New CPR Protocol

Enjoy!

Sorry for the lack of posting, been fairly busy with dissertation presentations, studying for final OSCE of St. Andrews, and sorting out living arrangements and other things for next year.

-AMiB

Awesome.

Each of you [visitors] will be getting a different "fact" about me...feel free to refresh to get another one lol

Last Friday and Saturday were two of the best days of medical school I have had so far. Friday was the first Cycle of MD4003 - Applied Medical Sciences. Besides our dissertation, it is the only class we have, taking up an entire Friday (9-4) once every fortnight. Hopefully I will find time to elaborate later (although I seem to find plenty of time to find meme's online...hmm). Friday I and 29 of my colleagues became ILS (Immediate Life Support) certified by the Resuscitation Council of the UK. It was basically a refresher of what I did back in the summer when I became an ACLS Provider back home in the states. It was still great fun, and luckily no one killed anyone with the defibs (they were live). The instructors were pretty laid back and funny, too, which always helps. Although after one of them gave the lecture on the ALS Algorith, I went up and asked him about a couple discrepancies between the UK algorith and the USA/AHA algorithm. He sort of laughed when I said I was American (I get that a lot), and then seemed to pick on me a bit for the rest of the day. Or maybe I was imagining it. At one point though when we were practicing, a put my stethoscope around my neck (y'know, because its the simplest place to put it), but then he came up to me and asked if I was a doctor and if not then why my scope was around my neck. I guess in Tayside they don't allow anyone but Consultants to wear them. Weirdos.

-AMiB

B-52, eh?

Stolen from AD

What military aircraft are you? B-52 Stratofortress You're a B-52. You are old and wise, and you absolutely love destruction. You believe in the principle of "peace through deterrence" and aren`t afraid to throw your weight around.

Heh heh...

OSPE on Wednesday. I was a patient for 2nd year OSPEs today...might write a post with the amusing things they all did (e.g. "On Palpitation and Awskyoolation")...

We'll see how it goes. For now, enjoy the comic

-AMiB

Because Cal doesn't believe me...

I took the thing again.

92 words

Touch Typing online

And to prove it: (click)


heh. and the spanking continues...

-AMiB

p.s. If I fail my exams tomorrow, I'm blaming you.

Twenty, eh?

20

This is one of the more..."interesting" meme's I've taken, yet the questions/responses are still quite amusing.

How many can you handle?

-AMiB

Happy Raisin Sunday, 2007!

Happy Raisin Sunday!

Raisin Sunday is a tradition here at St. Andrews that has evolved over the years...
Rather than type out the traditions, etc, I am stealing the article from The Sinner:

Raisin Weekend is centered around the unique St Andrews tradition of the "academic family".

Each first year (or at least those who choose to take part - it is not compulsory) is adopted by an academic mother and academic father - who are usually, but not always, in their third or fourth year. In one form or another, Raisin Weekend has been around since the very earliest days of the university. It was, and still is, a "rite of passage" for new students.

On Raisin Sunday, first years spend the day with their academic parents. First of all, they attend a tea party with their mother at which, traditionally, not much tea but a great deal of alcohol is consumed. Later, the children are collected by their fathers and the evening is spent in the drinking of yet more alcohol.

In return for their parents' kindnesses, the first year is expected to give them each a bottle of wine. This is deemed the modern equivalent of a pound of raisins (actually, the modern equivalent of a pound of raisins IS a pound of raisins) which was the usual gift way back in the mists of time when students had a bland diet (has this changed much?)

On the following day (handily called Raisin Monday) and after being woken up, sobered up, cleaned up, and dressed up in outlandish clothes, freshers are presented with their Raisin Receipts. These are written in Latin and is a way of acknowledging the gift of raisins. They always used to be on parchment. Nowadays, almost certainly, the receipt will be something large, embarrassing and cumbersome which has to be carried around.

The gift-giving does not end here. Academic mothers give each of their children "Raisin Strings" with a small gift attached. The gift or "favour" is supposed to reflect the personality of the child. The number of Raisin Strings depends on the status of the mother. It is one string per year of matriculation - blue for first year, crimson for second, gold for third and black for fourth. These strings, with gift still attached, will eventually be tied to the child's gown hooks.

After all this largesse, children are paraded through the town until they arrive at Sallies Quad. En route, third years, fourth years and graduates of the university (if they are wearing their gowns) can stop any fresher and examine their Raisin Receipt. If they find a mistake in it then they can demand that the Gaudeamus be sung as punishment. Once at Sallies Quad, between 11 and 12 o'clock, a foam fight nearly always breaks out - it's almost traditional. The striking of 12 o'clock means the end of the fun for another year, and sees students slowly drifting off. Parents perhaps to have photos developed. Freshers, almost certainly, to sleep.

So, there you have it. Last year I had 20 children, 10 sons, and 10 daughters (no I did not pair them up, although Academic Incest is widespread within the University) - this is allowed since Medics are technically one year ahead - we do a 4-year degree in 3 years, so in first year we are taking 2nd year class, in second year we're in 2rd year, etc...

It was a lot of fun, but this year as Big Grandpappy AMiB, I will be party-hopping, trying to enjoy myself while making sure no one dies from alcohol poisoning.

-AMiB

Back in St. Andrews...

So I made it back to St. Andrews last night, and am currently involved in orienting Freshers (first years) to our Hall of Residence. Posts will probably resume once Fresher's Week is over.

Funny Quote from a Neurosurgeon a friend was working with over the summer:

Neurosurgeon: "And what should the patients [lab value] be?"
Intern: "Umm...I'm not sure"
NS: "Well f'ing guess then!"
Intern: "Umm...50??"
Neurosurgeon: "NO! There is no guessing in Neurosurgery!!"

-AMiB

"Going to the ER"

Part 1:

http://www.youtube.com/watch?v=k9m2FLHlEwA

Part 2:

http://www.youtube.com/v/UM-HWkbnDfg


Thanks to ERnursey

Quote of the Day, August 23rd, 2007

So there's this Infections Disease doc, Dr. C. The Hospitalists hate the ID guys, cuz they interfere with our antibiotic treatment and blocking discharges of patients who really should be going home. Anyway, I've NEVER seen Dr. C, but I always see her notes in our charts. For a while, I didn't believe she actually existed. Figment of our imagination, I believed. In reality, she rounds late at night, because her notes are always timed no earlier than 2200 (once, she had put 2430 - because they have to see each patient and write a note each day).

Anyway, today I actually met her. She looks up at me and asks me to question I get so many times -

Dr. C: "So, are you a new Hospitalist?"
Me: "No, I'm just a Medical Student"
Dr. C: "Oh...you're awfully big for a medical student"

wtf?!

An Example of Poor Doctor-Patient Interaction...

http://www.ctrlaltdel-online.com/comic.php?d=20070815

Quotes of the Day, August 14, 2007

Cardiothoracic Surgeon's NP: "Ugh, I can never get any nurses on that floor to answer their phones!"
Secretary: "What happened?"
NP: "Well this time, I got transferred to another nurse because the nurse I wanted to talk to was stuck in a Code Brown!"
Me: *stupidly looks down at badge, flips through different codes; finds no Code Brown* "What's a Code Brown?"
Dr. A: "Hahaha, you've never heard of a Code Brown?"
Me: "Noo..."
NP: "I'm going to let you figure that one out by yourself."
Me: "ummm....OH!" *face-palm*
NP: "It took you that long? Are you sh*tting me? ;-)"

Quote of the Day, August 6th, 2007

OK, so I went for half a day this morning, but decided to take the rest of today and all of tomorrow off - half for my birthday, half because I've got a bit of pharyngitis going on.

Dr. R - So this patient is on really high doses of prednisone - 100mg daily, and she's been having some hallucinations.
Patient - Yeah, I keep seeing the Pillsbury dough boy...
Me - *tries hardest not to laugh*

-AMiB

Pharmacist Respect

http://youtube.com/watch?v=sGip7x-sIuo

Possibly one of the oldest medical spoof videos I've seen...was sent to me by my dad - all you Pharmacists and Pharmacy students out there should appreciate it :-)

QuoteS of the Day, July 23 2007

Dr. R: Have you had a bowel movement yet?
Little old lady, diverticulitis who hasn't had a bowel movement in 4 days: No...and they keep giving me stuff, but it doesn't seem like it's working
Dr. R: OK, we'll try some more lactulose...
LOLdwhhabmi4d: Lactulose?! They've given me so much of that, when I finally go it'll blow up the city!!

-------------------------------

At the rounds meeting, discussing one of the Neurologists who likes to call Infectious Disease consults when they aren't really needed:
Dr. R: Yeah, one time she called me because a patient had a scrotal rash
Dr. A: The question is why is a Neurologist looking at his scrotum?!


So, am back form vacation - was fun, but am now back at the hospital...oh well.

-AMiB

Quote of the Day, July 13th 2007

Went to a Quality Control meeting today with Dr. A, because he was on call today and is the Medical Director of the Hospitalist service. When discussing 30-day mortality from Pneumonia in our hospital:

QA Guy: "[Our Hospital] has the lowest 30-day mortality rate for Pneumonia in the state!"
Everyone: *claps*
Crit. Care Doc/Pulmonologist/Intensivist: "It's obviously over-diagnosis"
Everyone: *laughs*
Intensivist: "We treat heart failure with antibiotics"


Am leaving for vacation tomorrow, will be back in a week or so (as if I weren't behind enough on my RSS feeds already...)

-AMiB

Quote of the Day, July 5th 2007

OK, so I'm gonna try this new thing...it won't be every day, but every time there's something funny...like this :-D

Dr. R: "So, do you take anything for the pain in your leg, like Advil, Tylenol...?"
Little old lady with multiple medical problems (Hx of PE x2, s/p Stents x4, s/p IVC Filter, DVTs, etc): "No, I just take some little stuff...like Vicodin"

Since when did narcotics become so much like candy?! This lady is 83 yrs old, mind you...

-AMiB

AMiB, Hospitalist Groupie. (and other stuff from a 12-hour day)

8am - Arrive at hospital, head to 7W. Dr. B, General Surgeon, is there seeing one of our patients. Funny story about that: We met Thursday when he and Dr. A were discussing the patient. Over the weekend, we went to a party for a family friend. I saw Dr. B, and and for a little while, I didn't recognize him - but then I did. Went over, talked for a bit. Turns out he went to a Uni not too far from mine, and now is practicing General Surgery at my hospital. Says that they'll be writing up the case, and wants to know if I'd like to help out and be published. To which I responded a calm, "Yeah, that'd be great." while inside thinking "HELLZ YEAH!!!". I don't want to get too excited now though, because I always do that and then things never turn out my way.
9am - Start with Dr. S, Hospitalist. Saw a lot of interesting patients. Can't remember any right know though. It's been a long day :-P
11am - Hospitalists Round meeting. As usual
12pm - We're waiting on a drug rep to bring us lunch. All of a sudden this guy from Boston Market comes in.
Boston Market Guy: I'm gonna need a place to put all this food.
Dr. A: Just use this desk.
BMG: Yeah....that's not gonna be big enough....
Dr. A: uhhh...seriously?
BMG: Yeah...well, I'll try.
BMG proceeds to take out large amount of food, including but not limited to: chicken, turkey, steak, corn bread, sweet potato casserole, vegetables, mashed potatoes, gravy, and chocolate chip cookies. It. was. amazing.
BMG then proceeds to tell us about a new use for an old drug, as well as 2 new drugs, which was useful, because we had a patient who needed one. We then scored a free pen and crazy-bright LED flashlight. Should I feel bad for being sucked in by drug reps? Probably. Do I? Absolutely not, lol.
1.45pm - Up on 4E, an amusing conversation:
Nurse (to me): So are you Interning or something? I always see you around with the hospitalists.
Me (to nurse): Nope, I'm just a student. I just follow whoever is on call and watch.
Dr. S: He is a trooper....He's like our groupie.
2.59pm - Finish with Dr. S
3.01pm - Head down to ER. Meet Dr. M, Emergency Physician. Ask to shadow. Start shadowing. I really missed the ER. Had 2 critical patients back to back, both were sedated and intubated using RSI. One was a drug overdose who started vomiting in the ambulance after Narcan administration, went into SVT. When I was leaving, they had tried cardioverting him with no effect. I think they tried some adenosine too, not sure.
8.35pm - Make the decision to leave (that's usually how it is in the ER, because once the new doc comes on, Dr. M stops seeing new patients).

Was quite an educational, eventful, and promising day. And now I am ridiculously tired, I still need to go on the treadmill, and I have to look up everything there is on the internet about SMA syndrome.

-AMiB

Ambulance Driver teaches cardiac conduction pathologies...

A hilarious yet informational post about normal cardiac rhythms as well as the different types of heart blocks...Sex, Relationships and the Cardiac Conduction System

"Pretty soon, despite all signals from Virginia that she ain't happy, Sidney has convinced himself that he is indeed the master of this relationship. He wears the pants. He's got a toupee, he's wearing the Mister T starter kit, he's driving a red Miata, and he's got a pneumatic little twenty-year-old secretary named Mitzi who giggles at all his lame-assed jokes and says things like "Ooooh Mr. Sinus, you are so cute! I just adore older men. They're so...experienced.""

Enjoy

Memes Galore

(Thanks to keagirl of UroStream)

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