When I started my first year of residency in internal medicine at the Massachusetts General Hospital in 1998, there were 20 percent more patient admissions per intern in my residency program than there had been just three years earlier. The sheer number and complexity of my patients was nearly overwhelming—and I was worried that at best, they were not getting the care they had a right to expect, and at worst, that they were not safe.
I was once CONVINCED I had Boerhaave syndrome, an extremely rare condition where your esophagus is ruptured and acid and air spill into your chest, because my chest tickled after a small bout of coughing. I spent two hours in the dark, unable to sleep, listening to my chest with a stethoscope, and UpToDate-ing (our version of WebMD) the various ways in which I'd be dead before morning. I ran to the Emergency Room and told them I needed a stat Gastrografin Esophogram, stat as in: yesterday. The attending took one look at me and said, “Congratulations, you're a cliché! Go Home.”
French hospitals have rooms where medical students (internes) can rest, lunch and vent off steam between calls, but these salles de garde are not your usual staff room. They are brightly decorated with lively mural paintings showing the current internes, the doctors and other hospital staff engaging in very (very) explicit sex acts. The frescos are done by the students themselves or commissioned from local artists, and are replaced on a regular basis. Here are some choice examples (sorted by hospital): Ambroise Paré, Cochin, Widal, Louis Mourier, Saint-Louis, Saint-Vincent-de-Paul, Institut Gustave Roussy (ibid) (ibid), Lariboisière, Robert Debré, Saint-Cloud, Tenon. Many other images can be seen on the website of an association of former internes. [Totally NSFW unless you're a medical student training in France] [more inside]
Want to live for free (sort of) in a historic home? Maryland, Delaware, and Massachusetts all have resident curatorship programs, in which you can live rent-free in a historic home, provided you spend your own time and money renovating it. Contact your state's historic preservation office to see if there's a program like this near you...
"What does a bill mean when I sign it into law? Why, whatever I choose for it to mean, no more, no less." This isn't the way I learned this stuff on Schoolhouse Rock; I'm unsurprised Congress isn't pleased by 'signing statements', either. Even the Supreme Court isn't all that happy. No wonder he's only vetoed one bill in 6 years.