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 ballsāthis was during the period last year where I was like āWATCH OUT FOR YR NUTSACKS, THE DOGS ARE AT WARā because weād had three dog-bit scrotums in a very short period).
Anyway.
This injury wasnāt 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. Heād 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 practiceās 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.
Heās like, āIām done with my old urologist, youāre my guy now. Itās the damndest thing. I canāt believe it. Iāve told everyone I know.* You should write a case study.ā
And Iām over here like š¶ Brother I was WINGING it. We were graced by the gods of Fluid Dynamics. Iām not a piss wizard.
So. That was one thing from today. Iāve been having nonstop weird days lately. I did get a head-pat and an āI think youāre underselling yourselfā 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, weāre all so damn odd.)
(**I noticed a crossing vessel that the radiologist didnāt note on the report. Which wouldnāt be that big a deal except the CT was done to evaluate for an obstructive cause of a patientās 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 Iāve been burned repeatedly and Iāve 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 donāt phrase it as an assumed-negative questionāI didnāt ask āis this a crossing vessel?ā, I said, āthatās not a crossing vessel, is it?ā)
