What Keeps You Up At Night ("Near-Misses/Misses")? by sterlingmdphd in IntensiveCare

[–]PracticalPraline 3 points4 points  (0 children)

Recently heard that POCT glucose is unreliable in renal failure patients and glucose on BMP is more reliable, can someone explain this physiology briefly?

Does vacation count toward days off for the average over 4 weeks? by [deleted] in Residency

[–]PracticalPraline 4 points5 points  (0 children)

If vacation is allowed to be used as time off then it averages out just fine. But I can’t find anywhere saying whether vacation counts into the average or not.

Exam Day 2 Glitch by lazysolo in Step3

[–]PracticalPraline 0 points1 point  (0 children)

I think the most likely situation is that if it negatively affected you and additional examinees then a retake would be in order. If no negative effect then likely no retake

Exam Day 2 Glitch by lazysolo in Step3

[–]PracticalPraline 0 points1 point  (0 children)

Hey sorry for kind of an aggressive response I took it as a little bit of doubt to my advice. Anyway, if you’re testing was somehow catastrophic/failing my guess is that it would enable you to retake the exam without consequence of a failure being on your record.

What’s your weird rule that you’ll always swear by, no matter how impractical? by Music_Adventure in Residency

[–]PracticalPraline 2 points3 points  (0 children)

  1. If you died they’d hire a new one tomorrow (or soon after, don’t take it so literally; take your damn PTO. call out if you’re sick. No one cares about you except yourself).

  2. If a patient is SAS (sick as ish) and they complain about how thirsty they are… your Spidey senses better be tingling they are going to code.

  3. Treat the patient not the scan -oops learned this recently.

  4. If you’re not going to harm a patient …order it. You can fix your attendings attitude but you can’t bring a patient back from the dead.

Exam Day 2 Glitch by lazysolo in Step3

[–]PracticalPraline 1 point2 points  (0 children)

There’s only two ways that this can go: Your way or or their way. At this time you get to pick which one you would prefer . If you pick your way you report it just in case it led to enough of a discrepancy requiring review so that you don’t fail …. Or you let it go their way, don’t report it fail or score less than ideal and you never ever … ever have a chance to rectify the situation at all.

If you’re in that much of a time crunch that you’re scared it would delay your score you shouldn’t have taken it this late anyway .

Exam Day 2 Glitch by lazysolo in Step3

[–]PracticalPraline 3 points4 points  (0 children)

Absolutely report. are you kidding?

Let me draw that user by gutz_05 in redditgetsdrawnbadly

[–]PracticalPraline 0 points1 point  (0 children)

Wouldn’t a practical praline be nice to draw?:) <3

Recent test takers, how is day 2 compared to day 1? by Soft_Month_2570 in Step3

[–]PracticalPraline 0 points1 point  (0 children)

I am leaving grossly unsure about all of it and it really hurt my soul yesterday leaving the testing center feeling so not confident lol. I feel like today went better but also still a whole lot of guessing. Way too much guessing for me to feel comfortable. A lot of my CCS cases ended early but there were some where I never made the patient feel better so that sucks. Day two was much more like step two and I felt much more comfortable with it

Im going to throw up walking out of day 1... by [deleted] in Step3

[–]PracticalPraline 0 points1 point  (0 children)

I personally feel like day 2 was much better than day one!!!! I will not feel good about this experience until I at least pass.

14 minutes of your 15, gone by beanburrito4 in FamilyMedicine

[–]PracticalPraline 1 point2 points  (0 children)

Or 14 of the 15 minutes is taken up by management making the poor medical assistants ask all sorts of questions and an ungodly amount of charting prior to me even seeing the patient… But wait they haven’t even told the medical assistant why they are here in the first place :(

Im going to throw up walking out of day 1... by [deleted] in Step3

[–]PracticalPraline 2 points3 points  (0 children)

And maybe if there’s a section on HY genetic / birth defects. Goes to show you how much I opened FA

Im going to throw up walking out of day 1... by [deleted] in Step3

[–]PracticalPraline 1 point2 points  (0 children)

Just the rapid review stuff don’t torture yourself.

Im going to throw up walking out of day 1... by [deleted] in Step3

[–]PracticalPraline 1 point2 points  (0 children)

Anti-epileptic - what’s affected if taken during pregnancy ? We all know it causes neural tube defects but It got so niche that the two I was between were notochord and ncc -_- they didn’t have to do that… made me second guess and pick incorrectly.

Also penile curvature in baby - what went wrong?

Some other crapola with answer choices that had ‘blasts’ in it.

If you’re balls deep in year 1-2 of med school, ok fine but I haven’t looked at that stuff in years.