Friday, November 30, 2007


Well, neuropathology sign-out was done early today; it only lasted an hour. Fitting, since today was the last day of the rotation.

It has been a rough 4 weeks. Well, ok, no it hasn't actually. All the attendings were cool, generally I didn't have to be in until 1:30, and we were usually done by 4:30 or so. All in all, I would say it was an interesting elective, but there were of course times when I felt the need to kill myself - generally in the early days of the month, when my eyes were not used to the light and constant lens accomodation required when looking in a microscope. Many times, I felt the need for my head and eyes to explode to reduce the pain after 3 hours of that.

But now, my eyes are doing pretty ok after a couple hours of it. I have even learned how to press my eyes down on the lenses and get a little sleep while making it appear that I am intensely looking at the slide. Quite ingenious, I know. Luckily, I understand about as much with my eyes closed as with them open.

Thursday, November 29, 2007


So right now I am sitting in a room participating in one of the most common medical student rituals: rounds. Rounds is a generic term for any sort of conference where medical topics are discussed. They come in many flavors and levels of formality:

1. Formal lecture on a topic. Patients sometimes are discussed, but only in the context of furthering the speaker's point.
2. Formal discussion of a series of patients. Generally one person guides the patent order and moderates any discussion that takes place. Morbidity and Mortality conferences are this type.
3. Work rounds. These are rather informal and pretty much any one can speak. These happen on a frequent basis, every day within a single specialty, once a week or so for rounds where multiple specialties meet.

By 'formal' I mean like in a lecture hall with someone at the front.

Right now I'm sitting in work rounds of multiple specialties (#3). It's called Brain Tumor Board and consists of neuropathologists, neurologists, neurosurgeons, neuro-oncologists, radiation oncologists, and neuroradiologists. And some other people constantly talking about chemotherapy drugs who I can't really identify. They do this once a week, kind of to make sure they're on the same page because they all are essentially treating different aspects of the same patient.

For medical students, these kinds of things can range from incredibly interesting to insanely "kill me now" boring.

Rounds today were going more toward the insane direction, when they just brought up a case of this 87 year old lady who had such a huge tumor in her brain and outside of her skull that it looked like she was a conehead. It was awesome. She should be fine, she just needs it dug out. The only thing she wants in her life is to be able to sit on her porch and talk to her neighbor. Priorities change when you get older, apparently.

A lot of egos in these rounds. And not only the neurosurgeons, surprisingly. It's pretty funny. I hope I don't turn into that.

Saturday, November 24, 2007

This is Kind of a Test

One of the reasons I started this anonymous blog is that I wanted to be able to send random emails from my phone and have them be blog posts.

The reason is that, basically anywhere I am, I can have a thought, however retarded, and write up a post about it. This spontaneity will undoubtedly result in many regrettable moments for me, but so be it. It will be funnier this way.

Oh, if you couldn't tell from the subject of this post, it was written from my phone and emailed. Awesome.

Frist Post

If you are reading this, you probably know me. Which means you probably linked here from my other blog, which shall remain nameless at this point.

The reason? This is more of my ranting blog - a place where I can randomly say stuff that I think without all the people who google my name (yes both of them) finding out that this is what I really think. Well, no - not that I am really going to be abrasive (I probably would have to make up stuff to do that) but I often think of a lot of things I want to write about, and then say, "nah, that doesn't seem like a good idea on my blog, with pictures of my family and all that. It just doesn't fit."

The title of this post is not a typo - well, not unintentionally, anyway. It's kind of an inside joke, if you've ever read Slashdot. See, on Slashdot, people always want to post first after articles are put up, and they often spell it like that: "frist." Like Bill, like the senator. Uh, anyway. It's not that funny, sorry.

Anyway, today was the day after the day after Thanksgiving. I didn't have to do anything at work yesterday, so it kind of felt like a Saturday. That's really the best - when you go to bed at night feeling like the next day is Sunday, and thus the weekend is almost over, but then you realize - hey, today was really Friday, and I still have some serious weekend time. Pretty awesome feeling. Like when you groggily wake up at 5:00 am and you don't have to be up until 7:00.

It also means I should have gotten more work done. But, of course I didn't really. Hey, how can you blame me? My new laptop came yesterday, and it required a whole day of setting up and configurating. More on this beautiful device later.