JVL
KIROKAZE
Sweet Seals For You, Always
Product Placement
🪼
I'd rather be in outer space 🛸
❣ Chile in a Photography ❣
almost home
noise dept.
$LAYYYTER
Stranger Things
Andulka
PUT YOUR BEARD IN MY MOUTH
taylor price
Peter Solarz
let's talk about Bridgerton tea, my ask is open
izzy's playlists!
Not today Justin
JBB: An Artblog!
Jules of Nature
seen from Malaysia
seen from Russia
seen from Malaysia
seen from United Kingdom
seen from United States
seen from United States
seen from United States
seen from United States
seen from United States
seen from United States
seen from Malaysia
seen from Türkiye
seen from United States
seen from United States
seen from United States
seen from Malaysia
seen from United States
seen from Malaysia
seen from Malaysia
seen from Peru
@mostly-medical
Admission #226: Maternal
Intern: Hey can I run something by you?
Me: Yeah of course!
(Case is presented, we discuss)
Me: Good job, I think you have a solid plan here. You should be proud of yourself, you’re ready to be a senior in a month!
Intern: Thanks, mom!
Me: …mom?
Intern: I don’t know I just said that.
–Me, apparently now a mom; intern, my new mortified daughter
Oh yes. I even got exams where A meant 1+2+3, B=1+3, C=2+4, D=4. So, yes. cool. half of the time I was trying to figure it out what letter I had to choose after having chosen the figures.
If you’re in academia and not having an existential crisis, are you even learning?
me: men aren’t inherently evil and have the capacity to be loving, vulnerable and empathetic human beings
men: *try their absolute damndest to prove me wrong*
To everyone who just started intern year...
YOU’RE DOING GREAT! Trust me, everyone feels shitty. It’s the very unfortunate nature of intern year. There is no learning curve; it’s a fucking straight vertical line. Things will get easier with time. You will relax with experience. It will be okay.
How to be a good intern? Show up on time. Work your ass off. Get shit done. Have a moderately good attitude. Recognize and learn from your mistakes. That’s it, y’all. The rest will come with time and experience. Open invitation to ANYONE who wants to vent or ask questions. If I can survive intern year, so can you. It’s going to be okay.
The captain said it all. You’re rocking it. If you have questions or need to vent, I’m here! I don’t write a lot because my thoughts don’t always translate well into writing but I’m pretty much always checking up on Tumblr.
Soft color tone <3
Glasgow 👍
A chemist, a physicist, and a biologist go to the beach. The physicist is intrigued by the waves, walks into the ocean to examine them and drowns.
The biologist is intrigued by the various forms of life, walks into the ocean to study them, and drowns.
The chemist is sitting on the beach with a lab notebook and writes “Biologists and physicists are soluble in water.”
very into charts about naps
Nap charts guys.
Naps are the best when studying for exams
In 2010, Sonia Vallabh watched her mom, Kamni Vallabh, die in a really horrible way.
First, her mom’s memory started to go, then she lost the ability to reason. Sonia says it was like watching someone get unplugged from the world. By the end, it was as if she was stuck between being awake and asleep. She was confused and uncomfortable all the time.
“Even when awake, was she fully or was she really? And when asleep, was she really asleep?” says Sonia.
The smart, warm, artistic Kamni – just 51 years old — was disappearing into profound dementia.
“I think until you’ve seen it, it’s hard to actually imagine what it is for a person to be alive and their body is moving around, but their brain is not there anymore,” says Eric Minikel, Sonia’s husband.
In less than a year, Sonia’s mom died.
An autopsy showed Kamni had died from something rare — a prion disease. Specifically, one called fatal familial insomnia because in some patients it steals the ability to fall asleep.
Basically, certain molecules had started clumping together in Kamni’s brain, killing her brain cells. It was all because of one tiny error in her DNA — an “A” where there was supposed to be a “G,” a single typo in a manuscript of 6 billion letters.
Sonia sent a sample of her own blood to a lab, where a test confirmed she inherited the same mutation. The finding threw the family into grief all over again.
Today, Sonia and her husband live and work in Cambridge, Mass., where they are both doctoral students in the lab of Stuart Schreiber, a Harvard professor of chemistry and chemical biology. Over the past several years, the couple has completely redirected their careers and their lives toward this single goal: to prevent prion disease from ever making Sonia sick.
A Couple’s Quest To Stop A Rare Disease Before It Takes One Of Them
Photos: Kayana Szymczak for NPR
the next time you think you’re lonely, just remember you have about 25 billion white blood cells in your body protecting your sorry little ass with their life. you have 25 billion friends who would die for you. no need for tears.
thank you osmosis jones
My immune system tried to kill me though.
Jordan just remember you had twenty five billion enemies trying to kill you and you’ve survived them all
Take THAT you tiny goddamn sons of bitches.
@thebibliosphere
….well that’s one way to put it all
me: hey how about this super awesome cool idea that i spent days thinking about
my PI: that's pretty good but.. how about..hmm lemme just ponder for a second here... THIS one
me: holy shit that's SO much better
How To Be A Good Med Student In The Clinical Years
A doctor once told me that the best instrument we have is medicine is the retrospectoscope. Basically he was saying that often it is easier to make sense of things when looking back from the vantage point of the future. This is true of life too. After being an intern for two months I suddenly understand what things make for a strong med students, and what things do not. Unfortunately, I feel like I lacked many of the qualities that would have made me a helpful med student. Though I cannot rectify my own mistakes, perhaps I can pass my advice on to future generations of third and fourth year medical students. I now present, how to be a good clinical med student:
Show up. This seems obvious. When you are there to work, then be there to work. It is so frustrating when medical students are mysteriously absent all the time (only to be found later in the cafe or cafeteria) or when they are there but totally disinterested in what is going on. I understand that sometimes as a medical student things get slow - like when the interns are putting in orders and notes or when there is a slow call day. But at least bring something to read. Don’t play Pokemon Go. Don’t spend all day on Uworld. Make an effort to learn real clinical medicine.
Take initiative to learn. When I was a third year I would wander the hospital to find learning opportunities. I made friends with the telemetry nurses and they started a folder of good tele strips to give me each day. I would go to other teams and see if their patients had good exam findings. I found the cardiology fellows and asked if they had good patients with murmurs. There is so much learning that can happen if you are willing to experience it. Now, referring back to number 1, make sure you always let your residents know where you are. Personally, I would be ecstatic if my students went to hunt down murmurs rather than playing Pokemon Go.
Read your patient’s chart. This can be very helpful and will make you look like a star. Residents are busy taking admissions and sometimes don’t have the time to hunt down records that are three and four years old. You can stand out by doing that Look at a patient’s past hospital notes or their specialty clinic notes. For example, you might be able to alert the resident that an old echocardiogram demonstrated a below normal ejection fraction, which in turn might change how much fluid the patient is given. Or perhaps you found that during a hospitalization in the past the patient became delirious and needed a one-to-one sitter. Find ways to add information in a helpful, non-prescriptive, non-judgmental way. I guarantee your reviews will benefit.
Read about your patient’s condition. Even if you just browse Medscape, UpToDate, or some other curated source, make sure you understand the basics of your patient’s primary diagnosis. If they are there for heart failure, read over the basics of treatment. If they have autoimmune hepatitis look up some info on diagnosis and prognosis. These things will get noticed, especially when you ask intelligent questions on rounds. Do not be like a med student I had who, when asked, reported for 4 straight days that he had not read about his patient’s disease. He instead responded he was too busy with Uworld so he would get a good shelf score.
See your patients. I literally had students who, on rounds, tried to present without actually having seen the patient in the morning. This is a huge no-no. Get to work early enough to see your patients, review their labs, and their overnight events.
Practice your presentations. Even if it is on your own or with other medical students, spend time working on your presentation skills. Heck, even ask the residents to watch you. I would be happy to do that for any of my students. Unfortunately, none have taken me up on that offer and instead bumble through their presentation each day making the same mistakes. By the end of medical school you need to be able to make a good presentation.
Spend time working on note writing. Compare your notes to your residents’, your attendings’, and the specialists’. Everyone has a different style. Look at lots of notes to determine a style for yourself.
Forget all the step 1 stuff you learned. I find many students perseverate on the terrible stereotypes and patterns they see on step 1. Not all black people with cough have sarcoidosis. Not every patient with acute kidney injury needs urine eosinophils. These are good associations, but realize that step 1 has little overlap with real clinical medicine. Take those associations with a grain of salt.
Don’t just look for zebras. I cannot tell you how many times students opt not to follow a patient because the case “doesn’t seem that interesting.” The majority of medicine is made up of mundane and common diseases such as heart failure, pneumonia, COPD, cirrhosis, etc. It is pretty rare to get the exciting cases, like disseminated histoplasmosis or a crazy paraneoplastic syndrome. A lot of learning can happen on cases that are “bread and butter” medicine. Make sure you follow those cases too.
Be gentle to your interns/residents. The transition from 4th year to being a doctor is swift and brutal. It is easy to criticize when you aren’t the one taking 5 admits. Find ways to help your intern/resident, because in return they will help you. I learned this lesson the hard way my 4th year, when I unintentionally threw an intern under the bus while trying to look smart. Afterwards she took me aside and reminded me that she controlled much of my fate while I was a student under her. I learned my lesson and we went on to become very good friends.
The clinical years of medical school are daunting. You constantly feel like a tap dancing monkey, trying to impress people you barely have time to get to know. But personally, I am not looking for someone who knows everything about everything. That’s why you are in school. The best thing you can get out of third and fourth year is how to do a good history and physical, how to write good notes, and how to triage patients. The best students are interested, willing to learn, and know their patients well. If you keep that in mind, the clinical years are much simpler. I promise, if you follow your patients you will learn much more than just doing qbank questions.
Best of luck on your clinical rotations. Don’t make things too complicated. At the end of the day have fun, treat your patients right, and keep an open mind. The learning will happen whether you recognize it or not.
Start by doing what’s necessary; then do what’s possible; and suddenly you are doing the impossible.
Francis of Assisi (via quotethatword)
trabajo en equipo FOREVER <3
-VIENDO COMO ESTUDIANTE DE MEDICINA-
VIENDO COMO ESTUDIANTE DE MEDICINA
