dr_puma
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I use this song to get into the mood when I get up in the morning and when I go off track.
http://www.youtube.com/watch?v=OJXihzjGX9E
This is a lovely song by Rascal flatts
the lyrics are-
You feel like a candle in a hurricane
Just like a picture with a broken frame
Alone and helpless like you've lost your fight
But you'll be alright
You'll be alright
Cause when push comes to shove
You taste what you're made of
You might bend, till you break
Cause it's all you can take
On your knees you look up
Decide you've had enough
You get mad you get strong
Wipe your hands shake it off
Then you stand
Then you stand
Life's like a novel with the end ripped out
The edge of a canyon with only one way down
Take what you're given before its gone
Start holding on, keep holding on
Cause when push comes to shove
You taste what you're made of
You might bend, till you break
Cause it's all you can take
On your knees you look up
Decide you've had enough
You get mad you get strong
Wipe your hands shake it off
Then you stand (then you stand)
Yea, then you stand (then you stand)
Everytime you get up
And get back in the race
One more small piece of you
Starts to fall into place, yea
Ooohhh
Cause when push comes to shove
You taste what you're made of
You might bend, till you break
Cause it's all you can take
On your knees you look up
Decide you've had enough
You get mad you get strong
Wipe your hands shake it off
Then you stand (then you stand)
Then you stand (then you stand)
Yea, then you stand (then you stand)
Yea (then you stand)
Ohhh (then you stand)
Ohhh (then you stand)
Ohhh (then you stand)
Ohhh (then you stand)
Then you stand
---------------------------------------------
always gets me going
hope it helps others too
the mental aspect of mle is v imp
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| dr_puma
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250 q im uw -----8 hr flat w few 5 min breaks
kap psychiat----scan in 3 hr
crush-----40 pages----1 hr,speed read
jogging in the sun 30 min---very imp---keep me feeling alive
kap q book scan all hl text and q i did wrong...i feel it helps
read eponyms from oxford hand book of emgy med
do few ABG from HY abg
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| falcon
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Nice going , keep it up with high spirits, dr puma
GL
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| dr_puma
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thanks
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| dr_puma
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PULMONARY EMBOLISM [ACC TO NEW 17 ED HARRISON]
best initial test =spiral ct with iv contrast....this is the principal imaging test
v/q scan--now a 2nd line modality-----use in renal failure or contrast intolerant cases,even in renal failure patient better than V/Q SCAN will be MRI angi of lungs WITH GADOLINIUM CONTRAST AGENT[safe in crf/arf]
gold std=same pul angio,never really done
abg=no role-LACKS DIAGNOSTIC UTILITY
normal d-dimer is basically a rule out test ie if it is negative be happy no PE
CARDIAC ENZYME RAISED---MEANS POOR PROG
ecg --mc ab is t inversion v1 to v4
most pt of PE have no imaging evid of DVT---as the clot has slipped n settled in the lungs
or pelvic veins
ECHO---NOT RELIABLE FOR DIAG OF PE
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| dr_puma
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All HY Info on vaccination usa cdc
http://www.cdc.gov/vaccines/
http://www.cdc.gov/vaccines/recs/schedules/child-...
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| dr_puma
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NOTES HEMATOLOGY
SEE FILE
Attached Files:
BLOOD NOTE.doc (282 KB, 16 downloads)
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| dr_puma
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hope it helps
Attached Files:
ADULT PREVENTIVE SERVICES AT A GLANCE.doc (147 KB, 15 downloads)
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| dr_puma
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go thru it
Attached Files:
checkup_women usa.pdf (83 KB, 19 downloads)
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| angel23
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hey dr_puma
this is really helpful....good notes ... good job
keep on posting
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| dr_puma
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collected from another forum...not mine..but helpful
Attached Files:
1.doc (247 KB, 16 downloads)
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| dr_puma
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Fetal alcohol syndrome and phenytoin synd
Attached Files:
Doc2.doc (45 KB, 8 downloads)
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| dr_puma
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have been doing 120-140 q of uw ....need to get it up to 200 per day...with explanations will need 10 hr or maybe 11
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| dr_puma
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amazed myself...did 644 q of uw in 2 days flat 11 hr at laptop....it can be done...was able to read expl of wrongly answered q only.
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| dr_puma
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11 hr daily
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| dr_puma
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neuro needs polishing n need to speed read kap medicine too
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| dr_puma
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plan to r/v kap me d tonight in 7 hr only topics where i feel i could do with more info
UW has helped focus my mind on my weakness and increased my confidence too.
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| dr_puma
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Have been able to go thru uw in 20 days flat...score cumulative 60
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| falcon
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Hey dr puma, nice going, when is ur exam
GL
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| dr_puma
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14 july........only 30 days of sit at home solid prep,before that was in a very hectic job in a busy hospital....had done kap 1 time earlier...4 mnth ago
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| falcon
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Good luck dr puma, go for NBME, if u have already not given, at least u will get some feedback.
GL
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| dr_puma
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done 2ck july 14 2008
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| dr_puma
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WITING FOR RESULT MAYBE ON 6 AUG
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