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.



Disclaimer:
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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Posts tagged "GIFS"
Asker Anonymous Asks:
What are some of your wittiest gifs?
wayfaringmd wayfaringmd Said:

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Oops, I just re-read this. It says wittiest gifs. I thought it said whitest gifs. 

Ah, well. 

Asker Anonymous Asks:
I want that Tom Hiddleston calm thy tits gif you have but can't find itttt :(
wayfaringmd wayfaringmd Said:

What, this one?

Any GIFs you’ve been dying to use, but haven’t found the right post to use them in? - anon

What is your favorite all time gif? -anon

Welp, I currently have close to 5,000 gifs in my file just waiting for the right moment to be used. But here are a few that haven’t had their moment to shine yet. 

It’s SUPER hard for me to pinpoint an all time favorite gif, but if I base it purely off which ones make me laugh every time I see it in my folder, I have to go with these:

Did you ever consider going into pediatrics? In your opinion, what are the highlights and drawbacks of peds or a peds sub-speciality? -anon

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I like seeing kids, but I knew I wanted to see adults too. I didn’t like inpatient pediatrics at all (ok, NICU was kind of cool), and the disease processes just weren’t as interesting to me as adult ones. But just for you, anon, I came up with a long list of pros and cons with the help of the best good friend, who is one of those lil kid docs.

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Me, walking into exam room: herp derp. herp de derpdy derp.

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Patientimage

Me (thinking): Oh okay, it’s gonna be that kind of day. Excellent. 

Me, Finding out there is a mandatory residency event I must go to outside of regular work hours:

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Finding out it’s at 7:45 AM on a Saturday: 

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Finding out that it’s actually on my one Saturday off:

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Finding out that the mandatory event is going to cost me $90:

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Finding out there is another mandatory event on my next Saturday off after that: 

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Telling my mom about how life sucks in residency:

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Reflecting upon my day:

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cranquis asked: 

Pop quiz hotshot: Clinic room 1 is a patient wanting Vicodin. Room 2 is a diabetic who refuses to control her sugars. Room 3 wants to discuss birth control options (and is your residency director?!). What do you do? WHAT DO YOU DO? (Pick a room: why)

Ok, I’m ready. Here’s how it’s gonna go down: 

I see the drug seeker first (CURVEBALL). That’s right. Because I want to spend the least amount of time with them. 

 I’m a very non-confrontational person, so I always have to work up a little gumption before I go in those rooms. So I put on my big girl panties, go in the room, just say no to drugs, and tell them I am late for an important meeting with my boss, who is behind Door # 3. BOOM. DONE. 

So then I move to Door #3. If my residency director trusted me enough to ask me for my opinions about her health, I’d be kind of honored. Confused and a little bit scared, sure, but also honored.

Of note, my residency director is male and his wife is past childbearing age, so if he came to me with this question, it would be considerably more awkward and it would probably have to bump to the #3 position. 

And last but not least, door #2, who clearly needs a come to Jesus meeting about their life choices and thus needs slightly more time to talk to the doctor (who is me, duh).

I deal with these kinds of folks on the regular, so they don’t really scare me. They frustrate me, but I can still be nice to them and manage their other medical problems while I continue to encourage them to take charge of their health (how’s that for a typical family doc response?). 

So there you have it. 

Medical school, and to a greater extent, residency, is an emotional rollercoaster. Encouragements and criticisms are thrown at you constantly, sometimes within minutes of each other, and you never totally know where you stand. After several months of working long hours, these things can really start to get to you

For example:

  • "I love having call days with you because you’re so even keeled. You go with the flow even when we’re busy and you’re easy to get along with" - an attending
  • "You’re mean when you’re on nights." -fellow intern, no explanation given

 

  • "I think your knowledge base is solid and you’re ahead of most of your peers" - several attendings
  • "You tested below average for your class on your in-service exam. Here’s some extra BS work for you to do in your ‘free time’ so you can be smart like them" - email from a different attending, paraphrased.

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wayfaringmd:

 Note this picture of a bottle of pills, accompanied by the tags #fun, #high, #pills, and #drugs. Ugh, can I just rant for a second here?

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This is a bottle of NEXIUM. Nexium is a proton pump inhibitor, a class of drugs not well known for an ability to get people high. It’s used to decrease stomach acid, folks. That’s right, it’s for reflux. And yet this picture was posted with certain tags in order to bring attention to the pills themselves, and, I assume, the owner of the blog. 

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I hate to single out this post and this particular blogger, but it was the first one that popped up today. These kinds of posts really make me mad, and they show up on my dash all the time. In general, they are pictures of pill bottles (with labels conveniently obscured), illicit drugs in pill boxes, or a person’s palm or tongue covered in pills. The whole purpose of these posts is to draw attention, and it’s terrible.

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Well I can do it too! I’ll just take out everything that’s in my medicine cabinet and dump it in my hand: 

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Oh yeah, check it out, I got Claritin, Zantac, Fish Oil, a Women’s One-A-Day, some ibuprofen, and a little Iron. I’m so hardcore. 

What kind of attention are people looking for by posting these things? Do they want people to think they’re at home getting high on pills? What kind of people are they trying to impress? Or do they want pity because they have to take so many pills? Is this some sort of twisted cry for help? 

My point is, respect yourself. Don’t use medicines as a way to gain attention, popularity, or pity. Use medicines to treat medical conditions, and leave it at that. 

This has been a post. 

Grandma, we gotta take yer pants off. They need to look at yer possum.

Sketchy caregiver to demented patient with a foul vaginal discharge (just before said patient urinated all over the exam table). (via wayfaringmd)

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wayfaringmd:

That Girly Stuff: Post-Interview Blisters

Y’all know how it is: you’re super excited that you have an interview (be it for med school, residency, etc), so you go out and buy a super fly new suit. But of course, none of the comfy, broken-in shoes in your closet look right with said fly suit. So you get some lovely pointy-toe heels that look great with your fly new suit. 

On interview day, you get all gussied up. Your flyness is way beyond G6.

Everything is cool until it’s time for the dreaded Tour. (My worst one was over 45 minutes long and included discussions on the history and founders of the hospital.For reals.) Your tour guide is probably a skinny male intern who runs 15 miles a day in his spare time, so he elects that the group take the stairs throughout the tour, you know, to fit in a little cardio. You’re okay for the first few minutes, but after the fourth flight of stairs and a trip around the ER, your heels are starting to burn a little. 

Being the typical female medical student, your closet is full of ballet flats, loafers, tennis shoes, and ugly hospital clogs. Your feet have grown accustomed to those ugly hospital clogs—with their cushioned heels and ample toe room—during your third year of medical school, so now you are more clumsy on heels than ever. But the heels were so pretty. And now, 4 hours into the interview day, the leather of those adorable pumps is just too constricting. There is more grinding going on in your shoe than at a high school prom. 


Finally, you get to lunch/interview/car/anything involving a chair, and you slip the back of your shoe off to inspect the damage. And there they are: monster blisters. You go to put a band-aid on them and suddenly images of Step 1 study flood your mind. It’s Nikolsky’s signYour flaccid bullae have burst. Congratulations, you will now be avoiding sticking your feet in the bathtub for the next 3 days. I hope the interview was not at one of your “safety” programs. Hopefully it was actually worth the burn and sting of leather rubbing raw flesh. 

Next time I’m going with wedges

Reblogging from myself since interview season is in full-swing now!

Speaker: Where do you go to identify pills, say if someone overdoses? 

Resident:

Speaker: that’s an option, but you can use Lexicomp or call the hospital pharmacist, which would probably give you a more accurate answer. 

Speaker: Moving on. I’m sure all of you hear slang terms for drugs sometimes, both for prescription drugs and for illegal drugs. What do you do if you hear a new term you’re not sure of? Where do you find that sort of information?

Me: Urban Dictionary!

Everyone: 

Me: 

Speaker Of course, Urban Dictionary!

Me: 

Asker dearlambie Asks:
Hi wayfaring! Senioritis has hit me pretty early and pretty hard. Inknow you have to do it, but how difficult was transitioning between college studying and medical studying?
wayfaringmd wayfaringmd Said:

Transitioning from college to med school studying really wasn’t that hard because the prospect of failing medical school and owing basquillions of dollars to the government pretty well keeps you motivated to study hard. 

In the first couple of weeks of medical school, I was motivated by pure fear:

  • Fear of failing out of school
  • fear of owing all that money for nothing
  • fear of looking stupid in tutorial group
  • fear of failing my first test
  • fear of letting myself and my family down

these were huge motivators in that first block.

Then, once you pass the first test you realize that all that work was totally necessary, and when you’ve gotten through it once, it’s slightly easier to do it all over again. 

Of course, picking up the pace and doing study marathons EVERY DAY for 2 years is hard to adjust to, but you get through it. 

I’ve been meaning to do a post on this for a while now. Here comes a long one. 

On my first day of medical school, I dressed up a bit—compared to my undergrad wardrobe of t-shirt and jeans.

I think I’ll go with khakis today. And a nice top. No t-shirt. What do med students wear? I’m a med student, and I wear t-shirts. No no, that can’t be right. They’ll think I’m a slacker. Yes, I should dress up. For sure. But not too much. I can’t keep that up all year. 

Apparently everyone else had the same dilemma getting dressed that morning, and had come to conclusions similar to mine. 

I drove my roommate M and myself to school that day because I knew the town/campus (as I went there for undergrad too) and she was bad with directions. We got there—15 minutes early, of course—and found that we had been assigned to the same PBL group. 

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