Friday, August 14, 2009
A compound that appears to target the master cells which help breast cancers grow and spread has been discovered by US scientists.
In tests in mice, salinomycin killed breast cancer stem cells far more effectively than some existing drugs, and slowed tumour growth.
The drug, a farm antibiotic, has yet to be tested in humans, the journal Cell reports.
But UK experts warned a human version could be some years away.
This is one of the biggest advances we have seen this year in this area of research
Dr John Stingl
Cancer Research UK Cambridge Research Institute
The reasons why, even following powerful chemotherapy, some cancers can grow back, are not fully understood.
Many scientists believe a key role lies with stem cells, which can be resistant to conventional chemotherapy, remaining to 'seed' new tumours and drive their growth.
The drug's potential was identified by researchers at the Massachusetts Institute of Technology, who tested 16,000 existing chemical compounds against breast cancer stem cells in the laboratory.
Those which performed the best were then tried in mice, and compared to existing drugs such as paclitaxel.
Salinomycin appeared to be 100 times better at killing the cells in a test tube, and treated cells were much less likely to start new tumours when injected into mice.
When given to mice with tumours, the growth of the cancer slowed.
However, the researchers stressed that it was too early to know if similar successes could be achieved in human cancer patients.
"Many therapies kill the bulk of a tumour only to see it regrow," said Professor Eric Lander, from MIT."This raises the prospect of new kinds of anti-cancer therapies."
'Very early research'
Dr John Stingl, group leader in mammary stem cell biology at Cancer Research UK's Cambridge Research Institute, said: "This is one of the biggest advances we have seen this year in this area of research. These scientists have demonstrated that it's possible to selectively target the rare cancer stem cells that drive tumour growth.
"This research also introduces a completely new way of identifying cancer drugs. The challenge for the future is to bring this class of drugs to the clinic and to identify the patients that are likely to respond to them."
Dr Alexis Willett, head of policy at Breakthrough Breast Cancer, added: "There is evidence that stem cells may enable breast cancers to form and grow.
"This research provides a clue as how to identify these cells and how they might be targeted and destroyed. "It's important to remember that this is very early research and it will be some time before it is clear whether this leads to an effective breast cancer treatment."
Friday, May 29, 2009
Anxiety is just another part of our life. It can be good or bad, depending on the situation and how the feelings are dealt with. Still today more and more teens are suffering from imbalance of this vital but dreadful human psychosocial entity.
What is anxiety? In a general sense anxiety means to worry, feel stress, concern or nervousness; sometimes even panic. For many of teens, the anxiety is only felt during situations that involve stress such as before taking an important exam or while waiting for a date- especially when it’s their first date or just early phase of it. It is when the level of anxiety interferes with the ability to function normally in daily life that problems arise.
Undoubtedly, life had become more demanding to all of us, including toddlers- consider how it has to fight with the adverse effect of distance with working parents and having to adjust to new people like maids and day care centers etc.
Similarly, teens are facing more challenges in life than ever before. Teens have always faced challenges and worries such as whether they will do well on exam or whether the right person will be willing to date them- why am I mentioning dating so much? Believe me; to them it’s a big deal, even though it might not be for us.
Today, there are so many unique, new challenges that teens can fall into an anxiety pattern. These challenges were not faced on the same level by generations of teens in the past. For example, Will I get into a college? Will I be safe from crime? Will someone shoot me while attending school?
A teen that is experiencing anxiety is not crazy! Neither has he/she gone “nuts”. If the anxiety has developed to the point that the teen is unable to function normally, they may have developed an anxiety disorder which can be treated successfully by trained medical professionals such as psychiatrists and therapists.
There are several different types of anxiety disorders, all of which can affect teens. All of these disorders respond to therapy once diagnosed by a qualified professional. Sometimes these disorders also require prescription medication. These treatments can allow a teen with an anxiety disorder to be productive and live a happy, normal life- bottom line is… don’t be afraid of being labeled as psycho, when if you think you need help for your anxiety issues, please do seek help.
The day is 11th Nov 2020-time to declare “2020 ge thasavuru” a success. It’s been exactly 12 years since the wise move by then president of Maldives, Mohamed Nasheed to bring foreign investments to Maldives during apparently the worst economic down turn of the centaury. As we are celebrating the huge success of our grave foreseeing leaders’ vision 2020, there are few things we can’t just leave off unspoken.
The human developments Maldives has achieved through out past 8 yrs would beat any human civilization ever existed- of course, except the great Zionist civilization which ate up the whole of Middle East. Look at the arguments happening among anthropologists regarding the taxonomy of new ethnicity just appeared in Maldives. They wanted to call them the new red Indians, but we insist; it should rather be the Mal-indi-lankans.
The origin of Maldivians had been a quarreling point among concerned people ever since the beginning. Some would say they are south Asians with Afro-Arabian blended in a coconut shell. But most recent scholars like ex-President Nasheed would argue that they are pure breed of tamilnadu fageeru koige dharin. Anyways, to solve the problem people then decided to call these super mixed bunch of people, the Maldivians (undecided ethnicity due to clash with every other ethic culture and their customs). It was ok then, but today we all are in a dilemma, as the people of Maldives are no longer Maldivians and are more homogenized mixture of Indian and Sri Lankan businessmen with local woman. This produced a unique breed of people who are neither like Maldivians, Indian nor Sri Lankan. This is how the issue went to United Nations Human Taxonomy Council (UNHTC).
It all dates back to 2008 when a hyper-excited activist with lots of Sanadhu (including, mudhinkamuge sansdhu and katheebu kamuge sanadhu) became the president and wanted to bring the Maldivians to aneh dhivehi raajje. By then capital Male’ was over crowded with raajjetherey meehun (a class of Maldivians who came to Male’ from island and were regarded as low class Maldivians). Mr Activist-turned-president came up with this bright idea to chase away these people back to their hoods- the mighty decentralization plan.
To fill-up the emptiness that surrounded capital Male, he decided to bring Investors from India and Srilanka to Male, apparently to invest on economic development which erroneously turned to “human development” couples of years late. Initially bigger investments in Maldives were given to them including hospitals, banks, airports, seaports etc. And those Indians being the Indians, they started copulating and populating the Maldives like they do everywhere else they go (another example is Dubai and England). Initially they brought their people to do the jobs, and then these people became permanent resident of Maldives and started spreading out like “Indians” marrying off locals. And soon before they knew what’s going on, the whole population became this new hybrid of Malindilankans.
Folks, this is an interesting piece of crap. I was posted to Anaesthesiology and intensive medicine for past two weeks. The place is full of interesting things, expensive equipment etc.. In general, almost every case admitted to ICU is an interesting case. But this one case i went through, really stunned me. I told myself, this is a house MD case!
There was a 28yrs old Malay female, who came with a 3 days history of high grade fever , productive cough and reduce consciousness. On further questioning, she also had been having night sweats, dry cough for past 3 months and losing weight. There was no other significant medical history at that time. Her temperature was 40 deg, respiratory rate was 44, pulse rate was 120bpm and BP was 80/50. She was initially treated as septicemic shock secondary to pneumonia.
Chest x-ray showed a brochopneumonia- like picture with some evidence suggestive of TB cavitations on both lung apexes. Blood and sputum culture was negative for any growth. CBC showed mild leucocytosis with predominant neurophilia. Mycoplasma antigen test was negative.
That evening a group of young women came and claimed that they are her "support group members". What support group? HIV support group! she had been with them for past 2 years. Intensivist scolded medical officer for incomplete history and the poor fella repeated it over again and got further history from the husband.
New history revealed that the patient is the second wife of the man and had been married for past 1.5 yrs. She was an alcoholic and a smoker but husband does not know if she has any risk factors of HIV such as Drug injection or sexual promiscuity (He just didnt know, but she has the whole High risk complex ie, smoking, alcohol, promiscuity, drugs). What about the husband?. He is a long distance lorry driver (we all know what it means and it’s associated risks in Malaysia). Denies any high risk behaviour.
In the dilemma, her HIV status was later confirmed by biochemical tests. Careful investigations revealed she had Pneumocystis Pneumonia (PCP) – a common opportunistic infection that occur in AIDS patients. She was then treated with Trimethoprim and her condition improved dramatically. The man refused to be rested for RVD.
But then, what would be the consequences? Did she lie to her husband about her HIV status? Or, did she get it from him? did they lie to each other? How did she manage to get married without letting him know about her HIV status if she was diagnosed 2 yrs ago? It’s easy for me to think that our job is done once the patient recovers, but definitely there would be huge social implications from this dilemma. Once again, doesn’t this sound like one of those House MD cases? It does, right?
Doctors could grow new organs to replace defective ones, and if they used the patient’s own stem cells, there would be no need to take medicines to prevent rejection. Diabetics could get a new pancreas that works instead of injecting themselves with insulin. Patients with spinal cord injuries could walk again.
So why the controversy?
Arguments about the ethics of stem cell research arise from questions about the source of the stem cells. Although “adult” stem cells can be obtained from an adult person, who can give informed consent for the procedure and who will (most likely) not be harmed by the procedure, embryonic stem cells require the destruction of an embryo. Those who believe an embryo is a human life entitled to the same protections as a child or adult argue that this amounts to murder and believe that it is unethical to murder an embryo to help treat disease in an adult.
Opponents of embryonic stem cell research believe that adult stem cells provide appropriate material for study and should be the sole focus of stem cell research.
Do they have a valid point? Maybe, but maybe not. So-called “adult stem cells” are not as primitive as embryonic stem cells. They already have some characteristics of the organ from which they are derived (liver, kidney, bone marrow…). So to make them turn into a different tissue is more complicated and more difficult. These “adult stem cells” have to first lose the characteristics of the tissue they came from and then gain the characteristics of the tissue they are being turned into. So far, doctors have been unable to accomplish this task on a large scale. Embryonic stem cells, because they are the most primitive stem cells available, should be easier to turn into the tissue of choice.
Muslim scholars have actually discussed this issue in depth, if you are interested in what they have to say about the matter, u may visit this link...http://www.islamonline.net/servlet/Satellite?cid=1119503545118&pagename=IslamOnline-English-Ask_Scholar%2FFatwaE%2FFatwaEAskTheScholar
Thursday, April 30, 2009
Monday, April 27, 2009
THE NEW YORK TIMES
MEXICO CITY — Mexican officials, scrambling to control a swine flu outbreak that has killed as many as 61 people and infected possibly hundreds more in recent weeks, closed museums and shuttered schools for millions of students in and around the capital on Friday and urged people with flu symptoms to stay home from work.
"We're dealing with a new flu virus that constitutes a respiratory epidemic that so far is controllable," Mexico's health minister, Jose Angel Cordova, told reporters after huddling with President Felipe Calderon and other top officials to come up with an action plan. He said the virus had mutated from pigs and had at some point been transmitted to humans.
The new strain contains gene sequences from North American and Eurasian swine flus, North American bird flu and North American human flu, according to the Centers for Disease Control and Prevention. A similar virus has been found in the Southwestern United States, where officials have reported eight nonfatal cases.
Most of Mexico's dead were young, healthy adults, and none was over 60 or under 3 years old, the World Health Organization said. That alarms health officials because seasonal flus cause most of their deaths among infants and bedridden older people, but pandemic flus — like the 1918 Spanish flu, and the 1957 and 1968 pandemics — often strike young, healthy people the hardest.
Mexican officials promised a huge immunization campaign in the capital in the coming days, while urging people to avoid large gatherings and to refrain from shaking hands or greeting women with a kiss on the right cheek, as is common in Mexico.
Mexico City shut museums and other cultural venues and advised people not to attend movies or public events. Seven million students, from kindergarten to college, were kept from classes in Mexico City and the neighboring state of Mexico on Friday, in what local news organizations called the first citywide closing of schools since a powerful earthquake in 1985.
Because of the situation, the World Health Organization planned to consider raising the world pandemic flu alert from 3 to 4. Such a high level of alert — meaning that sustained human-to-human transmission of a new virus has been detected — has not been reached in recent years, even with the H5N1 avian flu circulating in Asia and Egypt, and would "really raise the hackles of everyone around the world," said Dr. Robert G. Webster, a flu virus expert at St. Jude Children's Research Hospital in Memphis.
Mexico's flu season is usually over by now, but health officials have noticed a significant spike in flu cases since mid-March. The WHO said there had been 800 cases in Mexico in recent weeks, 60 of them fatal, of a flulike illness that appeared to be more serious than the regular seasonal flu. Mexican officials said there were 943 possible cases.
Still, only a small number have been confirmed as cases of the new H1N1 swine flu, said Gregory Hartl, a WHO spokesman. Mexican authorities confirmed 16 deaths from swine flu and said 45 others were under investigation, most of them in the Mexico City area. The CDC said that eight nonfatal cases had been confirmed in the United States, and that it had sent teams to California and Texas to investigate.
"We are worried," said Dr. Richard Besser, the acting head of the CDC. "We don't know if this will lead to the next pandemic, but we will be monitoring it and taking it seriously."
There is no point in trying to use containment measures in the United States, he said, because the swine flu virus has already appeared from San Antonio to San Diego, without any obvious connections among cases. Containment measures usually work only when a disease is confined to a small area, he said.
Health officials urged anyone with a fever, a cough, a sore throat, shortness of breath or muscle and joint pain to seek medical attention.
When a new virus emerges, it can sweep through the population, said Dr. Anne Moscona, a flu specialist at Cornell University's medical school. The Spanish flu is believed to have infected at least 25 percent of the U.S. population, but killed less than 3 percent of those infected.
Among the swine flu cases in the United States, none had any contact with pigs; cases involving a father and daughter and two 16-year-old schoolmates convinced the authorities that the virus was being transmitted from person to person.
The CDC refrained from warning people not to visit Mexico, but the outbreak was causing alarm among Mexicans, many rushing to buy masks or get checkups.
Friday, April 24, 2009
Islam is a way of life. As a Muslim doctor, our job is part of Ibadah. Whatever we do should be in accordance to Islamic teachings. When it comes to medical ethics, ours should be Islamic medical ethics. This isn’t difficult as Islam is the religion for all times and circumstances. Islamic teachings have always paved way to human prosperity.
Why is this Muslim physician's Oath so important to Muslim doctors? Because, this oath binds us and our commitments to Allah- our God. This oath helps us to perfect our duty as a doctor. And most importantly, it helps us to use this medical knowledge to gain love of Allah by obeying his commands.
“To extend my hand of service to one and all, to the rich and to the poor, to friend and foe alike, regardless of race, religion and culture”
This oath specifically mentions our commitment to humankind irrespective of their race, religion and social class. This is how it has to be. But how many of us really do so? From my experience, it’s not uncommon for a doctor to discriminate among his patients depending on social class, religion or race. But this Oath, as we undertake it in the name of Our God, forces us to adhere to this very important aspect of human rights.
“To do my utmost to alleviate pain and misery, and to comfort and counsel human beings in sickness and in anxiety”
How many times have you really sit and talk to an anxious patient to relieve his/her anxiety regarding your diagnosis? Often patient’s worries are merely a fear for nothing, yet we are bound to explain things and talk to them to relieve their anxiety. Medicine is not always a tablet.
“To maintain the dignity of the health care and to honor the teachers, students and members of my profession”
This is another issue, especially when it comes to this part of the world. Where there is such a huge dignity gap between junior doctors and senior ones. Wonder if they even remember this oath. Not only Muslim physician’s oath. Even the original the hippocratic oath has all this emphasis. Yet, often we see seniors treating juniors like as if they are slaves. Full of arrogance. Utter nonsense!
It’s high time we change our attitude. At least we must try to fully abide to the oath we had undertaken in the name of Allah if we can’t do all this for the sake of anything else. Dust do it for the sake of life hear after.
Sunday, April 19, 2009
In the name of Allah, the most gracious and most merciful.
Praise be to Allah, the sustainer of his creations, the All- knowing.
Glory be to him, the Eternal, the All-pervading.
O Allah, thou art the only healer. I serve none but thee, and, as the instrument of…
Thy will, I will commit myself to thee.
I render this oath in thy holy name, and I undertake:
To be instrument of thy will and mercy, and, in all humbleness, to exercise justice, love and compassion for all thy creations:
To extend my hand of service to one and all, to the rich and to the poor, to friend and foe alike, regardless of race, religion and culture:
To hold human life as precious and scared, and, to protect and honor it at all times and under all circumstances in accordance to thy law:
To do my utmost to alleviate pain and misery, and to comfort and counsel human beings in sickness and in anxiety:
To respect the confidence and to guard the secrets of all my patients:
To maintain the dignity of the health care and to honor the teachers, students and members of my profession:
To strike in pursuit of knowledge in thy name for the benefit of mankind and, to uphold human honor and dignity:
To acquire the courage to admit my mistakes, mend my ways and forgive the wrongs of others:
To be ever conscious of my duty to Allah and his messenger (SAW) and to follow the percepts of Islam in private and in public:
O Allah, grant me the strength, patience and dedication to adhere to this oath at all times.
Friday, April 17, 2009
Egyptians simply rocks! They used "simple glass meniscal lenses" to magnify minute objects
back in 8th century BC. It’s been ages since Abbas Ibn Firnas, in the 9th century, used glasses to correct refractive error. Spectacles used to be bulky, heavy and a damn nuisance. True, true… Specs had been revolutionized in past few years. It’s become slimmer, thinner and more expensive too. But, gone are the days we think of thick glasses when you come with refractive error. We’ve got alternatives for you- and it’s pretty cool.
Tired of wearing thick specks or irritating contact lens? You may opt for refractive correction procedures like Laser Assissted In Situ Keratomileusis (LASIK), Photo Refractive Keratotomy (PRK), Intrasomal Corneal Ring (ICR) or Intra Ocular Lens (IOL), which may require more freedom and far better vision- indeed with cost of some money.
LASIK & PRK: Both uses laser techniques to smoothen and/or change the thickness of your cornea so that your vision is improved. Be it short-sightedness, long sightedness or even astigmatism, all can be corrected.
IOL: Heard of that Japanese guy who inserted USB into his finger? We can actually insert your specks into your eye and guess what? They won’t even know that you have it in your eye! Cool han?
ICR:These are 2 small, half rings plastic devices implanted in the peripheral part of cornea to correct vision. it's also called Intacs.
Tuesday, April 14, 2009
There are times when you make me laugh
there are moments when you drive me mad
there are seconds when I see the light
though many times you made me cry
There's something you don't understand
I want to be your man
Nothing to lose
your love to win
hoping so bad that you'll let me in
I'm at your feet
waiting for you
I've got time and nothing to lose
There are times when I believe in you
these moments when I feel close to you
there are times I think that I am yours
though many times I feel unsure
There's something you don't understand
I want to be your man
I'll always be around you
keep an eye on you
cos my patience is strong
and I won't let you run
cos you are the only one
I'm at your feet
waiting for you
I've got time and nothing to lose
Tuesday, March 17, 2009
What is it?
An IgE mediated immunologic response of nasal mucosa(lining of inner wall of nose) to air-borne allergens (something that cause allergic response) that occur in genetically susceptible individual.Commonly begins in childhood, but can occur anytime whenever you are exposed to allergens of your interest.
What are the symptoms?
Watery nasal discharge, nasal obstruction, sneezing and itching in the nose with or without associated itching of the eyes, palate (roof of mouth) and pharynx (throat).
But mine is only intermittent!
There are two types of Allergic Rhinitis. In Seasonal type symptoms appear around particular seasons of the year when the potential allergens are more abundant in the air. But in Perennial type symptoms persist through-out the year.
What are my allergens?
Often they are inhaled as in Pollen, mould spores (fungal spores), house dust, debris from insects or house mites (food allergies rarely cause Allergic Rhinitis).
When should I expect the symptoms after the exposure to suspected allergen?
Symptoms appear in two phases. Acute/early phase: within 5-10mins after the exposure. (Sneezing, watery nasal discharge, nasal blockage or difficulty in breathing). Late/delayed phase: 2-8 hrs later. When you live in an environment of continuous exposure you might have symptoms throughout the day with worsening at particular time, for eg, on waking up.
How will the doctor diagnose Allergic Rhinitis?
It doesn’t require much of Investigations. Even you can diagnose allergic rhinitis just by knowing its symptoms (doctors often examine you for what they called sign- but don’t bother about it). Otherwise it doesn’t require much, hardly if any, of investigations.
What complications can occur with longstanding Allergic Rhinitis? You are more prone to get:
Recurrent sinusitis, Nasal polyps, Otitis media (middle ear infection) and Asthma
How to treat Allergic Rhinitis?
Avoidance of allergens: doctors can do test to find out exactly what are your allergens. Otherwise general measures like avoiding cats or carpets, enclosing pillows and sheets with plastic sheets, wearing masks or changing work place may help.
Medical treatment: there are varieties of drugs including antihistamines, steroids, sympathommimetics and cromolyn glycate which can reduce the symptoms in acute setting as well as prevent further attacks.
Immunotherapy: a special technique of desensitization (slowly introduce allergen in small dozes for you to get used to it) of yourself to the allergens can be carried out once the medical treatment has failed.
Monday, March 9, 2009
Old folks used to say “love is blind”. Young ppl the take wrong meaning from this. They think it means love is an excuse for them to do whatever crep they wanna do, they think “love” simply is a justification for their thoughtless actions.
Here is what they really meant by the expression “love is blind”. When a girl is in “love” with someone, be it a guy or a girl, they will not see any fault of them. No matter how much her parents try to convince her that she is being stupid, she won’t be able to see their point. As if she is really blind, as if there is a seal in her ear, she won’t be able to hear those things. She would rather intensify her efforts to strengthen the “love”. That is why it is wise not to push so much against when your daughter tell you that she is in love with this drug addict guy. Coz if u show too much of resistance, u will only hasten their marriage- either way, u lose your beloved stupid innocent daughter!
Sunday, March 1, 2009
1) You must be able to lie in front of the crowd, looking right into their eyes.
2) You must be a good actor, should be able to fake tears and anger even in things which your heart disagree with just to impress the crowd- like Reeko moosa (we all know his tears are just drama like what he played in early 1990s)
3) You should be a good drama queen- u know what I mean. Like how anni was hugging that woman when cops were arresting him last time.
4) You must know how to keep others in the sac- such that they will sell their own kind for you
5) You should have a high quality imagination so that you can fool old folks with impossible imaginary promises- like bridges, narudhamaa nizaamu, trans-shipment harbors, etc etc..
6) You should have secret connections with both Christians, and Jews in addition to Arabs- and always criticize Iran and N korea.
7) You should have a good gang of thugs to create disturbance among a peaceful demonstrations which are held by opposition parties.
8) Doctors can never be a good politician because they do more work than talk crep all the time
Sunday, February 22, 2009
As a kid, for me medicine was all about “healing” sick people- like magic! It was also about how smart doctors look and how much people “love” them- do you love doctors? Awww..really? That’s supper sweet. As my eyes opened wider, perception changed. Then it was about how much I can "help" people. It’s about how I can contribute to well being of my community. Now? Well, it’s also about how much I can use the name and fame to criticize politicians and to win a seat in parliament! Not a good idea though!
Perception remained same through out the carrier for most of us. Indeed, some talented doctors find innovative ways to achieve some other objectives-for instance, some turns into politics! As a medical student, what keeps changing with clinical rotations is the specialty we want to go in. In general, every single medical student would change their preferred field 3-4 times through out these 5 yrs. For me it’s always been Surgery. Thanks to “gray’s anatomy”
I thought being a surgeon was kinda cool. But in just a week after entering my radiology posting, I have started questioning my decision about being a surgeon. Still, I think surgery is cool because, surgeons simply walk cool- minus the blood and temper tantrums they throw at times!
I always thought radiology was boring and there is nothing much to do. However, after seeing how they work, I’m really impressed with them, and now considering going into radiology. I’ll tell you why. They are the most professionally working doctors- you know what I mean by professionally, right?
Even how they talk makes you admire them. When you hear them talking about the CT scan that you are holding in your hand, it really feel like that is the “most matter of fact thing” you’ve ever heard. With a big stupid smile on your face, you go back to your ward thinking how cool they are. This is how they impress you- all of you. More over, think of how they work. They rarely get their hands messed- unless he/she is an interventional radiologist. Even then they do things that other doctors, not even surgeons, can do.
Another impressive thing about being a radiologist is where they work. Yes! Those finely decorated rooms with dim lights of numerous colours. Elegant-looking flouroscopy rooms, CT or MRI suits with modern multimillion dollar gadgets. All are way better than the poorly maintained OT, wards, or clinics. It’s both comfortable and more conducive working environment- if your tired in the middle of the work, you can always take a nap on your desk- lighting is just perfect!
Saturday, February 14, 2009
- If I had known what it was going to be like, I would never have done it- sure to say this!
- You’ll study more than you ever have in ur life.
- Anatomy sucks. All of the bone names sound the same.
- Third year rotations will suck the life out u.
- You may discover early on that medicine isn’t for u-but keep going!
- Nurses will treat you badly, simply because u r a medical student.
- You’ll work with at least one attending physician who you’ll want to beat the shit out of.
- You’ll ask a stranger about the quality of their stools or details about their menses!
- You’ll be sleep deprived- or, u may sleep all ur free times to chase away ur depression!
- You will develop a thick skin. If you fail to do this, you’ll cry often.
- Public humiliation is very commonplace in medical training- need to get used to it!
- Surgeons are assholes. Take my word for it now- may b coz they do PR all the time!
- Rumors surrounding members of your class will spread faster than they did in high school.
- Telling local girls u meet at cafe that you’re a medical student doesn’t mean shit-They’ve been hearing that for years. Be more unique!
- You will meet lots of cool people out there, one of them might be your wife or husband.
- family and friends would ask you for medical opinion- even when you are in the first year!