
Discoholic šŖ©

tannertan36
ojovivo
almost home
hello vonnie

PR's Tumblrdome

ā
dirt enthusiast
noise dept.
Game of Thrones Daily

#extradirty
Aqua Utopiaļ½ęµ·ć®åŗć§čØę¶ćē“”ć
I'd rather be in outer space šø

JVL
No title available

Kaledo Art
Three Goblin Art

titsay

JBB: An Artblog!
Jules of Nature

seen from Saudi Arabia

seen from Türkiye

seen from Saudi Arabia

seen from Singapore

seen from Canada
seen from Singapore
seen from Germany

seen from United States
seen from United States

seen from United States
seen from United States
seen from United States
seen from Poland
seen from Netherlands
seen from Cambodia

seen from Netherlands
seen from Malaysia

seen from United States

seen from United States

seen from United States
@honestlymd
It hurts how relatable this is
There has been enormous debate regarding the possibility of a link between childhood vaccinations and the subsequent development of autism.
A meta-analysis examining >1,000,000 children, āvaccinations are not associated with the development of autism or autism spectrum disorder.ā
Over a million kids studied, vs. Wakefieldās false conclusions about 12. Do you think theyāll listen?
āYou may not become the best doctor in the world, or this country, this state or city. Hell, you may not even be the best doctor on your street, at your hospital or clinic, or the best doctor on a hospital floor or in a room at a given time. But when a patient comes to you, scared the headaches, the chest pains, whatever theyāve been having for months might be something worse, at that moment, YOU are their best chance for survival. You are that patientās best hope, and proving yourself worthy of that responsibility is the only title you should ever care about winning.ā
ā A practicing physician for 40 years, and one who still hasnāt lost sight of what truly matters in this profession: the patients.
This Autumn, let something die.
A worry, a relationship, a project that has run its course. Let go of anxiety over the future. Let go of guilt.
Let go of other peopleās dreams for you. Let go of the fear that happiness or success or love or joyousness somehow isnāt for you.
Let go of feeling unwanted. Go outside, can you feel how deeply your presence is craved here?
Let go of the small and burdensome things. Gifts never opened. Keys without a lock. Broken earrings, old love letters, the ephemera on your fridge.
As David Whyte writes, āAnything or anyone that does not bring you alive is too small for you.ā This Autumn, let go of all the clothes you have outgrown.
Let go of comparison.
Let go of doubt.
Let go of the feeling that you are somehow not good enough.
Because every imperfect apple that lays soft in your hands, and every ray of low Autumn sunlight that warms you through woolens will tell you a different story, a much truer story. The story that you are more, much more, than enough. That you bless this world simply by being alive.
Yāall this hit me hard
This is something I really needed to read
The point of voting blue in 2018 isnāt to make the US perfect. We cannot accomplish that in one fell swoop. Thereās gerrymandering, voter apathy, voter suppression, and generations of older party-line fucks we have to deal with.
Voting blue in 2018 is to make it less immediately threatening for PoC, LGBT+ people, the disabled, and any other marginalized demographic. Itās a stopgap against Republicans who are aligned with Nazis, white supremacists, and sexual abusers.
Correcting politics in the United States is going to take decades of new voters staying on top of politics and not falling prey to apathy, like our predecessors.Ā
People telling you not to waste a vote on 3rd Party this midterm arenāt sayingĀ ānever vote 3rd party.ā Republicans have united behind one utterly heinous front. We need to unite behind Democrats, for the time being.
I think next thursday is gonna be the best day of my entire life tbh
reblog for next thursday to be the best day of your life
First interview down
Flying out for round 2 on Monday morning. Interview season, here we go!
Interview Update
Applications: 28
Invites: 23
Scheduled: 18
Pending scheduling: 2
Pending cancellation: 5-6
Declined: 3
Completed interviews: 0
Estimate of interviews to be attended: 15 (still way more than enough, but so hard to narrow it down... might get closer to 12 as time goes on)
...and thereās one program near the top of my list Iām still waiting to hear from. Iām beyond humbled and grateful that I have more than enough interviews. However, let this be a cautionary tale. Do not over-apply. I should have listened to the match data that reported diminishing returns for greater than 19 applications or something for a family medicine applicant with avg scores or greater. Having to decide which to keep and which to cancel without visiting the program first is really stressing me out. Iām confident that I have some great programs to choose from, but what if one I cancel would actually be a great match? I want to make these decisions quickly to free spots for other deserving applicants. I never ever dreamed I would be in this situation, and all I want to do is make the best decision for my future career while being as respectful as possible to all of these programs and other applicants.
Anyone have advice for narrowing it down quickly? So far close-reading program websites just gives me more reasons to want to visit all of these places, which is not feasible for my time or wallet.
Anyone else not get a presidential alert on their phone today? I mean Iām not complaining that Trump doesnāt seem to have the ability to send me texts but...
Most bang-for-buck things every intern should know before starting inpatient wards
Source. A collection of Meddit resources and advice on what bread-and-butter topics interns would most benefit from brushing up on/memorizing prior to the beginning of their internship. 1) Fluids. How and when to use them, dosage, timing and other pearls.
Review of fluids (not how to use them per se) by Dr. Strong /u/ericstrong
Maintenance Intravenous Fluids in Acutely Ill Patients - NEJM.
Pretty thorough review of fluid management on openanesthesia.org
2) Nausea. When to treat, how to treat and at what dose.
3) Standard pn orders: pain killers, sleep aids and antiemetics aka how to reduce nighttime calls from nurses by 25%
4) āReflexā antibiotic choice for routine inpatient infections.
http://www.bpac.org.nz/Supplement/2013/July/antibiotics-guide.aspx /u/ChristianM and /u/ive_been_up_allnight
5) Initial work-up and treatment of dyspnea. (more realistic to approach by symptoms as, unfortunately, you first have to diagnose whats wrong. E.g. heart failure, pulmonary edema, embolism, COPD, pneumonia).
6) Initial work-up and treatment of oliguria/anuria.
7) A sensible initial approach to suspected ileus.
8) Blood. When, how, why to replace.
9) Pain. Optimal management without inducing narcosis.
Managing cancer pain: Frequently asked questions: CCJM
10) Potassium. When, why and how to shift or replace.
A review on both potassium and sodium disorders by Dr. Strong /u/ericstrong (Not reposted in 12) hyponatremia but applies there as well) https://www.youtube.com/playlist?list=PLYojB5NEEakXVIAapcSEleP4doUdHVtld
11) Hyponatremia. Most common electrolyte disturbance, commonly mismanaged.
12) Resuscitation aka commit the ACLS algorithms to memory.
Current ACLS guidelines. https://www.acls.net/aclsalg.htm
Would love a video series, interactive cases etc.
13) Basic EKG interpretation.
Whole EKG video courses
A whole free youtube EKG video review course by medditās own u/ericstrong
An alternative EKG course that takes you through all the basics. This however has no free version and costs 96$ a year. The quality is amazing. Here are 6 basic sample videos on youtube. The paid course is available on http://www.ecgteacher.com/
I have to admit I havenāt used this course personally but his free youtube videos are on-point and he seems like a good teacher. Also behind paywall. Free youtube samples are here. The full course can be found here https://www.ecgacademy.com.
EKG video cases
Amazing case-of-the-week emergency medicine EKG videos on youtube by Dr. Amal Mattu
ā If you like Dr. Mattuās cases (and you most certainly will) he is still posting every single week on his new site https://ecgweekly.com. It costs 4 starbucks coffees a year and is going to save someones life.
Practice EKGs with answers
Watching videos isnāt enough, you still have to grind out EKGs to keep your game strong. Visit http://ecgmadesimple.com and http://ecg.bidmc.harvard.edu/maven/mavenmain.asp for this.
EKG blogs
I recommend signing up for some kind of RSS feed (e.g. https://feedly.com/) and subscribing to the following EKG blogs:
http://hqmeded-ecg.blogspot.is (Dr. Smiths ECG blog)
http://www.ems12lead.com
http://ecg-interpretation.blogspot.is
http://jhcedecg.blogspot.is
EKG resource libraries
Life in the fastlane has a nice resource to look up a specific EKG finding, criteria or concept.
http://www.practicalclinicalskills.com/ekg.aspx /u/collidge
14) Know when to order ABGs and how to interpret them.
Almost too detailed video lecture series on ABGs and how to interpret them by Dr. Eric Strong (/u/ericstrong)
Practice makes perfect. ABG interpretation generator. https://abg.ninja/abg
Bonus 15) Basic CXR interpretation
CXR video lecture course
Again, Dr. Eric Strong has an excellent video course for free on youtube
Step-by-step guides to basic CXR interpretation
The Radiology Assistant: Chest X-ray - Basic interpretation
Radiology Masterclass step-by-step basic CXR
University of Virginiaās step-by-step basic CXR
All inclusive resources
The art and science of thoracic imaging All inclusive resource for all things thoracic! Jokes aside amazing resource.
UPenns CXR learning website
Loyola Universities excellent CXR Atlas Most outdated look but amazing content.
Checklist approach to CXR
Bonus 16) Overnight o-shit-whatās-that Head CT interpretation
Midnight radiology: Emergency CT of the head
University of Virginiaās guide to the Head CT
Hey, self: review before NCLEX. Xo, me.
Oh hell yes
For future reference.
Must. Study.
Scheduled to post right before intern year starts. Gulp.
Reblog to save a life. You got this, bbs.
we need it all
Future reference
There are a lot of misconceptions out there about the flu shot.
But following a winter in which more than 80,000 people died from flu-related illnesses in the U.S. ā the highest death toll in more than 40 years ā infectious disease experts are ramping up efforts to get the word out.
āFlu vaccinations save lives,ā Surgeon General Jerome Adams told the crowd at an event to kick off flu vaccine awareness last week at the National Press Club in Washington, D.C. āThatās why itās so important for everyone 6 months and older to get a flu vaccine every year.ā
But many Americans ignore this advice. The U.S. vaccination rate hovers at about 47 percent a year. This is far below the 70 percent target. And college students are among the least vaccinated.
Think You Donāt Need A Flu Shot? Here Are 5 Reasons To Change Your Mind
Photo: Mary Mathis/NPR
Most exciting interview invite so far today! One of my top choices, which is also one of the most highly respected family medicine programs in the country. Iām absolutely floored that they would even consider me, much less send me an interview invite this quickly.
This interview season is shaping up to be a wild few months!
4 more interview invites today... starting to think maybe 28 programs was overkill. I honestly had no idea so many places would get back to me this quickly. But who knows, maybe things will calm down and I wonāt hear from any more until after Deanās letters come out? The unknown is hard. There are a few places high on my list I havenāt heard from and I donāt want to overbook myself
1st weekday after ERAS submitted...
TWO interview invites!! One scheduled for late October, the other hopefully sooner if I can get it. Still waiting to hear back. This is real now... I guess I should buy a suit?
Officially submitted ERAS today
It feels weird to say that. 28 programs and $400 later... itās done. Now we wait!