Sunday, June 22, 2014
Pre-Step 2 Clinical Skills
I am dreaming about weird things. For example, I dreamed about hidradenitis suppurativa yesterday. A woman presented into some situation in my dream (neither clinical nor sexual) with several yellow purulent lesions between and under her breasts. Maybe my dream is telling me to go derm. Lol...nice try dream...the lesions are more classically just under the breasts, not in between them. #noderm
Tuesday, June 17, 2014
Selfish medical student = Alex bruising
I was hanging around the emergency room the other day just to get some face-time in with one of the staff that works there. By a stroke of luck, I ended up getting a bit of facetime with the residency program director as well. Anyway, there were some M1s who were hanging around as well for their externship and they were just sitting around, so I decided to do some charity work and teach them how to put in IV's. It was a female and a male student and the female student adamantly stated, "NO ONE IS STICKING ME!" I replied that she didn't have to get poked, that I would volunteer. So I let the guy go first and guided him on how to put in an IV into my right arm.
I remember when I put in my first IV. I got that effer on my first try.
This guy, on the other hand, did not get me on the first try. In fact, he would do things that I told him not to do, e.g. putting the needle in, and redirecting the needle while it's already kind of deep. I have bruises here and there on my right arm to prove that this happened. Alright, I'll face that fact that not everyone does perfectly on their first try. But still, I think he poked me a total of 5 times before getting the IV.
In any case, the girl was able to do it to the male student on her first try, although she did withdraw the needle before advancing the plastic catheter part of the IV and did ultimately not get it in all the way. The moral of the story is this: Don't let first year medical students try to put an IV in you. Make sure they do it to each other - no matter how ardent they are about not wanting to be poked. If you want to poke, you have to be willing to poke.
Now that I think about it, I think that's a good way to look at medicine overall. We as caregivers probably shouldn't administer therapies that we ourselves wouldn't take.
I remember when I put in my first IV. I got that effer on my first try.
This guy, on the other hand, did not get me on the first try. In fact, he would do things that I told him not to do, e.g. putting the needle in, and redirecting the needle while it's already kind of deep. I have bruises here and there on my right arm to prove that this happened. Alright, I'll face that fact that not everyone does perfectly on their first try. But still, I think he poked me a total of 5 times before getting the IV.
In any case, the girl was able to do it to the male student on her first try, although she did withdraw the needle before advancing the plastic catheter part of the IV and did ultimately not get it in all the way. The moral of the story is this: Don't let first year medical students try to put an IV in you. Make sure they do it to each other - no matter how ardent they are about not wanting to be poked. If you want to poke, you have to be willing to poke.
Now that I think about it, I think that's a good way to look at medicine overall. We as caregivers probably shouldn't administer therapies that we ourselves wouldn't take.
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