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The Differential – A medical student (group) blog

A while ago, I mentioned that I received an email from one of the editors of The Differential — a medical student blog that is part of Medscape. Medscape is a part of WebMD and is aimed at health professionals and students.

The email, as I wrote before, asked if I would be interested in joining The Differential as a student writer. After a few email exchanges with the editor, I am now one of the medical student bloggers at the Differential. As per our agreement, the posts I write for them will not be showing up here (at least not immediately).

So check out that site. There are currently seven authors, all medical students. And everyone should be posting at least once a week.

Medscape Logo

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Healthcare Comparisons

Well it looks like the Democratic nomination just keeps getting more complicated by the minute. Last night Clinton pulled off some victories in Texas, Rhode Island, and Ohio. A while back (in a post titled Hillary Healthcare 2.0)I wrote about the healthcare plan proposed by Hillary. My intention was to highlight the plan so that others who are interested in medicine might get a clearer picture of this. I had hoped to do a comparison of all the major candidates.

Well it looks like some other people have done the work for me. I found this site: Health08.org. It had all the candidates and what the proposed (as far as healthcare is concerned). Now, they only list McCain, Clinton, and Obama since they are the only ones left in the race. So just keep in mind that the site changes as the political landscape does. So if you’re reading this 10 years from now, they probably won’t have anything left.

Hope it helps for everyone getting ready for the November elections.

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It Left Me Feeling… SICKO

SICKO
Courtesy of MichaelMoore.com

I guess I’m slow. I’ve heard that before. But I finally got to see Michael Moore’s documentary on the American Healthcare System. This was my very first Michael Moore documentary. I didn’t watch bowling for Columbine or Fahrenheit 9/11.

Prior to watching this film I thought that Michael Moore was pretty obnoxious. Not that I’ve ever met the guy. He just came across that way to me. He seemed confrontational. But maybe you need to be that way to produce an effective documentary.

Throughout the film, Michael Moore introduces the audience to various Americans. We get to meet them and find out about their difficulties in the system of medicine that Americans seem to have accepted.

As a documentary about the atrocities of the American healthcare system, one would expect to see the negatives. And Mr. Moore does not fail to deliver. He presents one tear-jerking story after another and with his sarcasm points out how broken our system really is.

At one point he brings a group of Americans who have health problems resulting from their work at Ground Zero of on 9/11. These rescue workers had many problems that they just could not afford to deal with back home. Moore took them to Cuba where they were treated free of charge.

I consider this film to be an argument for Universal Healthcare. As an argument, I didn’t expect an unbiased view. Even so, Michael Moore did point out some of his critics. And one can easily find the opposing viewpoints with a quick Google search.

Without getting into a debate about the merits or pitfalls of universal medicine, I previously wrote that there are two entities that keep America from going the route of universal healthcare. Those two are (1) doctors and (2) Big Pharma. (see my post: Reforming the U.S. Healthcare System for more).

Overall, I think it was an excellent film for anyone interested in healthcare in America. Is it a good generalization of the state of things in this country? I don’t know. My mother had cancer a couple years ago and was very well taken care of by her insurance (not going to name them, but the founder is briefly mentioned in the film). Maybe my mom was the exception and not the norm? I just haven’t been in and around the hospital system to know. Nevertheless, the film does offer one viewpoint and its probably that we should take a look at.

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Surgical Models

I just read a blog post over at Unbounded Medicine about surgical models made up of fiber glass with thoracic and abdominal compartments. The internal organs of a pig are used to simulate the organs of a human. Using this model students can perform both a laparoscopy and thoracoscopy.

Looks like an awesome way to study anatomy too. I wish we had models like this in anatomy lab. Having pre-dissected bodies to look at would be very helpful. Instead, we end up spending so much time picking away at fascia.

Click the photo below to see the original post at UnboundedMedicine.com and view more pictures and a short video clip.

Abdominal View

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Update

Well today is already June 30. Time is really flying fast. With July just around the corner, I have about one month until registration/orientation. I’m sure it will go by quickly.

At this point, I’m just trying to enjoy the summer as much as possible while trying to mentally prepare myself for what lies ahead. I don’t want to be caught off-guard when we have to hit the books.  So it may be good to easy myself into some useful brain activity.

I’ll figure out what I’m going to do. Maybe do some reading exercises (I bought a book about speed reading). I also should probably go through a set of CDs my dad gave me last year. Its about improving your memory. I figure, if anything, a good memory and quick reading should be helpful with studying physiology, anatomy, and the rest of the physical human condition.

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Update

Alright, I finally got back from my trip on July 14. The trip, which I took with my aunt, uncle, cousin, and little sister, took us to Australia, Indonesia, and Thailand. That trip was really fun. We got to see many different things. I posted a few highlights from the trip at flickr.

On July 19 I had to go to the oral surgeon. Why? They said I needed to extract all four of my wisdom teeth. Yippeee. The appointment was at 8 AM and they had me take a valium pill an hour beforehand. Before the surgery began, I asked how long it would take and one lady said about 45 minutes. Regardless I think I was home before 10.

The rest of the day I just ate three cups of yogurt. One for lunch and almost two for dinner. By 9 PM my front lip was no longer numb. Its a weird feeling to touch your lip and not feel your finger on it…lol

Now I have a scheduled appointment with my doctor on July 21 for a physical and TB test which is required for Loma Linda University. I think only the TB test is required to complete my immunization history. I don’t think the physical is necessary. I might even be loaded up on vicodin for the pain. My dad scheduled the appointment for me while I was out of the country. So I guess I’ll just go.

Orientation for LLU is at 8 AM on August 3. They want us to “dress professionally” so that we can take ID pictures. Then on August 4 (Friday evening) we will be having the whitecoat ceremony.

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More On Shadowing

I wrote about shadowing and volunteering a while ago (GUIDE: Shadowing and Volunteering) and found some more material to add.

Recently there was a student who posted a question on the StudentDoctor.net forums. The student asked for advice on writing about his/her (gender is so hard to tell online) shadowing experience. Some answered that they did not write much on their application while others described how they elaborated about the details of their experience.

I am posting a reply that caught my eye. It was written by Panda Bear (online name) and is reprinted with his permission.

His blog can be found at www.pandabearmd.com.

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Hi.

Shadowing is very important. I had a lot of shadowing experience. Well, I called it shadowing but as the physicians I shadowed had no idea who I was or what I was doing I guess some might call it stalking. Nobody ever called security though so it was all right. If anybody asked me what I was doing I just got a sad look and said, “Breast cancer….mother…not doing well,“ and then slowly retreated under the cover of reverential silence.

I actually spent most of my time hanging out in waiting rooms or the hospital gift shop eating peanut M&Ms. Except when I was trying not to vomit because sick people give me the gags, especially the ones with digusting skin thingies. People with skin cancer are the worst and they are very inconsiderate. “Ooooh, look at me everybody! I’ve got skin cancer!”

I really tried to minimize my contact with patients and doctors. Still, I had to put something down for extracurricular activities so I figured this was the least difficult way to go about it. I just made up names for hospitals which sounded good but which don’t really exist. You know, like “Mercy Hospital North” or “Johns Hopkins.” I also searched through the obituaries for physicans who had recently passed away and listed them as my sponsors.

My medical school’s registrars office has an AMCAS verification department and I wanted to cover all of my bases. When they called me in after first semester to say that they had been unable to contact a physician who I shadowed I got an incredibly tragic look on my face and said, “I’m sorry to report that Dr. Wondalaski passed away several weeks after I shadowed him.”

“Fine, fine man. Did you know he won the Nobel Prize?”

That usually put them off the scent for a semester or two. Eventually they must have discovered that all six doctors I shadowed as well as my mentor from the the NIH and all of the authors of my letters of recommendation were deceased but I never heard anything about it. Just to cover myself whenever I went into the registrars office I always adopted a wistful, care-worn expression and muttered thngs like, “So much death….how can I bear it?”

Medical school admission is a difficult process. You have to be smart about it.

Glad I could help.
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On a side note, the whole application process can be a stressful experience. Studying for the MCAT, paying exorbitant fees to apply, and running to meet the mailman each day hoping for that acceptance packet (yes I said packet, its not some thin letter like you see on TV) wears on you.

So if you really want to be a physician, relax, do your best, and be persistent.