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From Stephen Mun :
Hello everyone posting my kofi account here, where I upload my art and trying to raise funds for immigration and to fund my medical education. All tips and donations directly go towards my education and ensure I get become the next star ✨ female CT surgeon in USA.
My vision is not only to inspire but also help thousands to come by volunteering in global surgery, dealing with critically ill patients in the CT Surgery ICU and to continue to guide young woman and people from humble backgrounds to feel more confident about playing life bigger.... All big dreams and I'm taking baby steps towards them. All and any help is appreciated
Tagging people I know here so that they can spread the word @salty-ironstrange-shipper @ironstrange-is-the-endgame @puppybaby15 @natasharomanoff-anon @loki-anon @americasfineasscaptain @stripesofbrooklyn @officialpeter-parker @born-to-be-mischievous
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kaapstadmk · 4 months
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Mulling over something right now.
My journey into understanding neurodivergence and my own AuDHD-ness has changed how I doctor, and sometimes I can see this when looking at things like auto text scripts I set up previously.
For example, when it comes to picky eaters, I used to do a lot of education about how to get kids to eat, discussing strategies like gamifying intake of fruits and vegetables, enforcing #-bite rules, and having cutoff times for meals. I also put a lot more weight on having a balanced, whole-food meal. The only thing I discussed that was focused on any underlying reason was involving kids in meal prep, though I didn't necessarily have a reason as to why. And, to be fair, these strategies work for picky, NT toddlers.
Contrast that to today, where I'm asking questions about texture sensitivities and taste preferences. I'm acknowledging that processed foods are more predictable than fresh. I'm discussing meal prep involvement as a means of sensory food play. I'm discussing about how stressful #-bite requirements can be and I'm encouraging having safe foods available and permissable - not as a means of giving in, but to make trying a new food less stressful. I'm also acknowledging that some food is better than no food, as long as we get the basics/macros in as we can always supplement micros with multivitamins.
These are things that weren't taught when I was in medical school or residency. I attended in 2015, just after the DSM changes and the focus then was, and largely still is, eating a "well-rounded", normativized, white, upper-middle class diet. Anything other than that was treated as subpar and is bad medicine, let alone parenting.
You know the other thing? When I started asking, do you know how many of my picky eaters DIDN'T have some kind of sensory basis to their eating patterns? Do you know just how many undiagnosed, unseen neurodivergent kids are out there, masking along, not making waves, with equally ND parents who don't know otherwise?
The number of times I see at least one parent squirm when I start asking the kids, especially older kids, autism symptom questions and autism distinct anxiety questions... Why, if I had a nickel for every time, I would definitely have more than two. It's not a coincidence.
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butch-reidentified · 1 year
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Sotos Syndrome: An Educational Post on a Rare Genetic Disorder
Hey so, to follow up on the last reblog I added to this post about my wife: I realize most of you probably haven't heard of Sotos Syndrome, so I thought I'd talk a little about what it is and how it affects her. I'll put a couple of links here, but also briefly cover what it is and how she experiences it. She's given me permission to discuss it, and y'all are welcome to ask questions. If I can't answer them, I'll tag her in to help.
Note: She is also diagnosed with hEDS and POTS. This will be relevant later.
Sotos Syndrome is a rare condition resulting from a genetic mutation on chromosome 5 - specifically of the NSD1 gene. There are thought to be a wide variety of ways this gene mutation can occur and cause Sotos Syndrome, and the condition can manifest somewhat differently with different NSD1 mutations.
At the core of the disorder is rapid overgrowth in childhood; patients are taller and often heavier than their peers, and grow far faster. In some cases, this advanced growth timeline starts in the womb, and in other cases may start shortly after birth. Individuals with Sotos Syndrome typically have a larger cranial circumference than normal as well, though this often normalizes in adolescence or adulthood. The overgrowth almost always normalizes in adolescence or adulthood as well - patients usually reach a final height only slightly taller than would be expected of a healthy individual of the same sex and genetics. That is to say, the patient often ends up being on the tall end of normal, or a little taller, compared to other family members of the same sex.
Sotos Syndrome doesn't only cause rapid overgrowth; it affects bone development in several ways. Patients often have larger and heavier bones than average, large hands, and flat feet, as well as vertebral abnormalities (my wife suffers significant back pain due to several malformed vertebrae). Sotos Syndrome also almost always presents with specific facial features: a slight downward slant in the outer corners of the eyes, an enlarged forehead/brow bone, a pointed chin, a narrow face, thinner hair on the anterior (front) portion of the scalp, to name a few. These are usually most distinct when the patient is young, but typically some aspects are still noticeably present into adulthood (particularly the forehead and chin).
Children with Sotos Syndrome often experience developmental delays in a variety of areas, including speech/language, motor skills, social skills, and more. Some patients have intellectual disabilities, while others have normal intellectual and cognitive capabilities. Many have learning disorders such as ADHD, dyslexia, or dyscalculia. My wife has ADHD, dyslexia, and a communication issue (which we unfortunately don't have answers to from any doctor yet) that presents as fairly similar to aphasia. Some patients, especially as children, display "autistic-like behaviors" despite not actually having autism. My wife and I disagree on whether this is true of her (I, the actual autist of the relationship, think it is, but mildly). It can also cause anxiety (which she definitely has) and aggressive tendencies (which she couldn't possibly have less of).
Individuals with Sotos Syndrome often struggle with coordination and motor skills to varying degrees. Before knowing about her condition, I thought my wife was just the clumsiest person I'd ever met. As annoying as I'm sure that is for her, it also means that I often wind up with an accidental elbow to the face due to the combination of her lack of coordination and our size difference 🥲 Seizures and tremors are also a somewhat common problem. My wife has had a couple of seizures in the past, but typically only suffers from very occasional arm tremors. She also spontaneously loses her grip strength from time to time. I haven't seen this last one documented specifically as a symptom, but her neurologist says it's likely related. At least we have a good excuse to never own expensive glassware!
Another frequent symptom of Sotos Syndrome is joint laxity - an obvious overlap with EDS. I've been unable so far to find any documentation regarding the comorbidity of the two, but she has numerous EDS symptoms other than the joint issues, so our EDS specialist diagnosed it. She has hypotonia (reduced muscle tone) as well, a very common Sotos symptom. If she and a healthy woman lifted weights for the same amount of time, using the same regimen/diet/everything, she would see a fraction of the progress the other woman would. Her near-sightedness and mildly impaired hearing are also likely caused by this disorder, though EDS can impact hearing as well, and near-sightedness is not uncommon in general (and runs in her family, though strangely only in the women). Other possible symptoms include various tumors, acid reflux, and thickened skin, bone, and/or subcutaneous tissues.
I'm gonna wrap this up for now, though there are many more things I could dive into about this condition, but I may edit and add more later when I'm less exhausted. I hope this has been educational, and again, please feel free to ask me/us anything! 💓
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hi! there’s something i've been wondering about for a long time and hope you can help me out with. i understand that x-rays/ct scans/mri/etc are important to be able to determine the extent of injuries and such but in an emergency situation, is there time for those procedures? or are there other/quicker ways to accurately determine what is going on and how to deal with it? i hope you can answer this for me because it has been on my mind for so long now…
There's generally a lot more time than you think in emergency situations. Or time can be created by giving fluids or intubating a patient, or a number of other interventions.
There are a finite number of situations where a time delay of a minute or two is actually critically important. These are emergencies like an airway blockage (choking, swelling, trauma to the airway, etc..), lack of breathing, extreme blood loss (spurting arterial blood), or the heart not pumping blood.
All of the above can be assessed and supported without imaging. You can intubate someone with an airway problem, intubate and/or provide rescue breathing for someone who is not breathing, put pressure or a tourniquet on someone who is bleeding out, and perform CPR on someone who's heart is not pumping until you can solve the problem that is causing the heart to not pump (or determine that you cannot solve this problem).
Everything else, including heart attacks, strokes, large-scale trauma, and many other things, can spare the time to do EKGs, x-rays, CT scans, and ultrasounds. MRIs are typically not done in emergencies because ain't nobody got time for that, like, ever.
X-rays take literal seconds. You can do them in a brief enough pause in CPR to make them worth it. It's literally "pause CPR-turn the patient-shove the x-ray pad under the patient-roll pt back- snap the pic-roll patient-remove x-ray pad-roll patient-keep doing CPR". The pic can be evaluated right on the machine less than a second later.
You can do ultrasounds literally while CPR is being done. No pauses needed. They can be read right there.
You can set up for a 12-lead EKG while CPR is being done, pause for like 6 seconds while it's being recorded, and go right back at it.
CT scans take minutes, so you're probably not going to do them during CPR, but you would for a stroke or major trauma because it can give a lot of info very quickly that can help make decisions.
Now, modern imaging is really important for a lot of reasons. It's faster and more specific in a lot of cases than other methods, and most modern docs really genuinely don't have the training to do their jobs without them (with the exceptions of very rural or austere practitioners) even when there are technically other ways to get similar information.
HOWEVER, since you happened to ask someone who is a literal physical diagnosis (the practice of diagnosing through history and physical examination) and wilderness first aid instructor, I can say that a lot can *technically* be done without imaging at all.
You can get really close to knowing where a clot in the brain is based on physical exam (something that would generally be done (honestly faster) with a CT scan). You can very accurately tell how bad a pneumothorax or hemothorax is and figure out where to put a chest tube through percussion and physical maneuvers (something you'd generally use a CT or x-ray for). You can locate and treat a life-threatening cardiac tamponade with a long needle and a 3-lead EKG, after diagnosing it with physical exam (something you'd otherwise need ultrasound for). You can tell a bone is broken and what muscles were impacted and whether or not it actually needs surgery with physical exam (usually done with x-ray or CT or even MRI later). You can tell that a problem is appendicitis and even locate where an inflamed appendix is with physical maneuvers (usually done with an ultrasound or CT). These and so many, many more things.
We typically do imaging because it is faster and can (in theory) be more accurate. In the last 40 or so years, practitioners have not been trained to be particularly accurate with physical diagnosis- just trained enough to realize there is a problem that can be further elucidated with imaging. This training takes a LOT of time to be particularly skilled at, and there is already too much information crammed into 4 years of medical school and 3-7 years of residency, and much of what is prioritized is not physical diagnosis (okay, I will get off my dang soap box).
We also do a lot of imaging because insurance expects it and generally feels it is less likely to miss something than physical diagnosis (which I believe is more a problem with training than actual accuracy of the medium). Unfortunately, in prioritizing interpretation of imaging over performance and interpretation of physical exam, we have created an extremely expensive model of diagnosis. The time you'd have to pay a practitioner for to do even a very detailed physical exam costs a hell of a lot less than the price of a single CT scan.
But from the 1910s through 1980s (when computers got good enough to do advanced imaging efficiently), we were pretty dang good at using physical diagnosis exclusively or backed up with more basic (and cheaper) tests like EKGs and x-rays. But like I said above, I'll get off my soap box.
-Ross @macgyvermedical
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prohoetips · 5 months
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I'm taking a course on lactation right now and boy lemme tell you
I forgot the extent to which my traditional medical education has made me used to "high yield" format content
The amount of useless rambling, non-necessary examples, and weird tangents going on in these lectures is excruciating. I haven't had lectures this...poorly geared...to adult learners in years
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doctoraxiom · 1 year
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Putting on the white coat used to feel like I didn't deserve it, like I was in costume.
And now, somehow, it feels like I don't need it, because I already have what it represents within me.
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zyduswellness1 · 1 year
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artfullearner · 1 year
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Angélique du Coudray’s La Machine was a groundbreaking obstetric phantom. Read about how this innovative soft sculpture inspired radical changes in medical education in the Artfully Learning post Abrégé de l’art des accouchements (The Art of Obstetrics)
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oscareducation · 2 years
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NEET 2022: NMC releases academic calendar, guidelines for MBBS batch 2022-2023
NEET 2022: NMC releases academic calendar, guidelines for MBBS batch 2022-2023
New Delhi: With the commencement of NEET counselling registrations two days ago, the National Medical Commission (NMC) has released the academic calendar for the MBBS batch going to be admitted this year 2022-2023. Apart from MBBS dates, the NMC has also issued guidelines for the conduct of sessions for the batch. According to the academic schedule for 2022–2023, the total duration for the MBBS…
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drnic1 · 2 years
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Rethinking the Timing of Medical Diagnosis and Treatment
Rethinking the Timing of Medical Diagnosis and Treatment
This week I am talking to John Martin, M.D., Chief Medical Officer, Butterfly Network, Inc. (@ButterflyNetInc) who is revolutionizing the traditional practice of medicine by adding imaging capabilities to the doctor’s tool bag earlier in the diagnosis and treatment process of patients. John’s career started in vascular surgery where he found his ability to bring about positive change to patients’…
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stemlyns · 20 hours
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Top papers podcast 2023/24. Part 2. St Emlyn's
Part 2 of our podcast on top papers from 2023/24 with @EMManchester and @docb #FOAMed @stemlyns
This month we have two podcasts covering our recent posts on top 10 resuscitation papers. This blog covers the haemorrhage and cardiac papers. Part one was out earlier in the week. You can read the links to the papers on the TBS link below. Here’s the podcast https://www.stemlynsblog.org/top-resus-papers-for-tbs-st-emlyns/ vb s Simon Carley, “Top resus papers for TBS. St Emlyn’s,”…
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class2college · 19 days
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MBBS in India: A Comprehensive Guide for 2024 Aspirants
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Congratulations on taking the first step towards a fulfilling career in medicine! Earning an MBBS In India (Bachelor of Medicine, Bachelor of Surgery) is a dream for many aspiring doctors. This guide provides a roadmap to navigate your journey in 2024.
Why Pursue MBBS in India?
Renowned Education System: India boasts a well-established medical education system with a strong emphasis on both theoretical knowledge and practical experience.
Affordability: Compared to Western countries, the cost of an MBBS in India is significantly lower, making it an attractive option.
Diverse Patient Exposure: India's vast population allows for exposure to a wide range of medical conditions, providing invaluable experience for future doctors.
Global Recognition: An MBBS degree from a recognized Indian university is respected worldwide, opening doors for further studies or practicing medicine abroad (subject to clearing licensing exams).
Eligibility and Entrance Exams:
Educational Qualification: You must have completed Class 12 (Senior Secondary Education) with Physics, Chemistry, and Biology (PCB) as core subjects and secured a minimum qualifying score (varies depending on the institution).
Entrance Exams: Securing a seat in a medical college is highly competitive. You'll need to excel in entrance exams like NEET (National Eligibility cum Entrance Test), conducted by the National Testing Agency (NTA). Some states conduct their own entrance exams as well.
The MBBS Program:
Duration: The MBBS program typically lasts five and a half years, including a one-year compulsory rotating internship.
Curriculum: The curriculum covers a wide range of medical subjects like Anatomy, Physiology, Pharmacology, Pathology, Surgery, Medicine, and Community Medicine.
Clinical Rotations: You'll gain practical experience through rotations in various hospital departments, treating patients under the guidance of experienced doctors.
The Road to Success:
Start Early: Begin preparing for entrance exams like NEET well in advance. Enroll in coaching classes or utilize online resources to solidify your foundation in science subjects.
Focus on Time Management: Mastering time management is crucial for excelling in entrance exams and managing the demanding MBBS program.
Beyond Scores: Medical schools value well-rounded individuals. Participate in extracurricular activities and consider volunteering at hospitals or clinics to demonstrate your commitment to healthcare.
Additional Resources:
National Testing Agency (NTA)
Medical Council of India (MCI)
National Medical Commission (NMC)
Important Note: Information about specific colleges, fees, and admission processes can vary. Conduct thorough research on individual medical colleges and consult official websites for the latest updates.
With dedication, hard work, and the right guidance from ClasstoCollege, you can turn your dream of becoming a doctor in India into a reality. Best of luck!
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argroupofedu5 · 30 days
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Revealing the Promise of Seeking after MBBS in Nepal: A Comprehensive Guide
Setting out on the journey of seeking after a Lone ranger of Medication and Lone ranger of Surgery (MBBS) degree overseas presents both energising openings and interesting challenges for yearning restorative experts. In this comprehensive investigation, we dive into the scene of considering MBBS abroad, highlighting the potential focal points, exploring the related challenges, and advertising commonsense techniques for victory.
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Openings and Points of interest:
Worldwide Presentation and Social Differing qualities: Considering MBBS overseas offers unparalleled presentation to assorted societies, healthcare frameworks, and therapeutic homes. Connection with peers from diverse foundations cultivates cross-cultural understanding and plans understudies for worldwide healthcare situations.
High-Quality Instruction: Many colleges overseas famous for their MBBS programs keep up thorough scholarly guidelines and state-of-the-art offices. Getting to a famous workforce, advanced inquiry about openings, and present day framework guarantees a comprehensive and high-quality instruction.
Universal Acknowledgment and Mobility: Graduating from a trustworthy remote college upgrades the worldwide acknowledgment of one's capabilities. An MBBS degree earned overseas can encourage career openings, assist instruction, and proficient versatility over borders.
Clinical Involvement and Viable Preparing: Some foreign colleges offer broad clinical introduction and hands-on preparation through affiliations with prestigious healing centres and healthcare education. Locking in clinical revolutions permits understudies to create basic common sense aptitudes and pick up real-world involvement in understanding care.
Language Capability and Communication Abilities: Considering MBBS overseas regularly requires capability in a moment language, ordinarily English. Acing a remote dialect not as it were encouraged scholarly victory but too moves forward communication abilities, fundamental for viable understanding interaction and collaboration in multicultural healthcare settings.
Challenges and Contemplations:
Budgetary Imperatives and Fetched of Living: Seeking after MBBS overseas can be fiscally requesting, with educational cost expenses, convenience, living costs, and healthcare costs including up essentially. Monetary arranging and budgeting are basic to oversee costs and reduce money related strain.
Admission Competition and Requirements: Admission to trustworthy MBBS programs overseas is profoundly competitive, with constrained seats accessible and exacting choice criteria. Assembly scholarly prerequisites, standardised test scores, and application due dates requires careful preparation and key planning.
Social Alteration and Homesickness: Moving to a remote nation for instruction involves adjusting to an unused social environment, social standards, and way of life. Social alteration challenges, achiness to visit the family, and social confinement may affect students' well-being and scholarly execution.
Administrative Compliance and Licensing: Graduates of MBBS programs overseas must explore complex regulatory forms to get restorative licensure in their domestic nations or wanted home wards. Assembly permitting prerequisites frequently includes extra examinations, appraisals, or preparing.
Legal and Visa Requirements: Examining MBBS overseas requires compliance with visa controls, migration laws, and legitimate necessities particular to the country. Exploring visa application strategies, residency licences, and work limitations can be overwhelming and time-consuming.
Procedures for Victory:
Careful Inquire about and Arranging: Conduct comprehensive investigation on imminent colleges, affirmation necessities, and application methods. Create a point by point arrangement enveloping scholarly arrangement, standardised test planning, and monetary arranging.
Monetary Management and Grants: Make a practical budget and investigate grant, allow, or monetary help openings to counterbalanced educational cost expenses and living costs. Consider cost-effective choices and look for budgetary help to lighten budgetary burdens.
Social Inundation and Back Systems: Embrace social submersion openings and look for back from family, coaches, and scholastic advisors. Lock in in social exercises, connect understudy organisations, and construct a back arrangement to encourage adjustment and integration into the have nation.
Proficient Advancement and Organizing: Effectively take part in extracurricular exercises, volunteer work, and proficient organisations to improve your scholastic and proficient profile. Construct connections with staff, peers, and healthcare experts to grow your arrange and get mentorship openings.
Wellbeing and Well-being: Prioritise self-care, physical wellbeing, and mental well-being in the midst of the demands of therapeutic instruction. Keep up a solid work-life adjustment, look for support from counselling administrations or back bunches, and hone stress-relief procedures to manage with scholastic and individual challenges.
Conclusion: Examining MBBS abroad offers a transformative educational experience, giving openings for individual, scholastic, and professional development. While exploring the challenges related with pursuing medication in an outside nation requires resilience, assurance, and key arranging, the rewards are limitless. MBBS abroad By embracing social differing qualities, cultivating scholarly brilliance, and leveraging back systems, trying therapeutic students can set out on an effective journey towards fulfilling their desires in healthcare, rising above geological and cultural boundaries.
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Revealing the Promise of Seeking after MBBS in Nepal: A Comprehensive Guide
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