Patient: doc, I need something to help me stay awake
Doctor: take two of these and call me in the morning
Patient: but these...aren't these your kids?
Doctor: trust me, I'm a doctor.
I swear OBGyn is a different language. They could rattle off "G2P1001 35w4d O+/RI/HBV-/HCV-/HIV-/GBS+ bacteruria PCN orderd/RPR NR who is a TOLAC presenting with PPROM at 3/75/-2 initially and 5/90/-1 at 4 hours" and everybody's just like "yep, sounds good fam"
So did you study for 4 years and take multiple licensing exams and do 3-7 years of residency and possibly a fellowship with a lifetime of continuing education because you liked biology in high school or are you normal?
Me: I want to start them on an antibiotic
Pharmacy: ok, which one?
Me: your finest antibiotic, please. My patient deserves the best.
Pharmacy: that's...not how this works
Me: ok, then I'll just take whatever's on tap
Standing in the corner of the OR, completely dissociated, getting every single question wrong asked by the surgeon, poorly moisturized, haven't eaten since yesterday, thriving
The human body: if I don’t get 6-8 hours a sleep a day I will simply perish
People in medicine: hey, how cool would it be if we worked 24 hours straight?
Sure, medical school is difficult
Sure, residency interviews are tedious and exhausting
Sure, making a rank list is stressful
But the present me is living the dream that my past self thought was unreachable, and that makes it all worth it
[Pediatric exam]
General: omg, so cute. happy squeals. chonky cheeks
HEENT: wittle ears, button nose, + baby drool
Heart: much lub, much dub heehee
Lungs: squeals are super loud now
Abdomen: SO SQUISHY
Neuro: wiggly toes, kicky legs, much reflex
Saw a gallbladder today AND IT WASN'T EVEN LIME GREEN LIKE EVERY TEXTBOOK ON THIS EARTH SHOWS IT BIG GALLBLADDER HAS BEEN LYING TO US ALL ALONG DO NOT BUY THE LIES
Can you imagine if med students got merit badges and wore them across their chest like the Boy Scouts? Like, "oh, you got your Good Differential badge? That's cool. I just got my Pen Stolen by Attending badge"
If I were a residency program director, I would ask applicants one question and one question only during their interview: what is your pen of choice?
Tells me all I need to know about you
SO LITERALLY THE ONLY DIFFERENCE IS THAT TOXIC EPIDERMAL NECROLYSIS COVERS 30 PERCENT OR MORE OF TOTAL BODY SURFACE AREA AND STEVENS-JOHNSON SYNDROME IS WHEN LESS THAN 10 PERCENT IS COVERED
⬛🟥⬛🟧⬛🟨⬛🟩⬛🟦⬛🟪
A ⬆️⬛⬇️⬛⬆️⬛⬇️⬛⬆️⬛⬆️
B ⬇️⬛⬇️⬛⬆️⬛⬇️⬛⬆️⬛⬆️
C ⬇️⬛⬆️⬛⬆️⬛⬆️⬛⬇️⬛⬇️
D ⬆️⬛↕️⬛⬇️⬛⬆️⬛⬆️⬛⬆️
E ↕️⬛⬆️⬛↕️⬛⬆️⬛⬇️⬛↕️
F ⬆️⬛↕️⬛⬆️⬛↕️⬛⬇️⬛⬆️
G ⬇️⬛⬆️⬛⬆️⬛⬆️⬛⬆️⬛⬆️
H ⬇️⬛⬇️⬛⬇️⬛⬇️⬛⬇️⬛⬇️
Not wordle, just a Step 1 question
Presenting adult patients: “this is a 54y male presenting with shortness of breath”
Presenting peds patients: “this adorable little nugget is a 7 month old chonker. Poor buddy, his lungs got the zoomies, but he feels a little better after I gave him a sticker.”
2, 4, 6, 8 what did we just auscultate!?
"THE HEART"
2, 4, 6, 8 and what did we appreciate!?
"POSSIBLY A MURMUR BUT MAYBE NOT I DON'T REALLY KNOW I THINK IT WAS EITHER SYSTOLIC OR DIASTOLIC OR NEITHER IT'S REALLY HARD TO TELL SOMETIMES OK"
Current M2s after becoming physicians: BACK IN MY DAY WE HAD TO STUDY FOR 400 HOURS A WEEK TO GET A GOOD STEP 1 SCORE TO EVEN THINK ABOUT GETTING A RESIDENCY. NONE OF THIS PASS/FAIL NONSENSE.
(p.s. don't be like this)
Progress note, Gen Z style:
Kidney function improving, which is lit.
Patient yeeted their IV out overnight.
Pain is now under control *dabs in celebration*
Making progress with physical therapy like a boss.