Forever in medschool

Just a lazy MD

[medblr-of-a-sleepyhead]

Okay....so.... Seems like it's been forever since I made a study post on this blog, so.... Here it is 😂

It's currently 2 am here, and I'm slogging through the massive hepatology unit 😭

In other news, I impulse bought a heck lot of highlighters about 2 weeks ago, and since then, I feel like I've been drowning in a variety of pastel and bright neon shades. But I'm definitely loving it. 😂

A special shout-out to the Oxford Handbook of Clinical Med, which I bought about a month ago, and it has honestly been a life saver 💖 I was initially skeptical about the too small size and the even smaller font lmao.....but it has grown on me XD especially its distinct brand of humor 😂 the little in-jokes and dank med humor scattered throught the book is a joy to discover XD 💕

//24/03/2020//

[minuty]

[tubes-n-needles]

Medical specialities as Disney villains

1. Anesthesia - Maleficent

Because duh! Plus, when pissed off enough, we turn into a dragon (Critical Care docs).

This has nothing to do with me claiming the best villain for myself. Absolutely nothing.

2. Dermatology - Evil Queen

3. Internal medicine - Yzma

4. Surgery - Cruella de Vil

5. Ortho - Gaston

6. Emergency medicine - Hades

7. Family medicine - Jafar

8. Neurosurgery - Queen of Hearts

9. Pathology - Dr. Facilier

10. Pediatrics - Mother Gothel

[jiecuetomd]

S/P #PLE2019 Failure

Hello! Call me Jie, a 30yo unlicensed MD from the Philippines. I've always wanted to be a doctor. Didn't really think I'd do well doing anything else. I don't know how I knew this since I was about to be the first doctor in the family. I was also never the overachiever student in elementary and high school unlike some of my medschool classmates. It was a common story that you'd hear. Consistently part of the honor roll until medschool. Ako, I was never in the honor roll. I was the one student you'd here to be "matalino sana, kaso tamad". I was on okay student though, I didn't fail my classes. I did okay. I did okay until college. So imagine my medical school journey where being okay was not okay. I transferred to a different medical school after my first year in Medical School A. A clean slate, if you will. In Medical School B, things weren't any easier, as expected. I had so much to give but my laziness was a hard habit to break. I was able to survive college without any proper studying so that made medical school extra hard. Most people who purposefully go to med school are usually overachievers. I was not an overachiever. No sir. Medical School B was known to be a pretty money hungry school and although I know that I had some shortcomings, I fell short of a smooth med school journey yet again. So I decided to transfer to Medical School C. Medical School C was a small and fairly new. But they had a different curriculum and I did pretty well. Long story short, I took the boards, was a tad bit unprepared and honestly super overwhelmed with only 2 months to relearn everything I was supposed to know, and failed. I have no excuse for it really. And I applaud all of my friends for passing after a super concentrated amount of time. I knew I had no grace under pressure, I still pushed through. I'm proud of myself for doing that. I was paralyzed with fear but I went on with it anyway. I mean I failed and plunged head first but I'll charge it to experience. It has now been 2 days since I found out that I failed my first ever board exams. I have received messages from friends and seniors, even from residents back from the hospital. One of them messaged me saying, "My heart really broke for you. I took the boards twice too. I know how it feels and I hope you know that this does not mean you are not good enough. Grieve now, but get back up even harder." I'm going to take that to heart. I need to remember to be kind to my friends especially to my juniors. It's so easy to be disheartened and quit, but I'm just going to be disheartened and go on. Lol. I think what hurts the most is that I hurt my parents. They really thought I'd pass. I almost thought I would too. My mom won't even open her Facebook because her friends' kids passed the PLE. I understand and I wish I was the only hurt one but pain doesn't work like that I guess. Ewan. Also, I have never deactivated social media accounts sooo fast. Hahahahaha! I was happy for my friends, I still am. But I'm hurt and disappointed and in so much pain. Ako muna. Ako muna. Then the world. Cheers to March 2020 PLE! I'll make you my biiiitch!

[medicalstudentlife97]

BEST MNEMONIC EVER

(also my regular expression in semester)

source: insta @neet.usmle.centre 

[medically-challenged]

FREE MEDICAL PDFs

Anatomy:

1–> KLM for Gross Anatomy

2–> Snell’s Anatomy

3–> BD Churassia

4–> RJ Last

5–> Grey’s Anatomy

6–> Langman Embryology

7–> KLM for Embryology

8–> BD For General Anatomy

9–> Dissector

10–> Di Fore Histology

11–> Junqueira’s Histology

12–> Netter Atlas of human Aantomy

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LYV9KQ3lxY29FY28

Physiology:

1–> Guyton

2–> Ganong

3–> Sheerwood

4–> Sembulingam

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LdXlCSjdZM214dEE

  Biochemistry:

1–> Harper

2–> Lippincott

3–> Chatterjea

4–> Satyanarayan

5–> Stryer

6–> MRS Biochemistry

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0Ld0o3WnhCR2VEczg

Pathology:

1–> Big Robins

2–> Medium Robins

3–> Pathoma

4–> Goljan

5–> Harsh Mohan Pathology

6–> Atlas of Histopathology

7–> Levinson

8–> MRS microbiology

9–> Microbiology by Jacquelyn G. Black

10–> Color Atlas of Microbiology

11–> Kaplan Pathology

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LYkRYdjFrTm5MR0U

  Pharmacology:

1–> Big Katzung

2–> Mini Katzung

3–> Kaplan Review

4–> Lippincott

5–> Pocket Katzung

6–> Rang and Dale’s Pharmacology

7–> Atlas of Pharmacology

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LMkE1UUVRZGwtTlU

Forensic Medicine:

1–> Simpson’s Forensics

2–> Krishan’s Forensics

3–> Atlas of Autopsy

4–> Atlas of Forensic Medicine

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LQXVwOGoyWnFSV2s

Ophthalmology:

1–> Jogi

2–> Jatoi

3–> Parson’s Textbook of Eye

4–> Kanski

5–> AK Khurana

6–> Atlas of ophthalmology

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LOHc5WVZMdkJjX2M

Otorhinolaryngology:

1–> Dhingra

2–> Logans Turner

3–> Color Atlas of Otorhinolaryngology

4–> Maqbool’s Text Book of ENT

5–> Clinical Methods in ENT by PT Wakode

6–> ENT at a Glance

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LaDY2a0lFNDlfTGc

Community Medicine:

1–> Monica’s Text Book Community Medicine

2–> Mahajan And Gupta Text Book of Community Medicine

3–> Bancroft’s Text Book of Community Medicine

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0Lc1RCMml2NjhFNjA

Internal Medicine:

1–> Churchill’s Pocketbook of DD

2–> MTB Step 2 Ck

3–> Davidson Essentials

4–> Davidson Principals and practice

5–> Harrison’s Internal Medicine

6–> Internal Medicine USMLE Nuggets

7–> Internal Medicine on call bt LANGE 8–> Oxfords Specialties

Folder link–>https://drive.google.com/open?id=0B3WdpdsqpX0LeEFJNG5TMlc4eWc

Surgery:

1–> Bailey_love short practice of Surgery

2–> Churchill’s pocketbook of Surgery

3–> Deja Review of surgery

4–> Farquharson’s Textbook of Operative General Surgery

5–> Hamilton Bailey’s Physical Signs

6–> Oxford Handbook of Clinical Surgery

7–> Schwartz’s Principles of Surgery

8–> Macleod’s Clinical Examination

9–> Macleod’s Clinical Diagnosis

Folder link–>https://drive.google.com/open?id=0B3WdpdsqpX0LRFpFSG5hZ1pVWkE

Obstetrics & Gynecology:

1–> Case Discussions in Obstetrics and Gynecology

2–> Deja Review of Obstetrics Gynecology

3–> Obstetrics by Ten Teachers

4–> Gynaecology illustrated

5–> Gynaecology by Ten Teachers

Folder link–>https://drive.google.com/open?id=0B3WdpdsqpX0LMU1LRjFDa1FrbjA

Pediatrics:

1–> Nelson Essentials of Pediatrics

2–> Nelson Complete

3–> Pediatrics Review

Folder link–>https://drive.google.com/open?id=0B3WdpdsqpX0LUkdTQkVuNV92Yzg

I hope this helps everyone, it’s not mine. But has been shared to me and I am sharing this with all of you.

[jamesrhodey]

[25/?] (insp.)

[senyorajie]

OR girl! S/P LTCS II +BTL

[jiecuetomd]

My internship, in pictures. A 56yo female with Endometrioid CA.

[wayfaringmd]

Hi - I hope this isn't a weird question, but is it appropriate to give thank you gifts to a GP? and if so, what? my GP has saved my life (literally and metaphorically) and been wonderful at helping my mental illness and I'd like to give him at least a small Christmas present or something. Is that weird? Love your blog, hope you have a great day!

It’s definitely okay to give your doctor a gift. Ethically speaking, it’s not okay for us to accept gifts or services of any great monetary value, so don’t go crazy. The gifts I’ve gotten from patients have mostly been food like home-grown vegetables, eggs, or baked goods. 

I had one bring me some sort of moisturizer she made at her house, and a few have brought me small Christmas gifts like candles or knick-knacks. I’ve gotten bacon from 2 patients.I had one who brought our office vases of flowers from her garden every other month or so, and a few who have provided lunch for the whole office before. 

Honestly, my favorite things I’ve gotten from patients were cards or letters expressing their gratitude. They are rare and we really do appreciate them.  So whatever you give your doc, definitely include a little note!

[quilavastudy]

Hey love your blog! I just wanted to ask what textbooks and websites did (or even now) you use mainly over the time you've been at your medical school? Thanks x

Hello! Ooh I have a ‘textbooks’ tag if you want to look through that. 

Overall, my must-have textbooks are probably:

- the oxford handbook of clinical medicine, and the oxford handbook of clinical specialties. These are tiny lil handbooks that have pretty much every clinical thing you need to know! They’ve been like my bible throughout med school.

- Davidson’s Principles and Practice of Medicine - this is a big boi medicine book, which is good if you want more detail. I especially like the way it lays things out and explains things, and it has a good anatomy and physiology section at the start of each chapter. A lot of people use Kumar and Clarke but I vouch for this one, I think it’s a lot better.

- the Top 100 drugs by Andrew Hitchings - I only recently got this book because I was hoping it will save me for the prescribing test we do in 5th year. I think it actually might, it’s a brilliant pharm book! (And it’s tiny)

——

The websites that have helped me the most are:

- patient.co.uk (here’s an example page) - this is sooo good and is usually up to date with good detail. If there’s ever something missing in a textbook this is the first website I’ll use, make sure to use the sections that are for medical professionals though. 

- BMJ best practice. Again this is a really good website, and is very reliable and legit. I especially like the way it’s laid out, and the differential diagnoses are great. You do need to get access via your uni login though - I think all med schools in the UK have access. 

- youtube. Definitely good for understanding things like pathophys, immunology etc! There are some really good channels like Khan academy medicine, and Armando.

- geeky medics. This is a really good online resource written by doctors and med students, that has things like OSCE guides, clinical examination help, etc. 

[senyorajie]

Ferning’s Test of q 20yo G1P0 PU 38w2d AOG by LMP, CIL, PROM x 7hrs | Ferning’s Test (+)

[dykes-deactivated20200607]

doctor on a television show performing a life or death surgery: alexa this is so sad play how to save a life by the fray 

[captainmdphd-blog]

Tips for the new ‘terns...

Rule #1: Don’t lose yourself in the system.

This is important. Intern year was, by far, the most difficult thing I’ve had to do. This includes cancer, grad school, and medical school. It’s really fucking hard. The hours are long and, often times, inhumane. The patients can be incredibly mean and unappreciative of your time and care. The learning curve is near vertical. This is near impossible to handle alone. Rely on your support system. Try to hold on to at least one non-medicine related activity. Regardless of what the medical education system seems to be saying, remember that you are a person, having a life outside of the hospital doesn’t make you a bad doctor, and you are allowed to put yourself first. YOU SHOULD NOT HAVE TO SACRIFICE YOUR HEALTH FOR THE SAKE OF YOUR PATIENTS. Seek out the support you need. Utilize Jeopardy as needed. This will be a hard year; take care of yourself and take care of your co-interns. Don’t let anyone around you drown, especially if that “anyone” is YOU.

Rule #2: Rely on your upper level residents.

Accept help when it is offered. Ask for help when you need it. This is harder to do than it seems. After four years of pain, you finally have that MD (or DO) behind your name. Your patients and assorted hospital staff are calling your doctor. You feel like you’re supposed to know what you’re doing… but you don’t. THIS IS OKAY. Medical school doesn’t prepare you for this. You are supposed to be stupid. If you came into intern year already knowing how to care for patients then residency would be a moot point. Absorb as much knowledge as possible from your upper levels. Ask all the questions. Quite literally there is no such thing as a stupid question during intern year. If you are drowning and feeling overwhelmed to the point of being unable to accomplish your work, SPEAK UP. No one is perfect, and your upper level may not recognize that you’re drowning. Remember, half of your upper levels were interns just a few hours/days ago. We are all still learning. Make your needs known, and accept our help when it’s offered. Especially early in the year.

Rule #3: Organization is the name of the game.

Your primary objective as an intern is to get shit done. Simple. You can’t do that if you’re disorganized. So, first things first, get yourself a system of organizing your patient-related tasks and stick with it. Write down everything. EVERYTHING. Afternoon urine output check on a heart failure patient? Write it down. Told a patient you’d drop back by his room to clarify some questions? Write it down. Need to remember to write your daily progress note? Write it down. Need to enter in daily labs for tomorrow? Write it down. You get the picture. I personally used the folded side of a printed patient list, but any organization system that prevents tasks from falling between the cracks is golden. Good interns aren’t the ones who know everything. Good interns are the ones who let as little as possible fall through the cracks. Book knowledge, knowing the next step in management? Overrated. That comes with time and repetition. This is how you get there.

Rule #4: Use your med students.

Let’s be honest here. By the time intern year starts, the third years are starting to get into a groove. They’ve been around for a couple of months at least, and, chances are, know way more about logistics of the hospital and the basics of the EMR than you do. The AIs are an even more seasoned source of info. Use these guys to your advantage. Given how useless you feel on any given day as a med student, I found it kind of nice to be able to help the new interns. 

Rule #5: Don’t let anyone rush you into making a non-urgent decision!

This was really hard for me to grasp. I felt like a failure every time I’d get paged about a cross-cover situation that I couldn’t immediately handle. It’s fine, guys. Very few situations require an immediate answer. Take your time. Paged about a patient with hypotension? As long as they’re mentating appropriately, take a few minutes to see where the trend of their blood pressure over the day. Check to see if there’s a recent TTE to determine if they can handle a big IVF bolus. You have time. Don’t let anyone try to pressure you into making an immediate non-critical decision. It’s totally ok to admit that you need to look at the patient’s chart first and you’ll call them back in a few minutes. This isn’t a weakness. This is you practicing good medicine.

Rule #6: Play well with others.

Medicine is a team sport. Your part, while important, it only one piece of a larger whole. You’re going to have a bunch of different, though usually complementary, professions surrounding you in the hospital. Getting along in a team sport is all about appreciating everyone’s POV and contribution. Never, ever, ever dismiss someone’s input. If your nurse is telling you that she is concerned about a patient, ask her why. Try to understand. Don’t just blow her off as being paranoid. This sounds ridiculously basic but, trust me, that reaction is really tempting when you’ve got notes to write and seven other patients who also need your attention. Disagree with a nurse’s request for pain meds, anxiolytics, an ekg, x-ray, etc? Think out loud. Explain your reasoning. One of two things typically happen. One, she already knows everything you’re telling her and just had to pass along the request to get the patient denied from “the doctor”. Two, you teach her something. Beyond nursing, you’ll also be interacting with pharmacists, nutritionists, respiratory therapists, etc. Strike up a conversation with any of these guys and you’ll be AMAZED what all these professions can teach you. Trust me… it’s a lot.

Rule #7: Don’t let bad interactions taint your view of an entire profession.

You’re going to meet asshole nurses. You’re going to meet asshole doctors. You’re going to meet asshole patients. It happens. Difficult as it may be, don’t let one interaction taint your view of an entire population. 

Other Tips and Tricks:

My method of organization (https://tmblr.co/Zzhx1h2M0rPsM)

Paging etiquette (https://tmblr.co/Zzhx1h2N9W0Fn)

Teaching med studs (https://tmblr.co/Zzhx1h2NWra51)

[ahooooooy-bitches-deactivated20]

[seachromes]

STROKE: Remember The 1st Three Letters… S.T..R … My friend sent this to me and encouraged me to post it and spread the word. I agree. If everyone can remember something this simple, we could save some folks. STROKE IDENTIFICATION: During a party, a friend stumbled and took a little fall - she assured everyone that she was fine and just tripped over a brick because of her new shoes. (they offered to call ambulance) They got her cleaned up and got her a new plate of food - while she appeared a bit shaken up, Ingrid went about enjoying herself the rest of the evening. Ingrid’s husband called later telling everyone that his wife had been taken to the hospital - (at 6:00pm , Ingrid passed away.) She had suffered a stroke at the party . Had they known how to identify the signs of a stroke, perhaps Ingrid would be with us today. Some don’t die. They end up in a helpless, hopeless condition instead. It only takes a minute to read this… STROKE IDENTIFICATION: A neurologist says that if he can get to a stroke victim within 3 hours he can totally reverse the effects of a stroke…totally. He said the trick was getting a stroke recognized, diagnosed, and then getting the patient medically cared for within 3 hours, which is tough. RECOGNIZING A STROKE Remember the ‘3’ steps, STR . Read and Learn! Sometimes symptoms of a stroke are difficult to identify. Unfortunately, the lack of awareness spells disaster. The stroke victim may suffer severe brain damage when people nearby fail to recognize the symptoms of a stroke. Now doctors say a bystander can recognize a stroke by asking three simple questions : S * Ask the individual to SMILE .. T * = TALK. Ask the person to SPEAK A SIMPLE SENTENCE (Coherently) (eg ‘It is sunny out today’). R * Ask him or her to RAISE BOTH ARMS . If he or she has trouble with ANY ONE of these tasks, call the ambulance and describe the symptoms to the dispatcher. NOTE : Another ‘sign’ of a stroke is 1. Ask the person to ‘stick’ out their tongue. 2. If the tongue is ‘crooked’, if it goes to one side or the other that is also an indication of a stroke. A prominent cardiologist says if everyone who gets this e-mail sends it to 10 people; you can bet that at least one life will be saved. And it could be your own.

First reblog post that actually saves a life.

This is a life-saving post.

the more you know

yeah don’t think that this can’t happen to you or someone you know if they’re young. my cousin’s wife is 33 and she had a stroke last year

I’ve had a stroke. It happens to people, and the more you know about this kind of stuff, the better.Because it could be important to know.

[obnoxiouscolours-blog]

LIVE SAVING. WOOOAHH. REBLOG REBLOG REBLOG REBLOG REBLOG 

[animeaves-deactivated20230612]

Had a family member almost die of one, so signal boosting because you never know when you could save a life.

[butimaloneandfree]

Because I feel bad if I don’t reblog…

[cumbermums]

My mother died after being paralyzed by a stroke. Please read this^

[turquoisemagpie]

I remember a while ago here in UK there were stroke-identifying adverts. Their catchphrase was FAST:

F- Face: is their face fallen on one side?

A- Arms: can they raise both their arms up and hold them there?

S- Speech: is their speech slurred? Can they speak a full sentence?

T- Time: if all the signs show a stroke, call 999.

We managed to save my nana with this information when she had her first stroke. 

[rhokotela]

Quick tut on how to read a c-spine x-ray for my trauma fiends out there.

[cranquis]

TSK: Chief Complaint “2 y/o with fever and runny nose x6 hours”

Cranquis: … so this virus will probably stop causing fevers within the next 2 days, and as long as he keeps drinking liquids meanwhile, he’ll be just fine.

Mom: BUT YOU’RE GOING TO GIVE HIM ANTIBIOTICS FOR THE INFECTION RIGHT.

Cranquis: Well, if there were any signs of bacterial infection on his exam, I would definitely do that. But this is a viral infection, and viruses just giggle when they see antibiotics.

Mom: NO YOU GUYS HAVE STRONGER ANTIBIOTICS THAT KILL ALL THE VIRUSES TOO AND YOU’RE GOING TO GIVE HIM SOME BECAUSE I AM SICK AND TIRED OF HIM GETTING VIRUSES EVER SINCE HE STARTED DAYCARE 6 MONTHS AGO.

Cranquis: That’s the unfortunate nature of daycare – kids share all their viruses around a lot. On the plus side, he’ll have a much healthier immune system by the time he starts school and–

Mom: HE WON’T EVEN SURVIVE TO START SCHOOL AND WHEN HE DIES BECAUSE OF THIS VIRUS IT’S GOING TO BE YOUR FAULT FOR NOT GIVING HIM ANTIBIOTICS. THERE HAS TO BE SOMETHING YOU CAN DO TO KEEP HIM FROM GETTING VIRUSES.

Cranquis: Well, funny you should mention it, because I noticed he hasn’t had a flu shot yet, and the flu is a virus that could actually kill him, so a flu shot could help keep him from getting a deadly virus.

Mom: I’M NOT PUTTING THOSE CHEMICALS IN HIS BODY HE NEEDS TO FIGHT IT OFF ON HIS OWN.

…and some people say that if you put your ear up to the door of Urgent Care Exam Room 4 today, you can still hear this conversation taking place on an infinite loop until the eventual heat-death of the universe…