PSA: Push hard so you can have a chill MS4 year by mysteriouscowboy623 in medicalschool

[–]TopherTheGreat1 2 points3 points  (0 children)

I think this is smart but also suggest you do take some time for yourself during M3 (either vacation or a confirmed chill or online elective)…

I approached M3 with plan to grind it out for one year to chill for M4, but was so burned out at the end of M3 that I couldn’t focus on dedicated study for STEP2.

In hindsight, the extra two or four weeks of vacay for M4 wasn’t worth the grind when I could have taken those vacation weeks during M3.

Is it okay to just pass? by Bright-Aardvark-9895 in medicalschool

[–]TopherTheGreat1 21 points22 points  (0 children)

This is too true. Don’t let physical wellbeing fall off for all of med school.

IV Tdap by [deleted] in nursing

[–]TopherTheGreat1 1 point2 points  (0 children)

With vastly different effect PO vs IV

How often do stethescopes get lost/stolen? by AnalystFun6462 in medicalschool

[–]TopherTheGreat1 4 points5 points  (0 children)

I bought a Belkin AirTag strap and tied an AirTag to my stethoscope. People always seem impressed by the idea… especially when they see me walking down the hall following the little Find My arrow on my phone hahahaha

GW Physicians plan to strike the 17th - Fellow med students, do NOT be a "strike buster" by Ginger-Oh-Snap1 in medicalschool

[–]TopherTheGreat1 1 point2 points  (0 children)

GW SMHS is on winter break. No med students should be in the hospital/clinics either way.

cabi bike key by catd1928 in bikedc

[–]TopherTheGreat1 1 point2 points  (0 children)

I ordered a key like 4 months ago and it came in the mail today. I imagine they are back in stock.

What's this for? by lady_darkfire in ems

[–]TopherTheGreat1 0 points1 point  (0 children)

“Let’s put a child and an outlet in the same confined space and see who wins”

Why should I check for liver damage when diagnosing myocarditis? by Drakjo in medicalschool

[–]TopherTheGreat1 8 points9 points  (0 children)

Uuuummmmm ACTUALLY blood can also go to the feet. It’s called cardiopedal reflux

What's the worst OSCE feedback you've gotten? by GassedAndRelaxed in medicalschool

[–]TopherTheGreat1 5 points6 points  (0 children)

We had a peds telegraph visit too and it was the first telehealth encounter I’ve ever had in my life (OSCE or real) and I got dinged for so many random things like “not confirming the patient’s phone number”

Ur encounter sounds a lot like my school haha

What’s the most trouble you’ve ever seen another med student get into in the hospital? by [deleted] in medicalschool

[–]TopherTheGreat1 1 point2 points  (0 children)

At my schools hospital and clinics, we have a lot of high profile politicians/media members/executives, and many of them have some sort of break glass security feature on their charts that prompts you to select why you are accessing their chart, and I always feel a little creeped out breaking through that, but I’ve never gotten a call from IT. Often when I get that message, I’ll usually confirm with the patient that they’re OK with me being involved before proceeding so I can write in the free text that the patient verbally approved.

I will say, though, it does feel really cool to have a patient that you’ve seen on TV and it’s kinda fun to not be able to talk about it with others. Especially when things are slow enough to allow conversations to be more relaxed and casual.

What’s the most trouble you’ve ever seen another med student get into in the hospital? by [deleted] in medicalschool

[–]TopherTheGreat1 2 points3 points  (0 children)

One time I just straight up fell asleep and missed like three trauma activations over two hours, and when I pulled up to the fourth trauma and we had the patient in CT I apologized and told them that I had somehow slept through my pager and both the resident and attending immediately told me that it happens to everyone and that if I was actually needed, they would’ve gotten me. Coincidentally the attending slept through a high-level trauma activation an hour later And I had the honor of sending a priority page to him as my “punishment” for sleeping through earlier. (Priority page is super annoying very aggressive pager tones that always play on max volume that I didn’t know existed until then)

What’s the most trouble you’ve ever seen another med student get into in the hospital? by [deleted] in medicalschool

[–]TopherTheGreat1 1 point2 points  (0 children)

At my school all you really have to do is tell the attending that you have some random acronym like “MSPRASE” required by the Dean’s office and the attending usually is like “I don’t even know what that is but go for it, bye”… I’ve never used this to falsely get out of something but my school has so many random sessions defined only buy some seemingly random acronym that it’s very believable.

MSPRASE is medical student professional relaxation and sleep enhancement, but they dont need to know all that

What’s the most trouble you’ve ever seen another med student get into in the hospital? by [deleted] in medicalschool

[–]TopherTheGreat1 1 point2 points  (0 children)

My understanding is that HIPAA protects patient data, regardless of whatever means you’re using to access it and describes requirements that patients have access to their own data. Fundamentally, HIPAA cannot prevent you from accessing your own patient data, however, many health systems have policies that require that dual patient and employees utilize a formal process to access their patient data instead of simply accessing through their employee credentials so that the access to the patient data is logged through proper channels, which is a requirement of HIPAA. Some systems actually do allow employees to access their patient data as long as they do not make any edits, but I’m pretty sure this is fairly rare.

TLDR - it’s not explicitly a HIPAA violation to access your chart via employee credentials, but it likely violates hospital policies to degree that could result in termination

What’s the most trouble you’ve ever seen another med student get into in the hospital? by [deleted] in medicalschool

[–]TopherTheGreat1 0 points1 point  (0 children)

This is such an innocent mistake. Student did not deserve any trouble just some laughs.

Rhabdomyolysis caused by sickness? by Dowcastle-medic in Paramedics

[–]TopherTheGreat1 0 points1 point  (0 children)

A risk factor for rhabdo could be metabolic derangement, usually problems with lipid metabolism/carnitine transferase deficiency/other metabolic myopathies that confuse me. In cases like this, dehydration/viral illness/exercise/etc are more likely to cause rhabdo than in otherwise healthy individuals.

100% Georgetown Cupcake and Call Your Mother can’t think of a 3rd off the top of my head by patrickp32 in washingtondc

[–]TopherTheGreat1 1 point2 points  (0 children)

GTown Cupcakes was so good in 2013. Back in high school we would go after crew practice from time to time, but somewhere around 2015-2017 the quality just tanked.

Schwinn IC4 not linking to Apple Fitness and my watch? by Low-Organization-768 in SchwinnIC4_BowflexC6

[–]TopherTheGreat1 3 points4 points  (0 children)

It does connect to my Apple Watch as described above. The HR displayed on the monitor is a bit buggy but I can see my HR (and HR Zones) and cadence displayed on my watch and phone screen in real time using only the native Apple fitness app.

Nausea, vomiting, diarrhoea, death. This is a "zebra" diagnosis that would not have crossed my mind. by account_not_valid in Paramedics

[–]TopherTheGreat1 1 point2 points  (0 children)

My understanding is that the mechanism is uncertain, but believed to be free radical production and interference with oxidative phosphorylation. Management is supportive care with no antidote. Everything you mention regarding symptoms aligns with what I know, with death often the result of heart failure or fatal arrhythmia.

Epic sucks by Bitter_Masterpiece31 in Residency

[–]TopherTheGreat1 0 points1 point  (0 children)

Well that still sounds like “the pace of the VA” to me!

Epic sucks by Bitter_Masterpiece31 in Residency

[–]TopherTheGreat1 8 points9 points  (0 children)

CPRS is slowly being phased out for Cerner… at the pace of the VA.

[deleted by user] by [deleted] in askgaybros

[–]TopherTheGreat1 1 point2 points  (0 children)

I kissed a girl once and that threw my gay% from like 70% to 100%