Wayne State University part 01

[artemis]

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I thought it was common knowledge that student body presidents, VPs, etc never really accomplish anything and the title is pretty much just something to put on a resume. Keeps the students happy because they think they have a voice.. but have you ever been to one of the meetings? 😴

no, i have not, i let our expert leaders handle stuff like that 😀

 

[Shangal]

today was a long day.
well for those who go to class, did we have pharmacology today? if so, where are the notes?

 

[JonD-08]

I was sick today and didn't come in, what was longer about today than other days?

Schedule shows Psych for this morning, notes start on pg 29 of the Psych notes.

In other news, I dropped a lot of money on a diagnostic set. The second years last year said that they never used their sets because they just used the wall-mounted equipment. Vaguely reminiscent of the PDAs. We'll see I guess.

 

[katrinadams9]

I decided to forgo the buying of the diagnostic set until PD actually starts. If I decide I need one later, I'll ask my parents to buy it for Xmas. I'm too damn broke to spend $300 + on something I'm not sure I'll even use.

No, there was no pharm today. Dr. McCullough covered Somatoform Disorders, Malingering, Munchausen and Impulse Disorders. It was actually a really good day to be at school. He said tomorrow would be the day he would attend class if he was us. We're supposed to have some clinical video on the personality disorders. I really like psych! It takes away some of the misery of pharm and path....

 

[Shangal]

good to hear.
I love psychiatry too. the funny thing is that whenever I read a disorder I can of relate it with a person I know. like facititious, my grandma who is always complains about her foot pain, my cousin has malingering to avoid going to school, I have hypochondriasis, well at least some form of it, when I freaked out 2 years ago because of chest pain, ..........
I don't know, I can relate with psychiatry more then any class so far. This is the only class so far I actually enjoy when I study.

 

[Evil X]

Exactly!!! I don't have time for it, so I ignore it...or more usually make sarcastic cracks about it. I'm to involved in trying to get through med school than to spend time on who's sleeping with who...or would like to...or who got drunk and did what to someone else. I graduated from high school a decade ago, I would rather not revisit it. Ever.

I'll do you.
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jp

 

[Evil X]

McCullough is one of the best profs at WSU.

 

[dancinjenn]

I'll do you.
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jp

Apparently you've never seen me... 😱

 

[artemis]

Apparently you've never seen me... 😱

y'all are friggin hi-lar-i-ous thanx

 

[katrinadams9]

Apparently you've never seen me... 😱

I think he wants to do you avatar... it is pretty sexy by the way.

 

[dancinjenn]

Ha! Probably...'cause I'm about as far from that pic as I can get. 🙂

 

[fun8stuff]

Ha! Probably...'cause I'm about as far from that pic as I can get. 🙂

you shouldn't be so derrogatory to yourself. that girl in that pic is ugly and old fashioned anyways. not that it's a bad avatar or anything.... yeah. 😉

 

[Shangal]

interesting comments.

 

[dancinjenn]

you shouldn't be so derrogatory to yourself. that girl in that pic is ugly and old fashioned anyways. not that it's a bad avatar or anything.... yeah. 😉

It's not that I think I'm completly awful or anything, I just am realistic and I know that I could stand to lose another 30 lbs. I'm down a full 15 now, but it has been slow going.

As for the avatar: It is old fashioned on purpose, I like classic cheesecake pin-up from the 40's and 50's. They remind me of Swing and Sock-hops, ice cream sodas and chocolate cherry cokes.

 

[katrinadams9]

MSIII and MSIV's:

Did you buy the opthalmoscope/otoscope diagnostic set for Clin Med? If so, did you actually use it?

 

[Shangal]

the one time I read ahead and he cancels that lecture. Ba Humbug

 

[Evil X]

MSIII and MSIV's:

Did you buy the opthalmoscope/otoscope diagnostic set for Clin Med? If so, did you actually use it?

Just float it for now and see where you go for Clin Med. Some places have it in every room but I think most do not. I bought one and it has come in handy because I know I have it on me and especially when, in morning report, the chief resident asked who has an opthalmoscope and I was the only one to sheepishly hold it up. He said only the senior student has one, thats pathetic.

 

[fun8stuff]

Just float it for now and see where you go for Clin Med. Some places have it in every room but I think most do not. I bought one and it has come in handy because I know I have it on me and especially when, in morning report, the chief resident asked who has an opthalmoscope and I was the only one to sheepishly hold it up. He said only the senior student has one, thats pathetic.

what are second years doing now in clin med? just curious....

 

[katrinadams9]

what are second years doing now in clin med? just curious....

Nothing right now. We had an exam a month ago, mostly statistics and other odd and ends. We don't have any Clin med now until we start physical diagnosis (PD) in December, our first venture into the hospitals. Most of us are really looking forward to it.

 

[fun8stuff]

Nothing right now. We had an exam a month ago, mostly statistics and other odd and ends. We don't have any Clin med now until we start physical diagnosis (PD) in December, our first venture into the hospitals. Most of us are really looking forward to it.

how large of groups? how often?

 

[oldjeeps]

how large of groups? how often?

Don’t know.
After all this is Wayne State and they tend to function under a ‘need to know’ mentality and apparently we don’t need to know, yet.

But the rumor from the third years is that group size depends on the hospital that the lottery sends you to. As for how often, I have heard rumblings of as often of twice a week.

 

[katrinadams9]

how large of groups? how often?

The largest group they have at any one hospital for PD is 30, but they haven't told us if they'll break those up into smaller groups or not. I heard from a third year not to do PD at Recieving because each group had about 12 people and it was not a good learning experience. I'm going to try to get mine out at Providence just 'cuz it's closer to my house and then I don't have to drive into the city...

 

[lj1230]

I am gonna try to get my PD off campus too.... thinking maybe st. john's.... that way if there is a snow storm or something in the winter I won't have to trek down to Wayne!

 

[Shangal]

does anyone know what mania is, and the difference between bipolar 1 and 2. It's just that I didn't get why the last patient on that video we watched yesterday was bipolar 1.
Any help will be appreciated

 

[Evil X]

does anyone know what mania is, and the difference between bipolar 1 and 2. It's just that I didn't get why the last patient on that video we watched yesterday was bipolar 1.
Any help will be appreciated

My "dumb med student" version:
Bipolar 1 - Mania plus/minus Major Depression
Bipolar 2 - hypomania plus/minus dysthymia

More technically:
The DSM-IV TR uses universal symptoms to define the diagnostic criteria for mood episodes, including major depressive and manic episodes. One true manic episode, with or without psychotic features, is the necessary and sufficient criterion by which bipolar disorder is defined as type I. A depressive episode is insufficient for making this diagnosis, even in the presence of a strong family history of bipolar disorder. Type II bipolar disorder is diagnosed based on the presence of at least one hypomanic episode. Thus, bipolar disorders are viewed as a spectrum of symptoms that range from mild hypomania to the most extreme forms of mania, which may include life-threatening behaviors, dysphoria, and psychotic features.

 

[oldjeeps]

does anyone know what mania is, and the difference between bipolar 1 and 2. It's just that I didn't get why the last patient on that video we watched yesterday was bipolar 1.
Any help will be appreciated

I think that my group instructor said something about it being said/implied that the patient in that vignette had been hospitalized previously and from that made the leap that the patient’s “up” episodes were manic, rather than hypomanic.

I am hoping that just remembering that manic episodes are a really bad thing that frequently results in hospitalization will be enough to get me through the exam.

 

[Flobber]

does anyone know what mania is, and the difference between bipolar 1 and 2. It's just that I didn't get why the last patient on that video we watched yesterday was bipolar 1.
Any help will be appreciated

My understanding is that a full blown manic episode is, for lack of better words, really f*cked up. This is when people entirely lose control and do destructive things like gamble all of their money away or buy eight prostitutes and go to town. Hypomanic episodes are less destructive. So, to be Bipolar I, you have to have a full manic episode for at least 1 week, but you don't necessarily have to have any symptoms of depression. For BP II, you are not crazily self destructive, but you have had a major depressive event.

 

[katrinadams9]

My understanding is that a full blown manic episode is, for lack of better words, really f*cked up. This is when people entirely lose control and do destructive things like gamble all of their money away or buy eight prostitutes and go to town. Hypomanic episodes are less destructive. So, to be Bipolar I, you have to have a full manic episode for at least 1 week, but you don't necessarily have to have any symptoms of depression. For BP II, you are not crazily self destructive, but you have had a major depressive event.

We're all pretty sure my little sister is bipolar. During her manic phases she has bought a new car, bought new furniture (both she can't afford), shoplifted, keyed a car, and sped excessively on the highway. She's about 1 point away from getting her liscence taken away. She also gets the violent mood swings where she goes from extremely happy to highly irritable and pissed off in about 2 minutes flat. That's why it's not so hard for me to remember mania!

 

[Shangal]

Thanks for the help everyone. I appreciate the help.
I kind of liked today's test. but I know the average is going to be high

 

[Shangal]

man, I made alot of stupid mistakes. If only I can go back and change a couple of those answers.
I am going to start studying path now

 

[katrinadams9]

That second pharm exam was pretty tough. I didn't think the psych or neuropharm were that bad... I don't think I did well on the pharm... grrr 🙁

 

[diggelicious]

That second pharm exam was pretty tough. I didn't think the psych or neuropharm were that bad... I don't think I did well on the pharm... grrr 🙁

i thought the psych was a lot tougher than expected, pharm not as much... should be interesting to see how high the curve will be, probably 95 for our ridiculous class

 

[ddmo]

Well the time constraint was just a little ridiculous, I felt like I was manic trying to answer everything in the time period. When people have such limits, it's bad form to be writing questions with a paragraph of text and calculations that are only worth one answer.

 

[Shangal]

if its going to be a 95 I am dropping out!
was bipolar 2 the answer for one of those questions?

 

[JonD-08]

I thought Psych/PsychPharm were pretty easy, but Pharm killed me.

No time to check my math, and I spent way too long studying drugs and not enough learning the pharmokinetics stuff better... Probably left some "points on the field" from stupid mistakes.

Such is life - time for Nip/Tuck and then Path

EDIT - I answered bipolar 2 for the guy who had manic symptoms but didn't have problems at work.

 

[oldjeeps]

was bipolar 2 the answer for one of those questions?

Don’t recall.
Must be that my selective amnesia is acting up again. 😀 Hope that it doesn’t do that on Friday.

 

[Flobber]

hey, i'm doing my obsessive post exam look up the answers thing and i was just wondering... did i make a stupid mistake, or did he really ask two questions right in a row in the neuropharm exam that had the same answer? if i'm right, he asked about the mechanisms of desipramine and venlafaxine (both being the NE and 5HT reuptake inhibitors)... did i do something stupid and misread those?

thanks.

 

[JonD-08]

hey, i'm doing my obsessive post exam look up the answers thing and i was just wondering... did i make a stupid mistake, or did he really ask two questions right in a row in the neuropharm exam that had the same answer? if i'm right, he asked about the mechanisms of desipramine and venlafaxine (both being the NE and 5HT reuptake inhibitors)... did i do something stupid and misread those?

thanks.

I remember those - unless I read it wrong also, you're right.

 

[Shangal]

You got it right, they both had the same answer.
how about the bipolar 2 answer though, that question, and 6 other ones, are killing me

 

[Flobber]

bipolar II was the right answer. the guy had major depression but wasn't completely manic ---> bipolar II.

thanks for confirming, makes me feel a little better. i screwed up some easy ones on that neuropharm...

 

[oldjeeps]

i screwed up some easy ones on that neuropharm...

You, me, and hopefully a lot of other people.

 

[Flobber]

For anyone interested, I highly recommend reading the Robbins chapter on wound healing, its 1000 times better than the notes which, to me, make absolutely no sense.

Good luck studying...

 

[oldjeeps]

For anyone that is in doubt of the fact that main campus is clueless about those of us that live in Scott Hall, take a close look at the e-mail that we got today regarding a “strategic planning session”. Main campus seems to be under the impression that Scott Hall still has a third floor.
I, for one, would really like to see them hold a meeting in "School of Medicine, Room 3334".

 

[Shangal]

what do you guys think about this
http://www.thesmokinggun.com/archive/1005051dr1.html
I was talking to my roommate about this, I don't know if she is lying about this or not, but do you think that it is possible for a person to be that dumb say that this story was true?

 

[katrinadams9]

BTW.... pathbio sucks @$$!!! Too much little nit-picky stuff to remember. And I guess it doesn't help that I put off studying for it until after the pharm exam. I think I'm gonna bomb this one.... hopefully I'll be able to pull a immuno/micro though (fail the first exam horribly and then come back in full force to raise my grade). We'll see. Anyone else stressing about tomorrow?

 

[JonD-08]

BTW.... pathbio sucks @$$!!! Too much little nit-picky stuff to remember. And I guess it doesn't help that I put off studying for it until after the pharm exam. I think I'm gonna bomb this one.... hopefully I'll be able to pull a immuno/micro though (fail the first exam horribly and then come back in full force to raise my grade). We'll see. Anyone else stressing about tomorrow?

Yeah - I'm terrible with images, so I told myself that I'd just rock the written part of the exam and it'd be OK... not looking likely now. I didn't start studying it until after Pharm either, so I'll probably be up all night tonight.

 

[oldjeeps]

Anyone out there know what they are doing with the wound healing material? I am going over the chapter from Robbins right now, hopefully that will help.

I was looking over the answers on blackboard for the labs and it would appear that the resident in my lab was wrong about “aging” the incision, when that surfaced as a question (think that was the second or third lab session). How do they expect us to be able to do that when a pathology resident was not able to?

For those of you that are bad with images, if you haven’t noticed it looks like Mark put all of the lecture images on the Year II review CD that he was selling at the end of last year. Not sure if it will help but that is a source of some images for you to review – which reminds me that I had better take a look at that today.

 

[shaydz]

I hate Weiner with a passion!!! Vander Heide comes in a close second on my list.

 

[Flobber]

I hate Weiner with a passion!!! Vander Heide comes in a close second on my list.

Hehe. You hate weiner.

 

[katrinadams9]

Hehe. You hate weiner.

I hate weiner, but I love the cock!

Sorry guys, too much studying for me... starting to go crazy.