- Endless MD -

The hectic life of an International Medical Doctor

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Medical student in winter be like:

“Ain't no weather cold enough, stopping me from studying…”

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”Each one of us at some point asks this question. The tragedy is not that life is short, but that we often see only in hindsight what really matters....” — Dr EKR

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Celebrating with colleagues at work my new job offer. It was very difficult to get a speciality in Sweden. Mainly because I’ve studied MD abroad and no one knows about me here. I applied many times to university hospitals and got rejected twice. It was hard for me to get over the job rejections. But after a while I applied to another city and finally got accepted to internal medicine speciality. Although I’m not looking forward to move far away from home, but I’m happy this time I don’t need to leave Sweden. Let’s hope for the best 🙏 Please wish me good luck.

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I once told my husband, who works in the tech industry, “You have a bad day, something doesn’t get done, I have a bad day, someone dies.” I encourage everyone to remember this the next time they think doctors are paid too much or don’t care enough. Bad days are high stakes in this job, and after a bad day, we take a deep breath, adjust our hats, and go back and do it all over again. — Sarah Reck

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Teatime at work (swedish aka fika). So much in love with my new “emergency medicine” book. Highly recommended!

Order it from here: https://akutboken.se

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Wellen's syndrome

*Wellen’s syndrome is a characteristic T-WAVE on an electrocardiogram during a PAIN-FREE PERIOD in a patient with INTERMITTENT CHEST PAIN. *T-wave changes represent reperfusion of the myocardium. *This finding suggests a high-degree stenosis of the proximal LAD that will soon result in an acute anterior wall myocardial infarction (MI). *Discovering Wellens’ syndrome is imperative as 75% of patients will develop acute anterior wall myocardial infarctions (MIs) within one week unless intervention is undertaken urgently- highly specific There are two variations of Wellen’s syndrome T-wave. V2 and V3 are diagnostic leads but the T wave changes can be widely spread in more anterior chest lead is occlusion is more proximal. Type A -75% of cases deeply and symmetrically inverted T-waves in V2 and V3.

Type B- 25% of case biphasic, with the initial deflection positive and the terminal deflection negative T-waves in V2 and V3.

Reference

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2776372/

http://lifeinthefastlane.com/ecg-library/wellens-syndrome/

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Art inspired by “The Quatrains” of Baba Tahir. He was a Persian Mystic, Sufi Poet. 
 [Art©️by EndlessMD]

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[Art in progress] • Inspired by a deep and emotional poetic line in Persian/Farsi language, goes as following: “نه در جان نه برون از جان كجايى" (Not inside my heart not even out of it Oh beloved, where are you?...)

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There is nothing more magical than decorated trees and lights in the hospitals or family care clinics. Here’s our contribution. A special thanks to all the wonderful nurses who helped with the Xmas decoration.

Merry Christmas from Sweden

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My cute study buddy, Totoro sama ^__^'

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Today, I'll be assisting at the colposcopy clinic and before they open, I'm reviewing the staging of cervical dysplasia: (An intraepithelial lesion occurs when normal cells on the cervical surface are replaced by a layer of abnormal cells, and these changes are classified as high grade or low grade. 1) Atypical squamous cells of undetermined significance (ASCUS)—Borderline, some abnormal cells 2) Low-grade intraepithelial lesions (LGSIL)—Mild dysplasia and cellular changes associated with HPV 3) High-grade squamous intraepithelial lesions (HGSIL)—Moderate to severe dysplasia, precancerous lesions, and carcinoma in-situ (preinvasive cancer that involves only the surface cells)

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I just got this idea from @supercoolygirl posting a pic of my Galentine’s day gifts by #medblrs across the world! Love from USA, Scotland and Germany <3

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I don’t usually celebrate Galentine’s Day, but when I do, I do it with style. Happy Galentine’s Day 2017 dear followers. Sending warm hugs to @fuckyeahnarcotics, @la-petite-principessa, @studentdrveebs & @descantforhope thank you for making my G-day so special <3

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"Book collecting is an obsession, an occupation, a disease, an addiction, a fascination, an absurdity, a fate. It is not a hobby. Those who do it must do it...." ~ Jeanette Winterson

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This ECG looks abnormal. I see no P-waves 😱only some Q-waves before QRS-complexes or maybe its a "ventricular fibrillation". Anyway this patient needs further clinical evaluation.

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Merry Christmas and A Healthy New Year! <3

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Dear Santa, l want a cardiac scintigraphy chair for Christmas, ‘coz I tried one last month and it was so damn comfy.