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Archive for the ‘Uncategorized’ Category

My USMLE STEP 3 Experience

I will be detailing my USMLE STEP 3 experience here. I will update this frequently Related posts: Step 1 USMLE Books USMLE Step 3 Content Introduction USMLE Step 3 How to study for the USMLE STEP 2 CS USMLE Step 2 CS For The IMG USMLE Step 2 CK How to study for USMLE Step […]

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Getting consulting services to document their recommendations

I’ve recently found myself in a situation where I am taking care of a postoperative patient who keeps going into supraventricular tachycardia to the 180’s to 200’s. Cardiology has seen him and have recommended increasing his metoprolol until he stops doing that. This plan has not worked well, and he keeps going into rates of […]

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SNF: Waiting in the hospital forever to discharge to a skilled nursing facility

I have a patient in the hospital now who had an esophagectomy for esophageal cancer. He is currently NPO, tolerating jejunostomy tube feeds, and is doing well and is ready for discharge. However, we can’t find a skilled nursing facility that will take him! Their rationale is always they can’t take him because he is […]

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Cholecystectomy: How to remove the gallbladder from the abdominal wall

Well, this doesn’t happen often but as I was trying to remove the gallbladder from the abdominal wall (it had been placed in an endocatch bag), the bag ruptured. This was in the setting of a very large gallstone. I tried to pull out the bag but it wouldn’t come out. I then tried using […]

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Unclogging Jejunostomy Tubes

We all get called to the ER with this problem. A patient who has a jejunostomy tube presents with it clogged. First, I try irrigation with warm water. Then there is the Clog Zapper which is pancreatic enzymes. I find that using the thin blue tip attached to the syringe allows me to do multiple […]

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Colonoscopies: Advancing past the hepatic flexure

I’m planning to do colonoscopies in the future as part of my practice. Aside from the usual issues with getting past the sigmoid colon, I sometimes get stuck trying to get past the hepatic flexure. Often my scope is looped and I spend a lot of time trying to undo that. Does anyone out there […]

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INTJ Learning, Memory, and Retrieval

As an INTJ I’ve been trying to determine how I learn, memorize, and retrieve information. I would say I don’t have the best memory in the world but I’m working on it. As an INTJ, how do you best learn? I definitely need some tips on this one. Related posts: INTJ Personality Types INTJ Personality […]

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AV Fistula Creation

AV Fistula Creation Related posts: Enterocutaneous fistula closure and FRIEND mnemonic Anal Fistula and Fistulectomy Infliximab Tracheostomy A dating service for healthcare professionals Colorectal Surgery Table of Contents Clerkship evaluations: What every medical student should know Branchial Cleft Anomalies Anorectal Malformations (Imperforate Anus) MCQs

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Ioban Placement

Ioban Placement   https://www.youtube.com/watch?v=VmD6ephiN2I     Related posts: Internal Jugular Central Line Placement ETT placement x-ray Central Line Placement Subclavian Vein Central Line Placement EKG Lead Placement Position of needle for simulating the placement of a central line Advanced Trauma Life Support Feeding tube placement (Dobhoff Tube) Femoral Line Insertion Exploratory Laparotomy

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Don’t be in a rush to graduate from college to get to medical school

Don’t be in a rush to become a doctor. Some college students are determined to finish college in three years flat. They believe they will be considered smarter if they finish faster. They want to graduate ASAP so that the can become doctors in a hurry. Don’t be in such a rush to finish college […]

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