Wayfaring MD

I am a family medicine resident who likes to highlight the hilarious in medicine as I write about patients, medical school, residency, medical missions, and whatever else strikes my fancy.

HIPAA is for reals, folks. All of my "patient stories" have been changed to protect patient privacy. I will change any or all identifiers, including age, location, race/ethnicity, sex, medical history, and quotes. Also, I am an anonymous internet person. Why should you trust an anonymous internet person to give you medical advice? Don't ask me, ask your doctor!
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Hand Dropping Test in Pseudocoma:

When a patient is truly in a coma and their hand is released directly above their face, their hand should strike their face on its way down.

Neuroanatomy Through Clinical Cases by Hal Blumenfeld. (via wayfaringmd)

One of our neurologists flipping loves catching fakers with this test. We get folks in with conversion disorder and plain ol fakers all the time, and he always gets ‘em with this one. 






I’m going to be constructing a master list of DO/DO Students on Tumblr as a way to help build our community. If you don’t mind either messaging me or reblogging this post, that would be greatly appreciated!

And as a perk, I will provide virtual HVLA for everyone!

OMS-II here! Loving the osteoblr fam. And what a great idea to compile a list!

First year here! Starting on Monday (send help!)

Hi!!! Me too! :)

Holla! MS4, DO lightening bone setter. 👐⚡️

Well howdy DO’s! I’ve gone through and added all the names I could find on this list to the master Medblr Spotlight list as well. Please visit it and check your name and grad date and send me any other details you would like to be posted. And for those I didn’t add but would like to be added, send me a message with your name, grad year, and location if you like. And please mention that you’re a DO or DO student so I’ll put you in the right spot. 

katandkelsie replied to your post:YOU GUYS
Um yeah I’m going to need to know how.

alls you gotta do is touch a gif and hold it down to save it to your phone, then insert it in a message like a picture. I don’t know if it works on Androids, but that’s how it works on iPhones.

md-admissions replied to your post: YOU GUYS

When I first discovered this, I attempted to communicate only in gif for about a solid month

This is my plan forever and always now. Today I sent a story with reaction gifs to some friends. The gifs really turned it up a notch.

@dopestethoscope replied to your post: YOU GUYS

My husband I only communicate through spongebob GIFs since we found out!

You and your husband sound like you have a strong relationship ;). 

drveebs2b replied to your post: YOU GUYS

I drive my son batty with my daily gif-texting.

Long as you don’t gif-text and drive. Then your head will be batty. 

summertriangle replied to your post: YOU GUYS

My sister and I don’t even text each other back with words, we just gif back and forth. It’s so amazing, our conversations are on another level!

y’all are my people. But I hold you all personally responsible for the fact that I DIDN’T know until today that gif texting was a thing. Remember that Auntie Wayfaring is always a little behind the times, so I need people to tell me these things!

The tvs are set to Fox News, The Weather Channel, ESPN (which is playing golf), and the local news.

Can a sister get some sitcoms up in here? Maybe a lil Jeopardy? How bout a smidge of trashy reality tv?

Guess who just discovered that you can send gifs in text messages?!?!?!

This is a major game changer.

Asker Anonymous Asks:
Which do you prefer: family medicine or pediatrics? I'm trying to figure out which path I want go through with when it comes to striving to become a nurse practitioner, but it's so hard for me to choose between family medicine and pediatrics! :o
wayfaringmd wayfaringmd Said:

Umm… I hope I like family medicine better, since I’m in family medicine residency and all…

I like kids a LOT, but I don’t like pediatric medicine enough to do nothing but that forever. I liked it enough to do it part time as a family doc. In family medicine, you have the option of working in a place that sees lots of kids, and you can essentially do both.

You’re lucky, though, greyface, because as a nurse practitioner you are free to change your specialty if you decide you don’t like it. But it sounds like you’re not finished with your training yet, so don’t jump the gun. You’ll figure it out, I’m sure. 

After reviewing all the people who had died over the weekend at hospice…

Wayfaring: So do you guys have any ghosts here?

Nurse: actually we do have a little red headed boy that appears to a lot of our patients. We’ve heard about him for years, but sightings come in waves.

Wayfaring: Have you ever seen him?

Nurse: No, he only comes to people who are dying. But they always say he’s very nice and he smiles at them, and then they always die a day or two later. 

Wayfaring: **shivers**

Asker Anonymous Asks:
Any tips on how to deal with "you're too young to be a doctor" / insidious ageism ? I'm 23 (and 10 months! ha) and in my second year out of medical school...
wayfaringmd wayfaringmd Said:

You must be from somewhere where people go into medical school straight from high school to have finished so quickly. Or maybe you skipped some grades in school. Either way, go you! I was 25 when I graduated med school, and I was the youngest in my class, as I have always been. 

So when people give you flack for being young, remember that you’re one of the lucky ones. 

You’re one of the ones who didn’t have to apply over and over again to get in.

You didn’t have to repeat a year or take time off.

Your patients should be proud of you for making it through and being so young. 


Asker Anonymous Asks:
How do you calculate (doctors) when you are going to die or how long you have left? Also, thoughts on robin williams ?
wayfaringmd wayfaringmd Said:

There is no special formula or calculation to figuring out how long a person has to live. It’s mostly an educated guess based on our knowledge of a specific disease process, plus a gut feeling that comes along with experience.  It’s very “art of medicine”. The more patients you see, the better you get at the art. Sometimes we just look at a patient and think, “would I be surprised if this person was still alive 6 months from now?” If yes, then there you go. 


As we progress in our training, med students and residents start to form a mental picture of what “sick” looks like. We also form a picture for “dying.” We’re not always right, but that intuition can be pretty remarkable. 

On Robin Williams - I’m a fan for sure, but I’m not one of those people who gets super heartbroken over celebrity tragedies. I see enough sad stories every day at work. But if his suicide and his struggle with depression break down some of the stigma associated with getting treatment, I’ll be glad. 

"Hands and knees is my favorite position…much less risk of tear."

"Just get in there."


"I just put my fingers in the vagina and drive."



"Women may feel that it is not working in this position. They might not be getting the push they need. They may also say this feels amazing and this is the right position."


How many pet unicorns do you own? How many does cranquis own? How many do you need to be a unicorn master?
wayfaringmd wayfaringmd Said:





7 (I got 3 new ones for graduation)

11 (he’s a real doctor so he’s richer than me)

at least 23


Just lost 2 of ‘em in a poker game with baffledinbrooklyn, so I’m down to only… uh…


Cranquis! We were so close to being masters with our combined unicorn assets! 

So now we’re down to 16 and The House has, what, 19?


Haven’t you learned, dear, The House always wins!

But what do they look like and what are their names?!?!

tumblr_inline_na593dkwio1qf39gk.gif (500×218)

Well, you’ve got:

  • Sprinkles, who is white with rainbow colored polka dots
  • Frank, who is purple with a tye-dye mane and leopard print horn
  • Mystique, who is invisible but definitely exists because I make cranquis clean up her glittery poop in the stables
  • Trixie, whose lovely blonde mane, rhinestone studded horn, and penchant for chewing Bubble Yum really make her stand out in a crowd
  • Sarah Jessica, who has a very long face and insists on wearing designer stiletto unicorn shoes even though she can’t walk in them
  • Spike, who has an affinity for black leather saddles and who recently got a nose ring
  • Colin, whose coat is burgundy velvet like the finest smoking jacket, and who wears monacle and a top hat with a hole for his horn
  • Ebony, who, despite her name, is actually hot pink with a lime green horn
  • Darryl, who is usually covered in grease and mud but actually has a tarnish-resistant sterling silver horn 
  • Cinnamon Coco, who has a curly brown mane and tail, ears pierced with gold hoops, and sparkly platform unicorn shoes
  • Gertrude, who is our oldest unicorn. She has a lovely salt and pepper coat with a curly blue mane and a horn that lately looks like it might have a bit of a fungal infection
  • Rudy, who we won in a poker game with Santa. Rudy has a red nose and a very rare branching brown double horn.
  • Mr. Wiggles, who is pink with white hearts and a rainbow mane
  • Heidi, who wears her mane braided and only responds to German
  • Gucci Mane, whose mane is, of course, designed by Gucci
  • and Becky. She’s white. And blonde. Very blonde. 

And of course, the 2 we lost to the House (darn you, Baffled, and your card counting skills!): 

  • Glimmer McBubblytoes, our prized sparkling, holographic maned thoroughbred with water resistant coat
  • Lamont, who is a rare mane-less, short-tailed albino unicorn with bubblegum pink eyes


Maybe a storm’s acomin’. Could be a different kind of migraine. Ask your doctor.


Umm… I check it when people have symptoms of peptic ulcers because in my experience, people get better when its treated. But I don’t just check for it randomly in asymptomatic people. And I wouldn’t call amoxicillin and clarithromycin “harsh” necessarily. There are certainly much bigger guns out there with much heavier side effects than those. I mean, if your options are A) have a peptic ulcer that hurts and bleeds and makes you anemic or B) take 10 days of antibiotics and get better, personally, I’d opt for B. 


Find out if your school has a counseling service. Many colleges do, and they’re usually free or super cheap for students. They may also offer peer counseling or can refer you to a counselor that is inexpensive. Also, if you’re an adult, you can go to the doctor without mommy and daddy giving the go-ahead. You do what you need to do to get better. At the very least, find an upper level student or a teacher you trust to talk to. 

Asker Anonymous Asks:
Hello, lovely Dr. Wayfaring! Is this your last year of residency? After this will you become an attending, or do you think you'll do some type of fellowship?
wayfaringmd wayfaringmd Said:

Hello yourself gorgeous greyface!

Yes, this is my last year.

I thought briefly about doing an OB fellowship (1 year), but they’re few and far between, and I don’t really want to move somewhere else for just a year. 

I have no idea what I’m going to do after graduation. I had applied for a missionary job a few months ago, but I didn’t get it, so now I’m trying to figure out if I should apply for other missionary jobs or shift my focus to something else and do short term missions on the side. 

TMJ dysfunction is the fibromyalgia of dentistry. You know what I’m saying, right?

my dentist