Lady Luck Speaks

Desi dating and desires from the doctor of delight.

Wednesday, January 24, 2007

Some fruit a day...

..keeps the doctor away.

Quite.

The highlight of my two-week absence from this blogging phenomenon can be ascribed to two equally mind-numbing and tiresome things.

The first of these goodies is clinical work. I've been spending time at a recently-rebuilt zone six A&E department, under the tutelage of Uncle M. This experience wasn't entirely unproductive - I got to help out in a few emergencies, for one thing and experience the fun of the 'acute case simulation study day', whereby you're put in a simulated resuscitation station with your mates (or colleagues if you happen to be universally reviled thanks to your own behaviour) and told to manage the case set up around the semi-real (yes, it has it's own heart beat, voice and blood pressure) plastic dummy provided.

I've also been wasting time at another local hospital. Quite what my medical school expects me to achieve when three out of my four seniors are away, I have no idea. It's even more worrying when a pre-revision final year student knows more than the person they're shadowing (very good looking, caring female with an excellent soft skills). I have twenty-two hypoxically-driven, overfamiliar paperbag-esque male pensioners for company. Sometimes they call me nurse (as if females can't be doctors!). Other times they ask me to sit on their beds. Whilst charity for the dying is one thing, I can't help refusing their requests - it's their own fault for making tobacco bongs out of their home oxygen pumps.

The second of the badboys is revision. Bleurgh. I had to drive to Hillingdon to see a couple of patients (diverticulitis & obstructive jaundice) yesterday. Our temporary surgical tutor is a nice (but oh-so-slightly-cocky) guy - I rate his band-aid for coronal balding (comb front hair backwards, push back-of-head hair forwards, fill in the gaps with black shoe polish).

So ward-related japery aside, I've not been upto much else.

  • I wrote a piece on the handshake fiasco, where a female Muslim police officer was exempted from shaking hands with the Met's Chief Officer at her passing out parade

  • I took part in a London Pubcrawl
  • with a few friends.
  • I went to a birthday party and I signed up for a revision course.

  • I started reading <'Rancid Aluminium'.li>

    I've also been trying my hardest to stick to the Department of Health's 'five a day' target.

    Prior to starting, my average was two (a fruit juice and two mandarins). Post-starting, I have employed the services of a knife and a plastic box, thanks to the purchase of fruits which aren't naturally portable (read self-encased). I've managed to uptake my average intake to four a day - Snax/Sunmaid dried fruit box, a cup of smoothie, a portion of salad/cooked vegetable and one/two pieces of non-encased fruit. Admittedly, there are days I cheat, where I wash the sauce off baked beans (and hide them in my pasta sauce) but these are very much dependent on who does the shopping.

    My mother, for instance, purchases fibrous vegetables which are destined for cooking. Attempting to eat raw aubergine/bitter gourd/courgettes/butternut squash is a feat for the dentally-nonchalant (exactly who wants to break their teeth off when appearance is what counts). Her fruit-buying skills extend to pomegranates purchased alongside said vegetables.

    My father OTOH, buys the same things week in/out. Expect to see potatoes, carrots, leeks, spring onions, onions and mandarins in his basket. Bi-weekly, he brings some kiwi-fruit. Once a month, I might see two heads of broccoli or a bunch of grapes. Bi-monthly, it's mango/sharonfruit time :D

    Evidently, there are days when I find myself correcting this shortfall. The £10 a week I used to spend on takeaways/canteen lunch has found it's way into a greengrocer/supermarket's hands - thanks to the purchase of promotional portable fruit, promotional dried fruit and half-price salad vegetables at 5pm. The fruit, in particular, seems to disappear once I get home - the parents have started to challenge me on 5aday without realising! The need to eat healthily seems to cut into my revision time (given the bi/tri-weekly 20 minute trips to establishments of retail). Who said lifestyle changes were easy, eh?

  • Wednesday, January 10, 2007

    What a tard!

    I just rejected a couple of comments from 'The Wanderer' and 'Jokerman' by mistake.

    Monkey - all is well; the last entry was written in a slightly morose state. I'm feeling better now, rapidly scribbling notes for my next tutorial with Uncle M! Btw, why don't you like Power Tutes?

    Jokerman - I agree TATT and LOC aren't best served by the Power Tutorial format.

    Rhythmic - thank you for your lovely email. A minger is a step up from owning a beard ;)

    Monday, January 08, 2007

    PS

    Anyone else ever felt work ruined their lives/their lovelives?

    I honestly think my choices are out to get me.

    1) 5th/final year clinics make it harder for you to catch up with anyone who isn't part of your rotation/habitation group.

    2) Going away for two months has put me entirely out of sync with friends - people have new hobbies/loyalties/relationships, even, which means I'm having to fight harder to get an audience with them.

    3) Revision isn't conducive to a social life.

    4) Revision/working evenings isn't conducive to a lovelife either.
    4a) Being a female doctor makes me non-dateable in the eyes of non-medic types.
    4b) Being me makes me non-dateable in the eyes of medic types.

    I can't be f*cked.

    The Legend of the Power Tutorial

    This afternoon's proceedings taught me a little about medicine & a lot about life. Our legend in the making decided to introduce us to the wonders of the power tutorial. After-all, the format is transferable to other fields/problems.

    1) Take a presenting problem/symptom, e.g. chest pain.

    2) Ask a potted history of 7/8 questions required to differentiate between differential diagnoses.

    3) Decide upon your impression & differential.

    4) Sort out a management plan, beginning with Resus ABC, iv access, hi-flow oxygen (if needed)...

    5) Talk about treatments, contra-indications and side effects.

    6) Go 'round the group & ask each member for 3 points they hadn't learnt before.

    Simple but effective eh? Three cheers for a fresh take on revision :D

    Thursday, January 04, 2007

    Thoughts/what you will...

    Before I kick off, I thought I'd take this opportunity to wish you a belated (hey, what's my ethnicity again???) Happy New Year.

    Onto more important things - people. Do not look away, for this ISN'T a moan. I need your opinions, dammnit - A&E is dull today :(

    My little Sis & I have been chatting about people - exactly what makes 'em tick & the like, since she considers the bulk of those she's met at university unstimulating. Whilst she appreciates that new terms & indeed, new academic years herald new friends, we've come up with the following classifications to help us figure out what makes 'us' tick.

    We've decided people are either generic, specific or inbetween.

    Generic types prefer to follow the mainstream, preferring to remain equally apathetic in all areas. Their conversations centre around themselves (feelings), their bodily functions (hunger, sleep, sex), popular culture (sis defines this as 'what's advertised to the yoof on terrestrial TV') and how/when they interact with society (work, social life, domestic life, gossip).

    They're more comfortable making 'small talk' than specifics.

    Specific types have 'special' interests - a passion for hobbies/opinions with an informed background. Generic functions alone are not 'enough' to keep them stimulated. Whilst specificity isn't an indicator of intellectual function (most medics are 'generic' types), it tends to present more commonly amongst articulate types. Sis & I decided the majority of our favourite friends share this trait. The very same friends aren't huge fans of small talk, despite the politeness & charm they show to strangers they come across.

    The third category is rare, since specificity (defined as a passion for less populist interests/pastimes which aren't necessarily conducive to daily functioning in society) tends to lead to a preference to spend time with others who share similar 'special' interests.

    A high percentage of those @ work fit the 'generic' category - so stimulating conversation is rare. A chance coffee & conversation with a colleague I knew in passing made me realise the precise rarity of a 'semi-specific' conversation & made me appreciate him more.

    What do you think?