Laughing in medical school

1. Psychiatry

During my recent psych rotation, I was talking to one of my patients who has dementia. He speaks incoherently, word-salad style. I couldn't make sense of anything he was saying and the nurse told me, "Maybe he speaks Spanish." so I asked him how he was doing in Spanish. he then pointedly looked at me and in perfect, coherent well pronunciated English, said, "I don't understand anything you are saying!" I then began to ask him other questions in English and he returned to his jibberish. It was strange.

1. OBGYN

During my OBGYN rotation about 6 wks ago, I was waiting for a young diabetic mother to deliver her baby. She was pushing hard and I was completely gowned up with mask, hair cover, tall booties included. The baby had passed meconium so the mother had been extra infused with fluids to dilute her amniotic fluid. As the baby emerged, i grabbed the head, pulled down, then up and the baby came out- WITH A SUDDEN GUSH OF FLUID LIKE NON OTHER. I have never seen so much fluid rush at me at one time before- like a firehydrant or someone throwing a bucket of dirty water into your face. I had the baby in my hands, and quickly transferred her to the nurse. And after the birth i paused...and realized that I was very very wet. the scrubs under my gown, and the undershirt under my scrubs...completely soaked through...with amniotic fluid. The mask that I had been wearing before ....was no longer on my face.

3. Internal Medicine

i had a drug seeking patient who was homeless, whose family has disowned her, and who last used heroine 3 days ago. She had a lot of chronic diseases (one being uncontrolled hepatitis C which is going to kill her), but she didn''t follow up with any doctor for them because she iwas enslaved to her drug addiction. Her body shows the awful affects of the IV drug use, one being a very large non-healing open hip wound. She is homeless, but her husband takes care of her even though she doesn't live with him and uses him badly.
I was telling my intern about her husband and he said,

intern: "her husband is crazy"
me: "no, he just loves her."
intern: "what kind of love is that?"
me: "that's the real kind of love, the unconditional kind."

::awkward pause::

intern: "don't tell my girlfriend that."