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Below are the 20 most recent journal entries recorded in med_school_hell's LiveJournal:

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Tuesday, November 29th, 2011
8:14 pm
Which macbook to purchase for med school?
I'm aiming for medical school.

The only problem is I'm not in medical school, so I'm not sure exactly what kind of laptop (macbook I've decided) I'll need.

I'm looking for efficiency above everything else. Which of these options is most efficient? 

There's different versions of the macbook pro: http://store.apple.com/us/browse/home/shop_mac/family/macbook_pro?aid=AIC-WWW-NAUS-K2-BUYNOW-MACBOOKPRO-INDEX&cp=BUYNOW-MACBOOKPRO

There's also different versions of the macbook air: http://store.apple.com/us/browse/home/shop_mac/family/macbook_air/select

What serves you most efficiently, if you have a macbook? And since I have a couple more years as an undergrad student to go, should I wait for newer models? 

I appreciate your help,
Thursday, August 25th, 2011
4:19 pm
Preceptor Thank You Cards
I'm writing my first batch of thank yous for the Hospitalist group I rotated with for my 8 weeks of FM1. (Yes, I did all hospital work for FM1. Yes, it was the most cherry rotation ever. Yes, I suck, I know.)

I rotated with 7 different docs in the group thanks to the way they do their scheduling, and I guess I'm having trouble knowing what to say on all of the thank you cards. Some of the docs who I was really close with are easy to write, but a couple of them are a little harder.

What do I say, just "Thanks for the opportunity to learn from you! I appreciate all of your teaching moments and all of your constructive criticism. I really enjoyed the chance to work with you, and look forward to seeing you around [Hospital] in the future."

Is there anything else I should add in there? These are the ones to the docs that I am not close to and who I got the feeling didn't especially appreciate my presence, but that's no reason not to be polite.

Thursday, July 7th, 2011
12:52 pm
101 things v.3
Seeing as how I have successfully completed my intern year and have moved on to greener pastures (q3 call) plus i am currently post-call and therefore have the afternoon off, I thought it was time to post my list of "101 Things I Wish I Had Known Before Starting Intern Year"

101 thingsCollapse )

The usual rules apply--feel free to add your own!
Have a great day!

Current Mood: sleepy
Saturday, June 18th, 2011
2:29 am
I totally forgot I could vent here
So I've opened this new chapter on my life which is called 4th year.

Apparently somehow I have to study for step 2 while simultaneously doing eras, setting up my 4th year rotations, and finding places to live since most of them don't have housing for me.

Step 2 is a pain in the ass, mostly because I burnt out on spending three months of hard miserable studying for step 1 last year. I don't want to fail, that would be real bad. I only want an average passing score, just no willpower to do anything for it. I know once I pass this test and get matched somewhere that this test and step 1 are rendered utterly meaningless, maybe that's the underlying motivational problem.

Dear hospitals I want to work at, I don't have TB or hepatitis B. I'm pretty sure you don't need two PPD's per year to confirm that with no record of being exposed to any person who had TB. Furthermore, I'm pretty sure I was vaccinated against hep B when I was a baby- why the fuck do I need a full hep panel that my insurance won't even pay for just to prove I am immune from being vaccinated and not immune from my presumed history of sharing needles with heroin addicts and having multiple sexual encounters with homeless people.
Saturday, March 5th, 2011
4:02 pm
Med school hell is...
-being a second year. I could stop there.

But for reals, being a second year whose husband is about to go on deployment to Afghanistan and who is so damn sick of classes she could just puke over everything. I have friends who need to drink in order to study and other friends who need to drink in order to go to sleep. And another friend who just took a leave because he was too done to make it another two months. Can you say burned out?

Please tell me rotations > 23 credit hours of awfulness.
3:25 pm
Med school hell is NOT...
finishing your last 30 hour call in the MICU!
Sunday, February 20th, 2011
9:39 pm
Med school hell is...
finalizing your rank order list. And the fact that the NRMP hasn't built in an easy way to make sure you have the correct 10 digit code for each program.
Tuesday, September 14th, 2010
10:43 pm
Okay, I'm ready to moan and complain now!!

Neuro OSCE yesterday, which was faculty monitored and very stressful. Neuro lab exam Thurs am. Two mandatory small groups/problem solving things this week, three next week. Full OSCE the week after next. Two finals and a major exam on October 1. Soooo many lectures every day that I just stare at my books for hours every evening without absorbing anything. I try to at least go over the day's material but I never get through it all, and usually it doesn't even seem worth it because there are always half a dozen more pressing things to do.

I try to get at least 7 hours of sleep, because otherwise I accomplish even less (and get snappy which just makes me feel horrible). So, at least I have that going for me. I'm not living in a war zone, I'm not on fire or starving to death, everyone I care about is reasonably healthy, my puppy loves me -- clearly, things could be worse.

But ahhhhh, can I pass these classes????
Saturday, September 4th, 2010
7:09 pm
I know I'm not a med student anymore but there are still some things I need to vent about a little.

So I'm doing my required gen surg rotation this month (against my will) and I was on call yesterday. I'm not even going to get into the injustice of being on call on Friday and Sunday on a holiday weekend because, whatever, that's what happens when you're the non-gen-surg-intern on the gen surg service. Anyway, the other residents in this program actually sorta suck. I'm not saying they're not smart, because they seem to know their stuff, but they're kinda...lazy.

-I saw a patient in the ER yesterday and I wasn't sure who I was supposed to staff it with since it was my third day of gen surg. So I called the senior, he didn't call me back. I called the other senior, she didn't call me back. I called the PGY2, he didn't call me back. I called the PA, she didn't call me back. I called the intern, he didn't call me back. I sat in the ER and rotted for a long time while my patient continued to have acute appendicitis and I thought about what to do. Finally, the PA called me back and said that everyone was eating lunch and that was why they hadn't picked up when I called. You'd think if I called everyone in the room, someone would have figured out that maybe I wasn't just doing it for my health. The PA then went on to tell me that they had decided to get dessert, but someone would see the patient with me when they were done. Because my time is so worthless that I can just sit in the ER and wait for everyone to finish eating their cookies at their leisure. And, you know, the patient can just sit there with her infected appendix and everything will be hunky-dory.

-I pre-op'd a patient and I figured I would just go to the OR with her since I had admitted her, done the H&P, followed her, pre-op'd her, and here we were. Right after I put in the orders to go to the OR STAT, the PGY2 came down and told me to go to lunch. I told him I would just wait until after the surgery and he said that I had to go then. I realized later that he was just sending me away so he could do the case himself. Then he paged me after it was over so I could post op the patient. And, of course, I did a discharge summary on her today.

-The gen surg intern paged me to ask me to write a script for Ativan for a guy because he forgot to do it. Then he said he would do it, but he was on the second floor and the patient was on the first. I told him I was on the third floor but I would be happy to do it for him.

-I got paged to go down to radiology to ask the radiologist to look at a chest x-ray on a patient who I had never seen before. It really helped me correlate everything clinically, let me tell you.

There's been a lot more but I don't really feel like getting into it now. But seriously, these residents don't really seem to care about helping each other. I'm starting to see why general surgery residents have a reputation for being so unhappy. I'm probably getting scutted out more because I'm not one of them, but this is ridiculous. I get paged at least once an hour to do some dumb piece of floorwork that's beneath the dignity of the general surgery intern. If the patient's upset about something, I get paged to calm him/her down. I get paged to call the lab for the results of bloodwork. I get paged to call outside hospitals to track down imaging studies. I'm not saying this is hard, and it doesn't take that long, but it's really annoying that no one else will do it and it goes to me all the time. It's not like everyone else is busy operating because they don't operate too much over here in gen surg. It just seems like everyone else is freaking lazy. And this is stupid. And pointless.

I really can't wait until this month is over. Except I had pediatric surgery next month and I hear that's more of the same. Joy.

Current Mood: annoyed
Sunday, August 15th, 2010
5:00 pm
foot problems
OK, so this isn't technically med school hell, but the resident community is pretty dead and it's not like i left behind all the angst and misery when I graduated. So I'm still here.

Anyway, I'm currently experiencing what I suspect strongly is raging plantar fasciitis (physician, heal thyself), it started out on the left and now I'm pretty sure it's infiltrated both feet. It hurts, I'm walking funny, and standing is really a pain. I gotta say, it's not helping my InternYearExperience any. Plus I can't really exercise much so I'm really a limping tub of frustration. So I'm walking around with duct tape on my sweaty feet and attempting to find 5 minutes to go and pop ibuprofen. I've also been stretching in the locker room when I get a chance. But it's not going away, I'm actually pretty sure it's getting worse, and I'm running out of ideas.

Anyone else have this problem? Is there any way to deal with it when you have to stand all day and you can't commit to regular physical therapy appointments or anything like that? Should I just give up and do my own plantar fascial releases?

Also, can anyone recommend some really comfortable shoes? I'm in the OR most of the time (I usually only have clinic one of two half-days a week and the rest of the time is all operating) so I can get away with wearing sneakers and stuff like that, but my sneakers don't seem to be helping me and even with special (and irritatingly expensive) insoles, I'm still kinda miserable. Plus on the off-chance this problem goes away, I really don't want it to come back. I'm curious about danskos because everyone seems to like them, but I don't want to spend over $100 for ugly clunky shoes if they're not going to change my life.

Thanks in advance!
Saturday, May 15th, 2010
12:56 pm
Poll for call
My question is, how much call did you take as a medical student rotating in psychiatry and/or what do you think is a reasonable amount (please don't say no call... that's what I would have said as an MSIII) and what the learning objectives should be.

Also, any feedback on what was done while on call would be appreciated and what you learned from this experience (if anything).  Feel free to leave the name of your institution if you want or to remain anon that is fine too.

Cross posted in a few communities....

I am a resident in psychiatry and have Med Students complaining that the call is too much for them when they rotate at our facility, as other sites have less call.  Our facility is not attached to the medical school except to support rotating students.  I had much more call as a med students in psych and at my current institution its not really a lot of scut, but instead seeing patients in the ER and on the Wards with resident supervision and then participating in discussion.  We do not even have the students write a note and of course I am biased since this is my specialty, but I think that seeing a psych patient in an emergency setting and having to evaluate suicidal and homicidal ideation is valuable to a lot of other specialties (even though most other specialties seem to get frustrated with psych).

I am all about reform, but before I go to someone higher up in my chain of command I wanted more input.  I think part of the problem is that my program is a lot more intense and has a lot higher patient volume than some of the other places the students rotate in psychiatry.  Its definitely less than an IM or surgical work schedule and part of the problem is that the expection is that psychiatry should be an easy rotation.  If you can help me out by giving me feedback perhaps I could suggest some changes to my department if it is needed...or at least justify the expectations that we have now.

Wednesday, May 12th, 2010
8:32 pm
60 things
From the chick who brought you "101 things I wish I had known before starting third year," (http://community.livejournal.com/med_school_hell/65997.html) here is my latest list, "60 things I wish I had known before I started interviewing"

The usual rules apply: everyone feel free to add to my list.

cut to spare your f-listCollapse )

Current Mood: cheerful
Saturday, March 6th, 2010
7:51 am
Finished with senior year and started the year of internship clinical rotation (different medical system) with obstetrics and gynaecology for two months. Rotating into paeds after OBG. I've only been an intern for five days and it seems so much longer. Was in the hospital for 52 hrs with 6 hours of sleep in bits and pieces...

Surviving this seems to be about staying hydrated, keeping glucose levels up and sleeping where I can, when I can.
Monday, March 1st, 2010
6:02 pm
Hi guys! I'm a grad student studying to be a pathologist's assistant(we do the autopsies and grossing for you pathology peeps). As part of my program, we were required to take anatomy at the medical school(University of Maryland). So I came in with no MCATS, no pre-med, and the only thing close to pre-req courses I had were from mortuary school(I was a mortician in a previous career).
I was very excited about it initially and thought, oh this is going to be fun, because I know a lot of this stuff(I currently work for an organ procurement organization and harvest cadaver tissue for transplant).
Oh nonono. Holy shit that was the most miserable 2 1/2 months of my life. I was so stressed that my immune system said fuck you and I developed a painful kidney infection. I ended up failing the class by one point. Upon learning my grade, I became distressed, so I went to the school counselor for help, who promptly had me locked me up in a psychiatric hospital for a week. Good times.

The happy ending to this story is that I was able to take a make up exam(which was a portion of a retired USMLE test) which I somehow passed and was allowed to stay in graduate school(if I had failed they would have booted my ass).
Now I'm taking physiology with dental students. This I can do.

So anyway, I feel your pain to a small extent and don't know how the hell you guys suffer through YEARS of that. When I look at the second years here and compare them to the first years, there is a marked difference. They look much older, aged, and weary. Med school seems to have a way of transforming vibrancy into colorlessness.
Then there is the whole residency fellowship thing where they probably treat you like the scum of the earth. It's a terrible system.

I'm here to read your stories, commiserate, and offer any support that I can.
Sunday, February 14th, 2010
9:30 am
Monday, December 14th, 2009
12:30 pm
Military Match
Good luck to everyone going through the military match this week.
Saturday, November 28th, 2009
6:25 pm
I feel like my brain is being sand papered. I wrote a surgery exam I on 23, surgery II on 24, then had one day off, then obstetrics and gynie I on 26th, obs and gynie II on 27th. I have an internal medicine exam coming up on monday.

This nightmare seems set to continue at this intensity till Dec 3.

I don't want to study anymore. I'm tired of being stressed, of having stuff I've reviewed just five days ago get washed out of my head, tired of feeling apathetic and having to fight the darn apathy and study anyway.
Monday, September 21st, 2009
3:49 pm
Step 2 CS
Wow what a crock of $#!+. Step 2 CS is the biggest waste of my money I think I have ever seen. I was happier paying my $100 per day during OB working my @$$ off for an average score eval. This was worse. $1000 for 8 hours to be locked in a hallway treated like a piece of $#!+ by MOCK patients. My REAL patients who have been waiting HOURS just to see me a student only to wait another hour to see the doc are more cordial. I couldn't even get these people to stop whining about their "issue" long enough to finish the exam most times. Then we have to write a f^(k!n& note based on 5 minutes of history 5 minutes of physical and 5 minutes of whining about needing to go home to see your dog when you are in the middle of an MI, oh yeah with 30 seconds of diagnostic planning in there somewhere. I would actually rather take 2 Step 2 CKs back to back than that worthless bit of horse manure. Everything on that test was so vague I could have created a 15 item differential for each and woe betide you if you thought of leaving early because they apparently knock points off if you leave before 8 minutes even for a patient with the most basic complaint on the planet. Can anyone PLEASE put a positive spin on this festering sack of pig $#!+ so I don't wait until a non-testing day and blow up the God forsaken building...

To add insult to injury I had to drop $500 on my f^(k!n& application. Another colossal waste of my time. This is what is meant by med school hell. It's not the hours of studying, the early morning prerounding, the demeaning tone half of the residents take with you, or even taking call on peds which meant me doing all of the admits so the residents could chat in the work room over dinner and coffee. No, Med School Hell is dropping $1000, which your advisors tell you at the beginning of med school is always tripled when you take loans (bastards always talking about my $3 coffee being 9 bucks what about their $#!tabulous test which costs $3k), on 8 hours to prove that I actually speak English and attended medical school. Next time I will send them a youtube video detailing the items in a history and physical and proof of my AOA membership. Maybe I could have saved myself at least the drive time that way. F^(K-tards!

Current Mood: bitchy
Thursday, July 30th, 2009
11:08 am
my icon
It occurred to me that since I've graduated from residency and have no immediate plans to return, I can no longer rightfully use my hangman resident icon. I have to retire old Hangy after four years of faithful service.

Now I need a fellowship icon. I'm not sure what kind of icon it should be. Maybe I need to see how horrible my fellowship is first.

By the way, if any of you newbie residents want to steal my resident icon, feel free.
4:28 am
Med_school_hell is...
Sitting up at 4 am worrying about a test you just took then deciding since you are up you should finish writing 2 case reports, 1 guideline paper, and your ERAS application for residency. Calgon take me away...

What is your hell?

Current Mood: sleepy
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