Culture of medicine and time off
I’m wondering if this is just something personally engrained in me or if others can relate.
I’m in my last year of psychiatry residency, recently had abdominal pain, vomiting and went to the ED. Had elevated LFTs, bili, lipase, WBC. Ended up with a 3 day hospital stay, ERCP with 2 stents placed and a cholecystectomy.
I’ve taken no FMLA or extended time off my entire residency and asked for 2 weeks to recoup which ended up being granted.
I’m 3 days out and feeling so incredibly guilty. I...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - March 12, 2024 Category: Universities & Medical Training Authors: samac Tags: General Residency Issues Source Type: forums
Re: Effectiveness of conservative management versus laparoscopic cholecystectomy in adults with uncomplicated symptomatic gallstone disease (C-GALL trial): pragmatic, multicentre randomised controlled …
(Source: BMJ Comments)
Source: BMJ Comments - February 13, 2024 Category: General Medicine Source Type: forums
Conservative management versus laparoscopic cholecystectomy in adults with uncomplicated symptomatic gallstone disease and the risk of cholangiocarcinoma
(Source: BMJ Comments)
Source: BMJ Comments - December 14, 2023 Category: General Medicine Source Type: forums
Re: Effectiveness of conservative management versus laparoscopic cholecystectomy i
(Source: BMJ Comments)
Source: BMJ Comments - December 11, 2023 Category: General Medicine Source Type: forums
What operations requires strict NPO?
I see surgeons order in NPO strict or NPO with meds and ice before surgeries, but there doesn’t seem to any obvious reason why they pick between the two. Some surgeons order NPO strict for laparoscopic cholecystectomy and others will be okay with ice and meds for the same procedure. I’m sure there are surgeries and risk factors that require strict NPO (bariatric, gastroparesis,etc), but is there any resources I can review to determine how this is figured out? Thanks in advance! (Source: Student Doctor Network)
Source: Student Doctor Network - February 19, 2023 Category: Universities & Medical Training Authors: Doctadudeman Tags: Surgery and Surgical Subspecialties Source Type: forums
Fever and undifferentiated abdominal pain - WWYD?
What would you do in this situation?
60 year old obese female with hypertension and hyperlipidemia comes in with a week of upper abdominal pain radiating into the chest and back, with lightheadedness, and today she developed a fever. No rash, cough, vomiting, diarrhea, blood in the stool or urinary symptoms. No recent travel or exposure to ill contacts with similar symptoms. History of a cholecystectomy and appendectomy years ago. No other surgeries. Initial vitals include a temperature of...
Fever and undifferentiated abdominal pain - WWYD? (Source: Student Doctor Network)
Source: Student Doctor Network - November 6, 2019 Category: Universities & Medical Training Authors: ERCAT Tags: Emergency Medicine Source Type: forums
Re: Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): multicentre randomised clinical trial
(Source: BMJ Comments)
Source: BMJ Comments - December 26, 2018 Category: General Medicine Source Type: forums
Letter in Response to: Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis In high risk patients (CHOCOLTATE): Multicenter randomised clinical trial by Loozen and colleagues.
(Source: BMJ Comments)
Source: BMJ Comments - December 10, 2018 Category: General Medicine Source Type: forums
Re: Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis in high risk patients (CHOCOLATE): multicentre randomised clinical trial
(Source: BMJ Comments)
Source: BMJ Comments - October 19, 2018 Category: General Medicine Source Type: forums
Mass under sternum?
This patient is presenting with a 4 year h/o insidious in onset retrosternal noncardiac chest pain. Can anyone tell me what this is directly under this patient's sternum. Don't mind the air, he had just had a cholecystectomy. The air does however however help to demarcate the mass under the sternum which appears to be just outside the peritoneum. Looks the same on MRI and does not light up with contrast
View attachment 223172 (Source: Student Doctor Network)
Source: Student Doctor Network - September 3, 2017 Category: Universities & Medical Training Authors: clubdeac Source Type: forums
Where should I apply, confused about "research schools? 3.84 GPA; 526 MCAT
I got my MCAT score back yesterday, very pleasantly surprised and kind of in shock about where to go next?
UNC-CH undergrad, BA in Chemistry and BA in English, sGPA is comparable if not a little > cGPA
Volunteered last summer in Guatemalan hospital for 6 weeks, first assistant on surgeries ranging from amputations to cholecystectomies and then shadowing/helping out in clinics (113 surgical 102 clinical hrs)
Big brother/big sister mentoring: 70 hrs
Hospital volunteering: 60 hrs
Shadowed 3...
Where should I apply, confused about "research schools? 3.84 GPA; 526 MCAT (Source: Student Doctor Network)
Source: Student Doctor Network - July 7, 2016 Category: Universities & Medical Training Authors: muggle68 Source Type: forums
3 y/o post lap chole
Just checking how many have dealt with their kiddos having a cholecystectomy?? My 3 y/o son had his gall bladder removed at the end if October after having many issues eating. Biopsy showed chronic inflammation. Surgeon said this was common with CF kiddos. since surgery he is having some biliary spasms and severe back pain intermittently. His appetite is better overall, but wondering how long this might go on. He is on Levsin to help with the pain. Just checking to see how everyone's else's kids faired afterwards. (Source: Cystic Fibrosis CFTR Modulation and Gene Therapy Forum)
Source: Cystic Fibrosis CFTR Modulation and Gene Therapy Forum - November 23, 2013 Category: Respiratory Medicine Authors: tysmama Tags: CFTR Modulation and Gene Therapy Talk Source Type: forums
" An elderly T2 DM patient with Hepatic carcinoma what treatment guidelines do you advice?"
I have a an interesting elderly diabetic patient who has undergone cholecystectomy devloped Hepatoma recently has of late high blood sugar levels.As he is on anti cancer drugs is there any special guidelines for his giabetic control?
Dr Valluri Ramarao Family physician (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - October 22, 2013 Category: Cardiology Authors: valluri Source Type: forums
Is there other solution other than cholecystectomy
Discussion Boards)
Source: MD Health Forum - Medical Discussion Boards - April 5, 2013 Category: Consumer Health Advice Authors: Lolita Tags: Surgery Source Type: forums
Other solution other than cholecystectomy
Discussion Boards)
Source: MD Health Forum - Medical Discussion Boards - April 5, 2013 Category: Consumer Health Advice Authors: Lolita Tags: Stomach, Colon, IBS, Abdominal Source Type: forums
