DMU........Self-proclaimed Super Geniuses grandchild

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...and I love your avatar, Krank...it really conveys that sense of respect worthy of the medical profession.

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This thread is pretty damn cool ~ it's the first thing i check on sunday when i'm not on call. then i go to sleezy porn sites. afterthat, check my email. lastly, i come back to SDN to see what new comment has been posted.

We don't like people who come in here just to mess up the flow, but we cannot prevent you from doing it either. Plus, we don't know you at all. Introduce your super 4th year student doctor self and then we might be able to relate to your issues.

You are not the first person to come onto our thread and trash talk.
 
Yes, please introduce yourself homeboy....and while you're at it, tell us what your aspirations are...so we may crush them! You have violated the first and ONLY rule of being a medical student (Don't be a douchebag)...you are the weakest link, goodbye.
 
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I know, and I'll stop posting. I wasn't trying to pick a fight, but what do you guys expect when you have a thread on SDN? Someone's going to respond to ******ed posts regardless of their affiliation with your little clique.
I mean, if you're going to get pissed when some non-friend posts, why bother having a thread on here?
 
...and I love your avatar, Krank...it really conveys that sense of respect worthy of the medical profession.

Well I didnt decide to go to medical to get respect and a good sense of humor can get you through a lot of crap you will have to deal with. I figure if I can just laugh about some of the stupid **** we have to do then I dont really get mad that I have to do it. And dont forget I piss exellence.
 
I know, and I'll stop posting. I wasn't trying to pick a fight, but what do you guys expect when you have a thread on SDN? Someone's going to respond to ******ed posts regardless of their affiliation with your little clique.
I mean, if you're going to get pissed when some non-friend posts, why bother having a thread on here?

We need to clarify some things with you, because you have a few misconceptions about us;

1) We're not elite most of the time. When we dress up in our superhero outfits and fight crime and sociologically normal sexual behaviors we're elite then, but most of the time we're sort of average. If you'd ever wandered behind a bar to find Astroglide pushing his finger up his throat in the snow to try to puke up the too much beer he'd drank that night, you'd feel less apt to call him elite. I just call him sexy, but that' me. I enjoy bald men who are devilishly handsome and don't bathe...but rather they get into the hot tub to float off the dirt and dead skin.

2) Trophy Wife and Dartos are liberals. You can't hold this against them. They were born in the North (strike 1), they actually think people should act decently (strike 2), and they have just started to make enough money to realize that 100K is only like 65K because of taxes for social programmes. Wait for them to have to put their 7th child on Medicaid because beign a resident pays less than working at Taco Bell, and they'll start getting all Conservative then.

3) Rush Limbaugh does drugs. Ann Coulter does drugs. George Bush did drugs. Clinto did inhale. Gore openly says he got stoned A LOT. McCain was a POW which means he had sex with men for moldy bread. Finally, anyone who gets all their opinions from listening to TV or watching radio is too stupid to vote. However, they will. Republicans: Largely uniformed, but we still vote.

4) DrCrank is the only truer a$$holie on this thread besides Astroglide. If he got arrested for doing 12 year olds that were his patients I'd be disapointed, but not surprised. I'd also be upset that he was cheating on me again.

You should post more homeboy...you're the most action this thread has seen in a while.

Plus, we don't have to hear boring stories about infratabular freaking fractures if we're all pantie wadded up over you.
 
I'm glad I could contribute to your narcissistic rants by serving as the common enemy, but I don’t have much else to say, other than this thread is a waste of SDN space.
Enjoy the rest of your weekend.
 
I'm glad I could contribute to your narcissistic rants by serving as the common enemy, but I don’t have much else to say, other than this thread is a waste of SDN space.
Enjoy the rest of your weekend.

Now that's just mean.
 
You don't have to read this thread if it bothers you that much. I personally don't care who reads and posts here, but why would you keep reading if we're so annoying to you? I'm sure you have something better to do. Fourth year was so fun.
 
You don't have to read this thread if it bothers you that much. I personally don't care who reads and posts here, but why would you keep reading if we're so annoying to you? I'm sure you have something better to do. Fourth year was so fun.

Fourth year was the bomb-diggety.
Lots of travel and pick your own rotations.....med school got good right then.

However, Third year living with a hot AZN woman was pretty cool.
 
I'm glad I could contribute to your narcissistic rants by serving as the common enemy, but I don’t have much else to say, other than this thread is a waste of SDN space.
Enjoy the rest of your weekend.

I have to say that it is nice getting other people to post on our thread, but we basically do it for us. I agree with Lucky that whoever wants to read and post is more than welcome. We all also went into different specialties and I hope can share insight into the match process and information about programs with 4th years. I know you are a DMU student, but I'm not sure who are..................personally I don't care, but good luck in 4th year and the match.
 
Oh.............and I survived my first night of neurosurgery call last night. The most interesting thing I did was inject TPA into a ventric and a clot catheter and aspirated out about 40cc of blood out of the guys brain. He quit decerebrate posturing but now he only localizes with his left hand and has diminished brain stem reflexes. I also had to pronounce my first patient who was a huge ICH from cocaine on comfort measures. Interesting night, but the good news is nothing I did directly hurt anyone:)
 
I also had to pronounce my first patient who was a huge ICH from cocaine on comfort measures.

I had a huge ICH from doing blow one time....luckily it was in the 70's with Astro's Dad, and DMACC's mom gave me some Serbian Wasp Prune Brandy to fix it.
 
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We need to clarify some things with you, because you have a few misconceptions about us;

1) We're not elite most of the time. When we dress up in our superhero outfits and fight crime and sociologically normal sexual behaviors we're elite then, but most of the time we're sort of average. If you'd ever wandered behind a bar to find Astroglide pushing his finger up his throat in the snow to try to puke up the too much beer he'd drank that night, you'd feel less apt to call him elite. I just call him sexy, but that' me. I enjoy bald men who are devilishly handsome and don't bathe...but rather they get into the hot tub to float off the dirt and dead skin.

2) Trophy Wife and Dartos are liberals. You can't hold this against them. They were born in the North (strike 1), they actually think people should act decently (strike 2), and they have just started to make enough money to realize that 100K is only like 65K because of taxes for social programmes. Wait for them to have to put their 7th child on Medicaid because beign a resident pays less than working at Taco Bell, and they'll start getting all Conservative then.

3) Rush Limbaugh does drugs. Ann Coulter does drugs. George Bush did drugs. Clinto did inhale. Gore openly says he got stoned A LOT. McCain was a POW which means he had sex with men for moldy bread. Finally, anyone who gets all their opinions from listening to TV or watching radio is too stupid to vote. However, they will. Republicans: Largely uniformed, but we still vote.

4) DrCrank is the only truer a$$holie on this thread besides Astroglide. If he got arrested for doing 12 year olds that were his patients I'd be disapointed, but not surprised. I'd also be upset that he was cheating on me again.

You should post more homeboy...you're the most action this thread has seen in a while.

Plus, we don't have to hear boring stories about infratabular freaking fractures if we're all pantie wadded up over you.

I could never cheat on my cajun cocksman
 
Hello all! Hope everyone is surviving their call nights.I've been on pulmonology and it is pretty laid back; almost too laid back because I was excited about being thrown out there to sink or swim, oh well... CAll nights are pretty cool, we take floor and ICU call here with only one other resident so it is pretty busy. I get to do a lot of procedures, depending on how many critical care consults we get to do. Got to do my first central line by myself the other day and yep, I couldn't get it so the attending had to do the poke. Oh well, at least I get to put it in my procedure logs.

The crappy calls are when you get called to a code and they cancel it after you ran down eight flights of stairs.
 
Is anyone else in a dual accredited program? We not only have to do New innovation duty hour/procedure logs, but we have to do AOA patient logs, education, and reading logs. So I have to enter everything I do twice and get them signed. sucks
 
Is anyone else in a dual accredited program? We not only have to do New innovation duty hour/procedure logs, but we have to do AOA patient logs, education, and reading logs. So I have to enter everything I do twice and get them signed. sucks

I am, but we mainly answer to the AOA and the hospital takes care of duplicating everything for us. At least I think they do.
 
TY is a mixed bag.

Good things are the variety of your diet, always meeting new people with good ideas, and a global view of the hospital.

Bad things are that you're slave labor and call filler, residents don't care so much since they have very little invested in whether you like them or not, and you never quite know how THIS service does thing. And everyone on every service thinks their way is the ONLY way to do things.

Good thing is if you don't like someone you rotate away in a few weeks.
Bad thing is if you really like a team, you rotate away in a few weeks.

I start surgery on Monday...I'm looking forward to "roundsmanship."
 
Last night i got bumbed to do a central line b/c the 2nd year IM/EM resident has not logged her requirement (pathetic in a way). She missed, missed again, and then she finally listened to me where to poke the needle as well as direct it...and then a nice squirt of blood comes. She felt very good about herself, but then she got light headed and had to leave the room, leaving me and the other resident to finish the procedure. Here quote, "I'm happy I got the hard part."

I thought the hard part was not getting light headed when you see blood.

Thought for the night. This same patient was in the beginning sings of shock in the critical decision unit earlier in the night. Azotemia and pre-renal failure were present, i pushed a 500 ml bolus with minimal response. then i consulted the ICU team because this patient needed to be there. The same resident comes up and gets all worried about "FLASH PULMONARY EDEMA." She and her senior then decide to push 40mg lasix even though the foley returned only 25 cc urine. I told them it was the wrong decision and he needed more fluid recessitation. they ignored me. I left the room. 2 hours later i see them both getting bitched out by a 3rd year surgery resident for pushing lasix with no urine output and not giving fluids.

Endpoints of recessitation are great if you use them. This episode was a great learning experience for me, but I was pissed that my suggestions were totally ignored and bad outcomes may result.
 
If any of you have yet to be dealing with near future critical patients who come to general floor from the ER, I recommend you pay close attention to the vitals b/c the simple things get missed a lot in the emergency room. I called the ICU so we could intubate this patient and start recessitation, and as an intern we have to get the superiors involved when people crash.

Dr Rivers from Henry Ford Main Hospital has written some great papers regarding the endpoints of recessitation which simply the process so that you always have something fall back on when patients are crashing. Some are quick to point out that treating a patient's NUMBERS can be a major problem; however, at least you have a starting point just like we do with the ABCDE's, etc.
 
If any of you have yet to be dealing with near future critical patients who come to general floor from the ER, I recommend you pay close attention to the vitals b/c the simple things get missed a lot in the emergency room. I called the ICU so we could intubate this patient and start recessitation, and as an intern we have to get the superiors involved when people crash.

Dr Rivers from Henry Ford Main Hospital has written some great papers regarding the endpoints of recessitation which simply the process so that you always have something fall back on when patients are crashing. Some are quick to point out that treating a patient's NUMBERS can be a major problem; however, at least you have a starting point just like we do with the ABCDE's, etc.


Can you send me links to those papers, or send me the papers. I probably won't be using them, but who knows.

I had a 14 yo girl who had a spinal tumor removed. In doing so they unintentionally opened the dura causing a csf leak. The inserted lumbar drain, and then took her to the peds icu. The nurses there hate lumbar drains, so I got paged whenever the drain didn't drain 10-15cc/hour. As you can imagine it was a busy night.

I've also realized how callous I am now..........for instance a patient quit taking her oral meds, ate a tuna sandwhich, threw it up and then went into muscle spasms by her incision. She was scheduled to leave the next day, she refused to take her oral meds. I gave her one 2mg IM morphine shot and told her that was it until she decided to start taking her meds again. Being on call is a good experience but fairly annoying..........
 
"Regarding research, PIGS are the closest things we have to humans....some more than others."

Surgery Digest. Best quote yet.
 
Guess who gets their first day off since starting this saturday..................:)
 
Guess who gets their first day off since starting this saturday..................:)


ha, I beat ya. Todays my first day off. I'm only going to put in a sweet 40 hours this week as all 4 of my days off are in a row. It pulls my average under 80 for the month. ha!
 
EAT ME HOMEBOY!!!!!!!!!! Did I miss everything already??? DAMN it.......All the time...........grrrrrrr. I guess I'm too busy on what's that? you bet.......ORIENTATION! It's actually over finally...but I have had some call nights. By the way......I would have made the worst OB/Gyn ever. Large man with large hands = unhappy moms. I do think we're perhaps the most qualified FP residents ever to save anybody's life. We did PALS, ACLS, ALSO, and NRP. I wish there was a geriatrics resuscitation class.......I'd take it........and then push 10 Decagrams of Epi in everybody. Hope all is well with everybody. I start with ER on Tuesday......and we're the OD hospital....i'm gonna run this hospital dry of Ativan if it kills me. GOOOOO PEORIA CHIEFS!
 
Hey guys.

Half of what i"m going to say is bitching, but half is actually pride (strangely enough).

I've had call every weekend so far on PICU (Sundays which ain't too bad), and now I have my Surgery call schedule. I have call one Friday, then 2 Saturdays. One weekend I have nothing scheduled. I wonder if they let me off to have a whole weekend? I doubt it...I probably have to round, but that's still like a weekend off if all I have to do is that half day.

I am sorta' irritated at no weekends, but I feel like I'm getting my money's worth on this internship so far. No one is demeaning to me yet (YET), and I'm getting good work hours to get my exposure.

I kept seeing this attractive, stylishly short haired redhead with emo glasses around the hospital. She's pretty in that female doctor in charge kind of way and we always smile and say hello. So yesterday in line for coffee I introduced myself and said hello "since I keep seeing you." Turns out she's my boss for the next few weeks. Very nice, very organized seeming.

anyway...back to being a nerd.
 
If our site is such a waste ,then why do we have so many people viewing it? Clearly people feel there is something offered here that is worth viewing.

GMF SUCKS!!! All I've done for the past week is run frantically around the hospital and get yelled at by attendings. I think I slept about 10 hours...THIS WEEK!!!

I LOVE PSYCH! I want to go back to my happy place:scared:! I love you guys:love::love:. Homeboy is just mad because the 08 thread doesn't have one tenth the views that ours does! Ours may be bigger, but i'm sure he uses his well:laugh:.

Simpsons movie was hilarious! My only day off, so we went to the zoo, saw the movie and went out to dinner. I don't want to go back tommorrow:scared:.
 
I start ER the first. I'm looking forward to it. I think it will be ok. I'm on call this weekend and I'm sure it is going to be brutal. At least one month is done just 5 more years and 11 months!
 
My snake arrived today! He is just adorable. (Yes, it's a male) Hatched about three weeks ago, no thicker than half my pinkie, and pretty long. We're going to name him Mr. Scales. He's a lavender cornsnake, with a really nice pattern, and big dark ruby eyes. What a cutie...:love:
 
Oh, and today is my last day on MICU. Technically it's over cuz I'm post call. Got about 6 hours of sleep, interrupted by a couple pages...cannot complain at all. Starting med floors tomorrow...hubby's in the ED.
 
My snake arrived today! He is just adorable. (Yes, it's a male) Hatched about three weeks ago, no thicker than half my pinkie, and pretty long. We're going to name him Mr. Scales. He's a lavender cornsnake, with a really nice pattern, and big dark ruby eyes. What a cutie...:love:

sounds like the perfect pet for you two!
 
Hey Y'all. I'm back living the dream of general surgery, which means I get to be a floor bitch all day and get bumbed by med students for cases just so i can update the list. Good news is that nobody stays late for night cases and i get to do a lot. bad news is that i have to look at lots of fat people prior to bariatric surgery.

It's fun to have med students. I like teaching and all that jazz. I just get pissed if they don't want to work (luckily this is not a problem yet).

Final thought. I assume the students know nothing and tell them that is where they start on day one with me (though most of them probably know more than me). All i ask is that they are 5 minutes early for everything. If they are late, I kick them out for the day and make them do at least two lectures over different topics.
 
I feel like a proud parent. My snake ate for the first time after getting here. It's so awesome watching him eat. He's so little that even the tiny pinkie mouse looked big next to him, but he just opened his mouth really wide and swallowed the whole thing in seconds. He's got a pretty big belly now! I can't wait to see what his poop's going to look like. Weird I know, but wouldn't you be curious?

On a sadder note, this month is totally going to drag for me. There's nothing worse than working your butt off doing something that you don't want to do, and knowing that something much better awaits you, but feels so far away. At least I get to sleep in my own bed every night.
 
this month is totally going to drag for me. There's nothing worse than working your butt off doing something that you don't want to do, and knowing that something much better awaits you, but feels so far away. At least I get to sleep in my own bed every night.

That's a great way of saying it. It seems like Dartos' 8 weeks of IM will NEVER end. We met him for lunch today. (He doesn't get to sleep at home though!) I'm soooo happy that he didn't pick something with crazy hrs only crazy stories. 2 weeks down at the end of this shift. (tomorrow...) then 6 to go!

Lucky - what are you and D on in late Sept? fishing trip???

BTW I passed my gestational diabetes test... BIG shocker!!!! :D:D:D
 
Trophy - we are trying to get our vacation week in September lined up. He already has his approved, I'm still waiting to hear back. We're planning on going to Vegas. He's never been and it's been years since I've gone. If that falls through, we'll definitely think about a fishing trip with you guys!
 
My experience on General Surgery at PTSMTH has been very vigorous and demeaning.

I start at 0430 and end at 1900 usually. There is a very harsh hierarchy (worse than the general military) and very specific instructions on how they want everything done. Everyone is rude and mean to everyone below them in the ms-intern-resident hierarchy.

I think I got lucky with my team, but it's still pretty annoying. I also got lucky with a team that doesn't mind me skipping cutting and tying to stay on the floor, update the list, and check on patients. I give good reports, and keep track of all the ****, so they cut me that slack. The gen surg intern on with me loves me, since I make him go to all the cases while I do his paperwork.

I have a question, though. I checked my hours after a duty night, and I'm at like 130. If you have 80 hours a week x 4 weeks that means you have 320 hours to spend. That means I've nearly spent half my available hours in the first week. So have everyone else. That means that they fake their logs for time. What should I do? I don't want to make it look like I've worked over my limit for surgery, and blow the whistle, but I also don't want to work anymore than I have to at something I really don't like.

Advice? (besides talking to my intern coordinator...I'm asking you here, astro)

These people must REALLY like surgery to put up with the constant harassment, condescension, pimping, long hours, and general bum freaking they take. I don't understand.
 
port - Here is a site to report the program. I'm guessing that they know they're in violation, and they don't care... How can 80 hrs per week not be enough? (I'm sure I'll be getting an earfull about this comment...) But I have to say, I'm the consumer! I don't want someone operating on me or managing me in the hospital with no sleep. It's called HIRE MORE PEOPLE!!! :laugh:
http://www.amsa.org/rwh/
 
Frenchie you could be a man and tough it out. OR you could be smart and follow the advise of the woman below and report the program. you get screwed either way, but there is nothing worse than getting killed doing something you don't love. I am surprised you have to be there that much.
 
I just don't think it's right... I don't really think anyone will do anything to fix it. One of the pages was saying that 47% of programs don't follow the rules. It doesn't look like they're doing anything to fix it. I think that they should fine every program that violates any of the rules. The program should have to pay residents a $2,000 fine per month if the program violates the rules set forth by the regulating body. It would make residents MUCH less likely to falsify logs and might actually make things better! The programs are motivated by money. Get them where it counts! :laugh::laugh::laugh: (and I like money...)
 
So, somewhat of a false alarm. I was still figuring out new innovations and I was tired...i only worked like 100....not 130.

This will average out...I'm still on day 4 of a 12 day stretch....m-f,sat, sun/2,m-f,sat/2. SO FUN to be an intern.

Here's an odd story.

There's a guy who is a nurse in this ICU. He is a Lieutenant Commander. To civilians it means nothing really. In this hospital it means close to nothing 90% of the time. Your job is your job, and your rank is your pay. You are treated a certain way according to where you fall in the hospital hierarchy, not whether you're a lcdr, or whatever.

In any case, before I met him really...and on my 1st day here....someone said something about docs helping move a patient, and he said, "Everyone knows docs don't work." I thought he was an enlisted person, but whatever. I let it go as a tasteless joke. He's only about 5'5'', so I figured he was a young guy, nursing assistant.

So later that day we're doing rounds, and need safety pins for ng tubes. I'm told they're at the desk. He's sitting at the desk. I go up to him and ask him and he's like, "No." Then he looks at me with this unbelieveing...how deign you to ask me a question look....then he says, "We don't have those here." Then gives me the "you're stupid" look.

I let this go and go and find some safety pins. So I keep it in mind, but I'm going to figure out who he is before I say anything.

A few days later I meet him as LCDR X. I say, "Hi I'm Ray." He says, "I'm LCDR X." very friendly.

So I remember his previous stuff and harbor enmity.

2 days ago he got busted for ordering labs without doctors orders. He was "following the protocol," but we dont' use protocol on surgery service. He got his ass handed to him by my ward senior (a female who is usually pretty quiet).

Then toda is the "best." It's actually the worst.

This AM I heard that someone had "hurt" a 450lb PT in stepdown. She's ultra diabetic and in ESRD.

Whent he night intern told me, i was like, "What would be worse, someone who sexually mollests children, or someone who victimizes fat invalid women?"

So, We all had to say our names and introduce ourselves this AM so she could find who it was....It wasn't any of the medical team.

This afternoon I had to supervise her dressing change and hygeine. I didn't knwo why, but I got in there and helped.

My ward senior came by and said, "Do you know what's going on?"

I said, "Somebody hurt her yesterday?"

She said, "She's claiming someone sexually assaulted her yesterday."

Guess who she singled out as the one who did it.

Her nurse from yesterday...LCDR X

WTF?

I'm going to forget the "rudeness complaint."
 
port - YUCK!!! That guy needs some serious help! What's going to happen to him?
 
port - YUCK!!! That guy needs some serious help! What's going to happen to him?

It's being routed up...we'll all find out, i guess.

I read the progress note just now. It singles out the nurse and describes what the complaint was: "he put two fingers into her genital area and moved them around. She asked him to stop. He said he was doing what he had to do."

She was in some pretty dirty way the other day so I had to write an order for "clean all body folds, crevices, and orafices everyday."

He was probably just doing hygeine (her labia do start at mid thigh), but he's a jerk and too rough....he was mean to her and now he's in deep doo doo.
 
I am still alive just so you guys know. I scheduled all my ER shifts at the beginning of the month so I get basically the last week off except for my two nights of NS call. I feel much dumber now that I'm an intern. I have no time to read, no time to eat, and not much time to sleep. I almost remember what my fiance's face looks like:laugh: It isn't too bad, but I can't wait until I'm working so hard in something I want to do.
 
port-
Dartos and I were talking the other day... Are you and your lady still together? Is the long distance thing working out?

Still haven't sold our house. :( We've lowered the price a lot. It's very disappointing. I hate D-Town. (I know it isn't just D-Town that isn't selling but that's where I have a house that isn't selling)
 
I'm so glad ATHF : movie for theaters came out!
 
Hey Cream: Wasn't there some gay neurosurgery tv drama they were going to make called 3lbs or something?

Did they figure out all neurosurgeons are boring and dull and cancel the series? JK

Surgery: 10 more days. 9 more work day. 0345 wakeups and 1830 dismissals have to go. I keep thinking of what dartos said, "They get to do some cool stuff, but guys...seriously...leave the hosptial once in a while."

Trophy: We're still together. She's been here in VA for a month or so. Classes are starting back at UGA soon, so she left today. We'll see how the distance thing works. I'm already getting invites to go do stuff. I guess women here don't notice how old I am.
 
Hey Cream: Wasn't there some gay neurosurgery tv drama they were going to make called 3lbs or something?

Did they figure out all neurosurgeons are boring and dull and cancel the series? JK

Surgery: 10 more days. 9 more work day. 0345 wakeups and 1830 dismissals have to go. I keep thinking of what dartos said, "They get to do some cool stuff, but guys...seriously...leave the hosptial once in a while."

Trophy: We're still together. She's been here in VA for a month or so. Classes are starting back at UGA soon, so she left today. We'll see how the distance thing works. I'm already getting invites to go do stuff. I guess women here don't notice how old I am.

glad things are still going with her. I think that Dartos would expand that quote to IM now too. (not as much cool stuff though...) He's had the almost the same schedule as you with surgery. He's basically got Q3 call. :thumbdown:
 
I still don't like surgery or surgeons. I do have some insight as to why though.

The pimp till you quit drill sucks. They ask questions until you don't know anymore. It's exploring the margins of your knowlege. Everyone who listens usually thinks, "Wow he knows a lot," because you've answered lots of questions. However, you feel sweaty, anxious, and think, "Man I don't know shizzle."

It's an honest evaluation of your knowlege and it sucks.
 
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