Posts tagged medicine

42 CME Credits

Now that I have started residency, I have also invested into an UpToDate subscription. This online clinical resource logs the time you spend researching and reading different topics. In less than three months’ time, I have already amassed 42 continuing medical education credits. 

A single credit is the equivalent of an hour of additional reading. 

In essence, I am averaging roughly 12 hours of reading every month on UpToDate. This is in addition to some other bits of reading I do here and there on guidelines, position statements, and textbooks. 

However, it just goes to show that a little bit every day goes a long way.

A Woman’s Life by Stonehouse.

A preceptor once told me the greatest joy of his profession was watching his patients grow. Some of them he encountered later in their life. Those whom he had the opportunity to be involved with from the very beginning however hold a special place for him. It is the good times and the bad times, the times when the first tooth erupts or the first day they walk, and the times when they first go to school or graduate from college.

That is the special privilege we have to be involved in people’s lives.

Woman of 24 found to have no cerebellum in her brain

A woman living in China’s Shandong Province got a bit of a surprise recently when doctors at the Chinese PLA General Hospital told her that her brain was missing one of the most important centers for motor control: the cerebellum. She had initially checked herself into the hospital because of a bad case of dizziness and nausea.

Her diagnosis helped explain some of the challenges she had experienced through the course of her life, including slurred speech, delayed onset of walking until the age of seven and troubles with maintaining balance her entire life.

That Horrible Feeling

When you see patients with scabies or pink eye and you feel the creepy crawlies just itching under your fingers and eyes for the rest of the day.

The Effect of Non-Vaccination.
This year the United States is experiencing a record number of measles cases. From January 1 to August 29, there have been 592 confirmed measles cases reported to CDC’s National Center for Immunization and Respiratory Diseases (NCIRD). This is the highest number of cases since measles elimination was documented in the U.S. in 2000.
The majority of the people who got measles are unvaccinated.
Measles is still common in many parts of the world including some countries in Europe, Asia, the Pacific, and Africa, travelers with measles continue to bring the disease into the U.S.
Measles can spread when it reaches a community in the U.S. where groups of people are unvaccinated.

The Effect of Non-Vaccination.

This year the United States is experiencing a record number of measles cases. From January 1 to August 29, there have been 592 confirmed measles cases reported to CDC’s National Center for Immunization and Respiratory Diseases (NCIRD). This is the highest number of cases since measles elimination was documented in the U.S. in 2000.

  • The majority of the people who got measles are unvaccinated.
  • Measles is still common in many parts of the world including some countries in Europe, Asia, the Pacific, and Africa, travelers with measles continue to bring the disease into the U.S.
  • Measles can spread when it reaches a community in the U.S. where groups of people are unvaccinated.

Jesus H. Cox, M.D.

Sadly, every one of my colleagues has met at least one person like this in their lifetime. I recently had to work with someone like this and it was not the most positive learning experience. As a learner, I do not have all of the answers, though I do my best to have one; then again, that is what this residency is all about: learning from my mistakes and learning to be better. Perhaps it was allowable in some bygone era to behave like this but not now.

Take a moment and reflect. Do you know someone like this?

On the Same Wavelength

In the span of twenty minutes while seeing a child in the emergency department, we had bonded over a variety of characters including Spongebob Squarepants, Transformers, Toy Story, Wall-E, and Justice League. 

Suffice it to say we spoke the same language and operated on the same wavelength.

Plate V from Handbuch der Anatomie des Menschen, 1841 by Dr. Carl Ernest Bock.

Plate V from Handbuch der Anatomie des Menschen, 1841 by Dr. Carl Ernest Bock.

Two Schedules on Shared Time

The challenge of my current schedule is that I must juggle my responsibilities between my core rotation and those of my clinic, to which I am obligated to spend time as well.

Sometimes it means missing out on some good learning opportunities due to conflicting schedules. Other times, the days off of one schedule coincide with the days on of another. I can be particularly hit hard if, like today, the day could have been spent sleeping post night shift.

Thankfully these scheduling anomalies are few and far between. However, when I think about how well established the challenges of balance are in residency, having an awareness of these issues can go a long way towards improving resident resilience.

The Paradox.

The Paradox.