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Monthly Archive for May, 2006

who is your daddy (season 2, episode 23)

You’ve reached a number that has been disconnected and is no longer in service. If you feel you’ve reached this recording in error, go with it. Hang up on three. One, two—

CUDDY: I thought I’d met all your friend.

Yeah, pulled a hamstring playing Twister. I’m just gonna walk it off.

Mmm. Yeah, she looks just like you. Got the same fro.

What if her heart is like my bike? Runs like crap when I’m by myself. When I take it to the mechanic, it runs great.

It would be much more ethical to let it happen in an uncontrolled setting. Because there’s always a team of cardiologists having lunch at the next table.

CRANDALL: If she’s got an electrical problem, couldn’t more electricity blow her whole system?
HOUSE: Wow. Look who’s been watching Bill Nye the Science Guy.

Then the AV node is not the bad pathway. All that was was a heart attack. Reset her so we can find the real problem.

You have my permission to blame Foreman at any negligence trial.

You’re designing a kid. A loser kid. He’s already getting pummeled at recess.

Pretentiousness is hereditary. Just because they haven’t found the gene yet…

What I didn’t consider was the threshold to trigger the hallucinations. Otherwise, I would have done the finger bending first instead of stabbing her twice. That was cruel.

How does someone who believes absolutely anything become a nonfiction writer?

I’m a really good secret keeper. I’ve never told anybody that Wilson wets his bed. Oh, you tricked me.

I was just thinking about what your mother looked like. Because your father obviously chose her for breeding purposes. Natural selection sucks. We pick our mates based on breast size, cars they drive. They did autopsies on married couples and found a correlation in pancreas size.

Microbes can be sneaky.

We were 20 years old. He had a car. If he had been a woman, I would have married him.

It’s brown. It’s lumpy. I’m going to heave all over my desk.

WILSON: So either you lied or he has pictures of you being nice.

Bad news is she has potty mouth.

Here’s how to become a great artist. First, get miserable. Misery drives you to become a great artist. The art does nothing for your misery, which drives you to drugs, which makes you a lousy artist.

Is it just me or have we discovered a flaw in the scientific method?

I don’t care if you marry this guy, date this guy, go through his garbage. But you should know, genes matter, who you are matters. Find someone you trust.

You can stop—she ruined it.

Oh you read it. You know how nervous I get at these things.

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myers-briggs and choosing a medical specialty

So maybe that Myers-Briggs thing wasn’t too useful in my warm-and-fuzzy education. What is it useful for then, besides revealing a raw image of me that I would rather not have the world see? Well, apparently, studies have been done on MBTI type and medical specialty, showing that certain MBTI types gravitate toward certain specialties. Wow. Finally something useful that doesn’t involve public humiliation (not that warm-and-fuzzy-doctoring class was useful anyway—well, unless you call public humiliation useful…maybe they were just toughening me up for my clinical years). There’s a nifty little section in The Ultimate Guide To Choosing a Medical Specialty (by Brian Freeman) about the MBTI and medical specialties. To summarize, IN types tend to go into primary care fields whereas ES types tend to go into surgical specialties. Makes sense. And now for the little gem that was pretty much the only reason I bought this book (though I have subsequently found that it is quite a useful guide as it has information on the Match process as well as descriptions of each specialty written by residents along with the all-important salary and lifestyle information as well as Match statistics—well worth my $30): there’s a table of the 16 MBTI types and the 5 most common specialties each type tends to go into. So I’m an INTP, which means I should like Neurology, Pathology, Psychiatry, Cardiology, or Thoracic surgery. Hmm… Well, I know that I can’t stand Pathology. Not really interested in hearts (at least not in fixing them, just breaking them—okay, I kid) or surgery (ack—blood and lots of it). Which pretty much leaves me with Neurology or Psychiatry. Which I was very glad to see as I am so in love with Neurology right now. In love as in I attend Grand Rounds every week and don’t fall asleep, without the draw of free food no less (not that the free food thing works on me anyway, but it sure does on the members of the Pathology Department where their Grand Rounds would be a ghost town without the free food). In that I wish I were conducting research in Neurology. In that I want to buy the hardcore-super-special-and-kinda-scary-looking neurology reflex hammer to tote around with me just to look cool. But of course, as with all things specialty and the med-student-until-it’s-time-to-fill-out-those-pesky-I-thought-I-wouldn’t-have-do- anymore-of-this-residency applications, my love for Neurology may very well inexplicably morph into a love for Urology (though I really don’t see this happening). We’ll see, won’t we? At least I got something out of this whole MBTI thing besides the incredible insight into what makes me tick.

grand rounds

Another week, another Grand Rounds. Check it out at Doc Around the Clock.

myers-briggs and the med student

Med students like free stuff. Even free personality tests. That’s why I gave up several precious hours of sleep to take the Myers-Briggs Type Indicator (MBTI) during my first year of med school. Or maybe I was just curious as to how accurately this test could define me. Or maybe it was because the administrators claimed that they would use the data to aid in instruction in our warm-and-fuzzy-doctoring class. For those of you not familiar with it, the MBTI was developed by Isabel Briggs Myers and Katherine Myers based on Jung’s theories of psychological types. Based on a battery of questions, a person is classified on four criteria: extraversion (E)/introversion (I), sensing (S)/intuition (N), thinking (T)/feeling (F), and judging (J)/perceiving (P). The combinations of these criteria lead to 16 different personality types (e.g., ESFJ, INFP, etc.). Descriptions of the criteria and 16 types can be found here. A free online test based on this methodology (but in no way affiliated with the MBTI people) can be found here (if you want to take the real thing, you’ll have to pay and jump through various hoops). Once you’re done, you can go here for cool descriptions of your type (including strengths, weaknesses, relationships, careers, etc.).

So what did I find out from my little MBTI? I’m apparently an INTP, which is disturbingly accurate. And I’m quite glad to know that physician is listed somewhere as a suitable career for me among artist and entertainer/dancer and other things. What did my school do with this information that was supposed to help them adapt their warm-and-fuzzy-doctoring class curriculum to meet the needs of different personality types? Well, they must have decided to assign the worst possible facilitators (to stimulate growth maybe or just for their own sadistic fun?) for each personality type because I was bullied to death in that class. Hello?! I’m an INTP. So not warm-and-fuzzy! And you’re so not going to get any warm-and-fuzzy out of me by berating me and putting me on the spot for not being warm-and-fuzzy. Besides, if being warm-and-fuzzy in the way that the powers that be here think is best is so important to them, then maybe they should have worked that into the interview so that I would never have gotten in to begin with. I would have been glad to go elsewhere, somewhere where they are more accepting of non-warm-and-fuzzy types like me. And I’m sure I will still pass the USMLE Step 2 CS. No thanks to you, warm-and-fuzzy school.

top 10 1st- and 2nd- year medical student responses to “so what specialty are you going into?”

Tell anyone with half a brain that you’re a medical student and you’ll likely be met with this question, the answer to which is kind of hard to know during the basic science years when we’ve had virtually no exposure to anything vaguely clinical let alone anything that has anything to do with any specialty. Here are some attempts at answering this all-important question.

10. Huh? You mean there’s more after med school? Doh!

9. Well, my mom/dad/personal trainer/dentist/friend/stylist/sibling/random guy I met on the street all say Radiology is the best. So Radiology it is!

8. Duh. It’s simple. I’m going into Neurosurgery. Because (I in my own weird little super-competitive-it’s-all-about-me world think) it’s the most awe-inspiring specialty and I need my ego stroked. Constantly.

7. PM&R—plenty of money & relaxation. Did you really think I was in it to help people?

6. I’m just going to say that I want to go into Orthopaedic surgery/Radiology/Dermatology so that I can make myself look all gunner-like, but I really deep down inside just want to go into Internal Medicine.

5. Duh. General surgery. Because I’m just Type-A like that.

4. I’m only going to limit myself to the specialties that entail less than 5 additional years of training (I really prefer only 4) and that will make me at least $200K a year. Oh yeah. And I refuse to work anything beyond 8-5. I need time to enjoy my money, you know.

3. HowcanIpossiblywaituntilIgoonrotationstofigurethisallimportantlifedecisionout?! *breathes into bag*

2. Well, I think I’ll just wait until I go on rotations before I even try to decide.

1. I have no clue. I sure hope I figure it out by the time I have to decide.