Huzzah!

I sometimes think med school should start in the clinics first. Without this pre-clinic class business. I guess I'm fortunate I only have 8 months or so left. 

I was at preceptor a week ago, and this 14 y/o girl came in with a massively swollen right leg. Apparently her muscle had been hurting for two weeks but the night before, her leg started to swell. Ankle reflexes, peripheral pulses intact. So why was the leg swollen? The doctor spent a few minutes looking up numbers for lymphangitis centers and getting a few consults when I was like - "What about vascular issues?"

She ended up being transported to TXCH ER with a possible DVT in her right leg. If you don't know what that is (long-haul airplane passengers should), it's a clot in the venous return that may become an embolus and go to the lungs and block off blood supplies (pulmonary infarct) or the coronary vessels (myocardial infarct). Her legs were swollen from venous obstruction. 

In my mind, I kept screaming 'CALL FOR A CHOPPER!'

But, I guess the mother driving her there was good enough. 

At first I didn't think much of it, and I still don't, but I guess I played a minor part in that story, more than the usual "Oh, your foot hurts? Let me get some details so I can do my write-up."

I should get back to studying so I can be of more use. 

Microsoft makes a comeback

Except, come on. 

http://www.youtube.com/watch?v=EIS6G-HvnkU&feature=channel

Lauren walks in the store...

And she walks right back out, having checked out the 17" laptop. NOTICE THIS, same guy! Maybe she has really fast eyes. 

Last Day

Today is the last day of a glorious month.

I turned 23.
Battlestar Galactica ended gloriously.
I have re-discovered ST:DS9 due to a glorious find at a certain awesome website.
My room's a mess. A glorious mess.
I have started gloriously biking again since the weather improved.
I got a glorious new set of legs for my wobbly glass table.
I have three glorious weeks left to study for tests. :'(

That's about it. Turning 23 was not that eventful.

Civic fail

I've discovered the "delay post" feature of blogger. Hence, I can impose some order onto my Blitzkriegs.

Every once in a while, they have these commercials -

http://www.youtube.com/watch?v=opYFn99TGjg

I'll admit, interesting premise. But 36 mpg highway? How is that a selling point? I looked up the engine sizes on the Civic - 1.3L to 2.0L, all I4 engines (inline 4). The civic is a crappy vehicle. All the other Honda models are orders of magnitude better (except for Fit and Element, god damn)

I only say this because...

BAM!
34.6MPG

That's me, driving back to Plano. Average speed - 69mph. Mileage - 34.6 (it climbed to 35.2 as I was merging onto US75).

So, having a slightly larger car, with a 2.4L V6 and a significantly faster pickup, I can still manage 33+ mpg everytime when I'm on the road. Thank you, 7 speed transmission.

Come on, Honda. Step up your game.* Don't get me wrong, I'm a big fan of Honda.

One more thing, see that "C" next to D? I was leaving TMC the other day and I decided to take the long way around, changed from 'Comfort' to 'Sport'. At 3AM.

It was legendary.

*: Meaning, roll out the FCX already. I will buy this when it comes out.

Twitter

I finally joined Twitter.

You can check out what I was doing last time I updated. I guess it's a bit faster than Facebook status (even though it's essentially the same thing). I figure, a ton of Senators (read, old geezers) are on it, so I might as well join.

Twitter

Children are hilarious patients. They have one of three answers. "Yes", "No", and [blank stare]. Does your leg hurt? Yes.
How does your leg hurt? Yes. (...)
Does your face hurt? Yes.
How does that hurt? Yes.

The mothers usually just stand there with either the "well, fix him!" or "gosh I don't know what's going on" look. So I tried something new.

This one kid came in and the mom warned me that he was being combative and doesn't actually know where he hurts (but hurts everywhere you ask him) and he was in some apparent distress. Go figure.

So, I came down to his eye level and I asked him - "Where does it hurt?"

Silence.

After a few seconds, I told him that if he couldn't tell me, we couldn't help him.

More silence.

Finally, he tells me that it doesn't hurt at all right now. That's what I'd been waiting for. Of course you're not hurting. Your face has no sign of grimacing and you were bullying your sister when I walked into the room.

Now let me go check if your immunizations are completely up to date. I am cruel.

Fog this morning