My heart is like a loudspeaker

"Sometimes all it takes is one voice".

Sometimes when my lecturers or supervisor scolded me,

I feel de-motivated.

But, I tried the best to control my fears,

and improve whats' left of me.

I learn to pick myself up,

when there's no one around.

Continue what I've started,

and keep smiling at them.

I tried hard to show them that I'm good enough.

And I'm capable enough to be a great doctor.

Cause nothing is worst than 'giving-up'.

Especially when the success that you dream of is just a feet away.

Patient not adhering to treatment?

Catch my eyes on some cases in Medscape.com

What is happening to our health system? Lack of information about treatment given to patients. That's what it is. Shame. Pity patients. They should know more. We as doctors should educate them. Learn from these cases colleagues.

Case 1.

Michelle is a high-school graduate and 21-year-old single mother of a 1-year-old child. She works as a cashier at a local grocery store and lives with her parents. Her son was up much of the night crying and, distraught, she brought him to her healthcare provider in the morning. He is diagnosed with acute otitis media and Michelle is given a prescription for liquid antibiotics to be administered 3 times daily. Michelle reads the instructions on the medication bottle, which state: "Using the spoon provided, give the patient half a teaspoon of this medicine 3 times a day." Michelle dutifully fills half a teaspoon and pours the medication into her child's painful ear.

Case 2.

Mrs. Smith is a 60-year-old widower and retired school teacher who lives alone and is visited by her son and daughter, who live across town, once a week. After a physical examination that included normal breast and pelvic examinations, a mammogram is recommended. Mrs. Smith has a friend who was recently diagnosed with breast cancer after finding a breast lump during a self-exam. Because Mrs. Smith had not found a lump in her breasts and had been told her breast examination was normal, she decided not to show up for her mammogram and did not discuss this further with her provider.

Case 3.

Mr. Cruz is a 50-year-old store manager with type 2 diabetes. He now requires insulin, having failed oral therapy and dietary measures. He is referred to his diabetes health educator who demonstrates how to inject insulin by using the needle and syringe on an orange. Mr. Cruz's blood glucose levels remain poorly controlled over the following month. On careful direct enquiry about how he is injecting his insulin daily, his provider discovers that he has been injecting insulin into oranges and eating the oranges daily.

What do these cases have in common as sources of poor adherence or medical errors, and what strategies or routine practices by providers may have prevented the unexpected or adverse outcomes?

How Should I Spend My Last Semester of Medical School?

Once I know where I'll be going for residency, what should I do in my last semester of medical school to help prepare me for the next stage of training?

Response from Sarah N. Bernstein, MD Resident, Department of Obstetrics and Gynecology, St. Luke's-Roosevelt Hospital Center, New York, NY

The last semester of medical school tends to be more relaxed and gives you slightly more free time. My first recommendation is to enjoy this time! Once you start residency, your schedule will become far more demanding. When you have a moment of free time during your last semester, I have a few suggestions for how to prepare for your upcoming residency:

1. Investigate and determine the second most common language spoken by patients in your hospital. In most places in the United States, this will be Spanish. Learn basic medical terminology and phrases and practice basic interactions. Fluency shouldn't be your goal, but a basic vocabulary will be extremely helpful and save you tons of time during your internship. Take a weekend class, buy a book, or set up some sessions with a tutor.
2. Look at your program's Website or the materials they have sent you and take note of the goals of each rotation of the internship. If you are beginning a surgical subspecialty, look over the basic steps of the intern level procedures, review the names of the instruments, and review knot tying. Read over the basic, most important topics in your field, and the current management guidelines.
3. Spend some time thinking about your overall career goals. It is hard to know as a medical student if you are heading for general practice, a subspecialty, academic medicine, or private practice. However, if you are leaning in a certain direction, you can think of some small goals for your intern year.
4. Find yourself a mentor and start discussing potential ideas for the future. This may sound simple, but once you start residency, you will be incredibly overwhelmed. It is easy to lose sight of the big picture and get stuck in the small details of the day-to-day work. Intern year is not the best time to start a massive research project, but simply reaching out to other physicians in your department and expressing interest will open doors for you in the future.
5. My last piece of advice is to think about ways to make your personal life as stress-free as possible. Intern year is also not the best time to get married or make any huge life changes. Of course, sometimes this is unavoidable, but do your best to set up a comfortable, convenient living situation so you can leave your work behind and enjoy your time at home.

Best of luck to you; intern year is an exciting time! You will finally get to apply the knowledge you have worked so hard to attain. Don't forget to relax and enjoy your last few months as a student!

Source: Medscape