Justin's Oddysey
This last weekend Dr. Smith invited us to the dock where he lives. It was nice to see some of our professors outside of school. I just don't think Dr. Hutchison should have should up standing soo close to the edge of the dock immediately after a test. Brandon, a classmate accidently dropped his sunglasses and phone into the marina. This of course was inevitable when one mixes water and few Caribs. Before Brandon jumped in I recall Dr. Hutch saying something about three feet of fecal sludge!
nothing will stop this drunk man
now that doesn't make sense
He got the sunglasses out but not the phone.....no mo' social life fo yu, especially wit that smell. What does make sense is all things clinical. Dr. Reich shared with us a story about his intern days at Tufts University. Hangin' out with a clinician doing ambulatory rounds from dairy to dairy they had a moment of enlightment. The clinician says to Reich: When a cow has that "far away look in its eyes"..............that's where it's goin'. One tags along with clinician expecting them to impart their wisdom upon our receptive minds. Then what happens? They come out of left field, but wait a minute it all makes sense.
As simple as it sounds it takes many years for clinicians to cue in on such subtle signs. That "look", the "posture", the "smell" a pattern. For example at Kindred Hospital I cued in on one thing. If I walked into a patient room on a ventilator and the patient had a fan blowin' right in her face this patient would be a tough wean off the ventilator. Sounds strange but the truth is that this meant the patient was psychologically dependent on this feeling of "getting lots of airflow". . . so now she can breathe. Hey whatever works. Or as a student my clinician said " use your third eye" to draw the arterial blood gas? Or later he said "I've been in respiratory care for so long that I don't need a stethescope anymore" Say what? We'll towards the end I could walk into a room and without even introducing myself understand what the patients ailments were all about. The look, the smell, the posture, that's what it's all about. Enough ramblin' off to skuhlll!
This doesn't make sense either
