Tuesday, July 31, 2007

Putting off the 3d goggles for a while to ramble for a bit...

I'm starting to get that sick feeling in my stomach I used to get in elementary school when September would start rolling around. I can't believe I'll be going back to school in a week. ... I don't wanna go back to ugly saint louis.

Not that my life here is particularly all that great. Not these last two weeks staying up in this lab all by my lonesome self until the wee hours of the morning, coming home to a quiet house and if i run into them in the morning, glares of resentment from andrew and chang because I work too much and i have no more time and the romance is gone they say.

What annoys me the most about this hectic schedule is that it is eating away at my beautiful body. People keep telling me I'm getting skinnier and since I don't see evidence in that in my soft belly it must mean my huge muscles are atrophying. I eat breakfast super-late, get into work, starve myself until 7pm before I eat my lunch sandwich, then starve myself until 1 or 2 am when I finally get home. So my body is feeding off of my biceps and ultra-toned glute's for protein right up until I get home and stuff myself silly with my mom's carbs just before I go to bed. A win-win for mr soft belly.

This is annoying because I actually left school in somewhat decent shape. Seriously when I told people I was going to do "modeling" this summer, they thought I was going to do actual modeling. I was up to a personal best 10 chinups and now I can only do 8 but that's if I herniate something and I'm also about 10 pounds lighter than I was.

Anyway, back to my ramblings about school... that sick feeling in my stomach is actually somewhat mixed because I've discovered to my surprise that I in fact actually sort of kind of like school. I just hate being in Saint louis. But my brain is feeling pretty stagnant these days and I'm actually pretty excited to start learning some actual useful crap about organ systems and stuff instead of all the useless first year crap they've crammed down my throat. I actually enjoyed last year's material, but it was still completely useless foundation crap. So hopefully at this point next year after I score a 270 on my boards I might actually have some real knowledge the next time someone asks me a medical question.

I'd have to say what I enjoy more than anything about medical school so far is that it makes me feel smart. I know that sounds pretty goddamn shallow but hey, there really isn't much that's rewarding in your preclinical years.. the only patients we cure are actors.

Medical school makes you feel smart because they cram so much shit into your head that even though you know that 90% of it is brainless rote memorization bullshit, your head is swelling so much from the "knowledge" and you've paid so much tuition that you start to convince yourself that you're an elite educated being even though you're really worth about as much as the hair on a nurse's ass.

But really I think I kind of just enjoy taking classes and doing pretty well in them. Even though our grades are absolutely worthless in the long run, I like making my mom disproportionately happy when I tell her that I honored a tough class. At Stanford getting A's was easy enough but there were so many truly brilliant people at Stanford I could never feel like a "top" student. Med school is so much different. It's not that students are dumber necessarily. The average is probably smarter. But they're more like robots than brilliant thinkers. People just brute force memorize shit and spit it back out. Nobody ever cares about the why of things, or anything that isn't going to be on the test. Which really annoys me. I don't know how many times I've gotten "I don't know I just memorized it" as an answer to a question.

So I feel pretty smart in med school (so far). Which is really weird because I never feel smart back home. In fact I've never felt at all smart compared to any of my previous roommates or housemates. I always thought I had a shitty memory, and I remember before entering med school last year, promising myself I would study sooo hard, hoping I would be able to just scrape by.

Which brings me to my last point. I don't want to be ent anymore. The field itself seems really exciting and cool (pay is so-so) but the one thing I've realized this summer is that all of these bastards are a little too damned smart for my tastes. There is just way too much E, N and T to learn in 5 years. I've just gotten used to feeling good about myself pretending to be smart and I don't want to go back to being the village idiot again.

Which makes anesthesiology look better and better every day. My favorite line from an interest group lunch meeting speaker last year was "Board scores? Come on, we're anesthesiologists, we're not surgeons."

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Song of the week- Plain White Tees - Hey There Delilah.mp3

Wednesday, July 25, 2007

Blogger is so gay

... not that there's anything wrong with that... that being hot lesbians.

In case you hadn't noticed the disturbance in the force, I've made some pretty drastic change to my blog:

i've moved from blog.gerlad.com to blog.gerlad.com ... More importantly, my rss feed has changed to http://blog.gerlad.com/atom.xml Subscribe now or forever be the loser at the water cooler stuck discussing gerlad's adventures as an MS1. That was sooo last year.

For you stalkers wondering what happened to my last blog for about two months, I forgot to pay my web service provider for over 4 months and so the internet po-po took my page down.

But now I am back with a vengeance. Well.. I'm back, anyway. I even managed to make meticulous copies of my old data so you can go back and reread all of my old entries over and over and over again. Which I do daily.

Anyway as I was saying... blogger is so gay. I don't understand how google with its 10 zillion overpaid employees can't come up with something better than this crap. How can any blogging site not implement private posts? I often say really stupid shit on this blog and it's nice to have an easy way to get rid of the evidence without deleting the post and comments. I want to be able to write myself private love letters that only I can see, dammit. The comment forms are also crap.

How is it that xanga is made for 5th graders and yet it has 10 times more features than this thing. The only reason I don't use xanga is because they don't let you use your own domain and I already have like 5 xanga accounts and it pisses me off when I accidentally leave a comment under the wrong screenname.

Wordpress is actually pretty cool but I hated having to deal with 10 million viagra and penis enlargement (I'm trying to improve the context of my adsense here) spam comments and it's just too much trouble to deal with software updates and sql and all of that crap.

Okay it's obvious I really have nothing to say but I have a lot of downtime in between loading gigs of ct data onto this stupid work computer.

I had another yummy 4 course lunch at google today. I don't know how to break it to hubert and chang but now that they're leaving google I really have little incentive to ever speak to them again.

Dammit my laptop is running out of battery and I didn't bring my a/c adapter.

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Edit: Breaking News!!! Jessica Alba is single!!!

... so you're saying there's a chance!

Saturday, July 21, 2007

Well it's official

I want to go into orthopedics.

I just spent an hour compiling this data, because let's face it. I am a selfish, greedy, money-grubbing, evil bastard. Getting paid nothing to work like a horse and go cross-eyed this summer, it's rather fun speculating on the amount of money i may or may not make 8 to 10 years from now.

http://blog.gerlad.com/specialties.html

Stupid, gayass blogger won't let me insert this table without it breaking up my layout.

I know this makes me a bad person because I'm supposed to only care about helping people. But from what I've gathered so far, residency is such drain on your soul that there might as well be a big pot of gold at the end of road.

And besides, helping people is overrated. Helping people takes a back seat to what will end up being 190k in debt. goddamn private medical schools.

The only thing i need now is hours worked/week data so that i can multiply that by number of years of residency/fellowships, factor in salary and calculate the optimal bang/buck specialty for the 10 years of post-training medicine I will practice before I retire at the tender age of 45.

Friday, July 20, 2007

*sigh*

Okay, so this was fun for the first hour. Now that it's been 10 hours in I'm starting to wonder if these 3d goggles aren't making me cross-eyed.

and i think i'm going to have to be on this fuckin machine another 10 hours / day for the next to weeks.

woe is me :(

Tuesday, July 17, 2007

Virtual Surgery

Ok so obviously i'm having a little too much fun drilling through little baby heads in this 3d surgery planning VR tool they've let me play with. Some of these kids actually look pretty cute in all of their reconstructed ct 3d glory... which makes it even cooler when you bore a hole right through their cute little cheeks.





Monday, July 9, 2007

Randoms on Research

Newsflash: I still suck at writing. My PI wants me to start writing up a paper for the research I haven't yet done but hope to accomplish in the less than a month I have left in the bay.

But dammit, I just can't focus. Nothing puts me to sleep faster than reading research papers. I hate how the wording of everything is so damn precise. How every other fucking sentence is backed up by a reference I have to look up. Which leads me to another boring paper I can't understand with another trail of references I have to look up, but stupid PubMed only has about half of the papers online and I'm way too lazy to actually get off my ass and look in a real live library journal, but it doesn't matter anyway because I've already forgotten what the original paper was that I was looking at and which arbitrary point it was making that made me sidetrack 10 papers down the road.

It's just so fuckin hard to write an intro to a subject area when I have such a poor understanding into what's been done before. Especially all of this acoustics stuff with with impedances and moduluses and bioengineering crap I just can't wrap my head around.

See this is why I got out of the engineering world. It's so much easier to pretend to be smart in medicine. Then a bit of physics or math comes along and reminds me that I'm stupid. Doh. I should have just collaborated on a case report or something lame like that.

All I really want to do is work on my other side project/company i'm trying to start which may (probably) turn into nothing but at least it's really fun to code. We'll see in about a month.

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People must wonder what the hell it is I'm doing when I say I'm doing research. Whenever people tell me they're doing "research", I haven't the foggiest idea what that means. For some people I think it means they're on exel for 2 hours a week every 8 weeks trying to make some numbers look right. Others from what I gather pipette shit into oblivion. I don't know why or what for I just hope I never have to touch a pipette again for the rest of my life.

Recently I've been doing a lot of playing around with the PACS workstations looking at CT scans of infant skulls. I really can't fathom why radiologists get paid so much. After 2 hours of looking through scans I could pretty much diagnose "craniosynostosis" immediately before even looking at the chart. Now, I know there is a lot more to radiology than evaluating for suture closing and narrowed skulls, but don't think it'd be unreasonable to outsource that little bit of radiology to me. I could start a website and hospitals could send me their xrays of their narrow-headed kids to me to evaluate for only 2 easy payments of $29.99. I'd be rich... bitch!

Does it make me a bad person for wishing more babies got dropped on their heads or have suspicious congenital anomalies so that I'd have more potential patients for my study? I really don't see why we can't just xray these little dudes' skulls without medical justification. It's for science, folks... SCIENCE!

Tomorrow after much ado I'm going to get to play with this fancy http://www.dextroscope.com/ machine which looks kind of cool. Originally I had thought I was going to have to write all of the 3d algorithm modeling thingies myself but now it seems we've outsourced me to this nifty little machine. A good thing I suppose because I don't know how to write 3d algorithm modeling thingies.

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Oh yeah, HIPAA is a bitch

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One more thing, you should all go out and watch Jericho. The overall production value of the show isn't quite as polished as Lost, but it has a very interesting storyline which isn't as fucked / enraging like Lost can get. It also has some decent looking chicks, which is always important. My jerk brother got me started watching it and it wasted my entire weekend. I watched all of the first season in 2 sittings. 22 episodes. That's 15 hours. Yes, I have no self control.

Ok back to the grind...