Five Doctors Go Hunting
Five doctors - a general practitioner, a paediatrician, an internist, a surgeon, and a pathologist - decided to take a weekend trip and go duck hunting.
Soon after they were in their duck blind, a bird flew over and the general practitioner said, “I think that is a duck,” and so he took aim and slowly squeezed the trigger…but then he lowered his rifle and said, “I better get a second opinion.” “Back of the line,” said the group.
Another bird flew overhead and the paediatrician said, “I think this one is a duck too,” and he took aim…only to lower his rifle and say “but that duck might be a mother have baby ducks somewhere.” “Back of the line,” said the group.
A third bird flew overhead and the internist shouted, “That looked like a duck, etiologically classified as Animalia, Chordata, Aves, Anseriformes, Anatidae, based on the size, I am judging it to be a male, with an estimated weight of…” Before he could finish his thorough assessment or raise his rifle, the bird was gone. “We do not need to hear all that gibberish. Leave it to me,” said the surgeon.
Then a fourth bird flew overhead and the surgeon immediately raised his rifle and with no hesitation shot the bird out of the sky. He then turned to the pathologist standing next to him and said, “now go find out if that was a duck.”
“You will feel like you do not belong. You will have moments when you question your choice to be here. You will feel incompetent. You will see, hear, and do things that will challenge yourself in this profession. Simply put, third year is hard. You will feel miserable. The year is a systematic destruction of the soul. But in the end, you are rebuilt.”—A resident reflects on the process of third year.
Admission #92: Coroner
I’ve spent over a week trying to write a post about my experience at the morgue, specifically the coroner’s office. Initially, I was very excited. “How badass is this?” I thought to myself.
But I’m going to be honest: the whole thing left me feeling pretty messed-up inside.
“The nerd that I am, I looked up ‘sarcasm.’ And ‘sarcasm’ in Greek comes from the word, ‘sarkasmos,’ which means, ‘cutting people up; fleshing and peeling of someone’s skin.' So, basically I’m not away from my original profession.”—Bassem Youssef, on being a cardiac surgeon and a comedian. x
“We, as wives, need to believe in our husbands. We need to be understanding – even when we don’t like it – of their long hours and limited family time. We need to give them a safe place to come home to after being run through the garbage disposal all day. They need to hear, “Thank you for working so hard for our family” and “You are going to be an incredible (doctor/specialist).” They need to hear, “I am so proud of you.” They need to know that they are heroes at home, even if they are peons at the hospital. They are working their butts off in order to learn how to save someone’s life. They need – and deserve – our respect.”—Survivor Stories: What I have learned about being a doctor’s wife
The other day, I was asked to write the admission orders for a sick patient for the very first time. Every doctor I have seen has taken different approaches towards writing these notes. For me, the two acronyms below has worked well for me and covers most issues that needs to be addressed when admitting.
- Admit to / Allergies
- Diet type
- Activity level
- Vitals / IV
- Investigations (e.g. blood work, imaging, consults)
Under the medication orders, I use the following acronym: BE SAD PP
- Bowel protocol
- Emesis protocol
- DVT prophylaxis
- Pre-admission medications