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About InternalOptimist
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About InternalOptimist
- Biography
- A 3rd year medical student within the UK
- Location
- http://internal-optimist.blogspot.com/
- Training Level
- Medical Student
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http://internal-optimist.blogspot.com/
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Total Posts
- Total Posts
- 94
- Posts Per Day
- 1.39
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- Most Recent Message
- 24-01-2010
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- 5
- Last Blog Entry
- Confidence 15-03-2010 02:46 AM
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- 18-03-2010 12:40 PM
- Join Date
- 11-01-2010
View InternalOptimist's Blog
Confidence
An ABG is where a needle is stuck into the wrist at a steep angle to go and pierce the radial artery (the one you can feel with your fingers at your wrist). This is needed to see the levels of oxygen, CO2 and the pH of the blood. You need to get this information from an artery, as you want to know how much oxygen is getting to the tissues, not coming away from it. I have to be honest here, I don't think I have ever seen an ABG carried out in real life, but I have read about them (Wikipedia) and
Gastroenterology
Hi,
Ok, so my first week on my medicine rotation, which is based around the GI system (top to bottom, including associated organs such as liver, pancreas etc.) and I get back to the 'proper' hands on medicine. Nurses, endoscopies, cardiac perfusion scans, X-ray meetings, hepatitis, a patient who has severe intestinal bleeding, seemingly from switching to a purely raw food diet (not healthy), 'on take' and ERCPs topped off with an upsetting surprise finding that a patient only had
Violence
Hi,
It was a very short week last week because being the last week of the rotation there were exams instead of ward rounds. That said, there was a single day in the psych hospital, which I really enjoyed. It is a shame that at the end of the entire psych rotation it starts getting good. A good combination between a proactive and interested consultant and seeing about 4 (yes four!) patients in a day showed me what psychiatry can be like.
Two of the patients we saw were
Variety
Hi,
Ok, A better week than last, saw a student who seemed to be trying to persuade the doctor to prescribe him some Ritalin to help him study, a very activly suicidal patient, a 25 year old with aspergers and an actor with grandiose delusions who was bought in after going to a nursary and threatening to kill himself violently in front of the children.
While from that list above it looks like I was kept busy last week I can assure you that this is not the case. Hours
Law
Hi,
A shorter blog this week, partly because of all the work that is going on a the moment limiting time, and partly because not as much seems to be going on in psych meaning I have less to write about. Law plays an large role this week, I meet a psychiatric prisoner and someone under the witness protection programme. I also meet an androgynous feeling male.
Psych seems to be a very laid back speciality, with outpatient doctors having about 5 consultations per









