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The "things you can't believe you just saw" thread... - Page 11

post #151 of 547
:ralph:
post #152 of 547
Quote:
Originally Posted by gomestar View Post

my google search will not be utilized at this time.
please, 'splain to me.

can really be explained. imagine a bloody lacerated pale baby. it is horrible. i am crying inside now.
Quote:
Wikipedia
Harlequin-type ichthyosis (also known as "Harlequin baby",[1] Harlequin ichthyosis,[1] ichthyosis congenita,[1] Ichthyosis fetalis, keratosis diffusa fetalis, "Harlequin fetus",[2]:562 and "Ichthyosis congenita gravior"[1]), a skin disease, is the most severe form of congenital ichthyosis, characterized by a thickening of the keratin layer in fetal human skin. In sufferers of the disease, the skin contains massive, diamond-shaped scales, and tends to have a reddish color. In addition, the eyes, ears, penis, and the appendages may be abnormally contracted. The scaly keratin greatly limits the child's movement. Because of resultant cracked skin in locations where normal skin would fold, it is easily pregnable by bacteria and other contaminants, resulting in serious risk of fatal infection.
The harlequin-type designation comes from both the baby's apparent facial expression and the diamond-shape of the scales (resembling the costume of Arlecchino), which are caused by severe hyperkeratosis. The disease can be diagnosed in the uterus by way of fetal skin biopsy or by morphologic analysis of amniotic fluid cells obtained by amniocentesis. In addition, doctors can now usually recognize common features of the disease through ultrasound, and follow up with 3D ultrasound to diagnose the condition.
It is associated with a mutation in the gene for the protein ABCA12.[3]

pB, why did you see one today? live, or online?
post #153 of 547
Thread Starter 
thank you for saving me a gag.
post #154 of 547
Do you think doctors are blasé about such diseases or is it still horrifying every time
post #155 of 547
Quote:
Originally Posted by in stitches View Post

saw this on the way to the the city last night.
this dude was driving like this for miles on the FDR, doin about 50mph.
45766e83-8ae9-4b2e.jpg



^WTF? That's crazy.
post #156 of 547
Quote:
Originally Posted by gdl203 View Post

I hate you Patrick Booth

Acute compartment syndrome? Yeah, shut up. wink.gif
post #157 of 547
Quote:
Originally Posted by gomestar View Post

thank you for saving me a gag.

no p, bro.
Quote:
Originally Posted by indesertum View Post

Do you think doctors are blasé about such diseases or is it still horrifying every time

i imagine a bit of both. but also, i dont think that is very common place, so most docs i would guess are at least mildly horrified.

i will alert doc lawrence to help us out.
Quote:
Originally Posted by Salad View Post

^WTF? That's crazy.

INO.RITE!

pB - you still havent explained why you came in contact with this.
post #158 of 547
Quote:
Originally Posted by indesertum View Post

Do you think doctors are blasé about such diseases or is it still horrifying every time

If they're in a field where they come into contact with this kind of thing, they get blasé very fast.

My dad is a retired infectious disease specialist and he used to read the gnarliest stuff at the dinner table. Stuff with graphic photos of suppurating ulcers, bloated testicles, etc.
post #159 of 547
Quote:
Originally Posted by imatlas View Post

If they're in a field where they come into contact with this kind of thing, they get blasé very fast.
My dad is a retired infectious disease specialist and he used to read the gnarliest stuff at the dinner table. Stuff with graphic photos of suppurating ulcers, bloated testicles, etc.

did you read along?
post #160 of 547
Quote:
Originally Posted by indesertum View Post

Do you think doctors are blasé about such diseases or is it still horrifying every time

when you see such things in person (like in rotations in large government hospitals during clerkship/internship) its not as bad as the pictures.

its different for every one, but seeing really progressed dermatology cases always gives me the willies.... like a pus-y festering carbuncle. or a really advanced case of scabies where you just want to bathe in a vat of isopropyl alcohol after even being 10 feet near the patient.

i did a month long pediatrics rotation during clerkship (3rd year med school) in a 3rd world government children's hospital and you'll see really horrific things. I was lucky enough to see a harlequin baby, but it was a mild case where the baby was totally smooth and actually pretty cute.
post #161 of 547
thanks for the input doc.

i still have the willies just from my quick glance at the online pics 4 hours ago.

cold[1].gif
post #162 of 547
Ralphing up Scotch is not recommended confused.gif
post #163 of 547
I just googled scabies

I've been talkin to my med school friends and third years plus have the most horrific schedule ever. She gets there at 530 am leaves at 6pm. If she's on call she stays overnight so overall 36 hours in the hospital. Apparently some doctors don't even give them a break. She told me her friend in a surgery rotation has to eat pee poop in 20 min before going in the or cuz once you scrub in you don't go out and it could be 8 hiurs before youre out. Doctor harass you with questions you should know so you have to do a lot of reading on the weekends. And to top it all off youre basically paying money to work like that.
post #164 of 547
Quote:
Originally Posted by indesertum View Post

I've been talkin to my med school friends and third years plus have the most horrific schedule ever. She gets there at 530 am leaves at 6pm. If she's on call she stays overnight so overall 36 hours in the hospital. Apparently some doctors don't even give them a break. She told me her friend in a surgery rotation has to eat pee poop in 20 min before going in the or cuz once you scrub in you don't go out and it could be 8 hiurs before youre out. Doctor harass you with questions you should know so you have to do a lot of reading on the weekends. And to top it all off youre basically paying money to work like that.

the 36hr shift is alive and well in the surgical rotations (general surgery and OBGYN). the medical rotations have adapted and at worst will have a 18hr shift... but usually have a floating 12 hour shift... hence the spill over of tons of medical school grads who now go into things like derma/pedia/ER med/family med ect... the quality of life is so much better during training.


Warning: Spoiler! (Click to show)
there's a bit of a stockholm syndrome thing that happens though because when you talk to your friends when they're PGY-1/2 ect they will look back on those days fondly like fucking idiots.

on surgical rotations you're supposed to be promptly subbed out after your shift is over - but you still have to endorse your patients (sit together with the senior residents) while you go over your cases/patients to the incoming shift.... old school endorsements would have a mean consultant there that would shame you for not knowing the tiniest details about a case - even though most of the time you do know, but you're 36hrs sleep/food/shower/rest deprived to answer coherently.

the best part of surgical internships? if you're at the end of a 36hr duty... and you still have a patient that is going into surgery/going into labor/ect you're actually expected to stay with the patient and do the surgery (it teaches you about patient/case ownership).... so that 36hr duty can easily turn into a 48hr duty or even longer once the surgery is over.
post #165 of 547
Quote:
Originally Posted by in stitches View Post

Quote:
Originally Posted by imatlas View Post

If they're in a field where they come into contact with this kind of thing, they get blasé very fast.
My dad is a retired infectious disease specialist and he used to read the gnarliest stuff at the dinner table. Stuff with graphic photos of suppurating ulcers, bloated testicles, etc.

did you read along?

Yes. In large part this is why I am not a doctor. That, and the night that the state police rang our doorbell at 3 AM because our phone was off the hook and the hospital needed to reach him.
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