When the going gets rough, dance @icdanci - Tumblr Blog

Moieciu, Romania

PGY3

Everyone kept saying this year would be better...and I thought that it wasn’t going to be. But I’m actually getting to the point where I enjoy doing things because I no longer feel like an incompetent, bumbling, lumbering...dolt?

I think this week is the first time I actually felt excited about being an attending rather than crippling anxiety, so cheers to that. And goodnight. Cause Gyn morning wake-up calls are kicking my ass.

#resident #residency #obgyn #pgy #pgy3 #gynecology #obstetrics

memewhore

ronanwazlib

au where everything is the same except sirius black is played by jonathan van ness from queer eye

everythings-onfirebut-itsfine

Harry: Wait, so Pettigrew actually betrayed my parents?

Sirius:

sealmaiden2000

why text ONE heart when you can text THREE and still have them be big! thats my motto

mjalti

good thoughts: solar power

bad thoughts: Yzma (main character of Emperors New Groove fame) shouting PULL THE LEVER KRONK everytime I pass by a fire alarm

nevver

La bibliothèque, Thibaud Poirier

milesgmoralles

The only thing I’ll be waving is your decapitated head on a stick in front of your weeping mother!

lifealamed

Reblogging for future gif usage… I feel like I could probably find uses for at least one of these daily.

thedailystyles

The Late Late Show

bottleoftonic-blog

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) “Reflex” 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 meddit’s 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 haven’t 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

– If you like Dr. Mattu’s 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 isn’t 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 Virginia’s 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-what’s-that Head CT interpretation

Midnight radiology: Emergency CT of the head

University of Virginia’s guide to the Head CT

sothisisnursingschool

Hey, self: review before NCLEX. Xo, me.

md-admissions

Oh hell yes

tachycardic-tendencies

I guess it’s almost time 🙌🏽

icdanci

really need to review this before july...

80slesbiab

chiefcomplaint

lmao

aspiringdoctors-blog

😂😂😂

md-admissions

I’M SCREAMING

Changes & Shit

I haven’t been on Tumblr in a hot minute. I came on here and was like, who dis? What layout? Buttons where?

Just kidding, I wasn’t that clueless. And I’m pretty sure I occasionally hit the wrong App on my phone and open Tumblr, scroll through and repost 2 things, and then close it out. But I usually get inspired to blog in the middle of the night when I should be sleeping so why not sit down and reflect on some of the things that have happened.

Graduation is around the corner - like 15 days away at this point? I’m a little over 2 weeks away from graduating from medical school and that is a terrifying thought. In just a few short months I will be putting in orders (officially - no one looking over my shoulder to sign them off!), cutting into uteruses, and delivering babies. Looking back, I feel like not that much time as passed and I haven’t changed, but I also feel like I’ve lived through a lifetime and I barely recognize the girl who started this whole med school thing. Nothing can really prepare someone for the reality that is medicine. No matter how much you shadow or scribe or watch Gray’s Anatomy, all the AP classes and upper division Biology and extracurricular activities will not prepare you. Before this whole journey, I used to really encourage people, “YEAH! Do medicine! Find your fulfillment! Change the world!” Now, after going through the process and seeing how many physicians become cynical and jaded and beat up by the system, I am much more cautious with my words - “Make sure you do your research, eliminate other alternative paths, have a passion cause nothing else will really remain at the end of the 4 years...” and that sounds sad, but...

...what you gonna do?

Unbelievably I passed my boards, apparently rocked some interviews, and now I get to move to a new state for OB/GYN. I am so ridiculously excited to start working in my field. I feel so at home with pretty much everyone I’ve met that’s going into this field and I know that I’ve found my perfect fit.

JK I don’t have this amount of confidence. I’m actually terrified of messing up, but I’m sure that comes with the territory of intern year. I just hope that all of those goals and dreams that little Ioana had of changing lives and being that doctor that her patients love and rely on will come true...is that naive? I’m sad to be leaving all of my friends, especially since most of them decided to match at the home base and the rest are still in school here. But I’m also really ready for a new adventure. I’m ready to stop worrying about bumping into people that I don’t want to talk to. I’m tired of being on the lookout for Romanians. HAHA. And I really want a breath of fresh air in regards to how things are done in the hospital - I want to be exposed to varying techniques, styles, interpretations, and applications.

GAH. Not sure what I’m rambling about. I’ve been awake for almost 24 hours and I think it’s time to go to sleep. Maybe I’ll become more consistent on Tumblr now? Probably not, but if I ever do, is there anything that anyone wants me to talk about? Match process? Applications? Medical school? Something that isn’t related to medicine like makeup or books or my 5 week vacation to Europe? HAHA.