1) While on face trauma earlier this week, I had a patient come in to the ER with a completely transected ear.
2) External Ear Anatomy with Anatomic terms
3) The injury extended from the preauricular area (where you can see the transected superficial temporal artery which had to be tied off) through the crus of the helix, antihelix and the helix at Darwin's tubercle. This laceration was full thickness meaning it through both skin and cartilage. *In many ear laceration repairs, a bolster must be added to prevent a hematoma from forming under the skin and causing "cauliflower ear." ———————————————
4) Anterior view of repair
5) Posterior view of repair
My #wcw is this beaut, @_dorothyfaye ❤️ After something like eight months of IG chatting and numerous near misses where we were just almost in the same place at the same time, we finally met up! If this is even possible, she is even sweeter in person. We had a great time bonding over Dan Dan noodles and dumplings 🤤🎉 So happy to be #urltoirl friends!
What do you need to apply to a PA residency?🤔
First off, you need to select residencies that interest you. Once you do that, go to their website and investigate.
Each program has different requirements, but there are some basic requirements for all programs.
1. CV - as you go through PA school or working, make sure you constantly update your CV. If you don’t have a CV contact your program and there should be a department to help you create one.
2. Personal statement - this should bring back memories of getting into PA school. The personal statement should be unique to you and show why you want admission to that program. You might be able to write a generic letter and then slightly alter it for each program. Many programs will ask you to include specific answers to questions. Try to make your statement 1 page or less.
3. Application/candidate information
4.Letters of Recommendation - if you’re still in PA school, one of the letters should be from your program director, while the other two should be from Dr.’s or PA’s that have observed you in the field you wish to go into. If you are working and graduated more than 6 months ago, the letters need be from Dr/PAs that work directly with you and have observed your work skills.
5. Application fee - some programs, not all, require a fee to apply. It typically ranges from $40-$50.
6. Transcripts - Typically from undergrad and your PA program
7. OTHER - master’s degree from accredited PA program (or eligibility to graduate), GPA of 3.0 or better in PA school, Passed the PANCE (or eligible to sit for exam), State licensure or eligibility for licensure, and final personal interview. ~~~~~~~~~~~~~~~~~~~~~~~~~~
All programs have different application deadlines, so make sure you check when yours is prepare appropriately. —————————————————
Feel free to ask any questions!
I was initially skeptical of pocket medicine, it seemed brief and complicated, something you would use more at an intern level. On Neurology, I used it briefly while on my stroke service. Now that I’m on Internal Medicine, I find myself using it more often as a quick reference. It was super helpful recently as a quick review of Diabetic Ketoacidosis and Hyperosmolar Hyperglyemic State management. Do you use pocket medicine? 👇🏽
2 366 hours ago
We had a productive education committee meeting last week! These monthly meetings are attended by residents, faculty, and administrators, and topics include developing new curricula and improving existing ones, optimizing resident relief schedules to maximize learning capacity, hearing from those going on global health trips, and incorporating wellness programs into the schedule. Thank you to everyone dedicating the time to maximize and improve our resident experience!
Physician Suicide nationwide is more prevalent than most people realize. Estimates are that up to 400 physicians per year take their own lives.👩🏻⚕️
I get questions all the time “is you life like greys anatomy” and I always answer, the realistic parts of the show yes, everyone gossips and you never get sleep. But all the random trips they take, how a peds surgeon instantly becomes an MFM (an obgyn specialty) and how everyone looks semi attractive, is all TV.🧠 I love to post fun parts of my day. Don’t get me wrong, I LOVE being an ObGyn resident! 💋But there are days when I feel overwhelmed, when I barely sleep for an entire week, and when I feel lonely even though I just spent the whole day delivering babies and bringing joy and life into the world❤️ So I absolutely understand how a lack of sleep, an abundance of stress, and coping with the loss of patient can truly affect anyone, even a Physician.
⭐️How do you cope with stress from work?⭐️
Let’s talk about some radical honesty. Like or 👊 us in solidarity if you have ever had thoughts of imposter syndrome in medicine. It can be helpful to know you’re not alone and it’s very common among high-achievers, especially in a setting where you may be a demographic or psychographic minority. It can be helpful to remind yourself of your ‘rights’- my favorite “I have the right to make new and interesting mistakes”. -M
Let's talk a bit more about #ImposterSyndrome! If you missed our blog announcement, we have a great post on the blog by Grace Oliver, MS4 about her experiences with imposter syndrome while starting medical school. 🗣 In 1978 Pauline Rose Clance & Suzanne Imes first described Imposter Phenomenon, now most commonly called Imposter Syndrome in the article: "The Imposter Phenomenon in High Achieving Women: Dynamics and Therapeutic Intervention." 🗣
Be honest. Have you ever felt like you were inadequate and a failure? Have you ever felt that way despite a lot of evidence that you're actually pretty good at what you're doing. For example, you're making A's and B's in med school and yet you're convinced that you don't belong there. That someone is going to point out that you aren't that smart. That someone will uncover your "fakeness." 🗣
Have you ever muttered the phrase, "I got lucky." or blamed "Lady Luck" for your successes. You are NOT alone! This syndrome of feeling like we are not "ENOUGH" appears to be particularly prevalent and intense among a select sample of high achieving women... (aka us) 🗣 The most important step to overcoming imposter syndrome is to become AWARE of its existence. So start calling out your "imposterish" thoughts! 🗣
2 578 hours ago
I’m often asked how do you have energy 💥to get through a crazy stressful clinic 👩🏻⚕️❤️🐶day...
Simple. CHOCOLATE 😜 chock full of energy increasing immune boosting superfoods! ❤️ It’s been 7 years since I made the choice to invest in my health 🍏 and never once have I regretted it!
1 398 hours ago
Potassium chloride (KCl) is a form of intravenous electrolyte repletion in hypokalemia - the most common electrolyte disorder in hospitalized patients often caused by diarrhea, vomiting, loop/thiazide diuretics, steroids, and poor intake among many other etiologies. 👨🏽⚕️
Since potassium is primarily an INTRACELLULAR ion, our plasma levels (ie, the concentrations we see on a metabolic profile) are fairly low (3.5 - 5 mEq/L). Depending on the patient's size, this value decreases roughly 0.3 mEq/L for every 100 mEq decrease in TOTAL BODY potassium. As a rule of thumb, 10 mEq of potassium repletion will increase serum potassium by ~0.1 mEq/L. 🤓
In general, I replete no more than 20 mEq/h intravenously with only peripheral IV access (risk of phlebitis); however, I prefer to use the oral route in less emergent situations since it's safer (the gut does an excellent job of regulating potassium absorption) and minimizes the risk of overshooting potassium correction (“rebound hyperkalemia”). Unfortunately, traditional oral potassium repletion tends to be difficult for some patients to swallow (K-Dur pills are huge!) One must also consider concomitant magnesium repletion since hypomagnesemia translates to more renal wasting of potassium. 😱💉
Tag a friend who often repletes electrolytes, let me know when/where/how you’ve administered KCl, and drop me a comment with questions! 👇
101 13318 hours ago
Instagram can be so unrealistic😣
As this block comes to an end again... here I am in my natural habitat.
- no makeup
- brows that need threading
- unwashed/badly in need of a haircut hair
- 2nd coffee by 8am
I’ve learned a lot this cardiology❤️ month. I used to dread cardio because it was a big unknown - but like anything, exposure and learning can be a steep however rewarding curve. I’ve seen some superrrrr sick kids, some of which didn’t make it this past month. But have reminded me of ho fragile life is and how grateful we should be for continued health
I’m gonna attempt a movement✨ - let’s share our “natural habitat” pictures!
Tagged IG’s please share 🙌🏽
12 1118 hours ago
GUYS, get ready for SMOKED DALLAS, a complication of the state’s finest barbecue this Saturday at Main Street Garden from 1-6 PM! 🍗🍖 #weekendscene#downtowndallas
🌟Let others inspire you, motivate you, empower you & encourage you. But never let anyone’s “highlight reel” bring you down!🌟
We run our own Amazing Race with it’s ups and downs. Your life in unique, meaningful & you have the power within yourself to accomplish your dreams. 💕Dreams take time & consistency. .
Be willing to put your blinders on, stay in your lane & kick butt with Action everyday! 💥
🌟Never Ever Give Up! 🌟
Happy birthday to @harinice
MICU 1 mon : ได้ A-line, C-line แระได้แดก!
ส่วนความรู้นั้นไซร้ ได้ 0 555
Owing to your birthday, Bad things go out, and good things come to you instead.
ปล. หนังสือเล่มเดิม จะอ่านกี่รอบ มันก็จบแบบเดิม
ถ้าจะกลับไปอ่านซ้ำ จงมั่นใจว่า ก่อนหน้านี้เรายังอ่านมันไม่จบ ถ้าคิดว่าอ่านจบแล้ว รู้ตอนจบแล้ว ก้อเผาหนังสือเล่มนั้นไปซะ อย่าว่ายวนอยู่ในอ่างใบเดิม
Walking out of my ICU call like #byeFelicia 😎
In actuality, leaving intense rotations in residency or med school is bittersweet. Those longgg hours build amazing bonds with our team, patients, and nurses. And before you know it, it's onto the next rotation. Another reminder to enjoy the journey!
This week I started inpatient medicine ... that means going back to working 80 hour weeks and 6 days a week 😓 You guys always ask me how I balance work and family and in reality - I don’t. Last night I got home at 7 pm, ate dinner, fell asleep on the couch, woke up at 5 am to go back to work. But here are some tips I use to squeeze everything into my day. • Plan ahead - I like to set myself goals the night before. • Break down bigger projects so you complete it in smaller manageable pieces • Use the 5-10 minute spear time to do something productive like practice test questions, going over a flash card, make a grocery list 🤷🏻♀️ make the most of those minutes because at the end of the day they add up to wasted hours on social media (at least for me lol)
So how do you guys stay productive? Share your tips!! .
Got the best surprise at work today when my husband showed up with flowers! 🌺 Totally caught me off guard and made my day 💕 The key to a strong marriage is to never stop dating your spouse and making him/her feel special ☺️
I’m a DO, not an MD, but otherwise all the info is right. I discussed a new surgery technique for breast reconstruction in breast cancer patients and more... on @fox5ny tonight. Link in bio 👆🏾.
Navy Blue Dreamy Dress: @nicolemiller_philadelphia
15 9422 hours ago
#AResidentsNotebook: Los queloides representan una alteración anormal durante el proceso de cicatrización.〰️La patogénesis no ha sido dilucidada completamente,✨ sin embargo, es sabido que existe una respuesta inflamatoria amplificada, sobreexpresión en la señalización de los factores de crecimiento ⬆️ y un aumento de la activación de los fibroblastos que crean un ambiente propicio para la producción anómala de colágeno. 🆘 Histológicamente, se observan amplios paquetes de fibras colágenas de diferente grosor y orientación irregular. 🌀Pueden presentarse como complicaciones estéticas y funcionales a diferentes noxas y se caracterizan por extenderse en superficie más allá de la lesión inicial. 📈 Normalmente, no disminuyen su tamaño ni se hacen menos visibles con el tiempo;⏱ y en casos como este, puede tener un crecimiento exagerado que afecte todas las esferas de nuestro paciente.👩🏼⚕️ Pdt: les dejo algunos artículos que me gustaron. Besos. 💋 #residentlife#plasticsurgery#residency#plasticsurgeon#resident#plasticsurgeonlifestyle
Just like a post you place when building a fence, a dental post is intended to keep something stable and in place—in this case, a tooth.
The purpose of a post is to retain a core that is needed
because of extensive loss of coronal tooth structure. Upon placement of post and core, the tooth is now ready to receive a crown which concludes the restorative treatment of endodontically treated teeth.
Grateful for days off. Grateful for being on the top of the u shaped stress curve. Grateful for second chances. Counting my blessings today in an attempt to avoid being drowned by my fears. Happy Tuesday, friends.
// time capsule // Today was the last day of my surgery rotation. Besides the fact that we had tons of pizza, it practically unfolded like any other day- before I stepped out of the OR a friendly OR nurse shot this pic.
One day I’ll look back a this picture and probably laugh at myself. (You know that kind of pictures from your past you want to bury 😂.) Did I really take myself so seriously? Why am I wearing hideously huge scrubs ?(I looked everywhere,there are no scrubs for small people) And Jesus what’s up with those glasses?
And whilst making fun of myself I hope that I see, that this is where everything started. This is where I started.
DON'T FORGET WHERE YOU CAME FROM 🌿
Time flies. Make the best out of it. 🌠
In keeping with the theme of Botox 💉, let’s talk about neuromodulators!
They come in all shapes (commonly known as #botox, #dysport, #xeomin) and the name of the game is paralyzing targeted muscles to keep us looking youthful 👸🏻!
To meet my sweet patient and watch her whole experience, check out the video @kriti.mohanmd 👩🏻⚕️🎥!
🌟You are STRONGER than your EXCUSES!🌟
One Choice 💪🏼🍏each day moves your towards a healthier future.
You are WORTH the Ups, Downs, I Can’ts, I CAN- the STRUGGLE, the Mind Game making you want to Quit.😫
I KNOW this because I have to FIGHT each day to make that Good Choice - so EASY to NOT make it!! 🍕🍪
If I CAN, You CAN! We WILL get through this together ! 💕