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hey guys welcome back to the channel
if you're new here i'm Sebastian a
medical student from Australia
and today i'll be taking you through a
productive weekend in medical school
we started renal block this week so i'll
be sharing some of the things we've
learned so far
after the typical morning stuff my
girlfriend deb and i scramble to get
ready
and make our way to the train station we
don our masks and begin hydrating
ourselves to prepare for an upcoming
blood donation
we're making full blood donations and
that means they'll be taking 470 mls of
blood
and it's important for us to drink at
least three glasses of water beforehand
our appointment's at 10 45 and we fill
in some forms after checking in
the staff at the center interview us to
confirm our travel history
and to ensure that we have no serious
health conditions once they deem we're
safe to donate we make our way to the
chair
this will be my second donation after
giving blood last year
and for those of you not familiar with
the process you can donate either full
blood
platelets or plasma full blood donations
can be done every three months
while plasma and platelets can be
donated every two weeks
depending on your blood flow and
hydration a full blood donation takes
around 10 to 15 minutes
and if you're thinking of giving blood
be sure to check out the guidelines in
your area
once i'm finished one of the nurses
gives me an a plus key chain because
that's my blood type
and directs me towards the refreshment
station the red cross gives a
great snack selection for donors so we
start munching on all the snacks and
drinks provided to replenish our lost
salt and energy
we rest for the recommended 20 minutes
then book another appointment in three
months time
and make our way to guzman y gomez
because we're still feeling a little
hungry
we order a burrito bowl to share and add
a side of corn chips and guacamole
after smashing through the meal it's a
little after midday and on our way to a
cafe we come across
minnesota this is where i previously
found my penguin pal bruce
who's now featured in many of my other
videos after browsing through the store
we end up taking this guy back with us
and just look at his happy little face
it's a mini bruce with our new study
buddy we find a seat in starbucks
and deb orders an iced latte for herself
and a hibiscus tea for me
because i'm not really a big coffee
drinker after making ourselves
comfortable we take out our laptops put
on our headphones and get into the study
mood
i've been told by many students in the
years above that renal physiology is one
of the more difficult topics we'll come
across in medical
school so i decide it's a good place to
start i work through some osmosis videos
as an introduction to major concepts
and then review the lectures from the
week i try to make sense of each of the
transporters in different parts of the
nephron
and spend a little too long wrapping my
head around counter current
multiplication in the kidney
a bit of pharmacology comes up and once
i'm feeling a little more confident
about the mechanism of action of
different drugs like acetazolamide
furosemide thiazide and potassium sparing
diuretics
i put aside renal and do some
endocrinology practice questions
our final exam at the end of the year
will cover all material from this year
and last
so it's important that i'm reviewing
each of the blocks as i mentioned in
previous videos
i like using past medicine for practice
questions and here's an example of one
of the questions i work through
a 16 year old boy presents to the ed
with acute onset pain in the right iliac
fossa
nausea vomiting and fever he has no
significant past medical or surgical
history
and on examination you find rebound
tenderness at mcburney's point and a
positive rovsing site
you strongly suspect appendicitis and
the patient is later taken in for
surgery which of these is most likely to
be a physiological response in this
scenario
if you've had a bit of time to think
about it the correct answer is increased
glucagon secretion
because the appendicitis is putting a
physiological stress on the patient and
one of the body's responses is to
increase glucose and oxygen availability
glucagon is a method of increasing the
availability of glucose around the body
through glycogenolysis and
gluconeogenesis and the other options
incorrect because you'd expect them to
have the reverse response in this
situation
after smashing out about 30 of these i
check in with deb who's also happy to
finish up
and we make our way out the weather's
been picking up as we move out of winter
so we make the most of the sunshine and
find a nice outdoor spot to relax
we chat about what we've been learning
and some of the projects and assignments
we've been working on
if you're someone who likes to study
with others i've always found it helpful
to talk through the concepts after a
study session
not only is it a way to reconsolidate
the material but by teaching someone
else
you're directly applying the feynman
technique if you haven't heard about it
before
it simply involves pretending that
you're teaching a concept to a grade 6
student
and if you get lost along the way go
back to the source material
and try teach it again when it comes to
learning there's a difference between
knowing something
and knowing the name of something for me
medical school there may be plenty of
pathologies and medical jargon that i
can recognize
but unless i can put it into a clinical
context all this superficial
recollection is rendered worthless
as stephen hawkings put it the greatest
enemy is not ignorance
it is the illusion of knowledge so it's
important to put knowledge into practice
which will be a lot more beneficial in
the long run it's now 3 30 in the
afternoon so we find a quiet spot in the
food court because the library's closed
i continue working through practice
questions while deb reviews breast and
lung cancer
as part of her oncology block
unfortunately the study session is soon
cut short as the restaurants are about
to open for dinner and a security guard
asks us to leave if we're not ordering
food
with this change we decided the study
can wait until tomorrow and head over to
the nearby park to relax
i switch out the med study for a new
novel paper towns
and call me a hopeless romantic but a
few months back i really enjoyed the
fault in our stars by john green
so i decided to pick up another one of
his books after smashing out the first
few chapters
we head over to the oval grandstands to
get a better view of the sunset and
watch the oval morph into darkness
as the sun dips below the horizon i'm
planning on meeting some friends later
and i receive a message from my friend
declan saying he's arrived
we head back to the meeting area and i
decided to give him a little surprise
[Laughter]
deb heads back home and our other mate
alex arrives and together the three of
us head out for dinner
burgers are always our go-to so we make
our way to betty's burgers
i order a double beef burger and the
other boys do the same with some added
fries
and we put aside any thoughts about
excessive salt intake
or atherosclerosis and enjoy the meal
while catching up
feeling pretty full we head over to a
cafe called pishon for some post in the
drinks
the time races by and before he know it
the cafe is closing and it's time to
head off
i say goodbye to declan and alex then
catch the train back to deb's house to
watch
netflix recently we've been watching
signal a korean crime drama which has
been super entertaining and addicting
so if you're looking for a new show and
don't mind reading subtitles
i'd highly recommend checking it out two
episodes later we head off to bed
it's now sunday and i'm woken up by my
alarm at 8 30.
i get out of bed run through my usual
morning routine and do some final
preparation for a tutoring session i
have coming up
i'm at my girlfriend's place so no we
weepics for me this morning
instead being the legend that she is she
makes me some scrambled eggs and kimchi
to nibble on during the session
and as much as i'm an aussie weet bix
kid this is a lot tastier
i log into zoom and start a call with a
student of mine as i help them prepare
for the gamsat
which is the postgraduate medical
entrance exam in australia
today we're working on improving
scientific reasoning and problem solving
for section 3.
once we finish the lesson i send through
the session notes to my student
then chill out on my phone for a little
while i spend some time scrolling
through instagram
and replying to some of your messages if
you'd like to ask me a question and want
to keep up to date with what i'm doing
feel free to follow me on instagram and
don't hesitate to say hi
i put away my phone then head downstairs
for lunch by having homemade taiwanese
beef noodle soup
which is a delicious noodle soup made of
stewed beef and tomatoes
that is very popular in taiwan i got to
enjoy some of it during my travels there
last year
it's warm it's hearty it fills you up
and i can't wait till i get to go back
to try more dishes
after smashing through the meal it's now
12 30 so i start reviewing a practical
we have
covering the anatomy of the urinary
system all our anatomy tutorials are
currently being delivered online
which means we're unable to see the prosections
in person
it's been rather difficult putting all
the anatomy theory into context
as i'm more of a visual learner and i
like to learn through studying the pro
sections
fortunately our online anatomy tutors
have guided us through section images
and diagrams which have been a helpful
substitute for the in-person experience
i have a spot test coming up in a few
weeks which will cover the anatomy of
the gastrointestinal endocrine and renal
systems
so if you two also have a upcoming exam
let me know down in the comments so we
can all support each other
after spending a few hours revising some
of the material we'll be tested on
i decide to call it quits and begin
packing my bag i'm meeting a friend
later while deb goes to the shops
so we head over to the station hop onto
the train and make the trip
home
bye deb my camera battery died so i
couldn't get any clips
but my friend came over and we spent
some time catching up on each other's
lives and what we've been getting up to
during work in uni
previously with lockdown laws and social
restrictions in place i'd been keeping
in touch with my friends online
but since the restrictions have slowly
been eased off there have been more
opportunities to meet up face to face to
play some basketball board games or go
hiking we chat a bit before he heads off
and i decide it's a good time to fit in
some exercise
i've gone a little slack with my
exercise routine recently so i'm
determined to get back into the swing of
things
i've noticed that i tend to feel more
stressed or overwhelmed if i neglect
exercising for too long and my sleep
quality is just not as good
exercise presents numerous benefits for
your health and doctors will often
encourage patients to increase their
incidental
and active exercise quota before
prescribing drugs
if you don't have access to a gym you
can get up and about by going for a run
or a walk
or doing bodyweight exercises at home i
didn't feel like doing a long or heavy
gym session today
so i decided to lace up my runners and
go for a quick jog around the park
after 40 minutes or so i arrived back
home and go into my room
recently osmosis sent me a package of
goodies so i thought i'd show you what's
inside
an osmosis notebook a
shirt which i will have to open later a
mug
and it's got their little cute drawings
on it
if you can see that there's also a water
bottle
after going through the box i head
downstairs to the kitchen and help
myself to some fried rice for dinner
before getting in one last study session
for the day
i go through the various causes of acute
kidney injury or aki for short
in preparation for my clinical day
tomorrow i learned that you can split
the causes of aki
into three broad categories you can have
pre-renal causes
which can be due to hypovolemia or renal
hypoperfusion
secondary to septic or cardiogenic shock
you can have renal causes
which happens at the kidney level itself
the most common being a prolonged renal
ischemia
or a direct toxic effect due to drugs
like aminoglycosides
and post renal causes which are due to
an obstruction affecting urinary outflow
with a kidney stone being a common
culprit so after feeling a little more
confident with aki
and as it nears closer to 9 30 i close
the books and spend the rest of my night
relaxing
during this time you'll find me either
joining a discord call and playing video
games with some friends
editing an upcoming youtube video or
watching netflix
i mentioned this in previous videos but
it is so important to incorporate some
free time into your everyday routine
the whole purpose of increasing your
productivity and managing your timetable
is to be able to free up time to spend
with your family friends and hobbies
as in near's midnight i chuck on my oodie
brush my teeth and head to bed
well that wraps up a productive weekend
in medical school if you'd like to see
more of what i get up to as a medical
student
or looking for some study tips to boost
your productivity i made a custom
playlist which you can check out
if you enjoyed the video remember to hit
that like button and subscribe to see
more content like this
thanks so much for watching and until
next time this is sebastian
stay sharp
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