Path is in our rear view mirror part 02

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Sweet Tea said:
Sounds like my life, but substitute radiology for anesthesia. 😉

The horror will come in about a month when we have a required 2-week long "Transition to Residency" class. It's listed as being 8-5 on our schedule, and the idea of sitting in a classroom from 8-5 listening to someone drone on and on makes me feel more than a little queasy. There's a reason I stopped going to classes during my M1 and M2 years...ST NO LIKEY POINTLESS LECTURES.
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Hmmm...book on iPod, wear your hair down, hide the earbuds?

Lecture? I'm pretty sure my school doesn't have those. Or, at least if they do I'm still waiting for my engraved invitation.
 
Sweet Tea said:
Sounds like my life, but substitute radiology for anesthesia. 😉

The horror will come in about a month when we have a required 2-week long "Transition to Residency" class. It's listed as being 8-5 on our schedule, and the idea of sitting in a classroom from 8-5 listening to someone drone on and on makes me feel more than a little queasy. There's a reason I stopped going to classes during my M1 and M2 years...ST NO LIKEY POINTLESS LECTURES.
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What can they possibly teach you that you haven't learned already? I think required sub-i's are the closest you can get to simulating that, but otherwise there's not much you can do to be "prepared."
 
I was hoping it would be a "this is how you use the ROL program" sort of thing, but no, it starts after the ROL is due. I'm not excited about the 2 weeks.
 
K all - asked the mods for a post-hold until after exams. See y'all then.
 
Good luck on your exam SoCute......even my daughter is cheering you on:
thepigindadshat.jpg

yaypig.jpg
 
Hurt me, Help me, Neither??

Uhm, I just spent the last couple months convincing, trying to convince, begging to convice, on my knees, bending backwards, taking it far up the *ss - that I am switching to EM from Ortho

And now, the research I did in Ortho just got published this month in the largest Ortho journal(yay😀 , but a little late for that 👎 ). It was accepted for pub last year.

If programs knew- help? hurt? neither? my EM app?
 
DropkickMurphy said:
Let me guess......he was several inches shorter than before he jumped? :laugh:
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I have actually seen one of these cases, but the guy jumped off a bridge. dbl tib-fib breaks, then I was told to leave the trauma room because it was an attempted suicide and they were worried about confidentiality (I was in undergrad at the time). Oh well...I'm sure there wasn't much more excitement beyond that. The one that kicked me out was a resident that was having an obviously bad day. She didn't care I was there for the trauma before that one, then something flipped a switch on her. 🙄
 
It absolutely is terrible when all the internet you usually leech are all not working!!!! I have been venturing around trying to find internet. I finally found one (obviously).
 
DropkickMurphy said:
Let me guess......he was several inches shorter than before he jumped? :laugh:
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The patient dove straight on their head from 6 stories (I hear or people landing on their head from 'standing' and die)

It was like a "Phineus Gage" thing- the frontal skull & face was completely smashed open revealing grey matter.

Surgery-> then major complications & brain tissue coming out of EVD-> then time to withdraw treatment.

It was an interesting Case!
 
I've seen a couple of cases too......one was a construction worker who fell 70-75' onto his head. He wound up as an organ donor.

The other was a suicide off of a building.....his knees were several inches closer to his hips and ankles than they should have been. The most dramatic finding was a obvious spine fracture/dislocation that produced a bulge.
 
:laugh: So apparently I got nominated as "most likely to be on an infomercial selling a supplement (like hydroxycut)" for our senior superlatives.
 
Dr. Will said:
:laugh: So apparently I got nominated as "most likely to be on an infomercial selling a supplement (like hydroxycut)" for our senior superlatives.
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:laugh: :laugh:

Does this mean you're a money hungry sell out?😀
 
SoCuteMD said:
K all - asked the mods for a post-hold until after exams. See y'all then.
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Wow you know how to use this option on this site.. well done. im guessing socute will be ms AOA..
 
Dr. Will said:
:laugh: So apparently I got nominated as "most likely to be on an infomercial selling a supplement (like hydroxycut)" for our senior superlatives.
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Fetus won.. best looking in a short white coat.. Prof Fetus thought it was a joke😡
 
EctopicFetus said:
Fetus won.. best looking in a short white coat.. Prof Fetus thought it was a joke😡
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The only time I won anything like that was when I was in high school and was most likely to overthrow a small African nation and set up his own dictatorship. :laugh:
 
SolidGold said:
:laugh: :laugh:

Does this mean you're a money hungry sell out?😀
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Either that or my class thinkgs I'm charismatic enough to be able to sell a product. I'd like to believe it's the latter. 😀
 
sup.. hung out with peeps..
went to da gym.
 
Might be good for the next 4 weeks.. the 8 after that... i wont be here much!
 
if i have time.. i dont think i will be padding.. ill be sleeping..
 
on that note.. good night.. be back tomorrow.
 
DropkickMurphy said:
I've seen a couple of cases too......one was a construction worker who fell 70-75' onto his head. He wound up as an organ donor.

The other was a suicide off of a building.....his knees were several inches closer to his hips and ankles than they should have been. The most dramatic finding was a obvious spine fracture/dislocation that produced a bulge.
Click to expand...

Falls from heights are different, Gotta do some teaching:

Mortality from fall landing on feet (axial deceleration):
3 stories (30 feet) = low
4 stories (40 feet) = 50%
5 stories (50 feet) = approaches 100%

Bones broken (more or less in order of likelihood): calcaneous, lumbar vertebra, tibial plateau, talus, pelvis, femoral neck, cervical vertebrae. Although, I think if you knew how to do an old fashioned parachute roll, you might get away with just a distal fibula. That would be much to be desired.

Viscera injured are less common and will not be those you are accustomed to see with the usual transverse deceleration of car accidents. Actually come to think of it, you guys don't see much of that either, given air bags, three point restraints and unit passenger cage construction. EM is getting boring.😡

Anyway, with falls from heights giving axial deceleration the organs most often injured are those suspended by mesentery and/or hollow, fluid filled. So, mesentric tears leading to bowel hematomas and/or ischemia, bladder, Renal artery, IVC and other vessels.

On the other hand, cats falling from skyscapers sort of relax out, turn their body into parachutes, land and run away, even crazier than usual.

They don't all run away, however. Apparently, it's raining cats and dogs in NYC.

: J Am Vet Med Assoc. 1987 Dec 1;191(11):1399-403. Links
Erratum in: J Am Vet Med Assoc 1988 Feb 15;192(4):542. High-rise syndrome in cats.

Department of Surgery, Animal Medical Center, New York, NY 10021.
High-rise syndrome was diagnosed in 132 cats over a 5-month period. The mean age of the cats was 2.7 years. Ninety percent of the cats had some form of thoracic trauma. Of these, 68% had pulmonary contusions and 63% had pneumothorax. Abnormal respiratory patterns were evident clinically in 55%. Other common clinical findings included facial trauma (57%), limb fractures (39%), shock (24%), traumatic luxations (18%), hard palate fractures (17%), hypothermia (17%), and dental fractures (17%). Emergency (life-sustaining) treatment, primarily because of thoracic trauma and shock, was required in 37% of the cats. Nonemergency treatment was required in an additional 30%. The remaining 30% were observed, but did not require treatment. Ninety percent of the treated cats survived.
High-rise syndrome in dogs: 81 cases (1985-1991).
Department of Surgery, Animal Medical Center, New York, NY 10021.
We evaluated 81 dogs with high-rise syndrome. Dogs fell from 1 to 6 stories, and of 52 dogs for which the fall was witnessed, 39 had (75%) jumped. Dogs sustained a triad of injuries to the face, thorax, and extremities, similar to injuries seen in cats with high-rise syndrome, but with differences in degree and distribution. Height fallen and landing surface affected initial status and type and severity of injury. Cause of fall influenced distribution of extremity injury. Dogs falling < 3 stories had a high prevalence of extremity fractures. Higher falls resulted in more spinal injuries. We recommend initial treatment for shock and thoracic trauma followed by orthopedic and neurologic evaluation. Visceral trauma should be considered if response to emergency treatment is poor. All but 1 of the dogs survived.
PMID: 8420897 [PubMed - indexed
 
How many of you actually change your motor oil at 3000 miles?
 
I try to change mine around 4-5000. Sometimes it happens earlier...but that's just because I am on break and I know I will be way past it come the next break.
 
Dr. Will said:
How many of you actually change your motor oil at 3000 miles?
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FYI most cars esp newer ones rec it like every 6500 miles or so. My wifes Mazda 3 recommends it every 6500 miles. We own the car so we care for it.

I on the other hand leased a mitsubishi during med school and I changed it every 8-10K miles. I just didnt/dont care. My Toyota 4 runner now also leased will get its oil changed every 10K mniles or so.. my logic is why should i pay for upkeep of a car that I dont own... if they were smart they would provide incentives for people to care for their property.
 
Oh and if you saw the post in this forum it is getting nutty..

Nothing like abortion to fire some people up.
 
Whoa, I was just totally weirded out by the abrupt change of subject. :laugh: I was reading that thing on falls and then people started talking about motor oil changes. Anyway, to answer that question, I'll probably be changing it 1 time every two years, maybe once a year. I don't have the owner's manual and the odometer doesn't work anymore, so I'll pretty much be guessing when it comes to mileage.
 
MirrorTodd said:
Whoa, I was just totally weirded out by the abrupt change of subject. :laugh: I was reading that thing on falls and then people started talking about motor oil changes. Anyway, to answer that question, I'll probably be changing it 1 time every two years, maybe once a year. I don't have the owner's manual and the odometer doesn't work anymore, so I'll pretty much be guessing when it comes to mileage.
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The internet can be handy in old owners manuals.. And you can figure your gas mileage by how often you need to fill your gas tank..
 
MirrorTodd said:
Well, I've never actually filled it up. I usually just put a couple of bucks in there and go on my way.
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I remember those days too.. 5 bucks here, 2 bucks there..

Soon you will be able to fill 'er up!🙂
 
I passed another section. This means the school is stuck with me for the rest of the year!!! (We can flunk 2 sections in one year, but no more than 3 over the 2 years) I would just have to retake the finals if something bad happened, but so far so good. It's almost a motivating factor.
 
HIANMI.. where r u in school? somehow I thought you were pre-med.. whoops..
 
I need my car to take me through med school, so I try to care for it as much as possible.
 
yep.. then as a resident.. well a new car hurts.. its a lot of bread.
 
Dr. Will said:
How many of you actually change your motor oil at 3000 miles?
Click to expand...

My new car has a meter that tells me when to change it. It averages about 5-6k before the indicator comes on.
 
Mine too but screw that.. if it is leased.. 36K miles on my car for the whole lease..
 
Speaking of oil changes (or not), how come frozen meals never look as good in person as they do on the box?
 
LOL.. same could be said for food on any package.. compare your burger to the one on the ad.. etc..
 
I asked about the oil change b/c I had about 3500 on it (last change was in Oct.) and was on my way to Cinci. I decided to change it before I left just b/c it's been so cold in Chicago placing my car (95 ford escort) in severe driving conditions. I need it to last through the year so I figured might as well.

Anyways, back in Cinci in this pimp hotel room. They again paid for 2 nights, but I only need one just b/c I've spent time around the city and there isn't much else for me to explore. Also, I think a storm is coming so I'm better off getting out ASAP before I get stuck longer.

As for the second look, for those that have done them, how much of a shift do you stay for. I was thinking 4-6 hours of shadowing would be enough for me + morning report. Any thoughts?
 
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