ndab Ah Yes, Medical School: NSWTHAIGTDWML-O-Meter Update

Friday, November 11, 2005


Having just completed my OB/Gyn rotation, I thought it'd be appropriate to update my NSWTHAIGTDWML-O-Meter to reflect my current thinking regarding what specialty to go into. It may come as little surprise, as evidenced here and there, that OB/Gyn has made it's way onto this list, conveniently tied with Urology at this point (since I don't really know how to choose between the two right now). This change clearly says a few things about me:

1) I am interested in a field that combines surgery with clinic.
2) I enjoy working with people who aren't utterly full of themselves.
3) I am very obviously infatuated with penises and vaginas.

Now, I still have quite a few concerns about OB/Gyn, the most pressing concerns revolving around poor compensation, horrific hours, heavy malpractice, and a lingering thought in the back of my head that the real reason why I enjoyed my rotation was because I really liked spending time with intelligent and really attractive residents, and not that I liked the work itself. We'll see, but as one of my best friends recently pointed out to me, "Maybe you should do OB/Gyn - I mean, I haven't heard you complain about it in six weeks, and you complain about everything." Well played.

P.S. Apologies to those of you who have been checking this site the last few weeks and found no new self-deprecating material to pass the time with. Been a bit busy with my OB/Gyn rotation, but that, much like the proverbial kidney stone, has passed.


Blogger Dean said...

I love your blog. The only complaint I have is the time between posts! I am totaly hooked. I hope a book is in your future. As far as OB/GYN goes, do your other rotations. I think you will come back to OB/GYN...but, ya never know...

Write as often as you can... we're all waiting...

5:05 PM  
Anonymous Anonymous said...

i love the NSWTHAIGTDWML-O-METER... im in nursing school now.. which i know isnt the same.. but i have my own list trying to figure out where im gonna end up... tough decision ... but i still have time and u do too!!! just follow your heart to all the penis' and vagina's out there!!!

5:34 PM  
Blogger Sarah said...

I don't think your leaning toward ob/gyn is just because you liked being with the hot residents. The way you described your emotions in witnessing those births is evidence to the contrary. (Sorry, not trying to make you more confused ;o) )
Good luck!
P.S. Too long btwn posts!

5:46 PM  
Blogger Sandy said...

Sorry, but UROLOGY? Orthopedics, maybe. But OB/GYN definitely would be my top pick. I think it's a good choice and you seem to be leaning that way anyhow. The malpractice may be high, but that means you are really needed too, so many are leaving the field because of it.
Good luck in your choices.
And I agree with everyone else, please post more often...even if it's short!

5:49 PM  
Anonymous Anonymous said...

I always used to wonder at what point someone decided that they wanted to spend their life with their hands up the nether regions of other people, especially when the nether region was not looking its best. As a patient I always feel so sorry for the doctor who has to look at and touch that strange inflamation or discharge coming out of me because it really is quite gross. Then I get the bill and realise that at least the monetary compensation is quite good.

Much as I love reading your blogs and don't like the gaps between postings, I'm glad you are putting your time and focus on your patients!

6:07 PM  
Blogger Sarah said...

Hi Sandy,
I just briefly viewed your blog. We have so much in common...(I'm a nursing student (in HI), want to do medical missions someday). I wanted to be a doctor too and do the medical missions in a third world country but have settled for nursing because I have kids as well. I've never heard anyone else talk about that before, so I thought it was cool and just wanted to tell you :)
P.S. It's all about timing, don't be discouraged...you'll do the missions when it's time. This season of your life, your kids are your mission :)

6:10 PM  
Blogger addiern said...

I have to agree...I am hooked too. I am sure it is hard to find time to write, but we love you!!! I am biased as far as OB/GYN since I am an OB nurse but I say...do it! You would be awesome!

6:58 PM  
Blogger Kevin Jordan said...

So what does the 'NSWTHAIGTDWML' in 'NSWTHAIGTDWML-O-METER' stand for!?


7:16 PM  
Blogger :) Jenna said...

Does NSWTHAIGTDWML stand for "Now, So What The Hell Am I Going To Do With My Life?"

Another good entry...

8:00 PM  
Blogger "Jet" said...

What a true friend!!

8:37 PM  
Blogger Transcience said...

Welcome back to the fold, FD. You made a small typo in your blog entry -- everybody knows the plural of penis is "penes". Anyway, I'd say OB-GYN is definitely a good option for you. And it has nothing to do with how hot your colleagues are (that's why you hire a staff). You've always been the type of person who cares more about how your work is helping people than whether you'll make money off of it. Besides, one of your billion readers is bound to own a publishing company, and by now you've got the material and the fan base. What's your next rotation?

The Other Jew

9:02 PM  
Blogger MooseHP said...

Your friend is rigth, no compliments in long time, that unusual in you!

10:22 PM  
Blogger Jenn said...

I think it's No Seriously, What The Hell Am I Going To Do With My Life.

But then again I may be wrong.

Welcome back. Missed you.

PS: I have never heard of penes. You taking the piss?

5:45 AM  
Anonymous Anonymous said...

Nice blog.

I was a medical student once, now a cardiology fellow.

Optho and ENT (from the surgery side) and GI and cardiology (from the medicine side) are all additional clinic/procedure specialties.

6:04 AM  
Anonymous Anonymous said...

compensation for ob/gyns is nearly twice what it is for family practice (at least in my area of the country). and i've always been in love with my ob/gyn. you seem like you would be great at it: humorous and compassionate.


6:28 AM  
Blogger Daphnewood said...

CA would be okay to practice OB/GYN. Living in states without torte reform I have seen a lot of OB's go out of business because they just couldn't cover the malpractice insurance premiums. Besides, I think it is good for men to go into the field. I hate that there are women dominated specialties and male dominated specialties. It shouldn't matter if you are a guy or girl. If you are good at what you do, then do it! My husband works with a female neurosurgeon (the only one in the department surprise surprise) and she is DAMN good. Imagine if she would have said "oh that is a guy field" okay I am definitely getting off topic. You go, Fake Doctor! I can't wait for your trauma surgery rotation. Those stories should be awesome. You are going to take a trauma rotation, right?

6:55 AM  
Blogger F. said...

I offer a real - not comical - comment/advice. Who you work with is not a shallow thought and should be no lesser a consideration than what the work is as you choose your profession. If you like working with attractive people, factor that in your choice.

8:32 AM  
Blogger missbhavens said...

I'm glad OB/GYN has made it to the NSW.... list. It was obvious by your posts that it made an impression on you. Yes, the hours are nuts, but the payoff is tremendous. And not just the whole "witness the miracle of life" thing, either! There's the surgery, and the clinic, and vagina/penis stuff, and the sense of being truly needed. Also, humor goes a long, long way in OB.

10:57 AM  
Blogger carolinagirl79 said...

Just remember that cramps are terribly, terribly painful for some women and hand out the Motrin 800mg liberally, and you'll do fine.

I don't mind male doctors and in fact my PCP is male and a good friend, but I've found male gyns to be less than sympathetic to cramps in the past. So I have a female gyn.

5:13 PM  
Blogger Twanna A. Hines | FUNKYBROWNCHICK.com said...

Actually, from reading your post, I'm not surprised that OB/GYN is on the list.

It seems like you really enjoyed it and you'd probably make a great gynecologist.

I've never had a male OB/GYN. It's really silly and juvenile but I worry, "What if I find him attractive? When he's giving me my exams, wouldn't he ... you know ... notice?" I'd feel too exposed and embarrassed.

On the other hand, I know myself; maybe if I had a hot, male OB/GYN I'd be better about going in for routine exams at the scheduled times. Currently, I'm typically a couple of months behind. I go once every 14-16 months instead of every 12.

5:08 AM  
Anonymous Anonymous said...

Hi Fake Doc,
Fifth-year medical student in Australia (in a six-year undergraduate course) de-lurking to say hi, and give you my personal perspective on the NSWTHAIGTDWML-O-Meter, with just over a week to go before exams:
1) Checkout Chick
2) Receptionist
3) Burger-slinger at McDonalds
Hell No: DOCTOR!

Nice blog, by the way :)

9:54 AM  
Blogger Vin. said...

Surgery+Clinic== Ophthalmology.

Almost went into it, myself. The other option is interventional radiology. A lot of aggressive interventionalists are now setting up clinics so they can control their own referral base.

Not to add pressure, but think really hard about your decision... When you're 50 years old, do you really want to be in the hospital at 3:30am doing a cervix check on a teenaged pregnant crack addict? No, you really don't.

5:33 PM  
Blogger golliwog said...

missed you, doc!
where have you been all this while??
i was so missing your daily dose of self deprecating humour, that i took to reading your archives!
if your ever interested in working in the back-of-beyond in india, i have doctor parents... highly overworked in an industrial hospital...

6:51 PM  
Blogger Keagirl said...

I am a urologist, in private practice for a little over 3 years. OB/Gyn was also on top of my list until my first delivery, which I thought was the messiest and most stomach-turning traumatic event I have ever experienced... yikes.... I would much rather deal with a Fournier's gangrene...
Definitely think about your future lifestyle. Do you really want to keep waking up in the middle of the night when you are on call to deliver a crying baby? It's all fine and dandy when you are young, but imagine doing this when you are in your fifties or sixties.....

7:10 PM  
Blogger Dr Black said...

Yeah, yeah - it's all fun and games until someone loses their continence. Don't forget that the deliveries you get as a student are the ones done by midwives and doulas in the real world. Real O&G is a lot messier and more surgical, and you spend most of your time up to your elbows in fluids best not mentioned. If you like surgery that's fine, but don't kid yourself that you're going to be delivering normal, happy babies because you won't be. (Should I mention that I had a passing interest in O&G, but didn't choose it in the end? Probably not...)

10:03 PM  
Anonymous Anonymous said...

This post will be placed all over the internet until the female NY neurosurgeon gets the message...you placed my health in jeopardy...

This should be passed around..see if she has any back
bone....spineless as she is...

In my case both doctors claim to follow ethical
guidelines. In New York there is a pain management
doctor who had his unlicensed, not certified assistant
administered an epidural injection on me. For 3 days I
was in bed with a massive headache. The 4th day I went
back. He called his partner in crime a neurosurgeon
who works at a city hospital, and performs all kinds
of research on human beings in a coma. Many times
while in my presence I've heard this female md
ridicule her patients. This female neurosurgeon
convinced me to have surgery as soon as possible. I
agreed. I asked more than once if she was the one
performing the surgery. She reassured me that yes, she
was the one. The nice female doctor on the day of
surgery, handed me over to a group of residents, every
single individual that worked on me was a resident. I
have the records to prove it. When I asked the MD
after the surgery again, "did you do the surgery?" her
response, "yes...I did." To make up for it the nice MD
after almost a year of more pain, and headaches from
hell, told me a fusion will help the pain. I trusted
her...again. The good news, she did the surgery. I
guess to make up for the lie regarding the 1st failed
surgery, and also to cover the incompetence of the
pain management md. During my stay at the hospital,
the MD made rude remarks about my behind, the day she
came to check on me. I apparently was the joke between
the MD and other MDs involved with me. The 2nd surgery
took place at Mt. Sinai. I was humiliated and insulted
by her comments. When I confronted the nice
neurosurgeon, who is a very strong member and
spokesperson for more females in neurosurgery, she
showed me her power. She flat out refused me as a
patient, and used her medical status to tell me,
“nothing you can do or say, nobody will believe you.”
Since her refusal to treat me as a patient, no other
neurosurgeon wants to take me on as a patient. The
female MD is an active member in all the professional
Mickey Mouse neurosurgeon organizations, and a very
strong supporter within the female neurosurgeons. She
seems more involved in memberships, being president or
vice president, or going out to get neurosurgeons to
join all these organizations. She does not give a damn
about the patients, if she did shoe would treat them
as humans, and not objects. It is a shame that she can
get away with what she has done to me and other
patients. As for her partner in crime, he continues to
treat patients with the same assistant who has no
medical credentials. I suffer from back pain daily,
and my headaches add more to my poor quality of life.
I am on pain killers, have been for years...and there
is nothing I can do to get the help I need. I've been
refused medical treatment since this female
neurosurgeon has treated me with such disrespect. All
I did was stand up for myself. So much for doctor
ethical guidelines....lol...

6:17 PM  
Anonymous idateasia scam said...

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8:37 PM  

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