I'm like totally having a like visceral reaction to this...no, wait, I just ate too much.

Just thought I'd say how glad I am that we don't talk like that anymore. Or do we? I'm actually quite scared really. When I actually become a doctor am I going to sound like one? Or are patients going to fear my very approach, fear I might put the catheter in the wrong hole or accidentally drop chewing gum into their hair. Because, y'all, like for real, I chew gum on the ward, I stare at my pores during my lunch hour, I say 'um', 'like', 'y'know', 'for real', and use a drawn out 'so' or 'so not' as an adjective and use all sorts of descriptive sound effects to convey the power of my cutting intellect. I know it's not entirely my fault, I am a product of my generation. But god y'all, it's embarassing in a professional setting and I just don't know how to kick the habit. And i think it's going to be worse when I move back to the US. Here no one talks like me so I have nothing reinforcing my inane 90210 speak. It really has diminished, but when I get back on the phone with an NC buddy, it floods back. Even with my mom who is not even American I do it. It's like because I associate her with home, I talk like a vocab retard (by the way, that is so not PC, and no one here says Spastic or Retard). I have a serious problem folks. I can use words like 'bifurcation', 'duodenum', and 'amorusis fugax' with gusto and confidence and yes, I actually know what they mean, but I'm totally discredited when i twirl my hair and get twang-happy. There is this theory that patients always trust the opinion of a doctor whose accent localises him/her to a place outwith the general vicinity of the area he/she works, as if they are some sort of specialist brought in, or more highly qualified because they are not local. No so for us American chicas. Goddam Dubbya, he's ruined it for us all! Where did it all go wrong? Free me from my crap verbalage nightmare!

P.S. This all came up when I visited m-w.com and read their Top 10 favourite words not in the dictionary, which got me realising that i make up my own words all the time and that really I sound like a total idiot. But most of all that I still have not grown out of teenager lingo.