I bet some duct tape would have held those levees together

April 30, 2007 at 2:34 pm | Posted in Uncategorized | Leave a comment

Damn apartment. Today the toilets were backed up. Both of them. So I had to have the maintenance guy out yet again. It’s OK, though…I’m only living here for another month, and then it’s on to Seattle. I sent my 30 days notice in last Friday, along with a nice note to the property manager. I like her, despite all the problems I’ve had with this place (and there have been many). She lost her house in Katrina, and for a long time was driving back and forth from Baton Rouge in order to keep her job here.

So it’s always been a cost/benefit analysis over whether to stay here, with the pluses of a decent person as property manager and a great location just barely outweighing the minuses of a crappy property with a revolving door on the other side of the duplex, on a street requiring an off-road suspension system. And did I mention the burglaries? Yes, that’s plural.

But it’s 5 blocks from CC’s, 3 blocks from Whole Foods and 5 minutes from the pool where I swim. I think about that every time I consider moving out. In fact, I’m pretty certain that if I had actually liked this apartment, I would have seriously considered staying at Tulane for my prelim year.

I still probably wouldn’t have. Seattle has better infrastructure for resident training, as well as for health care in general. And housing. So if I have to live in a cardboard box, at least I’ll be living in a new one, and not an old, soggy, drafty one with temperamental plumbing.

Right now, it seems like the only things staving off disaster are duct tape and other people’s sympathy.

Bookcase Disimpaction

April 29, 2007 at 4:34 pm | Posted in Uncategorized | Leave a comment

I just got back from unloading a whole slew of medical text and review books up at school. It was probably around 70 books. I sent out a mass email listing all the titles, so there was plenty of help waiting for me when I got there. Maybe 15 books actually made it inside the building. The rest went straight from my trunk to theirs. I felt like a drug dealer, or one of those people selling cheap designer knockoffs on the street. At one point, a security guard even wandered over to see if what we were doing was as illegal as it looked.

-No, sir, officer, we’re just addicted to studying medicine.

Traction, finally

April 24, 2007 at 8:37 pm | Posted in Uncategorized | Leave a comment

Well, the fun continues. My rear tire is flat. And from the loud hissing sound it’s making now that it’s reinflated, I’m guessing it’ll be flat again tomorrow morning. If it isn’t already.

I’m perfectly capable of putting the spare on, all by myself. I’ve done it before. But what I may do instead is just put some more air in and drive it to the tire place tomorrow morning. It’s only six blocks to the gas station, and remarkably, the entire stretch of road is smoothly paved. Hard to believe in the this town, I know.

But hurray! I finally get to buy new tires. The tires that Honda uses for original equipment just plain suck. When my old Altima had needed tires, some guy at NTB gave me a set of Pirelli rain tires for super cheap–he said they were being discontinued and the store had to get rid of them. They were the best tires I ever had for driving in the rain. In contrast, my Honda’s tires have horrible wet-weather traction. It was bad enough in the torrential downpours of Texas and Louisiana; it’s completely unacceptable in a temperate rainforest like western Washington.

Of course, the irony here is that I bought the car in Seattle. And I decided right then that those tires had to go. I just couldn’t bring myself to buy new ones before it was necessary.

April 19, 2007 at 8:13 pm | Posted in Uncategorized | Leave a comment

Tomorrow is my birthday, and surprisingly, people have remembered it this year. Stress has aged my face a bit this year, and I no longer look twenty-something. So I guess it’s a good thing I never traded on my looks.

I did eventually locate my poster. Or, rather, the poster located me. But not until after I had sprung for an emergency reprint at Kinko’s. The color scheme is beautiful, but the topic is very complicated. So basically it mesmerizes you into thinking the authors are all very smart.

During the conference, there was enough news access to hear about the shootings at Virginia Tech. It’s a sad story. And now the University of Texas is no longer the home of the deadliest college campus massacre in US history.

That was a record no one really wanted broken.

Notes from Purgatory

April 16, 2007 at 7:35 am | Posted in neurosurgery | Leave a comment

Just a quick post about the conference. It’s quite chilly here–there’s a Nor-easter blowing through this week. Imagine that: a Nor-easter in April right when I’m visiting the region…

Also my poster is MIA. I may have to run to Kinko’s if I can’t find it within the next hour.

And I was undeservedly rude to a friend of mine yesterday…hopefully I can make amends before I leave here.

However the nice thing about being female at a neurosurgery conference is, there’s never a line for the ladies’ room. I do wonder, though, what the match data would show if it were analyzed by gender. The three women I know who didn’t match were all quite a bit more competitive as applicants than many of the men who did match, so I’m curious what the statistics show for the situation as a whole.

Neurosurgery purgatory

April 12, 2007 at 4:27 pm | Posted in neurosurgery | Leave a comment

I’m off to the AANS meeting tomorrow. I’m not ready to go, but there’s no stopping time. I hope to God the poster gets there and is presentable.

All this effort just so I can stand there for an hour in case anyone wants to ask questions…well, at least I get some frequent flier miles out of it. And maybe, just maybe, I’ll hear about a residency position somewhere.

It could be a blast, or it could be miserable. I really don’t know which way it’s going to go. It’d be a whole lot more fun if I were already in the club.

Sentinel event

April 7, 2007 at 6:11 am | Posted in Uncategorized | Leave a comment

If you’ll recall, I had to euthanize my cat on January 2nd. I wonder now if she was just an early casualty of this pet food fiasco. I wasn’t there, and my intuition is silent on the subject, so I’ll probably never know.

Arbitrary

April 6, 2007 at 3:55 pm | Posted in clerkships, medical licensing exams, professional ethics | Leave a comment

What an awful week it’s been. I’ve been making up time that I missed from my OB rotation (it’s actually time-and-a-half, and let’s not pretend I had any say in the matter), and of course they scheduled me on the night shift. Nights are the most brutal assignment they can give, and nights during spring break are particularly so, since there are no other students around to help with the work.

Sunday night I was just bone-tired all night. But I’d gone to swim before my shift started, so I felt pretty good.

Monday evening I got my CS results back. At every station, I knocked before entering, introduced myself, washed my hands, draped appropriately, auscultated directly on skin, informed the patient of my findings, answered any questions the patient had and asked if they had any further concerns before I left the room. I always clean my stethoscope before examining potentially immunocompromised patients, and I always stand on the hearing side of any patient with a hearing loss. The instructions were to do a focused exam and a focused history, and that’s what I did. So I did go very quickly from open-ended questions to closed ended ones. But the conditions were such gimmes that I was racking my brain for a longer differential. I figured if I were going to fail, I would do so because of poor data-gathering (i.e. missing the diagnosis because of too few questions). And unlike some of my fellow test-takers that day, I didn’t fabricate any exam results for my note. And on a couple of occasions, I had to leave stuff out because I forgot what my findings were. Nonetheless, it was the SPs who failed me, not the person grading my note (the results of my data gathering). And what gets me is that I have no idea why, because we don’t get any information on what we did wrong. And if I can fail after doing all of the things that the SP grade is supposed to be based on, then something is very wrong.

But Monday night I had to finish my poster for AANS, so I put all that aside as best I could and focused on the task at hand. It was a quiet night, luckily for me, so I at least finished the initial draft by the following morning.

Tuesday night was busy, but there was enough down time to talk with my resident about it. It felt good to talk about it, although he was one of those people who ask you a question and then don’t listen to your answer and/or interrupt you with another question halfway through. It’s OK in normal conversation, but really irritating when you’re trying to make a point and they won’t let you get to it.

Wednesday night was busy until midnight, then it got quiet. Thursday night was a madhouse.

So now my whole sleep schedule is turned around, and I’ll be wide awake for the next 8 or 9 hours at the very least.

I know I pulled shifts this long and longer on neurosurgery and wasn’t so drained. But I just hate OB more than anything. They even had me working with the funnest and nicest resident they have (habit of interrupting people notwithstanding), and it doesn’t matter. I don’t like it.

And it cracks me up how the OB people think they’re bestowing some super cool honor on me by having me catch the baby. Meanwhile, it’s all I can do not to pass out. I don’t find it particularly thrilling to watch big baby heads come out of openings half their size. In fact, I could do without seeing any pelvic procedures at all. I can see the need to learn pelvic exams and PAP smears, but childbirth in any form is just nauseating.

And by the way, whatever happened to competency-based rotation criteria? I’ve passed all my tests, and I have more stuff signed off on my little OB/GYN clinical experience card than 90% of my classmates. So why do I still have to make up two more weeks? Didn’t we make a categorical decision after the hurricane that rotation credit would no longer be based on time criteria, but rather solely on competency, acquisition of specific clinical experiences and passing the tests?

Or are we back to the time-honored Tulane tradition of picking and choosing which rules to follow and when, based on whether we like the student in question or not?

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