dr-fizzy

Dr. Fizzy

Freida McFadden is a midwestern physician who has finally finally finally come to the end of her grueling medical training, and at last she has enough time to publish the wealth of cartoons she's created over the years. If you enjoy them, please comment. If you don't enjoy them, then you can just keep your fool mouth shut. Read the rest at Doccartoon.blogspot.com, and make sure to check out her books, A Cartoon Guide To Becoming A Doctor, and The Devil You Know, on Amazon!

https://www.amazon.com/Cartoon-Guide-Becoming-Doctor/dp/1105091023

Why I Almost Didn’t Do PM&R (Physical Medicine and Rehabilitation)

I’ve been doing this series for a while and somebody requested I do one for Physical Medicine and Rehabilitation. Considering I did PM&R, it’s hard to write a post about why I didn’t do it. But then again, I matched in another field initially, so I could explain my original thinking process. I did a rotation in PM&R during October of my fourth year, which was just a little too late. I liked it a lot. I liked the pace, I liked the types of patients, I liked the procedures, and I thought all the attendings were really nice and laid back. I noticed the residents got to go home when they were on call and worked very reasonable hours. Again, it was mostly about location for me. There was only ONE PM&R program in the area where I wanted to live to be near my husband, so that limited my choices significantly. And even if I matched at that program, I was worried about finding a prelim spot in that region. But here are a few other reasons why I initially decided against Physical Medicine and Rehabilitation. I am basing this on an actual pro/con list that I made during my fourth year: 1) Can be kind of boring, at least on the inpatient side. On inpatient rehab, things move slowly and there’s a lot of documentation involved....

Why I Didn’t Do Pediatrics

I love kids. In college, my advisor was a pediatrician, because I thought that’s what I wanted to be. When I was in medical school, I was the co-President of the pediatric club. During third year, I scheduled pediatrics to be my third rotation because that’s the order in which you’re supposed to do the field that you’re interested in. (You don’t want to do it too early because then you’ll look like an idiot, but not too late in case you hate it and change your mind.) I’m not a pediatrician. So what happened? Here’s why I decided against pediatrics: 1) I spent my whole damn rotation sick with URIs and GI bugs. 2) Really sick kids make me desperately sad, to the point where even doing a practice question about a child with cancer ruined my whole day. 3) I am really, really bad at looking in screaming baby ears. And that’s like half of what pediatricians do. 4) I found medicine involving non-sick kids to be really boring. Strep throat? Boring. Rashes? Boring. Otitis media? Boring. 5) Parents = mega aggravating. (Of course, now I deal with adult children, which are also mega aggravating.) 6) When I saw a cute baby, I mostly just wanted to play with the baby, kiss him all over his cute little pudgy face, and then go home and make lots...

Why I Don’t Wear Scrubs

Some of the nurses at work were talking about a sale on scrubs.  I was listening in, because I only have one pair of scrubs that I wear on call and they’re awful.  The top is so big that it could be a dress on me. Nurse: “Actually, I’ve never seen you in scrubs, Dr. McFizz.  You never wear them!” They pointed out that a few of the other doctors do sometimes wear scrubs during 9-5 business hours, but some of us don’t.  Here’s why I don’t: When I was an intern, I worked at a county hospital, serving a very poor population.  Intern year is hard, and I wanted nothing more than to live my life in scrubs–basically, nonstop pajamas.  But our program director said to us, “You know, these patients may be very poor and not speak English, but they should be treated with respect. And that means they deserve a doctor who is well dressed.” Some of the other interns wore scrubs every day anyway, but I didn’t.  On non-call days, I wore “nice” clothes. Those words really stuck with me, even now, over ten years later.  I feel like it’s more respectful to dress in nice clothes when I see patients. You can find Dr. Fizzy’s newest book, The Devil You Know on Amazon. Read an excerpt here. She’s got a great job at a VA Hospital,...

The Devil You Know: A Day In The Doctor’s Office

An excerpt from Dr. Fizzy’s new book: The Devil You Know, available now! “Jason Burnham?” I call out. A man in his late twenties rises reluctantly to his feet. Damn, he’s handsome—he’s got a soldier’s solid build with firm muscles lining his arms and visible under his T-shirt. I can tell by the look on Mr. Burnham’s face that he isn’t terribly thrilled that I’m the one who’s going to be examining his testicles. I’m sure he’d prefer a male doctor. Still, I think it’s melodramatic the way he acts like a man being led to the electric chair as I take him to the newly cleaned examining room. “Mr. Burnham,” I say to him. “My name is Dr. McGill. Would you please change into a gown for me?” Jason Burnham nods miserably. Examining testicles is not my forte. I’ve gotten better at it since my patient population has become primarily male, but I’m nowhere near as good at that as I am at, say, finding the cervical os. Testicles just seem so… delicate. Obviously. But I’m getting better. As far as I can tell, the key to doing a good testicular exam is not accidentally saying something dirty during the exam, which is extra challenging when your patient is so damn attractive. I’m going to work on that today. I return to Mr. Burnham, who is now sitting miserably...

The Literal Price of Health Care

With all the dialogue on Obamacare, Trumpcare, the ACA, and the AHCA, Dr. Fizzy briefly reflects on the cost of health care.  Recently my daughter sprained her ankle. Because she’s a bit of a drama queen, I took her to urgent care after she refused to put weight on it for a day. The x-ray didn’t show a fracture and they gave her a crutch and an Aircast, which she used for exactly one day before she was better. A couple of months later, I got a bill for $150 for the crutch and Aircast that we barely used. Because of large deductibles and other reasons, we end up paying a lot of our outpatient healthcare expenses out of pocket. But the problem with that is that you have no idea what you’re going to pay until the bill actually arrives. If they had told me it was going to be $150 for that stuff, I never would’ve taken it. Think about how crazy it is. You would never go to a furniture store, buy a sofa, and just wait a few months until the bill comes to see how much you ended up paying for it. But that’s what I’m constantly doing with my healthcare bills. I can give multiple other examples. Recently, my own doctor ordered a lab test which I didn’t think was entirely necessary, but...

The HPI We’d Really Like to Write

The HPI We Write: Mr. Smith is a 65 year old man with a history of diabetes, prostate cancer, HTN, CHF, renal insufficiency who has had lower back pain since 1975. The pain is located over his right lumbar paraspinal muscles. Aggravating factors include walking, sitting, and lying down. The pain is alleviated with a medication prescribed by his PCP. He rates the pain as 10 out of 10 in intensity. He denies bowel or bladder symptoms. He underwent x-rays in the past that are currently unavailable. he has ever had physical therapy or undergone injections to his back.   The HPI We’d Really Like to Write: Mr. Smith is a 65 year old incredibly annoying man with a history of every freaking medical problem who has had lower back pain since before I was even born. The pain is located in this big area where the patient was waving his hand. Aggravating factors include everything, especially “talking to you.” The pain is alleviated by a medication that is “white and starts with an E.” He rats the pain as 15 out of 10 in intensity, despite repeatedly being told that 10 is the worst pain imaginable and he’s sitting there looking completely comfortable. He’s not sure if he has bowel or bladder symptoms, so he proceeded to tell me about every bowel movement he’s had in the last...

Personality Disorders Commonly Seen in Med Students

As medical students on psych rotations we are taught how to look for signs and symptoms of personality disorders. But, sometimes, the clearest signs are manifested in our own...

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