Parent on the phone with a family member who “took a class or two once to be a nurse”.
Respiratory Syncytial Virus is occasionally sensational. But mostly it’s kinda boring.
I watched all of Scrubs on Netflix my intern year, and all but the last season of House as it came out (I stopped short because it got kind of lame to me when they started all the Huddy nonsense).
I also like stuff like Mystery Diagnosis, Dr. G, and Trauma in the ER. I’m a sucker for all that stuff.
I never got into Grey’s Anatomy, and from what I’ve heard about it, I don’t think I would have liked it much anyway.
A while back I gave House a 3 on the old 1-10 scale. I guess it’s time for Scrubs.
Scrubs gets a 6.
I could go on and on and get real nitpicky, but I think this hits the big ones. 6 is a pretty good score. I would consider Scrubs to be the most accurate of all the TV medical shows out there.
You pine for them from afar like everyone else does with crushes they can’t have.
Unless your feelings for them make things super awkward for you or your doctor. In which case, you may need to find a new doctor.
Ooh, tread lightly there, my friend.
If I were a residency director, I wouldn’t take the time to look up your blog to see evidence of your interest in medicine or my specialty. That’s what your residency application (ERAS) and personal statement are for. If it’s not apparent in your application, I’m not going to go digging for it. Also, your ERAS application will also have places to list your medical work, whether it’s volunteer, research, or paid, so you won’t need to have a separate platform for this either.
If writing is something you’re interested in, by all means, keep a blog. But be extremely careful what you put on it. If you plan for the blog to be public and visible to potential employers, you need to make 100% sure that what you post is 1) your own opinions and writings, 2) properly sourced and referenced, 3) not a poor reflection of your school or residency program, and 4) HIPAA compliant. You probably shouldn’t write all your whines about school or residency or patients in a blog you’re going to share with a program director, either. And no patient stories.
Wayfaring: Follows patient for her entire pregnancy, gets to know her family, etc. Hopes to count her as a “continuity” delivery.
Patient: Asks family medicine attending friend, who has not followed her pregnancy, to deliver her.
Wayfaring: Is on call when patient is in labor. Is glad when attending says please assist in delivery.
Patient: Stalls out at 8cm, baby starts looking bad, needs a c-section.
FM Attending: Does not do C-sections.
Wayfaring: Stays 4 hours late after her night shift ends. Scrubs in with OB attending, cuts the belly, dissects the tissue layers, cuts the uterus, pulls the baby out, sews it all back up.
Patient: Oh thank you sooooo much, *Family Medicine Attending* for taking care of me today and being there for me through this pregnancy!
FM Attending: Actually, Wayfaring did your surgery.
OB attending: It’s true. Wayfaring did it. I helped.
Patient: Oh Wayfaring, I’m glad you got to see my baby get born. *Family Medicine attending*, thank you AGAIN for taking such good care of me!
Patient: my baby’s got white stuff coming out of her hoo-hah!
Nurse whose first language is not English: her whaaat? What is dat? What hoo-hah?
Patient: you know, like in her diaper?
Nurse: Oh! You mean va-yiiina? It is not a hoo-hah!
Nurse: Doctor Wayfaring, I think you need to teach these mamas some anatomy ok?
**In a patient’s hospital room, while examining a baby**
Person playing on TV: I be wantin some wings!
Baby’s dad to mom: You be gettin any sleep?
Attending to parents: You be havin any ques——uh, I mean, Do you have any questions?
Intern: She’s a G18 P2-1-15-3… Geez, I feel like I’m reading lottery numbers here!
Attending: So what’s the Powerball number?
G’s and P’s: An abbreviation of an abbreviation of a woman’s pregnancy history. I use the longer GTPAL system.
G stands for gravida, meaning the number of times a woman has been pregnant.
P (para) is the number of deliveries a woman has had. It is further split into TPAL.
T is for number of pregnancies that went to full term.
P is the number of preterm deliveries she had.
A (abortus) is the number of pregnancies she has had that did not result in live birth.
L is for the number of living children she has.
So, for example, a G5P3114 woman has been pregnant 5 times, had 4 live children, 3 of which were term births, 1 preterm birth, and 1 miscarriage/abortion.
The system gets more complicated when you factor in twins or deaths of children.
**The following story has been adapted from real life events. The names and some details have been changed for our dear friend HIPAA.
Baby boy G’s mama was on drugs. Thanks to the wonderful folks at Social Services, he was allowed to go home with her after he was born.
Scratch that. He was allowed to go with her, but not home. She was homeless. They sent him back to live with her on a friend’s couch, in the very same house where he had been born on a filthy kitchen floor.
We as a team hated seeing him go back to that environment. That adorable, mild mannered, teensy little baby went home to a crack den, despite his and his mom’s positive urine drug screens at birth. Social services gave them one caveat: mom was not allowed to be alone with the baby.
Fortunately for our consciences and for Baby boy, mom screwed up. She showed up to an appointment with him unsupervised. His pediatrician acted quickly and had him admitted to the hospital. “Possible drug withdrawal,” he said.
Once in the hospital, we took emergency protective custody. For two days, Baby boy was the peds floor mascot. His given name was not to be uttered, as the emergency protective custody arrangement afforded him an extra layer of privacy. We nicknamed him Peanut. Nurses bought him clothes and toys from the gift shop. Attendings, residents, and nurses, unable to resist the baby fever, drew straws for who would get to manage his next feeding. We became attached.
We knew that a foster family would be coming soon. We collectively decided that if they were unacceptable to the group, we would figure out a way to keep him in the hospital until another family could be found. Everyone knows foster care is terrible, someone said.