drpearl
Forum Newbie
Topics: 2
Posts: 28
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I need to start like a donkey as soon as i can.But feelings of hopelessness are in my way.What should i do ?After 6 months of hard study and score sof 570 in Nbbme i just got 77 in step one.What will happen in step 2 ck.I really need high scores to get residency of my choice or good university programme,may be i need a study partner.I have a toddler around and i have to follow him every where and this is the worst age of kids.
I left my little daughter with my mom for the sake of these studies,ut i just feel guilty and doing nothing as soon as is start i feel i know everything but scores made me feel aweful.There is so much going on in my life what should i do?
Now i have started keeping this journal to motivate myself to study whatever the circumstances will e and hopefully Allah gonna help me.
I am planning to end Git today,while my baby opened his diaper and peeon the carpet also his now throwing water on carpet.God i have to cook too.
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| drpearl
Forum Newbie
Topics: 2
Posts: 28
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I did Cardiology today the first five pages,cooked today,took care of my Baby,so i did well and plan to read 5 to 6 more pages Inshallah before going to bed.
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| drpearl
Forum Newbie
Topics: 2
Posts: 28
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Ok did not do more than 5 pages but definitly i am gonna start now and do 10 pages or more Inshallah.
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| drpearl
Forum Newbie
Topics: 2
Posts: 28
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Happen to see conard fisher today ,he is amazing and motivated.
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| jot1313
Forum Newbie
Topics: 0
Posts: 4
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wow .......working so hard to study ....ur hard work will pay
GL
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| drpearl
Forum Newbie
Topics: 2
Posts: 28
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Thanks jot1313, Your words are really encouraging,could not sleep well last night and running fever.But still i listened one lecture cardio today and two three pages cardio.I bought usmle world as well and did 15 mix questions score was 59 % without studying, just for assesment.So was good, my son is getting naughtier ,thinking to get a child care swap or day care for him.But guilt will kill me.
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| drpearl
Forum Newbie
Topics: 2
Posts: 28
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hmm ,happened to see a Pakistani resident working in emory today in surgery.Hmm it was good to see him and he also said if get really good score on ck i can still make adifference.So heads up and will work hard.
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| drpearl
Forum Newbie
Topics: 2
Posts: 28
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Yeah what is the motivation for me to work as a doctor?Yeah my Motivation is to be a good doctor and to help others , other who are sick if i study hard i'll save them from morbidity and mortality.If i am not i'll not e able to help anyone not even myself.I know i need money too to buy a car, a house acouch and other stuff, also to provide good living standard to my kids but still i have to study to bbe knowledgeable to know my stuff my profession first, my hard goal is to end Medicine and peds in 12 days and do questions as much as possible .so I am trying to watch dvds as well 8 lectures a day, one block usmle and readin g thye same topics from peds is my goal for nest 12 days starting from today. I can do it and i'll do it.Let's get start i will write before going to ed how much i accomplished with my darling son.
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| sukhs
Forum Senior
Topics: 14
Posts: 172
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drpearl ..u r going great...wen is your exam?
mine is in november....
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| drpearl
Forum Newbie
Topics: 2
Posts: 28
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Planning for october Inshallah. I am giving myself two months to study so i can catch few interviews for match.
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| alexaE
Forum Elite
Topics: 23
Posts: 334
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good luck drpearl. you'll work hard and it'll pay off
___________________
veni vidi...vincam
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| drpearl
Forum Newbie
Topics: 2
Posts: 28
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I did just one and half lecture of Im but many things i had to do, bought a car today.So one thing is done and now i will have more concentration on my studies.I should do it coz i can do it.Remember good things about you don't feel depress .Think how your seniors use to say we havenot seen any one like dr pearl working on patients,those patients who use to say thanks to me that they got pregnant and have kids, how i saved people to not abort their kids and God gonna help them.Think good i am good and i will make difference. I know i have to take care of too much stuff but i'll get residency in deire field,and step one score not gonna discourage me.I'll make more concepts and more by understanding this material and i can do it in two months Inshallah.
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| drpearl
Forum Newbie
Topics: 2
Posts: 28
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yaar i have to do rhematology and cardio today Give one reading and listen to dvds as much as you can.That's it .Just downloading all videos on my ipod and listen while laying down or doing nothing coz nothing gonna help you except studying.This is the last exam you have to take keep going.Write down the plan and go for it, don't be lazy, stay ambitious.Every body can do it , so do it. So heads up.
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| drpearl
Forum Newbie
Topics: 2
Posts: 28
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I am not doing much i just did hardly one lecture conard fisher and one lecture obgyn, just talked to my friend who is taking csa and disscussed the cases i got.I do not know what to do right now i had to cook also and now i am so tired.I have talked to one resident's mom how lucky are they and why i am not lucky. I am frustrated again.I am losing hope.When will is study without any probblem or anything in my life.When there will be no hardships and i can focus. I wanna cry out.I have to be done with ck with good scores and i know i can do it but why not i am doing it.I wasted so much time and at this time i don't even have energy for offering prayer.Every one is happy but i am not.
Now onwards I'll not waste time in surfing net, no craiglist,cooking on weekend and i'll study like an Md, yeah i would.I need to make my dreams come true and have to work hard, no body can help except Allah and your own hard work,find solutions to these prolems and give your ebdest shot watch dvds make notes do usmle world, get up no time wasting.
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| drpearl
Forum Newbie
Topics: 2
Posts: 28
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I did preventive medicine one lecture of ob gyn and peds , and need and listen kaplan dvds ,
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| drpearl
Forum Newbie
Topics: 2
Posts: 28
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I did usmle world for preventive medicine all of it out of 29 i got 10 right 34% which is really not good, all this stuff is not written in kaplan , so i guess i need to add it too.
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| drpearl
Forum Newbie
Topics: 2
Posts: 28
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Yeah my little sweetie, mommy misses you. we will be together in few months, just pray for me ,there is not a single moment in my life that i don't think about you,When i see someone holding their little girl in their arms ,mommy wanna touch that baby , so she can tell herself that you are not far away, mommy is not lucky enough, so just bear it with me .I love you.
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| draashna
Forum Junior
Topics: 9
Posts: 48
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Hey drpearl, I can understand your feelings. Hope that you clear your exams soon and get back to ur little one soon
Just keep working you will get there.
All the best!!
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| aiysha
Forum Senior
Topics: 31
Posts: 133
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hi drpearl
i can well understand your situation as i am in the same boat taking care of toddler and cooking and cleaning.but dont you worry INSHALLAH we will pass these steps and will get into a good residency programme.good luck and dont forget me in your prayers
one question are you from pakistan & whats your year of graduation.
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| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,235
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drpearl:
Mom of three speaking here, 257/99 in step 2 CK, graduated in 1992...
Don't let guilty get the best of you. Your kids need you to be happy for them to be happy, too.
I am praying for you, you can do it! Step 2 is much more interesting to study for then step 1.
___________________
When men make the rules, God decides the exceptions.
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| drpearl
Forum Newbie
Topics: 2
Posts: 28
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Thanks draashna,ayisha and arlete for stopping by , your words were quite encouraging in order to pull me out from sea of restlessness and frustration.
yeah i need to work hard and do not feel guilty about it sooner i am done soon i will be able to support my kids.
Aiysha , i am from Pakistan and 2003 graduate.I'll remember you in my prayers and you too please pary for me may Allah make my life easy.
Arlete, congrats for such a big accomplishment, can you please guide me how you managed to study with kids and stuff.i wish you real goodluck with residency.
yaar whenever you stop by just kick me to get started so i f should orget everything and study as hard as possible.
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| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,235
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drpearl:
I think you have to learn how to study in small intervals, rather than having to sit for hours to do it. If you have 15 minutes while in the doctor's waiting room, study. If the kid and husband are sleeping and you don't feel like it, study, even if for 10 minutes. Long line at the grocery store? Study. I carried flascards with me everywhere. Any little amount of time was not wasted. I think that helped.
___________________
When men make the rules, God decides the exceptions.
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| draashna
Forum Junior
Topics: 9
Posts: 48
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Thats a wonderful piece of advice arlete. I was always wondering that we can never get long hours to study with kids and family , and its really difficult to concentrate in small chunks of time one gets.But you are right ..we shd learn to do so.....no other choice. Thnaks a lot. Good luck for future. and good luck drpearl!!!
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| paheli
It'sAllAboutGoodKarma
Topics: 177
Posts: 2,366
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dear drpearl,
i think you're a lady of immense strength. i read your posts, and it's easy to see that your road seems long and hard. but i just want to tell you that nothing NOTHING that is good in this life comes easy. nothing that comes easy is worth having.
when you get overwhelmed, think of yourself as a happy resident, and years later as an attending, maybe even higher. isn't that what you are doing all this for? you cannot achieve any of those in one big step. you can only get there by many many many small steps. small steps like each reading session, each qn block on uw, each revision, each sleepless night, each time you finish cooking in a hurry so you can get back to your books........
all these difficulties is for your babies. who else!! isn't it worth winning this, only to see a better future for them? if you have them in your heart, as you do right now, then you can definitely succeed!!
good luck!!
___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| drpearl
Forum Newbie
Topics: 2
Posts: 28
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Thankyou my friends , it feels like a family when i see friends around.I feel i am really under depression whatever the reason is i can't enjoy sleep, studies and life.No concentration, no motivation, no energy etc.I am falling prey to it.I plan to see doctor Inshallah, yeah i need medicine so i can live healthy for the sake of my kids and parents.
I applied for Nanny job today and lady told me that she gonna pay me $200 per week for 9 hours full time work,Gosh how bad i felt.Yeah i need money as well coz i usually have nothing in my hand a dollar or two , i can't buy stuff for my kids so i guess will have to live like that for few more months until i pass step 2 ck, strenghthen my heart to leave my baby at day care and go for clinic jobs or so.
So yaar start was not good but next 6 hours will be very good just study and nothing else.
Plan is to end three units, revise what i did not get last time and do usmle world questions, people are saying that they tremendous mistakes in answers and low yield topics, so i'll keep my eyes open.and here i go.
For all friends i am gonna post very high yield topics list i got from this forum.
Pulmonology:
Pneumonia – Types and treatment
COPD – Treatment, Home Oxygen guidelines etc
Obstructive VS restrictive diseases – PFT
Pleural effusion – transudate vs. Exudate
Bronchiectasis –Diagnosis and Radiology findings
Pulmonary thromboembolism—Know treatment protocol well.
ARDS – Diagnosis esp. ABG findings.
Lung Cancer – Approach to solitary nodule.
Low yield topics are ABPA, Occupational lung diseases and Asthma.
Cardiology:
Angina – Printzmetal angina, unstable angina; Drugs used in treatment
MI – Enzymes, ECG changes, thrombolytic therapy, Localization of MI. Drugs used for treatment, Non Q MI, Complications of MI.
Congestive heart failure – treatment.
Valvular heart disease – Its treatment esp. indications of valve replacement / valvotomy.
Changes in Murmur with different maneuvers esp. squatting and Valsalva.
Cardiomyopathy – How to diagnose and pathophysiology.
Cardiac tamponade vs. Constrictive pericarditis.
ECG interpretation of AV Blocks, Tachy arrhythmias and metabolic abnormalities.
Management of AV Blocks, SVT, AF, Atrial flutter, VF, VT and PEA. Read ACLS guidelines for this topic.
Hypertension – Drugs for each age group and co morbid illness.
Endocrinology:
Hyperprolactinemia – Treatment
Diabetes insipidus – Nephrogenic vs. Neurogenic.
SIADH – Know everything about this.
Thyroiditis – Types
Hyperparathyroidism – Lab features.
Diabetes Mellitus – DKA, Late complications and factitious hyperinsulinism.
Cushing’s syndrome – Work up
Pheochromocytoma -- Diagnosis and Management
Addison’s disease – Diagnosis.
Nephrology and Electrolytes:
ABG interpretation
Acute tubular necrosis vs. Pre renal shut down
TTP
HUS
Nephritic and Nephrotic syndromes – Diagnosis and characteristic age groups / associations.
Indications of Dialysis.
Hypo / Hyper – natremia & -- Management
Hypo / Hyper – kalemia – ECG changes and management.
Nephrolithiasis
Secondary Hypertension – Workup and etiology.
Hematology:
Anemia – Diagnostic criteria for different subtypes
Hereditary spherocytosis – Interpretation of Osmotic fragility and peripheral smear recognition.
Leukemia -- Diagnostic criteria for different subtypes.
Multiple myeloma – Know clinical presentation
DIC – Clinical, Lab and Management.
Infectious diseases:
Meningitis & Encephalitis – Clinical , CSF findings and treatment
Otitis media
Lung Abscess – Clinical and radiology
Pneumonia – Types and treatment
Tuberculosis – Clinical features, Diagnosis, Treatment esp. prophylaxis.
Infectious Diarrhea and Food poisoning – Etiology.
STD – Know in and out.
Pyelonephritis – Investigation and management.
Osteomyelitis vs. Septic Arthritis – Diagnosis
Infective Endocarditis – Organisms and Prophylaxis
Opportunistic infections in AIDS.
Preventive Medicines:
Adult and Pediatric Vaccination schedules
Screening for cancer, lipid disorders etc.
Neurology:
Guillain barre syndrome
Head ache
Myasthenia gravis
Rheumatology:
Gout vs. Pesudo gout – diagnosis and treatment
Rheumatoid arthritis – diagnosis and treatment
SLE
Osteoarthritis – Diagnosis
Gastroenterology:
GERD – Diagnosis and treatment
Achalasia, Scleroderma , Diffuse esophageal spasm , Zenker diverticulum -- Diagnosis and treatment.
Esophageal Cancer -- Diagnosis and treatment.
Pseudo membranous colitis -- Diagnosis and treatment
Diverticulosis -- Diagnosis and treatment
GI Bleeding -- Diagnosis and treatment
Acute Pancreatitis – Diagnosis, complications and treatment
Viral Hepatitis – Diagnosis.
Wilson’s disease -- Diagnosis and treatment
Miscellaneous:
TCA, Salicylates, Carbon monoxide and Lead poisoning
Heat disorders – cramps, exhaustion, stroke etc.
Old Age -- Related changes & problems.
Pediatrics: There is considerable overlap between Medicine and Pediatrics. A high yield strategy of studying would be to read both together topics wise.
I have listed the topics unique to pediatrics which are high yield.
APGAR score
PKU & Galactosemia – Enzyme defect, screening and Clinical features
Neonatal drug wthdrawal
Respiratory distress in newborn – HMD, sepsis, Transient tachypnea of newborn, meconium aspiration syndrome and PPHN.
Congenital infections – TORCH
Tracheo esophageal fistula.
Breast milk vs. Cows milk – micronutrient differences and deficiency.
Developmental milestones
ADHD
Nocturnal enuresis
Autism vs. Asperger syndrome
Acetaminophen, Iron, salicylates and Lead poisoning
Meningitis – organisms.
Pertussis – Diagnosis and treatment.
Erythema infectiosum
Lyme’s disease
Rubella vs. Rubeola
Scarlet fever vs. Kawasaki’s disease – clinical, diagnosis, treatment and complications.
Congenital Immune deficiency disorders – Clinical features.
Pharyngitis
Croup vs. Epiglottitis – Diagnosis , treatment and organism.
Cystic Fibrosis
Congenital Heart disease – Identify the murmurs and clinical presentation
Congenital Pyloric stenosis
Intussusception
Post streptococcal nephritis
Congenital Adrenal Hyperplasia
Sickle cell anemia
Wilm’s tumor vs. Neuroblastoma
Neuro cutaneous syndromes – TS, NF, VHL etc.
Syndromes – Down, Turner, Fragile X, Prader Willi and Trisomy 18.
Psychiatry:
Ethics
Doctor patient relationship
Mood disorders – Criteria for diagnosis and treatment
Schizophrenia vs. Schizophreniform disorder
Delirium vs. Dementia – Etiology
Substance Abuse
Anorexia Nervosa vs. Bulemia Nervosa -- Criteria for diagnosis and treatment
Wild, Weird and Worried – Personality disorders
Anti psychotics – Uses and Side effects
Types of prevention
Sensitivity, Specificity, PPV & NPV
Case control vs. Cohort study – RR, AR, & OR
Normal Curve
Statistical tests – Where what is used?
Surgery & Orthopedics:
Trauma – Management of specific conditions
Post operative complications
GI Bleeding
Cholecystitis
C/A Colon
Pediatric Ortho – Leg Calve Perthe’s disease, Slipped capital femoral epiphysis and Nursemaid elbow
Obstetrics and Gynecology:
Triple marker test
NST & BPP interpretation
Syphilis in pregnancy
III rd Trimester bleeding – Diagnosis and Management
Abortion – Types
Preterm labor – Management
Hypertension in pregnancy – Diagnosis and Management
Fetal Heart rate monitoring and its interpretation
Forceps vs. Vacuum
Post partum Fever
C/A Cervix and Endometrium – Know diagnostic steps
Ovarian masses – Pre pubertal vs. Post pubertal – Diagnostic approach and Management
Ectopic pregnancy
Endometriosis – Diagnosis
Primary Amenorrhea – Workup
PCOD
Miscellaneous:
Orbital Cellulitis vs. Peri orbital cellulitis
Fundus pictures
CT scan of SDH ,EDH & IVH
Pictures of contact dermatitis, Meningococcemia
Pictures of Mediastinal widening.
tomorrow i am gonna post list of topics need revision from step one books.
So enjoy friends, may you live long,you give me hope to live and work hard.Take care love you all friends.
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