I'm on a much needed break this week. The last quarter of school has been particularly rough. Sometimes I just want to open up a camera shop in Hawaii and forget about the whole doctor thing. In any case, this is not a medical blog, but I thought I'd share some of the things I incidentally learned this last quarter amidst the complaining Lindsay was constantly putting up with.
1. Pathologists like foodPathology (from Greek,
pathos, "fate, harm") is the study and diagnosis of disease through examination of organs, tissues, bodily fluids and whole bodies, i.e. autopsy (wiki). It takes a special kind of person to be a pathologist (no offense to any that I know). The funny thing is, it seems that for some reason when pathologists describe human organ pathology they often do it in terms of resemblance to food items. For example, "bread-and-butter pericarditis" is when the heart has a shaggy appearance--I guess like when you pull apart two pieces of bread with butter in between them. I think you have to be a patholoist to make that connection though. My favorite is "caseous necrosis". Käse = cheese (German), caseous = cheesy. I'm not sure if this is where the term 'lung cheese' came from, but when a lung gets trashed by active tuberculosis, it undergoes caseous necrosis, and you get these cheesy patches of dead tissue in the lung. I'd say it looks kinda like chèvre or a yellowish ricotta.
2. I&D (incision and drainage)I did my first procedure. A kid came into the clinic with a golf-ball sized abscess sticking out from the side of his head (most likely a staph infection). We had to drain it. I anesthetized the area, made an incision about a centimeter long, and squeezed out more pus than you could imagine. I have never smelled anything so foul. Then I packed the inciscion with gauze and sent the poor kid away with some antibiotics.
3. The prostate is a subtle organOr at least it should be (if it's not subtle you might have a problem). This I recently learned first hand (haha, no pun intended), for the first time. A few weeks ago I did my first DRE. That is, my first digital rectal exam (digit = finger, rectal = bunghole, exam = put the two together). Although I found it to be a little awkward, it's not difficult; my friend put it well in saying that it was a lot like putting in a key and turning the ignition. (In case you don't know, the purpose of the DRE is to find any prostate abnormalities. A large prostate, say one affected by cancer, can be the size of a fist. A normal prostate, however, is small and dainty, like a large walnut.)
4. Short coats aren't long enoughIn case you aren't aware, medical students wear white coats when they are seeing patients. However, these white coats are not the long and luxurious ones that go to the knees that you're used to seeing on your doctor--ours only go to the waist, lest someone mistake us for someone who knows what they're doing. While seeing a patient for a routine exam a couple months ago, I realized that my fly was down (oops). If only that dang coat were longer, I could have easily hid my shame until I could leave the room. Instead I had to try to be shrewd with a zip-shimmy in the corner. Not sure if I was noticed. Damn coat.