01/21/05 20:05:36 [USMLE_Step_1] usmle_guy: hi lenhoxung
01/21/05 20:05:50 [USMLE_Step_1] lenhoxung: Hi Usmle guy
01/21/05 20:05:58 [USMLE_Step_1] lenhoxung: How u doing today?
01/21/05 20:06:06 bhupender Logs in
01/21/05 20:06:07 clover Logs in
01/21/05 20:06:07 clover Joins Subroom USMLE_Step_1
01/21/05 20:06:10 ayesh Logs Out
01/21/05 20:06:14 bhupender Logs Out
01/21/05 20:06:16 [USMLE_Step_1] clover: hey everyone
01/21/05 20:06:38 [USMLE_Step_1] usmle_guy: wow, is there another chat going on??
01/21/05 20:06:48 [USMLE_Step_1] lenhoxung: Our toipic today are DSM IV n psychopharmacology
01/21/05 20:07:05 [USMLE_Step_1] roxanita: Hi everybody
01/21/05 20:07:52 [USMLE_Step_1] usmle_guy: i can see a bunch of others. are they in another room or what?
01/21/05 20:08:12 [USMLE_Step_1] roxanita: I think they started chats for step 2 also
01/21/05 20:08:27 [USMLE_Step_1] roxanita: with Lorena, but she wont make it till monday, that's what she told me
01/21/05 20:09:01 mjl1717 Logs Out
01/21/05 20:09:05 [USMLE_Step_1] roxanita: Did everybody finished reading for today
01/21/05 20:09:07 [USMLE_Step_1] usmle_guy: something to look forward to as soon as we all get passed step 1
01/21/05 20:09:17 [USMLE_Step_1] roxanita: yeah
01/21/05 20:09:59 [USMLE_Step_1] clover: i read through most of it

01/21/05 20:10:15 [USMLE_Step_1] usmle_guy: i also read it over once

01/21/05 20:10:48 [USMLE_Step_1] roxanita: I think 8pm EST it's a good time, except for saturdays when we may have meetings
01/21/05 20:11:41 [USMLE_Step_1] usmle_guy: is there a better time you prefer?
01/21/05 20:11:51 [USMLE_Step_1] roxanita: Guys I am sorry about my absence, I wanted to start this time so bad but family problems made me left
01/21/05 20:12:23 [USMLE_Step_1] roxanita: but now I am back in my place, in US and you can count on me for anything you may need ok?
01/21/05 20:12:31 mick Logs in

01/21/05 20:12:51 [USMLE_Step_1] roxanita: on saturday maybe from 1pm to 3pm, is that ok?
01/21/05 20:13:12 [USMLE_Step_1] roxanita: what do you think guys?
01/21/05 20:13:13 [USMLE_Step_1] clover: i hope everything is fine with your family
01/21/05 20:13:18 [USMLE_Step_1] lenhoxung: That is fine
01/21/05 20:13:37 [USMLE_Step_1] roxanita: Thank God it is, my father is safe now, thank you clover
01/21/05 20:13:57 [USMLE_Step_1] roxanita: so saturdays can be at 1pm EST?
01/21/05 20:14:08 [USMLE_Step_1] lenhoxung: ok
01/21/05 20:14:27 [USMLE_Step_1] usmle_guy: thats ok with me too. i hope that the others will know for tomorrow. i know that zoya cant make it today, so i will write her a pm to let her know
01/21/05 20:14:39 [USMLE_Step_1] roxanita: If everybody doesn't Kaplan Videos you should check webprep, they have this part for today good explained in the webprep
01/21/05 20:14:57 [USMLE_Step_1] roxanita: thank you usmle_guy
01/21/05 20:15:04 [USMLE_Step_1] roxanita: doesn't have
01/21/05 20:15:37 [USMLE_Step_1] roxanita: Shall we start?
01/21/05 20:15:53 [USMLE_Step_1] roxanita: I didn't finished reading but I can follow you guys, is that ok?
01/21/05 20:15:56 [USMLE_Step_1] usmle_guy: sure
01/21/05 20:16:02 [USMLE_Step_1] roxanita: *beep*

01/21/05 20:16:24 [USMLE_Step_1] roxanita: I am gonna post the transcript ok
01/21/05 20:16:32 [USMLE_Step_1] lenhoxung: sure
01/21/05 20:16:45 [USMLE_Step_1] roxanita: For today we have
01/21/05 20:16:52 [USMLE_Step_1] roxanita: DSM IV
01/21/05 20:17:00 [USMLE_Step_1] usmle_guy: roxy, if you write to doc, he can have the transcripts automatically emailed to you each day
01/21/05 20:17:24 [USMLE_Step_1] roxanita: ok thanks
01/21/05 20:17:57 [USMLE_Step_1] usmle_guy: which axis includes personality disorders and mental retardation?
01/21/05 20:18:00 [USMLE_Step_1] roxanita: How many axis do we have to clasify the diagnosis?
01/21/05 20:18:17 [USMLE_Step_1] clover: axis 2
01/21/05 20:18:18 [USMLE_Step_1] lenhoxung: ìì
01/21/05 20:18:19 [USMLE_Step_1] roxanita: that is Axis II, also Mental Retard is there
01/21/05 20:18:31 [USMLE_Step_1] roxanita: that is important
01/21/05 20:18:33 [USMLE_Step_1] usmle_guy: yes, all correct
01/21/05 20:18:48 [USMLE_Step_1] roxanita: what about just physical diagnosis?
01/21/05 20:18:52 [USMLE_Step_1] roxanita: like a Flu
01/21/05 20:18:57 [USMLE_Step_1] lenhoxung: 3
01/21/05 20:19:01 [USMLE_Step_1] clover: 3
01/21/05 20:19:03 [USMLE_Step_1] roxanita: correct
01/21/05 20:19:07 [USMLE_Step_1] usmle_guy: 3
01/21/05 20:19:25 [USMLE_Step_1] roxanita: I wonder if all doctors in
01/21/05 20:19:44 [USMLE_Step_1] clover: good question
01/21/05 20:19:51 [USMLE_Step_1] usmle_guy: what about clinical disorders like schizo, affective, anxiety, etc?
01/21/05 20:19:53 [USMLE_Step_1] roxanita: what about a retired soldier who was in the war,. what axis should we include him?
01/21/05 20:20:00 [USMLE_Step_1] lenhoxung: 1
01/21/05 20:20:02 [USMLE_Step_1] roxanita: all that is in Axis I
01/21/05 20:20:10 [USMLE_Step_1] clover: 1 for usmleguy
01/21/05 20:20:27 [USMLE_Step_1] roxanita: *choochoo*
01/21/05 20:20:30 [USMLE_Step_1] usmle_guy: yes, correct
01/21/05 20:20:40 [USMLE_Step_1] roxanita: what about my answer? for the soldier
01/21/05 20:20:41 spice Logs in
01/21/05 20:20:42 spice Joins Subroom USMLE_Step_2
01/21/05 20:20:44 [USMLE_Step_1] usmle_guy: love those sounds
01/21/05 20:20:51 [USMLE_Step_1] usmle_guy: 4
01/21/05 20:21:05 [USMLE_Step_1] roxanita: Good!
01/21/05 20:21:26 [USMLE_Step_1] clover: is it 4 because of the psycho social stuff?
01/21/05 20:21:32 [USMLE_Step_1] roxanita: also, divorced, people survived from disasters etc

01/21/05 20:21:57 [USMLE_Step_1] roxanita: Can anybody explain the GAF?
01/21/05 20:22:15 [USMLE_Step_1] roxanita: The GAF Score?
01/21/05 20:22:30 [USMLE_Step_1] usmle_guy: global assessment of functioning on scale of 1 to 100
01/21/05 20:22:46 [USMLE_Step_1] roxanita: ok
01/21/05 20:22:57 [USMLE_Step_1] roxanita: in GAF we should consider 2 values
01/21/05 20:23:04 [USMLE_Step_1] lenhoxung: 100 is superior funtioning
01/21/05 20:23:11 [USMLE_Step_1] clover: 100= superior function, 50=serious symtoms, 10=danger of hurting self and others
01/21/05 20:23:18 [USMLE_Step_1] lenhoxung: right
01/21/05 20:23:36 [USMLE_Step_1] roxanita: 1) the highest level in the last year and 2) the current level
01/21/05 20:24:03 [USMLE_Step_1] roxanita: x.e. Current= 35 and Highest= 40
01/21/05 20:24:20 [USMLE_Step_1] roxanita: what kind of problem is that, acute or chronic?
01/21/05 20:24:56 [USMLE_Step_1] roxanita: or if....Current= 25 and Highest in the year= 90
01/21/05 20:25:02 [USMLE_Step_1] usmle_guy: sounds chronic since over the last year
01/21/05 20:25:11 [USMLE_Step_1] roxanita: for the first one right?
01/21/05 20:25:12 [USMLE_Step_1] usmle_guy: the second is acute
01/21/05 20:25:19 [USMLE_Step_1] roxanita: Good
01/21/05 20:25:26 [USMLE_Step_1] clover: agree
01/21/05 20:25:39 [USMLE_Step_1] clover: what is the most common cause of mental retardation?
01/21/05 20:25:54 [USMLE_Step_1] roxanita: FAS
01/21/05 20:25:59 [USMLE_Step_1] usmle_guy: fas, 2nd most common is downs
01/21/05 20:26:00 [USMLE_Step_1] lenhoxung: rt
01/21/05 20:26:06 [USMLE_Step_1] roxanita: by large the most common cause in US
01/21/05 20:26:18 [USMLE_Step_1] clover: yep
01/21/05 20:26:30 [USMLE_Step_1] lenhoxung: Fragile X syndrom
01/21/05 20:26:44 [USMLE_Step_1] clover: yep fragile x also common
01/21/05 20:26:52 [USMLE_Step_1] roxanita: talking abour M.R. .... what a mild M.R. can do by himself?
01/21/05 20:27:14 [USMLE_Step_1] usmle_guy: self supporting
01/21/05 20:27:22 [USMLE_Step_1] clover: support themselves
01/21/05 20:27:26 [USMLE_Step_1] clover: 85% of cases
01/21/05 20:27:35 [USMLE_Step_1] roxanita: If in the exam they mention a pt. with mental retardation what level should you use think they are referring to?

01/21/05 20:28:03 [USMLE_Step_1] roxanita: clover you just gave the answer
01/21/05 20:28:07 [USMLE_Step_1] usmle_guy: since 85% of cases are mild, i guess that would be the case
01/21/05 20:28:12 [USMLE_Step_1] lenhoxung: mild level
01/21/05 20:28:13 [USMLE_Step_1] clover: oops
01/21/05 20:28:17 [USMLE_Step_1] roxanita: it's mild, right usmle-guy
01/21/05 20:28:29 [USMLE_Step_1] roxanita: *choochoo*
01/21/05 20:28:38 [USMLE_Step_1] clover: lol
01/21/05 20:28:50 [USMLE_Step_1] roxanita: can a mild M.R. be an actor?
01/21/05 20:29:21 [USMLE_Step_1] usmle_guy: arent most of them lol
01/21/05 20:29:33 [USMLE_Step_1] roxanita: and as most of diseases is more common in males 2 times as much
01/21/05 20:29:47 [USMLE_Step_1] roxanita: lol
01/21/05 20:30:02 [USMLE_Step_1] clover: i guess yes, but probably hard to learn the lines
01/21/05 20:30:21 [USMLE_Step_1] roxanita: which kind of M.R. can work in factories but soft works
01/21/05 20:30:46 [USMLE_Step_1] lenhoxung: moderate
01/21/05 20:30:48 [USMLE_Step_1] roxanita: Daugherty mention an actor "Benny" who was mild m.r.
01/21/05 20:30:58 [USMLE_Step_1] usmle_guy: i think mild, maybe moderate also??
01/21/05 20:31:00 [USMLE_Step_1] roxanita: good lenhoxung
01/21/05 20:31:12 [USMLE_Step_1] roxanita: yup usmle_guy

01/21/05 20:31:28 [USMLE_Step_1] roxanita: and what about severe and profound?
01/21/05 20:31:51 [USMLE_Step_1] usmle_guy: not trainable
01/21/05 20:31:56 [USMLE_Step_1] roxanita: uhu
01/21/05 20:32:19 [USMLE_Step_1] roxanita: and profound just need constant watching
01/21/05 20:32:23 [USMLE_Step_1] usmle_guy: severe can learn to communicate, basic habits
01/21/05 20:32:35 [USMLE_Step_1] roxanita: but profound is the smallest group in m.r.
01/21/05 20:32:53 [USMLE_Step_1] clover: are most autistic pts male or female?
01/21/05 20:32:54 [USMLE_Step_1] roxanita: ok, who wants to do AUtism?
01/21/05 20:33:01 [USMLE_Step_1] roxanita: male, as always
01/21/05 20:33:10 [USMLE_Step_1] clover: i keep reading your mind roxy
01/21/05 20:33:15 [USMLE_Step_1] lenhoxung: HOw about IQ for each groups?
01/21/05 20:33:22 [USMLE_Step_1] usmle_guy: male
01/21/05 20:33:23 [USMLE_Step_1] roxanita: Oops
01/21/05 20:33:43 [USMLE_Step_1] roxanita: that's important too lenh
01/21/05 20:33:58 [USMLE_Step_1] clover: yep male 3-4:1

01/21/05 20:34:22 [USMLE_Step_1] usmle_guy: which has IQ of 70-50?
01/21/05 20:34:31 [USMLE_Step_1] clover: mild
01/21/05 20:34:42 [USMLE_Step_1] roxanita: <20 --> 20-34 --> 35-49 --> 50-70
01/21/05 20:34:51 [USMLE_Step_1] roxanita: mild
01/21/05 20:34:57 [USMLE_Step_1] usmle_guy: yes mild is correct
01/21/05 20:35:05 [USMLE_Step_1] lenhoxung: agre e with roxanita
01/21/05 20:35:47 [USMLE_Step_1] usmle_guy: yes also agree that would be profound, severe, moderate, mild as rox wrote it

01/21/05 20:36:00 [USMLE_Step_1] roxanita: PDD, what's that?

01/21/05 20:36:30 [USMLE_Step_1] lenhoxung: Pervasive development disorder
01/21/05 20:36:48 [USMLE_Step_1] roxanita: PDD, Axis I for AUtism
01/21/05 20:36:49 [USMLE_Step_1] usmle_guy: aka, autism

01/21/05 20:37:35 [USMLE_Step_1] roxanita: why it is diagnosed at 30 months in infancy?
01/21/05 20:38:04 [USMLE_Step_1] roxanita: from 2 to 2,5 years?
01/21/05 20:38:19 [USMLE_Step_1] roxanita: Mr Daugherty says "Lack of pointing" ?
01/21/05 20:38:36 [USMLE_Step_1] roxanita: What is the main problem in Autism?
01/21/05 20:38:42 [USMLE_Step_1] usmle_guy: because no separation anziety, abnormal delayed language development, etc which can only be seen at age when they start to interact with others
01/21/05 20:39:12 [USMLE_Step_1] roxanita: then we should be able to detect it even before when separation anxiety is supossed to show up
01/21/05 20:39:35 [USMLE_Step_1] roxanita: when does separation anxiety occur guys, remember?
01/21/05 20:39:49 huli72 Logs Out
01/21/05 20:40:27 [USMLE_Step_1] usmle_guy: before 12 months i think
01/21/05 20:40:49 [USMLE_Step_1] roxanita: ok it appears from 8 to 12 months, this is a pearl for the bathroom
01/21/05 20:40:55 [USMLE_Step_1] roxanita: just kidding
01/21/05 20:40:57 [USMLE_Step_1] usmle_guy: starts between 8 and 12 months and disappears by 20-24 mon
01/21/05 20:41:11 [USMLE_Step_1] roxanita: wow, thanks usmle_guy
01/21/05 20:41:36 [USMLE_Step_1] roxanita: ok, so in autism the main problem is?
01/21/05 20:41:38 [USMLE_Step_1] usmle_guy: we just covered that yesterday, so still fresh in my mind
01/21/05 20:41:53 [USMLE_Step_1] roxanita: great
01/21/05 20:42:00 [USMLE_Step_1] roxanita: *choochoo*
01/21/05 20:42:05 [USMLE_Step_1] usmle_guy: oblivious to external world
01/21/05 20:42:26 [USMLE_Step_1] clover: problems with social interaction
01/21/05 20:42:51 [USMLE_Step_1] roxanita: ok that's a good point in Autism, they get very upset when some small detail in their environment changed, that's funny
01/21/05 20:43:36 [USMLE_Step_1] roxanita: Has anybody seen "Rain man" that's a good one to understand this problem
01/21/05 20:43:51 [USMLE_Step_1] usmle_guy: yes, good movie
01/21/05 20:43:54 [USMLE_Step_1] roxanita: with Dustin Hoffman
01/21/05 20:44:07 [USMLE_Step_1] clover: yep, so he had autism?
01/21/05 20:44:11 [USMLE_Step_1] roxanita: Oblivious ok
01/21/05 20:44:37 [USMLE_Step_1] roxanita: yes he had autism, you could not change the schedule or stuff around him or he would turn upset, remember
01/21/05 20:45:09 [USMLE_Step_1] usmle_guy: yes, its been a while since i've seen the movie, but i remember
01/21/05 20:45:24 [USMLE_Step_1] roxanita: Are they Mental retarded?
01/21/05 20:45:46 [USMLE_Step_1] usmle_guy: 80 percent are
01/21/05 20:45:57 [USMLE_Step_1] clover: most yes
01/21/05 20:46:21 [USMLE_Step_1] roxanita: how would you classified with the DSM a pt with autism?
01/21/05 20:46:24 [USMLE_Step_1] roxanita: Axis I?
01/21/05 20:46:29 [USMLE_Step_1] roxanita: Axis II?
01/21/05 20:46:39 [USMLE_Step_1] clover: autism for axis I
01/21/05 20:46:43 [USMLE_Step_1] lenhoxung: 1
01/21/05 20:47:02 [USMLE_Step_1] clover: mental retarded if that is the case for axis II
01/21/05 20:47:16 [USMLE_Step_1] roxanita: Axis I= Autism right and Axis II= M.R.
01/21/05 20:47:20 [USMLE_Step_1] roxanita: right
01/21/05 20:47:27 [USMLE_Step_1] usmle_guy: agre
01/21/05 20:47:36 [USMLE_Step_1] lenhoxung: rt
01/21/05 20:47:45 [USMLE_Step_1] roxanita: it is associated with some prenatal infection which is?
01/21/05 20:48:04 [USMLE_Step_1] usmle_guy: rubella
01/21/05 20:48:12 [USMLE_Step_1] clover: rubella
01/21/05 20:48:19 [USMLE_Step_1] clover: 1st tri
01/21/05 20:48:36 [USMLE_Step_1] roxanita: Daugherty also mentioned the theory of lack of Secretin and the therapy with this but it's not verified, so forget about it
01/21/05 20:49:07 [USMLE_Step_1] roxanita: let's see the IQ of Rain Man, what would you put for him as an IQ?
01/21/05 20:49:58 [USMLE_Step_1] roxanita: he only got 1 skill right, count memory
01/21/05 20:49:59 [USMLE_Step_1] clover: tough one since he had the mathematical abilities that were incredible
01/21/05 20:50:20 [USMLE_Step_1] roxanita: but other than that he is a M.R.
01/21/05 20:50:23 [USMLE_Step_1] clover: but probably moderate

01/21/05 20:51:06 [USMLE_Step_1] usmle_guy: i agree, definitely had MR
01/21/05 20:51:14 [USMLE_Step_1] roxanita: Daugherty described this as a glass which only got 1 strong little side and the rest is very weak, we can't describe it as a strong glass just because that small side
01/21/05 20:51:27 [USMLE_Step_1] roxanita: got it?
01/21/05 20:51:39 [USMLE_Step_1] usmle_guy: good analogy
01/21/05 20:51:46 [USMLE_Step_1] roxanita: that was a good comparison isn't it, great Daugherty
01/21/05 20:51:47 [USMLE_Step_1] clover: yep
01/21/05 20:51:55 [USMLE_Step_1] roxanita: listen web prep guys
01/21/05 20:52:17 [USMLE_Step_1] usmle_guy: which chrom is it linked to?
01/21/05 20:52:26 [USMLE_Step_1] roxanita: 15
01/21/05 20:52:27 [USMLE_Step_1] clover: 15
01/21/05 20:52:41 [USMLE_Step_1] usmle_guy: yes, correct
01/21/05 20:53:01 [USMLE_Step_1] roxanita: fiftism, I know it's silly but anything works for me
01/21/05 20:53:45 [USMLE_Step_1] usmle_guy: i'll try it out. i heard he's great
01/21/05 20:53:59 [USMLE_Step_1] roxanita: whenver we got a pt with M.R. we should always classify it
01/21/05 20:54:09 [USMLE_Step_1] roxanita: same with AUtism
01/21/05 20:54:29 [USMLE_Step_1] roxanita: as mild, mod, sev or prof, don't forget guys
01/21/05 20:54:44 [USMLE_Step_1] roxanita: http://www.kaplanlogin.com/usmlestep...ain_frame_.cfm
01/21/05 20:54:59 [USMLE_Step_1] roxanita: I am sure everybody has it, but just in case
01/21/05 20:56:21 [USMLE_Step_1] roxanita: *choochoo*
01/21/05 20:56:32 [USMLE_Step_1] clover: wow, cool. i didnt have it. thanks
01/21/05 20:56:36 [USMLE_Step_1] roxanita: wake up guys *choochoo*
01/21/05 20:56:51 [USMLE_Step_1] roxanita: that's what friends are for
01/21/05 20:56:53 [USMLE_Step_1] usmle_guy: hehe, that woke me up lol
01/21/05 20:57:06 [USMLE_Step_1] roxanita: ok now we continue with ADHD
01/21/05 20:57:32 [USMLE_Step_1] roxanita: Attention Deficit hyperactivity disorder
01/21/05 20:57:50 [USMLE_Step_1] roxanita: again more common in males
01/21/05 20:58:09 [USMLE_Step_1] roxanita: 10% of lower class males and 5% in fem
01/21/05 20:58:20 [USMLE_Step_1] roxanita: *beep*
01/21/05 20:58:36 [USMLE_Step_1] roxanita: what is the ratio male to female in ADHD?
01/21/05 20:58:44 [USMLE_Step_1] usmle_guy: 10:1
01/21/05 20:58:52 [USMLE_Step_1] clover: 10 to 1
01/21/05 20:59:01 [USMLE_Step_1] roxanita: and it's more common in first born males, why?
01/21/05 20:59:06 [USMLE_Step_1] roxanita: right guys 10/1
01/21/05 20:59:27 [USMLE_Step_1] usmle_guy: not sure why?
01/21/05 20:59:31 [USMLE_Step_1] roxanita: when is more often to be diagnosed and who reports this?
01/21/05 20:59:53 [USMLE_Step_1] roxanita: What is the treatment?
01/21/05 20:59:54 [USMLE_Step_1] usmle_guy: do teachers report it most often?
01/21/05 21:00:00 strug Disconnects
01/21/05 21:00:05 strug Logs in
01/21/05 21:00:05 strug Joins Subroom USMLE_Step_2
01/21/05 21:00:05 [USMLE_Step_1] usmle_guy: methelphenadate (ritalin)
01/21/05 21:00:08 [USMLE_Step_1] roxanita: that's right
01/21/05 21:00:20 [USMLE_Step_1] usmle_guy: also pemoline, amphetamines
01/21/05 21:00:22 [USMLE_Step_1] roxanita: the treatment are amphetamines why?
01/21/05 21:01:01 [USMLE_Step_1] roxanita: can you confuse with some other problem that is also common in children?
01/21/05 21:01:13 [USMLE_Step_1] usmle_guy: the theory is that the kids are disruptive because mind is not aroused at normal level. amphetamine helps to arouse them to normal
01/21/05 21:01:31 [USMLE_Step_1] roxanita: that's right
01/21/05 21:02:02 [USMLE_Step_1] usmle_guy: its kinda a paradox to give a stimulant to "calm" a child :/
01/21/05 21:02:14 [USMLE_Step_1] roxanita: the children do the self stimulation to keep them awake, increase sensory input
01/21/05 21:02:38 [USMLE_Step_1] roxanita: if you give them stimulants they wont have to do it themself
01/21/05 21:02:56 [USMLE_Step_1] usmle_guy: never saw it that way, good way to look at it
01/21/05 21:03:05 [USMLE_Step_1] roxanita: their amphetamines are running around like crazy
01/21/05 21:03:24 [USMLE_Step_1] roxanita: but if you miss the DX with an overactive child, what would happen?
01/21/05 21:03:54 [USMLE_Step_1] usmle_guy: some carry on to adult form of ADHD
01/21/05 21:04:03 [USMLE_Step_1] roxanita: this overactive child will Speed up even more
01/21/05 21:04:10 [USMLE_Step_1] roxanita: that's how you can differentiate both
01/21/05 21:04:23 [USMLE_Step_1] roxanita: yeah I know some
01/21/05 21:04:35 [USMLE_Step_1] usmle_guy: oh, you mean giving an overactive child amphetamines?? oh my
01/21/05 21:05:02 mehr Logs in
01/21/05 21:05:02 [USMLE_Step_1] roxanita: if we confuse the diagnosis because both can have similar clinic
01/21/05 21:05:16 [USMLE_Step_1] usmle_guy: disrupts more than one setting of childs life
01/21/05 21:05:27 [USMLE_Step_1] roxanita: so amphetamines is the key to be sure is one of them
01/21/05 21:06:07 [USMLE_Step_1] usmle_guy: how do you differentiate? is it with amphetamines?
01/21/05 21:06:38 [USMLE_Step_1] roxanita: you use amphetamines when you are not sure
01/21/05 21:06:48 [USMLE_Step_1] roxanita: poor kids though
01/21/05 21:07:01 [USMLE_Step_1] usmle_guy: relatively new drug called strattera is first FDA approved non-stim for adhd
01/21/05 21:07:25 [USMLE_Step_1] roxanita: Strattera huh
01/21/05 21:07:34 [USMLE_Step_1] roxanita: thanks, I didn't know that
01/21/05 21:07:46 [USMLE_Step_1] roxanita: Guys are we going too slow
01/21/05 21:07:50 lanny Logs in
01/21/05 21:08:00 [USMLE_Step_1] usmle_guy: it works selectively on certain area so that it doesn't stimulate or give all the other side effects. looks promising for adult adhd, not sure about kids yet
01/21/05 21:08:11 [USMLE_Step_1] roxanita: Anybody can continue, do questions and we could speed up like the overactive child
01/21/05 21:08:33 [USMLE_Step_1] roxanita: Uhm, good information
01/21/05 21:08:35 [USMLE_Step_1] clover: let me get my ampethamines and i'll be ready lol
01/21/05 21:09:08 lanny: so how do we proceed.pose uestions
01/21/05 21:09:13 [USMLE_Step_1] roxanita: I am full time student and have all the time of the world but if somebody wants to speed up and put questions it would be great guys
01/21/05 21:09:17 [USMLE_Step_1] usmle_guy: *evil*
01/21/05 21:09:48 lanny Joins Subroom USMLE_Step_2
01/21/05 21:09:55 [USMLE_Step_1] roxanita: *meow*
01/21/05 21:10:16 [USMLE_Step_1] usmle_guy: i'm not full time student, so need to go by 10 latest, but the speed is fine as long as we are all learning
01/21/05 21:10:20 [USMLE_Step_1] roxanita: you woke me up
01/21/05 21:10:34 [USMLE_Step_1] roxanita: we can do it faster ok
01/21/05 21:10:52 [USMLE_Step_1] usmle_guy: if sleeping, that evil laugh can give nightmares
01/21/05 21:11:00 [USMLE_Step_1] roxanita: just put your questions and doubts whenever you want guys, I don't want this to be a monopoly or a monologue
01/21/05 21:11:01 mehr Disconnects
01/21/05 21:11:16 [USMLE_Step_1] roxanita: but you put it usmle_guy
01/21/05 21:11:31 huli72 Logs in
01/21/05 21:11:34 [USMLE_Step_1] roxanita: ok, now
01/21/05 21:11:37 huli72 Joins Subroom USMLE_Step_2
01/21/05 21:11:41 [USMLE_Step_1] roxanita: SCHIZOPHRENIA
01/21/05 21:11:49 [USMLE_Step_1] usmle_guy: i know, but you said it woke you up. so i made that comment
01/21/05 21:12:03 [USMLE_Step_1] roxanita: yup
01/21/05 21:12:21 [USMLE_Step_1] roxanita: Criteria for Schizophrenia? *choochoo*
01/21/05 21:12:40 [USMLE_Step_1] usmle_guy: dellusions, hallucinations, illusions
01/21/05 21:12:53 sanz Logs Out
01/21/05 21:13:00 nalini Logs Out
01/21/05 21:13:20 [USMLE_Step_1] clover: bixare dellusions, auditory hallucinations, loose associations,
01/21/05 21:13:34 [USMLE_Step_1] roxanita: good
01/21/05 21:13:45 [USMLE_Step_1] roxanita: why not visual hallucinations?
01/21/05 21:13:54 [USMLE_Step_1] lenhoxung: blunted affect
01/21/05 21:13:55 huli72 Joins Subroom USMLE_Step_3
01/21/05 21:13:57 [USMLE_Step_2] lanny: what do you mean,is 6-8 central time not 9-11 eastern time
01/21/05 21:14:02 huli72 Joins Subroom USMLE_Step_1
01/21/05 21:14:14 huli72 Joins Subroom Clinical_Skills
01/21/05 21:14:20 samsung68 Joins Subroom USMLE_Step_3
01/21/05 21:14:25 huli72 Joins Subroom USMLE_Step_2
01/21/05 21:14:28 strug Logs Out
01/21/05 21:14:46 huli72 Logs Out
01/21/05 21:14:52 samsung68 Joins Subroom USMLE_Step_2
01/21/05 21:15:02 samsung68 Logs Out
01/21/05 21:15:05 [USMLE_Step_1] roxanita: ok not visual b/c it can be confused with other physical disorders, or drug intake
01/21/05 21:15:17 crengy Logs Out
01/21/05 21:15:19 [USMLE_Step_1] usmle_guy: i guess the step 2 chat is over because people are all leaving now
01/21/05 21:15:38 [USMLE_Step_1] roxanita: yeah but it shouldn't appear in our chat
01/21/05 21:15:39 [USMLE_Step_1] usmle_guy: nice music though each time someone leaves
01/21/05 21:15:46 [USMLE_Step_1] roxanita: ja ja
01/21/05 21:16:10 [USMLE_Step_1] roxanita: Differential Dx?
01/21/05 21:16:19 [USMLE_Step_1] roxanita: for Schizophrenia?
01/21/05 21:16:34 mick Joins Subroom USMLE_Step_1
01/21/05 21:16:52 [USMLE_Step_1] mick: i just realized after an hour that i was in the wrong chat room
01/21/05 21:17:10 [USMLE_Step_1] usmle_guy: haha, welcome mick
01/21/05 21:17:20 [USMLE_Step_1] roxanita: Schizophreniform and also Brief Psychotic Disorder
01/21/05 21:17:34 [USMLE_Step_1] roxanita: Mick *welcome*
01/21/05 21:17:49 [USMLE_Step_1] mick: nice voice roxanita
01/21/05 21:18:16 [USMLE_Step_1] roxanita: how do you differentiate Schizophrenia from Schizophreniform? *beep*
01/21/05 21:18:28 [USMLE_Step_1] roxanita:
01/21/05 21:18:48 [USMLE_Step_1] usmle_guy: the time. i think that schizophenia is over 6 months
01/21/05 21:18:52 [USMLE_Step_1] roxanita: Wake up guys... *choochoo*
01/21/05 21:19:01 [USMLE_Step_1] roxanita: Good
01/21/05 21:19:03 [USMLE_Step_1] clover: agree
01/21/05 21:19:28 [USMLE_Step_1] roxanita: and what about Brief Psychotic disorder?
01/21/05 21:19:32 [USMLE_Step_1] clover: so really, every schizophrenic had schizophreniform at some point....right?
01/21/05 21:19:45 [USMLE_Step_1] usmle_guy: is that less than 1 month rox>
01/21/05 21:19:57 [USMLE_Step_1] roxanita: Schizophreniform can be due to drugs intake and is often self limited
01/21/05 21:20:21 [USMLE_Step_1] roxanita: right Clover
01/21/05 21:20:57 lanny Leaves Subroom
01/21/05 21:21:11 [USMLE_Step_1] roxanita: often early onset in males or females?
01/21/05 21:21:15 lanny Joins Subroom USMLE_Step_1
01/21/05 21:21:19 [USMLE_Step_1] clover: is brief psychotic under 24 hrs
01/21/05 21:21:22 lanny Joins Subroom USMLE_Step_3
01/21/05 21:21:30 lanny Logs Out
01/21/05 21:22:26 cyrus1345 Logs in
01/21/05 21:22:39 [USMLE_Step_1] usmle_guy: men
01/21/05 21:23:09 [USMLE_Step_1] roxanita: good
01/21/05 21:23:11 cyrus1345: hi this is Nasi
01/21/05 21:23:23 cyrus1345: is there anybody there?
01/21/05 21:23:32 cyrus1345 Joins Subroom USMLE_Step_2
01/21/05 21:23:59 [USMLE_Step_1] roxanita: what about suicide, is that common in schizophrenia
01/21/05 21:24:15 [USMLE_Step_1] clover: yes
01/21/05 21:24:26 [USMLE_Step_1] clover: 50%
01/21/05 21:24:45 [USMLE_Step_1] roxanita: and how many get to succeed?
01/21/05 21:24:56 cyrus1345 Joins Subroom USMLE_Step_1
01/21/05 21:24:59 [USMLE_Step_1] clover: 10%
01/21/05 21:25:18 cyrus1345 Joins Subroom USMLE_Step_2
01/21/05 21:25:20 [USMLE_Step_1] roxanita: Lets talk about Genetic here...
01/21/05 21:25:48 [USMLE_Step_1] roxanita: Rates for MZ = 47%
01/21/05 21:25:58 [USMLE_Step_1] roxanita: DZ= 13%
01/21/05 21:26:17 [USMLE_Step_1] roxanita: so the Heritability Index will be?
01/21/05 21:26:45 [USMLE_Step_1] roxanita: H.I. = (MZ-DZ)/ (100-DZ)
01/21/05 21:26:47 uhm Logs in
01/21/05 21:26:58 [USMLE_Step_1] usmle_guy: 40%
01/21/05 21:27:18 [USMLE_Step_1] roxanita: so 40% of Schizophrenia is due to inheritance
01/21/05 21:27:46 [USMLE_Step_1] roxanita: if 2 Schz parents= 40% incidence
01/21/05 21:27:53 [USMLE_Step_1] roxanita: is that right?
01/21/05 21:27:54 [USMLE_Step_1] clover: and 1% prevalence world wide....that amazing
01/21/05 21:28:22 [USMLE_Step_1] usmle_guy: yes, thats right
01/21/05 21:28:39 [USMLE_Step_1] usmle_guy: 12% one parent or sibling
01/21/05 21:28:56 [USMLE_Step_1] clover: wow, more common than i ever thought
01/21/05 21:29:15 lanny Logs in
01/21/05 21:29:22 [USMLE_Step_1] clover: i guess having an imaginary friend is not all that uncommon after all
01/21/05 21:29:26 uhm Joins Subroom USMLE_Step_1
01/21/05 21:29:48 uhm Logs Out
01/21/05 21:31:04 [USMLE_Step_1] roxanita: sorry went to the bathroom
01/21/05 21:31:32 [USMLE_Step_1] mick: during rotations i interviewed a schizophrenic who claimed to be "Jesus christ". the h&p date of birth read dec 25 0000, age, a little over 2000 yrs old
01/21/05 21:31:52 [USMLE_Step_1] roxanita:
01/21/05 21:32:30 [USMLE_Step_1] usmle_guy: sounds like that person had a few issues other than just schizophrenia
01/21/05 21:32:40 [USMLE_Step_1] roxanita: lol
01/21/05 21:33:00 [USMLE_Step_1] roxanita: what about Schizophrenogenic family?
01/21/05 21:33:08 [USMLE_Step_1] roxanita: *choochoo*
01/21/05 21:33:33 [USMLE_Step_1] usmle_guy: very critical, negative
01/21/05 21:33:42 [USMLE_Step_1] clover: double messages
01/21/05 21:34:18 [USMLE_Step_1] roxanita: those parents who send double messagge...the children are more likely to have SCHIZOID PERSONALITY DISORDER
01/21/05 21:34:31 [USMLE_Step_1] mick: imagine a holiday get together at that family place....i thought i had it bad
01/21/05 21:35:07 nalini Logs in
01/21/05 21:35:08 nalini Joins Subroom USMLE_Step_2
01/21/05 21:35:50 nalini Logs Out
01/21/05 21:36:06 [USMLE_Step_1] roxanita: ok now let's talk about the subtypes... quick
01/21/05 21:36:35 [USMLE_Step_1] roxanita: I put the subtype and you describe
01/21/05 21:36:41 [USMLE_Step_1] usmle_guy: ok
01/21/05 21:36:43 [USMLE_Step_1] roxanita: PARANOID...
01/21/05 21:36:48 nalini Logs in
01/21/05 21:37:17 [USMLE_Step_1] usmle_guy: delusions of persecution or delusions of granduer
01/21/05 21:37:23 [USMLE_Step_1] usmle_guy: hallucinations
01/21/05 21:37:32 [USMLE_Step_1] usmle_guy: older onset
01/21/05 21:37:38 [USMLE_Step_1] roxanita: older onset
01/21/05 21:37:44 [USMLE_Step_1] mick: agree
01/21/05 21:37:47 [USMLE_Step_1] roxanita: right compare to the rest subtypes
01/21/05 21:38:09 cyrus1345 Logs Out
01/21/05 21:38:11 [USMLE_Step_1] roxanita: but less regression of mental capacity
01/21/05 21:38:18 nalini Logs Out
01/21/05 21:38:29 [USMLE_Step_1] roxanita: what defense mechanism do we have here?
01/21/05 21:38:36 lanny Logs Out
01/21/05 21:39:00 [USMLE_Step_1] roxanita: since they have hallucinations (voices) ... Mx of?
01/21/05 21:39:50 [USMLE_Step_1] usmle_guy: projection??
01/21/05 21:40:11 [USMLE_Step_1] roxanita: Right answer *choochoo*
01/21/05 21:40:21 [USMLE_Step_1] usmle_guy: wow, that was a guess
01/21/05 21:40:30 [USMLE_Step_1] roxanita:
01/21/05 21:40:40 [USMLE_Step_1] roxanita: Good guess then
01/21/05 21:40:48 [USMLE_Step_1] usmle_guy: oh, did i say that out loud lol
01/21/05 21:40:48 [USMLE_Step_1] roxanita: CATATONIC...
01/21/05 21:41:17 [USMLE_Step_1] clover: stupor, maybe mute
01/21/05 21:41:24 usmle_guy Disconnects
01/21/05 21:41:37 [USMLE_Step_1] roxanita: right
01/21/05 21:41:56 [USMLE_Step_1] roxanita: rigidity of posture, can be long period of times in the same posture
01/21/05 21:41:59 usmle_guy Logs in
01/21/05 21:42:01 usmle_guy Joins Subroom USMLE_Step_1
01/21/05 21:42:14 [USMLE_Step_1] usmle_guy: sorry, got disconnected
01/21/05 21:42:25 [USMLE_Step_1] roxanita: but with brief outbursts of violence, don't remind me
01/21/05 21:44:03 [USMLE_Step_1] mick: can also be excited with extreme motor agitation
01/21/05 21:44:11 [USMLE_Step_1] roxanita: DISORGANIZED...
01/21/05 21:44:15 [USMLE_Step_1] roxanita: that's right Mick
01/21/05 21:44:33 [USMLE_Step_1] usmle_guy: incherent, unorganized
01/21/05 21:44:56 [USMLE_Step_1] roxanita: this is the typical *evil* patient who laughs with no reason
01/21/05 21:44:59 [USMLE_Step_1] mick: incoherent, primitive, unihibited, unorganized behavior
01/21/05 21:45:17 [USMLE_Step_1] roxanita: and with crazy face, Daugherty has a funny face at web prep to show
01/21/05 21:45:53 [USMLE_Step_1] roxanita: UNDIFFERENTIATED...
01/21/05 21:46:20 [USMLE_Step_1] roxanita: this doesn't fit in any of the previous so they are called undifferentiated
01/21/05 21:46:24 [USMLE_Step_1] clover: a little of everything, cannot differentiate
01/21/05 21:46:30 [USMLE_Step_1] roxanita: they have psychotic symptoms
01/21/05 21:46:35 [USMLE_Step_1] roxanita: right clever
01/21/05 21:46:42 [USMLE_Step_1] roxanita: RESIDUAL...
01/21/05 21:47:01 [USMLE_Step_1] clover: i like the name clever better than clover
01/21/05 21:47:18 [USMLE_Step_1] roxanita: was crazy in the past not now
01/21/05 21:47:32 [USMLE_Step_1] roxanita: but they have some negative symptoms
01/21/05 21:48:00 [USMLE_Step_1] mick: so they were diagnosed with the disease, but show little or no symptoms at the moment?
01/21/05 21:48:09 [USMLE_Step_1] roxanita: WHAT ARE "POSITIVE" AND "NEGATIVE SYMPTOMS"?
01/21/05 21:48:19 [USMLE_Step_1] roxanita: right Mick
01/21/05 21:48:48 [USMLE_Step_1] usmle_guy: pos are delusions, hallucinations, bizarre behavior
01/21/05 21:49:13 [USMLE_Step_1] usmle_guy: neg are flat affect, motor retard, apathy, mutism
01/21/05 21:49:18 [USMLE_Step_1] roxanita: POS"I"TIVE= Type I......IIEGATIVE= Type II
01/21/05 21:49:33 [USMLE_Step_1] roxanita: very good guy
01/21/05 21:49:56 [USMLE_Step_1] clover: positive symptoms are what they have that normals dont. negative is what they dont have that normals do
01/21/05 21:50:33 [USMLE_Step_1] mick: positive assoc with dopamine. negative assoc with muscarinic
01/21/05 21:50:35 [USMLE_Step_1] roxanita: POSITIVE are added characteristics that we normally don't have and NEGATIVE are things they lack of and we normally have
01/21/05 21:50:50 [USMLE_Step_1] roxanita: great clever, you beat me
01/21/05 21:51:01 [USMLE_Step_1] roxanita: very good MICK
01/21/05 21:51:36 jannad Logs in
01/21/05 21:51:37 jannad Joins Subroom USMLE_Step_2
01/21/05 21:51:41 [USMLE_Step_1] roxanita: Schizoaffective disorder is not an option in the exam, so don't pick it
01/21/05 21:51:52 [USMLE_Step_1] roxanita: is very uncommon
01/21/05 21:51:59 [USMLE_Step_1] usmle_guy: really, i didnt know that
01/21/05 21:52:07 [USMLE_Step_1] roxanita: now you know
01/21/05 21:52:12 [USMLE_Step_1] usmle_guy:
01/21/05 21:52:17 jannad Logs Out
01/21/05 21:52:19 [USMLE_Step_1] mick: thanks for the tip
01/21/05 21:52:30 [USMLE_Step_1] roxanita: your welcome
01/21/05 21:52:34 jannad Logs in
01/21/05 21:52:54 jannad Logs Out
01/21/05 21:53:01 [USMLE_Step_1] roxanita: guys we got to do this faster or we will never finish
01/21/05 21:53:16 [USMLE_Step_1] usmle_guy: what do we have left>
01/21/05 21:53:21 [USMLE_Step_1] roxanita: Predictors for good prognosis
01/21/05 21:53:22 jannad Logs in
01/21/05 21:53:22 jannad Joins Subroom USMLE_Step_2
01/21/05 21:53:34 pqqian Logs in
01/21/05 21:53:38 pqqian Joins Subroom USMLE_Step_2
01/21/05 21:53:40 [USMLE_Step_1] usmle_guy: you dont need to hit every point, just the most important ones
01/21/05 21:53:44 [USMLE_Step_1] roxanita: we not even started with psichopharmacology
01/21/05 21:53:55 [USMLE_Step_1] roxanita: ok
01/21/05 21:54:17 [USMLE_Step_1] usmle_guy: quick and late onset
01/21/05 21:54:25 [USMLE_Step_1] usmle_guy: paranoid and catatonic
01/21/05 21:54:33 [USMLE_Step_1] usmle_guy: positive
01/21/05 21:54:39 [USMLE_Step_1] usmle_guy: no family history
01/21/05 21:54:52 [USMLE_Step_1] roxanita: you guys read about neurotransmitters
01/21/05 21:55:27 [USMLE_Step_1] clover: were we supposed to?
01/21/05 21:55:49 [USMLE_Step_1] roxanita: ok guys sorry I am a little lost about this, I was away for 3 weeks
01/21/05 21:56:05 [USMLE_Step_1] roxanita: I think is necessary to talk again about this
01/21/05 21:56:18 [USMLE_Step_1] roxanita: and make a deal about how do we want the chats to work
01/21/05 21:57:01 [USMLE_Step_1] roxanita: we agree on having the chats from monday to friday at 8pm EST and on Saturdays at 1pm EST is that ok?
01/21/05 21:57:14 [USMLE_Step_1] usmle_guy: yes, that sounds fine to me
01/21/05 21:57:15 [USMLE_Step_1] roxanita: The chat schedule is the same
01/21/05 21:57:24 [USMLE_Step_1] clover: yep
01/21/05 21:57:30 [USMLE_Step_1] mick: ok
01/21/05 21:57:42 [USMLE_Step_1] roxanita: and the dynamic of the chats?
01/21/05 21:57:53 pqqian Logs Out
01/21/05 21:58:06 [USMLE_Step_1] roxanita: guys you can drop your questions, doubts, anything, anytime
01/21/05 21:58:39 [USMLE_Step_1] roxanita: any suggestion beside this?
01/21/05 21:58:44 [USMLE_Step_1] roxanita: usmle_guy?
01/21/05 21:58:46 [USMLE_Step_1] roxanita: clover?
01/21/05 21:58:48 [USMLE_Step_1] usmle_guy: we usually all bring some questions based on the material on the schedule. if we have 2 chapters, about 1 hr per chapter, maybe less if we get through it quickly.
01/21/05 21:58:48 [USMLE_Step_1] roxanita: Mick?
01/21/05 21:59:13 [USMLE_Step_1] mick: i'm new to this, so i mostly observe and contribute when i can
01/21/05 21:59:19 [USMLE_Step_1] roxanita: yeah, that's the deal? to make it quick so we can cover one whole chapter per hour
01/21/05 21:59:32 [USMLE_Step_1] clover: i usually have questions ready, but you were doing good today
01/21/05 21:59:36 [USMLE_Step_1] roxanita: what do you think Lenhoxung?
01/21/05 22:00:16 [USMLE_Step_1] usmle_guy: lenhoxung, still there?
01/21/05 22:00:29 [USMLE_Step_1] roxanita: I think if we anticipate the questions we can do it faster, like one persons does one subtype and questions and the other person the next subtype
01/21/05 22:00:49 [USMLE_Step_1] roxanita: even if we are just 4 persons we can make it good
01/21/05 22:01:13 [USMLE_Step_1] usmle_guy: you've been here longer than us, so i think we were just following your lead today. normally we all contribute questions because nobody takes lead
01/21/05 22:01:37 [USMLE_Step_1] roxanita: I am so sorry again for being away but now I am back, committed with this chat sessions which will help us in an incredible way if we are really committed
01/21/05 22:02:03 [USMLE_Step_1] usmle_guy: sure, let us know what you think is best and we're all with you
01/21/05 22:02:11 [USMLE_Step_1] clover: i agree
01/21/05 22:02:18 [USMLE_Step_1] roxanita: ok, so forget now that I am old on this I am just another of you guys, no difference please
01/21/05 22:02:21 ayesh Logs in
01/21/05 22:02:44 ayesh: i think it was from 6 to 8 pm
01/21/05 22:02:49 [USMLE_Step_1] roxanita: Mick, are you coming tomorrow?
01/21/05 22:02:55 ayesh Joins Subroom USMLE_Step_2
01/21/05 22:03:00 [USMLE_Step_1] roxanita: clover and usmle_guy?
01/21/05 22:03:09 [USMLE_Step_1] mick: yes. and i will try not to go to the wrong room this time
01/21/05 22:03:13 ayesh Joins Subroom USMLE_Step_3
01/21/05 22:03:15 [USMLE_Step_1] roxanita: it's almost 10pm
01/21/05 22:03:18 ayesh Leaves Subroom
01/21/05 22:03:18 [USMLE_Step_1] clover: i'll be here
01/21/05 22:03:25 [USMLE_Step_1] roxanita: funny
01/21/05 22:03:27 ayesh Joins Subroom USMLE_Step_2
01/21/05 22:03:38 [USMLE_Step_1] roxanita: tomorrow is at 1pm EST from 1 to 3
01/21/05 22:03:51 ayesh Logs Out
01/21/05 22:03:59 [USMLE_Step_1] usmle_guy: i'm always here
01/21/05 22:04:00 [USMLE_Step_1] roxanita: I will prepare my questions
01/21/05 22:04:33 [USMLE_Step_1] usmle_guy: ok, so i will see you all tomorrow at 1 pm
01/21/05 22:04:41 [USMLE_Step_1] roxanita: I am planning to take my exam in May the most, I will appreciate your support through this guys, then we will meet in step2 Chats
01/21/05 22:05:14 [USMLE_Step_1] usmle_guy: sounds like a great plan rox and its really great to have our leader back
01/21/05 22:05:36 [USMLE_Step_1] roxanita: I am not a leader
01/21/05 22:06:09 [USMLE_Step_1] usmle_guy: whether you like it or not, you have inspired us all by putting together the schedule and making this possible
01/21/05 22:06:09 [USMLE_Step_1] roxanita: but thanks for uour words
01/21/05 22:06:31 [USMLE_Step_1] roxanita: ok, so even we didn't finished today, tomorrow we have the most important part in Behavioral Sci
01/21/05 22:06:36 [USMLE_Step_1] clover: i agree. thanks roxanita for putting these chats together
01/21/05 22:06:38 lanny Logs in
01/21/05 22:06:41 [USMLE_Step_1] roxanita: we will get at least 5 questions on this
01/21/05 22:06:47 lanny Joins Subroom USMLE_Step_2
01/21/05 22:07:07 lanny Logs Out
01/21/05 22:07:19 [USMLE_Step_1] roxanita: Ethical and legal Issues Physician-patient relationships
01/21/05 22:07:31 [USMLE_Step_1] roxanita: those are the big stuff guys
01/21/05 22:07:45 [USMLE_Step_1] roxanita: I will prepare many questions cause I know it's very important
01/21/05 22:07:48 [USMLE_Step_1] mick: thanks for chat. have a great night and see you tomorrow
01/21/05 22:08:01 [USMLE_Step_1] roxanita: See you tomorrow Mick, happy studying
01/21/05 22:08:13 [USMLE_Step_1] usmle_guy: bye mick
01/21/05 22:08:15 [USMLE_Step_1] roxanita: usmle-Guy please send me the chat to my pm?
01/21/05 22:08:48 [USMLE_Step_1] usmle_guy: ok, it usually comes late at night, so i will send it first thing in morning unless it gets to my email sooner
01/21/05 22:09:04 [USMLE_Step_1] clover: goodnight all.
01/21/05 22:09:15 mick Logs Out
01/21/05 22:09:21 [USMLE_Step_1] roxanita: ok clever, usmle_guy, lenhoxung? wake up, and mick, have a good night and Happy studying
01/21/05 22:09:40 [USMLE_Step_1] roxanita: see you guys tomorrow at 1pm
01/21/05 22:09:59 [USMLE_Step_1] usmle_guy: ok rox, bye
01/21/05 22:10:04 strug Logs in
01/21/05 22:10:04 strug Joins Subroom USMLE_Step_2
01/21/05 22:10:11 [USMLE_Step_1] clover: bye
01/21/05 22:10:19 clover Logs Out
01/21/05 22:10:24 [USMLE_Step_1] roxanita: bye.
01/21/05 22:10:28 roxanita Logs Out