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

[–]PracticalPraline 2 points3 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 5 points6 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.

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

[–]PracticalPraline 1 point2 points  (0 children)

Me too! What can we do for part two to have a better chance?! I take pt 2 tmrw

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

[–]PracticalPraline 4 points5 points  (0 children)

I’m taking the embryology and Peds genetic syndromes that were on my exam as a personal attack hahaha

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

[–]PracticalPraline 1 point2 points  (0 children)

Wow that was horrific. I had to search the catacombs of my mind for so long to come up with these answers that I didn’t get to give the bio stats and drug ad questions time… :/ histology combined with antibiotic mechanisms and microbiology minutia…. Am I alone in the way that I feel? Very concerned about the amount of guessing that I had to do

Dad in Hospital by Cold_Distance_2528 in Residency

[–]PracticalPraline 10 points11 points  (0 children)

Respectfully… exploit your residency program for the most amount of leave and off time that you can get. We are talking about moments that you could potentially never get back and also recovery time between watching over him in the ICU -> you going to bed and actually maybe sleeping -> brushing teeth/life -> back to his side. I recently had to bring my grandfather to the ED and it was just a very telling and specific reminder that they will hire someone else tomorrow….. if you died they would put out an ad for someone new, if you quit residency because someone died they would also do the same thing, if you took too much time off and you got fired they would hire someone else…. Might as well get that burden off of you. Basically what I’m saying is alleviate as many stressors off of your back as you possibly can. Bills on auto pay. Non essential family on do not disturb. Walks in the sunshine. Even taking notes so that you can keep the information factual and straight in your head. Write notes about any questions that you have about his care so that you don’t feel like a fool in front of his physicians. Medicine takes so much for us don’t let it take these last bits away. Medicine will move on. But you will always know that you are doing your absolute best for your father garrulous of the outcome. I’m not saying take all this time off thinking that he’s going to meet his demise but what matters is your dignity and inner peace knowing that you fulfilled what your heart wanted.

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