Saturday, January 31, 2009
Friday, January 30, 2009
There is an upside to the story though. I took my tire to be repaired right away since the actual tire doesn't fit in the spare's spot and I don't want it in my car. They made the hole bigger, put some nasty brown semi-solid crap in the tire, and say that it should last a couple years. When I asked how much it would cost, he said "4." I fully expected that to mean $40, and thought that was a fair enough price. I asked if he took credit card and he said, "no, not for $4, this is not the states." I almost felt bad only giving him $4 to repair my tire, change the spare back out, and fill all the others with air. But, then I remembered the conspiracy that they have going to keep the roads in such bad condition, and I didn't feel bad anymore.
Note: For those wondering, that picture definitely was not taken by me, or in SXM! There are evergreen trees in the picture, but certainly no evergreen trees in SXM. If the road were lined by palm trees and oddly placed boulders, then I'd guess St. Maarten roads.
Thursday, January 29, 2009
Wednesday, January 28, 2009
Tuesday, January 27, 2009
Basically, this class is all cases that are presented to us, and we have to diagnose them. I thought they'd be boring, but they're actually very interesting and teach you a lot. At the beginning of the day, we're presented with a case. We can ask any questions we want, run any necessary labs, and can ask for the results of a complete physical exam. After that, we can usually make a diagnosis. But, then we get a ton of questions related to the case that we have to research that night. For example, our first case was an acute abdomen. Turns out the patient had acute pancreatitis, caused by gallstones which were obstructing the flow of the exocrine pancreas. But, the case required us to research cholecystitis (gallstones), appendicitis, pancreatitis, and a few other causes of abdominal pain, how to differentiate them, necessary lab tests and interpretations, detailed anatomy, etc. So, at the end, a very good review for the step.
In any case, thought people might like to see what the dry erase board looks like at the end of the day. Yes, by the end of 5th semester, you do know what all this means. This is a pretty early case, so they'll just get a lot more complicated from here.
Note: We weren't really considering sarcoidosis as a diagnosis. But, we included it because, according to House, sarcoidosis is a possible cause of just about everything!
There are a lot of people that can't wait to get started in medical school, and usually I am very happy to be here. But, if that is not proof that medical school is far from glamorous, I don't know what is.
Saturday, January 24, 2009
How do you get to be in the Honors Society?
1. Do about average in school (you only need an 83% overall average)
2. Complete a community service activity in your 20 months here
3. Most importantly, don't piss anyone off. The deans apparently do not look highly upon blog posts being published in the local newspaper ;)
Long story short, I can send all of the photos to my parent's computer at home using dropbox.com, and that transfers the pics a lot faster than flickr. It still took 3 days to do, but in that same time, I only got about 40 pictures up through flickr. Now that the pictures are all there though, I'm uploading them using their connection (20mbps FIOS). Needless to say, it is going MUCH faster now! So, another day or so, and the rest will be posted!
Thursday, January 22, 2009
Wednesday, January 21, 2009
Tuesday, January 20, 2009
To the first semesters: I'm still working on White Coat pics. But, I do have to find time to study also, so please just bear with me for a little while longer. For my white coat, we had to pay for any pictures, they weren't very good, and they took over a month to get. So, I'll deliver them for free, higher quality, and much faster. But, it's still going to take me a week or so.
Saturday, January 17, 2009
I recently purchased the WhiBal to improve the White Balance of my photos. I was not sure how good of a job it would do, but I can now tell you that the tiny little grey card that is the WhiBal, is pretty damn amazing! According to the manufacturer, every WhiBal that goes out the door is individually measured with a spectrophotometer, to assure that they are perfectly neutral.
To use it, you just snap a picture with the WhiBal in it (you can either hand-hold it, or have someone hold it for you), and then take the rest of the pictures as usual. When you get back to your photo editing software (I use Adobe Lightroom), you just select the appropriate tool (it's the eyedropper in the develop module of Lightroom), and click on the grey card. Then, you apply those white balance settings to the rest of the pictures.
Below, I took a sample picture, so you can see how well the thing works. The first picture is just a regular shot from the camera on program mode, with auto white balance turned on. As you can see, it doesn't do a great job with the energy saver bulb that I've got in my room, and gives everything a horrible yellow cast. The second picture is just a duplicate of the first, with the white balance settings from the WhiBal. The fix literally took about 3 seconds in Lightroom, but the difference is night and day. I did not make any other changes to the picture, except the white balance settings copied straight from the WhiBal picture.
The WhiBal can be purchased here
The white coat ceremony and party were last night and aside from possibly the single most unprofessional speech that I have ever heard, it was very nice! Dr. Model was the keynote speaker, and he did a great job. Joel also did a good job as MC, keeping people interested. I was debating not going to the after party since I wasn't really in the mood to stay out late, but I'm glad I stayed! It was definitely a very nice break from studying...probably the last one I'll have until the 5th semester party. I'm in the process of editing the pictures from last night, but it's going to probably take a week or so before they're posted.
Thursday, January 15, 2009
1. a USAir flight crashed into the Hudson River
2. I bought my first O2 sensor for my car.
First, my car, since that happened first in the day. My check engine light has been on for a little while and I finally had time to check it out today. Toyota wanted to charge me $100 just to hook the computer up to a little machine that tells you what's wrong. The device can be bought for about $80 online and takes all of 30 seconds to hook up and use. Fortunately, I didn't take my car to the dealership, and took it to another shop that did it for free. The problem wound up being that one of the 4 O2 sensors has gone bad. Unfortunately, it's probably the hardest to access of the 4, but at least the replacement part was not terribly expensive. I also changed my air filter for the first time (not the first time it's been changed, but the first time I did it)! So, with my utter lack of knowledge of anything car-related, these were pretty major accomplishments for me.
I'm sure you've all already heard about the airplane crash into the water. I always assumed that the life rafts were a little stupid and that if your plane ever crashed, you weren't going to be alive enough to make your way into the raft. However, it would seem that an experienced pilot can actually put an airplane, with no engine power, down safely into the water. Fortunately, even though the plane was completely full, there were no fatalities and everyone made it out relatively unscathed.
For now though, it's time to get back to studying for the Med Ethics final tomorrow. I thought that med ethics would be quite the experience for me, since I have some pretty strong views on a few ethical issues. Fortunately, it turns out that my views on most of the issues are the proper views. At the least, they're the ones that are commonly accepted by the medical profession. Probably the most important thing I learned though is that people just love to sue doctors, so it's best just to consult your hospital's lawyer if you're not 100% sure.
Monday, January 12, 2009
1. AUC does a good job of presenting the information that you'll need for the USMLE
2. I have an awful lot of studying and re-learning ahead of me!
There were maybe 1 or 2 questions on the diagnostic, out of 150, that I did not remember ever hearing about. Everything else, I know that I was taught at some point, but I just don't remember it right now. According to Kaplan, biochem is BY FAR my weakest subject, with pharm and anatomy not far behind. However, even though we've only had about half of pharm, I got a 45% on the section, so I don't really feel too bad about that. Biochem and anatomy were also first semester, so it's been a long time (over a year) since I've looked at that stuff at all. I'm surprised how well I did in micro, but I think that's the product of lucky guessing. I've got a lot to review in path, but there are just so many little details to differentiate between many diseases, so I think that Kaplan can help a lot with refreshing my memory on those things.
Kaplan says that I should spend between 3-4 months studying, based on my performance on the diagnostic. I've got 3 months to study at AUC, and then I'm taking a 7 week intensive Falcon review course (which they're definitely not factoring into their equation), so I ought to be good to go!
Note: The title is, of course, assuming that you are not a 5th semester student or above!
Sunday, January 11, 2009
Saturday, January 10, 2009
Friday, January 9, 2009
1. The MMR shot (measles, mumps, and rubella) does not cause autism
2. Seriously, the MMR shot does not cause autism...there is not a single properly performed study to say it does, and there is tons of evidence that it does not
3. Some parents, who are likely not properly educated in the scientific method, or who have not performed nearly enough research into the subject, still believe that vaccines may cause autism
4. However, despite what some parents think, there is still no evidence that any vaccine has any link to autism
5. If you do not have your children vaccinated for MMR, they may get M, M, or R
6. If your child gets measles, they can get encephalopathy and a whole host of other nasty problems, including the major side effect of death
7. If they get rubella and pass it on to their children, their children may either die or have some other nasty issues.
8. Basically, you definitely do not want these diseases....they're no fun at all and may even permanently stop fun
9. So, the MMR vaccine is safe, rarely has serious side effects, and does not cause autism
10. Here's the kicker....there are still parents that will not have their children vaccinated, based on inaccurate information, and probably ignoring their doctor's advice.
Fortunately, in the US, you can't go to public school unless you have the MMR vaccine. Unfortunately, it is possible to get a religious waiver. Also, you do not have to vaccinate your children if you don't send them to public school. Not only are these parents putting their children at great risk, but they are putting the lives of all other unvaccinated individuals at risk. So, my question is, why in the world do we allow parents to make these decisions?
It is already illegal for parents to withhold treatment from their children for religious reasons. Clearly, a precedent has been set that while parents almost always have the right to decide for their children, they are not usually given the right to do things that are going to be dangerous to their life or well being. However, we continue to allow people to go unvaccinated, often simply because the parents are not properly educated. Should parents really continue to be given the choice to deny their children vaccinations which have been proven to be safe and effective at preventing death?
So, although I still don't know what the issue ever was in the first place, thank you to the pharm department for allowing the students to have a voice.
Thursday, January 8, 2009
This is Microsoft's add for their new Songsmith software. It's supposed to compete with Apple's Garage Band, but I can't imagine anyone over the age of 5 actually using this program. It's mostly just sad. I don't know why Microsoft can't seem to get anything right for the past couple of years. If you haven't already switched to a mac, this commercial might just make you want to. And no, it doesn't get any better as it goes. Also, did anyone else notice that THEY'RE USING A MAC BOOK PRO, with a sticker covering the Apple Logo!!!
In other news, I unlocked Heath's iPhone 3G, so I am now absolutely certain that it's possible (and quick and easy). If you've got a new iPhone, or are thinking about getting one, I can help you get it unlocked and ready to go on the island. If you have an old iPhone though, really no reason to upgrade since google maps doesn't cover St. Maarten, and there is no 3G signal.
Wednesday, January 7, 2009
For now, back to studying for the ethics quiz tomorrow, where I will find out, once and for all, if I am an ethical person. At the very minimum, i'll find out if I can at least distinguish which answer among 5 would be considered the most ethical. I've always thought that ethics were a pretty subjective topic. But tomorrow, there is only one right answer.
Tuesday, January 6, 2009
The story and more pictures can be found on thesmokinggun.com
Monday, January 5, 2009
I wish I could say that Behavioral and pharm were interesting, but they weren't, at all. I really can't wait until February 25th, when those two classes are over. It's nice this semester, that our classes don't start until 9:30, but it really sucks that we have two half-classes for the first half of the semester, that keep us there from 12-2. And, since the pharm chairman refuses to budge on his position that we should have double classes (a position which fully 100% of the class disagrees with), on Wednesdays, we have class from 12-3 (after ICM from 9:30-11:30). Somehow, we're supposed to also find time to study for the step. We'll see how that goes.
Saturday, January 3, 2009
In any case, this is the last time I'll have to fly to the island until Graduation. By that time, I'll probably be very glad to be going back (mostly just because I want my degree). I suppose St. Maarten is technically civilization, but it's just nothing like the US, and I like what I like. While on break, I've had amazing food that is either not available on the island (Chipotle, just about any nice chain restaurant you can think of) or is extremely overpriced on the island (like sushi).
I've also spent a decent amount of time at the firehouse, keeping up my paramedic skills. Unfortunately, I didn't really get any good calls (which is good for the community, since a good call for me is a very bad call for the patient), but I did get ample time to use my patient centered interviewing skills. The people I rode with said I was nicer and more tolerant of the patients than I used to be, so I guess those ICM classes are paying off. Either that, or I've been away from the ambulance for long enough that I'm no longer burnt out, and I enjoy riding it again. I also try to keep in mind that even though I know that the patient isn't really sick and doesn't need to go to the hospital, they don't necessarily know that, and especially if they're older, they're probably pretty scared. Keeping that in the back of your head is always a good idea and makes things better for everyone.
Finally, it's always fun to find out how much I've actually learned in medical school. While on the ambulance, I found a systolic murmur in a patient and actually knew what it meant, and how it related to her other conditions and her medications. I would not have found the murmur a year and a half ago, and I definitely would not have known what it meant. I also saw my first Wolff-Parkinson-White Syndrome on the EKG strip, and again, actually knew how it got there! I'm not exactly sure if it's just so rare that I've never seen it before, or I just didn't know what I was looking at, but I found it this time.
Friday, January 2, 2009
Anyway, starting yesterday, the pharmaceutical companies have agreed to stop handing out all of their free little toys, which I think is a real shame. If you want to get a great idea of all the neat things they handed out, I'd recommend you visit drugreptoys.blogspot.com. Among the freebies were the usual tons and tons of pens and prescription pads, but also EKG calipers, Mag Light flashlights, pen lights, reflex hammers, first aid kits, reference books, mouse pads, and even USB flash drives!
I think it's just awful that these things are going away before I even make it to clinicals! The biggest argument against them is that people think that physicians were letting their drug choices be influenced by the swag. I'd really hope that physicians had a little more sense than to prescribe based on what pen they were currently using, but maybe some didn't. Fortunately, the free dinners and lunches will not stop, although that's probably only a matter of time too. RIP, drug rep pens.