Saturday, March 23, 2013
Congratulations to RICE EMS for this save!
You guys do an amazing job. Click the link below.
Friday, March 22, 2013
Thursday, May 19, 2011
Sunday, November 21, 2010
What can I say? Its been a while. Brief updates. Did a pre lim year in general surgery. Fun but asking every pt every morning, " are you peeing? are you poohing? are you passing gas? any belly pain?" gets really old after a while. Grabbed a categorical spot in EM. best decision I ever made. Sorry for no updates. Now that I have a life, free time and lets face it, more free time, i plan to post much more in the future. Sorry for the hiatus. Life got in the way. needless to say..... I'm BAAAAAAA-aaaaaaaaaaCK!
Monday, August 31, 2009
Friday, January 16, 2009
I found this video of Dr. Atwal Gawande author of, "Complications: A Surgeon's Notes on an Imperfect Science an Better" and "A Surgeon's Notes on Performance" and many other books just while I was cruising around YouTube. Here they are performing a "Surgical Checklist."
Below is what happens when inexperienced co pilots get through the check list but dont have adequite training...The take home lesson for surgeons from the video below is...
Wednesday, January 7, 2009
Cnn's Dr Gupta has been approached to be the new Surgeon General. I have not looked at his positions on healthcare reform but I am curious to read his positions. We might as well add another voice to the Cluster F@ck we call U.S. healthcare. Maybe he will bring something interesting to the table. Maybe not. Meh...
Friday, August 15, 2008
Saturday, August 9, 2008
Monday, July 28, 2008
"This (Texas) is the worst state in the country in terms of denying voters their own choice of candidates," he said. "What is it about Texans, who consider themselves rebels and tough critters, and they're just patsies when it comes to corporate barons?"
Monday, July 21, 2008
Wednesday, July 9, 2008
I Just read an article in the Houston Chronicle written by Todd Ackerman entitled, "More Texas Doctors opting out of Medicare." The article addresses the same issues that were raised in the New York Times article that I blogged about yesterday (see entry below).
Monday, July 7, 2008
The New York Times writer Robert Pear has written an article entitled, "Doctors press Senate to Undo Medicare Cuts."
Thursday, July 3, 2008
Wednesday, June 18, 2008
Saturday, May 17, 2008
Monday, May 5, 2008
To my readers who number in the dozens!
My medical school finals are next Monday and Tuesday. One day will consist of a long case and the other will be a series of short cases. As a result of my frantic preparation, I have neglected writing for the moment. Dang!
Rest assured after my finals (that I hope to pass) I will begin writing at more regular intervals.
Thursday, April 10, 2008
show starts at 7.30pm
For the last 3 years, I greedily relished the opportunity to host RCSI's "International Night." This is the first time I will not be hosting the event (sniffle, shrug, ahhh F*kc It.) But, for those of you who don't know, "RCSI International Night" is a night where students representing each nation gets its cultural Mojo together and puts on a series of performances (dancing, signing, plays, etc.)
Last year, I made a series of videos to promote the night. It was my first and probably last venture into medical marketing, but by and large, I had a great time making the videos. Needless to say, this year’s video was AWESOME! (Not so much).
I have been asked to post the last video made (Trailer 3) which involves one of my favorite moments from my medical school education. Getting two medical students (females, my friends!) to kiss on camera is not an easy task to accomplish. You should try it sometime, its well worth the effort.
You should go. Fun is usually had by most.
Mostly warm regards,
Friday, March 28, 2008
Anyone in medical school who aspires to be a surgeon knows that Surgical Recall is the book to memorize. If you hate reading or would like to imagine your mom and dad are teaching you about surgery as you are about to fall asleep, I have the perfect remedy for you.
I was cruising around online and found a version of Surgical Recall that is in mp3 audio format. It is literally a woman's voice reading the surgical questions from each chapter. After a brief pause, a very manly man's voice answers the question. There is no additional pause to show the whole class the pictures. You can read along with the book or just listen and try to answer the questions faster than the woman. She sounds pretty hot as well. Sa-Weet!
The audio format is also useful for wasting time when traveling to the hospital via the car, bus, camel, magic carpet, elephant, Viking war ship or knacker pulled wagon. My school is very multicultural, which is represented by the students' various methods of transportation.
You can buy the audio book from Amazon.com (I have put a link on the lower right). The chapter files will download automatically and you only have to open the zip file which should open magically into I-tunes. I assume it works the same way with a PC; I am not sure, because I roll with a Mac.
The cost of Surgical Recall Audio is between 33 and 39 dollars. This sucks if you're buying the product in dollars, but if you are purchasing Surgical Recall via Euro to dollar conversion, then your only spending about 3 Euros or 1.98 million pesos (insert bitter sarcasm here due to the fact that a certain student's loan check is in dollars which is later converted to Euros). Dang!
Regardless, the Surgical Recall Audio is a good purchase. I like it so much I take it to bed every night! "Oh really?" Oh Yes! The same students who listened to Goljan when studying pathology will be interested in this download.
Friday, March 14, 2008
So for all you keener's who want to know what the final surgery exam was like today, this post is for you.
Let me start off by saying that the multiple choice questions were TOTALLY representative of the course (insert sarcasm and four letter words here). The person writing the exam had a complete fetish for tumors of the parotid gland... it was uncomfortable to say the least. I have since taken a shower and still feel dirty. The questions on the written paper which lasted 2 and a half hours were very specific. There was no room for bloviating so, all you folks who like to couch you answer in 3 tons of horse puckey were shit out of luck.
Also, the exam started a half hour late because there was a "printing problem." Pretty hilarious, 2.5 hours out of an entire year (365 days) and it cant start on time. sooooooo with out further ado (insert 70's skin flick music here)...
The Short Notes
What are the indications for thyroid surgery? what are the complications of a thyroidectomy? what is the management of these complications?
Describe the symptoms, investigations and management of low rectal carcinoma.
Describe the classification of neck of femur fractures. Describe the management of these injuries. Who is at risk of developing these fractures?
Describe the presenting features assessment and initial management of acute lower limb ischaemia.
Describe the epidemiology and aetiology of gastric carcinoma.What does he t stage indicate in gastric carcinoma and how is it defined?
List the complications of enteral and parenteral nutrition. What factors influence your choice of supplemental nutrition.
What is a full or partial thickness burn? Describe the difference between full and partial thickness burns. Classify the causes of burns. List the complications of burns listed under the classification of immediate early and late.
List the indications and complications of ERCP. Itemize the steps you would take to prepare the patient for an ERCP as an intern.
Describe the presentation, diagnosis and treatment options of prostate cancer.
List the indications, methods used and contraindications of sentinel lymph node biopsy.
It was a short history of an epidural haematoma. They wanted to know:
1)assessment management of the case in the A&E.
2)Prognostic indicators of traumatic brain injury.
3)The managent post operation in the ICU.
Thats it. Leave me alone. Boozin.
Thursday, March 13, 2008
I am correct when I say that you read it here first.
This is a screen shot of the author's proof that is sent out before publication. The author added my name in red (because he has authorship guilt) because I kept on yelling at him to write something for me so I could selfishly post it here. He wrote a review of the book, "Fluids and Electrolytes in the Surgical Patient."
It annoys me to no end that the first thing he wrote for me got published (what an ass). I did not write a sentence in his work and it's obvious… It's good!
Congrats to the author.
Although, it is within the scope of my personality to write a crappy review of the book review out of pure jealousy!
The original post is here.
If you have not read the book yet, you should, I really like it. Carlos Pestana can rehydrate me anytime.
Monday, March 10, 2008
The below post on Paediatrics advice for the average student at RCSI was a bit worrying to write because when I wrote it, I did not know if I had passed the Paediatrics examination. As of this evening, I humbly report that I have passed that exam. So, if you would like to have your child examined, please go to a paediatrician.
We received our results today via an email, which contained the numbers of students who did not pass. Although it was nice not being on that list, I cannot imagine what it would be like for those who failed to face the Medicine and Surgery writtens and MCQs only a few days from now (this coming Wednesday and Friday).
I do believe the college could have waited to release these results until the end of this week to keep everyone in the right state of mind for their upcoming exams.
This is just another reason why you should all vote for me when I run for "Supreme Emperor of the Planet Earth…" Wait, never mind (no more elections for me); that revolution will be by force.
It's the small injustices that are the worst.
Keep your heads up.
Thursday, March 6, 2008
As of today, my medical school class has finished all the pediatric learning that my fine medical institution (RCSI) has to offer.
Now that I have finished paediatrics (pending my results), I am just going to write a few lines about the resources I wish some one would have told me about before I started my rotation.
As a child, my mother told me many times that I was special (in a good way, jackass). As a result of her nurturing policy, I do not use the marks I score on exams as a measure of anything other than my ability to take that exam on that given day (most days, I am in the middle of my class). SO, if you are looking for a list of resources and books compiled by some one in the top of the class that gives advice on how to kill a herd of Zebras, you ain't in the right part of town stripy.
But, I assume by the law of percentages you're somewhere near the middle of your class as well, and that's good -- this is meant for you.
1) The Pediatric book with the sunflower on it is reviled by most medical students, yet somehow it is the standard recommended text. Dutifully I bought it. I opened it. I closed it. It really was terrible. BUT, there is a copy of notes floating around that were disseminated in the back RCSI library corridors, under cover of muffled cell phone conversations and Butlers coffee. They are a distilled version of what's HOT in "The Book That Will Not Be Named." Essentially, a student read the book and took out all "the fluffy bits." The end result is a really well written list of topics with only the essentials. Go ahead. Ask around. These are worth getting a hold of. You can always shoot me an email if you have not been able to tap the "appropriate network."
2) Pediatrics at a Glance is a good book to start with. I always enjoy the pictures from that series. The unforgettable picture at the top of this post is in the book concerning Sudden infant death syndrome; We added the "bollox." As per usual, all books in that series are lacking in written text. So, if you are into visual learning, it is a good resource and a rapid review. Today before my exam, I flipped through the whole book in an hour, just looking at the pictures. I guess it gives you a decent quick revision of topics some medical artist deemed important enough to draw.
3) If you like lectures and Kaplan, I do recommend the Kaplan lecture series and the yellow books for Step 2. They are not tailored for the RCSI course, but it is well worth the 12 hours of video and a glance through their version of what you have to know for on Step 2. Think of it as a two-for-one deal; you're studying for your exam and your Steps (and that sucks!). If you stumbled upon web page, then I assume you know enough about the web that I don't have to tell you how to find them on eBay.
4) Paediatrics and Neonatology in focus by Ros Thomas and Dave Harvey is a small book with a lot of pictures that will take you a day to read cover to cover. Again, it is fast revision of conditions that present visually.
5) Pocket Essentials of Paediatrics by Nandu Thalange et.al. I used this book on the wards. It's not a must have, but I know a lot of people who liked it.
7) For the OSCE, those of us who had an 8 month gap between our paeds rotation and the exam were a little nervous since we had not examined a kid in quite some time. I found the book OSCEs in Paediatrics by M.A Khan and M. Pandya useful, and it really put my nerves at ease.
8) Paediatrician Dr MDK video-blogs is a series of short interviews with a host of his Paeds colleagues on an A-to-Z list of topics in General Paediatrics. I'm not totally sure if these are aimed at parents or medical professionals as the language falls awkwardly between the two. That having been said, it is a fairly comprehensive, succinct review of the frequently asked questions and common presentations in the Paediatrics clinic that is well worth 2-3 hours. If you find New York accents grating, viewer discretion is advised. His videos can be found at www.drmdk.com
So, that's the list. I think it served me well... We shall see.
As always, if you have any additions to this list or want to tell us how you feel about it, feel free to comment below. Feed back is always appreciated.
Also, A very good friend of mine just matched in Paeds in Canada today (Not an easy task. Canada hates it when their students leave and try to come back). Giles, congrats, and remember back up at least 10 feet for all cases of pyloric stenosis
-GAB (secret ghost writer)