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

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"

Tuesday, November 15, 2022

Day 12 - Step 2CK Prep - Surgery Recap

 Nothing is easy to the unwilling.

~ Nikki Giovanni

Monday, November 14, 2022

Day 11 - Step 2CK Prep - Surgery

 Remember! Things in life will not always run smoothly. Sometimes we will be rising toward the heights - then all will seem to reverse itself and start downward. The great fact to remember is that the trend of civilization itself is forever upward, that a line drawn through the middle of the peaks and the valleys of the centuries always has an upward trend.

~ Endicott Peabody

Sunday, November 13, 2022

Day 10 - Step 2CK Prep - Surgery

 A strong positive mental attitude will create more miracles than any wonder drug.

~ Patricia Neal

Saturday, November 12, 2022

Day 9 - Step 2CK Prep - Surgery

 Never say never, for if you live long enough, chances are you will not be able to abide by its restrictions. Never is a long, undependable time, and life is too full of rich possibilities to have restrictions placed upon it.

~ Gloria Swanson

Friday, November 11, 2022

Day 8 - Step 2CK Prep - Surgery

 The only way of finding the limits of the possible is by going beyond them into the impossible.

~ Arthur C. Clarke

Thursday, November 10, 2022

Day 7 - Step 2CK Prep - Surgery

 Study without desire spoils the memory, and it retains nothing that it takes in.

~ Leonardo da Vinci

Wednesday, November 9, 2022

Day 6 - Step 2CK Prep - Surgery

 Focus on what you can affect - your upcoming score!

That is the only aspect that you have control over right now.

Tuesday, November 8, 2022

Day 5 - Step 2CK Prep - Surgery

Han Suyin said: "Truth, like surgery, may hurt, but it cures."

It is a sparkling witty remark. Nonetheless, surgery should not hurt if you have a good anesthesiologist and an appropriate pain management. Choose yours right.

Monday, November 7, 2022

Day 4 - Step 2CK Prep - OBGYN

 Just one small positive thought in the morning can change your whole day.

Wake up and think of something positive: an expression of your face when you get a score that was waiting for a long time.

Sunday, November 6, 2022

Day 3 - Step 2CK Prep - OBGYN

Where there is a will, there is a way.

~ A quote by... - whoever applies it.

Saturday, November 5, 2022

Day 2 - Step 2CK Prep - OBGYN

With the current decline in education, all attention is paid to pumping muscles.

Did you know that the human brain is not inferior to biceps?

It is susceptible to development just as any other bodily organ.

Let us put it to the test.

Friday, November 4, 2022

Day 1 - Step 2CK Prep - OBGYN

House M.D. paraphrasing: 'An industry needs both: those who are tightening the bolts and architects'. 

Me: After tightening a considerable number of bolts, I have decided that it is time for me to advance further and join the "proverbial architects".

P.s. Step 2CK preparation is in progress. 

Thursday, November 3, 2022

Per Aspera ad Astra

I don't want to just be tightening bolts and following instructions. 
I want something to be different because of me. 

~ Thirteen 'House M.D.'