Path's lead is shrinking..

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I just got out of my first anatomy lab. I know you med students/residents are probably sick to death of anatomy by now, but as a pre-med it was SOOOOOO COOL to finally see all the things in person that I've only been reading about in textbooks. No matter how good an anatomy textbook is, it can never fully spatially describe (at least to me) where everything actually sits inside the chest cavity and the rest of the body. I never knew there was so much muscle in between the carotid and the interior surface of the neck, yet the pulse is still so strong!
 
leviathan said:
I also never realized the nerves in our body were so flimsy and thin...it seems like they'd snap so easily inside the body, yet AFAIK it's not a common occurrence for your vagus nerve to just dissect, for example.
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Ummm...no, because that would be incompatible with life!

I am SOOOOOOOOOOOOOOOOOOO glad to be DONE with anatomy lab FOREVER. I may do an elective to redeem myself a little bit from my "pass" in anatomy, but I really don't think I care that much.
 
Ok...so let me just say that I think I am developing MS1 syndrome. This week alone I have diagnosed myself with: heart failure, diabetes, and diabetic retinopathy.
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I went through the same thing when I took a few pathology courses...I started thinking I had acute post-streptococcal glomerulonephritis after I had a sore throat and then later developed "symptoms". 🙄
 
You will get used to the smell. I actually used to come out of anatomy lab STARVING. And it was a really strange hunger, not how I usually feel. I don't know if anyone else experiences this, but when I swim I come out of the water so hungry that my stomach almost cramps up. That's how I felt leaving anatomy lab!!!
 
*Does a BIG dance* 500! Such a small milestone, but I'll probably be on these boards for many more years to come. 😎

Here's to hoping that Coldplay fans get a little rowdier on Friday nights so I have something to do tonight. :meanie:

Keep up the +pad+ everyone!
 
Jeff698 said:
I've got to tell somebody this.

There I was, 10 minutes until the end of my shift when in walks EMS with a chest pain patient. After looking around the department and realizing I can't avoid picking up this patient, I walk in the room and immediately notice the odd expression on the paramedic's face.

Apparently this patient, a nursing home resident, was happily sleeping the good sleep when a "nurse" notices his chest isn't rising to her satisfaction. In an effort to treat his 'apnea' she does a sternal rub. Not suprisingly, he wakes up and says......are you ready for this?....."Ouch".

Sadly for me, he follows "ouch" with "my chest hurts". 911 is immediately called for the combination of apnea and chest pain.

And what is going through my head at this moment as I'm helping move the patient over to our stretcher? What type of medical knowledge is circulating in my brain?




"The internet is for porn...the internet is for porn".

Dammit, that song won't get out of my head. 🙂

Take care,
Jeff
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great.....!!!!!!!!!!!!!!!
 
yet AFAIK it's not a common occurrence for your vagus nerve to just dissect
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Not common? I've never heard of that happening.....although I imagine the effects of that would not be pretty or pleasant for the patient. +pad+
 
Praetorian said:
Not common? I've never heard of that happening.....although I imagine the effects of that would not be pretty or pleasant for the patient. +pad+
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Well, you'd lose the following in terms of muscle function:

Motor to constrictors of pharynx, intrinsic muscles of larynx, muscles of palate (except tensor veli palatini), striated muscles of upper 2/3 of esophagus
Smooth muscle of trachea, bronchi, GI tract, cardiac muscle

As well as experience immediate tachycardia. and your chemo/baroreception would go TOTALLY screwy.
 
socuteMD said:
Well, you'd lose the following in terms of muscle function:

Motor to constrictors of pharynx, intrinsic muscles of larynx, muscles of palate (except tensor veli palatini), striated muscles of upper 2/3 of esophagus
Smooth muscle of trachea, bronchi, GI tract, cardiac muscle

As well as experience immediate tachycardia. and your chemo/baroreception would go TOTALLY screwy.
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Thanks for the review, but I already knew that.... 🙂

Pop quiz OhCuteOne: What is a pathognomic sign of injury to the recurrent laryngeal nerve? 😉
 
I never knew there was so much muscle in between the carotid and the interior surface of the neck, yet the pulse is still so strong!
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You should try digging around through a 3" incision on the side of base of the neck to find the carotid so you can embalm.....that's the ultimate way to learn vascular anatomy! +pad+
 
Praetorian said:
Thanks for the review, but I already knew that.... 🙂

Pop quiz OhCuteOne: What is a pathognomic sign of injury to the recurrent laryngeal nerve? 😉
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Ummm...vocal cord disfunction since all of instrinsic muscles of the larynx EXCEPT the cricothyroid are innervated by the recurrent laryngeal nerve?
 
socuteMD said:
I actually used to come out of anatomy lab STARVING.
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Strange, but true. My tank-mates and I all experienced this...
 
Praetorian said:
By the way, I have a hellacious dream last night- I was in med school doing an EM rotation and my resident was Ectopic, the attending was SouthernDoc, and the Chief of EM was BKN..... :scared:

What's even scarier is I've never seen a pic of Ectopic or BKN.....
+pad+
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Call me crazy but when I start dreaming about SDN I think it's time to take a posting sabatical 🙂
 
leviathan said:
I also never realized the nerves in our body were so flimsy and thin...it seems like they'd snap so easily inside the body, yet AFAIK it's not a common occurrence for your vagus nerve to just dissect, for example.
Click to expand...
LOL ah the bain of my anantomy days was nerve dissection. Kinda like cutting a strip of butter out of a hunk of playdo. Get used to shredding em totally unbeknownst to you and then seeing where they should have been on the anatomists cadavers
 
Praetorian said:
What in the hell is an In-n-Out Burger? 😕
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While my inititial impost was to pull and old SDN trick on you and recommend you do a search I realized it would possibly lead you into a confusing web of posts about the ULTIMATE in EM training the In N Out residency. So I decided to share this wonderful gift that SDN shared with me about a year ago.

In N Out is a fast food burger joint in California and a few other western states but not many (Arizona? Nevada?)
It's all fresh made burgers and fresh cut potatoes and they make one type of burger they describe as ANIMAL STYLE (note fries can be gotten that way too) with a tasty special sauce (no lude comments please from the peanut gallery).
I had never heard of it either but it was recommended to me before I went to last years AAEM Sci Assembly in San Diego. It was AWESOME!!!!!!!!!!!!!!!!!!!
.....It has become a running gag that it's also the sponsor of the greates EM residency program in the country.
Now your behind the curtain. Keep our secrets safe from the pathologists!!!!
 
I just wanted to say thanks to all those who posted tonight, at first I was feeling like my life was extremely pathetic, staying home to study and to write a paper for class (w/ the help of some wine) and the fact that I was going to go to bed fairly early to get up early and study ....and I come to this forum and see that others are at home and posting...so thanks for helping me realize that I am just a nerd (thats what my SO told me, who is at work tonight) but anyways will stop rambling now.......

oh and +pad+
 
He was just playing, he was actually giving me hard time, said I could quit anytime I wanted to come back and do the EMS , play second fiddle to the fire guys,( even though used to ddo that to) sit on my a** and develop the EMS wide A**, but I in the wonderful way that only an ex fire/ems person could say total him to pound sand and to shove it....but thats the way he motivates me when I start feeling sorry for myself...considering I only get to see him every 3 or so weeks.....
 
You know, I'm not sure if I actually AM in the minority in this forum, but it seems like a lot of people are coming to EM from a previous EMS-type background, and a slightly less traditional entrance into medicine than mine. Am I correct in thinking this?
 
socuteMD said:
You know, I'm not sure if I actually AM in the minority in this forum, but it seems like a lot of people are coming to EM from a previous EMS-type background, and a slightly less traditional entrance into medicine than mine. Am I correct in thinking this?
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I think that EMS folk general "know" what area of medicine they want to practice when they enter medical school. The more "traditional" folks often don't. So here, as a "traditional" M1 who has already decided "I'm going into EM", yes, you are probably a minority, by M4 that will balance out.

- H
 
OMG. Turbo Tax asks a LOT OF FREAKING QUESTIONS. I would be more bitter if they weren't going to deposit almost 3K into my bank account in a couple weeks (waiting on ONE MORE FORM).
 
socuteMD said:
OMG. Turbo Tax asks a LOT OF FREAKING QUESTIONS. I would be more bitter if they weren't going to deposit almost 3K into my bank account in a couple weeks (waiting on ONE MORE FORM).
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Can I borrow $105?
 
FoughtFyr said:
I think that EMS folk general "know" what area of medicine they want to practice when they enter medical school. The more "traditional" folks often don't. So here, as a "traditional" M1 who has already decided "I'm going into EM", yes, you are probably a minority, by M4 that will balance out.

- H
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I didnt have an EMS background nor did about 3/4 of people going into EM from my school. We are gonna send a little over 20..
 
EctopicFetus said:
I didnt have an EMS background nor did about 3/4 of people going into EM from my school. We are gonna send a little over 20..
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But when did the 20 "know"? I'm not saying that EMS folks are the majority of EM applicants. What I am saying is that if you asked all M1s what they were going to go into, only a small percentage would know. Of those who "knew" and were heading for EM, the majority (in M1) would have EMS experience. As the students continue, more and more are dawn to the specialty until the EMS folks are in the minority.

But that is just my opinion.

- H
 
Praetorian said:
I don't know that I "know" I'm going to be an EM doc, but I certainly count it high among my preferred specialties.
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He11, I'm a PGY-2 and I don't "know" that I am going to do anything except +pad+

😍

- H
 
socuteMD said:
Well, you'd lose the following in terms of muscle function:

Motor to constrictors of pharynx, intrinsic muscles of larynx, muscles of palate (except tensor veli palatini), striated muscles of upper 2/3 of esophagus
Smooth muscle of trachea, bronchi, GI tract, cardiac muscle

As well as experience immediate tachycardia. and your chemo/baroreception would go TOTALLY screwy.
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Haha, thats almost word for word out of my anatomy notes. 🙂 This is why people who have cardiac surgery have trouble with coughing post-op, apparently.
 
FoughtFyr said:
But when did the 20 "know"? I'm not saying that EMS folks are the majority of EM applicants. What I am saying is that if you asked all M1s what they were going to go into, only a small percentage would know...
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Then why is it that most premeds seem to already know they want to be cardiothoracic surgeons and dermatologists? 🙄

I hate premeds, even though I am one too. I just don't realize I'm probably as annoying as the rest of them. 😎
 
Praetorian said:
I don't know that I "know" I'm going to be an EM doc, but I certainly count it high among my preferred specialties.
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Likewise. I'm not foolish enough though to think that I *know* I want to be an EP when I haven't even spent a minute in your guys/girls' shoes who are practicing already. I know I'll probably like EM, but maybe I'll like something *more* when I am an MS3/4 (hey, that rhymed!).
 
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