tolito
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i continue on my early to bed policy. i find that my afternoon nap is what is doing me in!!! i nap 3hrs!!! so from now i will nap just 20mins by the clock. i went to bed last night at 12:30 and woke up at 8. not good enough but a start. i feel very refreshed. will be going to church and then come back to path.
did 55 q in robbins on neoplasia and got only 43 right. not surprised. i mixed up the genes. a good start for me. i will forget those dreaded genes before the exam so i am not going to bother memorising them for now, but i will memorise the ones for burkitts, follicular lymphoma and neurof. of course can never forget p53!!!!
TODAY'S MOTTO
ENTER HIS GATES WITH THANKSGIVING, ENTER HIS COURTS WITH PRAISE
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| tolito
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today has been good. finished my revision of questions in robbins and then did 50q in qbank. got 64% av was 65%. pas mal. the kaplan q were full of stuff outside principles and i know i have read jsut about 60% of principles so the mark is correct.
i am only just getting a hang of things after studying effectively for 3 months and i am just 60% done. but i am encouraged and so ia am continuing. i just do it. i dont think about the hardship. i think about the results adn the reward i will get. if i think too much about the toughness of the exam i will be discouragted. so i reward myself everyday for finishing a chapter, a topic, a paragraph, and even a line!!!! i never look at the pile of work i have in front of me. that was how i went thro childhood with my mum who always had a lot of chores for me to do. like, lay your bed, empty the trash can, clean out the bathroom. do your homework etc never ending chores.
COUNT-UP DAY 17 ENDED
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| wey2002
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you are right, keep on doing studys well and forget about the test.
The more the better you study the higher your score will be.
If would be good to do NBME early to find out loopholes.
If you study the weak areas well your score will raise.
It is very hard for us to know our weak areas by ourselves, which we tend to ignore in the studying.
I have 11 days left!
Will do good!
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| cool_guyp4u
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tolito wrote:
i dont think about the hardship. i think about the results adn the reward i will get. if i think too much about the toughness of the exam i will be discouragted. so i reward myself everyday for finishing a chapter, a topic, a paragraph, and even a line!!!! i never look at the pile of work i have in front of me.
Tolito,
Those are good principles you have. Continue to rock on!
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| tolito
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thanks guys. to borrow a line from wey 'will do good'!
so i am just about 60% done with my studies. i can say i have done 3 readings of 60% so i still have 3 readings of 40% to go. and then the 4th reading of 100% and then the revision of selected areas. i am not looking at the deadline cos it appears impossible but i continue on my one day at a time principle and i celebrate each victory. ( i have a freezer full of ice creams and i have bought flower vases for flowers as reward). so let us see what can come against me esp with God on my side!!!
today, i continue the sojourn of pathology with diseases of infancy, childhood and environmental. i can see that a good proportion of questions are around the cogenital stuff. we will bash them all.
TODAY'S MOTTO
BE COMFORTED THIS DAY, YOU SHALL SURELY SEE THE GOODNESS OF THE LORD.
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| USMLEGladiator
ck, CS Finish by Feb09
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Be strong tolito.God will bless u with good score.We all need Gods blessings at this stress ful time especially.I just visited my religious temple.Tremendous releif of stress..My EXAM IS ALSO NEARING.Good luck.
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| tolito
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usmlegladiator, glad to hear from you again. yes, we all need to 'refill' spiritually. this exam is just too demanding but we will keep our eyes focussed on our goals.
yesterday was not very encouraging. i did not even finish childhood diseases. helped out the hubby. so today, i pray for an attentive mind so i can make up for lost time yesterday.
TODAY'S MOTTO.
ONLY BY GRACE CAN WE STAND
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| tolito
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finished childhood diseases but need to go over it a third time. did just 2oq in robbins and did poorly. just 14 correct. can i blame it on being tired???? some of the questions were not fair; like what can happen to child with bil of 4.9 in a neonate. it can progress to kernicterus if it keeps going up BUT answer was complete recovery. anyway, i pray God not to have such questions on the D day.
going to bed. no ice cream tonight cos i am getting fat. i thought the brain should burn up all the glu i take in but no chance. i will start my excercises again tomorrow.
COUNT-UP: DAY 19 ENDED.
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| 26malik
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GL tolito
you are doing a great job.
going to sleep early will do good to you. also exercises will do wonders to your mind.
they will make you feel great. but hold on as it will be difficult in the start.
But you can. It is doable by his grace. evrything is .
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There is always hope
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| hodgkins
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tolito..I was wondering why you have so much ice cream at your freezer, send some here, I dont mind sharing..do you ?
Good job tolito..you are so consistent..in your journal, being consistent itself is a big thing which will take you where you have to reach..I am sure you will, keep trucking
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WE CAN DO IT..!!!
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| tolito
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thanks for the compliment hodgkins. i would send you some ice cream but the weather is prohibitive, too warm
today has not been too good. had some stomach upset and was just feeling off. not depressed but just not gay. so i have been watching tv and NBA and now i feel better. hope to put in 5hrs straight (excluding tea breaks).
there is so much to study and retain. path has been interesting but it is never-ending. will be reviewing environ path today and doing some questions. i am encouraged by askdoc who scored 740 in NBME and is an old img like me. s/he proves that it is possible. i know he will get a high 99 when his scores come in.
TODAY'S MOTTO
I AM HIS TREASURE AND HE FINDS PLEASURE IN ME
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| tolito
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malik, i am yet to start excersises but i promise i will start this weekend. my bmi is close to 24 now and i am getting obese. i have really enjoyed sleeping early adn i will keep at it. though tonight i am turning in at 3am. cos tomorrow is friday and i know i will not study much anyway. i am going to watch the whole game of phoenix and mavericks!!!!
i dont know why i am feeling so good with myself tonight cos i did not do any q, i have read for just 6hrs. well i feel good. i read environ a second time and did nutrition. tomorrow i will conclude them so i can move on to systemic path, i have been doing big robbins cos i was not doing well initially. but big robbins has been getting me the great scores. so i wll persevere. i have read 500 pages so far. and have 1000 to go. i will select only sections in the sytemic and will not read everything. will select those areas in kaplan.
COUNT-UP DAY 21.
(doesnt it feel good to count up and not down!!!!!)
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| tolito
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a new day has started. went to bed late (4;30) and woke up early to go to work. but my subject cancelled so i get to stay back and continue my studies.
it is a wet day. i feel good though. i have pushed the issue of dates to the back of my mind but i will need to face it sooner or later. for now, i want to get thro path. then i will have confidence to take NBME. i dont think i will score high in NBME when i take it except i take it a week to exam. but i am just curious to see where i stand so i will take it at the end of path.
TODAY'S MOTTO
I WILL BE LIKE THE TREE PLANTED BY THE STREAMS OF WATER, YIELDING FRUIT IN SEASON.
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| tolito
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Topics: 119
Posts: 2,174
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a new day has started. went to bed late (4;30) and woke up early to go to work. but my subject cancelled so i get to stay back and continue my studies.
it is a wet day. i feel good though. i have pushed the issue of dates to the back of my mind but i will need to face it sooner or later. for now, i want to get thro path. then i will have confidence to take NBME. i dont think i will score high in NBME when i take it except i take it a week to exam. but i am just curious to see where i stand so i will take it at the end of path.
TODAY'S MOTTO
I WILL BE LIKE THE TREE PLANTED BY THE STREAMS OF WATER, YIELDING FRUIT IN SEASON.
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| tolito
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yet another day. did not get to do anything yesterday. just lazed around with hubby. today, will need to catch up. i hope to spend 12hrs today. God help me. path is a real albatross but i believe.
TODAY'S MOTTO
GIVE THANKS TO THE LORD
HIS MERCY ENDURES FOREVER
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| vallia
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keep going tolito, you are doing so good, i am also improving after reading robbins.
what is your weak area? i am not doing good at anatomy and pharmacology.
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fight possessed
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| tolito
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hi vallia, thanks for stopping by. i am still on gen path and i hope to finish it up today. generally, i find i am weak on receptors and genes. i have a clumsy way of remembering the receptors and functions and also the genes responsible for cancer. it is all so so new to me. if i do not get a good knowledge of it, i may resort to checkign it up in genetics by jorge as advised by P53. i have only memorised them!!! 9-22 = CML, ABL = CML, 8-14 = burkitts, cmyc = burkitts, nmyc = neuroblastoma, etc etc!!! it is all jargon but i have memorised them. trouble is when i saw a question describing nmyc amplification, i did not recognise it so i did not know the answer was nmyc amplificaion!!!!
as for the others, biochem is my albatross. i need to go over it once again with an emphasis on the inherited diseases ( genetics once again). then last but not least is neuroanat. as for this, i wll learn at the very least, all the funny brain synd, blood supply to brain, CT/MRI scans and relate them to specific dis like parkinsons, thiamine deff and mammilary bodies, bell's palsy, carvenous sinus infection.
i loved pharmacology. i pray i have not forgotten it all when i go back to review it. i did not read anti angina and arrythmia drugs tho so i need to do those.
o vallia, will we ever be done????
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| wey2002
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Yes, we will be done when you feel you have studied enough, trust me.
It is better to exercise and build up endurance from now on, you will see how important that is when you come to the end.
Will do good!
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| USMLEGladiator
ck, CS Finish by Feb09
Topics: 126
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tolito,have faith in urself.Work hard.This tough phase will be soon over.God will bless our hard work & sincerity.If time permits see graphs in Robbins Patho.
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| tolito
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thanks wey and usmlegladiator for your encouraging words. i will keep trucking on. what graphs are those you mentioned usmlegladiator?
did not get to my 12hr mark yesterday but got to 8hrs. finished environ and nutritional. had to go grocery shopping. returned home and just went to bed. woke up this morning at 5:30. did q in robbin 's and scored a miserable 80% (after adjustment!!!, there were 3 q i wrote wrong choices). there was a stupid q there. how can chocolate deficiency be the most common dietary deficiency worldwide??? ridiculous. of course i chose iron!!! i missed all the q on drug abuse (been a while since i did behav) and i missed a couple cos i did not think appropriately.
so i am going over the chapter and i will make my notes. i make notes of important stuff that i am likely to forget.
in an hour, i wll prepare to go to church.
TODAY'S MOTTO
WITH LOVE AND STRENGTH FOR EACH NEW DAY, HE WILL MAKE A WAY.
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| vallia
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hi tolito, please explain diferences between selectins, integrins, ICAM, VCAM. I didn't understand them....
keep going, friend
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| tolito
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i hope it is not 2 blind men with one leading the other!!
here is what i understand.
Selectins: function in rolling of leucocytes. selectins on endoth bind to selectins on leucocytes. endoth selectins .. P (also found on platelets) and E ( formerly ELAM). leucocyte selectins ( L selectins eg,,,sialyl lewis x,)
Integrins: are on leucocytes and function in adhesion and transmigration. chemokines activate neutrophils to increase avidity of integrins. integrins bind to ICAM and VCAM on the endothelial cells. eg of integrins,, CD11/18, LFA1. The ICAM and VCAM are of the immunoglobulin family.
LAD1 is deficiency of integrins CD11/18 (more sever disease)
LAD2 is deficiency of ligand for E and P selectins. (milder disease)
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| general malaise
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hi tolito, just wanted to stop by and say hi. don't worry about those strange q's in robbins. only up to a certain percentage can be answered using the sources that we are all used to. some can only be answered by knowing big momma robbins front and back which is impossible. i think you are doing great, keep up the good work.
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| tolito
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thanks for your vote of confidence and encrouraging words. Genmalaise, you just hve this knack of making me feel so intelligent and that i can knock down the exam. thank you. i wont let those odd q weigh me down no more.
am thro with environ and nutrition and i have moved on to blood. it all looks so easy now. i can discuss on practically every forum and that is giving me a real confidence boost ( incl inspiring words from friends on the net) i wish we could all link up and have a party when we are all in the states. even if it was in 2 years' time.i would hate to lose touch with all you wonderful guys and gals. ( i am getting emotional...hormones???)
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| tolito
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i need to stop studying.i have all the ingredients for the recipe of emotional lability. i got my exam i have to postpone, i need to renew my visa, i am just 60% in all subjects (at 3rd reading level), i am overwhelmed with house work and family responsibilities, my hubby and i have a tiff and he is not talking to me, i am just feeling weepy. so i am going to bed. tomorrow is always a better day. i know that for sure.
i just need encouragement. tomorrow is going to be a better day. by past records, i ahve survived worse conditions. my mom told me i was a 'hardy' type from in utero. 3x i was meant to be a spontaneous abortion and she would be admitted to hospital but no, i was determined to come to this world. well i am here. God give me the same perseverance that brought me into this world. i need encouragement.
i dont want to sound so wingeing but i cannot help myself.
COUNT-UP DAY 24
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