FEARLESS @confessionsofanamazedmind-blog - Tumblr Blog

Professor Alexandre Quintanilha. Wisdom Words. Translated from Portuguese. - “It Gets Better”.

Such a brave man! One of my heroes!

When you're gay and someone says: "oh, you don't dance? There are plenty of hot girls there!" and you just can't take your eyes out of this hot boy at the bar, that has been smiling to you all the time. He seemed so cute, with his suit and bow

Intimate daydreams #1

#love #happy #quotes #me #daydreams #dreams #intimate #personal #reflections #cute #boy #hot #guy #guys #gay #lgbt #smile #suit #bow #hotguys #hotboy #bar #emoçoes #rapaz #lindo #bonito #handsome #beauty #romance #sonho

Farewell

Instagram: throughmywind0w

#farewell #goodbye #adios #adeus #bye #sorry #light #sad #emotions #emotion #triste #cry #chorar #monument #coimbra #saudade #lamp #night #sorrow #inspiration #idea #life #streets #street #ruas #reflection #reflexo #soul #mind

Another era.

Instagram: throughmywind0w

#past #anotherera #passado #vida #life #instagram #instadaily #city #window #soul #winter #raw #sad #house #abandoned #picture #photo #photography #old #sky #landscape #blue #emotions #goodbye

Faculty of Medicine, Coimbra | Portugal

#coimbra #medstudent #medst #medicine #medicina #student #university #universityofcoimbra #night

dontwannasaygoodbye

If you see this, please don't kill yourself. You will thank yourself one day. You will be happy you are alive.

#suicide #kill #sad #hope

midwest-medblr

Why Medical School Is Important

This week, I learned a lesson about why medical school is so important. For 4 years, we cram everything into our heads, a little about every specialty. In the end, we all just can’t wait to specialize in our own fields and not have to remember the majority of other stuff we memorized. We can always just consult someone else if we need help right? Well… What if you didn’t recognize the underlying problem in the first place?

This week on neurology, we had a 27 year old woman who was admitted overnight for severe headache. They ended up doing a brain MRI, which showed several small diffusion weighted defects in the posterior brain consistent with strokes. We were asked to see her in the morning for evaluation of “strokes”. I was asked to read her chart and go see her. I thought it was a little odd that a healthy 27 year old had strokes, but you never know. I start reading up and see that her systolic blood pressure has been above 160 all night. They were allowing some degree of permissive hypertension for her strokes. Her creatinine was 1.4. They also assumed this was because of her elevated blood pressures. Finally, there was protein in her urine. I keep reading and notice she is 4 days postpartum. I haven’t even seen the patient yet and put the pieces together in my head. Elevated blood pressure, severe headache with visual scotomas, elevated creatinine, protein in the urine, postpartum… Holy shit, this person has preeclampsia with severe features and needs to be started on a magnesium drip immediately!

I want to go into Ob/Gyn, so naturally I was a little excited that I recognized this. I immediately went to my 70 year old attending and told him this. He looked surprised, and I could tell he probably hadn’t thought about this disease in decades since usually they are admitted to ob/gyn and not neurology. He asked me to call the ob/gyn that was on. Within a few hours, she was seen and started on a magnesium drip for preeclampsia with severe features. My attending and I went to radiology and had them re-read the scan. She had PRES not strokes. This woman could have gone home on aspirin, an anti-hypertensive, and a statin with neurology follow-up and had a seizure a day later from full blown eclampsia.

In the end, I learned about how one person going down the rabbit hole of one diagnosis can lead to a series of several providers going down it as well. It was a shining moment for me as a medical student, not going to lie. But it also showed me the importance of being well read and not shutting out my mind to other specialties. We all need to know a little about everything and when to realize our limits and consult someone else. And a lot of the time, medical school is the only immersive experience we will get in many of these specialties. It matters more than just learning for the sake of the shelves.

Working on my thesis

About intestinal microbiota and gut-brain-axis!

Reading paper reviews..

I guess I’ll write one :)

Francesco Gabbani is so SEXY!!

(***and I’m a guy***) cof cof

#francesco gabbani #occidentali's karma #eurovision #eurovision 2017 #italy #italia

When wikipedia does the Job.... And you feel you finally understand.

#neurology #neurologia #medicine #medicina #white matter #grey matter #spinal #reflex #spinal nerves #dorsal ramus #ventral ramus #medula espinal #espinal medula #ventral root #dorsal root #neuroanatomy #student #study

Glad to see so many folks -- gay and straight -- stepping up and participating in The Trevor Project's It Gets Better series designed to encourage gay teens ...