MDhopeful @mdhopeful - Tumblr Blog

Hi wayfaring! I just wanted to ask you if you happen to know any canadian medblrs that can give me some information about medical residencies there for international students (I'm from Latin America) I'm about to enter my third year (we have six years of school here) but it's never too early to start looking for some options I loove your blog, been following it for almost 4 years now. So thanks for the help in advance ❤ Happy Holidays!

There are several on the medblr spotlight on my main page, but I think a few are inactive. Canadian medblrs, where y’all at eh? Show yourselves!

mdhopeful

Me! Pick me ! ❤️

nothingbutnetters

Ah yes, another Sunday on my surgery rotation

simplyana1

Never 💉💛

ithelpstodream

surrealmeds

Riding a bicycle - patient success stories

My practice had a lot of stressed out kids. The town I was in enjoyed bullying as it’s favourite sport and the trickle down effect were kids who avoided school and being outside, hated leaving the house, and were afraid of everything.

One of these kids came in with his mom because school had become unbearable for him. He was twitching and moving constantly. Every time I spoke he jumped. He, mom, and I talked about what was going on. Then I kicked mom out to talk to the kid alone - the usual stuff - do you feel safe at home? Is there anything you want me to know but not your mom? Do you ever think about killing yourself?

He fantasized all the time about jumping out in front of a transport truck. We had a long conversation about the difference between a thought and a motive and he seemed to get a lot of relief from that. This kid had a very slam dunk case of social anxiety. He had given up all the things he used to love in life.

I asked mom and kiddo to come back. I talked to them about how a brain works and explained what anxiety was and why it’s so annoying. Then I went through intrusive thoughts and where they came from. Finally, I lent them a copy of What to do When You Worry Too Much. It’s a fantastically approachable book. Mom (who has depression) and kiddo worked through the book together and came in to meet with me too every other week for more coaching and psychoeducation. He’d occasionally try to get out of chores because of his anxiety making his parents cranky. Psychoeducation for them too! Anxiety doesn’t mean he can’t do dishes.

In three months, he came in with a huge grin. He had been riding all over town on his bike the night before. This was just the beginning for him, he kept getting better and better and started talking back to his bullies.

His success made it easier for his mom and sister to finally admit they were struggling too and come for help.

Hey I'm want to go to med school in Canada too! Do you have any tips and can I ask which med school you are going to next year? tysm !!!

Hi! Thanks for the message. I won't say where I'm going to medical school because I want to protect not only my privacy but those of that I talk about in this blog. BUT I can tell you that I go to medical school in Canada! As for tips, I can just say that you should be yourself and do extracurricular activities that you truly enjoy! It will show in your application if you do!

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

populationpensive

For future reference.

homotology

It’s almost that time of the year!

girlinwhitecoat-deactivated2017

wayfaringmd

What do you do for a living?

Pre-med: I study biochemistry all day. I’ve done 100 hours of shadowing in the ER and I’m doing research on mice. I’m like basically a doctor already. Ask me anything medical. Go for it.

1st year Med Student: I just got a white coat because I’m going to be a doctor. Doesn’t this stethoscope look cool? I don’t know how to use it yet, but it looks awesome on my neck. Can I tell you about the alpha and beta subunits of cholera toxin? I know ALL about cholera toxin.

2nd Year Med Student: I read about obscure diseases all day. Check out my mnemonics for the coagulation cascade and the brachial plexus. Oh yeah, I’m going to be a doctor soon. Take a look at your mole? Ummm… I haven’t learned moles yet.

3rd Year Med Student: I scrubbed into surgery today. I didn’t get to touch the patient, but I was totally there and I’m going to tell you all about it as if I was the one performing surgery. No, I don’t know about that medicine yet. But I’m almost a doctor.

4th Year Med Student: I’m going to be a doctor in like 5 minutes. I’ve done literally everything there is to do in the hospital. I have nothing more to learn. Just graduate me already.

Intern: I’m a resident. Yeah, that means I’m a doctor. But I just started my training. I feel really stupid all the time. My attendings have to approve my prescriptions. Um, you have a UTI? Uh, sure, let me look up antibiotics on UpToDate real quick.

Resident: I work in the medical field. Yeah, at the hospital. Heh, yeah, I work long hours. Nope, I’m not a nurse. Fine, yes, I’m actually a doctor. Yes, I can actually write prescriptions. No, I won’t write you some Adderall.

Attending: I uh… work. That’s all you need to know.

nursehumorprn

When families bring food to the nurses station

studydiaryofamedstudent

My desk earlier today 😊 Now I’m on my way home to celebrate the national holiday ❤️✌🏻️

heyitsthatalmostdoctor

When I’m studying in the library and someone walking by tries to make small talk with me

Just wrote my LAST exam of MS1!

Can’t wait to not study and just relax. Kimmy Schmidt here I come <3!

#happydance #celebrate #ms1 #medstudent

mylifeasamedstudent

how to be an awesome med student (and your intern’s best friend)

Medical students are a precious commodity in the intern world. A good medical student makes it a lot easier to get through the day and get all the jobs done. But it’s a fine line between being a clingy medical student and a helpful medical student, and one that’s difficult to work out. So, this is my wish list for all my future medical students – do this and I’ll be indebted to you for life.

Ask for our number and give us yours. I’m always happy to be texted by a keen medical student who wants to put in lines and take blood and clerk patients. If you let me know you’re free, I’ll let you know how you can help. Just don’t page me. Interns are perpetually one page away from a nervous breakdown.

Please carry files on ward rounds. I know that you’re not a human bookshelf, but there are a lot of files and I only have two hands. Any help here is greatly appreciated, and extra points if you volunteer to write notes. It lets me give my hand and my pen a break!

Learn to love the list. The patient list is the most important thing an intern has, and we need our medical students to value this. Whether it’s writing down jobs on the list, helping us type it up, or keeping track of the registrar’s list (he or she will inevitably misplace it), your contribution is noted and appreciated.

Ask questions. Interns are fresh out of medical school and know a lot of things. Most of the time, we’re happy to answer (and it makes us feel like we might actually be semi-competent doctors!). Just pick your moment – over coffee is good. During a code blue is not so good.

Volunteer to do practical things. An IVC resite can take half an hour. If you volunteer to put a new drip in (or even put an IDC in!), we will be forever grateful. I’m even happy to supervise whilst you do it – it gives me a moment to sort through my pages and even delete a few).

Remember that you’re going to be an intern soon – and internship means paperwork. The more you can help us with our paperwork, the better prepared you will be for your internship, and the more likely we are to pay you in coffee.

If the interns are busy, ask us for patients to clerk. I love it when medical students show an interest in my patients and in learning – do this, and I will always listen to you present your findings. It’s a good skill to learn, and it shows that you’re keen to be a part of the team.

I know this sounds demanding, but spending time on the wards with your intern not only prepares you to be a junior doctor, it gives you a lot of hands-on experience that you can’t get from your physiology textbook. And the more time you spend on the wards, the greater your chances of being rewarded with coffee.

Hope to see you on the wards soon!

cranquis

trsarz

For yourself, medicine student.

Remember that you are not defined by a number. You are defined by what you have overcome and what you are enduring. A grade is not important, if you have not learned for your patients. You will treat people, not exams. Learn for them and study for them. They need the best out of you.

When and if you are tired, you are allowed to take a break, whether it be at 10 pm when you dont want to open that cardiology book, at 2 pm when class was difficult to understand or at 4 am when you are running tests on a patient. Take a moment to breathe, and go back to giving your all.

Do not compare yourself to other people or students, you are you and you are amazing. Do not diminish all that you do and all that you have done, because I have seen you work hard. Your only competition is yourself, you are working hard to become a better you.

Remember the reasons why you chose this path and why you started in the first place. I risk to say that beyond choosing this carreer because of the great challenge that it implied, you chose Medicine because of your desire to help another in need and your neverending fascination. with the human body and its art.

Continue working slowly but steadily. Love what you do. Give your best always.

modernathenamd

Thank you for this.

telep0rt

hai! i follow you on tumblr but i'm asking this anon.. and i'm also not the greatest with words.. in regards to your post about "fixing" the whole "number of women in surgical specialties".. for some reason i feel like "fix" is not the right word slash it bothers me.. i think women are certainly as capable as men (if not more imho) but there are plenty of reasons that plenty of women don't go into surgery -- including a very noble one.. just my two cents. with kindness, a half asleep male intern

I think “fix” is exactly the right word. I think “fix” is the right word because women aren’t selecting against more competitive specialties—they’re being excluded by the culture. They’re being excluded by a culture that denies them advancement, isolates them, allows them to undergo harassment, and penalizes them for choosing to have families (while male colleagues do not undergo such penalties).

I certainly agree that men and women are equally capable of practicing medicine in those “more competitive” or “more time consuming” fields. I’m glad we agree on that point. However, as a woman, I see that the culture around me is broken. It’s a culture that, despite evidence to the contrary, tells me I am worth less as a doctor based on my two X chromosomes—and when I see that in the culture around me I would say that’s broken and in need of fixing.

I’m not just making this up. I’m not just telling you this because I was told to my face by admissions boards that I was “too pretty” to go med school. I’m not just saying this because I’ve been asked “well—won’t you change your mind about what you want to do if you get married or have kids?”. I’m not just saying this because I’ve lived it—the facts support a broken culture—the science proves women are still being left behind.

The science proves we’re not as far past a 1950s era of thinking as we once thought.

As of 2012 only 4% of full professors of medical school faculty are women even though they make up nearly equal numbers of physicians receiving degrees. Only 12% of department heads will be women. 12%. Can I say that again?? 12%. 1 in 10 will be female—even though nearly half of the qualified candidates happen to be women. So women will experience slower advancement EVEN THOUGH it has been proven time and time again that women share similar leadership aspirations and are equally as productive as men. Don’t believe me? Let’s talk about how this was published in the Journal of Internal Med by Harvard professors in a study of over 4,000 faculty at 26 US medical colleges. (1)

Nearly half of female physicians report experiencing professional sexual harassment. This isn’t talking about being cat-called by the drunk guy in the ER. HALF of female physicians will undergo sexual harassment by a colleague! A professional member of the same field! While the numbers of men who will undergo such treatment is nearly negligible in comparison. This isn’t some small study either—this is a study of over 3,000 full-time faculty published in the Annals of Internal Medicine.(2)

Male physicians earn on average $13,399 MORE than female colleagues. Oh, you think you’ve got this one figured? Men go into more competitive specialties therefore they earn more?? WRONG. Coming from JAMA, women earn LESS even after corrected for specialty, rank, leadership, publications, and research time. Do you hear that? More than $10,000 extra dollars a year for equal work. So when I say that it needs to be fixed—do you hear me now?? Because there is no excuse to be paid less as merit of your gender, your sexual orientation, your religion, or you race. (3) P.S. This isn’t some study from 1980—this study was conducted in 2012. I actually have this edition of JAMA sitting in my apartment.

AND when women compete for more competitive specialties they have to fight against a culture that has the NYT publishing articles with titles like “Women Leaving Medicine for Home—David Bailer” and “Should Women Be Doctors?—Lisa Belkin”. Both of these articles discuss how women feel they are forced to leave medicine in order to have families—and noting how men leave medicine because they’re tired of medicine (not because they need to raise children). Medicine has created a culture in which women are denied any work-life balance that allows them to be present for their children and they’re forced to leave a career they love in order to do “what is expected of them”. I see a culture that perpetuates the idea that women cannot be both—a work place that denies them the opportunity—and a world in which women disproportionately outnumber men as the one leaving the workplace for families—as broken. Because if the entire culture of medicine is broken to deny a work-life balance then why is it only women and not men who make this choice? Why women who give up their productivity and their careers? Why a world where this is the obvious choice?

WE STILL live in a world where women are told they can’t be surgeons. As noted by Dr. Freischlag in her article for the Yale Journal of Biology and Medicine she was told by a chair at UCLA that he “couldn’t give a surgery job to a woman.” Guess when that was? Please guess? 1950? NO. 2002. 2000 and fucking 2. GET IT? This isn’t some Mad Men era of ass-slapping I’m talking about. This is today! (4)

So, yes, I said “fix” because I am “Mrs. Fix-It”. I see something that’s broken and I want to fix it. I don’t want to accept it. I don’t want to nudge it in the right direction. I want to fix it.

Because two generations after my grandmother realized she was being paid LESS than her male secretary, I shouldn’t be living in a world where I could be paid less. I shouldn’t be living in a world that my grandmother fought so hard to change—only to have the system nearly just as broken underneath. So when I see that the glass ceiling is still overhead—it really fucking pisses me off.

And maybe I’m just the granddaughter of a woman who fought to be on a city council that had never allowed women on it in the history of its existence. Maybe I’m the daughter of a woman who was harassed and had to work harder, publish more, and do better than any of the men around her to make it in the world of science. Maybe that’s part of my identity and that’s why I feel how I do—but I call things the way I see them—and right here, right now—I see something really broken and in need of fixing.

So we need to FIX a culture that tells women they can’t be mothers AND surgeons.

We need to FIX a culture that pays women less money for equal work.

We need to FIX a culture that allows women to be harassed, under-promoted, passed over, left behind, and not treated equally.

We need to FIX a culture that tells women they can’t be surgeons—because in my opinion—it’s fucking broken.

References (Note: if you don’t have med school access to medical journals you won’t be able to read most of these in full text but might be able to access the abstracts of some of them).

Experiencing the Culture of Academic Medicine: Gender Matters, A National Study. Pololi, Linda H. MD., et al. J Gen Internal Med 28(2):201-7.

Faculty Perceptions of Gender Discrimination and Sexual Harassment in Academic Medicine. Carr, Phyllis L. MD., et al. Annals of Internal Med 200; 132(11):889-896.

Gender Differences in the Salaries of Physician Researchers Jagsi Reshma MD., et al. JAMA 2012;307(33):2410-2417

Women Surgeons—Still in a Male Dominated World Freischlag, Julie A., MD. Yale Journal of Biology and Medicine 2008; 81(4): 203-204.

Read the post of mine this anon is referencing.

seasidemedstudent-deactivated20

So important.

larynx-lover

Who has ideas about what I should get Reese for his birthday?

please note that he will KILL me if I do anything extravagant.

mdhopeful

I guess it depends on what the exact parameters of the relationship, but a nice frame with a photo of the both of you is always nice, non expensive and sentimental ❤️

Trending Blogs

Recently Viewed Blogs

MDhopeful