Radiologists have the best jobs. If I could use this Coke can as an example, this is their job in a nut shell:

'I'm worried that this is a Coke can. Is it?'

'Yes, it looks like a Coke can. It might also be a Pepsi can…

'Clinical correlation is required.'

A fellow summarizes his experience with radiology.

Essential Anatomy 3 for Android

For a limited time only, Amazon is giving away Essential Anatomy 3 for free for the Android. If you have not had a chance yet to check out this stellar educational tool, go check it out. This is typically a $25 piece of software.

You are honestly such an inspiration, I am only merely entering university and my journey is beginning but going through this blog definitely gives me a healthy dose of motivation! — Asked by Anonymous

Thanks a lot for your comment and I really appreciate it. Good luck to you and all the best in your university studies, wherever they take you. 

Take care,
Tom of the Medical State of Mind

Liars

  • Attending: You were on call last night?
  • J: Yes.
  • Attending: How was it?
  • J: It was alright. Steady night.
  • Attending: Are you ready to start the day?
  • J: Yes, let's do it.
  • Attending: You see, everyone, the problem with us is that as members of the medical field, we have selected ourselves out to have certain qualities. We tend to be perfectionistic, dedicated and always aiming to please. We lie to ourselves, minimize the problems when in reality, we all need to take better care of ourselves and each other.
  • Everyone: *Nods*
  • Attending: You said you are ready? How many hours of sleep did you get?
  • J: ...None.
  • Attending: We owe it to ourselves at least that much to be honest of what we can and cannot do.

98 plays

Smile by Aoi Teshima (original by Nat King Cole).

Post-call and post-CTU rotation, I drove home in a different state of mind. It is now the end of my first rotation. So much is changing, and so much has changed. I reflected on the hard situations I have been in, the long nights on call, and the tragedies I was involved in. It has been such an emotionally draining rotation. Let music be my medicine.

Hi. You seem to be a nice person so I'm here for an advice. Here's this situation. I'm lazy, I've never paid too much attention to shool and I don't know a thing about chemistry. Yet, I figured, why not become a doctor. Sounds pathetic, I know. The problem is, I'm taking exams next year that decide what I'll study. There's a big possibility I won't score enough to get into med school.(1 year to make up for 3?!). What if I'm not suited to be a doctor? I'm not smart/hard-working/determined enough. — Asked by Anonymous

Firstly, my apologies for answering this so late.

The decision to pursue medicine is not one that should be made lightly. It requires a lot of commitment and hard work. It is a profession that asks a lot of ourselves both physically and emotionally. We owe it to ourselves and to our patients to deliver the best care we can and safely. And that takes dedication, patience, and care.

I honestly feel that you do not have to be smartest person to be a doctor. Compassion and care is equally, if not more important than just being book smart. 

Having said that, I feel that if you are honestly serious about pursuing this career, then your work ethic will need to change at least to some degree. The rest can always come with practice and studying.

If you are serious about medicine, then being delayed a year or two while you get your studies in order will be a small sacrifice on the road to a career of life long learning. 

Whatever path you choose, I wish you best of luck in your endeavours and find the focus and inspiration to pursue your passion.

Sincerely,
Tom of the Medical State of Mind

Sierra Leone is on the lookout for an Ebola-positive patient on the run

Officials in Sierra Leone’s capital are trying to find a woman who left a hospital with the help of her family after testing positive for the deadly Ebola virus. The 32-year-old woman, whom radio stations in Freetown named as Saudatu Koroma, was being tested for the virus in an isolation ward, then was “forcefully removed” by her family, Reuters reports. That’s led to a hunt for Koroma to keep her from spreading the virus to others.

All joking aside though Tom, you do look different compared to four weeks ago.
A comment from one of my new residency classmates after a block of internal medicine, where he purposely left it ambiguous.

Busy Doctors, Wasteful Spending

There is no more wasteful entity in medicine than a rushed doctor.

Segmental Anatomy of the Liver.
The liver is divided into 8 segments. These are delineated by the 3 hepatic veins, dividing the liver vertically into 4, and then through the horizontal plane for superior and inferior portions.
Posterior (caudal) segment [I]
Lateral segment (lateral superior area) [II]
Left anterior lateral segment (lateral inferior area [III]
Medial segment (medial superior area) [IVa]
Medial segment (medial inferior area) [IVb]
Anterior medial segment (anterior inferior area) [V]
Right anterior lateral segment (posterior inferior area) [VI]
Posterior lateral segment (posterior superior area) [VII]
Posterior medial segment (anterior superior area) [VIII]

Segmental Anatomy of the Liver.

The liver is divided into 8 segments. These are delineated by the 3 hepatic veins, dividing the liver vertically into 4, and then through the horizontal plane for superior and inferior portions.

  • Posterior (caudal) segment [I]
  • Lateral segment (lateral superior area) [II]
  • Left anterior lateral segment (lateral inferior area [III]
  • Medial segment (medial superior area) [IVa]
  • Medial segment (medial inferior area) [IVb]
  • Anterior medial segment (anterior inferior area) [V]
  • Right anterior lateral segment (posterior inferior area) [VI]
  • Posterior lateral segment (posterior superior area) [VII]
  • Posterior medial segment (anterior superior area) [VIII]