Saturday, June 22, 2013

Immersion

"It doesn't matter whether you like ballet, you have to respect the ballerina." -patient

"A'ight." -attending

Rotating is the bee's knees. It is better than I could have imagined, it's exhausting and exhilarating, and apparently I love rounding and trying to explain feedback loops to patients. There are distinct benefits to being fresh off the test, but the #1 disadvantage is becoming quite reluctant to study for the next one.

Medicine is cray and amazing and human beings are weird and wonderful. for more details, do ask and I'll talk your ear off. The residents and attendings are incredible at integrating teaching into their day. Basically...I'm good.

More attending quotes to round us off!
- on consulting services: "You go to the barbershop, you might get a haircut."
- as I struggle to find foot pulses on someone with X's marked on her feet: "Sometimes, X marks the spot."
- with some of my diagnosis ideas: "Where the hell did you pull that from?"
-"Fab."

Wednesday, February 20, 2013

Bollywood nights

I wanted to make the first blog post of 2013 exciting for all y'all, but alas, no such luck.

1. I helped place two splints today, and no one got (more) hurt. huzzah! I was also put in charge of a small child at one point and that was much scarier.

2. It is Week 3 of Project: Work Out with People Who Know What They're Doing (trying to do continuous quality improvement on myself) and my legs may actually be on fire.

3. "Our understanding of growth factors is expanding rapidly." Don't be like that, textbook, I don't have time for your punz.

Sushi tomorrow! Finals always. One day, classroom learning will be over.

Sunday, November 4, 2012

Daylight saving(s)

I spend too much time reading fan fiction.

Psychiatry has been bleeding into neurosurgery for the past few weeks. Are you more interested in the driver or the car? What about the music playing in the car? What's driving the driver? Does it matter that it's easier to fix a car? (Is neurology even real.) This metaphor has fallen apart after much dissection. I really hope the guy I talked to on the psych ward doesn't have Creutzfeld-Jakob. (Dramatic med school patient story!! He probably doesn't.)

"The language of DSM-IV has become so influential in the discussion of mental disorders that the categories have been reified. Rather than being guidelines that attempt to gather similar individuals together, they have come to represent real entities (as is God created a specific disorder [such as Generalized Anxiety Disorder] while he or she was creating rose bushes)." -our psychiatry professor

"It's not ambiguous. If he looks like he has schizophrenia, he has schizophrenia." -favorite neurosurgery resident

"I'm confused. Brains are for cutting." -another resident

Last medical thing: peds. Sudden realizations came one after the other yesterday. Kids get better. They have full decades before them, not a few months of questionable quality. But don't bring an iPad near their heads. 

Election fatigue. I voted a few weeks ago and have somehow even convinced my mother to vote. Amelia and I saw Billy C, so that was exciting. Big Bird was there too. 

Time flies when you have (made and) eaten so much spinach tortellini today. So much. Oh, I also got locked in a stairwell the other day and finally got out via an emergency exit, climbing through a hedge, and clambering over a wall. All while holding brain slices. True story.

Saturday, August 11, 2012

The Last Month

About to leave for a couple weeks of Quality Family Time as well as getting six more countries under my belt! Excited. I am excited for this school year too. If last year was about learning to even recognize what a building block is, then hopefully this year we'll learn how to put the blocks together.

I know I have told most of you about how awesome my lab is, but here is a reiteration: my lab is awesome. I am such a fan of everyone there, and the whole environment is so different from my previous lab. Also, paper(s) in the works, so keep your fingers crossed and eyes peeled!

Gratuitous sampling of lab lexicon (mostly so I don't forget):
  • Warsh (penalties for saying "wash" instead)
  • Yestuhday
  • Quite good ("quite" means "sort of" rather than "very" in British English!)
  • The grapes are in the fridge. (shhh)
  • I'm sick of this shhhit. (must be said in eastern European accent)
  • Not sports cars, but luxury cars
  • You're weak and unmarried!
  • Whenever a med student is mentioned, one must mutter, "Bloody medical students, can't get away from them!"
We get so much science done.

Sunday, June 24, 2012

Arrogance

Neurosurgery is an arrogant profession. Astronomers study the stars but never touch them. Particle physicists see God in the vapor trails of their atom-smashers, but cannot see the particles themselves, cannot reach into protons and feel the quarks with their fingers...These scientists must be content with the shadow nature casts upon their instruments and photographic emulsions. But not the neurosurgeon, for whom the greatest mystery of creation resides in a few pounds of greasy flesh and blood. Only the neurosurgeon dares to improve upon five billion years of evolution in a few hours.
- Frank Vertosick Jr., When the Air Hits Your Brain

From the back cover, the part I don't want to think about:
"He retired from surgery due to Parkinson's disease in 2002..."

From a lecture on dying:
"You don't really have to pay taxes. You can evade those. But everyone, everyone, gets sick and dies."

Summer means immersion, reading for fun, finding and sharing as much free food as possible, and avoiding discussion of my impending nuptials (you're all invited!).

I am growing more convinced that schmoozin' is an important, cultivatable skill. Also coffee is so delicious and breakfast joints are the best joints.


Italics!!!!!1!

Saturday, June 16, 2012

Almost there

I just saw a picture of spilled purple glitter and thought it was a poorly-differentiated carcinoma. Also, all sidewalks look like they have leukocyte infiltration these days.

Wildly excited for summer, it's only three exams away!

P.S. This blog still exists, apparently.

Tuesday, April 3, 2012

Confusing

Last week, I scrubbed in on a spine surgery and actually helped the resident with the surgery for a whole hour, a task third-years are only sometimes allowed to do (bragging forever). I even managed to not faint or kill anyone. It was the best thing ever.

Yesterday, I took a quiz and got my lowest score of any med school thing. Is this a wake-up call or something? More studying, less actually-medicine stuff? I'm confused. Back to the books, I guess.

Thoughts, ramblings, and advice welcome, as usual.

Friday, March 16, 2012

Miscellaneous

Hillary update. Love huh. Clinton 2016!!!1!!

I took this strength finder assessment thingy that is supposed to help with career planning. I don't understand how my "top 5" are strengths or how they'll help with career planning; they're just things I do. Highlights:
input (meaning I collect things and facts incessantly) (hoarders, here I come)
intellection (mostly just pretentiousness and an annoying "mental hum"...this also apparently explains why I can't concentrate in quiet places)
activator (meaning I just like starting things, without thinking them through) (oops)

I have been told to partner with Focus and Discipline people. Oops all around.

Incomplete things I've written but not posted (this happens frequently):

from January, on resolutions:
Always more or less the same. Calmness and efficiency. Also, trying to reduce the massive hypocrisy of being in med school while not following the diet and exercise instructions I'm supposed to give other people.

Vegetables. Milk. Yoga. Baby steps? I feel like I've done "baby steps" so many times before.

Caucus = LOL

also January. Sunday "Oof!"s:
obesity & surgical intervention
I once shadowed a bariatric surgeon who told me that he knew a particular patient very well because he had done the weight loss operation (I can't remember if it was a Lap Band or some kind of gastric stapling) on every member of that patient's family. Oof! So many issues raised by this one sentence. I mean, this surgeon was a nice guy. He listened to family members well and really seemed to have his patients' best interests at heart. That being said, it's tough to deny that he's making a buttload of money from doing the same (extremely tedious and boring, I thought) procedure multiple times a day, and it's almost a "family affair" situation. Crazy.

This article, entitled "Young, Obese, and in Surgery", brought up similar squirmy issues for me.
"Medicaid in almost every state and many private health plans now cover bariatric surgery, often more readily than diet or exercise plans."
I do understand that there can be a great deal of genetic influence in metabolic control systems. I also understand that increasing evidence shows that once a person becomes obese, it is extremely likely they will stay that way. It reminded me of a lecture we had on infant and young child development. The professor, a pediatrician, said that there is no such thing as "baby fat" that is normal for a toddle to have. The earlier a child becomes overweight, the more likely they will grow up to be an overweight or obese adult.

from last September apparently:
Is it okay for me to be over people who are "free spirits" and need to "find themselves" and all that jazz? Especially when they're upper middle class, white, and have all the time and resources to do just that. I like watching these people on tv. I don't get it in real life. I don't know how to relate to someone who has wasted so much. This doesn't refer so much to one person as to a general phenomenon. Also, I'm undercaffeinated and this doesn't make sense. I don't get it and I'm tired of trying to get it. There's such a thing as being too open-minded, right? At some point, can I just call someone a loser (in my head)?

Medicine by Dumbledore

"It's not really clear whether this disorder is real or just psychosomatic" + all of psychiatry

Dumbledore says: "Of course it's happening inside your head, Harry, but why on earth should that mean that it is not real?" 

"The public tends to see death as a game, something you can get out of if you just play your cards right." + end-of-life issues generally

Dumbledore says: "To the well-organized mind, death is but the next great adventure."
and: "Indeed, your failure to understand that there are fates much worse than death has always been your greatest weakness."
Harry's parents' gravestone: "The last enemy that shall be destroyed is death"
Beedle the Bard: "And then he greeted Death as an old friend, and went with him gladly, and, as equals, they departed this life."

Pediatric and adolescent medicine

Dumbledore says: "Youth cannot know how age thinks and feels. But old men are guilty if they forget what it was to be young..."

Always applicable

"Alas, earwax!"

Wednesday, February 22, 2012

Waffle Wednesday

"When the going gets tough, the tough better dig their heels in and take a stand."

file under: awesome things my mother says.

Um, nothing to report on the school front. Classes are classes. We have a test on solving tricky ethics situations, and apparently there are right answers. I ran into my undergrad adviser, who asked if the past two years were "worth it" so I could go straight to med school. (Yes.)

Midterms next week. Breakfast food obsession this week. Every day I'm wafflin'.

Friday, February 3, 2012


Found a folder with cartoons and clippings from 2005. I think this was a solid use of my time.

Tuesday, January 3, 2012

Whoa

"But if questions about the degree to which medical professions should be adjudicating issues of social identity are not new, they certainly have greater urgency today, for it is getting harder and harder to draw a basic philosophical distinction between the clinic and Clinique...[t]h cycle of anatomical shame attribution and medical normalization seems to be accelerating for all of us."

Assigned reading just got real, y'all.

Friday, December 23, 2011

Brain dump

Numbers seem to work well.

1. Learned yesterday that, from the perspective of a physician who has worked in both Canada and the U.S., neither healthcare system is sustainable in the long run. Interesting. Eventually, she said, people must accept that they cannot have everything, especially without wanting to pay for it. Any bets on when that will happen?

2. This essay, "Good Minus God", was extremely helpful to me. I think she does a great job of spelling out exactly why one can have morality without religious belief, and why this intrinsic/inherent morality can be more profound and valuable than something dictated by religious text.

3. Absolutely eye-opening article about human trafficking in the U.S. What surprised me most was how muddled state/federal laws seem to be on this issue, leading to confusion for law enforcement officials.

"On average, a sex slave costs $5,000 in the United States and, before escaping or dying, generates profits exceeding $135,000." mind boggled.

4. Terrible things. Just a reminder that things Joey Comeau writes make me happy or very, very worried, and really, aren't those the same thing.

5. Please listen to Lana Del Rey if you haven't already. You will feel good about yourself for knowing about her beforehand when she gets famous next year.

6. I have a hard time with the hostility of most atheism-ish blogs. But I like this one! (so far.) Especially this post. thanks, Amelia.

7. "Historians called the event the biggest women’s demonstration in modern Egyptian history, the most significant since a 1919 march against British colonialism inaugurated women’s activism here, and a rarity in the Arab world." wow, amazing. Can't believe I get to witness (well, via internet) history in the making.

8. Mildly mandatory reflections on the first semester of med school...i'm out, really. There was enough reflection during school itself. I would say though, if you're going to be an md/phd student (ahem), make sure you really want the md part. At least be good at pretending to care.

um, I'm off to go tanning (?). Re-post from facebook:



 ...I like scaring myself? (sad no one took advantage of the feminist-history-as-horror joke I set up for y'all.)

Happy end-of-december tomfoolery. happy trips, sleeping, or whatever else you're up to. I like being your friend on the internet.

time of posting: 9:43 am, Friday, Friday.

Tuesday, December 6, 2011

Hillary

"In each of these cases, we came to learn that no practice or tradition trumps the human rights that belong to all of us."

Hillary! Why aren't we best friends yet?

Wednesday, November 16, 2011

Dear Congress

Dear Congress, while you're at it, please make sure to cut funds for residency programs so there aren't enough adequately trained physicians to care for these kids in the future. Since you've already eliminated subsidized loans for graduate students, this should help make sure that even people who want to go into primary care have to second-guess that decision. I hope the generous donations of the American Frozen Food Institute (??) continue to sway your decisions more than recommendations from the Institute of Medicine, or, indeed, the well-being of Americans.

sincerely,
a satisfied citizen

Was going to post this on facebook, but blurghle, trying to not do politics there. it's so artificial to try to separate politics from the rest of your life, though.

Update! via weekend update.

Tuesday, November 15, 2011

Ruh roh

Coping strategies for being iffy at conversation include keeping a bunch of fun facts handy. One of mine has been that it takes 42 muscles to frown. I really thought it did! I read it somewhere.

It actually only takes two (depressor anguli oris on each side). Whoops. I'm sorry, universe!

Smiling takes a lot more (2 for a flat smile, 8 at least for showing teeth), making that adage of it's a lot more work to frown completely false.

For the record, it's 8:50 am.

Thursday, November 10, 2011

Triangles

 You guys! For the first time in the history of this blog I went a whole month without posting. Whoops! It's not like I've learned to be quiet for everyone's sake or anything. Here is a cobbled-together version of the blog posts I started and never finished over the past few weeks.

[something something tirade about economic policies, 9-9-9, the number of words in the tax code, and postcards]

"...and that's it [...] You are released on an unsuspecting world."

Stephen King wrote this in Christine (creepy, gory, recommended) in reference to high school and I suspect it applies quite well to the end of med school too. Or to the beginning. Or, um, I was going somewhere with this. I just think the quote is foreshadow-y in a variety of contexts. I feel hyperaware of the next four years (which doesn't make sense, but just go with it). I like planning, and thinking I have control over things!

Last week was triangles (hard to demonstrate with your fingers). Urogenital triangle + anal triangle. The trigone is distinct from the detrusor (we must, after all, let trigones be trigones). Grid cells make triangle-based grids (3 neuroscience conferences in 1 day --> happy Takini).

As expected, I am super good at solving Meredith's life problems.
Blair is falling apart. Chuck is falling together. Nate continues to be irrelevant.

[tirade about Israel-Palestine, US hegemony, and how no one really knows what "hegemony" means]

Mrs. Bennet: You take delight in vexing me. You have no compassion on my poor nerves.
Mr. Bennet: You mistake me, my dear. I have a high respect for your nerves. They are my old friends. I have heard you mention them with consideration these twenty years at least.
- Pride and Prejudice

happy interviews tomorrow! I have an exam but will probably be hallway-loitering before 8 am. They will give you snickerdoodles. Don't offer them to the lawyer. He doesn't eat sweets in the morning.

Sunday, September 18, 2011

Real convo

Father: How many people in your class use drugs?

Me: Um, in my med school class?

Father: Yes.

Me: Do you mean like illegal drugs, or...?

Father: There's no such thing as legal drugs.

Me: Um.

Father: I mean, I'm talking about bath salts.

Me: What.

Apparently he was talking about this article. I guess that makes more sense.

Wednesday, September 7, 2011

Knees

I don't like knees. They just don't fit the aesthetics of the rest of the body. Plus, the patella is known as a floating bone. It literally can't get any worse than that. Literally!

So, learning the knee physical exam tomorrow. One of the maneuvers we are supposed to do is described thusly: "The suprapatellar pouch should be milked to determine whether an effusion is present."*

Problems:
1. Pouch?
2. MILKED?!

Finally, we learn the exams on each other. And I'm ticklish.

This has been the morning edition of Tarini Complains About Body Parts.

*paper can be found here

Sunday, September 4, 2011

Poetry Sunday

Read this poem aloud. It's fun! It starts off fairly easy but then makes you think that "ever" definitely rhymes with "fever".

(and no, I haven't been studying at all. Chalk it up to recovering from the first exam.)

"The Chaos" by G. Nolst Trenite (1870-1946)

Dearest creature in creation, Dearest creature in creation, Study English pronunciation.

Study English pronunciation.
I will teach you in my verse
Sounds like corpse, corps, horse, and worse.
I will keep you, Suzy, busy,
Make your head with heat grow dizzy.
Tear in eye, your dress will tear.
So shall I! Oh hear my prayer.

Just compare heart, beard, and heard,
Dies and diet, lord and word,
Sword and sward, retain and Britain.
(Mind the latter, how it’s written.)
Now I surely will not plague you
With such words as plaque and ague.
But be careful how you speak:
Say break and steak, but bleak and streak;
Cloven, oven, how and low,
Script, receipt, show, poem, and toe.

Hear me say, devoid of trickery,
Daughter, laughter, and Terpsichore,
Typhoid, measles, topsails, aisles,
Exiles, similes, and reviles;
Scholar, vicar, and cigar,
Solar, mica, war and far;
One, anemone, Balmoral,
Kitchen, lichen, laundry, laurel;
Gertrude, German, wind and mind,
Scene, Melpomene, mankind.

Billet does not rhyme with ballet,
Bouquet, wallet, mallet, chalet.
Blood and flood are not like food,
Nor is mould like should and would.
Viscous, viscount, load and broad,
Toward, to forward, to reward.
And your pronunciation’s OK
When you correctly say croquet,
Rounded, wounded, grieve and sieve,
Friend and fiend, alive and live.

Ivy, privy, famous; clamour
And enamour rhyme with hammer.
River, rival, tomb, bomb, comb,
Doll and roll and some and home.
Stranger does not rhyme with anger,
Neither does devour with clangour.
Souls but foul, haunt but aunt,
Font, front, wont, want, grand, and grant,
Shoes, goes, does. Now first say finger,
And then singer, ginger, linger,
Real, zeal, mauve, gauze, gouge and gauge,
Marriage, foliage, mirage, and age.

Query does not rhyme with very,
Nor does fury sound like bury.
Dost, lost, post and doth, cloth, loth.
Job, nob, bosom, transom, oath.
Though the differences seem little,
We say actual but victual.
Refer does not rhyme with deafer.
Foeffer does, and zephyr, heifer.
Mint, pint, senate and sedate;
Dull, bull, and George ate late.
Scenic, Arabic, Pacific,
Science, conscience, scientific.

Liberty, library, heave and heaven,
Rachel, ache, moustache, eleven.
We say hallowed, but allowed,
People, leopard, towed, but vowed.
Mark the differences, moreover,
Between mover, cover, clover;
Leeches, breeches, wise, precise,
Chalice, but police and lice;
Camel, constable, unstable,
Principle, disciple, label.

Petal, panel, and canal,
Wait, surprise, plait, promise, pal.
Worm and storm, chaise, chaos, chair,
Senator, spectator, mayor.
Tour, but our and succour, four.
Gas, alas, and Arkansas.
Sea, idea, Korea, area,
Psalm, Maria, but malaria.
Youth, south, southern, cleanse and clean.
Doctrine, turpentine, marine.

Compare alien with Italian,
Dandelion and battalion.
Sally with ally, yea, ye,
Eye, I, ay, aye, whey, and key.
Say aver, but ever, fever,
Neither, leisure, skein, deceiver.
Heron, granary, canary.
Crevice and device and aerie.

Face, but preface, not efface.
Phlegm, phlegmatic, ass, glass, bass.
Large, but target, gin, give, verging,
Ought, out, joust and scour, scourging.
Ear, but earn and wear and tear
Do not rhyme with here but ere.
Seven is right, but so is even,
Hyphen, roughen, nephew Stephen,
Monkey, donkey, Turk and jerk,
Ask, grasp, wasp, and cork and work.

Pronunciation — think of Psyche!
Is a paling stout and spikey?
Won’t it make you lose your wits,
Writing groats and saying grits?
It’s a dark abyss or tunnel:
Strewn with stones, stowed, solace, gunwale,
Islington and Isle of Wight,
Housewife, verdict and indict.

Finally, which rhymes with enough —
Though, through, plough, or dough, or cough?
Hiccough has the sound of cup.
My advice is to give up!!!