Wednesday, August 20, 2008

I want to see a doctor, too!

I have a confession to make. I haven't seen my primary care doctor in almost two years. I'm relatively young and healthy, but I'm a believer in the annual visit. Those visits are not just for Pap smears, colonoscopies, and mammograms. It's just plain healthy to spend 30 minutes talking about your health with a doctor at least once a year. My primary care clinic is in a community health center, and I see a large percentage of young African American men. I usually don't run any tests, but we spend the majority of the time talking about safe sex, wearing seat belts, guns in the home, and developing good eating habits. (You won't believe how often young single guys eat fried chicken! Learn how to make a sandwich, guys!)

Anyway, so I haven't seen my doctor in a while. I actually made two appointments to see him last year. Making an appointment is half the battle since I have to remember to call during office hours and then find a day when both he and I are free. Sadly, I forgot to go to both appointments! I know I'm a bad patient. That's what happens when I schedule them on my one day off a week and then get so excited about sleeping in that I forget.

Instead, I try to monitor my health myself. I know what I'm supposed to be doing, but sometimes people, including doctors, need an authoritative voice to push them in the right direction. For the past two years without my doctor pushing me to take care of myself, I've turned to Oprah. I'm an avid Oprah watcher, and I really enjoy her medical shows. I'm sure I'm not the only American getting my health information from her gurus Drs. Mehmet Oz and Christiane Northrup. I even took Dr. Oz's Real Age Quiz. Despite my lack of exercise, I'm surprisingly one year younger than my real age, but I took the tips the website had to offer to heart. I went to a yoga class on my day off, and I've started flossing again as it was one of those habits that went by the wayside during intern year. I'm still working on the fruits and vegetables. Getting in five servings a day is hard work!

I'm a big fan of Dr. Oz although part of me feels strange about getting my medical information from a cardiac surgeon on television. So, I called my doctor's office today. His first appointment ins October 15th, but my first weekday off after that isn't until November. See you in three months, doc!

Thursday, August 14, 2008

Google to the rescue!

Okay, I'll admit it: I use google to find medical information. I know I'm not the only one. Use of Google, Wikipedia, Emedicine, and other web sites is very common in the hospital among med students, residents, and attendings. I've seen you all using it! Usually I use google to confirm information I'm pretty sure I already know, but once in a while, I'm really not sure what's going on and give it a try.

Recently in the emergency room, I was pretty sure my patient had a viral gastroenteritis, but she had a black tongue. I had actually woken up with a black tongue last week, and it went away within a day. I didn't think any of it, but understandably, my patient really wanted to know why her tongue was black. So, I turned to google, and I found a wiki that linked to this:

The active ingredient in Pepto-Bismol contains bismuth. When a small amount of bismuth combines with trace amounts of sulfur in your saliva and gastrointestinal tract, a black-colored substance (bismuth sulfide) is formed. This discoloration is temporary and harmless. It can last several days after you stop taking Pepto-Bismol. Individual bowel habits, your age (the intestinal tract slows down with age), and the amount of the product taken all help to determine how long Pepto-Bismol is in your system.

I went back to the room and asked if she had any Pepto-Bismol recently, and she had! And I had some Pepto last week the night before my tongue turned black. Thanks, Google!

Wednesday, August 13, 2008

Nightfloat as therapist

As nightfloat, I was usually the last person interns saw at the end of their days and then the first person they saw in the morning. Being a social gal, I would usually ask, "How was your day?" More than once an intern started tearing up. Sometimes they would be angry, sad, frustrated ... the list goes on. Last year, I remember bottling up my emotions all day as I interviewed and assessed patients, tackled mounds of paperwork, and crammed some learning in, but when interns sat down to hand off their patients to me, sometimes it would all come out. That was fine with me as I didn't have anywhere to run to; I was working all night.

Tuesday, August 5, 2008

An end to the USMLE trilogy

I'm continuing on what seems to be an annual tradition of studying for some ridiculously expensive required standardized exam so that I can be a doctor. This year's test: USMLE Step 3.

Yes, I'm hunkering down in preparation for the last step in the USMLE trilogy. Don't worry, there's still the Internal Medicine boards! Plenty more testing to go in my lifetime! I like doing practice questions because reading prep books can be pretty dry. Step 3 covers a wide range of subjects, including surgery, obstetrics, and pediatrics. It feels like a long time since those third year clerkships, but after some studying, I know that you need some sterile saline, gauze, and ice to pack a severed finger for transport and that lesbians are at lower risk for cervical cancer than heterosexual women. My tip for Step 3 is that the answer is never "Quickly examine the patient in the parking lot." Got to love those ethical conundrums!