Saturday, November 9, 2019

November 2019: Cardiovascular + Professionalism

Cardiovascular Module
Dr. G returned for another retelling of an anecdote  of purchasing an autographed cookbook for his beloved spouse which ended with him threatening the chef who signed it, told during the P450 lecture from a prior module. He then confessed a personal account of patient non-compliance even as an educator of disregarding the doctor's advice on diet control.  Self control is dismissed when provided with the opportunity of an All you can eat/drink cheese and wine, guaranteeing the omniscience of statins.  
Narrowing on the organ of ANS,  the overview of heart diseases was covered.    There are multiple varieties Angina, Heart Failure, and Atrial Fib. There are multi strategies like rate control and rhythm control. 
Another interesting note was about diastolic heart failure, the problem with ventricular filling.  The diastole is important as Dr. Vivek Murthy, the former Surgeon General, stated as a metaphor in his speech at the University of Arizona.
Beta blockers, water pills, and Amlodipine were encountered previously while completing clinical pracuticim with a cardiologist. One patient was cautioned about the water content in fruits.  Dr. M. always commented about the ejection fraction as he looked over the ECG printout.  Heart failure was a common diagnosis.  
Professionalism.
Dr. K. addressed the students after the renal lecture.  He encouraged the students to not be discouraged.  “How do you deal with stress?” is one of the criteria of admission. What did you overcome?  

Did you have to work three jobs to support your family?  Did you take a three-hour bus ride because you needed that special chemistry class that worked with your work schedule?  
Despite the prestige and necessity of medicine, the profession is cursed with high rates of burnout and depression.  
Notable example of those who flourished under stress include the athlete Kobe Bryant.  He played with great finesse even though the tabloids already condemned him as a rapist.  When her husband’s infidelity became national news, Hillary Clinton still managed to get of bed and continue to work in advocacy for all her causes, including healthcare reform.  However, examples of those who did not survive the untruthful gossip of the masses include Marie Antoinette and Leo Frank, a Jew,  who was murdered by the masses based on a false accusation.  Those who are still quiet or too weird or misunderstood like Dr. Boltzmann will always be easy targets for the masses to scapegoat.  
People will challenge you and treat you with unkindness and gratuitous condemnation, as Dr. Randle Adair illustrated.  His expertise was belittled when he was labeled as a “not a real doctor” when he was still a titled Ph.D.  Dr. Adair shared his unconventional journey to medicine.  He was 45 years old when he matriculated.  
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Word Count: 500+ words

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