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A good day. - Nobody wears a white coat any more...
...a tribute to becoming a doctor.
ayradyss
ayradyss
A good day.
Hm, says Dr. G. How about I let Nykki freeze these off?
The patient nods. "Sounds good to me."
Great. Write down how many and where, and catch up with me. And he leaves me with the liquid nitrogen and a man whose back is covered in benign (but itchy) little seborrheic keratoses.
It felt good.

You see all kinds of folk at the dermatologist's office, O Best Beloved. You see the man whose chief complaint is that tape is coming through his skin; has been for twenty years. Sometimes, he says, sounding quite reasonable, it comes out inside his throat and he chokes. Tape. Adhesive tape. Coming out through his skin. "Kill it before it kills me." Diagnosis: Lichen Simplex Chronicus, atopy. He's got allergic skin and he's been scratching and it's responding by building up plaques. Secondary diagnosis: schizophrenia.

A woman whose hand I held a moment too long. "I know you." She peers at me, then my nametag, and laughs. "So you do!"
Nursing student, construction worker, stay-at-home mom. They are all smiles for me, full of good wishes and congratulations.

The boy today with a mostly-healed wart. Eighteen, just, and O, Best Beloved, he was lovely. "Not much to learn on here," he says, voice much lower and smoother than I might have expected, brown eyes through a fringe of overlong hair, suit jacket over T-shirt and jeans. "It looks pretty good now." Lovely boys.

A lot of acne. A lot of women who are very concerned about subtle flaws in their faces. A lot of elderly folks with basal cell carcinomas and squamous cancers. Melanoma in situ of the leg. There are any number of strange dermatologic mutilations. Ladies in their sixties and seventies who laugh, and smile, and tell me how they worshipped the sun when they were my age. It is hard to picture them lithe and sleek in bathing suits on the beach, hard to make otters of them now.

Children with atopy - eczema - skin scaling from head to toe. Beautiful girls with scaling psoriasis hidden under long sleeves. Moles removed; spidery leg veins injected with sclerosant to wash them away. Laser treatments for wrinkles I have not seen; the laser comes only a few times a month, and only at the office I am not technically supposed to be at. I trade ER stories with the PA, who has been everything under the sun and now does a fair amount of the office surgery. I learn about homeopathic remedies, olive oil to moisturize the scalp, and the importance of eating well from Dr. D, who trained in Mohs surgery from Dr. Mohs himself. I follow Dr. G like a white-coated shadow. I smile and sparkle and repeat the same ten conversational topics over and over again; it is not hard to be charming in soundbites.

It is a high note to end on, O Best Beloved; it is intriguing and exciting and fun.
Tomorrow is the last day of my medical school rotations.

now feeling:: busy busy

11 whispers echo . o O ( ... ) O o . whisper a word
Comments
missysedai From: missysedai Date: April 27th, 2005 11:17 pm (UTC) (etched in stone)
Your last day??

I'm trying to imagine how that must feel, and failing.
jays_princess From: jays_princess Date: April 27th, 2005 11:50 pm (UTC) (etched in stone)
i can only hope that one day i will be as intelligent and charming as you are. and if no one has told you lately, i'm proud to know you and i enjoy your stories. :)
ayradyss From: ayradyss Date: April 28th, 2005 02:38 am (UTC) (etched in stone)
*blush*
Thanks :)
turnberryknkn From: turnberryknkn Date: April 28th, 2005 01:46 am (UTC) (etched in stone)
Congratulations.

Wishing you the best in the long road ahead.
waifofthenorth From: waifofthenorth Date: April 28th, 2005 02:30 am (UTC) (etched in stone)
So...what's the best way to prevent/get rid of wedding day zits?

--someone who's concerned but not rich/ridiculous enough to go to a dermatologist for something so petty.
ayradyss From: ayradyss Date: April 28th, 2005 02:35 am (UTC) (etched in stone)
Start early; wash your face with a good non-drying cleanser - Cetaphil/Neutrogena/St. Ives' Apricot Scrub - every morning and night. Moisturize with a non-comedogenic, nonscented light facial moisturizer.
In fact, make sure all your makeup says "non-comedogenic" on it.
Get a facial a week before the wedding.
Just in case, invest now in a good coverup stick and learn how to use it. Green hides red.
waifofthenorth From: waifofthenorth Date: April 28th, 2005 04:24 pm (UTC) (etched in stone)
now should one get a facial if you've never had one before?
ayradyss From: ayradyss Date: April 28th, 2005 05:16 pm (UTC) (etched in stone)
Check your local phone directory for the beauty colleges in the area - most of them usually have cheaper prices because it's students doing it. Just call one up and say you'd like a facial, they should be able to help you out.

If you're prone to breaking out, Clearasil or any of the benzoyl peroxide ointments over the counter can help to counteract pimples too.
From: broken_onewon1 Date: April 28th, 2005 04:26 am (UTC) (etched in stone)
It sounds very entertaining I mean educational :) to see the whole parade of humaity come tromping throught the office. It must be a good feeling to know that your making all of these people feel better by listening to there problems and helping them with afflictions that not only threaten their lifes at times but their self esetem as individuals. It must be a really good feeling to know that what you did made a real difference in their life for the better. Oh by the way I read some of the mohs surgery site stuff, very cool very effective makes you wonder why the'd mess around with anything else? with a cure rat as high as it is. Im sure there are reasons though.
trinapink From: trinapink Date: April 28th, 2005 06:59 am (UTC) (etched in stone)
Last day! Oh, how very exciting.

Congratulations, and the best of luck on the next step.
buggrit From: buggrit Date: April 28th, 2005 09:30 pm (UTC) (etched in stone)
I'm so glad I've spent the majority of my life with a mild contempt (mixed with nervousness) of the sun. I may be pale and pasty (a phrase I recently heard that I liked was "chalkasian"), but I'd rather be that than cancerous.
11 whispers echo . o O ( ... ) O o . whisper a word