(Blue Wednesday - New Shoes)
- Hey guys!
It's been a while.
So I've had a little bit of break from YouTube.
I haven't been posting videos in the last couple weeks.
But I'm back,
and I'm back with another vlog.
This morning, we had our orientation day
for a new term,
General Practice,
which is called Family Medicine
if you guys are over in the US.
And it was good.
We went in this new building.
So they built this
new health science building which is really cool.
And we went through things like the assessment criteria,
how to get the most out of the term,
in terms of our learning.
And right now, I'm at home.
I'm all snug in some new clothes.
And, no, I haven't changed med schools.
This is my girlfriend's med school.
She gave me some merchandise.
And she designed the logo which is pretty cool.
It's been pretty bad weather in Sydney.
We've had flooding in some suburbs.
And you would have seen this morning that
it's just an absolute downpour.
So I got absolutely soaked.
I didn't bring an umbrella,
and that was a huge mistake.
Absolute poor form.
Very poor form.
But right now, I'm going to try crack on
to a few online modules.
So the uni has given us a bunch of different lectures
for some common GP presentations, things like
hypertension osteoarthritis,
a child coming in with sore throats,
those sort of things.
So I'm going to start those now and try crack out
as many as I can before the sun starts to come out.
(Blue Wednesday - New Shoes)
After our first session on writing drug prescriptions,
we review cervical screening.
Each of us practice using a speculum,
and we perform a pap smear on a dummy,
which is what you can see me doing in the background.
In Australia, we have a national cervical
screening program, which offers cervical screening tests
to women age 25 to 74 years.
The test looks for evidence of HPV which can lead
to changes in the cells of the cervix.
And it's done every five years.
Once everyone's had a go, we do a group exercise
where we have to choose the most appropriate
contraceptive care for different female patient
vignettes, whether that be a intrauterine device
or a contraceptive pill.
We also get a chance to practice using
an otoscope.
And honestly, after a lot of struggling,
I think I managed to see the tympanic membrane.
But again, I'm not too sure.
So I'll need to do a little bit more practice.
Hey guys! So I'm on a 1 1/2 hour lunch break.
I went to Subway and grabbed myself
a chicken sub, and I'm in one
of the tutorial rooms now.
This morning session was good.
We went through prescribing medicines,
and we got a little bit of practice with the otoscope,
which is a little device that lets you see
in the back of your ear.
I've got about 45 minutes unitl my next class,
so I might crack on to a few online lectures.
(Rough - Jordyn Edmonds)
(laughter)
Okay. Yeah. 'Cause I see you added on the schedule
last minute.
I've had a pretty busy morning,
so tell me a little bit about why your friend
brought you in.
I don't have to go talk to your,
to your parents. You're old enough now
to make your decisions.
So, whatever you share today is, is just completely between
you and I.
It might be useful to put you on some prophylactic
medicine.
So, it's just some medicine that we give in,
in cases like this to make sure that you don't develop
any sort of infection.
(laughter)
You guys looked to me...
(laughter)
- [Woman] All right. Thank you!
(Rough - Jordyn Edmonds)
Flip this out, and then it shows you...
- It's like a selfie.
- So that's, that's how you, that's how you vlog.
(Rough - Jordyn Edmonds)
Hey guys! So I just met with the prac group
and we're going to get some Japanese food.
Hopefully, the line isn't too long,
because we're all pretty hungry.
(Rough - Jordyn Edmonds)
- Hey!
(laughs)
(Rough - Jordyn Edmonds)
- [Man] Let's try this one.
(Rough - Jordyn Edmonds)
- All right, guys. So we just finished dinner.
Bellies are full.
And we're going to head over to this dessert place
to take out some ice cream.
♪ Go away dream, you ain't real
♪ Let me see her, but you
♪ Let me see her but you won't let me feel
♪ Go away dream, you ain't real
- I can't believe...
Okay. Now, I don't know what to say.
(laughs)
♪ Go away dream, you ain't real
- Don't put that in.
- Dude, this tastes like brownies.
♪ You won't let me feel
♪ Go away dream, you ain't real
♪ Let me see her, but you
- [Seb] Bye guys!
- Bye! Take care!
♪ Arms open
♪ She'll be open she'll be open
♪ She'll be there
♪ Arms open
♪ She'll be open she'll be open
♪ She'll be there
♪ Let me feel, but ain't feel
♪ Arms open
♪ She'll be open she'll be open
♪ She'll be there
♪ Let me feel, but ain't feel
- It's now mid-afternoon and I spend the morning
kind of mucking around doing a little bit of life admin.
And I had a good sleep in, so I'm feeling well rested.
But before we started our term, we were automatically
assigned a practice to go to.
So I gave mine a call last week and they told me
to come in tomorrow,
which is why I'm at home today. I have a day off.
There's no scheduled class.
And I made myself some coffee, to get me
in the mood to do some study.
So I'm going to try crack on and do two or three hours
of work.
And earlier this week, we were recommended
this textbook called "Murtach's General Practice"
which is apparently like the bible of general practice
here in Australia.
So I'm going to have a quick look at that,
and try do some work, so I'm not a complete potato
during the day.
♪ I can't stay here
♪ No, I always got to go
♪ Playing house This ain't a home
♪ With my soul on the road.
♪ I can't stay here
♪ No, I always got to go
♪ Playing house This ain't a home
♪ With my soul on the road.
♪ I can't sit still forever
All right, guys.
So before I finish doing some study,
I did a few online lectures as well.
We were covering
dermatology that you'd see in general practice,
so I was going over the main types of rashes.
And lecture gave a good diagnostic algorithm
to figure out what's the differential diagnosis
whether it be a red scaly rash,
a red non-scaly rash, a vesicular rash,
or a pustular rash. You can sort of figure out
what is the most likely culprit,
what's the pathology.
But, I finished going through those lectures.
And I was reading Murtach's which is really,
really insightful.
I love the little acrynoym they give at the start
called PROMPT,
which is P-R-O-M-P-T
which stands for like provisional diagnosis,
your red flags, some things that are often missed.
And then, R...
O-M.
M, masquerades.
And then, is the patient sort of telling me something,
what's the problem.
Now, I'm doing a quick training workout.
Just finished on the rowing machine.
I'm doing pull day, as my brother would call it.
And I've got to go to bed relatively early,
because tomorrow I'm starting at 7:30.
All right. Going to crack on to the rest of the workout.
♪ Let's get around like it's the 80s
♪ Let's keep spinning
♪ Let's keep playing these games that we don't want to finsih
♪ And I'm sorry if that sounds a bit thick
♪ But I am to the chord
♪ You know the whole damn thing
♪ Then you ask for more
♪ You want the old giant swing
♪ You take up all of the floor
♪ I'm fine with standing at the edge of the door
♪ You'll be the life of the party
♪ You drink it all the Bacardi
♪ Let's take it back
- I found a quiet spot in the part and I finished
my first clinical session before.
We met my new supervisor.
He was really nice, really friendly.
They showed me around the practice.
I met some of the other medical team.
And it was really good. I got to sit in
with a bunch of different patient consults.
And I'm seeing a variety of presentations.
And sometimes, the patient's not always comfortable
with a medical student sitting in, so you kind of have
to leave the room and wait till it's finished.
And how it works is that we have to attend
a certain number of sessions during the term.
And each of these sessions lasts at least 3 1/2 hours,
and we can do a maximum of two per day.
So my next session doesn't start until 2:00.
So I have an 1 1/2 hour left over lunch break.
I've picked up a burrito,
a Zambreros beef one.
I'm the classic.
And I'm probably going to try find a cafe
to sit down and do some reading.
(chill music)
♪ Used to believe in none
♪ Now I believe in some
♪ I believe that everything happens for a reason
♪ I believe that there is greatness inside all of us
♪ Best believe what you believe is what you will become
♪ (I believe)
♪ That what ain't given is earned (I believe)
♪ What you give out gets returned (I believe)
♪ Life's a gamble roll the dice,
♪ days on Earth ain't promised
♪ We just all living on borrowed time (I believe)
♪ That there's still hope in the world
- Today was a long one.
Went from 7:30 a.m. to 6:00 p.m.
And one of the biggest challenges in primary health
is helping patients to change their behavior
which may pose a significant health risk.
So that could be cutting down on, say, smoking
or alcohol consumption.
That could be incorporating more positive health behaviors
like increasing fruit and vegetable intake
or improving medical compliance.
And one technique to help motivate patients
to change is using motivational interviewing.
And at the core of the motivational interviewing
is a few principles which are well summarized
by the acronym "OARS" or O-A-R-S.
O standing for open-ended questions.
A for affirmations.
R for reflections.
And S for summarizing.
It helps the doctor and the patient
be on the same side
to help achieve the patient's long-term health goals.
Another fun fact, is that the top most prescribed drug
in Australia is Atorvastatin.
And then, I think some of the heart drugs
come after that.
And then, you've got circulating as 9 or 10
which is an SSRI used to treat anxiety and depression.
But I'm not going to do any more med stuff
for the rest of the night,
so I'll see you guys tomorrow.
♪ So keep is G with what you say
♪ If I believe in you, then will you
♪ promise to believe in me
♪ (I believe)
♪ Life could be Heaven on Earth (I believe)
It's around midday and I've had a pretty chill morning.
I watched a lot of YouTube and generally procrastinated.
And I'm at home today, because my supervisor
isn't in at the practice, so I have a free day.
And I just finished lunch and I was reading
through this new book, the Emperor of All Maladies
by Siddhartha Mukherjee.
And it's a biography of cancer where he talks
through the current treatments,
how we came to our knowledge of what cancer is
and sort of the history of it, so it's been
really interesting.
And I've also been recently reading a lot
of medical related books. Some by Atul Gawande,
also Gifted Hands by Ben Carson.
So if you're looking to pick up a medical related book,
I'd suggest checking out one of the ones
on the screen.
But right now, I have about 30 minutes until
some online Zoom classes.
So I'm going to head upstairs and prepare for those.
(Blue Wednesday - New Shoes)
Just finished the two seminars.
One was on medical error in hospitals.
The other was on the different types of doctors
and how we can move up the ranks, some of the things
that we should be thinking about in terms of career planning
over the next couple of years.
So, really useful lectures.
And right now, I'm not going to do anything.
I'm just going to veg out.
I really enjoyed this week. I felt like I learned a lot.
GP seems interesting so far.
I'm excited for all the things that I'm going to expose
to over the next couple of weeks.
And I got to catch up with my mates
which was always good fun.
But I'm going to end the vlog there.
If you guys enjoyed it, be sure to hit that like button,
subscribe to see more content like this,
and until next time.
This was Sebastian. Stay sharp!
♪ Go away dream, you ain't real
♪ Let me see her, but you
♪ Let me see her but you won't let me feel
♪ Go away dream, you ain't real
Go, go directly behind me and then I'm going
to move my head out of the way.
So, line up, line up.
Line up, line up, line up, line up, line up, line up,
line up, line up.
Okay. And then, I'm going to...
Now, I'm going to move to the left.
(laughs)