Thursday, January 19, 2012

Things That Are Funnier Than My Whining

So, last week I had another…incident…at Student Health.  I was feeling really anxious and overwhelmed about something and went to get a prescription for Xanex.  I had one from over 6 months ago that I never filled, because no, I don’t usually take Xanex.  I wrote once about my horrific experience with Klonopin and thankfully, I’ve been really successful with managing occasional anxiety with non-pharmacological interventions (working out, drinking tea, listening to music, venting on my blog, ahem…).  For whatever reason (*cough* USMLE *cough*), though, I was just really overwhelmed and unable to sleep.

The doctor told me no, because they run things like that through Psych (which is fine, I guess), but not before a lengthy 10 minute lecture.  She wanted me to skip my afternoon classes to come back to see the psychiatrist and I said no.  I explained that I had a lab in the afternoon that I couldn’t miss and explained that it was a PRN script for ten Xanex, which I hadn’t even filled from before, because I do really well with my anxiety management.  I’m not on anti-depressants, I’m not seeing a therapist (but maybe I should be…lol), and I don’t have any other ongoing Psych. issues.  In her defense, I knew where she was coming from.  In my defense, I don’t have infinite amounts of time and I was there for anxiety.  It would have been nice to be offered one pill to get me through the day and an appointment for the following morning.
Instead, she went on and on about how if it was “really important,” I would have “made the time” to come back, then implied that I was somehow malingering about my anxiety because I didn’t want to come back.  (Except, who malingers about wanting ten 0.25 mg Xanex? *rolls eyes*)  Then, she moved on to a guilt-trip about how other, non-medical people have to miss work all the time for appointments and how I need to be more sensitive about other people and understand “this is how these things work” if I’m going to be a good doctor.

WTF!  Maybe that lecture would have been relevant, if we didn’t consider the fact that I was already in the office.  Did it not occur to her that I had made the time, that I had missed something else important to be there, and that I don’t have a full eight hours a day to play her stupid games, because “even though I could write you the prescription, I’m not going to, because that’s not how we do things here.”
I almost wrote about it here, but 1. I didn’t have time that day (I guess it wasn’t “really important” to me) and 2.  What’s new about some (insecure, arrogant) attending dumping on a medical student at a teaching institution?  There’s always at least a few who try to take advantage of the poor, baby medical students because they’re at the bottom of the totem pole in the The System.  Besides, I have a private practice internist in Bethesda who is not a dumb prick, so I canceled my own clinic hours the next morning to go get the Xanex refill (because it was “really important”).  He also gave me a few other scripts for my sinus medications, so that I don’t have to darken the door of Student Health again anytime soon.  (I love you, Dr. Internist!)
Anyway, as much as I love whining to you about the perils of medical school, I’m not that funny when I write about it.  Usually, it’s all rage and hatred and “residents and attendings are stupid!” (And for real, some of them legitimately are.  A resident in Path lab spent 20 minutes two weeks ago, trying to convince us that a fetal heart with aortic stenosis had a coarctation.  They’re kind of not the same.  Like, dramatically not the same.)
What I write about is nothing like this:

 Many of you already read A Cartoon Guide to Becoming aDoctor, and I do  too.
You know why?  Because Fizzy is not only hilarious, she is disturbingly accurate.  I love that she is able to pinpoint the exact scenarios that happen during medical training.  From the dumped on medical students who have to deal with gunners and mean residents, to residency, where you’re dealing with the obsequious and annoying medical students (or in my case, the ones with sass who hate you).
Fizzy has made it to the other side, and lived to tell the tale (Yes!  There is still hope!).  And, because she's awesome, she's just released a new book of cartoons.

It’s a great coffee table book, or desk/nighttable book when you need to unwind.  (Don’t pretend like you don’t blog surf at your desk anyway, because you do.)  And, if you're not a medical student or doctor, it’s also a great gift for pre-medical students, so that they can get out while they still can with lighthearted mockery about the profession that they are about to embark on.
So, go buy a copy and show Dr. Fizzy some love!  As a special book promotion, Dr. Fizzy will also be posting a new cartoon every day next week on her blog, so enjoy the preview as well.

8 comments:

Indira said...

Student health is basically a waste of tuition dollars. Mine wouldn't refill my albuterol inhaler because "since [I'm] a commuter, you should just see [my] PCP" even though he'd make me pay my $20 copay for an office visit, and I'm on campus from roughly 7:30 AM- 7:30 PM, so it's not like I'd ever make his office hours anyway. Someday you'll show 'em all!

Dr. G said...

Oh student health. I have many stories. Like the time I went to get my annual well woman exam, and the NP didn't even know what a NuvaRing was, and had to look it up on Google...

(And that's why you should never go to student health... )

Impulsive Addict said...

All I can say is I KNOW I don't have the stamina {or enough ADHD medication) to finish med school. BRAVO to you for enduring it. I haven't ever heard of that comic strip but I'll go check out her blog.

Red Stethoscope said...

Indira- Isn't it SO ANNOYING? I hate Student Health too, but I go for the same reason as you: I can't get home anywhere close enough to make it to a normal doctor. Hence, me missing clinic hours, etc. :(

Dr. G- LOL! Classy. He/she could have at least stepped out of the room to Google, right? Seriously, I want to know if the people who work in Student Health do so willingly, or if they got rejected from whatever job/clinic/hospital they wanted to be at!

IA- You will love it! I'm not sure I have the stamina or concentration for med. school either...notice my clever distractions (*cough* this blog *cough*) :)

XOXO Dr. Kay Elizabeth said...

Wow such a great writer! I LOVE how you tied your story into advertising Dr. Fizzy's book and blog. AMAZING!

lasermed said...

I don't want to be rude, but:
1. you need to learn to spell Xanax.
2. those of us in real practice don't take requests for "just a few" benzodiazepines any more lightly than we do "just a few" opioids. We call people that do that "drug seekers". I don't know if there is a way in your state to check and see if patients are getting medications from lots of different doctors, but the person at student health was well within their rights to refuse to write the prescription.
Perhaps you should have some discussions with some of your attendings about "controlled substances". Ask some of the ER docs, the pain management guys, the psych folks.
You may look on this differently.

Red Stethoscope said...

XOXO- Thank you! And thank you for taking the time to go through all of the past blogs. You have no idea how much that meant to me...not to mention all of the comments! I'm sorry I didn't respond...I was studying for an exam on Monday, but I read every single of one of your comments.

lasermed- First, RE: the spelling errors, yes. I should have spell-checked and they only teach us generic names in med. school, so I promise that I'm not a fool going around mispelling a word that I use all of the time. Secondly, RE: drug seeking behavior: It's difficult to convey the complexity of some situations on a blog without going on and on, so I can appreciate your concern about the drug-seeking nature of what was happening. Please note that this was not my intention and that of course, I realize that drug seekers do this all the time and that the doc at Student Health was within her rights. What I was trying to highlight was her rudeness and implication that I was somehow not concerned about my issues because I refused to miss a mandatory lab session and that I was secondarily insensitive, because I somehow didn't understand how other (non-medical) people have to miss work for appointments. I understand that ER docs, pain management, and Psych folks see pain seekers on a regular basis, but I think that accusing me of being one at a STUDENT HEALTH CENTER where there are three years of records not mentioning drug seeking behavior was inflated and inappropriate. I have has past issues with insurance coverage via Student Health and being charged missed appointment fees in error. My commentary here was reflecting a much broader experience of dissatisfaction with them. As far as states keeping track of who is getting what controlled substances, I don't know, but I'm sure that the DEA is on that. As far as them knocking on my door anytime soon, they won't, since I clearly state in the blog that since being on anti-depressants, I took Klonopin twice last year and filled a single script for Xanax this year. Please note that I try to write openly about anxiety and depression issues on this blog, with the sole intention of being open about my life and the inherent stresses involved in medical training. I do believe that depression and anxiety are still taboo issues--especially for medical trainees--and writing about my own life is an attempt to dispel some of the shame and nothing more.

XOXO Dr. Kay Elizabeth said...

No problem, I just hope it wasn't comment overload all in one Sunday! But thanks for reading my comments, all ten thousand of them, that was amazing! :)