Today was another day. Not boring by any means, but just another day. I burned off two warts from a guy's arm (purposely). Exciting, yes. I know you are jealous! :D
Something that I have noticed today (more so than any other time) is the weirdness and sometimes frank offensiveness of medical terms. A common occurrence in my teaching here is talking about the patient, in front of the patient, but not actually talking to the patient. This happens only because the attending is trying to teach me something. This isn't the offensive part; the patient is warned that this is going to happen and invited to ask any questions that they would like. The offensive part is when the attending asks me to name a finding on a person. Here are some of the things that I have named/pointed out that I am sure caused some discomfort or at least wonder in the patient: buffalo hump, Cushingoid facies, moon facies, male-pattern balding (on a female), meaty appearance (of the genital area of a female with a yeast infection), and a few others...
I always hesitate when I have to answer these questions. I hesitate because I know that the answers might bother the patients. My concern for the patient then turns into my attending thinking that I don't know the answer because of my hesitation. Sheesh. They have been in the practice for so long that they just don't remember when things are weird. I hope I never get to that point. However, since I have seen many good doctors get to that point, it means that I have to shoot for being a great/excellent/awesome/super/cool/brilliant doctor.
No pressure.
Tuesday, July 15, 2008
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