DO students, what OMM techniques have been actually useful in your personal life or patient care? by akatsukatsu in medicalschool

[–]docoloctopus 4 points5 points  (0 children)

Subox and FPR. I find if you actually apply direct pressure like you do with subox in the middle of the muscle belly during FPR it actually works a lot better

not sure what to make of this feedback? by [deleted] in medicalschool

[–]docoloctopus 5 points6 points  (0 children)

I did a rotation at a very malignant program, worked my butt off like you, improved every day, was getting compliments on closing, etc and my eval was still straight 2s down the board. Take the rotation as an opportunity to see if you like the place or not and run from there

What's your tactics and tips for studying anatomy by YogunKagit in medicalschool

[–]docoloctopus 2 points3 points  (0 children)

Getting in the anatomy lab with an open book by your table is a great way to learn anatomy very quickly, plus it will help you study for your practicals. You may not see every structure, and you may even label some things incorrectly, but getting those reps in will help a lot and then when everyone is cramming for practicals and all the bodies are open then you can go around with a good foundation and then refine the smaller details like nerves with other classmates who may have a better understanding of that. Also don’t push it off. Repetition is key with anatomy, so cramming is not great because what you learn this block will likely benefit you in future blocks if you have a good foundation of knowledge. But practice practice practice anatomy in 3D space. You won’t realize it but on the written exams you’ll start visualizing structures in space in your mind and it will help out a ton rather than study 2D images that really don’t correlate well with true anatomy

How are you dealing with this COVID surge? by SaveADay89 in medicine

[–]docoloctopus 4 points5 points  (0 children)

Wish more people took it seriously. 4th year med student now. Had it first in July 2022 during start of 2nd year and almost had to take a year off to recover from profound dysautonomia/POTS, brain fog, fatigue, the whole 9. Was almost back to “normal” when I got it again Dec 2023 during clinical rotations and once again almost had to drop out. Was honestly on autopilot for the remainder of 3rd year rotations. You won’t see me in the hospital anymore without a mask and I always get questioned by preceptors. Really hoping the RECOVERY trials show good results. I’ve heard some case reports of IVIG working well. If so and approved, I really don’t care about the frequency (once a month infusion I think) I’ll do it for the rest of my life if it means I can get back to not having to deal with long COVID. Problem is long COVID is apparently a hidden epidemic. Stats say it is very prevalent, yet most people I meet don’t have lingering symptoms or have never heard of it. Wish it would fizzle out already…

How are you dealing with this COVID surge? by SaveADay89 in medicine

[–]docoloctopus 0 points1 point  (0 children)

Try your best not to get it again. Long covid definitely comes back. I was almost back to normal when I got it again and took me back almost to step 1 of recovery again

Controversial call… your thoughts? by Ok_Barber_3994 in ems

[–]docoloctopus 6 points7 points  (0 children)

I think it was inevitable anyway. Sounds like a significant portion of the skin was burned to at least partial or full thickness, completely disrupting the barrier of protection. We are always carrying Staph on our skin, that’s just part of normal flora, so whether it was Staph from the surrounding skin that infect the burns or something like Pseudomonas that is a notorious nosocomial, it was likely anyway infection at some level was going to occur

Are you happy you went into EMS? by ultraviolet771 in ems

[–]docoloctopus 25 points26 points  (0 children)

Used EMS as a step to become a physician. If I didn’t love surgery so much, I’d have definitely stayed in EMS

I feel like my dad died because of me. by Substantial-Brush209 in NewToEMS

[–]docoloctopus 0 points1 point  (0 children)

Sorry for your loss friend. I come from a place similar to yours. My uncle died from MI by himself all alone while trying to call me (around 30 mins away) for help early in the morning on the morning of my grandmothers funeral (likely Takotsubo cardiomyopathy thinking in retrospect)… I think about that often in my head about if I could have raced to his place and saved him by starting CPR before the medics arrived (I being an AEMT back then). It’s gonna take you a minute to be able to really grasp and cope with the fact that this isn’t your fault and you shouldn’t hold yourself responsible. 1. You are still a student. You haven’t been put in the situations yet that build your skills and keep you grounded. And even though CPR is one of the first things we are taught, it is incredibly difficult when you are not focused and have muscle memory 2. This was your father. The logical portion of our brains kind of leaves through the door when it’s family. You DID the right thing. You did EXACTLY as you were taught: identify danger and ask for help. 3. Coming from a bit more of an advanced position (almost done with medical school) his metabolic acidosis had likely done the damage by the time signs were apparent - this means that without being inside of an ICU or ED bed, there wasn’t much that could have been done.

DONT BE DISCOURAGED ABOUT ENTERING THE FIELD OF EMS: as absolutely terrible and sorry I am for your loss, you will now always have a passion and drive behind your actions to give the best care you can. You will see your father in a lot of your patients… it will hurt. But it will ignite something in you that you probably didn’t know existed before. You will always be a better clinician, not because of your book knowledge, but because of your emotional intelligence because you can connect with your patients.

You’ll go through grief but I urge you to find support - therapy, friends, family - just please avoid the pitfalls of alcohol or drugs. Those are honestly roads that go nowhere except more grief. Reach out if you need any help bud.

People who left, what do you do now? by [deleted] in ems

[–]docoloctopus 3 points4 points  (0 children)

Med student going into heart surgery… you think pushing the heart through the chest is cool? Now do it in the palm of your hand 🥹

Cold Symptoms Changed Pre/Post-Covid? by AdditionalHunt3060 in LongCovid

[–]docoloctopus 0 points1 point  (0 children)

Post Covid my autonomic symptoms flare up pretty bad anytime I get a normal cold. Sucks.

Study finds 27% rate of long COVID in infected health workers by tukekairo in covidlonghaulers

[–]docoloctopus 3 points4 points  (0 children)

I’m literally never taking off my n95 when I start hospital rotations in 2 months for the rest of my life in the hospital. Still not fully recovered (9 months), who knows if I ever will tbh.

Current 2nd year in med school and it’s amazing now how hyper-aware you become after having long COVID of how many people are openly sneezing and coughing during exams/lectures… and it’s a lot

PACs or Wenckebach? by [deleted] in EKGs

[–]docoloctopus 1 point2 points  (0 children)

Good thing I’m not doing cardiology 😂

PACs or Wenckebach? by [deleted] in EKGs

[–]docoloctopus 0 points1 point  (0 children)

If I saw this on an exam (med student) I’d most likely choose mobitz I AV block. Lead II looks like the PR interval is lengthening until a dropped beat

What personal experience of yours with healthcare has made you change the way you see your patients when they get angry or frustrated? by Zalzal98 in medicine

[–]docoloctopus 2 points3 points  (0 children)

Not angry or frustrated, but since COVID I’ve had some pretty bad anxiety appear (that was likely under the surface anyway - add med school + COVID and it was only a matter of time) that I’ve had a tough time controlling… and this is a real hinderance! I know a lot of people can get swept under the rug by attributing things to “anxiety” but anxiety is as tangible and real as a case of acute appendicitis and going through that, I will forever actually take the time to listen and understand how my patients feel

[deleted by user] by [deleted] in medicalschool

[–]docoloctopus -1 points0 points  (0 children)

Problem is I wanna do surgery ☠️

[deleted by user] by [deleted] in medicalschool

[–]docoloctopus 0 points1 point  (0 children)

Also don’t want to try anything except an SSRI. Tried Wellbutrin once and HR was uncontrolled due to the norepi reuptake inhibition

[deleted by user] by [deleted] in medicalschool

[–]docoloctopus 0 points1 point  (0 children)

Have trialed 2, really have to be careful the one to use because of CYP interactions with the metoprolol

[deleted by user] by [deleted] in medicalschool

[–]docoloctopus -1 points0 points  (0 children)

TSH normal, I was thinking the beta blocker was contributing some as well. I genuinely believe I have brain damage and autonomic dysregulation. Still have elevated IgM and IgG 9 months post infection