Dr. Davis FAILS the pop quiz??!!

But you have to have some sort of basis so that then when you're putting it together, it's like, oh, yeah, this is familiar.

Okay.

Now I'm like, I don't know, it's like they're studying the blocks and then you're going to put the blocks together, but you have to know what the blocks really are before you can build the building.

So poetic. Hi, everybody, and welcome to the podcast. This is Generations md My name is Set Stephanie, and I'm joined here by my colleague, Dr. Sarah Davis, who's also my mother. I guess we should maybe reintroduce ourselves in case we have any new listeners.

Okay, that seems like a good idea.

I'm a first year medical student and.

I am a practicing family medicine doctor. But mostly my mom, Mostly my job is to be Stephanie's mom.

Yes.

I've got another kid, but, you know, that's really not part of my job.

Yeah. So, you know. Okay, what's going on?

Well, you're home for a few days, so that's fun.

I'm back.

Back. But you're still kind of studying hard while you're home.

Yeah. I have to say, studying in the coffee shops and stuff here is. It's hard. It's also hard because we're doing male and female reproductive systems right now, reproductive anatomy. So I kind of didn't really think about it. And I really need to study anatomy. Like, I'm kind of a little bit behind on that. And we have our cadaver deck flashcards.

Sure.

And it's just full on male anatomy and full on female anatomy.

Like, wait, not just drawings. Pictures.

Yes, full on pictures of, like, real male and female genitalia.

And. And so these are flashcards. Like, you're just sitting there looking at pictures of genitalia while you're there out.

In public looking at pictures of penises.

Yep.

But, yeah, I mean, I can't go and do that in a coffee shop. I didn't really think about it also. Even, like around the medical center. In the medical center. You know, I don't even think twice about pulling up that deck. You know, it's just. Yeah, nobody cares. But then I went and I sat down on a coffee shop and I was like, okay, I need to do anatomy. And then I was like, oh, wait.

People can see what I'm doing. Children walking by. Not cool.

So, but luckily I kind of like found a spot in a coffee shop in the back and. Because I can't study at home with.

You guys because, yeah, we're very annoying. Yeah, we're living our lives sometimes. Eating, talking, who knows? Very irritating.

Luckily, I sat down next to me and I saw somebody else. Next we get out in Anki remote.

Okay.

And I realized they were a med student, too.

Oh, did you make a friend?

Yes.

Yes.

So, yeah.

Were they at a med school here in town or somewhere out of town? They were home for the holidays in Dallas.

Yeah, they went to Southwestern, so.

Well, that's fun. You must have known people in common.

Yeah.

You could have maybe studied together. Were they a first year also?

Second year.

Well, then you kind of.

But, yeah, I told them. I was like, I got. I really have to do this anatomy deck. So just, you know, I'm glad that you're sitting next to me and not somebody else. And they're like, yeah, I don't really care.

So. No, it's just, like, nothing. Yeah. You don't even think about it. But then you got to remember that it's not the same for everybody. You know, when patients of mine are having issues, like, they'll have a rash or something on their arm, and I'll always say, oh, you know, send me a picture. And then sometimes they're having issues. His shoes on private parts of their body. I'm like, oh, normally I would say, send me a picture, but don't send me a picture. That would be completely inappropriate. Gotta come on into the office and have me take a look at that one.

True, true. I have one more dissection in lab, and then that's it. I'm done.

You're done dissecting after one more?

Yeah. Thank God.

I thought it took us, like, all year to do that. You very advanced.

Very advanced. Just not like it was back in your day.

Bam, bam, bam. You just. I mean, and you're doing all of it. It's not like somebody's coming in there and dissecting. Because I think some places, some other people do some of the dissections, don't they?

Right? No, no, it's all us.

Okay.

Yeah. You know, we did the genitalia. We did all of that, but which was, you know, whatever. I have a male cadaver. It was weird, but I don't even think that was the worst part. I think the worst lob was doing.

The gut, because there's stuff inside the gut.

Lots of. Lots of stuff.

It's a reminder to care about your gut health and kind of keep all of your intestines moving throughout your life. I mean, people do get very constipated in their old age. And your colon Just keeps expanding, and then you get more constipated, and then it expands some more. And pretty soon you've got a lot, whole lot of. Whole lot of poop sitting in you. It's a good thing to keep your gut moving at all times. It's like wearing clean underwear in case you get into a car accident.

Is that a thing?

Oh, yeah, that's something that people used to say. I never really understood it, but it was this thing that people would always say. It was like, kind of like the generation before me. They would be like, oh, yeah, well, wear clean underwear in case you get in a car accident, you end up in the emergency room. You don't want them to, like, find your dirty. You ain't dirty.

I think that's the last thing they care about.

What? I always thought that was the weirdest thing. I'm like, nobody's looking at how clean your underwear is.

Yeah. What?

Also, it could have gotten dirty during the accident.

Also, how dirty is your underwear?

I'm confused on this one. I confused some in it as well. Like, what is. Yeah, yeah. I don't know what's going on. But anyway, that's just something people used to say all the time. I don't know that. I only heard people kind of making fun of people saying it. I never heard somebody say it in earnest. But anyway, that's a thing. Keep your bowels moving.

Keep bowels moving. Keep clean underwear.

Okay, two lessons so far today. Yes.

There you go.

But otherwise, how is medical school coming along?

Block three, final push.

So there's three blocks per semester for this semester?

Yeah, there is, but yeah, since we have one more dissection. Not having anatomy lab is gonna be huge because that takes up a huge amount of time. So next semester, I'm gonna have essentially the same amount of, like, classes, but not have anatomy Lab.

Oh, that'll be nice.

Yeah. So it'll make things go a lot smoother.

Yeah. Well, good. Good. Is it pass fail next semester too?

No, pass fail is a mindset. So.

Is that a thing? Pass fail is a mindset.

I just made it a thing.

Okay, that's good. So you're gonna have the same mindset next semester?

Probably.

Yeah, I think that's gonna be. I think that'll be helpful. You know, it's all about learning the material to know it, not to. Just to regurgitate it for a test.

Yeah, unfortunately, it's hard to do that. Oh, I was gonna ask you, do you have a thing of when to use what antibiotic?

It's all right. Up here, baby. Okay.

Speaking of that, then.

Oh, God. What are you gonna do to me now? Oh, no, you can't. You can't. No, no.

Then let's go over some antibiotics. If it's all up there, how do you memorize all this stuff? And we talked about just regurgitating things for a test. What about types of bacteria? How good are you on that?

I know my. You know, we got the bacilli, we got the gram positive, we got the gram negative.

Oh, yeah.

Know all those things.

Okay, what about a gram positive?

Cocci in clusters. Staph. Okay.

Cocci in clusters.

Okay.

Catalase positive, Coagulase negative. Novo biokin sensitive. It's a type of staph.

Okay. Staph epi. Yeah. Okay.

There you go.

See? It was in here.

Okay.

Okay. Can we just stop there? No, no, no, no.

All right. Gram positive, coccy, catalase negative, alpha hemolytic.

Wait, is it in clusters or chains? Chains. Oh, then it's some type of strap.

Mm.

I'm gonna go with the viridian strap group. Group A, strep.

Wait, viridian strep. Group and group A. Strep are two separate things.

Well, they used to be the same. You made that up. I did. Okay.

You don't know.

I don't. Okay, so I'm gonna just go with. I'll go with group A strip.

No, group B, strip. Group A. Strep is beta homolysis.

Okay.

See, the thing is, when we're talking about memorizing stuff, honestly, it's just like, I know these facts, and I know this and whatever, but I don't know what all of that stuff means, honestly. I do to an extent, but it's like, you know what I'm saying?

And, you know, and this is. That's the type of stuff that, like, it's so much more important to understand, like, what those things mean, where those bacteria are found, and that type of stuff. And, I mean, a lot of those details, whether it's coagulase negative or positive, you could always look that up. I don't see why you need to know that in your regular life.

Yeah. And also. Well, that's how essentially, now memorizing all this stuff, we use this thing called sketchy, which I really like because it works with my brain. I'm a visual learner. That's how I've always done stuff, as, like, concept map. And then when I'm taking the test, I think about the color and where it was on the page that I Made. So that's how I really think. And with sketchy, essentially, they make some sort of drawing of a scene. It'll be like the pizzeria and they'll have different parts. So I can imagine in the pizzeria you have this guy that's holding a pizza and he has a red mitt. And that means that, I don't know, it's some sort of stuff or he has coagulates.

Negative or positive?

Negative or positive? Yeah. He has a pointy hat that has an M on it. So that is the like M protein positive stuff. And you just kind of memorize it by that, which I really like because I can get the facts down. But it has all these random things in there. I have no idea what that stuff means.

Yeah, yeah, I think that's okay. Some of that stuff will come because some of those things will be meaningful to you and some of them won't. I mean, the fact is, when I do a culture, let's say I do a throat culture on somebody and I send it off to the lab. I mean, now we have this other technology that we hardly even. We don't even need to use some of this anymore, but it'll come back and it's like it's growing. It's growing gram positive cocci. And I'm like, oh, okay, it's probably either strep or staph. And then a little later it comes out and then it tells me, like exactly what it is. Well, I don't really. I'm not a pathologist. I don't really need to identify it. I mean, the lab is going to give me the exact identification for that bacteria. They'll even give me the list of all of the antibiotic sensitivities, too. So I don't. A lot of that stuff is not so practical in regular medicine.

Yeah, I guess having an understanding. But some of the stuff I do think is important of having an understanding of. Okay, you need to take this antibiotic for these things and you, you take it with this normally. But then when it gets into all of the details, then it's just I don't have time to memorize what all of these things are.

It's just association.

Associ.

Association. Association, yeah. I think it'll come, you know, if it ends up being that those things are really important, it'll come there. My point is it's important to understand those resistance patterns of certain bacteria and how they are resistant, because that's going to help you choose a different antibiotic when you Encounter resistance to that bacteria.

Yeah, yeah.

So it's important to understand mechanisms of action. But there's a lot of stuff that you can hack too. That's interesting though of like that, that whole way of memorizing that stuff. It is helpful for the test. I don't know how helpful that will be on rotations.

Yeah, I don't know.

We'll see. You kind of just get things step by step. You get this foundation, then you add onto there and then you really get into like, okay, yes, this is important and I'm really gonna need to use this. And then you study that more and other things are gonna drift away because it's just not gonna end up being that important.

Yeah, I'm counting on things going up from here.

Well, that's a good, that's a good philosophy because I do think that what.

I'm doing right now. Yeah, they're just throwing a bunch of random topics at us rather than we go into modules and it's more cohesive of. Okay, now we're doing cardiology and things go together and I can actually map things out and have things connect when right now it's just random facts over here. Random facts over here. There's no connection.

Yeah, yeah, there's a little bit of.

Overlap, but yeah, I don't know.

But you have to have some sort of basis so that then when you're putting it together, it's like, oh yeah, this is familiar. Okay, now I'm like, I don't know, it's like they're studying the blocks and then you're going to put the blocks together, but you have to know what the blocks really are before you can build the building.

So poetic.

I have a type of privilege that you do not have.

Okay.

And I'm gonna name it, but I understand that this is not completely true. It's called ugly privilege.

Thought you were gonna say boomer privilege.

I'm not a boomer. I'm Gen X. Quit calling me a boomer. Okay. No, and I just, I've just come to appreciate how nice this is, so. Wait, what are you talking about? So you know how you have pretty privilege.

Yeah, but. Well, no, like what? I'm just, I'm a young 20 year old. Well, you're just saying that you're old.

I'm saying that I'm like a middle aged woman and I'm just a lot more invisible than I was when I was your age. And I have to say I like my invisibility cloak. It is really nice. Why? So you Know how when you go places or do things, you know, you're always kind of getting some of that unwanted attention, you know?

I love attention, really, but, like, no, no, I don't like unrelenting. What about, like.

Yeah, you're, you know, you're studying at the coffee house or something, and then somebody comes up and just, you know, tries to talk to you, tries to kind of flirt with you. And it's just.

My life is so hard. Yeah, that's terrible. Like, it's not.

It's.

It's bad. But I'm not gonna sit here and complain that I'm. You know what I'm saying?

No, and I wouldn't. I didn't complain at the time either. I used to be young and cute, but I'm just having to say that I'm just enjoying this privilege of being kind of invisible. It's really. It's just really nice. Like, I can.

She can rob places without people knowing? Is that what you're saying?

My invisibility cloak is not that strong. They will notice me committing crimes and things like that.

I feel you blend in pretty well.

Well, you know, that's probably true. Like, you know, like, people might notice you in the coffee shop for a long time. Me, maybe. You know, then maybe the place gets robbed and they're like, who was here? Well, we remember her. Me. Don't remember me.

Let's not put this on record. We are not committing crimes.

I haven't decided to turn my life to a life of crime just because I'm a little bit more invisible. But I'm just saying this is just this generational comment of being.

Well, people complain about that.

I feel like, about being invisible.

Yeah.

Well, maybe that's because they've always been invisible. But, like, I think that, you know, at one point I was visible, and now I'm more invisible. And for the most part, it's just really nice. And I would say that the times where it really is noticeable is things like, you know, like, even you're at work in the hospital setting or something, and you're interacting with lots of people all the time, and you always have to be, like, a little bit. I mean, it's always good to be nice and kind to people, but there's lots of these interactions which are, like, right on the border of being flirtatious. They're not really flirtatious, but they could turn flirtatious. And you're always having to kind of, like, put up your guard to that of, like, you know, you've got to Be nice and polite and professional, but don't be too nice because then you're kind of like leading somebody on and then he asks you out and then you're like, okay, no, I'm not interested. And then they feel rejected.

It's really annoying that the burden is then on us women to be always, to, yeah, be professional and all of that when it's the other person that shouldn't be crossing a line like that in a professional setting.

Right. And it's always very delicate because you have to be. If you're really, you know, cold and you don't give any sort of warmth and like feedback, you are seen as just, you know, being a bee. And then people don't like you. But sometimes like, you know, you're trying to, you know, whatever, get your lab test run faster or I mean, sometimes you need various ancillary staff to help you do things and you need to do that. And B, you know, be professional, be nice to people, all of that. But there are some people that are going to kind of push that boundary a little bit and you have to just be careful about not giving them this full on rejection. Otherwise they can make your life really difficult.

Yeah, I guess I haven't experienced a ton of that yet. Just not being in that hospital setting.

It's not like I had tons of inappropriate stuff happen to me all the time. It's not like that. It's more of just having this constant guard up and sort of walking this tightrope that you don't even realize that you're doing until you're not doing it anymore. And that's what I just kind of had noticed this recently. I was like, oh, that doesn't happen to me anymore. It's just really nice. And to take it really to the extreme, I don't know if I ever told you this story. One time I was in college and I was at this bar and I was hanging out, just talking to my friends and this guy comes up to me and like gives me a line like, like, I don't know if guys still do that, but he does kind of gives me a line. And I was just like, I was just having none of it. I just didn't, I didn't even want to engage. And so I didn't say anything really horrible to him, but I just gave him like absolutely nothing. I was just like, kind of like, no, thank you. Just sort of turned away and I didn't realize this was happening. It would have been too late, but the guy pulled his arm back and started to punch me in the face. What? Yeah. Thank goodness. He was pretty drunk. And there were a bunch of other guys standing around who were a little bit more clued into me about, like, when somebody's gonna punch somebody, because that's not something that normally happens. And they all grabbed him before he could land this punch. But had they not all been right there, he probably would have punched me in the face, and I would have been so just completely dumbfounded that I wouldn't have even seen it coming. He could have broken my jaw. He could have broken my nose. Like, I don't know what might have happened.

Well, then you. If you broke your nose, maybe then you could have been invisible starting then.

My invisibility could have started really early, but it was a really, like, terrifying moment where I realized, like, oh, even if somebody is being kind of a jerk or being inappropriate, if you just, like, shut him down and make them feel really, you know. Again, I didn't say anything bad, but I just didn't engage at all with his flirtation. And he was so mad that he was willing to, like, beat me up.

Yeah. That's crazy.

In a completely public place, right? Yeah. And, you know. Okay, so part of the lesson is, obviously somebody shouldn't. You know, men shouldn't be acting that way, of course, but you immediately just go to, like, what could I have done to have prevented that? And that's what I took away from. That just really. It really scared me, and it really just kind of made me think, like, I have to just be more careful and more polite in turning people down or just more aware of how exactly they're gonna take what I say and all of that.

Yeah. I don't know. That just seems wrong.

Right? It's. It seems like the wrong lesson to take away from it.

Yeah.

But what else. What lesson can you learn how to fight? Actually, that's pretty. Probably better. Learn to, like, be clued in that when someone pulls her arm back.

Yeah. I mean, being aware is always good, you know, being aware in situations like that. But I. I don't know. I feel like. I don't know if that has changed at all or any of that. I don't know.

Nobody's ever tried to punch you in the face?

I don't think so. Yeah, I. I don't think anyone's tried to punch me in the face.

Well, that's good. That's a win.

Yeah, I guess so. Yeah.

But anyway, I just say that, you know, nobody's gotten mad at me recently in a bar of course, I don't really go to a lot of bars where anybody would be like, potentially trying to pick me up and punch me in the face. But anyway, I just thought I'd share my newfound freedom of invisibility and, you know, let you know that obviously you use your pretty privilege and it's fun and there's sometimes where it's good, but being invisible, it's nice, too.

I don't even know how to respond to that necessarily. I don't know.

Okay. Well, it's just something on my mind. It just has to do with, like, those kind of what you deal with as a woman just going through life and some of those stresses that are coming at you all the time that you negotiate and you don't even think about, but also other things that just men never even have to think about or consider. And yeah, it can make life a little bit taxing.

Yeah. Oh, one thing I'd like to address is I am working on my likes. You guys don't need to leave any more comments about me saying, like, I'm working on it.

People been commenting.

Yeah. On some of the clips. I'm being consciously aware of it. So yeah, that's. That's all. That's my only announcement.

Well, I like your legs.

Okay.

Okay.

Well, thanks, guys for listening. We have a lot of exciting guests coming up, so, yeah, happy holidays, everybody. We are not going to be recording next week because it is Christmas Day. So Merry Christmas, everybody. And yeah, you know where to find us. @Generations MD on Instagram, @Generations MD on tick tock. If you have any questions or are interested in being a guest on the podcast, you can email. Email us at askgenerations md@gmail com. And we will see you guys after the holidays. Bye, guys.

Bye.