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    Getting really annoyed with this book now. Been tasked to read a chapter of the Sociology of Health - ethnicity, race and health. It says there's no such thing as race and we are all the same. The differences in our genes are so minimal they don't make a difference and so shouldn't be used to segregate us into races. Race and ethnicity is nothing more than social construct. Yes I agree we should all be treated the same but don't tell me a forensic anthropologist couldn't tell the difference in skeletons between Caucasian and Asian. We share 99% of our genes with mice but you wouldn't say there's no significant difference between the two of us. The treatment protocol for hypertension has one pathway for under 55s and not Black/Afro Caribbean and another for over 55 or Black/Afro Caribbean. Should the evidence that went into this distinction be ignored because the differences between Black/Afro Caribbean and any other race is too minute to consider, or all in the mind? /rant
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    (Original post by ilovehotchocolate)
    Getting really annoyed with this book now. Been tasked to read a chapter of the Sociology of Health - ethnicity, race and health. It says there's no such thing as race and we are all the same. The differences in our genes are so minimal they don't make a difference and so shouldn't be used to segregate us into races. Race and ethnicity is nothing more than social construct. Yes I agree we should all be treated the same but don't tell me a forensic anthropologist couldn't tell the difference in skeletons between Caucasian and Asian. We share 99% of our genes with mice but you wouldn't say there's no significant difference between the two of us. The treatment protocol for hypertension has one pathway for under 55s and not Black/Afro Caribbean and another for over 55 or Black/Afro Caribbean. Should the evidence that went into this distinction be ignored because the differences between Black/Afro Caribbean and any other race is too minute to consider, or all in the mind? /rant
    What we call race should really be more like breeds... i.e. we are all homo sapiens sapiens - but like dogs we have different features and colours etc. That's a better way of thinking about it (I think that's right, might have messed up somewhere)
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    (Original post by ilovehotchocolate)
    Getting really annoyed with this book now. Been tasked to read a chapter of the Sociology of Health - ethnicity, race and health. It says there's no such thing as race and we are all the same. The differences in our genes are so minimal they don't make a difference and so shouldn't be used to segregate us into races. Race and ethnicity is nothing more than social construct. Yes I agree we should all be treated the same but don't tell me a forensic anthropologist couldn't tell the difference in skeletons between Caucasian and Asian. We share 99% of our genes with mice but you wouldn't say there's no significant difference between the two of us. The treatment protocol for hypertension has one pathway for under 55s and not Black/Afro Caribbean and another for over 55 or Black/Afro Caribbean. Should the evidence that went into this distinction be ignored because the differences between Black/Afro Caribbean and any other race is too minute to consider, or all in the mind? /rant
    well I think race means separating people using their physical characteristics, in which case there are definitely similarities and differences - obviously skin pigmentation is one and there are many others like you have mentioned.

    Of interest biochemically renin levels are comparatively low in the AC/elderly population, which is why they are managed with volume/vascular tone meds rather than ACEi which lower RAS tone.

    this smells like wishy washy sociology to me, I hate how PCness is slowly creeping into medicine - we'll have the pope setting NICE guidelines soon. yes obviously you should ignore this with respect to treating hypertension, which has proper clinical research backing it rather than a field full of stoned philosophers and harry potheads.
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    (Original post by Philosoraptor)
    What we call race should really be more like breeds... i.e. we are all homo sapiens sapiens - but like dogs we have different features and colours etc. That's a better way of thinking about it (I think that's right, might have messed up somewhere)
    That's pretty cool. Thanks The chapter says apparently we as humans haven't been around long enough to have evolved into different types yet but I like your dog analogy. I'm open minded in that I think sociology can be useful to understand in med, but when it's going to talk complete bull I'm not interested. It's being over-sensitive for the sake of being PC.
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    Anyone know if V5/6 is in the same horizontal plane, or the same intercostal plane, as V4 please?

    TSR loving
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    V1/V2 - 4th intercostal
    V4/V5/V6 - 5th intercostal

    i had been putting V1/V2 on the 2nd intercostals but this is where you auscultate.
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    (Original post by Revenged)
    V1/V2 - 4th intercostal
    V4/V5/V6 - 5th intercostal

    i had been putting V1/V2 on the 2nd intercostals but this is where you auscultate.
    cool thanks

    :facepalm: I said I'd put a chest drain in 6th ICS MCL
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    saw a pt with SJS, not pretty, although heavily dosed on steroids so not life threatening. Also, pt with macrophage activation syndrome, scary stuff.
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    Had an MCQ revision session today, and got 22/25 right (would have been 23 if she had put the generic drug name rather than trade :grumble:) so am feeling so much better about my lack of revision.

    Although thinking about it, maybe it would have been better if I'd done really badly......
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    trade names for drugs make me sad
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    (Original post by Mushi_master)
    I've got my OSCE on Wednesday, they're running throughout the week for the year group; then next monday, weds and friday are the written papers. The fear is certainly here.
    Good luck! How did the OSCE go? We just finished today, paper 2 on Wednesday was awful!
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    (Original post by billet-doux)
    Good luck! How did the OSCE go? We just finished today, paper 2 on Wednesday was awful!
    Everyone said the same about paper 2 last year, so don't worry about it! People still managed to pass. Hope the other papers weren't so traumatic.

    It went rather well I reckon, can't think of that many things I could have lost too many marks on. Probably said a couple of stupid things due to nerves and in hindsight there were things I could have done better - but that's the nature of OSCEs I suppose.
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    Hmm wonder who in our med school decided to put gastroenterology, renal and endocrinology ALL in the same rotation which only is 7 weeks long (including an introductory week of teaching) I feel like I'm trying to see everything at once without learning much in depth gah. But am loving hepatology the most so far!
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    (Original post by Supermassive_muse_fan)
    Hmm wonder who in our med school decided to put gastroenterology, renal and endocrinology ALL in the same rotation which only is 7 weeks long (including an introductory week of teaching) I feel like I'm trying to see everything at once without learning much in depth gah. But am loving hepatology the most so far!
    Eek. I have general surgery, GI, renal, and nutrition all squished into a 5 week block.
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    (Original post by Becca-Sarah)
    Eek. I have general surgery, GI, renal, and nutrition all squished into a 5 week block.
    Wow in comparison our rotations are luxury!

    We did 9weeks of general medicine - 3 each of cardio, resp and acute, then 9 weeks of general surgery. Next up was 4 weeks of COOP, ortho and rheumatology. Am how on 3 weeks of endocrine/diabetes, with 3 weeks of haematology/oncology to go + 2 weeks following the critical care outreach team for my SSC
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    (Original post by buzzcat)
    well I think race means separating people using their physical characteristics, in which case there are definitely similarities and differences - obviously skin pigmentation is one and there are many others like you have mentioned.

    Of interest biochemically renin levels are comparatively low in the AC/elderly population, which is why they are managed with volume/vascular tone meds rather than ACEi which lower RAS tone.

    this smells like wishy washy sociology to me, I hate how PCness is slowly creeping into medicine - we'll have the pope setting NICE guidelines soon. yes obviously you should ignore this with respect to treating hypertension, which has proper clinical research backing it rather than a field full of stoned philosophers and harry potheads.
    I think i might be one of the potheads. I thought medical humanities would be much nicer than actual research in my 4th year... clearly I am not a scientist as I just want to lie around pondering the universe for a while :p:
    Oh and the sociologist is talking *******s saying there is no difference but then that is what is popular nowdays...Though I don't think the pope will ever be setting the guidelines the maybe an unholy alliance of Mail readers and guardianistas taking a one two punch on self inflicted diseases and race.
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    (Original post by crazylemon)
    I think i might be one of the potheads. I thought medical humanities would be much nicer than actual research in my 4th year... clearly I am not a scientist as I just want to lie around pondering the universe for a while :p:
    Oh and the sociologist is talking *******s saying there is no difference but then that is what is popular nowdays...Though I don't think the pope will ever be setting the guidelines the maybe an unholy alliance of Mail readers and guardianistas taking a one two punch on self inflicted diseases and race.
    hah dude you're at Imperial, for the love of god don't do a humanity
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    OSCE on tuesday, suturing a banana like a mutha******.
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    (Original post by SMed)
    OSCE on tuesday, suturing a banana like a muthafukca.
    I wish my OSCE contained that as one of the stations. I love suturing :daydreaming:
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    (Original post by Becca-Sarah)
    Eek. I have general surgery, GI, renal, and nutrition all squished into a 5 week block.
    Wow. Thats going to be pretty intense! Do you receive a proper timetable or more of a guide to where you should be, but get to go to clinics that you want? Also are you attached to a consultant etc?

    See for us, they put 4 students into nephrology - and then split the rest of our block in half - into endocrinology and gastroenterology. Lucky for me and another 3 students we arranged a week swap with the nephrology students otherwise wouldn't have done any renal until I graduate and renal disease is linked to every speciality. GP block next - not sure what to expect for that. Expect lots of history taking practise though yay.
 
 
 
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