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Tuesday, August 14, 2007

  • Whoa! Another pt!

    Ok today's pt beat the last one.
    This morning, we were about ready to see a pt who had been having paranoid delusions and hallucinations. Some of these things may have been side effects of the anti-HIV meds this pt was on. I was kind of excited because this pt was a woman.. and you almost never see women at the veterans hospital. "Kind of a nice change," I thought. Boy did I not realize what a change this pt was... Just before we entered her room, we looked at the white board on the wall with all the pt's names on it. Next to hers was the little symbol that means female (you know what I am talking about, that little circle with a plus sign). Well, this one was kind of weird, because it had the plus sign as well as an arrow on it (like the symbol for a male). Basically, it looked like it was both the female and the male symbols put together.
    No one in my group thought anything of it, except for my resident (the same guy I wrote about last time), who got very excited. He assured us that this was a purposeful combination, but we were not impressed. So, he grabbed one of the nurses (he is very buddy-buddy with all the nurses) and asked her what it meant. She explained that this military vet was formerly a man who had undergone a complete sex change operation. Dude, this guy fathered KIDS. And now... viola... he's a she. I'll call her "Francine." We went into her room, and there was this woman with well done up blond hair, thin features, but her hands looked like big man hands. The creepiest part was her face. She was only in her 50's, but her face was as wrinkled as a 95 year old. It was so wrinkly that it didn't even look like skin. She also had, unfortunately, the very skinny face that people get when they are on HIV meds (called lipodystrophy). She had a soft, womanly voice, but it was clear she was not your typical woman. As part of the mental status examination, we asked her what her name was, and she replied "the name I was born with or the one I have now?"

    Anyway, that was really creepy to me. My team got in an argument over what sort of 'partner' she would prefer (bisexual man, homosexual man, do bisexual men really exist... according to my other resident, "of course they do! he has a friend who will have sex with just about anything..." I wondered if it's really his friend, or if this is one of those veiled ways that people talk about themselves when they're too embarrassed to admit something. SO GROSS!) Luckily I got out of there because I had an exam to take.

    Moral for today: Some things are worse than exams.

Saturday, August 11, 2007

  • Patients are interesting

    So, I'm almost done with my first rotation of 3rd year med school... Psychiatry!
    I thought I'd take this oppourtunity to talk about a patient (abbreviated "pt") that I saw yesterday with my resident. Currently I am assigned to the VA, so 99% of the pt's there are men. When I walked into this guy's room, the smell almost made me barf. But, I held my mouth shut tightly in hopes of preventing that (I am not sure why, because I know this doesn't work. I did an experiment with Katie last year in which this was proved wrong. She always barfs when she goes on car rides, so one time when she was on a car ride, I held her mouth shut quite tightly. The barf gurgled and bubbled out the sides, and she looked more depressed than usual for a car ride.) But I digress.

    So yeah, he smelled terrible. From the looks of it, he probably hadn't had a bath in 40 years. He was humoungus, and even though his clothes must have been XXXL, his gigantic abdomen hung out below his shirt by about a foot. My resident proceeded to ask him if he felt suicidal (psychiatrists are legally required to ask this.) My resident then asked him if he had anyone to go home to, and the pt said that he has had enough of women controlling him, so he had divorced his wife. This was the one time during the entire interview that the pt looked at me. Actually it was more like a glare. Ok, whatever. He hates women. But then my resident asked him if he planned to see "What's her name" after he got out of the hospital. The pt laughed and said that he doesn't need to, because he has like 4 women waiting for him in the area. My resident, being the good psychiatrist that he is, told the pt that he needed to pick one and stay with her, so she could take care of him in his old age.

    My question: what the HECK kind of woman would ever take this kind of guy? And does the psychiatrist really think that he's helping this guy by telling him to find some poor woman to take care of him? THAT woman is going to need a psychiatrist. Or maybe an infectious disease specialist. Oh, and one last question: does "what's her name" mean "ho?"
    Weird. It's just weird.

    Comments?

Wednesday, June 14, 2006

Tuesday, June 13, 2006

  • Ok so it's been a while.

    Wow its been a long time since I last left an entry. I've started several times, then I've been overcome by the boringness of my own life and deleted it to prevent you all from having to poke yourselves in the eyes.

    Anyway I might as well just give you some boringness. This is my last official week of my first year of med school! I'm pretty much already done since they had us finish exams early this year. WHAT A CRAZY YEAR! I never knew a universitiy could make students work that hard. It just seems beyond impossible!! Praise God that I survived (we already lost at least 15 students).

    The past 3 weeks we've been working in the hospital pretending to be really dumb, really lost doctors. Ha, ha... Embarrassing. It's better than studying all the time though. And working in the ER was really awesome! Helicopters flying people in from accident scenes, people with parts of their hands missing, helping sew up wounds with blood squirting out, me getting hit in the forehead with part of a finger... almost every day, something exciting/awesome happened! I really like Emergency Medicine...

    Today, I worked in the Pediatric Urology clinic. In other words, I saw lots of little boys (and a few little girls) with problems urinating. Working with urine! Isn't that what every doctor has always wanted to do! NOT! The interesting thing is, that is one of the very hardest specialties to get into... You have to be one of the smartest doctors in the whole country to get into urology... I just don't get it. Why is being a urine doctor the most competitive??

    Among other things, I've joined the Air Force, and am all of a sudden called "2nd Lieutenant." Yeah it sounds as weird to me as it does to you. It's with a cushy med school program though so we get it much easier than everyone else, AND I'll get med school paid for, AND I'll get a $1200 a month stipend... sooo good!

    But whatever. All of that pales in comparison to the lesson of trust in God that this year has been. And I'm finally beginning to settle down with some awesome Christian friends (though it's a good bit harder to do than it was at Ashland... man I miss you guys.) Also, I have an awesome boyfriend who is so in love with God... wow life is such a blessing. David James Holt is his name, a med student here at Loma Linda finishing his first year just like me... I never knew God would bless me this much. I'm crazy about him, and the feeling is mutual! It's neat to be able to share medical school with him. We even had been going to the same church before we started dating. As of right now, we've been dating for about 4 months.

    Here's what else I am excited about: June 22nd is the day I go back home to Ohio! Yes I'll miss David and all my other friends a LOT, but I am SO excited about catching up with you all.. my dear friends back home and of course my family!

    Ok I think it's time to stop boring you, especially since I ought to go make my bed. I could always just sleep on a bare mattress, but I must keep fighting laziness! It's so good to be done with exams, that I just feel like becoming a total bum. What do you think? Should I become a bum?

Thursday, February 09, 2006

  • Currently Listening
    Beauty Has Grace
    By Jaci Velasquez
    Something Beautiful
    see related
    Whoa, I just took one of the hardest exams I've ever seen in my life... physical diagnosis of the heart and lungs... INSANE!! I thought I really understood this stuff. But, I am going to trust God, cause He knows what's best for me, and He can do anything.

    Lately, I've been wishing I could be closer to God. Who is this amazing Person/Spirit/King of all Creation that loves us so much?? Yet, I can only love him and think of him from afar (it seems). Why can't I touch him and be wrapped in his arms? Why can't I hear the lovely sound of his voice and feel his whispers of afffection in my ears? WHY ARE YOU SO FAR FROM US, God????

    And then last night at 2 AM, when I was studying for physical diagnosis, it hit me. It's not HIM. It's us. We could touch him and hear him, walk beside him as a man walks with his friend, but something happened when Creation fell! Sin changed us so that we couldn't do this.

    Look how things used to be with God... Genesis 3:8. "Then the man and his wife heard the sound of the LORD as he was walking in the garden in the cool of the day.... the LORD God called to the man 'Where are you?'" I have a feeling that my previous interpretation of these verses never really got an idea of what it was like. God was "walking in the garden in the cool of the day." Can you imagine what it would have been like for that to be a normal, every day occurence? God walking in this incredibly beautiful place, beyond anything I can imagine I am sure, to spend time with the people he loved so much? And he spoke openly with Adam and Eve..!

    I long to be in that place where everything of this world fades away and all I see is You, God. Like Moses, I long to see Your Glory. I want You to say to me "Julie, there is a place near me (NEAR ME!) where you may stand on a rock. When my glory passes by, I will put you in a cleft in the rock and cover you with my hand until I have passed by. Then I will remove my hand and you will see my back, but my face must not be seen. No one can see my face and live." I want to know You so closely God, that you consume me. Hear my prayer. Answer me.

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jrjeya_76

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    • Name: Julie
    • Birthday: 7/21/1981
    • Gender: Female
    • Member Since: 6/12/2005

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About Me

  • Wow.. just made it through my first year of med school in sunny Loma Linda, Ca! Then its back East to my home in Ohio for a while, 'Bama for officer training, then back to Ohio again. Goodbye Cali for a while! I never thought I'd be so sad to say goodbye!

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