I think, instead of telling kids ‘don’t do drugs, they’re bad’ we should show them the opiate withdrawal patient I had the other day

25 years old, in jail for god knows what, cops bring him in with a lac to his forehead from banging it on the wall repeatedly. He is already handcuffed so we put him in an isolation room, with sliding glass doors. Because he is in custody we take everything but the bed out of the room. 

Patient is screaming the whole time he doesn’t want to be there (same bro) with blood everywhere from the head lac. 

5min later, I hear this sickening crash, I’m pretty sure someone has just run head first into the glass doors, because mate I’ve done that before those curtains are assholes, so rounding the corner I see blood all over the glass door, patient still screaming he wants out but is now banging his head on the glass. 

It takes 4 security guards to hold this guy down, he is absolutely losing his shit, screaming and flailing and has no idea whats going on. Calling out for his mom, for Neil (???), for a sandwich, doesn’t know what day it is or just refuses to answer we can’t tell, pupils 4mm and sluggish but thats how it was when they brought him in, so security cuffs him to the bed so he can’t hit the wall. 

Fastforward 10 minutes and he has dislocated/broken his wrist trying to get out of the bed and to the door, he has puke and stool everywhere, refused to take the ativan so we gave midaz, but that didn’t touch him. 

This guy screamed from 2-7, we maxed out what we could give him for benzos and he was extraordinarily agitated and wouldn’t settle and was only in the beginning stages of withdrawals. It was terrifying, but the thing that got me was after screaming about how we took the 20′s (from his underwear??) he was quiet for a minute, I thought ‘shit the midaz finally caught up with him and now were gonna need to intubate’ but he then screams

“I don’t want to do this anymore, I don’t want to be on drugs anymore, I want this to stop, I want to be clean, please someone help me”

And thats what got me. This guy was 25, had his whole life ahead of him, but got caught up in drugs and it was going to kill him, and he wanted out, but withdrawals were so bad that it was easier to keep using. 

Fuck telling kids don’t do drugs. Show them what its like to try to stop, how all your friends die from OD, how you are one phonecall-not-made away from death yourself, how you get to be tied to a bed in the ER and your nurses need to apologize to other patients because you can’t stop screaming and just shit yourself and puked the cookie I gave you and your body is on fire. 

Don’t just tell them not to do it, because that doesn’t work, show them what its like to try to stop, because sometimes fear works better than facts. 

Note: Throughout the day we gave him 4 of ativan, 27.5 of Midazlolam and 12 of haldol, and this guy still was still agitated and screaming and 100% inconsolable, and by that time the doc was like ‘we can’t give him anymore, but lets transfer him out before he crashes’. It was a fucking time

A GUIDE FOR EVERY STUDENT: HOW TO STUDY SMARTER AND NOT HARDER!

A lot of us have difficulty when it comes to learning all types of new information. Especially when we’ve got other priorities to worry about. After much experimentation, I’ve found that the following tips helped me make the most of my time and also helped me plan much more fruitful study sessions!


- Designated Study Area.

A coffee shop, the library, a desk, or even your bed. Figure out where you are most comfortable studying - The right location provides comfort, no distractions and is quiet. Another factor to consider is timing. Are you a morning person, an evening person or a night person? Combine the time with the location and there’s your study area!


- The Key to Success is Time Management.

Plan your time using a simple schedule template, or make a simple to-do-list. The trick is to complete short tasks in a reasonable amount of time; like going over 5 pages of a textbook in approimately 15 minutes. Keeping a written schedule keeps you in line, and this way you won’t forget the tasks you need to complete for the day!


- Note Taking.

Personally, I like to keep a hardcopy of the days lecture and just scribble down any information that I think is important. BUT, there are some pretty cool note-taking strategies out there that you can utilise. Check out The Cornell Method, Mind Mapping, and the Split Page Method. Active learning produces more results than passive learning - so write down those notes and stay active!


- Meet the Syllabus.

The syllabus outlines the most important learning outcomes/ learning goals, and thats pretty much all you need to plan a productive studying session. 

Bid farewell to all that extra, unnecessary information. 


- What is your learning style?

Are you a visual, auditory, verbal or kinesthetic learner? Experiment with all 3 and find out which one works best for you. You don’t necessarily need to stick with one! Do you study better alone or do you prefer group study?  


- Bite-sized Learning.

Do not try to cram in a huge amount of information all at once. Instead, try breaking information down into learnable, manageable chunks. Combining this method with tip #2 will help you make the most of your time.


- Review, Review, Review!

It’s scientifically proven that the more you review material, the easier it’ll be for you to recall it when needed. So, take another look at your notes a couple of days after you make them, then again a week later, and so on.


These are the main tips I’ve found to be of help, and I hope they’re of use to everyone else!

Medical School Resources! (and other human biology,physiology,biochemistry-related resources)

Hi Everyone! 

Update: I am now officially done with my second year! I know i’ve been MIA on here for a while now - but that’s only because I was drowning in textbooks and assignments! I will be writing a whole other post on what my second year in medical school was like - so watch out for that :)

I, for one, can not just rely on one method of learning. Meaning, I’ll jump from videos, to textbooks, to flashcards. In this post I’m going to list some of my holy grail youtube channels that have helped saved me. 


1) Handwritten Tutorials

https://www.youtube.com/user/harpinmartin

Every video in this channel is short, but not so much that you feel like you’re missing out on information. Definitely one to save as a favourite!


2) Armando Hasudungan

https://www.youtube.com/user/armandohasudungan

The best thing about this channel is the fact that there are over 300 videos, covering a wide range of core topics in endocrinology, neurology, physiology and pharmacology. Another pro is the presentation of topics (otherwise considered snooze-worthy) in an artistic manner!


3) Speed Pharmacology

https://www.youtube.com/channel/UC-i2EBYXH6-GAglvuDIaufQ

Raise your hand if you’ve ever fallen asleep trying to read about the mechanism of action of opioids, their side effects and contraindications. I know I have. Fret not, for this youtube channel will introduce you to a world where pharmacology is actually interesting.


4) Wendy Riggs 

https://www.youtube.com/user/wendogg1

Wendy Riggs is a very down-to-earth professor in Northern California, and she covers a wide range of  topics in Anatomy, Physiology and General Biology. 


5) Anatomy Zone

https://www.youtube.com/user/TheAnatomyZone

A better way to learn anatomy is to supplement your textbook information with videos from this channel. The explanations and visuals provided are absolute gold.


I hope you all find these channels as helpful as I did!

Pimping

Shoutout to all the attending doctors who don’t believe in pimping the nurses, just to prove a point to new baby docs.

Shoutout to all the attending doctors who don’t say to new interns, “oh wow, even the nurse knows that answer,” during rounds. No sir, you are not only insulting your brand new intern, you’re also insulting the nurse.

Shoutout to all the attendings who don’t utilize rounds as a speech of their glory days, and how they always knew the answer.

Shoutout to all the attendings who don’t antagonize nurses in front of patients, their families and later laugh it off as “showing those new puppies who’s the boss.”

…shoutout to all the doctors who take the time for new interns to come up with the answer, in non-urgent situations, and guide them in a non threatening way when it is urgent. 

…shoutout to all the doctors who are honest about their beginnings, their mistakes, and candidly share it, (outside a patient’s room, so they don’t freak out, of course).

…shoutout to all the doctors who take rounds seriously, listening to and utilizing all of the disciplines, such as nursing, respiratory, etc. to come up with a decent plan of care.

…shoutout to all the doctors who respect nurses in front of patients, and families, and other team members – you’re appreciated so very much.

Aries as a nurse: The one who is never afraid to be blunt or show their attitude. They have no time for B.S.from staff or patients.

Taurus as a nurse: The nurse who is always snacking. Has a good balance of patience, endurance, and persistence.

Gemini as a nurse: Good at getting to know patients, chatty, but always finds something to argue about. Always finds something to laugh at.

Cancer as a nurse: The mother hen, first to complain about technology or patient care, knows everything somehow, and needs their smoke breaks.

Leo as a nurse: The go-getter, might become a drill Sergeant at some point, and yes the drama king/queen of the office/hospital.

Virgo as a nurse: Ironically a germaphobe or hypochondriac, has to know every detail about a patient, the health buff, and sneaks breaks.

Libra as a nurse: The scrub fashion model, on top of throwing potlucks or birthdays, and never pressures a patient.

Scorpio as a nurse: Passionate, does what’s best for the patient even if that means being a jerk, and tough but good at comforting or motivating. 

Sagittarius as a nurse: Straightforward, an over-sharer, somehow makes a mess a lot, sometimes a hider, the joker, and a bit of a wild card.

Capricorn as a nurse:  Always taking on extra shifts, no-nonsense, maybe a micromanager, and careful about mixing personal life with professional. 

Aquarius as a nurse: Maybe a loner, always says the most outlandish things, oh yes a gross humor, and likes to share their professional opinion. 

Pisces as a nurse: Stays as cool as a cucumber despite inner heartbreak or panic, might run into the bathroom or break room to cry later, good at calming people, helpful, needs their escape though.