About Indeterminate Causality

Indeterminate Causality is a collection of some of my comics, doodles, and sketches. It's a commentary on life, situations we all find ourselves in, the world of medicine, being a guy, and interpersonal interactions, with a slant towards making scenarios as amusing as possible. Updated Monday-Wednesday-Friday (I try, sometimes its difficult with school/exams and such).

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If you have any suggestions for comics or want to submit a guest comic that you have drawn, feel free to send me a message at TommyGuns201 at gmail dot com

Wednesday, October 9, 2013


220 Nurses

Plus, they know the patient better than you do a lot of the time. So listen to your nurses. And learn things in medical school. And residency. Never stop learning.

Wednesday, September 25, 2013

Behavioral Fix - The Child Calming Cream

219 Behavioral Fix - The Child Calming Cream

Parents, you need to focus on parenting, not on trying to fix your child with some sort of product or quick fix.

Monday, September 23, 2013

Embryological Growth

218 Embryological Growth

The process of becoming a doctor, like embryology, is quite complex and difficult to understand.

Thursday, September 19, 2013


217 Allergies

Nebulized peanut butter is the next big thing in pharmaceutical science.

Tuesday, July 30, 2013


Ok, so I know I haven't posted for quite a while. I've had several reasons:
1. My tablet screen crapped out and I have yet to purchase another one.
2. Rotations have been much more time consuming than I had previously thought, and I wanted to devote my full attention to the learning and patient care therein.
3. I had Step 2 of the boards to take (ugh)
4. I now have residency applications to put forth and work on so time is still pretty tight.

Therefore, I will be updating this whenever possible, but don't expect it too often. I have one of those Google tablet things I use for the wards, and will experiment to see if I can draw comics on that, but the stylus is really not conducive to drawing. We shall see.

Most importantly, one of my comics, Medical Jargon was recently used in a TEDMED talk by Sally Okun entitled "Does anyone in Healthcare Want to be Understood?" check out 1:18 for the appearance of the comic, but really, the whole talk is really quite good. Thank you, Sally, for deeming my comic worthy of inclusion in your discussion on the lexicon of healthcare, and great job on your talk!

That's all for now,


Monday, April 1, 2013


216 Trauma

A little drawing I did while on rotation and nothing was happening. Stylized version of the Rod of Aesculapius with some surgical sayings thrown in.  Hope you enjoy!

Wednesday, February 27, 2013

Arm Wrestling

216 Arm Wrestling

I don't know how that original match began, but he was proud of that win for the next week until the patient recovered enough and destroyed him in a rematch.

Wednesday, February 13, 2013


215 Channels

This isn't Schrödinger's cat. The channels are not both open and closed at the same time. 

Tuesday, January 29, 2013

Patient Positioning

214 Patient Positioning

I had to pause to maintain composure when this happened. 
Then my co-student tried to utilize his empathy skills by saying, "I completely know how you feel…" 
Composure? Gone. 

Thursday, January 10, 2013

EKG Decoding

213 EKG Decoding

Man, that guy just doesn't see the big clinical picture, huh? He must have been a gunner as a first and second year.

Monday, December 17, 2012

New Comics

Hey all,

I know it's been a while since I've updated here. I've been on my surgery rotation and haven't had much time to draw. Comics should be back shortly! (hopefully!)

- Tommy

Monday, October 29, 2012

Beta Blockers

212 Beta Blockers

The screening process for getting into medical school is getting worse and worse. I blame autocorrect and spell-check.

Wednesday, October 10, 2012


211 Imitation

And don't be afraid to wear that surgical cap and the surgical booties around the hospital. Or at home. Or out at night. 

Wednesday, October 3, 2012

All the Answers

210 All the Answers

Bad news doesn't really obey the rules of physics, see the Hitchhiker's Guide to the Galaxy for more details.

Monday, October 1, 2012

More Popular

209 More Popular

Ouch! He's not hungry right now, thanks though.

Wednesday, September 19, 2012

Action Potential Analogy

208 Action Potential Analogy

Did you catch that third panel double entendre? Wow, science is sexy.

Wednesday, September 12, 2012

Norm Variation

207 Norm Variation

Or the battery is dead. That happens quite a bit as well. 

Monday, September 10, 2012


206 Genius

Don't get all high and mighty that you're a med student, you're no different than anyone else. If you want to be a good doctor don't you ever forget that.

Sunday, August 26, 2012


205 Fisher
This can also be applied to Anal Fissures; be glad I didn't decide to draw that.

Friday, August 24, 2012


204 Wink

What? You don't think that when we're on our surgery rotation that you won't get enough practice with those exams?

Monday, August 20, 2012


203 Genes

What? Don't act all surprised at that. With that little awkward dirty comment you know you'll remember it forever now.

Wednesday, August 15, 2012


202 WBCs

Man, you have too much time on your hands to think of this stuff. Shouldn't you be studying?

Monday, August 6, 2012


201 Stirrups

I'm not sure why, but there are a lot of exam tables that have the stirrups pointing towards the door. This was obviously a mean joke perpetrated by whoever designed the room.

Friday, August 3, 2012


200 Rhyme

Make sure you look for that sort of thing, it isn't something you want to miss.

Wednesday, August 1, 2012


199 Recapitulation

Which is much like a real breast augmentation, in that it will hopefully further your careers. However, if you lack any significant talent, it won't really help. Good luck!

Monday, July 30, 2012

STD Clinic

198 STD Clinic

That's where you go to get TREATMENT! 

Wednesday, July 25, 2012


197 Murmurs

This holds true for most residents, too. And orthopods. Actually, if an ortho guy hears a murmur it is most likely at least a 5/6 because those guys don't even carry stethoscopes.

Monday, July 23, 2012


196 OB/GYN

I mean, you might as well be up all night, every night like a vampire. I'm not suggesting you become a soulless blood-sucker, though. That would just be wrong.

Tuesday, July 17, 2012


195 Males

You see, with inadequate air flow, the brain goes hypoxic and to keep that from happening, the blow job was invented. I'm kidding of course. I'm going to be in trouble for saying this.

Monday, July 16, 2012

Worst Doctor

194 Worst Doctor

Well, it could also have been a she that did those things. Stupidity isn't sexist, you know.