[lunch break during another mountain climb near Pemberton, BC - September 2005]
“Do not, for one repulse, forego the purpose that you resolved to effect.”
~ William Shakespeare
speaking of mountain climbing, i feel like i need that quote as a reminder almost every semester now. it’s easy to get bogged down in the little details and forget the big (scenic mountainside — with no top — extra wide angle landscape) picture.
pathology
- cell injury
- cell death (apoptosis & necrosis)
- inflammation (serous vs. fibrous, etc)
- repair (first intention, second intention, etc)
- immunopathology
>> most interesting thing learned: i am really enjoying how our previous exposure to histology (i love pictures) now ties in with diseases we learned in micro and immuno and genetics. this is probably the ultimate “consolidation” class. which is probably why it has so much material, it has to spill over into the first 9 weeks of MED 5.
pharmacology
- Fick, Henderson and solubility
- routes of administration
- distribution
- metabolism and elimination
- pharmacodynamics
- receptors, effectors and dose-response relationships
- volume of distribution
- clearance
- half-life
- bioavailability
- extraction
- therapeutic window
- altered elimination
- autonomics (anatomy, NT, receptors)
- cholinergic agonists & antagonists
- cholinesterase inhibitors & regenerators
- sympathomimetics (a & B agonists)
- sympathoplegics (a & B blockers)
>> most interesting thing learned: pharm presents a whole lotta new terminology and is presented in a whole new way. Dr. A is doing a wonderful job of preparing us to think on our feet by asking random questions during class. sure, it puts you on the spot and makes you nervous (and possibly frustrated if you don’t know the answer), but life on the ward isn’t going to be neatly laid out in tables and charts. cold recall is important. and i learned this block that i have spent a year practicing Memorize and Recognize for our USMLE Step 1-style multiple choice exams. so, cold recall? yah, i really really suck at it.
physical diagnosis
- medical terminology
- interviewing: taking the history
- chief complaint
- history of present illness
- past medical history
- family/social history
- review of systems
- complete history
- general survey
- vital signs
>> most interesting thing learned: this is our first class that exposes us to actual patient interaction. we mostly practice on each other, but it’s insightful to play both “doctor” and “sick person”. between this class and our hospital rotations, us MED 4s are looking pretty dang professional (in our ties and skirts and white coats) this semester. hawt!
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looking for MED 1? or MED 2? or MED 3?
My favorite thing after each block exam is being able to read the most interesting stuff you learn and compare it to mine. Thanks and hope you are having a good day! : ) : D
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