Wednesday, April 29, 2009

Karmic FB Status Updates

Yes, they did all appear in a row... yes, I find it hilarious.

Tuesday, April 28, 2009

Rotation Schedule!

Just found out my rotation schedule for next year:
July-August: Ob/Gyn
Sept-Oct: Neuro/Psych
Nov-Dec: Surgery
Jan-Feb: FamMed/Elective
Mar-Apr: Peds
May-Jun: Med

Not my 1st choice (it was my 2nd), but at least it keeps my options for elective somewhat open.

Oh BioRad... Your Commercials are HILarious!



via GruntDoc and Musings of a Dinosaur

Wednesday, April 22, 2009

Pulling a Blog No-No

Okay, I know it's the death of a blog when you start talking about blogging, but I kind of have to so I don't feel like a complete failure.

If you haven't noticed I've been a little absent as of late. But don't worry, it's not just the blog I'm neglecting: google reader (I know right?! I just checked my google reader and AFTER marking as read 750+ news updates I still had a total of 1000+ unread items... crap...).... twitter.... facebook (kind of)... etc.

The reason? I'll give you one guess...

Did ya take it?

If you guessed school, you're right! Congrats, you've won... absolutely nothing. ;)

School is coming to an end, but we still have like 7 exams in the next month and a half.

For those of you interested:
Tuesday, April 28th = Renal Pathophys Exam
Thursday, April 30th = Physical Diagnosis OSCE (proving I can do a physical)
Thursday, May 7th = Kaplan Diagnostic Exam (to show us how little we really know)
Monday, May 11th (am) = Gastrointestinal Pathophys Exam
Monday, May 11th (pm) = Comprehensive Basic Science Exam (to again scare us about step 1)
Monday, May 18th = Clinical Medicine Written Exam
Tuesday, May 19th = Integrative Pharmacology Exam

And then after all that I have 4 weeks to relearn everything from the past 2 years and learn everything the school conveniently "forgot" to teach us.... for my board exam on June 25th (CRAP!!!!!). (Which for those of you who don't know is the exam that basically determines where and what you can do)

So, until all this craziness is over my online presence may be like the Michigan weather... comes and goes and you never know when or what might happen.

Until next time, may your life be more enjoyable than mine. :)

Monday, April 13, 2009

If you're the praying type...

During my time in Thailand I lived with an AMAZING girl named Brooke. While there her mom and my mom both came over for Christmas. During that time I got to know Bev, and since then I've been reading her blog.

In her latest entry she told us that she's been diagnosed with breast cancer. I don't know a lot of details but I do know that it is invasive ductal carcinoma (with some areas of ductal carcinoma in situ). Please join me, Bev's friend and the Brandon family in lifting up this amazing woman in prayer!!!!
---------------------
For those of you who want some information, here's my cliff notes (more can be found here and here and here):

Breast cancer can be invasive or non-invasive, with invasive meaning that it has the potential to spread, or metastasize. When it comes to non-invasive cancers there are 2 main types: ductal carcinoma in situ and lobular carcinoma in situ (a.k.a. DCIS, LCIS).

DCIS is usually found by screening mammography and can usually be treated with lumpectomy, and depending on the type, with Taxmofien or Herceptin (chemotherapy drugs). It can be low, intermediate or high grade, with high grade meaning the cell transformations are more advanced (thus implying a worse prognosis). LCIS is usually seen in pre-menopausal women, cannot usually be seen clinically or by mammogram, and is incidental; however, LCIS is usually a marker for more extensive cancer elsewhere, meaning that these patients should be put on high risk screening recommendations.

When it comes to invasive cancers, there are 3 different types: invasive ductal carcinoma, invasive lobular carcinoma, and inflammatory breast cancer. Of the 3 invasive ductal carcinoma is the most common (75%); inflammatory breast carcinoma is the most aggressive. However, with all 3 of them, there is invasion into the lymphatic vessels (the vessels that return fluid from your tissues to your blood stream). This means that cancer cells can get into your circulation and spread. The first thing that these cancer cells encounter are your lymph nodes, the small group of tissue that contains your immune cells.

The staging of a cancer is the most important thing that determines the prognosis (or survival). For breast cancer, the staging is made up of whether there is evidence of cancer in the axillary lymph nodes (the ones in your arm pits), how large the tumor is, the grade (which means how advanced the cell changes are), as well as other factors... including whether the cancer is ER+ or Her2+.

Both ER+ and Her2+ are designations as to whether the cell certain factors that can be treated with specific antibody medications; having these means that the cancer is more sensitive to chemotherapy, and thus good things to have.

PLEASE REMEMBER that the best way to prevent breast cancer is monthly self breast exams! Also, please make sure you have yearly appointments with your family doctor or gynecologist, and mammographs if you're over 40 years old.

And as always, please remember that I'm a medical student, NOT a doctor. If you have any concerns please CONTACT YOUR DOCTOR. And if you want any more information, feel free to check out the sites above....

And a Gunner is Born

Below is an email I just received:

Sent: Monday, April 13, 2009 4:43 PM
To: Class of 2012; Class of 2011

Hi

I needed to know if anyone is willing to sell their 1st and 2nd year notes. I am starting in the fall and would like to get a head start. I would appreciate any info.

-Gunner


Umm... WOW!

First of all, it's April and school doesn't start until August. Secondly, 1st and 2nd year?! Really?! If you HAVE to study, just look at anatomy... But really, ARE YOU SERIOUS?!?! Sit back and enjoy life!

This person really needs to chill... because at this rate they'll be modified* due to too much stress by the end of the first anatomy exam.

*The Modified Program allows students with health, family, or med school transition problems to complete their 1st year in 2 years.

Friday, April 10, 2009

Everyone Poops: The Movie

Oh my.



For the reason behind this... see THIS.

"Carried Away"

Monday, April 6, 2009

On the Banks of the Red Cedar...

Below is the current ESPN poll for who people want to win the game tonight....

That being said.... GO STATE!!!!!!

(I have decided to stay at school until the game has either 1)started or 2)been over for and hour to avoid stupid people who don't know how to drive downtown.... Wish I could be at the game, but the studying needs to happen.... as it hasn't been.)

Saturday, April 4, 2009

HEEEYYY!

Can we please check this out?!? I'm currently in 2nd place in M1/M2 pool!!! HOLLA!!!


I've never done this well in a pool, so I'm kinda excited!

Anyways... just thought I'd share and say: GO GREEN!!!!!!

Make a Difference

In case you all haven't realized, I really like charity work/ advocating for those in need... Here's a GOOD OPPORTUNITY for all of you, and one that I'll be helping out.



Currently they are running a project called the 50,000 pair challenge (in concert with Julian Smith... see below). For $5 you can provide a pair of shoes to someone whose never had one, or who hasn't for a really long time. Here's the information from their site (both the image above and below link you to the site):



I found out about the opportunity through Julian Smith... who you might know from the "25 thing I hate about Facebook" or the "Get Your Own iPhone" sketches on Youtube... If you aren't already watching him, you should be... cause he's hilarious.

That being said, here he is talking about Soles for Souls:



So take some time and check out the Soles for Souls website. Every donation, no matter how small makes a small but tangible difference in lives around the world.

Friday, April 3, 2009

I'm alive

Just a little FYI...




Yes, I am alive.
Yes, the cruise was amazing.
Yes, this week has been super crazy busy.
Yes, med school (and life) are kicking my butt.

More to come later, promise... but we have a test on Thursday and the unit is not good and I haven't even begun to study... Crappity crap.