Post-exam notes...

Okay. Part 1: 20 Kodachrome slides. Best analogy: brutal gang-rape. Dear gods. I skimmed over the pictures in the book, got a good idea of what they were. I should have gone over the immunology packet more thoroughly last night. I knew most of the AIDS questions, but when it came to asking what the particular antibody was that was associated with Sjogren's syndrome and rheumatoid arthritis...Aww, hell. And fucking Dr. Kim fucking well told us there would be no questions on metals until the fucking final. And then put a 6-point matching question on metal deficiencies and syndromes. We should try to get that thrown out. Nuclear changes with radiation damage. Vitamin-A associated eye changes (whoops, should've gone over that even though there weren't any pictures about it). What disease state or disease state precursor can be treated by administration of the factor whose deficiency can cause this disease state? Or something like that. I couldn't even understand the question, and by the time I did I had to turn in my paper so I couldn't think about it. Part 2: glass slides and a few more Kodachromes. 16 stations. He didn't fix the lupus slide on a wire-loop, but it was okay, because all of the questions on that station were about lupus, so it was clear that that's what the slide was. Used four other kidney slides, including a very nice crescentric glomerulonephritis with a lot of questions about Wegener's and Goodpasture's. Both things I know well. And the 11 criteria for lupus diagnoses, 1 point each, which the entire class can say backwards and forwards. Forgot fucking membranous glomerulonephritis in SLE-associated kidney changes. I knew there was one that started with an M. Ah, well. But after ten stations of agony, I remembered that there are anti-peroxidase antibodies in Hashimoto's Thyroiditis. Go me. Honest to god, y'all. If you ever wondered what medical students talk about, you should've been in the room when Dr. Smith was half a frellin' hour late for the exam. "Scott, are you feeling some unusual anxiety?" "No, Ryan, I think you're just projecting your anxiety on me." "Where's Dr. Smith?" "I don't know, but you're definitely inciting some countertransference here with your attitude." "Well fine, you can just -take- your reaction formation and sit by yourself. I'm going to go get the moves on with Ivana here..." And so on. It became a contest to see how many times we could use terms from our last psych exam in context. We'll take any excuse to prove that we know something. Particularly when facing an exam. Mental note: give my outlines from MedGen to Ivana so she can feel better about the final Friday. One more down.

Good news!

Exam scores from psychiatry are in. 92%. I'm honours-passing in Psych and MedGen!

Mind, this isn't as exciting as if I were frelling passing Pathology, or doing more than hanging on in Pharm, but it'll get there. It freakin' well will have to.

More good news:

Blusys says that I shouldn't have trouble getting into the Fort Wayne Family Practise residency. Good. *crosses fingers* I don't want to go to Indy. I want my life to work like it always has, where things just fall into place. In any case, I'm going home. I'm hungry.