One of my patients is a localish physician who, while playing with his dog last year, got bit on the tip of his penis by the dog (the dog also got him on the balls—this was during the period last year where I was like ‘WATCH OUT FOR YR NUTSACKS, THE DOGS ARE AT WAR’ because we’d had three dog-bit scrotums in a very short period).
This injury wasn’t particularly severe, but it did require surgery, which had the after-effect of generating just enough scar tissue to produce a split stream when he peed. He’d been seeing another urology group prior to his injury, but our group was on call at the hospital when he got hurt, and no one wants to follow another practice’s surgery, so he followed up with our practice with regard to this injury.
Well, he was complaining about the stream and some of his medication side effects, so I tinkered with his meds somewhat and saw him back today. Apparently if he takes this certain combination of medications faithfully, his stream is single and steady. If he misses a dose, it splits again.
He’s like, “I’m done with my old urologist, you’re my guy now. It’s the damndest thing. I can’t believe it. I’ve told everyone I know.* You should write a case study.”
And I’m over here like 😶 Brother I was WINGING it. We were graced by the gods of Fluid Dynamics. I’m not a piss wizard.
So. That was one thing from today. I’ve been having nonstop weird days lately. I did get a head-pat and an “I think you’re underselling yourself” from my attending for a CT interpretation yesterday, which was also nice lol.**
(*This is exactly the kind of thing a healthcare provider would use as small talk, we’re all so damn odd.)
(**I noticed a crossing vessel that the radiologist didn’t note on the report. Which wouldn’t be that big a deal except the CT was done to evaluate for an obstructive cause of a patient’s hydronephrosis and the crossing vessel was a likely cause/contributor. I was not formally trained to interpret CTs, but I always look at my films because I’ve been burned repeatedly and I’ve spotted a couple missed kidney stones before. And it paid off here too! Unlike a kidney stone, these are hard to spot. Now I just have to work on being confident enough that next time I don’t phrase it as an assumed-negative question—I didn’t ask “is this a crossing vessel?”, I said, “that’s not a crossing vessel, is it?”)