What makes it all worth it... :)

from Ken (a review student) via FB messanger: 

Ma’am Meg, salamat po sa mga itinuro ninyo during the UP review, lalo na po sa tour and demo, doon ko po talaga na appreciate yung dosage form at manuf Thank you po for making the discussion interensting and light. I learned so much from your lectures at sana po, in the near future, i can pay forward and teach others the way you taught us. God bless po Ma’am.

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»>THIS is THE best thing any teacher could read in the morning… (T.T)

TRIVIA: on my interview for my pharm dept application, Sir eric asked me what type of teacher do I hope to become?..   With full sincerity i told them: I want to be the type of teacher who will inspire  students to pursue teaching (BTW sir eric was that type of teacher for me..funny how things work out ey??…haha)„, :)

a part of my dream was achieved through this sweet sweet letter… thanks ken… of course i replied “cooly” and you will never read this blog…but really… thanks..thanks….haha HUGS HUGS TO YOU.. :)

** hearth warmed and super pumped up to teach today… :)  

Pharm Phail: How to Deal

Hey Doc! So I just took my pharm final today and I know I failed it and failed the class as well because I haven’t been doing well. Have you ever failed a class in med school? How did you deal with it? I feel so incompetent. I just need someone to tell me HOW TO STUDY and LEARN/RETAIN the material. I’m not stupid right? It will get better right? Am I going to kill my patients or be jobless.. I also feel like I forgot my anatomy and biochem…what am I doing in med school!? –Anon

The short answer to “has WayfaringMD ever failed a class” is yes. My school was weird and our subjects were taught longitudinally throughout the year rather than in semester blocks, so you were required to pass each subject for the year overall. If you failed, you had to remediate the subject. I ended up failing 2 subjects by a narrow margin and had to remediate them before I could take Step 1. 

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How to deal with failing? Hakuna matata. The fail is already done. You can’t change it, so don’t get down about it or stress over it. Just focus on doing better on your second time around. Change your study habits and techniques. Try something different, because clearly what you did before wasn’t working. However, don’t fall into the trap of spending ALL your time on your “bad” subjects and neglecting your “good” subjects, because you will find your overall grades dropping. Just because you didn’t fully grasp pharmacology on your first go-round doesn’t mean you won’t get it eventually. Remember, medicine is a lifelong learning process. Keep working at it, and one by one the concepts will come to you. 

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Potato, Spud.

Pt: can you give me something stronger for this nausea?

Me: We’ve already got you on Phenergan and Zofran round the clock. But there are some other over-the-counter things you can take to help…

Pt: well in my last pregnancy they had me on something that they told me was the absolute strongest thing they could give me. 

Me: Mmmhmm, and what was that?

Pt: it was called ondansetron.

(later in the day, after I have texted J, who is on call, that I am discharging the patient)

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Alexipharmic

ă-lĕk”sĭ-fŏr’mĭk (adj.) Antidotal

(n.) An antidote

Example: Just take the medicine, Hugo! It’s alexipharmic!

Example: James, you need to take the alexipharmic by 6:00 or it will lose its potency.

Match the Antidote to its Offender! (answers below)

1. n-acetylceysteine (Mucomyst)

2. glucagon

3. deferoxamine

4. 100% O2

5. naloxone (Narcan)

6. flumazenil (Romazicon)

7. protamine sulfate 

8. vitamin K

9. physostigmine sulfate

10. calcium gluconate


A. benzodiazapines

B. opioids

C. iron

D. magnesium sulfate

E. heparin

F. carbon monoxide

G. warfarin (Coumadin)

H. acetaminophen

I. beta blockers, calcium channel blockers

J. anticholinergics

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