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likeshestoleit · 3 months
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a very low maintenance study set up 🙃
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populationpensive · 1 year
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Abdominal Pain PSA
I've had a run of people admitted to the ICU after have 1-2 weeks of abdominal pain who were struggling to eat or drink that ended up having conditions leading to necrotic bowel. Dead bowel makes people incredibly sick. Like, death's door sick. Anecdotally, I'd say maybe 60% of our patients make it through such an ordeal. Every time I talk with their families, their loved ones say that they looked bad and they tried to get the patient to go get some help. Often, these people wait too long.
So.
PSA: if you're having abdominal pain and can't keep anything down for more than 48 hours (especially in the context of N/V WITHOUT bowel movements), you NEED to go to the ER. Not urgent care. Not your PCP. The ER. Please get checked out. Do not let things sit. If you have known GI disease like diverticulosis, a hernia, etc, even more of a reason to get checked out.
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virtuosicstudyblr · 1 year
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Taking my statistics exam tomorrow. Wish me luck! || 27.10.2022 Lux
Do you have any rituals before, while or after an exam? When did you start them? How do they help you?
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er-cryptid · 4 months
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Types of Open Injuries
Abrasion -- damage to the superficial layer of skin -- caused by a body part rubbing or scraping across a rough or hard surface
Laceration -- a deep cut in the skin -- has jagged edges
Incision -- a cut in the skin -- has smooth edges
Avulsion -- soft tissue is torn loose or hanging as a flap
Penetrating Wound -- injury resulting from a sharp, piercing object
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thatsleepymermaid · 2 months
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I know reddit is a hive of scum and villainy, but my ehlers-danlos group on facebook posted this reddit thread on a "weird triad of symptoms" of EDS/POTS/MCAS. These are all supposedly healthcare professionals that work in the ER, and I can't say this thread hasn't been eye-opening.
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And there's other healthcare professionals in the thread gloating on how they have chronic illnesses but never went to the hospital and just "toughed it out". Everyone that is telling the poster that this is ablest and the reason why their chronic illness almost killed them, is getting down-voted into oblivion.
Look, I was on the pre-health track in college as I assume many of these people were also. If you ever wonder why your doctor lacks empathy and will say you're just anxious, this is the reason. Empathy is beaten out of them very young and early in their careers and was . It took me years to find the source of my extreme chronic pain because of healthcare professionals like this (looking at you, nurse that said my excessive menstrual bleeding was because I'm South-Asian and thus "more fertile").
Not to mention, this "triad of trendy diseases" is actually quite common in long COVID. With COVID spreading and going unchecked, don't you think that this "mysterious increase of chronic diseases" is perhaps a side-effect of the pandemic?
If you want to gouge your own eyes out, you can read the entire thread here.
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ari-does-epi · 1 year
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Why study epidemiology?
I love my field, but I didn’t even know what it was when I was entering college! I think more people would study it if they knew what it was, so here’s a little intro post for anyone considering it!
What's epidemiology?
Epidemiology is the study of the distribution of disease in a population. Epidemiologists investigate the causes of disease and use what they learn to prevent the spread of disease. Unlike medical doctors, we study illness on a large scale instead of just looking at individuals. Epidemiology is an interdisciplinary field, which means we pull from a lot of other fields including math, computer science, biology, sociology, and psychology.
People study epidemiology for many reasons, but the primary two career pathways are public health practice (meaning you work for the government or a hospital to help monitor and control disease outbreaks) and academia (meaning you work for a university and do research).
Many people also choose to get epidemiology degrees in addition to a medical degree. This is useful if you primarily want to practice medicine, but also want to do a little bit of research on the side. It's not as useful if your primary interest is research or public health practice. It also takes longer, is more competitive, and is often more expensive than just getting one degree.
You might consider a career in epidemiology if you:
Like math and computing, but also enjoy subjects like history and psychology.
Have a strong sense of ethics and are passionate about social justice
Want to focus on healthcare, but don’t want to work directly with patients
Are interested in curing a specific disease (e.g. Alzheimer’s) or want to promote health for a specific group of people (e.g. Latinx health)
Some major sub-fields of epidemiology include:
Social Epidemiology: The study of how social categories (like race, class, gender, etc) impact health. This is what I do!
Genetic epidemiology: The study of genetic predictors of disease
Clinical and translational research: Testing new drugs or treatments to see if they're safe and effective
Maternal and child health: The study of pregnancy, childbirth, and related conditions.
Okay, but are there actually any jobs in that?
Yes! Epidemiology is a very young field that was only made possible by recent technological advances. It's still growing rapidly, and the pandemic has also increased the need for people with epidemiology training. It is definitely a competitive field (you will need good grades and lots of experience!), and it's not as in-demand as a medicine or computer science, but it's easier to find a job in public health/epidemiology than in, say, physics.
How do I get started?
You can major in pretty much any social or hard science, but most colleges offer a Bachelor's degree in public health, which will help you meet all the prerequisites. The most important thing is to take a wide range of classes in high school and college, including biology, statistics, computer science, sociology, and anthropology. Most people also choose to get graduate degrees later on.
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15/2/23 // 20.07
My to do list is actually ridiculous. I’ve only just been sent some pre work for a webinar that we have to do by Monday - but what’s that? I’m working every day between now and then? And I’m on call Friday Saturday and Sunday? And I have diploma work to do? Wow it’s almost like maybe asking healthcare professionals to read a 40 page article plus many more about fluids in one week is ridiculous
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acelizystudying · 2 years
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fall vibes🥼🍂☕️
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ofgardenandsea · 1 year
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During my college’s ring ceremony for upcoming graduates the person seated next to me acted impressed when it came up that I was a pre-med bio major. She said none of her once pre-med friends had stayed that way.
I proceeded to ask for the time. In response, she showed me her analog wristwatch. For some sudden reason I decided to pretend I can’t read clocks and ASKED HER TO INTERPRET IT for me. (For context, people my age are supposed to know how to read analog timekeepers.)
You should’ve seen this flabbergasted woman’s face when she thought the wannabe doctor in front of her couldn’t read an old-school clock.
A guy in front of us even turned around to clock my allegedly temporally illiterate ass.
I’m still cackling about it to this day. And yes, I made it to med school!
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sleep-safe · 2 years
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hate the term “lifestyle diseases” i hate it !!!
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likeshestoleit · 1 year
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Today, I decided to still come to my favorite coffee shop but really just chill in the corner and work on my sweater + watch YouTube. I think I’ve unlocked the ultimate function of coffee shops.
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emsenthusiast · 1 year
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Hello and welcome to my personal corner of tumblr
🩺🩺🩺
I’m using this to try and romanticized my journey in medicine! My interests are in emergency medicine and forensics. I have a particular love for the overlap of medicine and the law, and am looking into forensic anthropology and other areas that mesh the two. Also I have a love for medical history, and also just history in general that might bleed over into this blog
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populationpensive · 1 year
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Working in an ICU...
...Means that you meet people on the worst day of their lives.
A colleague of mine said this over the weekend, which was a very rough weekend for me in so many ways. My patients were complex and very sick. The families were challenging. So. Incredibly. Challenging.
I see the worst things that can happen to people. Every. Day. I am able to push it out most of the time. Some times, there is a true shit storm of circumstances that emotionally bankrupts me. That was this weekend for me.
I think it is sometimes easy to forget how vulnerable patients and families are in the ICU. It's easy to forget it is the worst day of their lives. And when these families can't control the illness of their loved one, I think they look for literally anything they can control. Sometimes that results in verbal abuse about policies, staff, and treatment. It can be so hard to deal with this. The amount of patience it takes is astronomical.
I will freely admit that I am very detached. You almost HAVE to be to a certain extent to DO the job. But even the most detached people have a breaking point.
It makes me grateful for every family that simply thanks me for my time. Every colleague that "gets it". Every person willing to listen to me when I am going home from work.
So, to all you health care people that struggle with this as I do, we've got this. Some how, we've got it.
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gale-in-space · 1 year
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5 things that make you happy, then put this in the askbox for the last 10 people who reblogged something from you. learn to know your mutuals and followers.♡
Holy smokes, my favorite medblr? In my ask box?? And what a lovely game too!! :)
Things that make me happy:
1. My partners, who listen to my every complaint, rant, musing, declaration, soliloquy, what have you. I can talk to them about anything, and I love hearing them talk about the things they love (archaeology, psychology, and physics respectively) in turn.
2. My darling bunnies, Bruce Bunner, Phoebe, Luna, and Penelope. They are the reason I get out of bed in the morning.
3. Space. While it’s a bit beyond my ken (and by a bit I mean a LOT), I do enjoy learning about it, especially as it relates to human physiology. My dream goal (though I only have a B.A. to my name right now and am about to go back for pre-med) is to work with astronauts to learn more about how the human body functions in spaceflight applications. Which leads me to my next topic…
4. The brain!! As a psychology grad the brain is my first love, and is officially the least scary organ to me despite it being the most squiggly. I used to do some VBM work in research (was trying to push out a paper on it but got distracted by Other Things), and that ignited my love for neuroimaging in particular. I hope to return to it some day, or at the very least brush up on my neuroanatomy again.
5. The arts also make me happy, despite being a constant source of frustration for me. I love to draw and paint on my computer, and I used to play (and am considering getting back into) playing the clarinet. I also love to write creatively (mostly fanfic, though I do a bit of original work on the side). But yeah, I'm like a jack-of-all-trades, master-of-none type deal. I dabble
Thanks so much for this ask!! I hope you are having a wonderful evening, or whatever portion of the day it is for you right now :)
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er-cryptid · 3 months
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AVPU
Awake and Alert -- patient's eyes open as you approach -- patient is aware of you -- patient is responsive to environment -- follows commands -- eyes track people and objects
Responsive to Verbal Stimuli -- not alert and awake -- eyes do not open spontaneously -- eyes open when you speak to them -- may respond if spoken to -- may only respond if you speak loudly
Responsive to Pain -- does not respond to questions -- moves or cries out in response to pain -- may not be accurate if there is a spinal cord injury
Unresponsive -- does not respond spontaneously to verbal or painful stimuli -- usually no gag reflex -- lack ability to protect airway -- if in doubt, assume the worst
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scientia-rex · 2 years
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The rhythm of inpatient life
I'm doing a weekend on for my clinic, for reasons that don't need exploring at this juncture, and it's my first time as a hospital attending. It's reminding me of the predictable rhythms of inpatient days (and nights), and I thought maybe some of the medblr younglings would be interested in it.
-You can, technically, get an admission at any time in many systems. That does not mean all times are equally likely.
-The ED is usually at its most empty between about midnight and mid-morning. There is always a risk of getting a first-thing admit, as the morning ED crew comes on and wraps up the business of the night. However, you are less likely to get an admission during pre-rounding or rounds (6am-10am, ish) and much more likely to get an admission in the afternoon or evening.
-It usually takes a couple of hours for the ED to do the work-up to then justify admission. Do not stalk the ED list. Most of those people will go home. You will only make yourself anxious.
-Even if the ED doc is an absolute bastard, be pleasant, polite, and friendly. Those insults just went right over your head! They will not remember being a dick to you, but they will remember if you are a dick to them. Odds go up of them being less of an asshole next time if you make them chuckle at least once. This breaks down at larger institutions.
-Night shifts will often start with some kind of sign-out, and if you're in the hospital, a tour of the higher risk patients. Then there will be admits. Between admits, nap if you can and if it doesn't ruin your sleep during the day. You cannot totally flip your sleep schedule; your body will start to run up a sleep debt. Usually 2am-6am will be the quietest time. Make sure everyone has PRN constipation meds, Tums, Tylenol unless their liver is really shot, and, if safe, a sleep aid. Lidocaine patches. Nicotine patches if they smoke (21 mg is the highest dose; unless they're a real light smoker, they usually do better with that).
And, in case I haven't emphasized this enough, BE! NICE! TO! NURSES! And pharmacists! And physical therapists! And social workers! And CNAs! Be nice to EVERYONE. You don't have to put up with people being rude to you, but do NOT respond in kind. Respond coolly. Imagine yourself as my exceptionally WASP-y grandmother, who had an innate certainty that the world both did and should revolve around her, but would have died before saying something overtly bitchy.
And wash your hands before you eat. Every time. C diff: once is way more than enough.
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