I'd like to start by reiterating that med school is awesome. Anyone interested in practicing medicine has been told by the old and jaded that it's not worth it - that medicine has changed from the glory days of the 50s or the 90s or last year. Never listen to these people. Find another mentor (who is preferably caught up on sleep) and don't stop until you track down someone who practices for the right reasons and will support your exploration of the field. I apologize in advance for those days when I'm the sad, tired representative of medicine, because I know this has happened before and will happen again. Anyone reading this has permission to give me a cold hard (hopefully figurative) slap to the face to remind me of how great I have it.
Anyways, today was fun and mercifully relaxing. We had a quick lecture on the male genital system with far too many cringe-worthy surgical videos and then a relatively simple dissection of the pelvis. I was done with classes on a beautiful Friday by 12:10!
TIL: ...our cadaver's name, age and cause of death.
An enlarged prostate is a pain in the butt, sometimes literally. It can block the urethra, grow into and plug-up the bladder, and/or push against the anterior wall of the rectum. The rectum is a surprisingly smart organ and can use pressure alone to deduce the consistency of its contents, allowing us to tell the difference between feces and gas. “But,” as my professor put it, “it don't speak prostate.” When the prostate pushes against the rectal wall, the rectum misinterpreters this as an ever present buildup of feces and signals you to head to the nearest toilet. However, since you have nothing to expel, you can never relieve yourself.
Pedunculated means extended from a stalk.
This last one comes with a warning: don't be stupid. You know how the Viagra commercials all recommend going to the doctor if one's erection lasts longer than 4 hours? Nothing actually happens at 4 hours. The reason they have that warning is because it takes 8-12 hours for tissue to die. Remember the tissue in this case is the penis itself(!), which is being cut off from circulation by the engorged erectile tissue. The only reason they don't tell the public the real timing is that stupid people would put-off coming into the doctor until hour 12 or 13 which is too late.
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