Yeah, ok, I’ve been delinquent. Intern year, especially during the dark days of winter, slowly saps your ability to be a Real Person. (Newly minted MDs, are you excited?) It’s odd, because even though there is nothing specifically bad about internship/residency, the constant grind really wears you out. I can’t even imagine how the surgeons manage it.
But now, that summer’s coming, and it’s light out when I go to work and even when I leave, my spirits climb. A long-overdue haircut, a wedding, the summer series of outdoor concerts, and a new pair of hiking boots help. Plus, there was an unexpected success story last week at the hospital — I don’t want to go into details because they are too specific — but it made me think that maybe, just maybe, we can save some of the people, some of the time. Also, that Haldol is a wonder drug.
(On a side note, the history of medical advertising, as a reflection of medical sociology, is pretty wild. Psych stuff, in particular, seems to have undergone a sea change in the 60s and 70s, from the “quiet, docile white woman with schizophrenia” to the “angry black man with schizophrenia.” Jonathan Metzl writes about this, and other things, in Protest Psychosis; here is a pretty good review. Contextualizing illness is key, and I would say this holds for medical illness as well as psychiatric. Just look at the social history of cancer, treated wonderfully in Dr. Mukherjee’s Emperor of All Maladies.)
Alright, friends, time to do some Step 3 questions! (I’m trying not to treat this exam like a joke, if only because how embarrassing would it be do be in the 2% of people who fail?)