Fresh new pair of lungs about to get transplanted!
Lungs are unique, they are spongy, air-filled, and are the primary organs of respiration. There are many end-stage pulmonary diseases that necessitates lung transplantation, either partially or totally. Common reasons for lung transplantation are COPD, pulmonary fibrosis, cystic fibrosis, pulmonary hypertension, sarcoidosis, and the list goes on. Transplantations aren't extremely common simply due to the small number of donor organs available, making the waiting list longer and longer. During a double-lung transplant, patient is hooked up to a heart-lung machine. Surgery starts from an incision made under the patient's armpit, around to the sternum, and then back towards the other armpit (clamshell incision). In the case of a sequential transplant the recipients lung with the poorest lung functions is collapsed, the blood vessels tied off, and cut at the corresponding bronchi. The new lung is then placed and the blood vessels reattached. To make sure the lung is satisfactory before transplanting the other, a bronchoscopy is performed.
Some days you need a little afternoon pick me up! On call in the NICU today and have a full afternoon and night ahead of me. I never know what is in store for me as you can get no calls or admit 5 premies.
We have two MS4 med students rotating with us in NICU and they both were talking about submitting their rank order list. I cannot believe match day is less than a month away! I remember when I was in their shoes and was so nervous. However, the majority of students will match in one of their top 3 choices. At this point, my best advice is to enjoy 4th year and try to relax. Please plan a fun trip or spend your free time with loved ones. Do NOT try to prepare for residency. Programs do not expect much of you intern year and you do not need to impress on day one. This is your time to enjoy all the hard work and sacrifices you have made up to this point. Once you start residency you will enter a whole new world (cue Aladdin music) of struggles and hardships. So breathe easy now and just get ready to celebrate come March 16th. #matchday2018#nrmp
Messy hair don't care! This is how I feel about Mondays, especially when I had to work all weekend and have not had a break. Been on NICU this month and we have been busy. I am on call again tomorrow doing a 28 hour shift. However, I plan to tame this mane post call with a much needed hair cut! Have to regain some humanity and post call days are the best for doing that! I usually try to make much needed appointments on post call days like haircuts, mani/pedis, dentist, eye exam, etc. Just gotta find the time to do something for yourself. However, some post call days I just sleep and catch up on my zzzzs. How do you spend your post call days? #regaininghumanity#postcall#manicmonday
I have not posted about my study 📖 “corner” for a while... well here’s the new one. The new semester have truly begun now and I just realized I like the new topic in Patophysiology ...so even I have to review the internal medicine propedeutics I decided to start with the anaemia topic 🙋🏻♀️🤷🏻♀️😂 also I feel like I don’t know 🤔 where to start after it... too much subject to choose from 😳😆 I want to review ecg a bit more and some microbiology ☺️ hope I can do that till’ Tuesday 💪🏻 #toomuchtalking
Get that voice box out!
This is a total laryngectomy surgery due to 4th stage laryngeal carcinoma!
Surgical removal of the larynx is commonly used to treat patients with advanced stages of laryngeal and hypo-pharyngeal cancers, which are malignant in nature and are not suitable for conservative techniques or in case of their failure.
The entire larynx is removed and the airway is interrupted, respiration is being performed through a tracheal stoma resulting from bringing the trachea to the skin in the lower, anterior, cervical area.
The surgery results in voice and smell loss following the complete and permanent separation of the superior part of the airway from the inferior one.
It can be also practiced in a case of post-traumatic laryngeal stenosis or cases of benign, extensive tumours with malignancy potential (recurrent laryngo-tracheal papillomatosis).
Voice functions can be replaced with a voice prosthesis placed in the tracheo-oesophageal puncture created by the surgeon or by electrolarynx, an external device that is placed against the neck and creates vibration that the speaker then articulates.
TIPS FOR TEST DAY! Try to finish your study schedule ahead of your test, so you can use your last few days for brushing up on topics, reading the review tables in First Aid, etc. Something you can do beforehand is register for a "tryout" test at your testing center just so you get used to the computers. This is a set of 150 Step 1 questions (no score or answers, just percentage). If you don't want to pay for this, you can do the 150 questions for free at home from NBME's website. Regardless, drive to the testing center beforehand so you know exactly where it is! Pack your snacks and make sure you have your paperwork all together the night before.
Be kind to yourself. Remember to work out, cook, spend time with friends and family, etc! Relax the night before to get your mind off of things. I watched Lilo and Stitch with friends 😜
I never get testing anxiety, so I went to bed the night before feeling completely fine. About one hour into the night, I woke up, and realized I had racing thoughts and started to panic. Less so about the test, and more just about getting enough sleep! In the end, I only got about 1.5 hours of sleep, and seriously considered rescheduling my test. I was flying out of the country the next day, and starting clerkships the next week, so I did not reschedule (and don't regret it). Luckily, testing anxiety and sleep anxiety haven't bothered me too much since then.
That being said, do not let rescheduling fees or your school's academic calendar be the reason you force yourself to take a test you're not ready for. If you need more time for ANY reason, talk to your dean and ask for an extension. They're there to support you, and want you to do well too!
P.S. Anyone else jealous that the derm
folks get to be in San Diego right now? ☀️