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I realized today that medical school’s finally done it. I’ve lost what marbles I had left. In the coffee shop as I desperately studied heme-onc for the exam tomorrow I was talking to myself as I saw lab values, describing microcytic and macrocytic anemias and types of leukemias and lymphomas. Looked up, and I saw three people around me watching me with an intensely guarded impression.

I probably look like I escaped a loony bin, talking to myself, cursing and smiling as I get things right and wrong. Maybe I should be sent into one after Boards?