I really wish more clinicians (basically anyone in the medical field) would read Improvised Medicine by Kenneth V. Iserson.
I say this because there’s so many low tech interventions that have been studied that are not in medical use in high-resource areas that really should be.
High resource med has its place, but generally that place is in very specific situations when the low tech stuff has been exhausted and the high tech stuff is all that could possibly do the job.
What I am saying is a medium-sized hospital should not have 4 CT scanners and descend into chaos when one of them needs repaired.
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warning: this post is very unpleasant
hello and welcome to 40 Days of Suck, in which i go through 40 consecutive horrendous days before i'm released to my first ever summer break from medschool.
dear reader, i'm sorry to say that the post you are reading and its subsequent reblogs will be extremely unpleasant. there will be no aesthetic notes content as i don't have time to take aesthetic notes anymore. there will, in fact, be little to no positivity around medschool (a matter i am generally quite optimistic and positive about - much as a resort town is lovely and crowded except during the off-season, medschool is quite lovely except during exam season.)
there will be no aesthetic or joyous content, but there will be tests, retakes and exams. and caffeine, and tears, and all-around unpleasantness.
it is my sad duty to power through this and blogging about it my way to cope, but there is nothing stopping you from unfollowing this blog at once and following a happier blog instead if you prefer that sort of thing - may i suggest that of an art or english major.
is this a cautionary tale? who can say. a tale of woe most certainly. a tale i would advise you to look away from unless you are the sort of person to enjoy stories rife with misfortune, misery and despair.
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As much as writing OR reports sucks, it’s so vital to getting a deeper understanding of the operation. Anyone can cut if they’re pointed right at it, but really understanding what you’re doing is a whole other story…
It’s one thing to (theoretically) know the steps of an operation and do them while an attending points you at it, it’s something else entirely to really get it…
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I think I want to focus more on my life apart from studies too on this blog, and it has been apparent in my posts recently. Here’s some moments of the day that gave me peace : journaling and reading a book in my favourite cafe.
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Today I Learned that it's way more harder to reach into someone's chest cavity by bare hands than it looks.
Do the chest tube insertion with the help of your finger, they said. Use only your hand after the initial incision, they said. It will be fun, they said. Why is your finger folding backwards like a harmonica, they said. Ow, I said.
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one of my major work pet peeves is getting messaged the next day about patients who i saw in the middle of the night. like, do you think i never go home? reverse 24s aren't really a thing, if i wrote a note at 1am it's a pretty safe bet that i'm not still working at 1pm!
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Doctor: Do you have any hobbies?
Student: Does sleeping count?
Doctor: Of course! Do you know how to lucid dream? Coolest shit ever.
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how to ambulance drive
be gentle on the pedals (you have more mass than a zippy little toyota. more mass means more physics.)
due to abovementioned physics, it will take you longer to stop. plan for this. do not slam on the brakes.
slooow wiiide turns. see above re: physics. the phrase "flip a rig" refers to what happens to drivers who disrespect physics on the turns.
slow tf down at speed bumps and rr crossings. yell that there will be a bump if its going to be a really bad one.
the wee-woos are not a star in mariokart. yield at stop signs and red lights. make a lot of noise. clear the intersection before proceeding.
there's always that one dumbass. plan for that one dumbass (esp at intersections). learn to have a sense of humor about that one dumbass.
did I say one dumbass? sorry. actually an alarming number of motorists don't seem to know how to drive and are hell bent on taking emergency vehicles down with them. all you can do is laugh.
have a plan. know your service area and your route. if you're using GPS, give yourself a quick preview before you start.
keep an ear on what your partner's doing in the back. if you hear an iv start kit being opened, drive super gentle for a hot second.
don't park someplace that's going to be a pain to get out of.
if you notice your partner munching zofran tablets during transport, you have failed in your mission.
above all, chill out. you cannot drive if you are panicked, angry, or amped up. you need a calm, rational, mind for, well, all kinds of driving, but especially this kind.
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