"The ED embodies the highest ideals of public ser- vice. Providing unrestricted care 24 hours a day, 7 days a week, the ED is a social and health care safety net in many communities. The health status of an entire population is often reflected in the ac- tivity of a single ED, making EM a truly public- health-oriented field. As practitioners, we have a responsibility to operationalize EDs a s integral components of the country’s health and social wel- fare system." By Lewis Goldfrank M.D. #emergencymedicine#MSIV#almostadoctor#medschool
Patients present with fever, neck stiffness, and altered mental status. Headache (more gradual than SAH) and photophobia are also frequently seen.
Neisseria meningitides presents with petechiae or palpable purpura.
How bad do you want it? What are you willing to go though? What are you willing to do? Nothing ventured, nothing gained. Have you truly given it your all?
Here's an incredible story. Doctor comes to America and can't land a residency in psychiatry. He keeps at it but no dice. Finally has to take odd end jobs just to pay the bills and make ends meet. Then gets the break of a lifetime to come interview in New Jersey. Hurricane Sandy is here as its 2012 and no flights. This doctor is determine so hops in care w wife who is 7 months pregnant and drives through hurricane. Arrives at near empty hospital, only senior resident is present who calls the residency director in. Director is impressed and offers him a residency position on the spot because of his grit, tenacity and determination. It took this doctor 10 years to land a residency! Have faith, believe and never give up. Link in bio for story.
A very cool gated aortic MRI shows four intraaortic thrombi attached to the wall of the descending aorta moving in synchrony with the cardiac cycle!
This 85-year-old woman has a history of coronary artery disease venous thromboembolism. She presented with abdominal pain, fever, vomiting, and diarrhea.
As seen above, the aortic MRI revealed four intraaortic thrombi attached to the wall of the descending aorta that moved in synchrony with the cardiac cycle.
Mobile thrombi rarely develop in the aorta, unless formed in top of an atherosclerotic plaques, they are a potential source of embolism, meaning that they may detach and move further to cause ischemia and necrosis of the visceral organs and lower limbs. A very common sequels being mesenteric ischemia with bowel necrosis.
The patient was put on anticoagulation therapy which decreased the size of the thrombi.
Dear ABOG (American Board of Obstetrics and Gynecology),
Hope you love my thesis!
xoxo, NMC ❤️
A little behind the scenes in life post-training. I'll sit for my fellowship oral boards in the spring and one requirement is to submit a thesis (which you spend 1/2 of your 3 year fellowship working on). Examiners will the pick it apart to test your knowledge of the subject matter, clinical or basic science research and statistics. The other parts of the exam include an evaluation of your cases from a complete calendar year out in practice and standardized cases. It's a very anxiety provoking test!!!
But seriously, RELIEVED to have this thesis sent off and out of my hands! 🙌🏻
Passo a passo do tratamento para hiperplasia prostática benigna via cateterismo. Esse tratamento visa desobstruir o caminho que a urina faz da bexiga até a uretra, facilitando a micção! 😍❤
Step by step treatment for benign prostatic hyperplasia via catheterization. This treatment aims to unclog the urine's pathway from the bladder to the urethra, facilitating urination! 😍❤
Today's new nugget of knowledge: THIS IS THE REAL LIFE SIZE OF YOUR UTERUS/CERVIX (and the real life size of an IUD). Learned about methods of contraception today and I literally learned so much. Like idk how i got so far in my life without knowing how truly tiny the female reproductive system is- AND how much it stretches when you have a baby!!! Is that not crazy??? And then your uterus goes back to almost normal size (it's 10% bigger), but like imagine a baby's head fitting through that small hole like omg. The human body is magic 😧! I love medical school. We got to practice implanting the IUD's in the models and got a retractable one to take home and it's super fun to play with 🤗
Also side note: IUD's are actually a super great form of birth control- highly effective and fewer side effects and not as burdensome as taking a pill every day! I've anecdotally heard of friends who have said their IUDs were painful to put in and know a lot of people on the pill, but fun fact, the IUD is actually the #1 recommended form of birth control for adults AND adolescents!!
Honored to have met the legendary Dr. KJ Lee, the former President of the American Academy of Otolaryngology. Definitely one of the highlights of my experience working in the field of ENT! •
"A good doctor takes care of the disease, a great doctor takes care of the patient."
OR Wednesday! People are nice enough to let me help out with the large head and neck cancer resections and reconstructions that happen usually on Wednesdays. Got to close a whole 14-15 inches of real estate today!
🚨WARNING: LONG POST🚨I took this picture before my overnight shift and I had no idea what my overnight shift would be like going into it. When the shift started, the ER was slammed right off the bat. Multiple critical patients were coming in via EMS and the doctor and I were bouncing around from room to room seeing patients. A third of the way into the shift, EMS brought in a patient in full cardiac arrest. After numerous attempts to resuscitate the patient, the doctor eventually had to call 'time of death'. I stood there stunned. This was the first time I experienced that in person and I didn't really know how to react. Shortly after, the ER staff resumed work as if nothing happened and that's when I realized that death is inevitable in a hospital environment. People die and although the doctors' jobs are to prevent that from happening, that won't always be the case. Death is part of the profession and as much as we want to avoid it, sometimes it needs to be embraced. #myscrubslife
Hippocrates is considered the father of modern medicine. This quote often utilized for the eloquence with which they express the importance of our day food choices. Many fruits, vegetables and unprocessed whole goods have properties that can benefit our health. -
Eating the right foods and spices and avoiding the wrong ones can go a long way toward staving off everything from ailments to cancer- stated in a John Hopkins research.
Our main goal towards a healthy diet should include veggies and fruits along with protein sources. By reducing our consumption of processed, high glycemic goods and avoiding trans- fats will improve our daily energy with balanced blood sugars, decrease our systemic inflammation or any other chronic diseases. 🍏🍎🍊🍋🍓🥑🍅🥒🥕🌽🥗🍎🍏
Our second year #medstudents using #bronchoscopy simulators during their respiratory block's integrated diagnostic experience. The Mayo Clinic School of Medicine curriculum is committed to active and cooperative learning styles, integration of daily topic presentations with clinic rotations, and a focus on patient care and clinical experiences that broaden and deepen classroom learning.
When it comes to advertising, you get out what you put in. Not advertising your business online in 2017 means your business WON'T GROW! Learn more about how #RiseMD can grow your business by CLICKING THE LINK in our bio! 😊#RiseAboveTheRest with @RiseMD!
Facing nearly $124 million in cuts to UConn Health, students, faculty and staff from the School of Medicine, School of Dentistry and Graduate School joined forces today to rally against the State of Connecticut's current budget proposal. Thank you to all for your support of UConn Health, the education of tomorrow's healthcare providers, and the communities we serve! #SaveUConnHealth#UCHC @uconn @uconnhealth
🌹Anyone recognize this "kissed by a rose" singer? Maybe you remember him best as the former hubby of supermodel Heidi Klum. Either way, Seal is the feature of #celebskin ! .
🌹Seal's facial skin changes can be attribute to discoid lupus erythematosus (DLE). This is the most common form of chronic lupus and African Americans and Latinos are at increased risk. It's characterized by indurated erythematous plaques with adherent scale and follicular plugging. For the most part, this type of lupus stays confined to the skin with only 5-15% of patients with discoid lupus developing systemic lupus. Treatment options include sun avoidance, topical and intralesional steroids, topical calcineurin inhibitors and oral anti- malarials.
“Enjoy the process.” I was listening to a podcast that talked about this quote and it really hit home. The past few months have been a rush to get my residency applications ready and submit them. Now I’m waiting anxiously for interviews wishing it would just be March when I will know where I will go to train next. But it’s also the first time in 3 years where I have gotten to choose what I’m learning and can soak in all of the experiences without ever having to take a written test. As much as I want to know the next step in my journey, I need to enjoy the part of the journey I’m on now.
Eaiii genteee?! Por aqui provas e mais provas!
Tem 2 dias já q eu acordo 4h da manhã pra estudar kkkk! To tendo provas em cima de provas desde a semana passada... mas termina sábado já! Ihaaaaaa! 💥😃 hahaha
Hoje fiz a de microbiologia e foi totalmente diferente do que eu imaginava... então n tenho a mínima de ideia de como fui 😬! Mas recebi a de fisio e fui bem 💕😁
E a minha próxima e última prova é NEUROANATOMIA ❤️! Que eu amooooo! Hahaha (acho q sou uma das únicas na minha sala) mas vou estudar bem feliz pra essa prova! Acho mto interessante essa parte!
E mais um recadinhoooo: SEXTA É MEU ANIVERSÁRIOOOO!! Simmmm pré-prova de neuro 😂 e quero estar com o conteúdo de boas até lá! 💪🏼😃 Bom, por hoje é isso pessoal! To cansada?! To! Mas a medicina é assim mesmo! Se vc não estudar, não tem jeito! E a gnt ama essa medicina de um jeitoooo!! Hahaha ❤️❤️❤️ #ababisturi#pincelcombisturi#medstudent#medlife#medschool#estudantedemedicina#medicina#neuroanatomia#semanadeprovassssss
Hi friends! 👋🏻 It's been a minute since I've posted anything, so I want to give you all a personal update for those of you who have been asking! Life has been INSANE.. this week I moved across the world to start medical school in Dublin, Ireland at Trinity College to finally pursue this wild dream! The past month I haven't been in my own place, in my own kitchen, have barely exercised or done anything regularly. But, I'm finally about to get back on a regular schedule, and am so excited to take you guys along with me on this crazy journey. That means the highs- finding a balance between med school life and a social life, traveling and healthy eats, and the lows- living without Trader Joe's!! Anyway, hoping to bring some new variety to this feed.. let's do this! 📝💉🇨🇮🍀
Real Talk. The most boring part of my day is leaving my general surgery rotation to study for my Shelf exam coming up next week. I'm a socially awkward introvert (my husband would agree) but my shyness has not posed a problem because my patient interactions not only provide me with training in clinical medicine, but also humanity.
Laser for a retinal tear: the key to this procedure is maintaining alignment of the eyepiece, light source, handheld lens, and scleral depression with the left hand to bring the peripheral retina in the torn area into view to be able to laser 360 around the tear, especially anteriorly.