#medblog

[obakanosandoitchi]

9-09-2023

loving today's view ⛰️🌲

wish me luck being productive today 🤞🏻

[dr-scarlette-witch]

03.07.2023

Was travelling with family last week and fell a lil sick. But the weather was wonderful today and I was able to spend a few hours learning. Finally completed uworld block on genetics. Feels like a huge achievement honestly.

[azacello]

4 years of med school in drawings

[anattempttostudyharder-blog]

6/7/23 (Day 75)

Studied psychiatry, pediatrics, epidemiology

Solved flagged questions of the same

Studied my flash cards

Did a mobility workout

//Studied 7 hours. My sis made me Vietnamese ice coffee and honestly it was so good.//

[studyblr-med]

haven’t been doing any work in the past few days but got these new notebooks i can’t wait to use and I have rested quite a bit so that’s good!!🌸🎀🩷 also if you add a little honey, cinnamon and vanilla extract to your soy milk before pouring it in coffee it tastes like psl and even better I think😍wishing everyone the very best and gentle day wether it is a day of work or a day of rest🫶🏻🩷

[medstudy09]

Done with pathology of heart only to realise that it won't be on the paper.🙃

Still I guess there is nothing wrong with studying (not like my exam is 18 days away) something that ain't on the syllabus😭. My headache hasn't gone away. I'll start on microbiology now cause if I don't finish 2 systems per day(feels impossible) I will not be able to cover all the portions.

Best of luck to me.

Also does anyone have any tips on how to study microbiology

[delusionalnerdt]

Year 2 Day 17

(24 September 2024)

Microbiology : Disinfection

Clinical posting (Medicine) : 70 year old female Patient with suspected chronic disease anemia. Blood transfusion done before. Takes Hypertensive drug and thyroid

Microbiology practicals: Performed gram staining( gram positive Cocci)

🇯🇵 Hiragana revision, Katakana revision till H column

📕 Pathology : edema, Hyperemia, Congestion

[medsurvival]

Today, we were supposed to learn about clinical presentations of hematologic disorders. The teacher came in, looked at us and told us he was not going to teach that. We were really confused until he opened a slide labelled clinical reasoning. He then explained that as 4th year medical students 7th week into our internal medicine attachment, we were not ecxpected to know a lot.

"Just the principles," he said. He also told us the feeling of inadequecy and lack of knowledge we feel when our peers answered a question we were struggling to grasp or find the answers for was completely normal. "It's because they read a section you haven't read, there might be sections you read they haven't. Think of it that way."

The fact that he said that quelled my imposter syndome just a little. I felt as if I knew nothing when my classmates answered real head-scratcher questions on bedsides, rounds and classes. And that feeling had affected my study sessions because they made me feel it wouldn't bring any change in my knowledge and I wasn't smart enough for medical school. Maybe these things were also felt by them no matter how much I thought they were confident in their knowledge.

Anyways, he taught us how to take history, do a focused physical examination and form our diagnosis based on the pertinent information from that.

I only wish that we learned this at the start of the attachment because it would've been a great help back then.

[alfalfaaarya]

19 Jan 2024

Hola!

Today was good.

I reached college at 8 am but found out that the lecture was canceled, it was informed on our what's app group but I hadn't read it , I would've slept some more if I would've read it . We had our first pharmac lecture today , it was nice. Then we went for clinics , today in the neurology ward. Went home after cause lectures and pracs were cancelled !

Came home and studied pharmac.

Went for a run in the evening.

Adios!

[justkidneying]

Poisons: Cyanide

Cyanide poisoning is really fun in media, but chemistry is more fun, so I'm gonna explain how it works. Cyanide is a carbon atom triple bonded to a nitrogen atom. Nitrogen is more electronective and likes to have three bonds plus one lone pair of electrons. Carbon likes to have four bonds. Since cyanide has the triple bond, carbon is stuck with a lone pair, which makes it unhappy and negative. to fix this, it wants to bind with something else. This is very bad when it is something inside your body.

The negatively charged carbon has a large affinity for complex IV of the electron transport chain. The ETC is the way your mitochondria make ATP (the nucleotide your body uses as energy). Complex IV uses oxygen to create a proton gradient that is also an electrical gradient (very useful and is also the entire reason you breath oxygen). With complex IV inhibited, you cant use this method to make ATP. you have other ways to make ATP, but they suck. Cell death results.

Cyanide poisoning can best be remedied with hydroxycobalamin. This substance has cobalt, which cyanide loves to bind with more than complex IV. This makes cyanocobalamin, which is better known as B12. Most of the time, if you get a B12 injection, cyanocobalamin is what you get. Like every other water soluable vitamin, you pee it out if it is in excess.

Cyanide poisoning can present with headache, confusion, agitation, seizures, coma, bradycardia, hypotension, nausea, vomiting, and red skin color.

[obakanosandoitchi]

13-09-2023

pulmonary Hypertension is kicking my ass.

but hopefully today is the last day of cardio🤞🏻

[dr-scarlette-witch]

11.05.2023

Decided to deep clean my room and set aside my exam materials because I wont be needing them in the near future. Also found my paint palette with acrylics adherent to them for over 6 months, I have soaked them in water. Any ideas to peel them off faster?

[enigmaticmoonchild]

Another study night

[anattempttostudyharder-blog]

4/7/23 (Day 73)

Studied obg, urology and breast surgery

Finished flagged questions of the same

Went through some ethics questions too

//Studied 6.5 hours. Was feeling really unmotivated but I pushed myself to study as much as I could.//

[notyetadoctor]

aaand this is from earlier today as I was desperate over my anatomy test (tomorrow)...

(wish me luck)

[whitecoatblackmarket]

When you overhear a patient say “Nurses are the ones who really care about patients, you barely even get to see your doctor!”

Ouch that kind of hurts 🥺 I love and appreciate our RN’s so much - they certainly are empathetic and wonderful - a vast majority of the work they do for patients is something patients can see, and is at bedside. The reality is that I cannot be at bedside for long periods of time because I have a lot of patients and I need to be seeing all of them multiple times per day, putting in orders, documenting their care plan in progress notes, and operating in the OR. I can’t even count the number of times I’ve stayed late to personally follow up on a patient’s results or stayed even later to personally talk to them as soon as we had new info, I make an effort to go above and beyond when I have chances to improve patient care and make their hospital stay less stressful. I’m constantly having conversations with my team, researching treatment recommendations and possible risks to each step, fighting with insurance companies and agonizing over patient care choices, but none of this is something my patients can see. I work really really long hours - a 5am-8 or 9pm day is not unusual, and I don’t hesitate to stay longer if I can be of more comfort to my patients. Just because we cannot be at beside does not mean we don’t care, and wow does it kind of sting when patients or even other healthcare workers allude to nurses being the only ones who truly care and advocate for their patients. We are all on the same team, and just because you don’t see all our hard work doesn’t mean it isn’t happening.