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Double Vision

Double vision is an interesting thing. In Neuroscience we discussed double vision a bit — but referring to it with the technical term, “diplopia.”

I won’t go into the cause of diplopia. A cursory search of the internet should lead you to some fairly good explanations.

I wanted to share a few pictures I found on the Internet. It’s a sort of simulated diplopia. And it feels weird looking at it. It feels totally wrong — I almost felt dizzy looking at these pictures. Maybe because the brain was trying to make sense of it all.

Well below are the pictures. Have fun with them.
doubvision

doublevision2

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Postings on The Differential

As I have written before, I blog weekly at Medscape’s The Differential. Originally I thought I would put up a notification post whenever one of my submissions was uploaded. But I decided to just make one page to keep track of it all. For the past couple days I have been putting together a page that will index all of my Differential posts.

Clicking The Differential on the tab above (between Privacy Policy and Contact Me) will take you to this new page. Newest posts are listed at the top. I have the date, title, and short description of the post.

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Loma Linda University: Perspectives from non-Adventists

Related Post: What is Loma Linda University Really Like?

I’ve been meaning to post this for a while now. Occasionally I get a question like this: I’m not Adventist, but I am a Christian. Should I apply to Loma Linda University?

In a previous post (What is Loma Linda University really like?) I wrote that I have not heard any complaints. Although I did write that I had never asked any of my classmates directly. Well last week I got the chance to ask two classmates who are not Seventh-Day Adventists how they felt about Loma Linda University. The gist of what they said is that while they might not believe everything Adventists believe, they are happy with their decision to attend a Christian medical school like Loma Linda.

I also found a blog entry by another classmate. He is Episcopalian and he writes about his thoughts on Loma Linda University at his blog Northwest Anglican. The post is titled Surviving Medical School with Faith Intact.

This article is from Spectrum Magazine and references the article above: Thoughts from an Episcopalian at Loma Linda University | Spectrum.

A quote from the post:

Another conversation I’ve had with some of my classmates is a “what if” conversation considering whether we would have gone to some of the more prestigious schools we applied to had we been accepted. And there was a time when I would have said, “yes,” that if I had gotten into Harvard or Mayo Clinic that I would have gone there. But looking back on this year and considering things with the eternal perspective of the importance of my soul, I would have to say, “no.” Think what you will about Seventh-day Adventist theology, but I have to say that they have founded and nourished an institution where a Christian can become a doctor and where they can be affirmed and encouraged in their faith in Jesus Christ. For this I am very thankful to my Adventist brothers and sisters.

Hopefully this will help those trying to decide which medical schools to apply to.

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SurgeXperiences 204


Welcome to another edition of surgeXperiences!

SurgeXperiences is a bimonthly blog carnival bringing you stories from the front lines of the operating room. For more information, click here.

This week’s (loose) theme was “My First Time.” So, in order of submission (for the most part), with those closest to the theme first, here are the posts!

Firsts
rlbates, a plastic surgeon from Little Rock, AR, recalls her first surgery rotation during her Junior year that happened to coincide with a record-breaking heatwave in July of 1980.

Captain Atopic writes about his first time being awake in the OR and his first time in a non-English speaking country in a appropriately titled post: My First Surgery.

Jeffrey Leow from Monash Medical Student shares his reactions to the many firsts in surgery in a post with visual aids aplenty and a nifty soundtrack too.

David Gorski over at Science Based Medicine writes about his first encounter with The Orange Man and the lesson that meeting taught him about alternative medicine.

Bongi, over at Other Things Amanzi, writes about his first time performing a splenectomy which, incidentally, was also his first time seeing one: see one, do one, teach one. Bongi also shares a humorous story about teaching a medical student how to do a lymph node biopsy and sending the student in(to) the deep end.

The Scalpel’s Edge features a post about the first time DrCris begins to seriously consider a career as a surgeon.

T vents a bit about the specialty of Anesthesiology after a patient announces to her that she is in a ROAD specialty and that her job is “easy”… which leads her to, in the end, remember the reason she decided on her specialty. The post is titled: Hit the Road, Jack, and Dontcha Come Back No More, No More, No More, No More…” (just kidding, of course).

Over at Nursepractitionerblog’s Weblog is a post titled My most interesting patient that discusses some memorable firsts like changing a bedpan for the first time and the first time giving an IV to a gentleman scheduled to have both legs amputated.

Opinion
Lucia Li, in her first post on The Differential, shares her views on Women in Surgery.

In a post titled Disaster Waiting to Happen, a new blogger from New Delhi writes a short paragraph about his thoughts after surgery at SurgeryLounge. Let’s welcome him to the blogosphere.

Maggie Mahar at HealthBeatBlog.org writes about the Cultural Divide between Surgeons and Physicians.

And related to the last post, rlbates offers her comments on a recent article (A Surgeon’s Outburst) printed in the Boston Globe and the article by Maggie Mahar mentioned above.

DrCris also writes about TURFing and asks, Can’t Surgeons and Physicians Work Together?

Jeffrey Parks offers his take on Diane Suchetka’s Continuing Anti-Doctor Crusade in a post discussing the newly released list of “never events.” MSNBC.com reported on this list last week. Another article at MSNBC.com reported that surgical errors cost $1.5 billion a year.

News
In To Heal the Wounded, Donald McNeil writes about a new textbook for surgeons on the battlefield. An interesting read for those interested in military medicine. The story is found at NYTimes.com.

bookofjoe compares an article from the Scientific American and a study that appeared in the British Medical Joural about what happens when a surgeon sneezes.

Reuters.com carries a story discussing the ethics relating to waiting for death and the quick-harvesting of hearts.

Thanks to everyone who submitted. Thanks for allowing me to host this edition of SurgeXperiences. The next edition of SurgeXperiences will be hosted by DrCris a Scalpel’s Edge.

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SurgeXperiences Blog Carnival Coming Soon


I’d like to thank Jeffrey Leow for giving me the opportunity to host the SurgeXperiences Blog Carnival. Episode 4 of Season 2 will be coming to JeffreyMD.com on August 17, 2008. This will be my first time hosting a blog carnival. To find out more about SurgeXperiences, you can click the banner above.

Deadline for Submissions: August 16
Suggested Theme: My First Time

If you have a post that does not fit with the theme, that’s alright. Just submit it anyways.

Click here to submit your post.

Also, be sure to check out the current edition of SurgeXperiences over at Other Things Amanzi.

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Science-Based Medicine

This year I had a course called Evidence-Based Medicine. The point of the class was to educate us on how to use the medical literature to determine the best treatments. Medicine has definitely come a long way from bleeding patients as a form of treatment. Now, we have evidence to lead the way.

But I recently overheard my parents talking about drinking EPSOM salt as part of an alternative to surgery for removing gallbladder stones. The treatment involved drinking fresh-squeezed apple juice for a number of days, drinking a 1/2 cup of Virgin Olive Oil, and then drinking an EPSOM salt and water mixture.

The treatment is supposed to flush out your liver/gallbladder and cause gallstones to be excreted with your stool. The site Curezone.com has a page dedicated to this treatment with a list of the various different “recipes” for the treatment. (Click here to see the liver flushing page.) Oh, and for all the skeptics, the pages come complete with pictures of gallstones people removed from their own stool!

Well I was a skeptic. I realize I’m just a medical student. But the idea didn’t sit right with me. Then I found a website called Science-Based Medicine that contained an article titled “Would you like a liver flush with that colon cleanse?

The author, a surgeon, rips apart this treatment. If I were to paraphrase him: The treatment is absolutely ridiculous. You can check out the details at his post.

Even in this day and age, there are still plenty of strange treatments that are blindly followed without any evidence to support it. My parents heard about this treatment from a church member who was told that she had gallstones and needed a surgery to remove them.

I wish we could educate the public. Maybe a course on evidence-based medicine should be taught at the high school level. I mean, reading a site like the one listed above (Curezone) can be very convincing. You see all these testimonials by people who have “flushed” their livers. You see pictures of these supposed gallstones that were fished out of the toilet. And you think, hey, that’s proof it works!

I guess this was one moment where I saw the value of my Evidence-Based Medicine course — a value I failed to appreciate at the time I took it.

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Missionary Doc in the Making

A friend and classmate of mine is over in Zambia this summer for medical missionary work. He’s blogged about it and uploaded some interesting pictures. If you get the chance, or are interested in medical mission work, check out his site: Missionary Doc in the Making.

I think DoctaJay will be uploading a video as soon as he gets back home to the States.