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  1. #1
    tmcnam's Avatar
    tmcnam is offline Junior Member
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    Med 5 visits to the hospital

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    Hi everyone,

    Just thought I would jot down a few thoughts on some of the hospital visits. For those who don't know, Med 5 students get to spend a little time at the Hospital here. We go to the medical ward, surgical ward and get to spend a day in surgery. I had my first day today at the medical ward and was pleasantly surprised by the patience and teaching of Dr Nisbet. She had us review the charts and then take histories etc. We then each presented our case and discussed various ways of eliciting better histories, tests to order, treaments etc. You see a lot of the usual diabetes, stroke, HTN, kidney failures, nondescript dizziness/nausea/vomiting, sickle cell as well as some more interesting cases (although all of the cases are interesting to me at this stage of my career!). There are also sad cases like the fairly young man that was a poorly controlled diabetic and had already had an above the knee amputation; he found out that he had gangrene in his other leg and was going to lose it. I guess "noncompliance/poorly controlled" is not just endemic in the U.S. My patient was an 80yo known DM w/HTN and was admitted for progressive weakness, N/V etc. He was not very alert and so I couldn't get much (any!) information out of him. No family around to talk to either. Oh well, I'll probably get a real talker next time.

    A couple of my friends were in surgery the other day and that sounded pretty fascinating. They observed a C-section, Cholecystectomy, a DNC, a direct hernia (replacing a failed patch) and an upper abdominal (anterior/ventral... not sure what you call it) hernia. They thoroughly enjoyed themselves. The surgeons are also good teachers and nice fellows from what I hear.

    We are actually getting to put some of our PD skills and couple them with our basic science skills so that feels pretty good.

    Anyway, I just wanted to let people who are in premed, or med 1-4 know what was going on and what you can look forward to. So far it's been a lot of work but a lot of fun also. (please, no flaming about how I don't know what work is, wait 'til I get to rotations/intern etc...I realize that we are just getting started !!!)

    Regards,
    Tim Mc
    We need more cowbell!!!

  2. #2
    abkoussih's Avatar
    abkoussih is offline Member 510 points
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    Thanks.

    Quote Originally Posted by tmcnam
    Hi everyone,

    Just thought I would jot down a few thoughts on some of the hospital visits. For those who don't know, Med 5 students get to spend a little time at the Hospital here. We go to the medical ward, surgical ward and get to spend a day in surgery. I had my first day today at the medical ward and was pleasantly surprised by the patience and teaching of Dr Nisbet. She had us review the charts and then take histories etc. We then each presented our case and discussed various ways of eliciting better histories, tests to order, treaments etc. You see a lot of the usual diabetes, stroke, HTN, kidney failures, nondescript dizziness/nausea/vomiting, sickle cell as well as some more interesting cases (although all of the cases are interesting to me at this stage of my career!). There are also sad cases like the fairly young man that was a poorly controlled diabetic and had already had an above the knee amputation; he found out that he had gangrene in his other leg and was going to lose it. I guess "noncompliance/poorly controlled" is not just endemic in the U.S. My patient was an 80yo known DM w/HTN and was admitted for progressive weakness, N/V etc. He was not very alert and so I couldn't get much (any!) information out of him. No family around to talk to either. Oh well, I'll probably get a real talker next time.

    A couple of my friends were in surgery the other day and that sounded pretty fascinating. They observed a C-section, Cholecystectomy, a DNC, a direct hernia (replacing a failed patch) and an upper abdominal (anterior/ventral... not sure what you call it) hernia. They thoroughly enjoyed themselves. The surgeons are also good teachers and nice fellows from what I hear.

    We are actually getting to put some of our PD skills and couple them with our basic science skills so that feels pretty good.

    Anyway, I just wanted to let people who are in premed, or med 1-4 know what was going on and what you can look forward to. So far it's been a lot of work but a lot of fun also. (please, no flaming about how I don't know what work is, wait 'til I get to rotations/intern etc...I realize that we are just getting started !!!)

    Regards,
    Tim Mc
    Thanks for sharing Tim. Keep up the good work.

    Abdel.

  3. #3
    LikeMD is offline Junior Member
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    Visit

    Tim, I'm glad your having fun and sharing your experience with us. It's nice to hear that you and the rest of your class is learning and sharing.

    LikeMD

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    abkoussih's Avatar
    abkoussih is offline Member 510 points
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    Quote Originally Posted by tmcnam
    Hi everyone,


    ...........wait 'til I get to rotations/intern etc...I realize that we are just getting started !!!)

    Regards,
    Tim Mc
    Tim.

    Do Med5 students at MUA get the chance to choose between the clinical rotation sites available to the school in the USA? or, do they get to go where ever the school send them?

    Thanks.

    Abdel.

  5. #5
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    SARGOD is offline Member 510 points
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    Thanks as well

    I enjoyed reading your adventure as well and would request you keep us posted every so often, time permitting of course, and if you could, perhaps elaborate your abbreviations for us, the less knowledgeable Med1's. Thank you.
    After every possibility has been explored, then what remains, no matter how impossible it may seem, must be plausible...Sir A.C. Doyle as the infamous Sherlock Holmes

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    tmcnam's Avatar
    tmcnam is offline Junior Member
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    Abbrev.

    Hi Sargod,
    Sorry about the abbreviations. I still see things everyday that I can't figure out but somewhere along the line you start using some of the ones you know and it gets easier and easier. DM=diabetes mellitus, HTN= hypertension, DNC=D&C=dilatation (dilation) & curretage, N/V= nausea/vomiting, PD=physical diagnosis. There are about a million of them (it seems).

    We noticed that they give a lot of paldol here and no one knew what that was until a classmate looked it up...it's plain 'ol tylenol.

    You'll see a lot of standard abbreviations and you'll also see some non-standard ones (some of which you can't figure out at all!).

    I'm scheduled for the medical ward tomorrow and if anything interesting happens I'll let you guys know. (keep in mind that orals & written tests for clin med are fri and Path 2 is monday so it may be a few days 'til I get around to it).

    Regards,
    Tim Mc
    We need more cowbell!!!

  7. #7
    tmcnam's Avatar
    tmcnam is offline Junior Member
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    Rotations

    Hi Abdel,
    I just saw your post when I was replying to Sargod.

    I believe you can choose where you want to go although I am not 100% sure how all of it works. I know they try to accomodate the students as best they can but I'm not sure how successful they have been (I haven't heard anyone complain). Maybe someone that is in rotations now could shed some light on this.

    Sorry I couldn't give you a more definitive answer. Perhaps in a few months...

    Best Regards,
    Tim Mc
    We need more cowbell!!!

  8. #8
    studentMD is offline Elite Member 512 points
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    finaolly finishing up tim.. how exciting!!!
    boy does time fly by..
    enjoy ur last few mths.. ur SO gonna miss it..

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