In France, they force feed geese to produce fatty liver (Foie Gras). In the US, we do it to ourselves.
— my family medicine board review book [mcgraw-hill]
A 6-year-old central Florida boy drowned in a pool on a Carnival Cruise ship over the weekend after hasty efforts to resuscitate him failed, the cruise line said Monday.
This just breaks my heart. I can’t imagine the pain that the parents are feeling or all that witnessed this tragedy. Please remember a couple key points about water safety for children:
1. Always keep an eye on your children. There were probably a hundred people on the carnival deck near the pool but everyone’s doing their own thing. You need someone paying specific attention to your child and avoid getting distracted themselves. In one study, parents admitted that they talk to others (38%), read (18%), eat (17%), and talk on the telephone (11%) while supervising their child near water. Lapses in supervision were responsible for 62% of nonfatal cases.
2. Always swim with a buddy. The extra eyes could help alert people if something is wrong. But this does not take #1’s place; it’s simply an added measure to help. In the article, the child was swimming with a buddy.
3. Consider taking a CPR class. Immediate resuscitation at the time of the incident before Emergency Personnel arrives is associated with a significantly better outcome for the child.
4. Wear an approved life vest. I don’t mean the puff up arm bands. I know, I know, I’m a hard ass. But arm bands can deflate which is a risky thing when your life is on the line.
For more water safety tips via American Red Cross,
For statistic lovers, Prevention of Drowning - American Academy of Pediatrics
from the beginnings of medical school, throughout residency, and beyond - ingrained in our heads are the 3 leading causes of death from cancer in the US :
2. prostate for men, breast for women
here’s a sad statistical fact - in 2009, lung cancer caused more deaths than colorectal, breast, and prostate cancers COMBINED.
from 2000 to 2009, the trend of death from lung cancer has only decreased 2.3% for men and 0.7% for women per year. maybe that’s why the commercials on tv are getting more and more graphic with regards to smoking.
smoking is the single most important risk factor for the development of lung cancer. don’t do it.
if you do do it, quit. don’t throw your hands up in the air and say, “well, i’ve already damned myself, might as well continue.” no. estimates of risk reduction after quitting smoking can vary up to 90%. 90% !!! it’s something to seriously consider.
end rant and back to studying.
I can’t believe how much time flies. Has it really already been two years since being a resident? I’ve been so busy. I feel busier than I was as a resident!! Don’t know how to explain that!
I’ve been contemplating my website projects for a while now. Since becoming an attending, it’s been very hard to keep up with all my sites. In addition to being a family doctor, I’m also a medical informaticist that works on building within the Epic EMR for our health system. So I’m thinking of consolidating my sites into just a couple so I don’t over extend myself and let you guys down due to lack of updates. The question would be what would I shut down? I love them all! I even want to create more projects lol.
One project that I did stop working on was Scutwork.com . The original owner started the site about a decade ago I believe. And when I was in residency, I joined his team to help keep the residency reviews flowing. And thats what I did for 5 years. But sadly, it’s time to move on. I wanted to do so many things to change it, update it, make it better. But, unfortunately, it didn’t work out. I hope to provide a different solution for students to search for residencies in the future.
With Scutwork responsibilities stopped, I still have to consider MDSalaries, Cool Health Infographics, and CaribMD. Oh and Project NeverLaunch too. MDSalaries and CaribMD are currently hosted by GoDaddy/Wordpress, so that is a monthly expense. Cool Health Infographics is hosted on tumblr. Maybe if I move CaribMD to tumblr, I can keep it alive simply as a directory. We’ll see.
In other news, it’s time for me to crack down and study for boards. I’m staying in Santorini, Greece to study in isolation. The pic shows the loft apartment above where I’ll be staying. I’ve got a month before boards. I am terrible test taker. When I was studying for Step 2 CK, I went to Vietnam for a month to study. It’s nice because when I’m awake studying, east coast friends are likely sleeping. and vice versa. So no distractions! Here’s hoping it goes well! Cheers!
escada86 said: Hi how are you long time since I send a msg do you remember me
— hello ! yes, i remember ! what is the update with your medical career ? wishing you all the best. ~ thuc