Ruling shit out
definitely no urology for me. I've touched more than enough foreign penises within the last couple of weeks to last for this lifetime. that would be 2. which is about 800 too many. So gross.
I think i would do a better genital exam if i strapped a gas mask to my face. it's hard to focus when you're in the presence of nasty-smelling genital funk and you're so acutely aware of alien penis molecules eating through your gloves and entering your trachea on their way into the depths of your soul.
a close second to nasty male genitals has got to be diabetic feet. or dried out edematous statis-dermatitis'd ungroomed old-person foot. especially when you yank off the sock and it's like someone setting off a little dirty-bomb with little bits of dried up foot falling to the ground and untold getting aerosolized.
so gross.
you're sitting there and you realize your hand is on your face and even though you gloved and washed and what not you start thinking about where it's been you start imagining you can still smell it on your hands and now it's all up in the pores of your face.
maybe i'll be desensitized eventually and get used to this sort of thing. i dunno though... i'm still scared of spiders after 27 years.
maybe it's a sign i should really go into radiology. or perhaps the sterile OR field will be different.
...
i'm getting pretty sick of outpatient at the VA. you know you're spoiled when being let out at 5 is a long ass day. i'm sick of looking knee pains and foot pains and ambiguous back pains. i'm tired of doing physicals. i want some damn daily blood values and some followup on patients with more acute illness.
i'm kind of sad that internal medicine is coming to an end in another 6 weeks. i feel like i need another oh... 25 weeks or so. i feel like i still don't know shit. i certainly haven't seen much on the floor. and it's disturbing that i may not have a chance to come back to this stuff which seems like the most important foundation of medicine.
...
I think i need to work on my patient rapport. i'm pretty sure my patients like me but i think my act is getting boring. i'm too busy focusing on being a good listener and empathetic and what not... i think i need to try to inject some humor into my routine. not to the extent of being insensitive of course but i just feel like my attitude is too serious esp during physical exam and they could probably use a lighter atmosphere.
things just seem much happier when the attending or chief is in there doing their thing... they're so much more comfortable in what they can say or do. the patients know they're talking to a bonafide MD, they're more relaxed and smiling, and the interviews are much shorter because i've done all of the dirty work. i feel like i'm playing good cop / boring cop.
...
what i really want to do is work in the "hmmmm... i've never seen that before" comment to get em really worked up. which is true for almost everything i look at.
...
ok i ran out of things to say
I think i would do a better genital exam if i strapped a gas mask to my face. it's hard to focus when you're in the presence of nasty-smelling genital funk and you're so acutely aware of alien penis molecules eating through your gloves and entering your trachea on their way into the depths of your soul.
a close second to nasty male genitals has got to be diabetic feet. or dried out edematous statis-dermatitis'd ungroomed old-person foot. especially when you yank off the sock and it's like someone setting off a little dirty-bomb with little bits of dried up foot falling to the ground and untold getting aerosolized.
so gross.
you're sitting there and you realize your hand is on your face and even though you gloved and washed and what not you start thinking about where it's been you start imagining you can still smell it on your hands and now it's all up in the pores of your face.
maybe i'll be desensitized eventually and get used to this sort of thing. i dunno though... i'm still scared of spiders after 27 years.
maybe it's a sign i should really go into radiology. or perhaps the sterile OR field will be different.
...
i'm getting pretty sick of outpatient at the VA. you know you're spoiled when being let out at 5 is a long ass day. i'm sick of looking knee pains and foot pains and ambiguous back pains. i'm tired of doing physicals. i want some damn daily blood values and some followup on patients with more acute illness.
i'm kind of sad that internal medicine is coming to an end in another 6 weeks. i feel like i need another oh... 25 weeks or so. i feel like i still don't know shit. i certainly haven't seen much on the floor. and it's disturbing that i may not have a chance to come back to this stuff which seems like the most important foundation of medicine.
...
I think i need to work on my patient rapport. i'm pretty sure my patients like me but i think my act is getting boring. i'm too busy focusing on being a good listener and empathetic and what not... i think i need to try to inject some humor into my routine. not to the extent of being insensitive of course but i just feel like my attitude is too serious esp during physical exam and they could probably use a lighter atmosphere.
things just seem much happier when the attending or chief is in there doing their thing... they're so much more comfortable in what they can say or do. the patients know they're talking to a bonafide MD, they're more relaxed and smiling, and the interviews are much shorter because i've done all of the dirty work. i feel like i'm playing good cop / boring cop.
...
what i really want to do is work in the "hmmmm... i've never seen that before" comment to get em really worked up. which is true for almost everything i look at.
...
ok i ran out of things to say
posted by Gerlad at
5:06 PM
3 Comments:
You get to used to all that stuff, fortunately, I guess.
I used to be self-conscious when I went to the doctor. Then I got over it, because I figured doctors had seen it all. Now I'm self-conscious again. Thanks.
I wrote up a summary of a risk management book if you want to use that in your act. It's gold, Geri, gold!
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