Signing the petition to remove TSA Rapiscans

27 11 2010


Here is the online TSA petition

hmm… still not perfect.

24 11 2010

I finished my Oral examination for this semester. Was pretty close, but still not perfect.  I guess I’ll have to get used to this and consider something slower for myself in future. :o)



[edit added: Nov 24, 2010]

I ran into the proctor who graded my test and he remembers me. I knew it wasn’t right to ask about how I did, but he offered the answer anyhow. How cool is that? Basically, he said I did really good and went on and on about someone who was nervous and got the highest marks. He’s saying that if you care enough, you should be nervous.

yay for me. I will work harder on improving my grades. Today, battle for grades tomorrow, fix the world one person or health at a time…

My first real Intro Clinical Medicine exam

22 11 2010

Just wanted to say, I am part disappointed. How can I be ready if I walked into that examination room and wonder why I didn’t realize the significance of reporting a task a certain way?

I want to be at 100% but today’s test made me realize there must be another way to learn this. How is it that they cover it in lecture & went over it again during practice ICM and I didn’t know how to properly describe it?

It sucks you gave 100% just to find out that what you learned is still lacking some details.  I’m really hard on myself because I care.  Ross, please help us improve.

Yo-Yo diet effect . Fat cells don’t go away.

19 11 2010

A normal person has 20 million fat cells that stores about 0.3 micrograms of fat. The cells maximum capacity is 0.9 microgram per fat cell.

If this amount is exceeded the fat cells divide to make room for more fat.

An obese person has 80 million fat cells. Let’s say they tried to diet, so the cells shrink but they don’t go away. So each fat cell will be underfilled (less than 0.2 micrograms) and signals to make you hungry so you can fill it.

This is why it is soooo hard to go on a diet and keep it off. Your body fat keeps signaling that it is hungry so you eat and gain the weight back when you go off your diet.

I also just wanted to point out that this fat is not the same as baby fat, which is brown fat. Baby fat is burned away for babies to generate heat for baby to keep warm.  Baby fat does go away, but there are some cases where it doesn’t.

Don’t confuse these two fats. As long as your baby is within the normal height & weight for their age they should be ok to not form excessive fat cells.

Child growth chart.  Read from age on bottom & then go up according to weight (on right side).

Crime at Ross

15 11 2010

There used to be a blotter site where we could check to see reports in the last year of where unfortunate stealings, robbings occurred at Ross, but I don’t see it.

A recent report shows that students are being robbed even at gunpoint now along the way to KFC and the Annex.

What do I think is wrong with this picture? It’s the supermarket they are building between the way from campus to KFC / Annex that is the issue. A huge building is being built that blocks away views of students walking on top of that road . more hired locals and construction workers are on site whom we have never seen before.

Frankly, this is unacceptable.  [the word “unacceptable” has a really strong, negative connotation, which I despise using but is appropriate here]. I used to feel that Ross was safe but now I will not walk that way anymore at night. It used to be just machetes, but now at gunpoint? A machete is like a big giant knife.  The idiots who are up to this don’t even know what they are up against. The President of the island backs up Ross University because it brings income to the island. I don’t believe they should allow this to occur.  Security needs to increase along that road.

Peptic ulcer and milk?

13 11 2010

So I had an interesting debate with my colleague on what the actions of milk would do to a patient with peptic ulcer. Since we looked on UpToDate and found that this was an article referenced, but was written in 1976, I would like to find more recent articles to prove its disbenefits.

Even WebMD had an article that suggests against it. Milk has proteins & causes more peptic acid secretion from the stomach so it is contraindicated in patients with GERD or peptic ulcer. And all along when I mentioned it during ICM interview, no one corrected me.  It’s important to note that now …

Medline ® Abstract for Reference 75

of ‘Peptic ulcer disease: Genetic, environmental, and psychological risk factors and pathogenesis’

The effect of various forms of milk on gastric-acid secretion. Studies in patients with duodenal ulcer and normal subjects.
Ippoliti AF; Maxwell V; Isenberg JI
Ann Intern Med 1976 Mar;84(3):286-9.
“Milk is commonly recommended as therapy for patients with peptic ulcer. The purpose of this study was to examine the effect of various forms of milk and 0.15 M NaCl (control) on gastric-acid secretion in five patients with duodenal ulcer during a period of remission and in five normal subjects. A significant (P less than 0.05) increase in acid secretion in both groups was produced by 240 ml of whole, low-fat, and nonfat milk. The acid secretory responses to milk were equivalent to approximately 20% to 35% of maximal betazole – or pentagastrin-stimulated acid output. Gastric-acid secretion produced a significant (P less than 0.05) increase in acid secretion in the patients with duodenal ulcer but not in the normal subjects. Because milk contains both protein and calcium, and each are stimulants of gastric-acid secretion, there is reason to question its frequent ingestion by patients with peptic ulcer.”

It is cold in here!

9 11 2010

Can you believe I just wrote that? It’s Dominica and temperatures are above 86 degrees Fahrenheit outside yet the classroom feels like a refrigerator box. *shivers*

Just blogging because yesterday I had Community Clinic visit. Actually, we were taken to Marigot Hospital, which was almost an hour’s drive away.  I heard that this was the furthest hospital/clinic compared to the others that students were assigned to. After I came back, I did some light studying but spent more time sleeping to recover.  The goal yesterday was to try as hard as possible not to vomit on the way over and back.  It was an interesting trip to visit a hospital that takes care of five nearby villages and only 1 doctor including the nurses to operate the hospital.  I have ingrained in my mind an image of a calm demeanor doctor who is working long hours to care for patients… I can only imagine.

My fingernails look “Raynaud-like” oh so blue underneath! Ok, back to watching lectures & studying …

Alcohol hand rub & Purell

6 11 2010

In the last hospital I worked at , Purell was the main rave. The thing is you still have to wash your hands liberally with water and soap because these alcohol  hand rubs and Purell while killing a lot of pathogens cannot kill spores e.g. Clostridium difficile.

Soap and water also is just a mechanical way of removing dirt and microbes, but is very effective at removing them. We had a demonstration in class showing how fluoropores fluoresces when people don’t wash their hands thoroughly. Even some of the students who washed with soap and water didn’t get all nooks and crannies so miss spots on their hands/fingers.


Link to CDC article


Happy washing.

Plastic water bottle & cancerous agents

4 11 2010

A while ago someone posed the question and I really didn’t know how to answer it. The answer is now here:—BPA?hp_id=195

You want to look for the #7 inside a triangle represent recycle. Toss those bottles out & don’t refill.