medical school

I am relatively sober! (For now)

I got my #1 Neurology and #3 Prelim! (UCLA and Maryland, respectively)

Several of my friends are featured in this: http://www.wjla.com/articles/2012/03/matching-day-for-medical-school-students---what-about-romance--73861.html
(But I do not think I can see me anywhere)

Partyin, partyin' yeah!

MY MAN

gettin down on fri-day

fri-day fri-day

Seven a.m. its 0445 oh god why, waking up in the morning
Gotta be fresh, gotta go downstairs
Gotta have my bowl coffee, gotta have cereal NOTHING ELSE
Seein' everything, the time is goin'
Tickin' on and on, everybody's rushin'
Gotta get down to the bus stop lol there is no bus now but w/e
Gotta catch my bus, I see my friends (My friends) schedule and realize its a call night and i forgot contact lens solution god DAMMit

yay again C-L!

niiiiice

Oh wow congrats that is so awesome!!!!!

Strong work, Dr C-L. Well deserved, I'm sure.

otm. those were some great posts. and congrats on the picks too i guess?

I started today by finding out that one of my patients died overnight. But everyone else was either stable or improving, and one lady in particular seemed about as happy as I've ever seen her. So on balance, it was a pretty good day to have my last day of clinical rotations in the hospital as a medical student.

The suddenness of the end of medical school is really quite remarkable. There were some days in there where it seemed like it was never gonna end and now it has pretty much ended. USA! USA! USA!etc

v sorry to hear about yr patient, man, i've definitely had that a few times (esp jarring is the "come back on monday, ask about X, who looked well on friday")

congrats, though! now gimme all the answers to the shelf

Any situation where patient is dry with BP like 80/40 = give IV NS before doing anything. Even if their sodium is like 120 or 150. That is my primary lesson from studying for the Medicibe shelf with USMLE World.

yeah i feel like 'push fluids' is kind of a safe go-to intervention

btw by 'shelf' i mean all the shelfs

OK so how much of this can I remember:

Medicine shelf: U-World + MKSAP + everything you did to an actual patient (seriously this is the stuff you do not have to study, you're just like "Oh of course it is to begin HAART therapy, because we had that guy who had Cryptosporidium and all we did was give him HAART and some Immodium.")

Peds shelf: Pretest

Surgery shelf: there are really only maybe 15-20 sorts of scenarios where surgery is testable (appys, cholecystitis vs cholangitis vs choledocholithiasis, perforations, etc.). It is less daunting than it appears. Also it is generally best to select the most conservative option (although watchful waiting is not always actually the most conservative therapy).

Psych shelf: I forget.

OB shelf: I felt like this one sucked because the OB you are supposed to know as a 3rd year is a relatively finite batch of common issues, and thus pretty manageably knowable (preeclampsia and gestational diabetes and chorioamnionitis and such), but the actual exam tests almost none of this in favor of the things you may see like once a year.

Step 2 CK: Take after medicine if possible. Also there is some OB and a little Peds but medicine is where the action is.
Step 2 CS: is stupid, and expensive. Do not fail it because my God it would suck to have to do it again.

Awwww yeah, it is officially official today.

ahhhh congrats!!!

Hell yeah. Congratulations.

bigtime!!!!

soooooo i think i'm going into psych

(you win, horseshoe)

tell me more in a possibly emo fashion!

feel free to use all caps!

also yay!

wow dude that's boss

the brainsick of the world thank u gbx (though I've still never seen a proper psychiatrist)

that's because psychiatrists just rx the drugs and leave the therapy to clinical psychologists, counselors, social workers, etc.

um, hi...I'm here for the gbx livejournal? :)

(xp I have drugs, got them from my PCP though)

PSYCHIATRY

CONS FIRST, ALWAYS START WITH THE CONS:
- BASICALLY YOU JUST WASTED A FEW YEARS LEARNING SHIT YOU WILL NEVER EVER DO OR NEED AGAIN, EVEN IF YOU LIKED IT, LOL TOO BAD
- CAN'T DELIVER BABIES
- USELESS ON AN AIRPLANE
- EVERYONE AND THEIR FUCKING PROBLEMS, GAWD
- LOTS OF THINKING, NOT A LOT OF DOING
- WILL ASSUME EVERYONE PUTS IN THEIR OWN AIRQUOTES WHEN YOU TELL THEM YOU'RE A PHYSICIAN
- YOU'RE JUST A DRUG-DEALER, LET'S FACE IT

XP KATE78 GETS IT
- WHILE WE'RE FACING IT: YOUR COLLEAGUES DO NOT RESPECT YOU AND YOUR FLIM-FLAMMERY
- FRIENDS RELATIVES AND PPL AT PARTIES WILL ASSUME YOU'RE EVALUATING THEIR PSYCHE ALL THE TIME, AND WILL CERTAINLY BRING IT UP IN TIMES OF CONFLICT
- YOUR KIDS ARE GOING TO BE FUCKED UP (SEE PRECEDING)

you've just described... every job

HEY MAN I'M JUST DOING WHAT THE LADY ASKED

haha my parents are doctors and have said some asshole shit about psychiatrists in their time but i would have really appreciated it if one/both of them had seen a pscyhiatrist at some point in their lives if you catch my drift.

why do you want to do it then? i read a book that convinced me drugs are bad

also thank you evan!!!

let us just be real that lots of thinking in a job sounds awesome. or is that the caricature of psychiatrists? either way, it sounds awesome.

bring on the PROS

A delightful choice! I was working with a 4th year student who is going into Psych and we discussed our mutual interest in chattin' with dudes and not doing procedures and wanting to give sad people hugs sometimes.

So how is your ERAS going?

FAMILY MEDICINE

CONS:
- EVERYONE IS SICK ALL THE TIME, JUST CUT IT OUT
- ALL DIABETES ALL DAY
- NOTHING IS WRONG WITH YOUR KID
- DID I SAY 'DIABETES'? I MEANT PAPERWORK
- HOW AM I SUPPOSED TO AFFORD A BMW ON 150K A YEAR, THAT SHIT IS WHACK, I WENT TO MEDICAL SCHOOL, I AM A DOCTOR
- PICK ONE: A) IT'S A VIRUS OR B) SEE A SPECIALIST
- NO I DO NOT WANT TO SEE YOUR RASH, WE'RE ~SOCIALIZING~ FOR CHRIST'S SAKE

my dad is a pediatrician and i think he is excellent at it and he loves kids but he has some *regrets* about not using the full range of his diagnostic skills. a lot of his day is: your kid has strep throat, here's a prescription, rinse repeat.

i would never do family medicine! i hate families!

interest in chattin' with dudes and not doing procedures and wanting to give sad people hugs sometimes.

C-L gets it. plus, behavior ("behavior") sits at an intersection of actual, real science-y science (BRANES!), sociocultural stuff, and hugging that i find v appealing

plus unlike neurologists, psychiatrists can prescribe stuff that at least ~seems~ like it makes people better

(i love procedures, though)

sorry that was very first world problems of me, i guess. family medicine is amazing, but it burns you out, too.

(i kid, obv)

man now I wanna become a doctor

this is so exciting!

ERAS goes, it goes

need to gently prod at least one letter writer, tho

personal statement is....not complete

i think you just wrote your personal statement

behavior ("behavior") sits at an intersection of actual, real science-y science (BRANES!), sociocultural stuff, and hugging that i find v appealing

me too kinda but i think that's only because I've got no idea what I'm doing with my life right now. I'd probably get all As in a postbacc premed thing but I'd likely faint 30 minutes into med school due to weak constitution (7)

xp to dayo

xpost
It's all paperwork. Soooooo maaaaaaany people go to med school an no one tells them that they are primarily going to be administrators, and they have no aptitude for it.