After signing out my patients with the oncoming resident this morning, a nurse came up to me and said there was something wrong with a presurgical patient's penis. I couldn't imagine there being any real urgency to the situation as he already had a urinary catheter in. While I continued making small talk, the charge nurse went into the room and came out real fast saying, "One of you ladies needs to get in here-- NOW." So the other intern and I walked in. The other intern asked him about pain in the area and then just said "I don't know what it is."
Then I glanced down, and said, "Oh, it's a paraphimosis." This instantly led to heads whipping around in my direction and jaws dropping.
"A what?" somebody asked.
"A paraphimosis... he's uncircumcised and his foreskin is stuck. He's ok to go to the OR this morning, and he'll probably be fine once you take the catheter out, but you might as well have urology see him this afternoon."
After I stepped out of the room, more questions followed with how I knew that, and how to spell it, and all sorts of other stuff. I think they were just amazed that I had an answer for once. I explained that perhaps since the penis was such a small anatomical area that it was easier for me to remember what problems could develop in that area, whereas more complex systems like the heart and lungs just lead to confusion.
Of course the cute, tall nurse was there for all this, and now I'm sure he thinks I'm some sort of sexual deviant. Perhaps it's just as well as he doesn't meet my new age restriction (within 5 years of me).
Every now and then, be it ever so seldom, I do occasionally know what I'm talking about. Unfortunately, this time it's not exactly going to improve my reputation!
After all that, I was wide awake, so I went to the gym and ran 2.0 miles without stopping! It was horribly slow, but at least it was something. There's a 5 K late next month that I'm thinking about signing up for just to help get myself back on track.
I spent the afternoon transplanting hostas from under my deck to around the base of the maple tree in my front yard.