Treat the condition, not the symptom.

Student: Hey Dr. Wayfaring, can I ask you a question? Mr. J was really tachycardic yesterday. What are you guys doing for that?

Wayfaring: Yeah, he was febrile yesterday and in respiratory distress. That’ll give you tachycardia. 

 Student: Shouldn’t we give him something for the tachycardia? 

Wayfaring: We did. 

Student: I didn’t see any heart meds. 

 Wayfaring:  We’ve been giving him Levaquin for his pneumonia. We gave him Tylenol for the fever. And we put him on Bipap for his respiratory distress. Treat the process, not the symptom. 



I finally have my third year schedule!

Block 1: Internal Medicine

Block 2: Family Medicine

Block 3: OB/GYN

Block 4: Pediatrics

Block 5: Psych/Neuro

Block 6: Surgery

Overall, I’m pretty satisfied. It would be nice to have psych a little earlier since that’s what I’m leaning toward. I also feel like I might burn out by the time I get to surgery, but I don’t plan on becoming a surgeon so it’s not a huge deal. I can’t wait to get started and let you guys know how everything goes!

Learned about Horner’s Syndrome today…I already knew the symptoms and could sing them (in my mind of course) and list them because I’ve watched far too many med school parody videos….

To the tune of “Call Me Maybe”: “She’s got mild miosis/low norepi and ptosis/skin’s dry, anhidrosis/ were you thinking Horner’s maybe?”

Thanks UMD Class of 2015 for helping me with neuro haha. 

Post-exam mental hangovers are real, guys. I am currently incapable of even remotely caring about class today. That’s probably from the combined emotional and mental exhaustion of having my Aunt’s funeral on Friday and our neuro exam yesterday. To say this past weekend was no bueno would be an understatement. We have 4 hours of lecture on the medulla and pons from 8am-12pm, and I am skipping them (well…not really…I’m watching the recordings later this evening) and reclaiming half the day for myself. And by that I mean I slept 9+ hours, which after having subsisted on 5 hours or less per night for the past week or so, was glorious. Our class went out last night, and about all I could manage was to go eat Mexican food and get margs with them and then I was just like nope nope nope about going to the bars and went home to be reunited with my bed. The rest of the morning shall consist of sending a bunch of emails I’ve been meaning to send for a week, paying my rent, and grocery shopping because all I have left in my kitchen is frozen carbs. Maybe if I’m feeling really crazy, I’ll even get around to folding my clean laundry before watching the lectures.

Do I feel a bit of study guilt? Yes.

Is it enough to make me regret putting myself first for half a day? Absolutely not.

P.S. I promise I’ll get around to checking my ask inbox soon. Lots going on right now…they show us no mercy in neuro.
10 things to get before your first semester of medical school

I’m almost done with my first semester of medical school!

Thank all the stars.

In celebration that I have 2 weeks left, I’ve come up with a list of the things I should have had the moment I started to make my life easier. These are nothing more than suggestions to anyone who will be starting soon. Remember, it’s a personal experience, and everyone’s will be different, and it’s what you make of it. I just like sharing.   

And if you’ve got something to add, please do!

1. Netter’s Anatomy Flash Cards

If you even have the thought that you might want them, just get the stupid cards. These suckers have saved me anytime I have been stuck somewhere and I need to study. You can grab them between breaks, read them on the couch, make games out of them. Anatomy really doesn’t vary in terms of material and everyone takes anatomy. 

2. A bunch of those 70 cent notebooks 

But Sass, you say, I want the nice notebooks! And you get those lovely book bound notebooks with the heavy paper (if it so pleases you). BUT you’re going to need scratch paper, And yes you  can use regular ruled paper or computer paper. BUT if you aren’t a fan of “holy crap I wrote something important on that paper” situations or if you’re a compulsive hoarder (we all become hoarders in med school) it’s just so much easier to have these cheap-os. 

3. Some kind of calender 

I don’t care how you do it, but do something. Use Google Calender, get a planner, put sticky notes everywhere, get a whiteboard calender DO SOMETHING. You may not realize it yet, but medical school says “hey we need every inch of brain power and long term memory you have” so believe me when I say, you will forget so many things if you don’t put it somewhere. 

4. A good pillow 

Despite how it might seem, sleep is a necessity, not a luxury. So why make yourself have a harder time getting to sleep? Quick answer, don’t. Do what you can to make it easy for you get whatever amount of sleep you’re getting (every second counts). A great pillow is the simplest solution, though comfy bed sheets or a fluffy comforter can help too.   

5. Reliable internet 

First of all, the majority of medical education now functions via the computer, you need internet. Secondly, I know we are living off “future money”, but current you will be a much happier person if your internet doesn’t constantly cut out. Even if you study at school all the time and are never home are you gonna lie and say you don’t lose your mind watching netflix (or any variation) because the video won’t buffer? If nothing else, invest in this. 

6. An arsenal of writing utensils 

You will need good pens that make you happy (you need happy). You will also need pens you know you will not miss you never see them again. You will need board markers because whiteboard learning is a gift. You will need highlighters because neon yellow is the calling card for need to know. You will need pencils because we live in a world of mistakes.

7. Vitamin D 

*Disclaimer I am not a doctor, this is just a suggestion, ask a medical professional to know if you should take any supplements* Do you wanna know a vitamin most people are deficient in? Vitamin D. Do you know where we get Vitamin D from? The sun. Do you want to know how often first year medical students go outside? If you guessed “only when they remember” then you are correct. Some of us are lucky enough to be outside. The rest of us need a bit of help. 

8. Snacks

Not just any snack. A good, reliable, filling and hopefully healthy snack. Med students come in three varieties when it comes to eating. Eats like a normal human, eats out a lot, and forgets to eat. I fall into the last category because I just don’t have food with me. So find a snack that makes you fall into the first category . 

9. A phone that works and can access wifi

At the minimum, you need this. You need a way to stay in contact with the people who matter to you, to be notified when you’re in the library and their about to be a quiz, when you’re still new to this hole med school thing and you get your first text from a new friend. You’ll want to pull up grades on the fly, or see that they changed a class in your email. You just can’t avoid it, you need a phone that gets you connected. 

10. Confidence in yourself 

Let me tell you something about medical school. It’s the hardest thing you’ve ever done so far. It’s endless hours of learning words you didn’t even know existed, things you may never see again, and pictures you can’t even grasp. It’s a world full frustration and of feeling like you aren’t good enough, or as good as everyone else. But you are. You made it this far and you can do this. So if there is one thing you do get, let it be this. Let yourself believe you can do it, and that you have the ability to be successful.