Internal Medicine docs, like I'm going to be, are called "fleas" because both are the last things to leave a dead body. That's obviously a derogatory term, but like "yankee" the term has been embraced by its targets. Fleas can be a pretty nerdy bunch, so I tend to fit right in.
I was reminded of this Friday. I saw a patient, whom I was convinced needed a colonoscopy, because her symptoms were strongly suggestive of cancer. My resident didn't want to order one. So our conversation went:
Well, if you don't want to get the C-scope, I don't know how sensitive the test it, but you could just culture her blood for Streptococcus bovis, since that's associated strongly with colon cancer.
Wow Nathan, you are destined to be a flea.
See, that's a pretty insubstantial footnote in the average medicine text, and an almost ludicrously wild shot in the dark, but I was trying to surmount obstacles with knowledge.
I love it.
My attending agreed with me though, and the patient got the C-scope. Good thing residents don't write my grade.