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(no subject) [Nov. 13th, 2005|12:54 pm]

"Intellectually" Intelligent

You're 'Intellectually Intelligent.' That pretty much means that you're good with theoretical ideas and concepts - but this comes to you naturally. More or less, you're a natural brainiac. Good for you.

20% theoretical intelligence
40% natural intelligence

Take this quiz at QuizGalaxy.com
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Anesthesia rotation pre-day 3 [Oct. 5th, 2005|06:29 am]
So I've intubated 5 patients so far and done epiglotoscopy on a sixth. That's a fancy way of saying despite my best efforts on the sixth patient, I was unable to visualize the whole larynx or vocal cords, and thus decided not to attempt the intubation. I've also decided that intubation in the non-urgent setting is for the most part pretty easy, and the challenge lies in having enough experience to handle patients with very anterior anatomy or very small mouths etc. I definitely feel like by the end of my two weeks I will feel confident enough to attempt an intubation in a code setting.

Since I am the only medical student at TMH on anesthesiology rotation, I am working principally directly with the chief of anesthesiology. It took me the first day to learn how best to interact with him, but it has gone smoothly since making these adjustments. He is very big on using different situations to not only provide specific procedural experience, but to highlight larger issues in medical education and practice. Yesterday the big take-home message was that when you really want to know how a patient is doing, to make it easy for them to give you the answer you don't want to hear. Definitely another arrow in the quiver for my patient interaction skills.

I don't think I would seriously consider anesthesiology as a specialty choice, but it is good to see this field up close for the experience it is giving me and the contrast it will provide to fields I have yet to see.
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Did first blood gas today... [Sep. 13th, 2005|10:43 pm]
...underestimated the angle I needed to adjust for an arm without full supination on the initial stick, then readjusted and got it on the second pass.

Hard part's over.
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back on the wards. [Aug. 31st, 2005|07:15 am]
I like my resident and I like my interns. And my preceptor (who I met in a very different context on my very first day back in July), seemed much nicer yesterday than on the first day I met him. He also has a great deal of exposure and knowledge about all the non-medical aspects of medicine. And he's a cardiologist. Wow, that might be me someday.

My sleep hasn't been very good this week. I fall asleep around 11 and wake up invariably around 1-2, and need to get some water to drink before coming back to bed. And I have to endure the night sweats. They're not really that bad, but I still am a bit worried since it's happened 3 nights in a row now. Right now I'm going to attribute it to the humidity and hope it goes away.

My brother and parents made it into Providence yesterday afternoon. There's all kinds of things about Brown and particularly first year that all comes back to me. Things I haven't thought or talked about for five years. I'm really excited for my brother - starting college is fun.

Today is my long afternoon conference day. I'm pretty much sitting in a room between 12 and 5pm. It is, however, the "good day" in my q4 schedule, so I'm hoping I won't have to stay in the hospital much longer than that.
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(no subject) [Aug. 27th, 2005|10:22 pm]
It's hard to believe summer is over. I'm also still in denial that my "monster" 12 week internal medicine rotation is in it's last month. On monday it's back to the wards for me, and time to say goodbye to the outpatient medicine in the office 9-5 lifestyle. I feel like I have a lot left to learn, but I think I will manage. If honors in medicine was to have been a possibility for me I would have been in a lot better shape by now. Of course, even though I feel like my knowledge did not increase appreciably over the outpatient month, I think my confidence level did. And without having to share a team with another 3rd year clerk, this time I'm it. It's my chance to be assertive, to get experience with some bread and butter hospital skills, but it is also my duty to be knowledgeable, helpful, and reliable. I'm willing to put in the work; my only hope (again) is that I get along well with my team.
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(no subject) [Aug. 9th, 2005|05:41 pm]
Popular interests among aeovian's friends
1. writing (14) 11. the cure (8)
2. music (13) 12. tool (7)
3. poetry (11) 13. nine inch nails (7)
4. reading (10) 14. books (7)
5. art (10) 15. fantasy (6)
6. love (9) 16. movies (6)
7. tori amos (9) 17. pink floyd (6)
8. dreams (8) 18. psychology (6)
9. water (8) 19. mythology (6)
10. vampires (8) 20. the crow (6)
Interests gestalt
My most interesting friend is moonchild30 who has 19 of these interests,
followed by luminosity (14), deadlyflower (13) and shadowrose (13).
Normality Index
My friends are 105.24% normal.
Analyze me !
Popular interests created by _imran_
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(no subject) [Jul. 26th, 2005|06:51 am]
the Wit

(52% dark, 21% spontaneous, 22% vulgar)

your humor style:

You like things edgy, subtle, and smart. I guess that means you're probably an intellectual, but don't take that to mean you're pretentious. You realize 'dumb' can be witty--after all isn't that the Simpsons' philosophy?--but rudeness for its own sake, 'gross-out' humor and most other things found in a fraternity leave you totally flat.

I guess you just have a more cerebral approach than most. You have the perfect mindset for a joke writer or staff writer. Your sense of humor takes the most effort to appreciate, but it's also the best, in my opinion.

Also, you probably loved the Office. If you don't know what I'm talking about, check it out here: http://www.bbc.co.uk/comedy/theoffice/.

PEOPLE LIKE YOU: Jon Stewart - Woody Allen - Ricky Gervais

My test tracked 3 variables How you compared to other people your age and gender:

free online dating free online dating
You scored higher than 37% on dark

free online dating free online dating
You scored higher than 1% on spontaneous

free online dating free online dating
You scored higher than 20% on vulgar
Link: The 3 Variable Funny Test written by jason_bateman on Ok Cupid
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F-You Kaplan Practice Test! [Jul. 22nd, 2005|03:44 pm]
[mood |ecstaticecstatic]

I got my score from the medical school (I guess my letter is still in the mail), and not only will I not have to take that exam again, I have beaten my goal by a substantial margin! I'm feeling an amazing mix of relief, accomplishment, and excitement right now, which will carry me through my first golden weekend (two days off)!

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it's no good when rounds takes 5 hours [Jul. 10th, 2005|10:52 pm]
[mood |tiredtired]

I'm still getting used to the physical exhaustion from standing as much as I do during the day. This adaptation seems to mirror the adjustment my team is going through. Being still very new, our efficiency is low as we work to develop a routine, to pre-round on patients and write morning notes on time, and to balance teaching points with patient diagnosis and care.

The notes I have been writing haven't been fully reflecting my ability to think about a differential diagnosis nor my oral presentation skills, nor my repoire with patients. My learning curve is very steep however, and I have no doubt that by the end of next week there will be only minimal feedback on how I can improve them. I wish patients' impressions could be more utilized in my evaluation - so far all three of my patients have complimented or thanked me for being a great medical student and/or "doctor" for them. This has felt rewarding in and of itself, of course, but I still wish my supervisors had the time to see my patient interaction other than in a teaching rounds setting.

I hope that in the next week (by whatever means) I am less exhausted when coming home from the hospital because I know I could stand to benefit from doing even more reading than I am currently. It may turn out that I have this coming Tuesday off, which would be fantastic at this point because I don't know if I can make it until Saturday without a day off without becoming a sub-par student.
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post post-call... [Jul. 6th, 2005|06:00 pm]
[mood |pleasedpleased]

I saw my first patient discharged today. My attending came with the team for morning work rounds, which ran long. I presented my patient orally to the team (and probably included too much personal commentary), but received positive feedback. At the end of rounds, after consulting with my resident and the chief resident (my preceptor), I skipped noon conference to go with my patient down for a thalium exercise stress test. Afternoon case book was somewhat informative and somewhat tedious (but I hadn't had lunch and my caffeine meter was running low). The afternoon was relatively uneventful but we got some basic instruction on admission and SOAP note writing. I was released to go home at around 4pm, but I stayed anyway to find out if my patient was being discharged and to talk to her one last time. I ended up volunteering to my intern to go down to nuclear medicine to get the results (and the results for another patient) immediately from the cardiology attending. He went over the reading with me, and with the results I saw the completion of my patient's discharge papers. I then got to have one more talk with my patient, threw in a little mention of her cholesterol being a bit high and then wished her well.

All in all, I think I may have impressed some people today. Andrew: 1, Internal Medicine: 0.
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