another moment of zen...
...as adrenaline fondles my ass like a catholic school girl.
i rocked my first exam in pharmacology. sweet. i still have yet to do my critical appraisal of the clinical trials of Lovastat, another 'wonderful' Merk experiment where it seems to have a few monetary-political aces up its sleave. hmmmmmmmmmmmm, this drug causes a net 4% reduction in overall cardiac "events", and its mortality prevention was found to be a big 0%. Yet, Merk being Merk, and in true pharmaceutical company savoy...somehow they managed to slap on their study a whopping 34% relative risk of reduction. and to think, doc's still prescribe this stuff like candy for people who's HDLs are a liittttllleee up. hell, that includes all of us i think. mcdonalds, anyone?
my next selective is cardiology and then cardio-thoracic surgery. ortho was fun, but not my favorite. let me just tell you how much i admire my ortho preceptor. wow. he's like me, and has the philosophy, "pull all the medi-care strings you can to get your patient whatever you want", even if it might seem unethical - from the insurance provider's eyes. a sweet woman came in with a fractured fibula, and she was a little up there in age, and the doc wasn't sure being on her own OFF the ankle for 3 weeks (what she needed) were instructions the patient was likely to follow. she needed nursing care. however, medicare will not authorize transfer to a nursing home unless the patient has been admitted to a hospital for three days. so, the doc called over to the hospital across the street, talked to one of his friends in internal med, and requested she be admitted for "probable deep vein thrombosis secondary to distal fibula fracture, requiring three days close observation". and, like that, she gets the care she needed so she can stay off the ankle, and on top of it, medicare covers it and is not the wiser! ha! that doc rocks! so yeah, my little story of applause.
btw. can i just say how wet the new soundtrack to the motion picture rent makes me? holy god. can't wait for it to hit the screen.
i rocked my first exam in pharmacology. sweet. i still have yet to do my critical appraisal of the clinical trials of Lovastat, another 'wonderful' Merk experiment where it seems to have a few monetary-political aces up its sleave. hmmmmmmmmmmmm, this drug causes a net 4% reduction in overall cardiac "events", and its mortality prevention was found to be a big 0%. Yet, Merk being Merk, and in true pharmaceutical company savoy...somehow they managed to slap on their study a whopping 34% relative risk of reduction. and to think, doc's still prescribe this stuff like candy for people who's HDLs are a liittttllleee up. hell, that includes all of us i think. mcdonalds, anyone?
my next selective is cardiology and then cardio-thoracic surgery. ortho was fun, but not my favorite. let me just tell you how much i admire my ortho preceptor. wow. he's like me, and has the philosophy, "pull all the medi-care strings you can to get your patient whatever you want", even if it might seem unethical - from the insurance provider's eyes. a sweet woman came in with a fractured fibula, and she was a little up there in age, and the doc wasn't sure being on her own OFF the ankle for 3 weeks (what she needed) were instructions the patient was likely to follow. she needed nursing care. however, medicare will not authorize transfer to a nursing home unless the patient has been admitted to a hospital for three days. so, the doc called over to the hospital across the street, talked to one of his friends in internal med, and requested she be admitted for "probable deep vein thrombosis secondary to distal fibula fracture, requiring three days close observation". and, like that, she gets the care she needed so she can stay off the ankle, and on top of it, medicare covers it and is not the wiser! ha! that doc rocks! so yeah, my little story of applause.
btw. can i just say how wet the new soundtrack to the motion picture rent makes me? holy god. can't wait for it to hit the screen.