Tuesday, September 29, 2009
Practice of Medicine
Costs, Benefits, and Risks of Health Care
It's a jam-packed schedule, but I'm excited about all my classes. There are also several lunch time seminars I'll be sitting in on, including Intro to Surgery, Intro to Internal Medicine, and Intro to Emergency Medicine.
Also, another ANATOMY UPDATE:
You can now quiz me on the thorax and upper limb. So basically the hand, arm, shoulder, heart, rib cage and lung. I know how to test if you have carpal tunnel syndrome, whether your dislocated shoulder caused nerve damage, and make sure you have a corotid pulse.
Monday, September 28, 2009
I also realized that it's not so much that I don't like running in the morning, it was pleasant today. I just HATE getting out of bed in the morning. There is nothing more satisfying then hitting the snooze alarm 10 times to me. This too can change, and today I only hit it twice and was out the door by 7:30. Desperate times call for desperate measures. I will only do well in medical school if I run regularly, thus my entry into the world as a newly minted AM runner.
Sunday, September 27, 2009
Here at Stanford, all 1st and 2nd year medical students are being enlisted to vaccinate the entire Stanford community, all 30,000 or so that want the vaccine. I will let you know how it goes once we get started.
I also learned of the 3 key signs of influenza-like-illness (ILI): people must have a fever, and they must have either a cough OR a sore throat. If you're worried about catching the flu this year, stay away from people that cough (within 6 feet of them and you'll probably get the virus), and wash your hands regularly. Most importantly, don't touch your face! The best resource if you're concerned is the Center for Disease Control's website. They have weekly updates and more than enough information.
Friday, September 25, 2009
Thursday, September 17, 2009
- Draw blood
- Give a PPD (TB shot)
- Give a shot into the muscle (IM injection)
- Measure blood pressure
- Measure glucose levels
I feel so doctorly after learning all of these, I love it! I practiced on my fellow med students, and in turn they practiced on me. It wasn't too bad at all, besides the fact that getting an injection of sterile water into the skin really stings. Please don't ever do it.
Limited time offer: Free blood pressure screenings for life to the first person to buy me my very own sphygmomanometer.
Wednesday, September 16, 2009
Dr. Brown on why it's bogus that so many of our cell culture studies are done in serum, which is cells taken from clotted blood, and is chosen so exactly because it is basically the universal signal for cell growth, and is something that normal cells almost never see.
Monday, September 14, 2009
"You now know more about molecular biology of disease than all the physicians you will work with"
Subsequently he encouraged us to take the lead in asking the difficult questions that link clinical presentation of disease to its molecular mechanism and cause.
Kind of awesome. Good thing I'm studying hard!
Sunday, September 13, 2009
The Dish owns me. It is a tough run, but I feel like each week I run it, I'm tackling it a bit more than it is tackling me. I thought it could be entertaining to share some of the thoughts that crossed my mind during my run this morning...
While conquering the Never Ending Hill:
"Kill kill kill the hill. Shoot, I think my chest is tight, maybe I have hypertrophy of my left ventricle. It would really suck to have a heart attack right now. Better be safe and walk. The nurse checked my heart the other day but I don't trust her. How can I weasel my way into an ECG? Maybe some cardiovascular studies need healthy volunteers. Need to check into that. Oh stop being a wimp and just run.
While coasting on the Glorious Downhill:
OMG is that a hawk? Nope, just a rock. Wow, I'm seeing things. I hope I don't have a retinoblastoma. Nah I don't. Downhill is my favorite, I love running, I feel so free. Oh shoot, there's the steep hill. Why am I doing this again? At 8:30 in the morning? What is wrong with me? Whatever, I can do short hills, just nail it.
While climbing the MoJo Hill:
Get your mojo. Go mojo go mojo go. Almost there, last hill. I love the last hill. I'm owning this. BOOYAH.
Saturday, September 12, 2009
Tuesday, September 8, 2009
Left subclavian vein
Right internal jugular vein
Left common corotid
Great cardiac vein
It's like learning a new language! I love anatomy.
"You can be the people with the inspiring vision, the credible vision, the moral authority. You can use your gifts to see that the shame of child poverty will not have the last word. This is my challenge to you"
In the last 21 years, Asha has been successful in creating a sustainable model that is not expensive, but gets results. They train community health workers (selected by those in the slum community) to do the majority of the medical work, health prevention, promotion, mid-wifery roles. They connect the communities to excellent referral systems to meet with medical specialists when needed, and focus efforts on education folks to take an active role in getting clean water, electricity, housing rights, sanitation for their community.
You can learn more about ASHA here.
Monday, September 7, 2009
For those who have never seen or heard of a pluot before, it's a cross between a plum and an apricot and is really tasty!
Sunday, September 6, 2009
So as I was sitting in class, I realized that if our cells evolved to be changeable and malleable, it reasonably follows that this could be very helpful too humans too. If you were to clone me, and put the two me's in two very different environments, families, ways of living, you would probably get two very different me's. In terms of my goals, values, beliefs, I would bet they would turn out to be much different depending on which "niche" I was put in.
Just like a blood stem cell differentiates into certain types of cells depending on which part of the bone marrow neighborhood its in, I think by and large we are who we are because of our local neighborhood, our families, communities and where we grow up.
Friday, September 4, 2009
Written by Edmund Beecher Wilson in 1911. He was the first person to recognize and understand that tumor cells have abnormal chromosome divisions by looking at cells under a light microscope. He's really the founder of cellular biology, and we still use his concepts and basic findings ALL the time today. How cool is that? I think this book would be a nice addition to my small but loved collection of old books, including a recent find at the Mt. Zion Medical Library earlier this spring (a copy of William James' seminal work in psychology, "Principes of Psychology").
Thursday, September 3, 2009
Things I learned about the heart:
- It's big! At least in most people, its bigger than my hands folded together. One cadaver had a super tiny heart
- It can have things in it! Our cadaver had a pacemaker going through the superior vena cava
- Everything that surrounds it (muscle, pericardium) is very strong
I also ran intervals today: 800, 400, and 3 200's. It's a start. I will not divulge my times because they are embarrassing. But on the bright side, the Stanford track is beautiful!
PS. Follow me! I added a "Followers" gadget to the bottom right hand of the screen.
Wednesday, September 2, 2009
Update: For those too lazy to click on the link, here's my few sentences of fame:
“It’s a wonderful gift to receive as we’re starting out,” said Julia Pederson, 24, one of the new students who immediately took her stethoscope out of its box to listen to the heart of her 10-year-old sister, Abbey, sitting next to her at the dinner table.
A Harvard biology major, Pederson has spent the past two years working at the UC-San Francisco Breast Care Center helping to facilitate decision-making between breast cancer patients and their physicians. That work set her on the course to becoming a doctor.
“A lot of times I was working with patients when they were first diagnosed with cancer. It’s a time when people are so vulnerable,” Pederson said. “Making them feel like they are getting the best care they can helps with that fear and vulnerability. Being that first line of support is an awesome thing.”
Tuesday, September 1, 2009
...Sure I cut off part of the lung that I wasn't supposed to, nicked the outside lining of the heart, and had to re-saw through the bone because I didn't cut it all the first time, and keep calling the internal thoracic artery the internal thoracic nerve, but that's the fun part, and now I know better. I am so thankful for this unique and slightly nauseating experience. The 3-hours in anatomy lab fly by, much faster than any of my other classes (though I'm enjoying them too).
Given my kindergarten-like cutting skills, and lack of knowledge of anatomy, I am even more impressed at the surgical skills of some physicians. How some doctors can do a heart bypass by integrating the internal thoracic artery into the heart is beyond me. Infathomable. Beyond belief. But I will get there. One day.