Wednesday, November 30, 2022

Day 25 - Step 2CK Prep - Psych 401

 Man's main task is to give birth to himself.

~ Erich Fromm

Tuesday, November 29, 2022

Day 24 - Step 2CK Prep - Psych 301

 Self-development is a higher duty than self-sacrifice.

~ Elizabeth Cady Stanton

Monday, November 28, 2022

Day 23 - Step 2CK Prep - Psych 201

 Television has done much for psychiatry by spreading information about it, as well as contributing to the need for it.

~ Alfred Hitchcock

Sunday, November 27, 2022

Day 22 - Step 2CK Prep - Psych 101

 The scientists of today think deeply instead of clearly. One must be sane to think clearly, but one can think deeply and be quite insane.

~ Nikola Tesla

Saturday, November 26, 2022

Day 21 - Step 2 CK Prep - Peds

 I think when I work 14 hours a day, seven days a week, I get lucky.

~Armand Hammer

Friday, November 25, 2022

Day 20 - Step 2CK Prep - Peds

Clinical scenario based on real life situation:

A patient is vented through ETT #6.5 suddenly drops to SpO2 25% and is showing a consistent good waveform. The patient who was comatose, now opens his eyes and his face is turning grey. Vent shows extremely low TV.

What have you got? What do you do? What do you order?

- Mucous plug

1. Call for help (respiratory, etal.)

2. Attempt to suction. If that does not resolve the issue move to the next step

2. Grab an Abmu to connect to the ETT and ventilate despite resistance

3. Once help arrives, you may connect O2 and crank it up. Use a saline lavage while ventilating and inline suction.

Post intervention: 

STAT ABG and portable Chest Xray

Encourage a frequent tracheobronchial toileting

Consider ordering Mucomyst (Acetylcysteine) and bronchodilators.

P.S. I saved a life on Thanksgiving day and hope that the concept of this scenario will save another.

Wednesday, November 23, 2022

Day 19 - Step 2CK Prep - Peds

 My philosophy is that not only are you responsible for your life, but doing the best at this moment puts you in the best place for the next moment.

~ Oprah Winfrey

Tuesday, November 22, 2022

Ten Rules of Engagement

0. Zero tolerance for NYT: News, Youtube, Twitter

1. Wake up at 0500

2. Complete the daily run before 0600

3. UWorld 62 Qs, Anki 300 Cs, Read 30 Pgs, Kaplan Videos 3 Hrs

4. Break the news before 0800

5. Start at 0710

6. Stick to the plan - 9.5 hours of studying (at least 90% time-wise)

7. Eye exercises, pull-ups, body-weight dips on the break

8. Go on complete silent/airplane mode at 17:49 - 06:49

9. At 2000 - Bath time, brush teeth, PJs, story time and off to bed

10. Get 500 minutes of sleep

Day 18 - Step 2CK Prep - Peds

 Every goal is achievable when the right amount of diligence, consistency and perseverance is applied.

~ Me at 45 Days to Go

Monday, November 21, 2022

Day 17 - Step 2CK Prep - Peds

Doubt is a virus that attacks our self-esteem, productivity and confidence. 

~ Sean Stephenson

Sunday, November 20, 2022

Day 16 - Step 2CK Prep - Peds

 Never believe a prediction that does not empower you.

~ Sean Stephenson

Friday, November 18, 2022

Day 15 - Step 2CK - Peds

 If you have a heartbeat, there's still time for your dreams.

~ Sean Stephenson

Thursday, November 17, 2022

Day 14 - Step 2CK - Peds

 You gotta dream? You gotta protect it. People can't do something themselves, they wanna tell you you can't do it. If you want something, go get it, period.

~ Steven Conrad, "Pursuit of Happyness"

Wednesday, November 16, 2022

Day 13 - Step 2CK Prep - Peds

 Grown-ups never understand anything for themselves, and it is tiresome for children to be always and forever explaining things to them.

~ Antoine de Saint-Exupery, "The Little Prince"