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Sunday, March 14, 2010

How To Renew Mechanics License Ontario

from before Digestive

This weekend has licensed one of my roommates (and architect), and on Friday we enjoyed dinner with his girlfriend, his parents and siblings. My partner's father is a doctor, and whenever we visit, I said "some of their own." On this occasion we remember the issue of hazing, and I realized that today, at my school are extremely soft and lacking in ideas, because I had the best rookie ever created by man. Let's keep

situation. University of Granada, 70's. College males. Enter a New kid in that residence, but 4 of Medicine . Veterans doctors, at first hesitant to gamble on, until at some lights came up with the genius I'll tell you.

Material: a piece of chicken with skin, blood of any animal, a scalpel, a syringe, saline solution, sterile gloves, needle and thread sutures, surgical cloths, bandages, adhesive tape, an oral antibiotic, povidone , gauze, and other surgical material.

Preparation: Intimídese rookie until he agrees to undergo a phimosis intervention home, appealing to an operation is very easy, clean and with little risk, and that all rookies must go through the medical procedure if they wish to live in that College. Take to the novice at a table of considerable size and get to put the legs in lithotomy position. Cover the area to intervene with surgical drapes for the "patient" does not see the surgical field, and take out adequate oral antibiotic prophylaxis. Prick the foreskin of the patient and Infiltrate a bit of saline ( I have no taste, but it must hurt to not see ), reporting the "patient" that is local anesthesia and it hurts a little, and that the cut will feel the cut but not painful. Then swallow the knife (for the Roma, of course) by balano-prepuciano the "patient", as we are withdrawing the surgical gauze soaked in animal blood, so that "suffered" to see, both these gauze like some chicken pellejillo to be pulled away covertly, and that will serve as the lost foreskin in the process. Once simulated a suture, véndese (spectacularly, if possible) the penis of the "patient" and insists that should not be open until three days later.

Result : Wait until you see the face of the "patient" when removing his penis to make the first treatment ...

to me I would never have happened something like this, we must recognize that it is awful ....

PS In " The bullshit of the moment," what if mezclásemos Lost (Lost) and Baywatch ( The Baywatch)?

Monday, March 8, 2010

Big Booty Cartoon Images

As I said on occasion, my darling facing the MIR is Gastroenterology and Hepatology (Digestive p'antendernos ). So, taking advantage of the dull have some days off I ordered a mini-rotating one week on the Gastroenterology Service Hospital, more than anything else to say "I have rotated and I like", since for some more I will serve a short period of practice.

The thing is, actually, I'm enjoying it a lot, I see what the day to day and might well devote to this in the future, for several reasons:

plant. Is the most diverse I've ever been (better not have gone through internal), in contrast to my last internship (Neuro), where the plant was 85% of stroke. Here, I saw 11 patients today, there was two "equal": cholecystitis, pancreatitis, choledocholithiasis, gastrointestinal bleeding, intestinal obstruction, abdominal pain study, etc., are clear examples of patients seen daily.
endoscopy. The perfect opportunity to say "See mom and the PlayStation itself that may have advantages in real life?" . I really like, and also gives the opportunity to develop "manual" work outside the operating room, I do not like a lot to say ... It is also a field where we are not in diapers, but where new generations could still make good progress.
diagnoses. It is a specialty logically enough, with diagnoses complex while intuitive (even if a percentage of undiagnosed patients relatively high), allowing work hard head.
Guards. Few and relaxing, I'm told. Thing to keep in mind due to my intolerance to lack of sleep ...

Well, that, as a child with a new endoscope. Unless disaster, and I see that the long-term "And farts?"

PS In "The bullshit of the moment", a good example of what can be done simply with a little makeup and tape (and no, there is a video of Carmen Sevilla).

currently

Tuesday, March 2, 2010

Disconnection Letter Format

The perception of the disease

I am making the last rotation of the race (yes, just good, but more of that later). All 6 students have to pass it or yes for Family Medicine, and the truth is that, although I have had a doctor from now on I will refer to as the bland , I is looking to experience the less interesting.

has nothing to do with consultations in specialties in which he had been so far. Normally, as I noted, the patient will go to the specialist scared shitless and quite shy, but her family doctor shows you more or less as it is. Thus, it is interesting to observe people's reactions to problems, different ways to cope with illness and life in general. I will put 4 examples of "model patients" (I think that rather extreme) about what I'm saying

1. The anxious

Chaval 19. Longer history than many of those ladies says Facebook living in the clinic. Frightened face. "I'm fatal, my throat hurts a lot, I have not slept at all and it hurts to drink water" .
you look at the throat. Rojic enough. But no more. Or plaques, or fever, or vesicles, or anything. A home with ibuprofen. " But how will that be?" Nothing else? Then I searched out interne t horrible things throat gets very huge and has sleazy. " As this consultation to be easy, I had to make me, I explain that if you search online you will most spectacular pictures possible, and blablabla ... Total, to be unimpressed with the face of thinking that we're cheating. "But if I come back for emergency worse, right?" "Yeah man, do not worry, you go quiet"

2. The happy and carefree
Lord 53. Bulgarian to that accent so distinctive and difficult to reproduce in writing: "Ten problem go ass" . We tell you specify more, please. "Blood. Blood in poop. In ass" . We asked if you have hemorrhoids, and in turn ask us what it is, and the dull explains that these are things that cause rectal bleeding. "That, that! Blood! Ass!"
proceed to physical examination and found that no visible hemorrhoids. "And since when does this happen?" asked. "Three, four years" . crossed with the dull eyes and I ask the patient: "And how it has taken so long to come to the doctor?" .
"My wife, who left in peace until I come, I do not bother me." Fall of eyelids, eyes, digestive derive a y. .. Next, please.

3. The one who says things clear (if provided by a good friend)

Caballero 69, accompanied by his grandson, 10. "Does it matter that the grandson with me?" at all, missing more. Sit nice, and other cucamonas the child. "Well, Don Fulgencio, tell us what brings you here" .
"Well, look, doctors , libido, I have no idea where he is. I have no sexual appetite or makes me hard" . To all this, the child remains indifferent to means, because look at his grandfather with a strange face. "Hey le the doctor says, do not you feel uncomfortable talking about these things in front of the boy?" . "The truth is yes, but as I pulled his daughter, and I have to take care of" . We were finally able to pass the child into the hall with some markers courtesy of the representatives of the morning and continue the consultation. And that was 69 years old is true, is not embellish the story.

4. The absentee
Young 27. Comes to renew your floor. Before entering, at the request of dull, we echo a look at his record of temporary disabilities. For about 7 years he will take you longer low for quite trivial problems. Comes with a good face, probably because it has broken its record: it takes 87 days down a labeling process in the computerized medical record as "bronchitis." The individual patient was not ours, but another doctor currently on vacation. The dull asks if it comes to catching discharge. "Yes but no" . Arched eyebrows. "I want to start working, but I would like it was for Monday to get used to the idea, if you please. Is that in two months and do not want to contract out the boss mosquee ". As we were Tuesday and prefer bland " Yes, Bwana " than any minimum confrontation, go to your request and our friend is gone and us were commenting that their leader should be expecting the contract end date as rain in May ...

PS In "the bullshit of the moment", interview an entire super-fan of television. But if any reader would acknowledges, is that it is even more geek he ...