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Goljan 500 pg notes or Rapid Review ?
Goljan 500 Pages Lecture Handouts 21%
sr299, kabootra, drsergiu, doi, usmle001, Ferritin, ouba, becky
8 21%
Goljan Rapid Review By Elsevier 79%
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, drabhishek, usmle2009, Atahualpa, dr_puma, usmle999
31 79%
39 votes


Author656 Posts
  #461

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 smiling face. 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 wink.

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.


  #462

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.


  #463

completely conscious patient, refused before a life-saving procedure, I would follow his wishes:

a. Follow his stated wish and withhold surgcry.


  #464

i go for A too


  #465

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...

  #466

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 !!!

___________________
If you really want something, you will find a way. If you don't, you will find an excuse.

  #467

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


  #468

I will go for C

___________________
ALLAH; guide me to the Path of Success.

  #469

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! nod

  #470

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.


  #471

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.nod


  #472

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 nod



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.



  #473

thank u for counting me as your friend.... we ( im sure everybody agrees ) lookupto you for your 'never say die' attitude ..... go for it nod

___________________
Perceive. . . Conceive. . . Believe. . . & Achieve

  #474

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

  #475

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

  #476

Wowwww Kalyan,

Well done...U did start...so u will finish it too...

a great job done today...It motivated me to start too...Can i follow u too, my mentor?

If u don't mind, I will do what u did yesterday...In this way when i see u hv crossed off the list, it pushes me to go faster..

So if u work harder...I work harder too

If u stop...I might stop too

Pls don't stop...but work harder

let me know if that's OK...Now time to go to bed...I hope, tomorrow is d day I' ve been awaiting for...


___________________
With God, all things are possible.

  #477

I dont mind having followers and fanz..... wink

You can follow if i u r ready to beat my efforts...


  #478

Yes, I will beat unod...just wait and see

In fact forget abt yesterday...I will do what u r going to do today...AND we'll see who has done moregrin

So u better give all u hv...cos someone soooooo determined is coming...

but after she gets some rest..


___________________
With God, all things are possible.

  #479

Until I am back tomorrow... have a laugh...

Before Marriage - - -

Boy: Yes. At last. It was so hard to wait.

Girl: Do you want me to leave?

Boy: NO! Don't even think about it.

Girl: Do you love me?

Boy: Of course! Over and over!

Girl: Have you ever cheated on me?

Boy: NO! Why are you even asking?

Girl: Will you kiss me?

Boy: Every chance I get!

Girl: Will you hit me?

Boy: Are you crazy! I'm not that kind of person!

Girl: Can I trust you?

Boy: Yes.

Girl: Darling!

After marriage - - - simply read from bottom to top !!!!!


  #480

Heyyy,

Well in my case, reading it from bottom to top was before marriage...forget abt after marriage...no just jokinggrin

Yah, no pressures...no worries...although don't mind some pressure...

A permanent cure....hugs and kisses from yr lovewink

Get better tom and come back to d game...


___________________
With God, all things are possible.







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