medical guide

10

So I’ve noticed a bunch of medical errors in fics I read, so I decided to post this handy guide to some of the most common errors and some background on basic medical things.

ps- they are not medical treatment or first aid advice. I’m not actually a doctor. yet. but I am certified in first aid. this is just so your writing can be more realistic.

other parts can be found here

ANATOMY STUDY GUIDE 101

So studying anatomy is nothing like any other topic, especially when you study it at uni level, where they expect you to know every single small component of the body! So this guide is going to be concerning the musculoskeletal system and the nerves (PNS) and arteries in the body. 

I have mentioned some of these tips before but I will put them in here aswell and so this can work as sort of masterpost. This is like a more “overall” type of masterpost. So if you want to have topic specific posts for example for nerves and arteries then let me know. 

1. Find a study partner. First and foremost anatomy is so much easier when you are two dealing with it. Me and my study partner used to do anatomy spots together and by doing it two people together you can discuss what it could possibly be. You get to hear their train of thoughts which sometimes can be better than yours. Also you will have someone to quiz you and correct you when you say something wrong. 

2. Accept that it takes time. First step to learning anatomy is dedicating a lot of time. It is not easy, you are cramming so much information into your mind and for it to stay there you will have to go over the same topic again and again and again. And I know it is really frustrating and you are going to spent maybe 10 hours trying to figure out the muscles of the leg and then next week when you review it again it will feel like a whole new topic, but this is all a part of the proces, just keep revising again and again and again. 

3. The Atlas is your best friend. Invest in a good atlas, they are a little expensive but they work wonders because first of all they give you an image of what you study. And usually the text book images are not enough. In an atlas you will have “isolated” images but you will also have images where relations are shown. HOWEVER if you dont want to buy an actual atlas then maybe buy Complete anatomy which is a computer program that I also reffered to in my “5 sites every med student should know about” post. Here you can play around with the structures, view it from different angles and add on to it with other nearby structures or remove structures. 

4. Say it out loud. Pretty self explanatory. 

5. Create an overview. Rather than focusing on the details try to focus on creating an overview. Anatomy is already so difficult so dont complicate things for yourself. And if you know the basics then learning the details will be so much easier. 

6. Use a whiteboard. Speaking of creating an overview, try using a white board for this. It is such a good way for creating an overview. I think because deleting and writing is so easy it kinda makes it less stressful than writing in a note book where ofcourse you worry about the aesthetic. Also try to do this with your study partner. You can plan on studying a topic together so lets say for example the muscles of the leg, you both at home study it, try to memorize it, look at it in an atlas and then you two meet. Now when you meet you get infront of a white board and start talking and writing about what you guys think is important and when you guys cant go any further then grab your notes and then add more on to the board. 

7. MAKE IT VISUAL!. This is the most important step! Use bones, pay attention in your dissection classes, if you have the upportunity to touch, feel and look at structures then DO IT! This is the best way to learn. Spot as often as you can.

8. Make up rules. you can find a lot of them online, or just make some up yourself, me and my study partner did, for example the muscles  M. erector spinae: I (m. iliocostalis) Like (m. longissimus) Standing (m. spinalis). If you turn it into a “game” then remembering it will be much easier.

And most importantly dont stress your mind that much. Allow yourself to take breaks, because over feeding your mind with knowledge in a short period of time can also be very damaging since you will waste time and not remember most of what you studied.  

Good luck, stay motivated and stay dedicated

Love 

Dunia

Medschoolmanic Presents: Brachial Plexus Made Easy!

The bane of all students who take anatomy seems to be the same: the brachial plexus. But never fear! I I found a link online that you can follow here that makes learning the brachial plexus incredibly simple. I drew out the steps themselves to show the process in color. Furthermore, I corrected a few mistakes within the presentation. Let us begin!

Step 1: Start by drawing two y shaped lines in the same direction. Feel free to draw them in either direction as it will make it easier to learn if you can draw it both ways. 

Step 2: Draw another Y shaped line in the opposite direction. 

Step 3: Draw an M connecting your initial two Y’s. This will also be an important point of reference when looking at the cadaver. 

Step 4: Draw an X and a dash

Step 5: Label the nerves roots (C5-T1)

Step 6: Label your nerve branches. Key is as follows: 

  • Mc: Musculocutaneous
  • Ax: Axillary 
  • R: Radial
  • M: Median
  • U: Ulnar

Some people like to remember the mnemonic MARMU for the brachial plexus branches 

Step 7: The rest of the brachial plexus can be split up into four groups of 3. Our first 3 would be the branches to C5, C6, and C7 that form the lateral thoracic nerve (LTN)

Step 8: The next three to be added are the following: 

  • DSN: Dorsal scapular nerve
  • SS: Suprascapular nerve
  • LP: Lateral pectoral nerve

Step 9: The next three nerves to be added are the: 

  • SS: Subscapular nerve
  • TD: Thoracodorsal nerve
  • SS: Subscapular nerve

Step 10: The last three to be added are: 

  • MP: Medial Pectoral Nerve
  • MBC: Medial Brachial Cutaneous Nerve
  • MABC: Medial Antebrachial Cutaneous Nerve

Step 11: Last nerve to be added is the Subscapular nerve

Step 12: The last step is to label your roots, trunks, divisions, cords, and branches, which I separated with a faint gray line. At this time, you’ll want to label your upper, middle, and lower trunks, the anterior and posterior divisions, and your lateral, medial and posterior cords. Some people like to remember the order from roots to branches with the mnemonic: Real Truckers Drink Cold Beer. 

All done! After drawing this out a few times you should get to the point where you can draw out the entire plexus from memory. The key to anatomy is repetition repetition repetition. Best of luck!

Coagulation cascade made simple.

Someone shared this with me on my surgery clerkship and I wanted to pass it forward. 

1) Everything centers around the perfect 10

2) 7 is a lucky number so I keep it to myself

3) 8 and 5 are cofactors

4) 3, 4, 6 do not exist

5) When you draw it out, it looks like a gun, and your trigger finger (TF) would go by the 7. so TF (tissue factor) goes by 7

6) You use guns and trigger fingers in war, so that’s the part effected by warfarin. The other one is heparin

7) The shorter path has the test with fewer letters (PT). The longer path has the test with more letters (PTT).

The last “rule” was told to me by someone else, but it helps me every time, so I’ll include it here:

8) PET is WET (PT, extrinsic, warfarin) and [Brad] PITT is a HIT (PTT, intrinsic, heparin)

  • Attending to me when I walk into OR4: What are you doing here?
  • Me: I'm here to intubate!
  • Attending: Well how many have you done so far?
  • Me: Approximately.... zero...
  • Attending: Meh. Here's the Mac blade. Don't knock her teeth out.
Ankylosing Spondylitis

Ankylosing spondylitis is an inflammatory disorder of the axial skeleton, peripheral joints, and extraarticular structures. Over 90% of pts have HLA-B27, a protein on the surface of WBCs in the presence of infection. It is 2-5 times more common in males, and onset is typically in the 2nd or 3rd generation. 

Pathogenesis

  • Occurs at entheses (attachment points between tendon, ligament, or capsule and bone) 
  • Inflammation
  • Bone erosion
  • Syndesmophyte (spur) formation

Clinical Manifestations

  • Vague low back pain radiating to buttocks
  • Bony tenderness
  • Enthesopathy
  • Constitutional symptoms - photophobia, blurred vision
  • Extraarticular symptoms 
  • Morning stiffness

Physical Examination

  • Spinal stiffness
  • Loss of lumbar lordosis
  • Increase of thoracic kyphosis
  • Stooped posture
  • Decreased chest wall expansion
  • Schober test: detects limitation of forward flexion and hyperextension of lumbar spine

Diagnosis/Lab

  • No direct serum marker
  • Elevated ESR, CRP, Alk. Phos
  • Radiographic: “bamboo spine”, sacroilitis, pseudowidening of SI joint, sclerosis/fusion
  • Diagnosis at early stage is important to limit irreversible deformity

Treatment

  • Physical therapy - exercise is the best treatment!
  • NSAIDs
  • Anti-TNF
  • DMARDs
  • Referral to rheumatologist

Complications

  • Spondylitic heart disease
    • Aortic/mitral regurgitation
Personality disorders as memes

Because this is how I learn things

There are lots of mnemonics for remembering the clusters (which have fallen out of use anyway) but I prefer one that make sense to me because it uses the A, B and C for awkward, bratty, and cowardly

Cluster A Personality Disorders (”awkward”):

Paranoid:

Schizoid:

Schizotypal:


Cluster B Personality Disorders (”Bratty”):

Antisocial:

Borderline:

Histrionic:

Narcissistic:


Cluster C Personality Disorders (”Cowardly”):

Avoidant:

Dependent:

OCPD:

Weed for beginners

Smoking weed is fun as fuck but I get how awkward it is when you’re starting out. Everyone seems like a pro and you feel like an idiot. So heres my guide on becoming a stoner.

Before you start:

  • There is such a thing as smoking too much
    • When you’re starting off, your tolerance is probably crap. Don’t smoke too much, because if you do you’ll probably just shut down, i’ve seen it happen. You’re basically a zombie and  pass out. If you’re feeling chill, it’s ok to say you’re cool. you don’t need to keep smoking if you’re already having a good time. Your friends might give you hard time but there’s nothing worse than having someone babysit you.
  • Beware of Edibles
    • When trying edibles, try to be with someone who has experience with them just in case you take too much. Almost all edibles are overmedicated which means you shouldn’t eat the whole thing at once. Most edibles take 15-60 minutes to set in. I recommend starting with a bite the size of a quarter coin to a mouthful and wait 15-45 mins. Then after the high hits, wait at least 20 minutes before taking another bite. And then 30 mins in between bites after that. Edibles can be overwhelming so don’t take too much to fast. If you’re eating candies you should eat a few at a time. Most edibles come with the THC mg on the package so each candy has a fraction of that. Try not to eat too many.
    • You don’t need to keep eating edibles, if you’re stoned you should be good for at least two hours.
  • Do Not Smoke out of Aluminum
    • smoking out of aluminum pipes or cans is the absolute worse thing you could do for yourself. its bad for your lungs, its bad for your brain, and its bad for your blood. i recommend avoiding this as much as possible. apples and fruit make good pipes with a little work.

The Basics

  • Measurements and Pricing
    • an Ounce/Zip is usually about 28 grams and will cost anywhere from $200-$400 depending on where you buy it and the quality of the weed.
    • a Quarter of an Ounce is ¼ of and ounce and is typically 7 grams and will cost you $60-$80 depending on where and quality
    • an Eighth is 1/8 of an ounce and is 3.5 grams and ranges from $30-35
    • a Gram is the basic measurement for weed and refers to weight. 
    • A gram will cost anywhere from $10-$15 depending on where you get it an quality. $10-$12 is a good price $15 is good if you buy from a shop. Unless you’re buying private reserve at a shop or whatever, anything over $15 is a bit much
    • a Dime is $10 worth of weed and is usually about a gram
    • a Dub is $20-$25 depending on where you live, 20 is common in the west coast but 25 in some of the more eastern region. its usually about 2 grams
  • Equipment
    • Pipes
      • the most common pipes are spoon pipes and are pretty basic. it has a deep bowl where you put the weed and most have a hole on the side called a carb. a carb is used to clear the chamber when smoking. you load the bowl with weed, cover the carb with your finger, spark the bowl, and release the carb to clear the smoke. its pretty simple. I wouldn’t recommend this for sneaky smoking, the weed gives off a lot of smoke when it burns and usually keeps burning after its lit. some refer to it as cherried because the way it burns. plus the smell of a pipe is pretty strong.
      • the best pipes are glass pipes. they’re cheap and many are pretty cool in design. they can cost anywhere from $5-$45+ depending on design and customs. i suggest investing in a good sturdy pipe about $10-$30 depending on how much you can spare. many places sell thick shatter resistant glass pipes. don’t be afraid to ask about quality and price.
    • Bongs
      • Bongs are water pipes. there is a main chamber where water is filled; a downstem which should lie under the water to filter the smoke, and a bowl to hold weed that should attach to the downstem.
      • Glass bongs are the best option but can get expensive the more intricate the designs and can be easier to break. A good basic glass bong could cost anywhere from $25-$45. Keep an eye out for painted bongs, i once bought a glass bong that was painted black and over time the paint started chipping.
      • Acrylic bongs are made of thick plastic like resin and are more durable than glass bongs. Acrylic bongs are good if you’re starting out. Their crowd friendly and can handle wear and tear and even drops. But overtime acrylic bongs break down and start affecting the taste and quality of the weed.
    • Bubblers
      • Bubblers are similar to bongs but are almost always one singular piece. its like a pipe that you fill with water basically. Usually you load the water through the bowl or mouthpiece. a basic decent bubbler would cost anywhere from $20-$40
    • Rigs/ Dab Rigs
      • Rigs are waterpipes and are usually more advanced. Their used to smoke concentrates and oils. most dab rigs have a nail that serves as a bowl. its heated with a torch to a temp that evaporates the concentrate on contact. the smoke is then filtered through the bong-like rig. I would not recommend dabbing until you have built a tolerance to weed and can handle high doses
    • Vapes/Vaporizer
      • Vaping is the healthiest way to enjoy weed. Most oil vapes that are very similar to regular vape pens. There are also dry herb vapes that are used with actual weed. you load the weed into an “oven” that bakes the thc right off :)
    • Joints
      • Joints are weed cigarettes, weed rolled in rolling papers, usually hemp. 
    • Blunts
      • Blunts consist of weed that’s been rolled in cigarillo wraps. Swisher’s are a common brand that are easy for beginners to get the hang of.
    • Spiffs
      • Spiffs are joints that have been rolled with both weed and tobacco. 
      • *You should always ask the people you’re smoking with if they’re okay with smoking tobacco. Just because people smoke weed, doesn’t mean they want to smoke tobacco.

Types of Weed

  • Sativa
    • Sativa is the uplifting strain. Its good for active days and staying awake. This is the type to smoke when you got shit to do. its an active high good for a busy day.
  • Indica
    • Indica is the body high. its good for long hours on a couch or marathon gaming. Indicas are good for pain management and are more dulling. Most indicas give strong munchies and might even make you sleepy.
  • Hybrid
    • Hybrid strains fall somewhere in between. Its a good balance between mind and body and are good for a chill high 

This is just a beginners guide I made for reference, this is not everything there is to know about weed and this probably won’t apply to everyone. Prices and quality will vary depending on where you are.  Feel free to add anything I missed or any of your own tips or info. Happy smoking :)

2

Today I taught myself about reading EKG’s and where they actually line up with things going on in the heart with regards to MIs. Basically you have 3 coronary arteries that get occluded in most MIs: Left Anterior Descending (LAD), Left CircumfleX (LCX), and Right Coronary Artery (RCA). LAD feeds the anterior heart and the septum. LCX feeds the lateral and some posterior heart. RCA feeds the right ventricle and some posterior heart, as wells as the SA node in 60% of people.

Now EKGs are confusing and complicated, but it gets easier if you remember where they measure relative to the anatomy. This little diagram helps me get started:

I’ve overlaid the heart over this in the diagram up top. Now remember, those arrows are vectors which is reflected in an EKG read by the upstrokes and downstrokes of the read. (I’m oversimplifying things, but physics makes my brain hurt, and this has worked for me so far.) Practically, what it means is that if the arrow is pointing towards the damage you get ST elevations. For example, in an inferior infarct, you get ST elevations in II, III and aVF, which point towards the inferior part of the heart.

You also have leads V1-V6 which are arranged like so:

(Image from wikipedia)

Notice their vectors point anteriorly. So an anterior infarct shows up at ST elevations in some or all of V1-V6. Meanwhile a posterior infarct will show up as ST depression in V1-V3 which point away from the posterior part of the heart.

To take it one step further you can figure out which artery is blocked. But that’s just a matter of knowing the blood supply, which is basically just what’s nearby. When I’m trying to figure it out on a test, sometimes I draw out this 5 second diagram (aka artistic masterpiece):

5

Mechari Medical and Repair RP guide

Hello! Welcome to the second round of exhaustive rp guides for mechari.  This time a focus on ‘medical’  Why?  Because everyone understands what to expect when an organic character is injured or ill since all the players live that life already.  Mechari?  Not so much. Often rp defaults to the closest parallels we can find in our modern world- cars and computers.  From a lore standpoint this simply will not do. Mechari are advanced beyond our current reckoning. Created by a race who mastered everything they touched  with technology and magic, mechari would be well beyond arc welding and oil changes.

The following is a blend of existing lore and headcanon based on current bleeding edge prosthetics and robotics.  It is meant as a guide to help out with confusion and help immersion in RP. Should you chose to use this just like my other guides is entirely up to you (note- for Junction Nexus 01 this is the lore we go by)

————

Keep reading

Silken Pupdate

I actually have a little extra time today, so I wanted to put out an update about my new service dog in training (SDIT) Fawkes and answer a few questions I’m sure I’ll probably get at some point! :D 

This lil pupper is Clayborn’s Africa aka “Fawkes.” My husband and I drove from Virginia to Colorado to pick him up because I love his breeder and appreciate the type of temperament she breeds for (she has bred SD prospects previously). 

I’m self-training him to mitigate the symptoms of PTSD and panic disorder with some professional guidance. He will be trained in several tasks, primarily deep pressure therapy, blocking, interrupting stereotypic/harmful behaviors, medication retrieval, and guiding me to a safe place during dissociative episodes.

Although his main job will be working as a service dog, we will also participate in conformation events and hopefully will do at least one sport (though we still haven’t figured out what sport yet!). Assuming he matures well and clears his health tests, I will breed him at some point in the future, which is a very exciting prospect as it will be my first foray into dog breeding. :D

Those who have been following my blog for a while might be wondering why I got a service dog prospect so suddenly instead of going back to school after I left my job. The short version is, I’d been considering getting a SD for the past 2 years but didn’t think I qualified as disabled until after I had a conversation with my boss about applying for disability benefits because my mental and physical health became so poor that I had to leave my job much sooner than I originally intended. I had wanted to go back to school, but ended up in a psychiatric day treatment program instead due to my anxiety and bipolar disorder being very poorly controlled. After talking with my doctors and therapist, we decided that even though it would be a bit hectic having 3 dogs and a toddler at the same time in our tiny house, I would truly benefit from having a SD and it would help me regain my independence (and sanity) better than just therapy and medication could.

I ended up choosing a Silken Windhound after spending a lot of time with my friend Katie’s Silken SDIT, Sega, who won over my entire family. The breed is the perfect size for the type of work I was looking for (big enough for DPT but not too big for our little house ha), has the sighthound on-off switch, and is very affectionate, biddable, handler-focused, and intelligent. A couple months in and I couldn’t be happier with my choice. :)

I have to give a shout-out to @silkenagentsofcsbeck@doberbutts, @why-animals-do-the-thing, and @noodle-dragon in particular for giving me great advice which has been invaluable thus far. Rachel (of @why-animals-do-the-thing) actually stayed at my house for a week to improve my training technique which was amazing, and I highly recommend her as a trainer; she’s pretty much the only reason Fawkes has good leash skills now haha! I’ll write a longer review of her training services later, but I just had to give a big thank-you to all these folks for making my dream of having a SD come true. :)

NXTYOURBBY’S RP GUIDE: HOW TO PLAY A CHARACTER WITH GENERALIZED EPILEPSY. 

while i have nothing against the other rp guide’s who tell you what epilepsy and some of them explain it great, they feel like that’s all they are doing explaining it. so here is an rp guide coming from someone who has GE for those who want to play a character with it. ( below will have what GE is, what it can feel like, how it can effect the people around you, how to roleplay a grand mal / tonic - colonic seizure, and the long term + short term effects of a seizure.

Keep reading

To be a medical student:

1. You have to be really smart and you have to be willing to sacrifice all your fun times to get into medical school.

I really believe in balance in life, but, to get into medical school there really is no such thing. It is a highly saturated, highly competitive field and almost everyone has, at some point in their lives, wanted to be a doctor. When I was in school, my biggest dream and goal was getting into medical school. So I worked really hard, I studied really hard. But you have to show them you’re not only a smart brain - you have to be everything else as well. You need to have outreach/community service, because this shows them that you are passionate about helping the community, which is basically what a lot of medicine really is. You have to be participating in extra-curriculars. I really hate sports, so I opted for MUN, debating and drama. Lastly, you also have to show them that you can assume a position of leadership and responsibility, because one day, you will be making your own treatment choices and you got to back yourself.

I didn’t “play” with my friends a lot in school, and because I was studying so much, I didn’t really have that many friends at all. But that was ok for me because I knew that once I got into medical school, I would be surrounded with +200 like-minded people who would make fantastic friends (a fact which proved to be true). And so, while I never really had a balanced life in school, I really have one now because this is 100% what I want to do, so finding the time to do non-med school related things is easier now.

2. You really have to want it.

Being a doctor really needs to be something that comes from deep within in you. It can’t be a willy-nilly decision you make because you’re in your last year of school and you are kinda smart so you’ll do medicine. NO. Please no. I have seen so many people in my class just like that who have had their souls crushed by medical school and eventually drop out after 2,3,4 years. Please make sure that if you want to do medicine, you really are doing it because there’s nothing else for you. You need to understand these common misconceptions:

  • You will be studying and writing exams for the REST OF YOUR LIFE
  • “Money” is only something you’re going to achieve once you’ve specialised and work in the private sector. This takes up to +20 years
  • Being a doctor means that, almost always, your family will be secondary to your work because you signed an oath to take care of people (there are obviously exceptions to this rule because there are some superhuman doctors out there and I’m really in awe of them)
  • There will always be someone more senior than you, and you have to bow to authority until you run your own practice
  • If you are mentally weak, you will have a hard time because the hierarchy in medicine is based on making you feel like a shit person and you will constantly get remarks like “why are you in medical school - that answer was pathetic”

3. You got to have perseverance and be mentally strong.

Medical school is not easy. You will have been the top student in your class when you were at school. That will change once you enter medical school. I constantly doubt my own intelligence, despite having a top ten ranking in the world for CIE AS level Math and Physics. There will be moments when you hate what you’re doing. And there will be moments when you want to quit. I ask myself almost daily “why am I doing this.” That why you need to have a more solid answer than “money” or “fame.” You need to be mentally strong and prepared to be stressed ALL THE TIME, to be under pressure ALL THE TIME, to be tired MORE THAN ALL THE TIME and to constantly feel unprepared ALL THE TIME. Also, with regards to mental strength. You have to be CONFIDENT THAT YOU ARE IN MEDICAL SCHOOL BECAUSE YOU DESERVE TO BE THERE. You cannot think you are useless because one of the senior doctors said something mean to you on the ward round. I have had senior doctors say fucking vile things to me, like really mean things. But you just gotta remember that there is absolutely no way that you will know everything about everything. Doctors are constantly learning, medicine is constantly evolving.

4. Make sure you have a good support structure.

Medical school can really break you down. And part of being mentally strong is having a good support structure. Surround yourself with people who believe you will achieve your goal of getting into medical school and who will lift you up and remind you how special you really are when you are feeling like a poo mountain. Medicine does not define you. How you deal with challenges and failures and hardships really does build character. Because trust me there will be challenges: I did not get into medical school in the first year I applied. I sat at home, depressed for a whole year - eventually my family helped me out of my slump and reminded me of the reasons I wanted to do medicine. There will be failures: I failed my first year chemistry class - which I didn’t take too hard because who needs chemistry for medicine anyway right? But when my 4th year rolled around and I failed my internal medicine rotation, I was absolutely shattered. Literally 50% of medicine is internal medicine and to fail such a massive component really did a number on me. I was so lost after that. I really questioned whether I should be in medical school. But my support structure was really solid and my teacher/doctors were really kind and I got to redo the exam and ended up getting 75%. So don’t be afraid to ask for help, humble yourself and realise that you can’t do everything on your own.

Currently, I’m in my 5th year, next year will be my last, and I don’t regret choosing medicine. It hard, but it is SO REWARDING and WORTH IT when you see a patient and seeing them/spending time with them really makes a difference in their life. There is nothing that makes me happier than having people that leave after talking to me and they are in a better place than when they started. :)

I hope this helps.

GIF background by: colormush.tumblr.com

Deductions of Hands

1. Jewellery? What kind of jewellery? Price of the pieces? Age? Discoloring of the pieces? Traditional? Origin?
2. Length and cleanness of fingernails? Marks? Discoloring? Fungus?
3. Scars? Amount and place of scars? What kind of scars/what form? How old (faded, red, white, yellow, skin coloured, multi-coloured)?
4. General texture: Race/Age of the person? Acne?
5. Coloring of the fingers:
- Yellow coloring between the index and middle finger: Smoker
- Ink-marks (especially on the forefinger and thumb): person working in an educational field, a student
- Discoloring caused by chemicals (generally whitening or reddening) or paint or motor oil?
6. Deformations? Past injuries? Burns (e.g. baker, mechanic, smith, glassblower)? Scratches (e.g. cat owner)? Bite marks (e.g. cat owner)?
7. Places for calluses and meaning:
- Metacarpals & Proximal Phalanges (palmar): Weight lifting, rowing, trapeze gymnastics,
- Metacarpals & Proximal Phalanges (dorsal): past fist fight, anger issues, kung fu/karate/kick boxing/(seldom: taekwondo, judo)
- On the top of fingertips (on one hand): Player of a stringed instrument, guitar (if there are marks near the nail of the thumb of the other hand)
- Distal Phalanges (palmar): wind instrument (differentiation depending on the amount of fingers affected and the potential markings of “circles” (eg. by a flute)), (seldom: harp)
- On the fingertips (on both hands)/ broadened, flatter fingertips: long term player of the piano
- On the palm: gun, wandering with sticks, archery (if there are calluses on or in between the Distal and Middle Phalanges (on the other hand))
8. Unusual posture? E.g. a strong grip without all fingertips touching the object can indicate numbness as caused by a chemotherapy.


Post scriptum: Feel free to ask for elaboration or to add to the list.

2

6.25.17 // 4:32 pm •• my review study guide for medical terminology exam. ☕️

{for more, follow me on instagram & snapchat @lucynicoled}

All For The Game Fic Rec’s

This took me a lot longer than i thought it would because I had trouble choosing fics! If you have any fics you want rec’d shoot me an ask and i’ll include it in the next one!

Lessons in Cartography by crazy_like_a  

Neil Josten/Andrew Minyard | E | Words 121, 706 | Chapters 37/37

Nora mentioned in her extra content that Neil slowly maps out Andrew’s body and then this fic happened. Starts after The King’s Men.

eyes wide open by jaylocked

Jeremy Knox/Jean Moreau | T | Words 13, 496 | Chapters 2/2

Jean blinked. Blinked again. Was sure he didn’t recognize the man on his doorstep, with his bright eyes and enormous grin and wavy blonde hair. Waited for him to explain himself with a simple raised eyebrow.
“Hi!” the man finally chirped. The sound was happiness channeled into a single word, and Jean wasn’t sure how he didn’t hate him already.
(based on the prompt from tumblr: “hi sorry I live below you and I hear your dog running around and barking all the time and– no no it’s fine I was just wondering if I could pet it?” au)

don’t wanna give you all my demons by modernpatroclus

Neil Josten/Andrew Minyard | T | Words 1, 977 | Chapters 1/1

prompt: What if Neil pissed Andrew off/made him so upset one time that Andrew told Renee Neil was her responsibility now

“I do hate you,” Andrew insisted.
“Maybe you should let me go then.”

until I see the light by badacts

Neil Josten/Andrew Minyard | M | Words 5943 | Chapters 4/4

Bee uses the word relapse with him, explains that he’s veering off baseline like he can’t figure that out for himself. All Andrew cares about is that he hasn’t been looking for reasons to stay alive like this for so, so long.

Ultraviolence by lscar123

Neil Josten/Andrew Minyard | E | Words 76527 | Chapters 12/12

Neil Josten is of the most successful songwriters in the industry but years of blocking out his own personal pain and writing mind numbing radio hits have started to wear him down so he decides to take a break from it all and return to The Fox Hole, the bar he stumbled onto years ago and helped set up an open mic night at.
It’s there he meets Andrew Minyard, a bartender who makes an immediate impression on him. Something about Andrew tells him to run but it’s either his own stubbornness or his pension for self destruction that makes him stay.
Nothing in his life will ever be the same after the first night he spends back in the place he used to call home.

appendages by autisticandrewmiinyard (stubbornjerk)

Neil Josten/Andrew Minyard Aaron Minyard/Kevin Day | M | Words 37496 | Chapters 11/11

noun ap·pend·age \ə-ˈpen-dij\
1: an adjunct to something larger or more important : appurtenance
2: a usually projecting part of an animal or plant body that is typically smaller and of less functional importance than the main part to which it is attached; especially : a limb or analogous part (such as a seta)
3 [appendant]: a dependent or subordinate person
Nathaniel Wesninski grapples with his life as the heir to a criminal empire, as the vice captain to the Edgar Allan Ravens, and as the person he wants to be seen as.

Children? Nah. by IceBreeze

Alliosn Reynolds/Renee Walker | T | Words 1297 | Chapters 1/1

Five times Allison and Renee deal with the dreaded question.

but by the grace of god go we by Saul

Kevin Day/Neil Josten/Andrew Minyard | T | Words 7656 | Chapters 3/3

In which three emotionally stunted twenty-somethings figure out themselves, each other, and all that’s left behind.

An Abridged Family Medical Guide, 6th Edition by 30degreesandsnowing

Kevin Day/Neil Josten/Andrew Minyard | T | Words 13887 | Chapters 3/3

As soon as Kevin realized there was a stomach bug going around the locker room, he started force feeding Neil and Andrew vitamins. It worked out about as well as you could expect.