博文
(2014-05-11 22:01:25)
Ifyouareamedicalstudentorresident,youwillgetpimpedalotduringrounding.Pimpingisyourattending,normallyolderandsmarteraskyouaserialofquestionstotestyourmedicalknowledge.Thepurposeistokeepyouhumblebutatsametimeencouragethegrowthandlearning.Itisafinearttokeepyoudowntoearthandithasbeenatime-honouredtraditionformedicine.Somepeoplethinkshame-basedlearningistheheartofthemedicine,becausethereisalwayssomethi...[阅读全文]
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(2014-05-11 12:46:48)
RecentlyIhadapatientwhowasacommercialpilot,letmecallhimMr.Pilot.Mr.Pilotdevelopedbloodclotsonetimeafterflyingthelonginternationalflights,andwasputonbloodthinner,unfortunatelyitcausedbleedinginhiskneejoint.Hewasgroundedandcannotflyanymore.Hewasveryfrustratedandaskingwhenhecangobacktowork."Whydoesthishappentome?Ihavebeeneatingright,exerciseregularly,Idonotsmoke,Idonotdrink,Ihavebeengood!Ihavene...[阅读全文]
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(2014-05-11 10:13:58)
Dowhatyoulovetodo,anddonotletthebullyscareyou!
Iremembermyvery1stjob,Iworkedwithsomenursesandclerksinanon-clinicaldepartment,whatwedomostisadministrativeissues.IamaforeignMDbutnolicenseinthestate,sotothem,myforeignMDdoesnotmeananythingtothem."Youarenotanurse,youarenotclinical,youcannotdothis!",Ithoughtthisjobjustneedamedicalbackground,notalicensesincenodirectpatientcare.Anursingbackg...[阅读全文]
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(2014-05-11 09:18:40)
Dr.MisthechiefofNephrology.Hehassuchacalmingpersonalitythatwhenyoutalktohim,itfeelslikesoothingyoursoul.Heissuchanicephysicianthatheinvitesthepatientstohisoffice,Imean,nottheclinictohelpthemiftheycannotmakeanappointmentontimeintheclinic.
HeisoneofthethinkersImetinmylife,comparetoDr.C,totallydifferentstyle.Dr.Cisaggressive,sharp,totallawyerstyle,butDr.Miscalm,firm,slow,andmakeyouverycomfortable...[阅读全文]
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(2014-05-11 08:51:18)
IdonotdrinkcoffeebecauseIamverysensitivetoit,cannotgobacktosleepifIhavesome.ButthereisonethingIlikeinStarbucks,thatisGreenTeaFrappuccino,creamontop,notverysweet,buthavetherefreshingtasteofthegreentea.Myfavoritedrinkinthesummer.Loveit![阅读全文]
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ImetagirlwhofinishedherMBAandalreadygotajoboffertobeafinancialanalyst,and2hrsbeforesheboardedtheplanetoreporttohernewjob,shegotacceptedtoMedSchool,inthose2hours,shemadeadecisiontogotomedschool.Herbusinessschoolprofessorquestionedher,"whydoyouwanttodosomuchforsolittle,whydon'tyouwanttodosolittleforsomuch?"
Igotaskedthisalottoo.Iworkedafewyearsinahospital(non-clinical)beforeIcamebackto...[阅读全文]
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(2014-05-10 21:34:06)
Internyearisalmostover,Ihaveworkedwithsomanydifferentinterns,residentsandattending.ThereisonephysicianthatIjustcannotforget,thatisDr.C.
Dr.CisaMDJD,wenttoagoodmedicalschoolandtrainedinthetopuniversitymedicalcenters.Hejustfinishedhistraininglastyear,andwasbroughtinforaseniorpositionforthespecialskillshehas.The1sttimeIgottoknowhimbecauseofthegrandroundshemadeaboutmedicalfutility.Ialwaysadmirethe...[阅读全文]
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Internyearisalmostover,JulytoJune,everyyeartherearenewphysiciansonboardfortraining.InUSaphysicianneedtofinisharesidencyaftermedicalschoolinordertopracticeindependently.Thetrainingforphysiciansarebrutal,longhoursandveryhardwork,alsoemotionallydraining,unlessyoudonotcare.Duringinpatientmonth,youonlyget4daysoffeachmonth,eachdayyouhavetogotohospitalearlytopre-roundonallofyourpatients(nowcappedat10pati...[阅读全文]
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(2014-05-10 18:54:31)
InInternalMedicinetraining,thereisonemonthforICUrotationforthe1styear.ICUrotationismentallyandphysicallydemanding.IrememberinMarchtheICUcensusisreallyhigh,upto16,andthereisnotenoughresidentstocover,wehave2residentsand1internontheteam,andIamthatintern.Onetime,wehave4ptscrashingatsametime,oneneedsintubation,oneisactivelydying,onehavemassiveGIbleedingandwantstowithdrawalltreatment,oneischronicallyill...[阅读全文]
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