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Today's Document
đ©” avery cochrane đ©”
sheepfilms

shark vs the universe

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Aqua Utopiaïœæ”·ăźćșă§èšæ¶ă玥ă
we're not kids anymore.

Janaina Medeiros

romaâ
Claire Keane
d e v o n

Kaledo Art
Sweet Seals For You, Always

Product Placement
Cosimo Galluzzi
NASA
Not today Justin
I'd rather be in outer space đž
DEAR READER

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@chocolateobsession13
Notice to my future patients:
If I ask you the same question 3 different ways, itâs not because I donât remember the answer. Itâs because I already know the answer and Iâm giving you a chance to be honest with me before I bust you.
Agreed, itâs not for my own health. Itâs for the patientâs!
so apparently some people feel like itâs annoying when someone engages with a lot of stuff from the same person, like going through their ship tag and liking all the content there.Â
hearing about this, i was immediately paranoid about reblogging literally anything from anyone i donât talk to on a regular basis.
so to save others from the same paranoia, iâm gonna say that if you like every single post on my goddamn blog it is okay. i might be kind of concerned about your level of time management, going through 23,000 posts, but it wouldnât bother me.Â
Iâve had people discover my blog and do this, and honestly I consider it a huge compliment. Donât be shy, blow up my notes, enjoy my total bullshit.
I think that itâs a huge compliment when someone reblogs like 30 posts at once. Not that anyone has to, obviously. But I certainly wouldnât find it annoying. Sometimes I wonder why particular posts get reblogged (mainly when I write something mundane like âI had potato salad and it was tastyâ or something), but since I tag anything I donât want reblogged and put it under a cut, I donât mind most things getting reblogged, even if Iâm surprised anyone finds them interesting. Itâs a pleasure when anyone interacts with any content you post, at all. Espeically if they take the time to write something in the tags, or write a long rambly reply. I used to feel really self-conscious about reblogging other peopleâs stuff and adding my thoughts because I worried it was a bit arrogant to write what you think on someone elseâs post. But actually I realised that I love when people do that, and I certainly donât think any less of them. And the best posts are often the ones where lots of people chip in. So please donât ever feel you need to apologise if youâve added something to my posts. If itâs even tangentially relevant (i.e. not spam or some completely unrelated rant), then itâs welcome commentary.
Taking textbook notes is a chore. Itâs tedious and boring and sometimes challenging, but hopefully these tips will help you improve your skill and shorten the time it takes you to do textbook notes!
Give yourself time: Realistically, you canât knock out 30 pages of notes in 20 minutes. Take your time with textbook notes so theyâre a good studying tool in the future. The general rule is to take how many pages you have to do and multiply it by 5: thatâs how many minutes itâll take you to do the notes.
Also, divide you notes up into manageable chunks to increase your productivity. I am personally a huge fan of using pomodoro timers, and I adjust the intervals for however long I need to.
Skim before you start taking notes: If time is an issue, donât read your 40 page in depth before even picking up a pen, but make sure you know what youâre reading about by skimming a bit ahead of your notes. Read over section titles, and look at charts, maps, or graphs. Writing and highlighting as you read the chapter for the first time isnât effective because you donât know if a sentence will be important or not, so make sure youâre reading a paragraph or section in advance before writing.
Use the format they give you in the book to help take your notes: In a lot of textbooks, there will be a mini outline before the chapter itself that shows all the headings and subheadings. Those will be your guidelines! I find this super helpful because long chapters can be daunting to go into without any structure. If you donât have one of those, use the headings and subheadings provided for you. If you havenât already been doing this, it will help you so much.
Read actively: Itâs so easy to âreadâ a textbook without digesting any information, but that is the last thing you want to do. Not only does it make taking notes a million times harder, but youâll be lost in class discussions because you didnât understand the reading. To keep from passively reading, highlight, underline, star any important information in the book itself.
Have a color coding system for highlighting or underlining and write down a key somewhere (hereâs a few that you can adjust for your needs: x,x)
Use sticky notes or tabs to mark any questions or important points to come back to
Summarize important information and paraphrase: When taking the actual notes, donât copy down full sentences word for word. Not only does writing full sentences waste a lot of time, itâs not an effective way to learn. If you can paraphrase the information, then you understand it. Itâs also easier to study notes which are in your own words instead of textbook academia writing.
Be selective: You shouldnât be writing down every fact that comes up in your textbook. If a fact ties into the bigger topic and provides evidence, then itâs probably something to keep, but you donât need every piece of supplemental information (but do make sure you always write down the vocab). Learn your teacherâs testing style to help you decide what to write down. Could this be on the quiz/test? If the answer is yes, make sure you write it down.
Learn to abbreviate: Just like writing full sentences, writing out full words will waste time. Implement some shortenings (make sure to use ones that youâll understand later!) into your notes. Some common ones are: b/c=because, gov=government, w/o=without, and hereâs a great list of a ton of examples of abbreviations and shortenings.
Answer margin and review questions: A lot of textbooks have margin questions on every page or so that sum up whatâs really important about that information. Make sure not to skip them because theyâre really helpful for understanding. Write them down and answer them clearly in your notes. Most textbooks also have review questions after the chapter that check for reading comprehension, so make sure to answer those because theyâll show you if you really understood the chapter.
Donât skip over visual sources: Maps, diagrams, illustrations, charts, and any other visuals in textbooks are so helpful. If youâre a visual learner, these things will be so essential to you and how you understand what youâre reading. Charts, tables, and diagrams sometimes also summarize information, so if youâre a visual learner it might benefit you to copy those down instead of writing it out.
Add visuals if itâll help you: As said above, copying down charts, tables, illustrations, or diagrams can be super helpful for visual learners. Theyâre clear and concise, so pay attention to them.
Write your notes in a way thatâs effective and makes sense to you: Mindmaps, Cornell notes, or plain outline notes are all really good forms of notetaking. Find which one works best for you to understand them and which one is most effective for your class, and use it (stuff on mindmaps and cornell notes).
Combine your class and textbook notes: If you rewrite your class notes, add in information you think is relevant from your textbook notes. Mark anything both your book and teacher said were importantâyou donât want to forget any of that. If you donât rewrite class notes, then put stars next to anything repeated.
book:Â âshe has naturally red hairâ
screen adaptation:
book:Â âshe has naturally curly hairâ
screen adaptation:
book:Â âred hair, frecklesâ
screen adaptation:
Book: âshe was blackâ
Movie adaptation:
Book: She was asian
Movie:
reblogging for the last two
Book: he asked calmly.
Movie:
The last one killed me đđ
An early Valentineâs Day card for my followers đč *cue internal groaning*
*loud, stuttering electric guitar riff, then*
BUT IâM A CREEP
Quick Advice
I know a lot of 2nd years are starting to gear up for boards and I wanted to give some quick essential advice:
1. Limit your resources
Using too many resources will bog you down. Have some essentials. Most people find success with the core four: UFAP. UWorld, First Aid, and Pathoma. Itâs okay to add some of your other faves in there as well (I used Goljan, SketchyMedical for bugs/drugs, random YouTube videos, and did a bit of DIT.)
2. Create a Schedule
If youâre bad at this, try using Cram Fighter. I used Google Calendar and took 2 hours to chart out what I wanted to do every day. This way I didnât have to think about what I was going to study next. It was already planned.
3. Questions Questions Questions
There is no doubt in my mind that my good board score is highly attributable to the amount of questions I did. UWorld should be your main go to, but I utilized Kaplan and Comquest as well. I also did EVERY NBME and the UWSAs. If you can assess your weaknesses and track your progress you will make great strides.
Good luck to all my board studiers out there and always feel free to reach out with whatever questions you might have!
Every once and a while you get a glimpse of the person you could be. Grab that. Hold on to that. Work for it. Nothing is out of reach.
5 sites every med student should know about!
Folllow my studygram:Studyspiration
When it comes to medicine, understanding the principles is key, however it might be quite difficult to understand even though you attend lectures and read all the chapters, which is pretty normal since most of the times neither professors or text books make any great sense - therefore these different sites, or youtube channels can help you out a great deal. Here are a collection of some that I have found useful and that pretty much everyone I know makes use of.Â
1. Dr. Najeeb (https://www.drnajeeblectures.com/). You will often find medical students talking about this guy. He is probably what would be called a superhero between med students and that is for a good reason. His website features tons of videos that explains pretty much everything. He does it in an interactive way where he engages the audience and draws on the whiteboard so that you can follow along. This does cost money - however if you can split the bill between some of your friends, or you can use some other students login (if they are that generous ofcourse)Â
2. Kenhub (https://www.kenhub.com/). Now this website is amazing for studying anatomy or the central nervous system (I think they are working on expanding their content, but this is what they have for now). It is very good because it gives you a simple overview over what you need to learn. The content on here consists of videos, articles and many quizesses which I loved during anatomy.
This website costs a monthly fee (there are also other options for payment), however you can split this with some friends as well, I shared my account with my study buddy.Â
3. Khan academy (https://da.khanacademy.org/). You have probably stumbled across some of their videos on youtube, however they also have a website where all of these videos have been compiled and they have made up this âinteractiveâ system where you gain points for finishing videos. this is for FREE. Yes you heard right free.Â
4. Anatomy zone (Youtube channel)Â Now this is almost an essentiel for every semester that you do. In almost all of your courses you need a little bit of anatomy, and thankfully this youtube channel has got you covered. It is soo good! I mostly make use of this channel, because honestly they just do it so well and its free.Â
5. Armando Hasudungan (Youtube channel). This very talented artist, makes all the medical concepts become illustrative and thereby making the understanding of the principles that we cannot see become more easy.Â
Study hard, study smart and stay motivated,Â
Love,Â
Dunia
01Â âą 24Â âą 18
my respiratory system notes!.. in which my handwriting gets exponentially worse because i drew this on my phone ._.
-
science olympiadâs gotten really boring so iâve decided to draw the systems, which ended up helping a lot memorization wise too!Â
ah the action potential of the heart
They should make eat-able insulin! And make it donut flavored!
Patient lamenting on their multiple insulin shots a day
I kid you not we had a patient mix her insulin into donut mix and try and take it that way. The only reason we found out was that she brought her grandson into the ER because he had eaten all of her insulin and she thought he was going to overdose.
Her glucose was in the 400âs. The kid was obviously fine.
Best addition.
âIt will never be enoughâ
I am going to write this now while everything is still fresh:Â
Today, I cried for the first time in front of a consultant.
It was a bad day to start with. I had a lot on my shoulders, but that wonât be the main point for this post. Earlier, we had our preceptorials for Rheumatology and we were given about 2 hours to interview and do the physical examination on a patient with Systemic Lupus Erythematosus. Although we had a challenge in extracting the accurate history from the patient because she had trouble recalling some of the details, it went well because she was very cooperative and willing to discuss with us. Weâre halfway through our third year and interviewing patients seemed almost like a routine now. Itâs beginning to feel like a checklist - what to ask, what to look for, and what to do after. It seemed like we are finally getting a grasp on how to do things until..
âAre you really going to start reporting with the vitals? From a 3rd year I would expect a lot more from you.â
âSo what about the pulmonary findings? Expansion? Fremiti?â
âWhy are you reporting on the auscultation findings first?â
âDid you take shortcuts for your other system findings, too?â
I know those werenât necessarily directed to me, but the way our consultant emphasized the weight of our responsibility to the patients really got me. Itâs really still our fault that we had to take so many shortcuts because of the inadequate time and sometimes we really canât help but feel lost. I felt so bad about my own incompetency and I felt even more bad about the possible negative effects it could give to the patient in front of me. Our consultant was still correcting the flaws of our report and I was taking everything she was saying by heart that I didnât quite notice that I was getting teary-eyed.
By the end of the discussion, the consultant was asking everyone in the group what they learned during the session. Everyoneâs answers were really meaningful, because almost everyone did not mention any theoretical learning about the disease discussed but instead mentioned moral lessons that are important to remember. I was ready to give my answer during my turn, to talk about how our patients do not deserve shortcuts, when the consultant instead asked me:
âOh, why did you look like you were about to cry kanina?â
And I was taken by surprise. I think I kind of laughed it off and said it was nothing, but she looked like she was really willing to listen. It was actually past 5PM by then and we were way overtime. She told me: âItâs okay, tell me, Iâd really want to knowâ and even mentioned that her husband was already waiting for her but then sheâd really like to hear it from me.
And I had it. I think everyone knows that feeling before you cry when youâre really trying to hold it in but then everything just immediately flows. I was remembering all the shitty things that happened today - the laboratory tests I had to undergo but failed because my schedule did not permit it, the future org events I had to worry about, my phone dropped earlier and almost the whole screen was damaged, and everything else. Next thing I know, I was already crying.
In between sobs, I still told her the most honest answer:
âMaâam, itâs just that itâs really heavy to realize that weâre already in 3rd year. Weâve been through a lot. Weâve already studied a lot. Itâs times like these that we realize that all those efforts are still not enough.â
And she immediately gave me the best answer I didnât know I needed to hear:
âYou know what, it will never be enough. Ako nga minsan nagkukulang pa rin eh (sometimes I still find myself inadequate). But the important thing is we donât stop trying to be better because our patients deserve at least that. In the public setting, your patients wonât have much of a choice. Itâs only you what theyâre going to get, and itâs up to you to determine what youâre going to give them. Ginusto natin ito.â (non-verbatim)Â
I forgot the rest of her words because I really lost myself back then. I knew the words were comforting, but most importantly, I knew they were real. The reality of medicine as a life-long journey of learning and our mistakes taking toll to our patients was just overwhelming. I was crying, but it actually felt like a relief. It was a good kind of fall, like a scrape on the knee that will eventually lead to a meaningful scar to remind me.Â
I was still feeling bad while walking home, but then one of my classmates told me as I was sharing all these feelings:Â âI think itâs admirable that you take things like that to heart. I feel itâs a sign youâll make a great doctorâ, and honestly I think I will be holding on to that statement for a long while.
Iâm sorry for being an inadequate person today, but honestly, thank You for this. I promise to be stronger tomorrow.
This is an amazing reflection. Just be careful that itâs not too identifiable online to your school or classmates (such that it becomes reportable). Some countries or schools have stringent expectations about the social media behaviours of their students. Or perhaps re-post it privately or to friends.Â
When attendings or consultants take the time to give feedback like this (Itâs very hard not to take it to heart), but generally when it comes from good intent - itâs teaching because they care to teach and improve. It also means that thereâs something to improve, not that youâre inadequate. What you donât want is for people to give up on you and have nothing to say at all or that they donât care about teaching enough to impart anything.Â
First pass at anything in any fashion is the hardest step.Â
It gets easier.Â
If you had told me as a student on internal medicine rotation that I would one day become an IM resident I would have said youâre nuts. That whole rotation was one overwhelming blur to me of too many systems, too much going on and no clue what Iâm doing. My other half occasionally laughs looking back at the hot mess I was then - âyou freaked out for days about the physiology of heart valves and murmursâ. I cringe thinking back at it now. I used to draw a blank and shit myself when questioned on âwhere is the lesionâ for patients with left sided weakness or a left sided facial droop. I was just so overwhelmed with being in hospital and trying to churn book knowledge all too rapidly into clinical practice.Â
4th year was far better than 3rd, by that time, iâd learn to ride that tricycle/bike/whatever. Itâs like the noise died and I could finally get a better sense of my surroundings.
The most important thing you can learn on rotations as 3rd year is coping with âfailuresâ the big and the small and rolling with it.Â
The Smallest Things...
We all go into medicine with a strong desire to help people. Or at least, I hope we do. Somewhere inside, thereâs a pride that what we do can make a difference. We tell ourselves that giving up our youth to studying and walking dark corridors armed with nothing more than a stethoscope and our wits, will be totally worth it because weâll make a difference. But itâs not that simple. Every doctor has a secret; deep down, each one of us sometimes fears that weâre not really helping anybody. That what we do is insignificant. And that we are too, by extension. If you wonder how doctors can feel like they donât help anyone, itâs pretty simple. Real medicine isnât like on TV. Itâs not all action sequences and heroics. Thereâs a lot of paperwork, and sometimes a lot of doing things that it feels like nobody cares or appreciates. A lot of your decisions are made as part of a team, and quite often the individual part you play in any patientâs journey can feel, and be, quite small. So of course you minimise it further. I didnât really do that much for Mrs Smith, you tell yourself. I barely did anything for Mr Jones, really. And it goes on. After all, itâs just everyday work for you and your colleagues. Perhaps your seniors, team mates and even patients donât really seem to notice how much effort you put in. At any rate, it never really seems to be enough. Youâre always fire fighting, always dealing with less resources than you should have, and always apologising for not doing more, and not doing it sooner. Sometimes it feels like all you do is apologise. And sometimes it feels like you never know enough. And sometimes it feels like you can never do enough. Itâs easy to feel like a tiny, insignificant pawn trapped in a colossal system far bigger than yourself. But just at the moment when it feels like that the little flame is about to go out, something happens. A woman points you out to her husband and tells him you were there when they did CPR on him. You spotted the diagnosis your seniors nearly missed; you referred Mrs Smith to the right team and now we finally know how to help her. Your depressed patient meets you for their tenth appointment, but this time they havenât needed a tissue once. They smile; you didnât realise that the tiniest, tiniest smile could look so radiant. You hear back about Mr Jonesâ operation; they got all the cancer. A patientâs mum thanks you for takng time to take bloods; their child is nonverbal, and finds hospital very stressful but your brief time with them was the first time in a long while that she felt her child was treated with respect. You get to see the kid who was brought in looking sick as a dog, skip out of the hospital because of the tiny little things that you did. Why do I write here? Because I canât shut up. But really, itâs because every so often, I hear a little voice that tells me âsomething you said helped meâ, and whenever my own voice falters, I think of them. Why do I draw? Because I feel compelled to, of course, but why draw this? Because if even one person feels less alone, then imagine what kind of a contribution to the world it is. Perhaps it is only a small contribution, but I bet every person you do something for, even if itâs small and insignificant, will remember that action very differently than you do. We have a tendency to minimise the good we do, just as our fears make us amplify the bad. Sometimes, I think of how amazing it is to be able to help someone in even the smallest way. You donât even need to be a doctor to do it, and sometimes even when you are a doctor, the moments when you feel you really helped people, werenât the dramatic ones at all. You just need to take a chance, any chance, to make someone feel better.