weight?...oh, indeterminant."

http://www.youtube.com/watch?v=5JGkMB2gFC0

Haha, genius! I had forgotten about that one.

"I've seen moles so big they have their OWN moles."

So much win.