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Many More ER Questions and
Docs excited by doing pelvic exams?
The "beautiful women in the ER" contest
Q: I recently had a pelvic exam in the ER. I wonder if doctors
get excited doing them? Wendy
A: Usually not. With the exception of a few sex maniacs such as the
doc I previously mentioned, most ER physicians don't relish pelvic exams.
In fact, we often dislike doing them. Why? Most emergency rooms I
worked in were very busy, and the last thing I wanted was more work. If
you're busy, there are some things that can be rushed to save time, but a pelvic
exam isn't one of them.
Q: So you never got excited? I hope I don't sound
conceited, but I'm really hot, and I don't see how a man could look at me
without becoming aroused.
A: If a woman is exceptionally attractive, a doc is bound to notice that.
I have. I'm not blind. Out of thousands of pelvic exams, however, I
recall only a few women whose beauty was enough to cause reflexive excitement.
Being human, a doc can't help that. What he can help is how he
acts, which should be no different than when the woman is repulsive.
Q: To tell you the truth, it wouldn't bother me if the doc became
excited. During the exam, I thought, "I know you're lovin' it, fella, so
why don't you show it?" Instead, he just went through the whole procedure
with an expressionless face, like he was a robot or something.
A: Just as he should.
Q: Oh, come on, doc. I can understand why it would be undesirable
for a doctor to reveal that he found a woman disgusting, but what's the big deal
about fessing up that he thinks a woman is hot in a case in which it's so
obvious that she is?
A: No self-esteem problems on your end, eh Wendy? The reason why
that doc did not give you the effusive praise you deserve and rhapsodize about
your pelvic perfection is because docs don't want to get personal with patients,
especially patients receiving a pelvic exam. We want to keep the encounter
on a professional level so that patients feel free to open up to us. If a
woman thinks a doc is thinking about her in a sexual way, it would make it more
difficult for that woman to think of him as a doctor, instead of as a man who is
often a stranger, especially in an ER.
Q: I can understand that, but I'm not some uptight chick. I was
playfully flirting with the doc, and trying to kid with him.
A: Well no wonder why he acted like a robot!
Q: What do you mean?
A: With a seductive patient in such a circumstance, it would be natural
for a physician to bend over backwards to project propriety. If he
reciprocated your banter, it might be misconstrued by some patients.
Q: Not by me. I just wanted to have a good time. I'm used
to guys drooling over me and, frankly, it bugs me a bit when they don't.
A: It must be a tough life. How can you stand it?
Q: Such sarcasm! By the way, I thought about submitting my photo
for your "beautiful women in the ER"
contest, but I doubt you'd post a nude picture.
A: So send a clothed picture.
Q: I look better without clothes on. I attached two pictures so
you can see for yourself. Now tell me that you could look at me naked and
not get aroused enough to show it.
A: In the ER, I could do it, trust me.
Q: But how could you? You're a man, aren't you? You have a
A: Such rhetorical questions. Yes, I have libido, but the stress of
working in an ER puts my sex drive into a nosedive.
Q: So what's the deal with your contest?
A: Briefly, it is my contention that there are scientific reasons why
attractive women are less likely to be emergency room patients. However, I
can't think of anything I've done that has been more misconstrued. That
may be because the very premise of my hypothesis is so politically incorrect.
However, if anyone dispassionately analyzes my conclusions, they will see that I
have a point. Several of them, in fact.
Q: So you're not trolling for babes?
A: No. In addition to discussing what I think is an interesting and
provocative (albeit contentious) subject, I want good ER stories I can use in
upcoming books. Now that I no longer work in the ER, I need submitted
stories. I get some from ER docs, nurses, and paramedics around the world,
but I also solicit stories from patients, too, and the contest is just one of
the ways I obtain stories.
Q: So why would you care if a patient is attractive or not?
A: I usually don't. The vast majority of stories sent to me aren't
submitted for inclusion in that contest, but for the few that are,
attractiveness is essential. After all, this is a contest about
beautiful women in the ER, not average women or men. I'm not seeking
to prove that emergency rooms draw plenty of average-looking women; of course
they do, so there is no point in proving that. However, by offering what I
think is a sufficient inducement (an award of up to $1000) for beautiful women
to retell their ER stories, I think I will be able to show just how infrequent
it is that beautiful women are ER patients. Thus, this substantiates the
observation I made during my ER career, when it'd be a banner year if I had
three pulchritudinous patients. Of course, I usually worked the night
shift, a shift that sees more than its share of dregs of both sexes. In
the years since the inception of the contest, I average about one woman per year
with any story, and about one woman every two years with a good story. So
far, I have a Miss Coors Light who is also a Ph.D. at a prestigious university,
a beauty who excited a doc so much that he virtually went into heat, and a
stunningly beautiful woman who had a number of ER visits. I also had an
entrant who claimed she was a fox, but, alas, no picture, and a few other
submissions. In any case, the contest is doing just what I thought it
would do: prove my point about how beautiful women rarely go to an ER, and
draw attention from male readers. After all, what red-blooded American
male wouldn't want to know why Miss Coors Light ended up in the ER?
Advertisers often use sex to sell their products, so I'm not breaking new ground
here. I rarely use it certainly far less than 1% of my marketing efforts
thus far so it's not as if I've made this a cornerstone of my schtick.
My aspirations and how (and why) I chose my career
Q: Did you ever want to be something other than a doctor (either before
or after you became one)? Rachel
A: Yes. My first career aspiration (circa age 8) was to be an architect.
At 14, my nascent interest in health and nutrition propelled me into reading
books on those subjects, which eventually led me to read medical books. In high
school, I twice read The Merck Manual, a 2000-page book primarily
intended as a synoptic reference guide for physicians. At the time, I did not
have enough background to understand everything in it, so some of it seemed like
hieroglyphics. Nevertheless, I absorbed a lot of its information, which gave me
a fairly comprehensive groundwork for facilitating later learning. In short, it
seemingly gave me a knack for medicine. In medical school, there were times when
my classmates were struggling, and occasionally a clinical professor would make
a somewhat snide comment to other students that they should be more like me,
someone who'd obviously read and absorbed the books for that rotation. Little
did they know that I was sometimes too busy with my new girlfriend to read the
assigned books. However, thanks to my preceding readings of The Merck Manual,
I often knew that material, anyway. What's the difference?
In college, I briefly considered other careers, including engineering and
working for the CIA. I ruled out the latter career when I learned of its agent
mortality rate. Engineering intrigued me (and still does), but I realized that
working as an engineer would not be as fun as it is to do engineering on my own.
Typically, engineers are assigned a project to work on, whether that interests
them or not. I prefer to work on diverse projects of my own choosing, all of
which obviously interest me.
In terms of occupational interests kindled after I became a doctor, I've been
interested in countless things, but they generally fall into the category of
either writing or inventing. The inventions pictured on my web site are just a few of the things I've worked
on (and not my best ones, for obvious reasons), but the things I've worked on
are just a small percentage of the inventions I've conceived. I think of so many
things (sometimes a dozen per day) that it is impossible to develop all of them.
I've considered contacting the renowned inventor Dean Kamen, of Segway (et
cetera) fame, and suggesting that he hire me. We're both idea factories, but I
don't possess a knack for business, like he does. I can easily invent something,
prototype it, and produce a working device (even for some highly complex things)
. . . but then I fall flat. Marketing and business? Not my forte.
Q: How did you decide what you should do?
A: I cannot recall any one conscious moment in which I decided to become a
physician. My interests naturally evolved in that direction. In terms of my
other interests (writing and inventing), my impetus to do them stems from a
desire to create or break new ground. Breaking new ground is of course at the
heart of inventing, but not always writing. However, my primary motivation for
writing is to relay information that other authors aren't covering well, or at
all. For example, in my two health books (Fascinating
Health Secrets and
The Science of Sex),
I presented many tips that I know readers can't obtain from other books. I read
extensively, and some of that material just isn't available elsewhere. In
True Emergency Room
Stories, I took my gloves off and presented a wide range of ER stories,
some of which covered topics avoided by other authors because they want to keep
their day jobs. I don't intend to ever work in the ER again, so I had free rein
to cover even politically incorrect, inflammatory, and touchy subjects. I'm now
working on a subsequent book, tentatively entitled ER Doctor, in which I
have many new heated matters, such as paramedics raping unconscious female
patients (just the beautiful ones, of course) in the back of an ambulance. Yes,
it happens. And, of course, there is your question, and others like it, that
I've turned into a book (So You Want to be an ER Doctor?) to help
students decide if they want a career in emergency medicine and, if so, how to
improve their chances for achieving that goal. Currently, there is no similar
book. There are a handful of ones that cover medicine in general, but none that
specifically discuss the specialty of emergency medicine. Furthermore, I cover
topics that transcend the usual "how to do well in school" tips by discussing
how students can improve their memories and even IQ's in a metamorphic
transformation, not just a minor incremental improvement. Anyone assiduous
enough to follow all my advice will be a success.
She wants me to enumerate the positive aspects of
emergency medicine . . . again?
. . . and to discuss the potential for promotion, an average workday, on-call
time, and vacation time
A few requisites for ER doctors
Q: Hello. My name is Christine and I am a senior in high school. I have
been assigned to create a Power Point presentation on a specific medical
profession. I have, obviously, chosen ER physician which is a position that I am
very interested in. I have been volunteering at a local ER for one of my school
classes as a CNA, and I thoroughly enjoy it. Anyway, I have some questions
regarding the basics involved with being an ER doc. I found some answers from
reading the other questions, but I still have some holes to fill. These
categories are promotion potential . . .
A: Generally, there isn't much opportunity for advancement. Once you're an
ER doc, you're an ER doc. You could form your own group and make considerably
more money, but there are a number of drawbacks associated with that because
medical businesses are fraught with nightmarish regulations, courtesy of the
United States government. However, considering your e-mail address/sobriquet,
you may live in Australia and hence be immune to these problems.
Q: . . . positive aspects (I've already got the negative ones) . . .
A: I certainly emphasized those, didn't I? :-) My primary
reason for doing that is because other authors gloss over them, or ignore them
entirely. For example, in The Pfizer Guide: Medical Career Opportunities,
there is no mention of the fact that many ER docs are plagued by chronic sleep
problems, thanks to the ever-changing work schedules that most of us endure.
Instead, they laud the "regular hours." REGULAR HOURS? How can anyone say that
ER docs have "regular hours" when they work days, afternoons, and night shifts
during the week, on weekends, and on holidays? In most ER groups, the schedules
frequently change. I've gone from days to afternoons to nights and back again
several times in a week. It's impossible to acclimate to such irregularity.
Another problem is indefinite shifts. On any given shift, an ER doc might
get out on time (if he is very lucky), or he may have to spend a few hours
wrapping up patient care and paperwork. I once worked a 12-hour shift that
turned into a 20-plus hour shift. Bottom line? Once an ER doc begins
a shift, he'd need a crystal ball to know when his shift will truly be over. Furthermore, some doctors work in more than one ER (as I have), so we must
juggle shifts at various institutions. And then there are countless meetings and
seminars that interrupt our off-time. In view of this, not even Walt Disney or a
fairy-tale author would have the audacity to claim that ER docs have regular
hours. For reasons I cannot fathom, many authors writing about medical
careers feel compelled to give you an impossibly sugar-coated depiction of those
careers, and they're so willing to trivialize the drawbacks, they even turn them
into a plus, as this author did! Regular hours? That is
Furthermore, The Pfizer Guide whitewashes other problems, too. They don't
mention lawyers even once. Now how realistic is that? ER physicians are taught
to constantly be thinking of malpractice, and how they can take CYA steps to
insulate themselves as much as possible from allegations of that.
The Pfizer Guide also trivializes other drawbacks of emergency medicine.
Instead of openly discussing the shortcomings as I have, they instead assert
that "the lifestyle offered is an extremely attractive one." I agree that there
are some definite plusses to emergency medicine, but there are some unbelievably
noxious minuses, too. I shudder to think of how much lithium or Jack Daniels
it'd take to wipe the frown off the faces of most ER docs I know, and have them
asseverate that "the lifestyle offered is an extremely attractive one."
The Pfizer Guide fails to broach a subject that is well-known to ER
physicians, namely how emergency rooms tend to attract a higher proportion of
undesirable patients than what is found in the overall population. My ER
residency director aptly summarized this problem with the following pithy
comment: "ER medicine is scumbag medicine." At the time she told me that, I had
no idea what a scumbag is or why serving them can be wearisome. The Pfizer
Guide cryptically states that ER docs see "a wide range of patients." Well,
sure they do, but that fails to convey an adequate warning of what ER docs
The Pfizer Guide isn't worthless; it's just worthless in providing a
balanced perspective so students can make a fully informed decision that allows
them to choose on the basis of facts, not fantasy. On the positive side, The
Pfizer Guide briefly mentions a few requisites for ER doctors, such as:
The ability to think on your feet. Many other specialists can take days or weeks
to ponder a diagnosis or treatment, and if they wish they can consult a number
of other doctors. In the emergency room, the ER doc must make decisions within
minutes or even seconds, and he often must do so without knowing all pertinent
information. Lawyers just love that!
The ability to multitask (do more than one thing at a time) and constantly
rearrange priorities based on a constantly evolving patient load.
The ability to quickly establish rapport with people.
The ability to handle stress both yours and that of the patients. They don't
mention it, but you must also be able to handle the stresses of nurses.
Especially in crisis situations, they look to you to be a calm and collected
captain of the ship who knows just what to do. If your knees and voice are
quaking, and you have that "deer in the headlights" look in your eyes, you won't
inspire confidence. I've had nurses tell me how terrified they were to work with
some docs who froze at crucial times, such as when a young patient was
critically ill or injured. That's when an ER doc has to be at his best, not
worst. I remember being somewhat paralyzed with fear once when I was a rookie,
but other times I handled even the most dramatic emergencies with aplomb.
However, that is how I handled them, not always how I felt inside. When another
person's life is in your hands, I think it is natural to feel some anxiety,
especially if the patient is young. (I think every ER doc's worst fear is losing
a young patient; if a patient is 88 years old, well, that's just nature taking
its course.) The trick is to use that anxiety to sharpen your reflexes and put
your brain into high gear. That's second nature for most ER physicians.
Here is another requisite they did not mention: the need to have tolerance
for uncertainty. Medicine is not as black and white as most people
imagine. There are countless unknowns and gray areas. This
uncertainty is magnified in the ER, where a number of factors conspire to make
this job a nightmare for people who can't sleep at night because they're
fretting about the nebulous aspects of the last shift. As an ER doc, you
can count on the following:
You won't know most of the medical history of your patients. Even if you
have ready access to their old medical records, you won't have time to do
anything more than a quick scan of them. Some of them are over a foot
thick and come in multiple volumes (I'm not kidding).
Your patients may not be able to adequately explain their medical history.
They may be comatose, moaning in pain, drunk or on drugs, or just plain
uncooperative. Or your patient may tell you to "just go read my medical
records it's all in there." (On page 447, or page 3694?) Or the
patient may have medical records at a hospital or doctor's office that the
patient cannot identify.
Some patients don't speak English. Of those who do, some answer questions
so slowly, and with such circumlocutions, that taking a thorough history is
Some patients are oblivious to facts they should know.
Here is an example of how certain patients cannot identify medications they've used for
years except by saying something like, "It's the little green pill, you know."
Or patients may be excruciatingly unable to identify their complaints.
Even if you call the patient's doctor (if he has one), you may reach a doctor on
call for him who doesn't know the patient.
You may not have enough time, resources, or money to perform every test you'd
You usually won't have the luxury of taking the time to thoroughly consider
every possibility. You'll often have patients "stacked to the rafters" and
have a dozen things on your mind at once.
Even if you are the world's best ER doctor, you cannot be certain of everything.
You must learn to guess, and wish for the best. I used to hope that by
learning enough I could be insulated from the painful uncertainties of
practicing emergency medicine. How naive that was! I am imperfect,
my co-workers were imperfect, my patients were imperfect, and the medical system
itself is highly imperfect . . . and I expected certainty and results that
were invariably perfect? What a pipe dream!
Regarding the positive aspects of emergency medicine: believe it or not,
but I already mentioned them in other sections.
Q: . . . an average workday (how long, what can one expect to do) . . .
A: Shifts typically range from 8 to 12 hours, although a few ER groups
still use 24-hour shifts. With any shift, even an 8-hour one, it's not uncommon
to work two or three hours of overtime (usually unpaid) to "clean up" remaining
patients and do charting and dictations. As far as what an ER doc does during
those shifts, well, imagine just about any conceivable medical or surgical
problem in patients of any age. Then image countless unimaginable problems and
situations that make you wonder if you're in The Twilight Zone.
Q: . . . on-call time . . .
A: This is one of the benefits of ER, since we're virtually never on-call.
Q: . . . and time off/vacation.
A: As much or as little as you want, or can afford, since you're rarely
paid for vacations in most groups. If you work a shift, you're paid; don't work
it, you're not paid. No paid vacations, no sick days, no personal days, and no
paid holidays. Give the government a few more years, and they'll take away the
nifty notepads and pens we get from the pharmaceutical companies!
Q: I know some of these might be different at different places, and I
also need at least three different sources. If you know of any other websites or
sources that I could use (besides your site) I would greatly appreciate it
because I'm not turning up many results.
A: I've yet to see an ER site that is remotely similar to mine. I think
most emergency room docs are so burned out that when they're out of the ER, the
last thing they'd want to do is to spend hundreds of hours working on an ER web
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You will have sex about 10,000 times during
Doesn't it make sense to read a book that can maximize
your enjoyment, and the enjoyment you give to your partner?
Cast away your preconceptions of sex books as
being a rehash of things you already know and hence a waste of time. By
reading this book, you will learn
many things that Dr. Ruth and other sexologists
have never considered.
The Science of Sex
Enhancing Sexual Pleasure,
Performance, Attraction, and Desire
by Kevin Pezzi, MD
Available in printed
and Adobe Acrobat e-book versions (will display on any computer)
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Will attending a technical high school ruin your
chances of going to medical school?
Will volunteering help?
Forget about volunteering and do something that will truly impress the
Learning to make medical devices at a seminar/workshop
Q: I've wanted to be an ER doctor for as long as I remember. I go to a
technical high school and I wonder if medical schools would even consider me?
A: In general, medical schools are not interested in your high school.
Their primary criteria are college grades and MCAT scores. As long as your high
school grades are good enough so you're accepted into college, that is all that
matters. If high school grades mattered, I never would have been accepted into
medical school. I obtained all A's my last two years of high school, but my
freshman and sophomore grades were highly unimpressive.
Q: Also, I do volunteer service at area hospitals. Would that look good
for getting into med school?
A: It's a plus, but a minor one. Most people who wish to attend medical
school are looking for something to give them an edge over other applicants.
Everything else being equal, you're better off volunteering than not
volunteering. Volunteering is good because it demonstrates initiative and the
desire to "get your feet wet," but it will not significantly help you because it
is very common amongst medical school applicants; hence it cannot do much to
make you stand out from the crowd. In all of the emergency departments in which
I worked, volunteers had very little contact with patients. Instead, they
performed chores such as retrieving charts from the medical records department,
running specimens to the lab, bringing food from the cafeteria, or performing
miscellaneous errands. Now for a rhetorical question: should medical
school Admissions Committees be impressed by these activities?
Let me cut to the heart of the matter. Given that there are only 24 hours in a
day, you can't do everything. Most volunteers that I knew spent a considerable
amount of time in the ER that's time they could not spend doing other things.
While volunteering is a minor plus if you do it in lieu of nothing, it
can actually be a negative if you do it in lieu of something that might truly
impress the Admissions Committee, such as building a new medical device (as I
discussed before). If you walk in for your interview with an innovative device
that you made, the Committee will think you're a freaking genius, and you're
virtually assured of being a shoo-in for admission.
Most people harbor the notion that building electronic devices is incredibly
difficult and requires years of training. Not true. Thanks to integrated
circuits (IC's or chips), building things is easier than ever. When I got my
start in electronics, it was common to build devices with discrete transistors.
That was fine for simple things (such as radio receivers or transmitters), but
it was challenging to build complex devices. When Radio Shack (my primary parts
source at that time) de-emphasized transistors to provide room for their new
line of IC's, I first lamented the switchover because I hadn't the slightest
idea of how to build things with chips. After thumbing through a few books,
including some of the Radio Shack circuit "cookbooks," I realized that using
IC's was even easier than using transistors. I could plug a chip into a
breadboard, add a few external components (e.g., resistors, capacitors, LED's,
buzzers, etc.), and connect wires as instructed in the "cookbooks" (so-called
because they're just as easy as following a recipe in a food cookbook). In
anywhere from a few minutes to an hour, I had a working circuit. Think of one
circuit as a building block. By simply combining various building blocks, you
can easily build very complex circuits just by wiring one to another. To make a
finished device, you usually make a prototype of the circuit on a breadboard to
verify that everything works, then design a printed circuit board pattern that
replicates the circuit connections. There are many ways to do this. You could
simply draw on a piece of copper-coated circuit board stock using a special
"etch resist" pen, or you could use rub-on dry transfers to do a much neater
job. You can also use Windows PaintBrush (called Paint in Windows XP) to lay out
the circuit pattern. Using a laser printer, print on clear film, then place this
over photosensitive circuit board stock and expose it to a source of ultraviolet
light such as a tanning lamp or even just sunlight. After exposure, swish the
circuit board in a developing solution, rinse it, then place it into etchant
that removes copper from undesired areas. What remains is your original pattern
that you printed out. Drill holes as needed to accept leads from the components
(this step isn't required if you use surface mount components), place them on
the board, and solder into place. Add a case, some switches or LED's as needed,
a battery, and you're finished. That's it! A working circuit!
In anywhere from a few days to a few weeks, you can go from being clueless about
electronics to producing working devices. I had some courses in electronics in
high school and college, but the subject matter was theoretical. Those classes
did not teach me to make devices; I learned that on my own. Hence, you don't
need electronics classes to make things. It helps, because that knowledge will
enable you to design circuits from scratch (as I later did), but it isn't
essential. Hence, this stuff isn't rocket science. However, few people do it
(and understand how easy it is!), so it retains an air of being difficult and
esoteric. Admissions Committee members will probably yawn if they see you've
volunteered, but their jaws will likely drop in utter amazement if you make a
new medical device. Remember, your goal is to stand out from the crowd, not be
just another cookie-cutter applicant.
The most difficult part of this process is conceiving the idea, not making the
device. However, you don't need to have Edisonian genes to invent something.
Necessity is the mother of invention, so thinking of a new device often
spontaneously occurs when you think of a problem that needs solving. Or, if
you're still stumped, ask some physicians for things they'd like to have but are
not yet available. You're bound to obtain some nifty ideas.
In this discussion, I assumed that the device you make would be electronic
because most gee-whiz devices are electronic. However, some of my
inventions were mechanical devices. Some were complex, but others were very
simple. Therefore, you can make something even if you're convinced that making
electronic devices is too difficult. Probably the simplest invention I made was
a new type of finger splint. It required plastic, but no tools. It could be made
in less time than it takes for an average television commercial.
If you make such a simple device, the way you present it is important. Don't
just whip it out and say, "Here's a new finger splint I made." Before you show
it, describe its advantages over existing splints. Here is an excerpt from my
web site that describes my
So what is wrong with the
traditional aluminum/foam bar splints used in most emergency rooms? Gee, where
do I begin? Those splints have sharp edges, they're easily bent out of their
correct shape, their foam acts like a magnet for dirt and germs, they're bulky,
and they don't do a good job of maintaining precise alignment of the finger
during the healing process. Oh, and they're ugly, too. Other than that, they're
My splint is made from a plastic material that can be quickly (within seconds)
molded to fit any finger. Once formed, it is very rigid, providing excellent
stability (including lateral stability, which is a weak point for aluminum bar
splints), but the splint is very comfortable to wear. I don't know why, but my
finger feels better with the splint on than with it offit's that comfortable.
It has no sharp edges, it is much less bulky than a bar splint, and the plastic
inherently repels dirt (if needed, it can be quickly rinsed). The only drawback
is that it can trap skin moisture, but that problem is easily solved by punching
a few holes in it to allow the skin to "breathe." These holes do not
substantially detract from the strength of the splint (engineers often purposely
design holes in many different structural elements to lighten them).
Hence, you should enumerate all it advantages, then show the device. While the
splint is not complex, it is still impressive because it's a heck of a lot
better than the traditional aluminum/foam bar splints. Because my splint
assuredly maintains more exact alignment, healing is quicker and more precise.
That's good for patients. So would an Admissions Committee member yawn just
because the device isn't complex? I doubt it. Anything that advances medical
care is bound to impress them. And if you impress them, you'll get into medical
Let me know if you (or anyone else reading this) is interested in attending a
seminar/workshop in which I demonstrate how to make devices, and then give you
hands-on instruction as you build things. I know that most premed students
aren't rich, so I won't charge you an arm and a leg. If enough people are
interested, I'll host this seminar at various times of the year to make it
convenient for you to attend. If you're interested, contact me via this
www.MySpamSponge.com/send.php?handle=erdoc I live near Traverse City, Michigan, which is a
great spot for a seminar because it's a beautiful, upscale tourist area.
However, I will travel to your area if you recruit enough participants.
A premedical student on an emergency medicine Internet discussion group asked
for advice on getting into medical school. Here is my response (please
pardon the fact that some of this repeats what I just said):
On my web site I have numerous tips for enhancing
memory and brainpower to augment academic success. I also discuss a fairly novel
way for a medical school applicant to set himself apart from the crowd: to
invent and make an innovative medical device. That's bound to make an applicant
stand out. First, let me dispel a few myths: making electronic devices
isn't rocket science. I've made dozens of medical devices, ranging from pocket
phonocardiograms and echophonocardiograms to noninvasive cardiac output
monitors, intubation detectors, foreign body detectors, etc. A few of my
devices are posted on this page.
On to the next myth: people often assume that most of the good ideas have
already been thought of, and they don't stand a chance of developing anything
new. Not true. You're probably far more creative than you imagine. Also, we're
not nearly as advanced as we sometimes think. At any given time, people tend to
be overly impressed with the current state of the art in medicine. To gain some
perspective on this, you might want to read some actual newspaper and magazine
articles from a century or more ago. I did that as an undergrad, and it helped
me understand this tendency. I think people have an innate need to glorify the
current medical technology and knowledge base, because that helps mitigate their
fear of disease and death. In any case, we're not in the Stone Ages, but we have
a long way to go before we know everything. And won't that day be a sad day for
the malpractice attorneys! :-)
Next myth: it takes a fortune to develop electronic circuits. Not true.
Most integrated circuits, transistors, diodes, capacitors, resistors, and
whatnot are dirt cheap. You can spend more money on a meal at McDonald's than
you can on some circuits. I think the most expensive circuit I made was the one
for the echophonocardiogram, which combined a pocket electronic stethoscope with
a digital filter along with a phonocardiogram and an echocardiogram. The cost
for this was about $110, but most of this was in the case, lithium batteries,
and precision Swiss gear motor used for driving the paper. In any case, $110 is
a drop in the bucket compared to the total spent by medical school applicants.
Next myth: it takes a long time to develop circuits. Again, not true. A
prototype circuit can be whipped up in anywhere from a few minutes to a few days
in most cases, and making a finished device with a case and printed circuit
board usually takes a few days to a week. Learning how to make circuits might
take a few months, but many medical school applicants will think that's a small
price to pay for something that will give them an edge over other applicants. In
my experience, most docs are enamored with gizmos. If you can show one that
you've created to the person who interviews you, you're almost bound to be a
TRUE Emergency Room Stories
by Kevin Pezzi, M.D.
Now available as a
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What really goes on in emergency rooms? If you're a fan
of the television show ER, you might think that you know. Not so,
asserts Kevin Pezzi, M.D., an ER doctor and author of True Emergency Room Stories. Pezzi says the show ER only
scratches the surface; the truth is far more interesting and bizarre.
So bizarre, in fact, that the cases could shock even an experienced ER
physician. "I'm now a firm believer in the saying that truth is stranger
than fiction," he says. "I don't think that anyone could dream up such
Pezzi's book is packed with nothing but unusual stories. There are no
"the patient's in v-tach, shock 'em with 200 J and give 'em 100 mg of
lidocaine, stat" type of cases. While such cases are a mainstay of the
show ER, Dr. Pezzi believes that they quickly become repetitious.
Instead, he presents an amazing collection of true stories. The book
begins with a story of how he may have saved Michael Jackson's life by
averting an assassination attempt by a person who claimed to be a
Cosmopolitan cover model, and ends with an interesting tale of how he was
propositioned on a beach by a relative of a recent ER patient. In
between, he recounts stories of unusual murders and other crimes, truly odd
reasons for dialing 911, unfathomable reasons for visiting the ER, and people
with an extraordinary affinity for their pets. Then there's a shocking
end to a pregnancy, a twisted tale of revenge that would be a spellbinding
plot for a movie, and the story of a man who attempted to remove his liver at
In this book, you'll accompany Dr. Pezzi as he meets the world's unluckiest
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bride whose genetic disorder wasn't discovered until her wedding night.
There is also the story of the man who didn't know that he had been shot in
the head, and the case of the pit bull who picked on the wrong person.
True Emergency Room Stories has something for
everyone. Besides the strange cases, readers will be captivated by
dozens of incredible, tragic, humorous, steamy, heartwarming,
thought-provoking, and poignant tales.
She struggled her first year in college; what now?
Q: Hi, my name is Ashley and I go to school at Michigan State. Do
medical schools look down upon students who struggled their first year in
A: Unfortunately, yes. Did you see my discussion of "the Lucas strategy"
on my web site?
Q: Do they mind if you took summer school?
Q: Also, what kind of community service or jobs should I look for in
A: If you are now struggling academically, forget about community service
or working just focus on your studies and improving your grades.
Q: I have a hard time concentrating. I mean all my friends study
for like 15 hours a day and I can only study 2 hours at most. Is something
wrong with me? Please write back soon. Ash
A: I had the same problem. I could usually concentrate for just a few
minutes before I'd begin daydreaming. I have some questions for you, so I can
understand you better and therefore be of more help to you:
1. Do you consume caffeine (coffee, tea, caffeinated beverages, etc.)? If so,
how much? For how long have you consumed caffeine?
2. Do you enjoy school? It's OK to admit that you don't, if that's the case. I
love learning, but I hated school. Of all the lectures I had in college and
medical school, there were only two that I enjoyed. The rest of the time I had
to force myself to concentrate and study, and that made it very difficult.
3. Do you sleep well? Is the room you sleep in totally dark and reasonably
4. Are you taking any medications (prescription or non-prescription)? Any street
drugs? Any herbs?
5. Have you tried studying in alternative environments? For example, I had an
easier time studying if I didn't do it at the library or at a desk. I'd
sometimes drive my car to a pretty spot, or drive my family's tractor out into
the woods, sit on it, and study.
6. Do you eat well?
7. Are you generally happy and content?
8. How was your concentration in high school? Did you have an easier time
9. Do you exercise? If so, what type and how often, and for how long?
Q: Dear Dr Pezzi,
Thank you for writing me back so quickly. The chem course I took was an
introductory course (it isn't a required course for med school). Should I
just go ahead on to the next chemistry? I made a D in History; should I
take that over in summer school?
A: It doesn't matter if the course is or is not a medical school
prerequisite; it will appear on your transcript, and the Admissions Committee
will see it. Taking a course over, and acing it, is certainly better than
letting a poor grade stand, but since the original grade will also appear, this
will still be a black mark on your record. Given the mind-boggling pace of
medical school, Admissions Committees must select people who can master material
on the first try. I am not saying that you can't, but a transcript showing a few
poor grades that improve on retaking a class will give the Admissions Committee
some concern. If you do this a few more times so it becomes a pattern, your
chances of acceptance will plummet.
In your last e-mail you asked, "Do medical schools look down upon students who
struggled their first year in college?" This led me to believe that you may have
had problems in classes besides the two classes (chemistry and history) you
specifically mentioned. If you aced your other classes, I wouldn't worry too
much about two bad grades. However, if your other grades were lackluster but not
poor, I think you should think about the Lucas strategy before you invest any
more time into a transcript that will likely end up in the Admission Committee's
rejected pile. Your freshman year is a big chunk of what the Admissions
Committee will see. Unfortunately, you need something that doesn't exist:
a crystal ball. If you could see into the future and know that you'd ace
everything henceforth, then a bad first year might not totally destroy your
chances. However, you'll need to perform considerably better than most other
applicants, since the transcripts of most successful applicants show a
consistent pattern of high grades. Given that most successful applicants have
high GPA's, it won't be easy to do much better. Basically, you must obtain
virtually all 4.0's from now on. If you could tell me the grades for all your
freshman classes, I could give you my opinion on what you should do. It is
difficult to make a recommendation when I am just guessing about most of your
Q: I am a walk-on for the MSU women's basketball team. So my time
is limited and I have to cram practice and studying in. If you have any
advice, I'd appreciate it (the premed advisors are not that great here).
Well Merry Christmas and have a happy new year. Ashley
A: Do they give you a scholarship? Unless they give you some irresistible
reason to participate, or unless you love basketball so much that you're willing
to let it ruin your chances of becoming a doctor, I'd resign from the team.
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Many More ER Questions and
Answers Part 1
Many More ER Questions and
Answers Part 2
If you want a beautiful garage that is easy to
keep organized, see the GarageScapes web site: