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All articles filed in gene therapy

Reflecting29/12/201605/01/2018

WILL WE BE ABLE TO FIND A CURE FOR DEMENTIA? šŸ’”

I’m back again today with another topic I want to talk about! I’ve actually touched on the topic of dementia before in a previous post, but as I was reviewing it I realised that I hadn’t discussed whether a cure would be a possibility, which is something that everybody seems to wondering and hoping. I…

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A word to describe how Iā€™m feeling right now = overwhelmed. Itā€™s been one of those days where Iā€™ve been feeling like Iā€™ve had so many little things to think about. Last time I felt like this, the little mind splurge above helped to get everything off my mind. Sometimes listing the things that are bothering you can help because you realise that a lot of these thoughts are unnecessary worries and then you can get rid of those that are living rent-free in your head. šŸ™‚
First day of the last block which for me is Renal. I say this way too much, but I genuinely cannot believe how the time has flown by, how am I in my final block for third year already?! šŸ˜± Anyway, for just an an overview of the day, this morning I have a Nephrology Clinic, followed by my induction for this block. And my afternoon is nice and free...
MOSCE over, didnā€™t go brilliantly and didnā€™t go completely dreadfully. I suppose itā€™s probably served itā€™s purpose of giving us an indication of what the real OSCEs are going to be like and how theyā€™re structured so I better start thinking about how I can prepare for those over the next 5 weeks. Now to relax and enjoy my cuppa with possibly an episode of Call The Midwife. What are you guys enjoying watching lately?
The feeling of productivity today comes from the fact that I managed to finally tidy my room! šŸ˜ Would have been great if I managed to put together another post for the blog that I seem to be progressively neglecting, but thatā€™s not happening. Our OSCEs are coming up soon, mock ones thankfully but I feel completely unprepared for how different clinical OSCEs are compared to the ones we had in years 1 and 2.
Summaries do help make everything make better sense. I made this one for Clinical Debrief a couple of weeks ago where we assign topics for different people to summarise and present in different sessions. šŸ˜… Iā€™m not making any notes this year, so I feel as though a few summaries will help to get everything in order in my head, problem is making notes using the Apple Pencil means you have a never-ending scope for perfection. It does save a lot of time though being able to move objects, re-size them etc. Anyone else use an Apple Pencil for note-taking?
This is the biggest problem of having nice big empty surfaces...theyā€™re perfect to throw things on top of and before long they end up looking like this. Time to clear this up I think šŸ‘€šŸ™ˆ
The end of Surgery is in sight, today we were signed off so just got 2 days left before we rotate again! Iā€™ve loved Surgery, donā€™t get me wrong, but it has been so incredibly draining that Iā€™m welcoming the next block with open arms. Weā€™ve had to squeeze in an extra theatre on top of existing clinics and ward rounds each week, weā€™ve started earlier each morning and on top of that weā€™ve had a lot of more teaching so had full days of being in the hospital every. single. day. We also had our Progress Test yesterday which was quite a milestone exam as it demarcates the halfway point through med school. Of course, the questions still felt bizarre and unattainable, but I suppose the fact that many more words were familiar I can take as an achievement in itself. Aaaand finally....today itā€™s my birthday! šŸ„³ A change that itā€™s not on the day of the progress test though as it has been for the last 2 years!
This was our final break right until exams now and Iā€™m absolutely not ready to go back yet! The holidays have just flown by, as they always do and Iā€™ve been the complete opposite of productive. When do you go back?
I know a lot of you will be preparing for your medical school interviews now, and I know itā€™s possibly one of the most stressful times youā€™re having to work though with the challenge of balancing A-levels and interview prep. Iā€™ve got a collection of interview advice posts on my blog which are definitely worth a read, all about how to prepare, what I did for my interviews, advice I can give after being an MMI examiner, a bit about the Manchester interview etc. Iā€™ll link the category of posts on my story, you can also visit my website (lifeofamedic.com) and use the ā€œApplying for Medicine - interviewsā€ tab at the top to read these advice posts. If you have any questions, just drop me a message or submit them anonymously through the ā€œAskAMedStudentā€ page on my blog!
Cannot believe the Christmas hols are finally here...Iā€™ve never felt so in need of a lie in before! Iā€™m going to give myself some time to really relax this holiday since I know itā€™s going to be really intense when we go back again. First thing, Iā€™m sitting down with Adam Kayā€™s new book (which I bought when it first came out but never had a moment to read). Has anyone else read it?
My next block is Surgery which is going to quite varied as it covers Vascular, Upper GI, Colorectal and Urology. We get to choose our own timetable and sign up to the ward rounds, theatres and clinics thatā€™d weā€™d prefer relevant to our block. Iā€™ve been spending today trying to organise my timetable by making sure Iā€™ve got the minimum number of all the clinical experiences, whilst trying to keep it as varied as possible so I can experience a little bit of everything. As you can see from my provisional timetable on the laptop, the Surgery block is an incredibly busy one and I can see it being quite a task to schedule everything well. My timetableā€™s still not quite complete as we have to wait till the block starts (i.e. next Monday) before we start adding in any additional opportunities so Iā€™ll have to take another look at it then.
This is totally random, but the other morning after I woke up, I opened my curtains to get my iPad (which I leave charging on the windowsill overnight) and there was a glowing pink light coming in through the glass. The sky was a soft peach colour and my teacup of tiny roses looked so serene basked in the morning light. It was warm and cozy in my room and outside it seemed frosty but I could see a carpet of autumnal leaves below in the garden. Like I said, utterly random but for some reason that ordinary view through my window this particular morning seemed very picturesque. Of course I snapped a photo to capture the aesthetic. It doesnā€™t seem quite as beautiful in the picture though, as things never do, but itā€™s those ordinary moments of unexpected appreciation and contentment that we should take the time to notice a little more.
#ad Seeing as Iā€™m commuting this year, the average time I have to leave my house to get to the hospital on time is around 7.30 in the morning (the earliest Iā€™ve had to leave is at 5.30 šŸ˜±) From being used to living a 15 min walk away from the university for the last 2 years, having to wake up early enough to account for an hour drive this year has really been something that Iā€™ve needed time to adjust to. Mornings are such a rush, but 2 things I have to make sure I never leave the house without are my stethoscope and my iPad! I hardly have time to have breakfast in the morning, or on the rare days I do itā€™ll be a small unhealthy chocolate crepe or waffle that Iā€™ve managed to pick up as Iā€™m leaving. Iā€™ve recently been trying out Weetabix On The Go though, which is amazing. Itā€™s so quick and easy to grab and it has the plus of being healthy, packed with energy, fibre and protein! It tastes great and it actually fills me up, so itā€™s been the ideal thing for me to incorporate in to my morning routine. A proper breakfast. Bottled. Weetabix On The Go are actually giving away 50 vouchers so you all have the chance to win a weekā€™s worth of breakfast on the go! All you have to do is... 1. Follow @weetabixonthego 2. Comment why you should win breakfast on the go below! Winners will be selected on the 12th of December and I will contact anyone who wins from my page via DM. Terms: The competition is open to residents of the United Kingdom aged 18 or over. By entering this competition you agree to be bound by these terms and conditions, please see here for full details: http://bit.ly/31WOj1d #weetabixonthego #breakfast #tastetimebetter #breakfastonthego #aproperbreakfast
Cannot believe how quickly 3rd year is flying by, weā€™re 1/3 of the way through our second block now which feels insane. This Cardiology block is incredible though (Iā€™ve been going on about it since we started šŸ˜…). _ The reason why I disappeared for the past couple of weeks is because Iā€™ve been trying to sort out my APEP (Applied Personal Excellence Pathway) which is the project we have to do in third year; and thatā€™s been quite a stressful experience. The APEP is a follow on from the ā€œPEPsā€ that we had in years 1 and 2 for those of you whoā€™ve followed me long enough to be able to remember me talking about them. This year we get a list of research, audit or service evaluation projects and we have to select projects we want to do, submit an expression of interest and then arrange face-to-face or phone interviews to try and secure a project. Literally any sort of application I do now brings back those stressful memories of applying for Medicine, so this has been quite an anxiety-ridden process especially because when I set my heart on something I feel as though I just *have* to have it. But now...alhamdulillah Iā€™ve managed to secure 1 of my top choices. Iā€™m waiting to hear back about 1 more project, so hopefully after the weekend Iā€™ll know which one I want to register and will be able to share it with you all. šŸ’›
Had a ward round and a clinic today to kickstart my new block which is Cardiology. I canā€™t believe the first block is over just like that, before we know it the end of the year will be here! My endocrine block was interesting, but Iā€™ve got to admit Iā€™m more excited for Cardiolgy now. For this block Iā€™m also going to be between 2 hospitals so itā€™s going to be interesting to experience a smaller district general hospital compared to a larger and much busier teaching hospital.
So the reason why I had to set out so insanely early today is because I had my IPE today. IPE stands for Inter-professional Education and is essentially a shift we have to spend working alongside and shadowing the nurses and we have to be there for 7am (which is when the nurse handover is). It was quite an interesting experience and enjoyable too as there were actually things we could do to help out so it felt nice to be a little useful!
I took blood from 4 real patients today, thatā€™s a first Iā€™m going to remember, the sense of satisfaction when the tube fills up! ā˜ŗļø Of course the successes were preceded with a couple of failed attempts, but going to the blood clinic was definitely an amazing experience and I guess with procedural skills such as taking blood itā€™s all about the practice! šŸ’‰
Each block we have to do an ā€œon callā€ shift, which is basically just some time that we have to spend shadowing a doctor out of hours. I did my first one yesterday on A&E, following an F1 around. The environment of A&E is so bizarre and chaotic, but the thing I found the most odd is the number of different doctors that have to see a patient before theyā€™re admitted or discharged, just as part of the procedure. There was also a cardiac arrest during the time we were there, so the F1 I was with was bleeped to go up to the ward. There was already a lot of doctors there by the time we got there and they didnā€™t need any help so we went back to A&E, but again something out of the ordinary that I didnā€™t expect.
Hereā€™s the @passionplanner gifted to me by @flipdapp.co. I actually prefer this to the a @weareponderlily one I purchased earlier on this year, so Iā€™ve switched back to passion planner again! I like the fact that the planner lies flat, itā€™s softcover and the pages are thicker so ink doesnā€™t seep through. The one above is the classic size which is ideal as well. Have you ever tried using passion planner?
A significant part of third year is about learning to take more focussed clinical histories and then being able to present them appropriately. Each week we have a list of tasks that we have to go and get signed off whilst we are on the wards: 3 patient histories, 1 presentation, 1 physical examination, 1 ward round, 1 outpatient clinic. We also have a list of tasks that donā€™t necessarily have to be completed in a particular week but must be done by the end of the year.

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