TSR Med Students' Society Part III

just the F-word. Only one and it is 3 weeks away and this is without revision but still...I wanted a bit of a break. The fact that the paper is sort of synoptic for the last two years aswell annoys me.

Well done on the race for life!

Thanks I've just made myself a cooked breakie of garlic mushrooms, spinach, eggs, potato bread and smoked bacon! NOMNOMNOM.

when are you away home?

question, so in the context of complications of MI the magic book says:

'persistant RVF presents with high neck veins and hepatic congestion. In the acute stage in sevear cases, Swan Ganz monitoring may show low left sided filling pressures with high right sided pressures. Cardiac output may be improved my plasma expansion in carefully regulated amounts, rather than diuretic therapy which may make the situation worse.'



Why? RHF would have low pulmonary perfusion and low return to the left side, is it saying sod the right heart and improve the systemic perfusion? surely expanding the plasma volume is not good for the failing heart, excluding hypovolemia? Or is it the potassium effects from diuresis??

Help please

Ah yes. My dirty pint was just absinthe and bolt. I downed it instantly. There was a look of horror on many peoples faces. I was fine apart from the energy drink hyperactivity...well fine considering the alcohol intake...



Yeah I am probably stressing for little reason, I did just skim the paper...
Jealous on the breakfast but I had nutella so ha!

You're right in once sense - careless plasma expansion would bugger the heart.

But what you're missing is the point that the problem becomes one of hypovolaemia - what will the heart start doing if you diuretic the crap out of them and they lose loads of water ---- the heart will beat like a mofo and cardiac output will actually WORSEN - increase the volume slightly and the converse happens - the heart will beat slower and actually help out the failure and be more efficient = better cardiac output.

I have eaten well this week Sea bass on tuesday and steak with mushroom sauce on wednesday neight of which I had to cook. Then I made pork meatballs with a tomato sauce and spaghetti on thurday and curry on friday. Yesterday was home made burgers. I don't have the stamina to do a roast today though...

I like cooking

Awesome breakie, kudos on the potato bread!

I'm half Irish, gotta stay true to my heritage!

I want to be RAMC but according to the website if I apply now I wouldn't even be guaranteed getting an F1 job

Fajitas are nice though.

I am funny with stew, I only let people I trust cook it for me...too much can be hidden in a stew...

Yeh I was thinking of going down that route but I'm asthmatic and you need to be asymptomatic for four years before they consider you, so another three years then

Ever consider just doing your F1 job through the NHS then joining the RAMC? Is that even possible? (Sorry I'm a bit ignorant about all this stuff, Glasgow likes to only let you know stuff at the last possible moment, most often the night before )

I have eaten well this week Sea bass on tuesday and steak with mushroom sauce on wednesday neight of which I had to cook. Then I made pork meatballs with a tomato sauce and spaghetti on thurday and curry on friday. Yesterday was home made burgers. I don't have the stamina to do a roast today though...

Ah well basically if you don't join as a student you generally have to then join as a specialist e.g. registrar in something. You'll still get the golden hello (£50k) but yeah means you gotta wait and will be older when you're doing basic training lol.

Damnit shouldn't have been so lazy about it when I was in OTC

I imagine you fit in rather well at Imperial. Sea bass I ask you... did you round it off with some brandy and a couple of Cuba's finest?

I know, I wish I knew more clearly what my career path was rather than 'uh I suppose the NHS, sure they'll work it out for me??'

Golden hello sounds pretty sweet though...

Well tbh if I do what I really want to do - it's not even available in the army as they don't tend to do many transplants But then I'd do trauma type stuff instead...
we'll see, blatantly end up an endocrinologist and nothing I've planned

Worse case scenario is that we all end up dermatologists

We had a histologist that said all they did was describe what they see in Latin and then put cream on it