Daily Medical Life – Unbounded Medicine

I did it

I haven’t written in a while because I am involved in thousands of transact that seem endless.

The Good News: I passed the exam, so I’m going to be a surgeon.

Now, the problem is not the exam itself. When you go for it, and study a lot, you can pass it, but passing the exam isn’t the last thing to do. Let me explain you this:

On September 2nd and 3rd was the exam wich consists in 600 questions of medical knowledge and 100 questions of english language understanding. Two months later (October 30th) results was published in the website of the CIFRHS. As I wrote before, it is a challenge to get into a residency program. Also, corruption reigns in this exam. O.k. I passed the exam and I’m selected to be a surgical resident.

The thing is that now, people selected have to pick a spot in an hospital of their preference. Again, corruption reigns this step. The Committee give you just one letter of your approved status and with that you have to go to ONE hospital at the same time and apply for their residency program. If that hospital don’t like you, you loose your turn and have to wait to the next round of applications.

With the earnings of 10 million dollars, they could implement a system like the “match”, why they don’t do it? Lot of people will loose their chance to get into a residency program.

Which is your favorite surgery/procedure?

Everyone have a predilection of a rare surgical procedure.

My favorite surgical procedure is the left thoracoabdominal esophagogastrectomy (proximal esophagogastrectomy with esophagogastrostomy), it is a difficult and plaintiff procedure and not too common, because of its high morbidity and mortality rates.

I have been assisting on once recently and it was nice to be there. Here is a picture of the dissected and tubulized stomach. It requires hard work and perfectly know the anatomy of the region. It is pretty challenging for all the people involved, from patient, to surgeon, anesthesiologist, etc.

What is your favorite surgery and why?

Miracle Pills

O.k. this is too much for me, a couple of weeks ago, when I arrived home, I had found the usual spam in my mailbox (physical, not electronic); but also it was a bag with a couple of pills inside.

The so called “Nopaesbelt”, cures obesity, diabetes and “cholesterol” (so cholesterol is a disease?)

It also works for constipation.

It’s incredible that here in Mexico, the Department of Health, doesn’t have right rules in order to limit this miracle products. I’m sick and tired of seeing complications in patients by taking this miracle products. What can we do to stop this?

Poll: Have you ever cheated on an exam?

Please vote on this poll.

{democracy:3}

State-Of-The-Art Surgery

From Medical News Today

Medical Center Accreditated by the American College of Surgeons:

The Beth Israel Deaconess Medical Center’s Carl J. Shapiro Simulation and Skills Center has been formally accredited as a Level 1 facility by the American College of Surgeons (ACS), the first in Boston and New England – and one of only six inaugural certified centers in the United States – to provide simulation-based skills training to health care students and professionals from all medical and surgical disciplines.

I would love to get that training.

Dr. Jon Mikel IÃ±arritu

Being Curious – Doctor’s Bag

I was reading at Patient Plus an article of what to put in the Doctor’s Bag and I wonder:

In the past, the vast majority of doctors used a Doctor’s Bag, in fact there are museums with different kinds of Doctor’s Bags… but things are changing.

Some physicians still use a Doctor’s Bag to deal with all the medical stuff like stethoscope, diagnostic sets, aneroid sphygmomanometer, thermometer, drugs and depending on your speciality or practice, other usefull things.

Do you carry a doctor’s bag?

What do you have in there?

If you don’t carry a bag, what do you carry allways (mobile phone, PDA, lab coat, scrubs, handbooks)?

Thank you for your answers and regards,

Dr. Jon Mikel IÃ±arritu