I love A Cartoon Guide To Becoming A Doctor. Love isn’t even a strong enough word. Maybe if I capitalize it, and put some exclamation points after it. LOVE!! IT!!
When I read this post of hers, complaining about an illegible note in a chart, I giggled and felt a little illicit. I fight the urge to ever use my camera phone in my training at all. I know people who have taken pictures of sutures, fibroids, etc. I was told to take a picture of an abdomen with scabies excoriations on it (that I did an exam on without gloves…ugh), and I didn’t. I may have an overdeveloped sense of patient rights, but taking pictures like those just creeps me out.
But, I totally get taking the photo of the illegible note now. First of all, it doesn’t involve any patient body parts. Second of all, there is no identifiable information. Third, if you can’t read a friggin’ word of it, there is absolutely no value to it at all, except to mock it.
So, here are two consecutive notes in the chart of a patient I was following last week.
Any guesses as to what sort of progress this patient made? How about the specialty of the physician writing the note? I’ll give you a hint, there was a surgery involved. Sorry it’s a little blurry, but trust me, it wasn’t any easier to read in person.
Our jack o’ lantern was inspired by my 6 year old. First, he loves to color in my anatomy coloring book, and was coloring in it last night while I was trying to come up with an inspiration for our pumpkin. Secondly, for a while, his favorite punchline for his made up jokes was “eyeball.”
This was one time when having hospital scrubs to wear came in handy.
Happy Halloween, everybody!
Brought to you by Jay at Two Women Blogging, blogger, mommy and
psychiatristhospice doc extraordinaire:
Forgiveness is not the misguided act of condoning irresponsible, hurtful behavior. Nor is it a superficial turning of the other cheek that leaves us feeling victimized and martyred. Rather it is the finishing of old business that allows us to experience the present, free of contamination from the past.
Sorry about the blogging hiatus. I have started my internal medicine rotation. It has been really great. I like my attending physician, the resident, the intern, and the other medical student. I even like the nurses. I love working in the wards with the patients. I has been a great experience so far. But, I have been really busy, and working longer hours than any of the other rotations I have completed. So, not much time for blogging.
There are a few books that medical students and residents tote around in their white coat pockets as references. One of them, the one I decided to purchase for this year, is Ferri’s Practical Guide to the Care of the Medical Patient. It does more than make my jacket heavy; it has entries on how to interpret labs, and the presentation, pathology and treatment of common conditions. But, I think the most valuable thing in the book is the quote in the preface:
Pearls of Wisdom in Medicine:
1. Common things occur commonly
2. When you hear hoofbeats, think of horses, not zebras.
3. Place your bets on uncommon manifestations of common conditions, rather than common manifestations of uncommon conditions
4. If what you are doing is working, keep on doing it.
5. If what you are doing is not working, stop doing it.
6. If you don’t know what to do, don’t do anything.
7. Above all, never let a surgeon get your patient.
From Matz R: Principles of Medicine, NY State J Med 77: 99 – 101, 1977.
I think it applies to obstetrics really well, don’t you?