h****3
发帖数: 54 | 1 好像有调查长远看rheumatology医生对career满意度是最高的。但是好像真是不太喜欢。
第二年了，得赶快决定了。以前的research不是这些方向的，感觉要马上开始做点相关
的research了，但是还没拿定主意。压力好大。有hem/onc的前辈可以请教一下吗？ |
|
A***4
发帖数: 30 | 2 为什么不选nephrologist? 我觉得这个也挺好的呢 |
|
d*********g
发帖数: 49 | 3 Sumio Iijima
Endo
whitesides |
|
c***y
发帖数: 233 | 4 whitesides搞纳米么?
Sumio Iijima
Endo
这俩什么来头? |
|
d*********g
发帖数: 49 | 5 第一个发现的并发表文章的应该是Morinobu Endo（Shinshu University）
是当年这位老兄在法国的时候搞的，而且发了文章，只不过当时没发在nature上而已。
。。
当时好像是1976年左右
后来这位老兄还在1987年左右申请了专利（CVD用纳米颗粒催化生长CNT）！
听说这个专利赚了钱，不过他自己说，最近开始要赚大钱的时候，专利快过期了。。。
（难道只保护十年？不是很懂。。。） |
|
s*******y
发帖数: 1739 | 6 Vocabulary/Medical Terminology
AFB = Acid-fast bacillus
CBC = Complete Blood Cell Count
CDC = Centers for Disease Control and Prevention
Staph = Staphylococcus
WBC = White Blood Cell Count
Antiseptic = (Anti/septic)
anti-, ant- = against, over against
septic = infection
Asepsis = (A/sep/sis)
a-, an- = without, not
-sis = state or condition
Disinfection = (Dis/infection)
dis - = apart (separation)
Endogenous = (Endo/gen |
|
g****i
发帖数: 2269 | 7 some hospitals freezed hiring. My hospital significantly reduced hiring
numbers. For exemple this year the hospital only hires several new grads <10.
One reason is lots of patients choose not to have regular office visits so
inpatients will decrease as a result. And people will delay the treatment of
some diseases which are not urgent.
One of our endo groups used to hire 2 NP and 1 PA, now only one NP left; the
other NP back to bedside nurse, the PA went to a pulmonary group. It must
be hard for |
|
j******o
发帖数: 383 | 8 真的好久没上来冒泡了,从去年1月拿到ATT快1年了才去考的NCLEX.
昨天上午8点多开考,11点半考完.共75题,16道SATA.很多 endo, electrolyte balance,
infection disease, priority, pharma, few mental,1 drug calculation, 1 ped,
No ob. 最后第75题是多选. 回家试了pearson trick 是那个good pop up. 我在CA而且
还没有SSN所以是不可能在NURSING BOARD 查名字了,只能等snail mail成绩了.
过去1年里,真正开始认真准备考试是去年7月.有用KAPLAN和Saunders, Kaplan的每道题
都很认真的去看,去了解为什么. 每道题认真的审题,认清病人是什么状况,然后问题到
底是问的什么. 然后再看选项,那个是最附和问题的对的选项.如果是直观题,问的就只
是知识点.做错了,就看Saunders把知识点掌握好. 如果是需要CRITICAL THINKING的题,
就认真的分析,为什么. 发现Maslow's, ABCs 很有用 |
|
i*******n
发帖数: 105 | 9 just started resarching info about NP
I don't want to do primary care, too various and broad, yet very interesed
in diabetes management
I am thinking about getting into a FNP program, is it possible that I can
specialize in diabetes or endo after graduating from FNP? or I should do ANP
?
BTW, what's the difference between FNP and ANP and ACNP?
for ANP versus ACNP---my understanding is ANP is primary care, ACNP is acute
or speciatly. not sure the difference between ANP and FNP
any input would be ... 阅读全帖 |
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c*********n
发帖数: 343 | 10 FNP吧 糖尿病主要就是primary care了，也和其他很多系统有联系，不只是endo. 觉得
还是FNP广泛一些。 |
|
b**o
发帖数: 5769 | 11 我们叫这个？
P3上的嘛。
我们基本上第一年会淘汰10%所以只要第一年能生存下来的，基本上都能毕业拿到执照
的。
Pharmaceutical Care V (Endo)
3
7883
Pharmaceutical Care VIII (Hem/Onc)
3
7862
Pharmaceutical Care VI (GI & Rheumatology)
2
7894
Pharmaceutical Care IV Neurology/Psychology Module
4
7873
Pharmaceutical Care VII (ID) |
|
k*****n
发帖数: 417 | 12 【 以下文字转载自 Biology 讨论区 】
发信人: jurassicpark (猪拉稀·怕渴), 信区: Biology
标 题: NAS elected 72 new members
发信站: BBS 未名空间站 (Tue May 3 10:48:47 2011, 美东)
http://www.nasonline.org/site/PageServer?pagename=News_May_3_20
Date: May 3, 2011
FOR IMMEDIATE RELEASE
National Academy of Sciences
Members and Foreign Associates Elected
The National Academy of Sciences today announced the election of 72 new
members and 18 foreign associates from 15 countries in recognition of their
distinguished and continuing achieve... 阅读全帖 |
|
J*******u
发帖数: 2 | 13 The Mind Research Network and Lovelace Respiratory Research Institute seek a
highly motivated Postdoctoral Fellow to perform independent research in the
area of imaging genetics. This position will be working with Dr. Jean Liu
and will work on MRI images and genetics, with emphasis on genetics effects
on the endo-phenotypic features derived from brain images and signals. The
Postdoctoral Fellow will be responsible for the development or selection of
proper statistic tests, algorithms and methods... 阅读全帖 |
|
s****u
发帖数: 1200 | 14 现在毕业的好像木有去药厂的。endo 和az不招人，现在实习也不来招了
快来免税州吧，还可以当小护士。
你给哪个老师当ta呢？ s or i? |
|
m******s
发帖数: 19 | 15 【 以下文字转载自 board 讨论区 】
发信人: endo (事业处于上升期), 信区: board
标 题: Re: 申请bimmer版版副
发信站: BBS 未名空间站 (Thu Nov 16 00:29:11 2006)
You've got my support here. |
|
l*********e
发帖数: 7492 | 16 一年以上的直接拿下了.
知道的去通知通知.
一周之内不上线报道的话拿下了.
谢谢合作.
最后上线日期 版块 ID 处理方案
Mar 5 2008 AllenSu movings 4个月未上线
Nov 30 2007 AromaTherapy Hermes 近一年未上线
Feb 16 2008 AromaTherapy snowkitty 7个月未上线
Dec 30 2006 Bimmer endo 两年未上线
Oct 9 2007 China fuel 一年未上线
Jul 29 2008 ChrisLee turnanyway 一个多月未上线
Oct 7 2006 |
|
U*E
发帖数: 3620 | 17 (89)
Board-- ID--- days
Amguulan yaziiii 29
BMU ergito 29
FlashGame hteeter 29
Apple hunterkiller 30
ChuckLaw eda 31
IHIlaw eda 31
JLU efan 31
Olympics tin 31
RuS tin 31
AhuHam HamTrees 32
AHU AHUer 34
loseweight sthtotalk 34
Rock phageous 34
NUAA NUAA 36
UESTC waterpark 36
Hero syaxx 37
BBI porpoise 39
Funding GoBuffs 39
AllenSu End7777 42
Climbing happyseeker 42
Football Frona 42
NJU vickytt 42
Law gongxifacai 43
TheGate mylx 44
Arizona NumLock 45
CS StoicLeo 45
Graduates hand 45
WeMic ETinc 4... 阅读全帖 |
|
U*E
发帖数: 3620 | 18 (89)
Board-- ID--- days
Amguulan yaziiii 29
BMU ergito 29
FlashGame hteeter 29
Apple hunterkiller 30
ChuckLaw eda 31
IHIlaw eda 31
JLU efan 31
Olympics tin 31
RuS tin 31
AhuHam HamTrees 32
AHU AHUer 34
loseweight sthtotalk 34
Rock phageous 34
NUAA NUAA 36
UESTC waterpark 36
Hero syaxx 37
BBI porpoise 39
Funding GoBuffs 39
AllenSu End7777 42
Climbing happyseeker 42
Football Frona 42
NJU vickytt 42
Law gongxifacai 43
TheGate mylx 44
Arizona NumLock 45
CS StoicLeo 45
Graduates hand 45
WeMic ETinc 4... 阅读全帖 |
|
m*********k
发帖数: 10521 | 19 [Wisdom] akju May 18 ● 版副上任包子
10*142=1420
成功奖励 10 伪币的用户: af101, akju, allspark, Ametc9, andysun, aniee, AnnieAnita, anniee, apeapple, ArsMagica, arthury, atu2010, bactive79, baozi09, bdbd, Berseries, bigfool, boeingj, Calebt, Carrmen, Cather, changkit, chiachi, coask, codycody, cokernut, coolhunter, crashinfo, damaolaile, dangdangcici, darkdragon, dawangtoo, dood, dreamfly, driftuconn, eftoman, Eldwell, Endos, erjie, EROIE, fanren99, ffdt, floranumen, FortatPeng, geon, GetTher |
|
A*****8
发帖数: 8590 | 20 Report Information:
Publication date: 11/07/2012
Number of Pages: 145
Report Details:
In 2011, the medical device market worldwide was worth $309bn, with high
single-digit growth from the year before . Despite being a vast and mature
market, there are number of sectors likely to experience fast growth during
the next 10 years. Much of this growth is linked to the prevalence of a
number of diseases worldwide, as well as an aging population. The rise in
neurological disorders will drive both the d... 阅读全帖 |
|
s********o
发帖数: 3319 | 21 【 以下文字转载自 MedicalCareer 讨论区 】
发信人: herby (小臭宝), 信区: MedicalCareer
标 题: [合集] 你有生以来做出的最佳临床诊断是什么？
发信站: BBS 未名空间站 (Thu Jun 2 00:01:26 2011, 美东)
☆─────────────────────────────────────☆
Aplusplus (Hakuna Matata) 于 (Sun Mar 27 11:11:49 2011, 美东) 提到:
首先我申明，我放弃我的ignore list， 欢迎所有ID参加。
每个医生护士或者其他相关人员， 无论在中国还是美国， 肯定都有一些case刻骨铭心
。 请大家把你印象最深的一例写出来， 与大家分享。 比方说， 清华男被鉈杀案，
那个中国来的护士就是诊断的关键， 相信本例就是她一辈子也忘不了的诊断。
我觉得这样的讨论有助于大家提高学医热情，丰富医学知识，开拓临床思维， 间接帮
助考版医生复习，准备CS，和 interview. 你要是能从中挑一个case让你PD
impressed，我想我的... 阅读全帖 |
|
s********o
发帖数: 3319 | 22 【 以下文字转载自 MedicalCareer 讨论区 】
发信人: herby (小臭宝), 信区: MedicalCareer
标 题: [合集] 你有生以来做出的最佳临床诊断是什么？
发信站: BBS 未名空间站 (Thu Jun 2 00:01:26 2011, 美东)
☆─────────────────────────────────────☆
Aplusplus (Hakuna Matata) 于 (Sun Mar 27 11:11:49 2011, 美东) 提到:
首先我申明，我放弃我的ignore list， 欢迎所有ID参加。
每个医生护士或者其他相关人员， 无论在中国还是美国， 肯定都有一些case刻骨铭心
。 请大家把你印象最深的一例写出来， 与大家分享。 比方说， 清华男被鉈杀案，
那个中国来的护士就是诊断的关键， 相信本例就是她一辈子也忘不了的诊断。
我觉得这样的讨论有助于大家提高学医热情，丰富医学知识，开拓临床思维， 间接帮
助考版医生复习，准备CS，和 interview. 你要是能从中挑一个case让你PD
impressed，我想我的... 阅读全帖 |
|
a*******n
发帖数: 82 | 23 They are all valuable points!
She was given Zofran, Phenergan and compazine in the other hospital.
MRI of brain was done for evaluation of severe nausea.
For her PMH/PSH, significant for iron-deficiency anemia, treated with iron
supplements in the past; HTN; DLP; h/o C. diff colitis 6 months ago; pAF
with RVR 8 months ago; yearly normal mammogram; normal colonoscopy 3 years
ago; chronic lymphedema from lower extremities; lung nodule with stable CT
followup. She was on dig, amiodarone, coumadin, ... 阅读全帖 |
|
a*******n
发帖数: 82 | 24 They are all valuable points!
She was given Zofran, Phenergan and compazine in the other hospital.
MRI of brain was done for evaluation of severe nausea.
For her PMH/PSH, significant for iron-deficiency anemia, treated with iron
supplements in the past; HTN; DLP; h/o C. diff colitis 6 months ago; pAF
with RVR 8 months ago; yearly normal mammogram; normal colonoscopy 3 years
ago; chronic lymphedema from lower extremities; lung nodule with stable CT
followup. She was on dig, amiodarone, coumadin, ... 阅读全帖 |
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D****r
发帖数: 162 | 25 How many years have passed since LZ came to the US? He could be making over
500K already as an endo. Of course, as I said many times, if it is not his
cup of tea, it is a moot point. |
|
D****r
发帖数: 162 | 26 How many years have passed since LZ came to the US? He could be making over
500K already as an endo. Of course, as I said many times, if it is not his
cup of tea, it is a moot point. |
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A*******s
发帖数: 9638 | 27 首先祝贺你快毕业了。
我个人看法与楼上一样， 做一年hospitalist再说。 我们医院今年有仨hospitalist
去做fellow， 其中一个是johns hopkins的毕业生做了nephalogy。另一个是4个孩子的
妈妈做hem/onc，她来自东欧， 做了一年hospitalist， 要了第四个孩子， 居然又去
做fellowship， 精力无穷啊！
我要是你， 会做endo 或 renal。 Hem/onc太抑郁， 我肯定做不了。 |
|
k********n
发帖数: 756 | 28 as u said, we don,t have pension, why do we need to worry aboht that Shit?
but for u, it is a key question to ask to make the best deal out of it.
please see physicians icluding heart, neuro, psych, endo to get complete
eval and use your talent to calculate. |
|
a*********d
发帖数: 2763 | 29 刚刚department meeting回来，medicare真是reimburse很差，就靠commercial
insurance撑着，但是估计也长不了，形势相当严峻阿。
对practice的医生来说，我们能做的，最要紧的就是好好学billing,把自己的劳动最真
实最大化的体现出来，今天一个数据说，像IM, FM,endo, neuro, nephrology,
cardiology这几个一般要take care大量老年病人多种疾病的，往往只bill到potential
code的20%，大量的钱是流失了。
另外严格控制no show，这对clinic 为主的医生来说是最杀伤的，现在牙医都bill no
show的，我们也应该这样。
然后bill for phone consults和internet econsult。
反正年景不好，开源节流。 |
|
e*****a
发帖数: 644 | 30 有个问题：
为啥 Endo和Rheu 是门诊赚钱最少的科室啊？
Rheu的那么多长年输液的病人，没有分红的吗？ 药那么贵！
practice，真正感受到了这种差距。
长时间才看到专科。当我跟病人解释病情的发展，实验室检查结果，我的治疗方案以及
各种药物的利弊，不止一个病人跟我说，他们生病这么多年，从来没有医生跟他们解释
过，都是简单地告诉他们要用这个药，然后就是三个月以后再见。我今年是base
salary,看多看少没关系的，但是等到我开始算productivity以后，就要多看病人来保
持相应的RVU，同时我给每个病人的时间就要明显减少，我就没办法像现在这样仔细地
解释病情了。
钱的copay，给我看他们每天四次扎自己的手指工工整整写下的血糖记录，还给我亲手
做圣诞卡和毛毯，我怎么能一进一出5分钟呢？
平衡吧。不知道各位在practice的是怎么体会的？ |
|
z****u
发帖数: 1007 | 31 哎。。你们那里RCT真贵。。这边molar endo我接手的病人也就500多一颗牙齿。 |
|
A*******s
发帖数: 9638 | 32 给我们谈谈糖尿病的治疗吧， 很是头疼， 我们这的endo很难约， 很多病人要等很久。 |
|
A*******s
发帖数: 9638 | 33 A 55 yrs old female complained of feet numbness for 6 months.
She is otherwise healthy. Because of strong family history of DM, she has
been seen by an endocrinogist for 2 years. She found her accu-chek was so
varible from time to time. For instance, her sugur could be 300 at 11 pm
and 30 at 1 am without doing anything. Her last HgA1c was 5.1. Her
endocrinologist was not able to diagnose her DM until recently she switched
to a new endo and a new diagnosis of DM was made just a day ago. She ... 阅读全帖 |
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a*********d
发帖数: 2763 | 34 开业以后，每个新病人我都要事先看一下病历才决定是不是接受，以避免一些奇怪的胡
搅蛮缠的病人。
昨天看了一个新病人的referral，说三十多岁的男病人，testosterone 升高。我看过
不少女病人testosterone升高，或者男病人testosterone降低，所以这个病例我格外留
意了一下。
看检查报告，那个病人的testosterone level在男性应该是正常的，但是数值边上写了
High。我觉得很奇怪。然后仔细看，那个实验室报告上病人的性别打成了female，所以
用的reference range是女性的，所以就报告是高的。PCP看到数值高，就大笔一挥，
endo referral.
我让他们重复了testosterone，把性别纠正过来，结果就是正常的。
======
前段时间，医院让我去看一个病人。
第一个hospitalist觉得病人有cushing，所以order dex suppression，早上cortisol
被正常地抑制掉了，第二天接班的hospitalist打电话给我会诊，consult reason:
adrenal insufficienc... 阅读全帖 |
|
|
A*******s
发帖数: 9638 | 36 谢谢分享。
第一个病人， PCP为什么要给他查testosterone呢？ 如果pcp怀疑某个病，
testosterone高就make sense了； 不高呢？ PCP怀疑错了？ It would be right time
for Endo. Come on, you can not decline the challenge. ：） |
|
d**o
发帖数: 618 | 37 Moral of this story:
1) Technical point: Glucose tolerance test may be artificially high if pt self-starves too much and becomes hyper-sensitive to a glucose stimulus. The first PCP missed this point, and my teacher said he might miss it too. HbA1c could be artificially low if pt has hemolytic anemia, but her anemia has not been classified to be that.
2) Be aware that family history is a double-edged sword. It could guide or misguide diagnosis. In this case, pt likely had a limited diet from ver... 阅读全帖 |
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d**o
发帖数: 618 | 38
This point also surprised both PCPs. I copied the endo's report verbatim as
above. Maybe we shall offer baozi to againstwind or newprozac to explain
this to us?
I forgot to mention above, but my teacher did order this and a lot other
tests. Pt sat there and read the lab order carefully, and asked me what C-
peptide is. I chagrined and pretended I didn't know. Personally, I won't be
surprised if she is using insulin shipped from China //sigh |
|
n*******c
发帖数: 501 | 39 Thanks for the very educational case.
1. Glucose tolerance test should be done properly before we can rely on its
result. It is very important to make sure for days or even weeks before the
test, the patient has not been restricting carbohydrate. Secondly the
patient should be fasted properly (8hrs rule). You would be surprised how
people understand fasting.lol I have had a patient (back in china) who
thought fasting means no meals but fruits doesn't count so she had some
grape before bed...
2.I... 阅读全帖 |
|
U********e
发帖数: 20 | 40 If FSH and LH are increased with low testosterone level, then we start
testosterone replacement. There is lots of patient education about the
replacement including helping pt to put realistic goals and the possible
infertility aftermath.
The teaching part is my favorite part.
If FSH and LH are normal or decreased, then we usually refer to Endo. There
are more work up needed to be done including the pituitary function panel.
Any comment? |
|
b*****l
发帖数: 8603 | 41 Endo--
A 57-year-old female with a past medical history (PMH) of hypertension (HTN)
and depression was admitted for mental status change and fever for 1 week.
On admission, she was diagnosed with multilobar pneumonia and antibiotic
treatment with azithromycin and Zosyn (piperacillin and tazobactam injection
) was started. Blood cultures showed gram positive cocci in clusters and
vancomycin was added. LP was negative for meningitis.
Home medications
Toprol XL (metoprolol succinate), Neurontin (ga... 阅读全帖 |
|
|
D*********t
发帖数: 140 | 43 Different opinion on Endo case 2: I remember PTU is not allowed in 2nd
trimester with the concern of teratogenic effect of PTU. We prefer
Methemozal to PTU from 2nd trimester. Is that right? |
|
D*********t
发帖数: 140 | 44 Dr. Againstwind:
Different opinion on Endo case 2: I remember PTU is not allowed in 2nd
trimester with the concern of teratogenic effect of PTU. We prefer
Methemozal to PTU from 2nd trimester. Is that right? |
|
D*********t
发帖数: 140 | 45 Dr. Againstwind:
Different opinion on Endo case 2: I remember PTU is not allowed in 2nd
trimester with the concern of teratogenic effect of PTU. We prefer
Methemozal to PTU from 2nd trimester. Is that right? |
|
d**o
发帖数: 618 | 46 美国顶级专家号的奥妙就是不是区区几千块钱就能收买到的。PPO当然不是神器，你光
拿着去约顶级医生十个有九个会说不收新病人。如上面所说，只要病情需要，别说
Medicaid，就是流浪汉都能当天见到最好的neurosurgeon。
那除了病情需要之外的专家号呢，当然也有大把。我见过州长级的病人来约endo chief
看轻微糖尿病，HbA1c甚至都没过七。医生图啥？本院的长远发展贝。我也见过扫厕所
的病人到free clinic看拉稀，正好碰上出诊医生是gastro的vice chief，虽然没有紧
急症状，医生说你明天早上直接到我上班医院来做scope不用挂号。医生图啥？social
justice，是种美国左派思想，通过给最穷的病人最好的医疗来纠正社会的不公。
作为不是大富大贵又不是一穷到底的老中，如果病情不对口一般引不起顶级专家的兴趣
，要想找专家，不二法门是跟PCP搞好关系。The worst you can do is 流露出看不起
PCP的情绪，觉得他们不是专家尽在浪费时间。一般只要你尊重PCP，是他的老病号，碰
上可转可不转的小病PCP会主动提出说我觉得问题不大但是我也可以r... 阅读全帖 |
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A*S
发帖数: 354 | 47 男女都有。
add more:
onco: 1
endo: 1
hemopath: 1
疼痛管理，全科，暂时不能安排，非常抱歉。 |
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s*******g
发帖数: 92 | 48 来自主题: Medicalpractice版 - 甲亢 求助 在等endo...
这些天右侧甲状腺越来越疼，晚上睡觉时疼痛会弥漫到脸上，牙齿部位。
我能自己找些什么药么？
Graves
then |
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i*********5
发帖数: 19210 | 49 这得看是什么状况，什么速度，什么路面。。。因素太多。昨天骑车上班就差点儿撞翻
一jaywalking的行人。
晴天，平路，直线，高速（30km/h +)，我后面还跟了另一个roadie。单向双车道的
Yonge街，heavy traffic + 红灯，车都是停着的。一辆大dump truck挡了我左边的视
线，通常这种情况我就回anticipate有左转的车或过街行人。果然，俩膀大腰圆的壮汉
正横穿过来，我看见时离他们也就５米左右。对他们一声大喊"Watch Out!"，同时双手
捏刹，（通常我只用前刹）左手的前刹几乎捏完了，右手的后刹也捏了一半，更重要的
是身体要同时往后移（重心靠后去压住车的后轮），不然garantee endo（人从龙头上
方翻过去）。离我近的那哥们听见我喊，放慢了脚步，我刚好在他面前停下，前轮擦了
一下他右脚的劳保鞋。在这过程中我都能感觉的到车的后轮已离地面了。我吓出了一身
冷汗！真撞上了，那壮哥们儿可能不会有什么大碍，不过我的爱车就不好说了。我后面
跟着的roadie反应也还敏捷，从我们的左边绕过，同时愤怒地喊到＂Use the
crosswalk！＂
马上就... 阅读全帖 |
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