| Goljan 500 Pages Lecture Handouts |
sr299, kabootra, drsergiu, doi, usmle001, Ferritin |
6 |
19% |
| Goljan Rapid Review By Elsevier |
new_n_lost, commit, bioguy, maadhulika, tia, docdoc9, milee99, mr.one, ssneha, drsumedha, drfasahat, rhdb, Hnnb, fahadusmani, ShweHope99.9998, doctor123, supra, moksha08, Smash82, kingsof2005, drusha, skm95, kare, caduceus, usmlekiller, Aashi |
26 |
81% |
| Author | 599 Posts |
Guyton
Forum Newbie
Topics: 1
Posts: 221
|
Ohh........you have entire forum with you buddy !
Now you got real challenge from your love ...........thats sufficient for you to get in to 2009 match, nothing else.
" .........
Bhale Ghor Andheraa Chhaave....Chale Chalo, Chale Chalo
Koi Kitna Bhi Bahekaave, Chale Chalo !
ok, getting in to 2009 match....nuvvu ela cheyyavo...lets see !
Edited by Guyton on 05/12/08 - 08:39 AM
___________________
Only as high as I reach can I grow, only as far as I seek can I go, only as deep as I look can I see, only as much as I dream can I be.”
|
| SOS
Forum Guru
Topics: 17
Posts: 534
|
i understand how you must feel kalyann,but i think she's not completely in the wrong... love is blind but you know what i,f one follows his/her love blindly its not good for both of them.... it must have been difficult for her as well..... because as you just explained,everything you had to do has affected her plans.... so it is natural for her to react... i know it must hurt but try to be strong... you gotta overcome this trouble and bring her lost faith back... try to talk to her... she will understand.... you both might have lost time,but remember you have each other... true love is precious... you both gotta support each other through this rough patch..
may GOD bless you both.
|
| target
Forum Elite
Topics: 3
Posts: 508
|
Hi Kalyan,
I admire you for your courage to put your struggles point blank here in your journal. Like Guyton says - we are there for you buddy. From my end, I feel losing a year or two is actually not a lot in the big scheme of where you want to take your life. When I graduated from medschool due to family circumstances I couldnt get the luxury of studying for another year preparing for All India or state board exams - I had to work to earn right away. All the ones who sat for a whole year at home got into service or post graduation. They got ahead almost a decade ago.....but now I have no regrets because that one year made all the difference to me. I was able to earn to buy a beautiful golden bangle for my mom - still remember her proud smile - it was her last year from ovarian cancer....
Remember, it is your call and your prep and your confidence to take the exam when you are ready. Neither mom or your girl is going to be happy if you take it in the time frame they wanted and didnt do as well as you would have if you had the time/confidence. It is the final performance that matters ......and this is a helluva of an exam to face......no short cuts........it is not the mugging up ......you have to know your stuff.......mechanisms guys, mechanisms- sounds like your fav prof huh?
So be easy on yourself........You have helped so many despite your troughs ......that what it takes to be a good doc.......you have all the support from your buddies here.....in the long run the ladies will get it ! So cheer up and keep up the confidence in you - focus on Step1 .......not 2 not 3 not CS.not the 2009 match......."Step1 at Kalyans' BEST." We have faith in you, buddy.
___________________
In Him I trust !
|
| study499
Forum Elite
Topics: 3
Posts: 431
|
Kalyan,
Nobody means to hurt u...esp. not her...if even one person on earth is having faith in u is your love...and you know it yourself how much we have confidence in you...
I am gone go for match 2009 and u know how behind I am and how many days I have wasted so far but that not gone stop me...you probably saying..Oh yah...but that not gone stop me...I believe I can...
Please my friend...don't stop believing...don't get distracted...tell yr love ones not talk abt USMLE till you are done...
I am more hopeful only because of u...so pls don't let me lose that hope even if its a fake one...its the only thing that keeps me going....
I might not know you very well but I know you will make it...I know it Kalyan..I’m not just saying this but I can sense it....
For now pls just think about Step1....just focus on step 1....do not think abt match 2009...think your name is there for match 09...and they are waiting for yr step1 exam..Which has to be taken in about 1 month....You are doing great Kalyan...don't lose yr chances...
And be happy you have her...so many of us have to go thru this totally alone with no love ones beside us...don't get affected by just meaningless words....
Kalyan, pls don't let me or anyone lose our faith in u...
___________________
Everything is Possible!
|
| Kalyann
Forum Elite
Topics: 4
Posts: 530
|
A 24 yr old male is brought to the emergency room by a group of friends because he attempted to hang himself. On initial examination, it was evident that he has sustained a cervical vertebral fracture... he was quadriplegic, but made it evident that he didn't want any treatment. The possibility of respiratory paralysis was almost certain, unless an emergency spinal surgery was performed which has a success rate of 80% . It was known that he has been living with 2 of his best friends for past 7yrs. Upon contacting them, they revealed that he has been very depressed for over 1yr after the death of his girl friend. They said that he never talked about suicide. The friends didn't want forced treatment even if the condition is life threatening. What is the best action the Physician should take next?
1- Don't treat because the patient didnt want any treatment
2- Don't treat because the friends didn't want forced treatment
3- Go ahead with the surgery
4- Take it to the hospital ethics commitee
5- Go to the court.
___________________
Just hit the Bull's Eye with a 99.
|
| study499
Forum Elite
Topics: 3
Posts: 431
|
hmmm
Choices 2 and 5 are wrong....1 cldn't be right cas the patient is suicidal..so left wt 3 and 4 and I wld pick 4...
___________________
Everything is Possible!
|
| miki75
Forum Newbie
Topics: 1
Posts: 31
|
Hi Kalyann,
You know, reading your thoughts I see myself there, or almost there. My parents lost hope for me, so I am not discussing with them my future plans. My wife still has some believing in me, but I know that if I don't make it now this will be lost too ... forever. What she did is she left me alone, by myself only, till the exam is done, so I will have all the time I need. No interruptions, except one phonecall per day. So what I am doing is just study, doing my best and do not discuss nothing about that with people who did not have been there, doesn't have an idea what is to prepare the medicine exam, etc. They don't understand. God will forgive them. They don't know.
Thanks to this forum I still have energy to work hard. Thank you friends.
Good Luck everyone.
|
| Kalyann
Forum Elite
Topics: 4
Posts: 530
|
I think the case is clear cut when u analyse it point by point.
Attempted Suicide qualifies him as depressed and makes him incompetent. So no psychiatric evaluation is necessary. Psych evaluation is done onli in equivocal cases wer u r unable to decide wether he is competent or not. Moreover, he hung himself.. So hypoxia...which may be interfering with the patients capacity to understand his medical condition...
Friends/Co-workers cant be considered as proxies, unless designated by the patient, no matter how long they live with him or worked with him
Ans : Go ahead and treat the pt. Acting in the best interests of the patient...cos the pt has no capacity to make judgement ( decision ), no proxy, no written directive = BEST INTEREST STD.
___________________
Just hit the Bull's Eye with a 99.
|
| miki75
Forum Newbie
Topics: 1
Posts: 31
|
Kalyann wrote:
A 24 yr old male... attempted to hang himself. ...sustained a cervical vertebral fracture... he was quadriplegic, but made it evident that he didn't want any treatment. The possibility of respiratory paralysis was almost certain, unless an emergency spinal surgery was performed which has a success rate of 80% . ... has been very depressed for over 1yr after the death of his girl friend. ...never talked about suicide. The friends didn't want forced treatment even if the condition is life threatening. What is the best action the Physician should take next?
1- Don't treat because the patient didnt want any treatment
2- Don't treat because the friends didn't want forced treatment
3- Go ahead with the surgery
4- Take it to the hospital ethics commitee
5- Go to the court.
- 2 - out --> friends are no relatives, 4,5 - out --> this an emergency
- 1 or 3 ... well you cannot be sure what a quadriplegic patient is trying to tell you, can you, furthermore he is suicidal --> I will go for 3.
|
| Kalyann
Forum Elite
Topics: 4
Posts: 530
|
Thanks guyton and target...Ummmaaaah love u friends
And SOS .. u do have a point... No one is wrong... Its tough times...It will pass by.. and no way i am gonna lose her... She's too cute to lose....
Study Study Study 499...... Thanks a lot.. U will not prolly see another post which makes me incompetent ( seem depressed )...
Thanks Miki...Dude... What ur doing is gr8.. Needs a helluva lot commitment to do wat u r doing... Thanks again for sharing ur story with me....
___________________
Just hit the Bull's Eye with a 99.
|
| miki75
Forum Newbie
Topics: 1
Posts: 31
|
Well, it look like this not an age-dependet story, it happens sometime in your life and you just have to deal with it. After that go back to Normal . The truth is that this had happened to me more than 3 times ... such an "exams" of love, hope and trust... till now. Still passing score  .
I am sure you will find your way to deal with it. There is no Rx for that. Believe in youself, you can do it. I am sure you can.
|
| Kalyann
Forum Elite
Topics: 4
Posts: 530
|
A 68 year-old man attempted suicide by driving his car into a telephone pole with the
intentional purpose of ending his life. He was found severely hemorrhaging and in
the emergency department he refuses to give his consent for surgery necessary to stop
the bleeding.He states that he wants to die. He was recently diagnosed with cancer
and refused surgery to remove it. He states that his life had been complete and now
he wishes to end it.
What should you do about the surgery to stop the bleeding now?
a. Follow his stated wish and withhold surgcry.
b. Perform the surgery.
c. Obtain a court order to force the surgery.
d. Ask the family members for consent.
___________________
Just hit the Bull's Eye with a 99.
|
| miki75
Forum Newbie
Topics: 1
Posts: 31
|
completely conscious patient, refused before a life-saving procedure, I would follow his wishes:
a. Follow his stated wish and withhold surgcry.
|
| basophilia
Forum Senior
Topics: 7
Posts: 221
|
i go for A too
|
| vikasbhushan
Forum Newbie
Topics: 1
Posts: 7
|
its correct in the second question u need to follow A...
Kalyann u need to keep cool remember theres one thing on which the entire universe works which is a secret and the secret is "the law of attraction" Through ur thoughts u attract...u are like a magnet and attract like things...and ur thoughts are that magnet so if u think and picture urself as not able to do it its negativity and by the law of attraction u will attract more negativity...take an example if u think abt an elephant u will think abt more elephants their lifestyle,their habitat,their food i men anything related to it so the primary thought was the elephant and attracted like thoughts abt it...So what u can do is ur choice wither be a positive magnet or be a negative magnet now u know the secret so work on it and im sure a person like u should have no problem at all...because ur a really cool and helping person...
|
| milee99
Forum Guru
Topics: 40
Posts: 888
|
You know what kalyan,
I also give my hubby such shocks sometimes .. BUT MY INTENTION IS TO MAKE HIM WORK HARDER.. even at the cost of hurting him a bit
so don't worry.. it is just a phase and will pass ...
By the way .. Great question up there
Study well !!!
___________________
Do not pray for easy lives,Pray to be stronger men; Do not pray for tasks equal to your powers, Pray for powers equal to your tasks; Then the doing of your work shall be no miracle, but you shall be the miracle.
|
| Kalyann
Forum Elite
Topics: 4
Posts: 530
|
Kalyann wrote:
A 68 year-old man attempted suicide by driving his car into a telephone pole with the
intentional purpose of ending his life. He was found severely hemorrhaging and in
the emergency department he refuses to give his consent for surgery necessary to stop
the bleeding.He states that he wants to die. He was recently diagnosed with cancer
and refused surgery to remove it. He states that his life had been complete and now
he wishes to end it.
What should you do about the surgery to stop the bleeding now?
a. Follow his stated wish and withhold surgcry.
b. Perform the surgery.
c. Obtain a court order to force the surgery.
d. Ask the family members for consent.
(b) Perform the surgery.
This patient's injury is in a sense the same as a Purposeful drug overdose jumping off a bridge, or trying to shoot himself.In this case the car is a large gun. Although an adult patient with the capacity to understand his medical care can refuse treatment, this is not the same as allowing Patients to kill themselves. People actively trying to kill themselves are, by definition, not considered competent.The right to autonomy ends just short of condoning active suicide. lt is assumed in this case that the suicide attempt was performed while under the intolerable emotional burden of recently having found he had cancer. An assumption is made that when acute life stressors lead a patient to attempt suicide that they are temPorarily incompetent and Psychotherapy or psychopharmacology may help him. lf you review the question you will see that the case never stated that the cancer was incurable, progressive or even fatal
___________________
Just hit the Bull's Eye with a 99.
|
| doctor123
Forum Senior
Topics: 12
Posts: 254
|
I will go for C
___________________
ALLAH; guide me to the Path of Success.
|
| veteran
Forum Newbie
Topics: 0
Posts: 57
|
Kalyan, looks like you are past the depression phase. USMLE is a roller coaster. Never lose hold of reality. Winners never quit, Quitters never win. Try to make progress every day inspite of circumstances. All the best to you! 
|
| miki75
Forum Newbie
Topics: 1
Posts: 31
|
Kalyann wrote:
... People actively trying to kill themselves are, by definition, not considered competent.The right to autonomy ends just short of condoning active suicide. lt is assumed in this case that the suicide attempt was performed while under the intolerable emotional burden of recently having found he had cancer. An assumption is made that when acute life stressors lead a patient to attempt suicide that they are temPorarily incompetent and Psychotherapy or psychopharmacology may help him. lf you review the question you will see that the case never stated that the cancer was incurable, progressive or even fatal
good point, thanks, I will remember that.
Good luck with your study. You are doing great.
|
| miki75
Forum Newbie
Topics: 1
Posts: 31
|
vikasbhushan wrote:
..."the law of attraction" Through ur thoughts u attract...u are like a magnet and attract like things...and ur thoughts are that magnet so if u think and picture urself as not able to do it its negativity and by the law of attraction u will attract more negativity... ... is ur choice wither be a positive magnet or be a negative magnet ...
100% agree with you, tested many times, it works. Single thing is ... there is no time frame - could be 6 months or 6 years, or more, but it works always.
|
| Kalyann
Forum Elite
Topics: 4
Posts: 530
|
A FRIEND of mine, ' Gauri ' , pm'ed me this ...
Thank you so much ... and * Hugs*
Something i know about u ...
You'll do it!!
Somebody said that it couldn't be done,
but he with a chuckle replied
That may be it couldn't be done
but he would be the one who wouldn't say so 'til he'd tried!!
so, he buckled right in, with a trace of grin on his face,
if he worried he hid it.
He started to sing as he tackled the thing
that couldn't be done, but he hid it
somebody scoffed" oh, you'll never do that,
atleast no one has ever done it.''
But he took off his coat, and he took off his hat,
and the first thing we knew he'd begun it;
with a lift of his chin, and a bit of a grin,
without any doubt or quibbling, ( quibbling - arguing over petty things )
he started to sing as he tackled the thing
that couldn't be done and he did it!!
There are thousands to tell you it cannot be done;
there are thousands to prophecy failure;
there are thousands to point out to you, one by one,
the dangers that wait to assail you;
but just buckle in with a bit of a grin,
then take off your coat and go to it;
just start in to sing as you tackle the thing
that "cannot be done" - and you'll do it!!
Been there …actually still there ..but im soo damn stubborn to give up on myself ….. don’t u ever give up on urself …not matter what …thts the only way u can make other believe back in you ….. keep trying …keep fighting
TRYING HARD
Trying hard
So many years,
Fighting back
My falling tears.
Trying hard
To make you proud,
Screaming loud
Without a sound.
Trying hard
To do my best,
But i hope i am not failing
All your tests.
Trying hard
To be so good.
I screw up
You knew I would.
Trying hard
Is all I do.
But when I try
I try for you.
___________________
Just hit the Bull's Eye with a 99.
|
| g@uri
Forum Newbie
Topics: 4
Posts: 62
|
thank u for counting me as your friend.... we ( im sure everybody agrees ) lookupto you for your 'never say die' attitude ..... go for it
___________________
Perceive. . . Conceive. . . Believe. . . & Achieve
|
| Kalyann
Forum Elite
Topics: 4
Posts: 530
|
May 13 POA :
Pathophysio :
RBC , Platelets , Blood Bank & Transfusions , Adrenals , Diabetes
Pharmac :
Anti platelet Rx , Anti Coagulant Rx , Thrombolytic Rx , Anti Diabetic Rx
Micro-Immuno :
Bacteriology till Actinomyces
Succesful in completing 85% of todays portion ( stroke through ).
Will work hard tomorrow to make up for the 15 % backlog ( Red Highlighting ) of today.
I am gonna do it.... I know how i can handle this now....
Wooooooooooooooh............. Just cant wait for tomorrow to start and get going ....
Edited by Kalyann on 05/13/08 - 03:03 PM
___________________
Just hit the Bull's Eye with a 99.
|
| Kalyann
Forum Elite
Topics: 4
Posts: 530
|
MAY 14 POA :
Pathophysio :
WBC , Thyroid , Parathyroid
Pharmac :
ANS Rx , Anti Thyroid Rx , Glucocorticoids , Rx of Bone-Mineral Disorders
Micro-Immuno :
General Microbiology
Bacteriology till Helicobacter
On May 15 th Morning 11 AM ,
UW Pathophysio Questions Test on Haemotology = 67
Diagnosis : Common Cold...
Pls somebody find a permanent cure to this ...
Feeeling all the malaise in the world... Dont have energy to proceed ... So hitting the bed early... With quite soem backlog today.... Unexpected... But thats the way it is... Only thing i am happy abt today is Milee's score...Well done mileeee... Continue ur determination to Step 2 CK CS.
Study499... U have excellent chance to beat me and go ahead of me... Lets c how u handle this advantage.....
PS: This is just for fun , study499.. Dont feel pressurised by this race kinda thing... Concentrate more on reading the material for last time...Bye for now..
Signing off today... Hope the Flu subsides by tomorro...
Edited by Kalyann on 05/14/08 - 02:05 PM
___________________
Just hit the Bull's Eye with a 99.
|
|
| |
| | | | | | | | | | | | | | | | | | | | | | | | | |
You don't have permission to post.
|
