Happy Study Time

  Simulated case: A 36-year-old male, called Joe, comes to the ER with sudden palpitations lasting 15 minutes. He was at rest and denies chest pain. No family history of similar issues. Physical examination is normal The physician ordered metoprolol for the next episode and sent him home 💀. Three days later, the patient came back (he was at the same time, expecting to find -or avoid- the physician), and said that he had palpitations and dizziness. He was experiencing tachycardia. He mentioned that he had taken the medication. Re-check The first EKG - short PR, delta wave: WPW (Wolff-Parkinson-White syndrome) - AV node blockers are not the best option. Maybe the physician was looking for the "Wolf" and "White" rather than the unusual WPW . Bibliography:  https://www.ncbi.nlm.nih.gov/books/NBK554437/

Let’s be honest : if a student walks in tired, stressed, or dreading the CPR Class… The defibrillator might be the highlight of the day. That’s why I look for ways to cut the tension. To turn learning from a chore into curiosity. Enter SARA . (No, not the new nurse—don’t even say it.) Smooth Activation Ritual Amusement . A mindset I’ve built, especially in CPR sessions.  It’s how “Not this again” becomes “Huh… this might be fun.” So What Is the SARA Process? 1. Smooth – Start with something relatable or unexpected. A story, a question, a weird fact (weirder is better). Ease them in before the “serious” stuff starts. 2. Activation – Hook their brains. Make them do something small — a question, a quick prediction, or a “what if” scenario. 3. Ritual – Keep the structure consistent, and respect it as a procedure. Like a magic trick, it’s always the same setup — but everyone stays alert, knowing something surprising might appear from nowhere. 4. Amusement – Bring in humor, curiosity, or...

¿WHAT ARE YOU? Gram-negative, oxidase-positive, aerobic rod Motile, non-lactose fermenting Produces pyocyanin (blue pigment) and pyoverdin (green) Smells like grape Kool-Aid (yes, seriously) Pseudomonas  literally means “false unit”, a term microbiologists used to describe bacteria that resembled other motile rods but didn’t quite fit the mold.  They said: you look like a regular bacillus… but you’re not fooling us . Aeruginosa  means “full of copper rust”, a reference to the distinctive blue-green pigment it produces — specifically pyocyanin and pyoverdin. Pseudomonas aeruginosa is a pathogen which causes serious problem in cystic fibrosis lungs (Necrotizing pneumonia). It doesn’t just cause pneumonia. This pathogen can also cause Ecthyma gangrenosum (immunocompromised), Hot tub folliculitis (Rexaled), malignant otitis externa, burn wound infections, and even microbial keratitis (yes, those contact lenses aren’t as innocent as they look 🙄- Humor sense broken) He’s ever...

  During medical school, I used to think that we were building a tall tower, starting with a solid foundation and then adding the next floors. After reading this article, I thought: what if it's more like a cake? I mean, each year we gain more knowledge (of course), but we also acquire experience in patient interactions, physical examinations, resilience, and communication skills. We also get better at understanding the healthcare system and how to search for information in databases. Then, the mission wouldn’t be just to become a great doctor; it would be to become a complete one. 😃 Ann Eye Sci. 2017 Jul; 2: 36.