The Differential
Blog Address: http://blogs.medscape.com/thedifferential
October 10, 2016

Being a Better Cheese

Some time ago, I had a patient who was admitted for hypercapnia and hypoxemia, likely due to obesity hypoventilation syndrome (probably combined with obstructive sleep apnea). His BMI was 75, which came with leg swelling and shortness of breath, most likely symptoms of heart failure caused by pulmonary hypertension due to his hypoventilation. His legs and abdomen were swollen and skin indurated from edema. We tried to put him on a bipap machine but he refused, wanting to remain on a nonrebreather oxygen mask.

The next morning when I got to his bed, the patient was very deeply asleep, snoring loudly, and sweating profusely. The intern was already there tryi...

Posted By: Sung Woo Koh  

October 7, 2016

Long-Distance Relationships in Med School

Before starting medical school, I was told that you need to have a strong support system in order to get through this. I agree with this statement, because there will be times in your medical education when you are overwhelmed, overworked, and sleep-deprived and feel a se...

Posted By: Stephanie Nguyen  

October 7, 2016

How to Prep for Step 1

Arguably one of the most stressful events during medical school is taking Step 1. Whenever I look at competitiveness of a program or specialty, Step score is a good benchmark to look at. Everyone wants to have more options when it comes to picking specialties so of course...

Posted By: Stephanie Nguyen  

October 7, 2016

Life Lessons

Today I finished my last clinical day of my first rotation, internal medicine. It has been an amazing and humbling several weeks. I've learned a lot, most of it related to patient care and medicine, but I've also been reminded of larger lessons related to work ethic, and ...

Posted By: Alina Khurgel  

October 2, 2016

Advocating For Your Own Education

It's been about a month into my Surgery rotation. I've worked with a wide variety of residents and attendings at this point, and let's just say they all haven't been Mother Teresa...

It's been a big adjustment for me to come from Internal Medicine to Surgery. I th...

Posted By: Heather Kagan  

September 30, 2016

Food for the Medical Student

Oftentimes, medical students look like zombies chasing after more brain matter. So we forget that they are humans and are therefore in need of nourishments. We can cook all of our meals, which will save money but costs a lot of time. We can buy all our meals, which can sa...

Posted By: Sung Woo Koh  

September 27, 2016

Should Med Students Wear Certain Clothes?

The clothes we wear and how we wear them often times reflect who we are. We go to the store to buy clothes but a shirt or pants that we like, something that "looks like you." You've heard people say "So-and-so would so wear that! or "That shirt is so you!" The clothes we ...

Posted By: Vincent Migliaccio Michaelson  

September 25, 2016

Organ Transplants and Undocumented Immigrants

A couple weeks ago, I had a patient with myelofibrosis whose only option for a cure was a bone marrow transplant. Unfortunately, she was an undocumented immigrant and therefore was not eligible for transplantation. She had been getting sicker and sicker everyday; by the...

Posted By: Sung Woo Koh  

September 21, 2016

From War to Detente


Recently, the Canadian government passed a nationwide reform intended to curb opioid abuse. Following the footsteps of several Europe...

Posted By: Kolin Meehan  

September 21, 2016

How to Not Be at the Top of the Class

I'm sure that most of us are in medical school because we were able to get the grades to maintain high GPAs during undergrad; chances are, a lot of us were at the top of our classes. There's always an adjustment period that comes with the first few months of medical schoo...

Posted By: Stephanie Nguyen  

 
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About This Blog

Medical school and residency can be a stressful, demanding time. These medical students share their insights and experiences, good and bad, in order to create a community of support and understanding for medical students everywhere.

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  • Alina Khurgel
  • Kolin Meehan
  • Neil C. Bhavsar

    Medical Student 
    New Jersey Medical School

  • Rick Tumminello

    Philadelphia College of Osteopathic Medicine

  • Sung Woo Koh

    Chicago Medical School at Rosalind Franklin University

  • Heather Kagan

    Temple University School of Medicine, Philadelphia, PA

    www.heatherkagan.com

  • Stephanie Nguyen

    Temple University School of Medicine

    Philadelphia, PA

  • Vincent Migliaccio Michaelson

    O&Med School of Medicine|Havard Developed Pilot Program

     

 
 


 
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