P4a99
Moderator
Topics: 50
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Hello there,
How are you doing?
Any news regarding exam date?
Take care ...
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| new_n_lost
Forum Hero
Topics: 724
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No Bro Nothing is New on the Exm Front and i m literally tired of Going thru books just relaxing as if my exm is actually over. been having this numb feeling like the Calm in the sea before the Storm. And Still Waiting for the New Date From Prometric. Damn i cnat believe these Guys i have Told them atleast tell me ahead like a wk before so lets c wht happens.
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"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| ShweHope99.9998
Forum Fanatic
Topics: 12
Posts: 2,766
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Bro ,
As you said read FA as novel, while waiting for the Date , so do KME if read b4 .
Oh well just read any , or all of your HY , high light notes , Qs notes as novel .
God want you to get beyoud the 99 .......... as to 100 & highest 3 digits score as in history .
Go for it Bro, oh do not forget to do occsional way of laugh as you said b4 to get all the nerves out, but keep all the study in, do not let it out till your D day .
And STOP thinking , too deeply as I did in term of answering the Q. Put it that way , usmle only know superficial, they know nothing, anything in deepth of beauty of medicine.
But bro do as Roman do when you're in Rome to win the test . I am practiceing that Q answering tactic to control self , so far not there yet , near .
GL GL GL happy success study to us, all  , inyour case I give your GL back from MT since you're calm now with GL for your the Date & D day too
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| P4a99
Moderator
Topics: 50
Posts: 2,511
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Hello NNL,
i have a Q if you dont mind,
at high altitude, after acclimatization,
"at a high altitude : hyperventilation : decreased PaCO2 : A lower-than-normal PaCO2 would shift the oxyhemoglobin dissociation curve to the left, thereby increasing the affinity of hemoglobin for oxygen."
but on the other hand:
"in hypoxic conditions that last more that several hours the quantity of BPG in the blood increases considerably thus shifting the oxygen-hemoglobin curve even more to the right"
... What ????
Why cant these guys make up their minds?
Edited by praying4a99 on 08/08/07 - 06:24 AM
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| faraym
Forum Addict
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sorry to interfere ..
the only scenario where the respiratory alkalosis is fully corrected is in people living at high altitudes.
Even though they hyperventilate and have alkalosis ..the ph is normal because of renal compensation ( HCO3 excretion) So the curve isnt shifted to the left. (Kaplan physio)
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"Bindu ki maa, Jab Jab jo jo hona hai ,tab tab so so hota hai." from Padosan.90/85/CSpass/2005 grad/India/GC/8 mo Obser/10 IV /28 rej
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| P4a99
Moderator
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Sorry, it does shift to the left, Guyton 540, figure 43-2
please dont waste your time on it ( we can discuss it after your exam )
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| new_n_lost
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U see this Phenomenon is Explained Best in Ganong and OTM.
The High Altitude Causes us To HYPERVENTIALTE leading to Respi Alkalosis. Shifting the Curve to LEFT. Now the pH is Changed the Its more Alkalic. 2,3-BPG is affected by pH. The Acidic pH inhibits RBC Glycolysis which leads to Dec conc, of 2,3-BPG And Vice Versa. Now if there is Alkalosis then the Concerntration of 2,3 BPG increases ( SHIFTING THE CURVE BACK TO RIGHT) and U have More O2 Available for Tissues. But the Effects of Hypoxia r not countered yet cos the Inc 2,3 BPG causes Dec Uptake of O2 by Hemoglobin in the Lungs. Then Erythropoeitin Gets Released and u have Inc RBC Mass.
I hope i have Made things Clear for U Just Keep ASking Questions Trust me there is no better way to learn things.
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"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| P4a99
Moderator
Topics: 50
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Wow , that was nice and clear, thanks alot.
Some thing else interesting i read too in Ganong was that the same cuvre during exercise does shift to the right at the tissues to give O2 (because of the increase in CO2 and temperatue) but the curve shifts back to the left in the lungs so the RBCs can recieve O2 more easily.
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| faraym
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 I said the same thing in short ..finally it shifts to right
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| zade
Forum Senior
Topics: 4
Posts: 179
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Hi,
Just stopped by to say hello and keep up the good work. Whenever ur date is u r ready.
Plz just beleive in urself.
Good Luck friend
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| new_n_lost
Forum Hero
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zade wrote:
Hi,
Just stopped by to say hello and keep up the good work. Whenever ur date is u r ready.
Plz just beleive in urself.
Good Luck friend
Long Time No See Friend Where have u Been ??
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"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| zade
Forum Senior
Topics: 4
Posts: 179
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I have been thru the ringer and I would need a lot to space to tell u all.
Just know that I am back not with a full fire but at least with a flame and do hope to stay on the path once again.
I reall had alot of confidence in u and still do. So put ur shoulder to the wheel coz u can see the light at the end of the tunnel.
Good Luck
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Today's preparation determines tomorrow's achievement.
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| P4a99
Moderator
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Good evening,
NNL, please, do you have an idea why patients with primary hyperaldosteronism (Conn's syndrome) dont develop edema?
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| P4a99
Moderator
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I know its "escape phenomena" bla bla, but is there a mechanism for it?
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| new_n_lost
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Very Simple i will post this as Question in Pathology Forum.
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"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| P4a99
Moderator
Topics: 50
Posts: 2,511
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thanks alot ...
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| mytime
Go Marching in!
Topics: 40
Posts: 3,165
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Very funny posted and answered urself what was the point yeahin ker daita. Anyway tuna meri haalath dekhi?! Reading opp. My eyes are jumping!!!!!!!!!!!! 
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| edie
I can, and I will.
Topics: 26
Posts: 1,199
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Hey NNL, thanks again for moderating the NBME discussions, excellent. And also thanks for helping me out with that hyaline concept, I shall never miss that one again, LOL!!!
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| unique1
Biochemistry
Topics: 23
Posts: 1,612
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Hi NnL , did you get a test date or they are still making you wait ?
Good luck  .
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| new_n_lost
Forum Hero
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They havent Given Me Anything yet but I do Believe its gonna be either 30th or 3st Aug cos Aug is the last mnth of my extended Eligibility.
___________________
"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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