Rotation Memorable Moments

Memorable moments from my rotation and the rotations of my friends:

• Psych
• Early teen's high functioning asperger's kid who's been drawing ideas for horror tv shows since age 4. Plots include murder, rape, violence, etc.
• Manic patient runs out of room saying "they're trying to get me," gets stopped/calmed down by a nurse, and ensues to hug the nurse and me.
• Manic patient repeatedly cries out, "I'm ready to talk"
• Manic patient pulls out imaginary string from my pants and coils it in her hands.
• The attending was speaking to the mother about her son.  All of a sudden, the son gets up, asks his mom if he could tell her a secret.  The kid whispers something to his mom, and sits back down.  The mom turns to me, and says her son wanted to say something to me.  The kid smiles widely and says, "Konichiwa."
• My patient asked me to button up my white coat (apparently I was dressed too provocatively - note the sarcasm)
• A patient refused to talk to me because, my bangs were in my eyes.
• A guy getting anesthesia before ECT got stuck in both arms, both feet, and both sides of neck to put in an IV line.  Ultimately they still didn't get a line and he had to go home to return to get a port placed on another day.
• Patient believes Eminem fathers her children, Eminem's songs were written by her, and he had left a letter in the wall of her building, so she tore up the wall with a sledge hammer.
• Patient believed the FBI had tapped his house and listens to him, wife's friends are after him, wife had put shards in child's hands, and wife is dating a teenager.
• Interviewed a patient for almost 2 hrs because he had latency of 5-10sec, and kept being distracted by dots.
• Almost 100yo cute old lady who thinks she's engaged to Tom Brokaw
• Twin autistic kids. One of them has a tic of bending at the waste when watching something on iphone/computer.
• Trazadone guy: "trazadone?! do you have any trazadone?! doctor can you give me some trazadone?!"
• Lady who shouts obscenities in low, monstrous, husky voice.  And believed someone had shot her in the leg and back, that people were coming after her from her closet, and that she was pregnant.
• Guy who burst into rage, obsenities, and threats while a lot of residents/students watched from a corner.
• Being told by ob/consult that it's not appropriate for a medical student to call consult.  It's alright, the resident backed me up :D
• Neuro:
• 14 yo's response when asked about anxiety and mood: "some anxiety, but not clinically significant" - turns out a parent is a psychiatrist.
• Discussing neuro exam on kids: "well there isn't really much you can assess for in terms of higher cognitive function - they eat, they sleep, they cry, and they make baby movements." (so cute!)
• Achondroplasia baby with hydrocephale - enormous head, very happy baby
• Neurofibromatosis 1: neurofibromas all over - some really soft
• Von Hippel Lindau syndrome: many hemangioblastomas in brain
• Cushing's: striae, gynecomastia, weight gain, moon face, renal failure from ibuprofen for headaches
• Left ICA, right ACA infarction - didn't know had stroke b/c under sedation
• Radiation induced meningiomas; hemiparesis, dysphasia, many things...
• Pilocytic astrocytoma in young adult, spinal ependymoma, HIV + meningioma surgeries.
• Na of 203 b/c of paraneoplastic syndrome!
• 4 patients started seizing within one hour and one coded.
• Attempting an LP on BMI of 70
• Leptomeningeal carcinoma - sarcoid? meningioma? ???
• Melanoma brain metastasis + lung cancer
• Huge list of PMH + ESRD/HD + endocarditis + bacteremia + delirium + no pupil constriction
• ADEM vs. MS + unresponsive/no blink to corneal reflex
• Guillain Barre vs. DM
• ER:
• Finally got to do an LP (successful too!) after watching a bijillion and not allowed to do them b/c the patient was too difficult (let's just say the needle had to be long).
• Pelvic exam, check anal tone, all that good stuff
• Dude with 5 fingers lacerated b/c of band saw - finger krooked, see tendon, etc.
• Reducing a dislocated shoulder - oh man, people under some sedation are pretty amusing.
• Suture laceration on arm and face - I love suturing!
• Held a live, beating heart between my two hands. 
• Stapled it, made it go into fibrillation with a battery, and then pumped it with two hands.
• Started an IV while patient screamed "Ahhhhh" and "Heeeeelp."
• Peds:
• Epidermolysis bullosa - fingers fused together, whole body wrapped up, can't talk clearly because corners of mouth fused, skin was so fragile that rubbing it would cause it to slough off and blister.
• Little guy with optoclonus/myoclonus + ganglioside neuroblastoma
• Girl with GVHD (MDS txp): white skin patches, hair loss, tear duct
• Hurler syndrome, BMT, hypogammaglobulinemia: gargoylism, large tongue, corneal clouding, HSM, contractures, running nose, heart/lung issues
• Fanconi Anemia: short, cartilage/finger thumb, skin, horseshoe kidney, AA/AML, BRCA gene
• Unknown: hard nodules all over + fibrosarcoma + contractures + unknown brain tumor + cafe au lait spots (not NF1 or mismatch repair deletion)
• Pilocytic astrocytoma on optic chiasm resected led to DI treated with DDAVP
• Little boy that kept on saying no, then said yes when I asked if he wanted to get out of that room
• Chubby little baby who finished his chemo and got to ring the bell and got balloons + a present
• TAR (thrombocytopenia with absent radii) - no forearm!
• Duchenne muscular dystrophy (completely atrophied legs)
• FAP + hepatoblastoma + desmoid tumor + b-catenin + fx
• Langerhans Histiocytosis (face); Hemophagocytic lymphohistiocytosis; Alveoli rhabodmyosarcoma; Adrenal cortical carcinoma (cushing)
• ALL (extramedullary - renal), NHL, HL, Wilms
• Sickle, SC, C w/persistent F, Bthal trait adopted girl, hereditary elliptocytosis (smear looked really cool)
• Branchial cyst
• When asked about funny moments in peds, friend says, "They don't really do funny things because they can't talk.  They just wriggle around a lot and sleep or cry."
• Nursery
• Catching babies!
• Watching a very tired mom take a peek at her child, smile, and say, "please take care of him!" as he's rolled away in isolation.
• 24+ hrs of labor!
• Baby delivery into the toilet!
• Others:
• Sitting in a car with an attending and an intern hearing about each of them talking about how their patient died.