#physician

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ANCHORING: a potentially dangerous practice in medicine (especially emergency medicine) that is a cognitive bias. It results in early closure of workups, decision pathways, diagnostics and/or disposition of patients. Similar to a horse with blinders only focused on a single direction.
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This pandemic with COVID19 has "anchoring" potential. For "flu like illnesses" and especially Dyspnea (the sensation of shortness of breath), consider these other possibilities and keep them on the differential while working through the  mass of COVID patients.
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DYSPNEA DIFFERENTIAL: in no particular order and the list is quite extensive. Below are more of the "emergent and not-miss" presentations.
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1.  PULMONARY: -infection (TB, pneumonia)
-pulmonary embolism
-reactive airway disease -pneumothorax/hemothorax
-cystic fibrosis
-pulmonary hemorrhage -pulmanary edema
-asthma
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2. CARDIAC:
heart failure, cardiac tamponade, valve rupture, dissections, arrhythmia, myocardial infarction, myocarditis, pericarditis
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3. OTHER:
Foreign body, chemical/toxins,  large ascites or abdominal fluid collection, diaphragm rupture, anaphylaxis, thoracic mass/cancers, anemia, CO poisoning, epiglottis, esophageal rupture, food bolus impaction,  neuromuscular issues,  guillain-barre syndrome, CVA/stroke.
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The differential is vast. It is imperative to take a thorough history/physical exam and order appropriate diagnostic testing/labs. COVID19 and many other disease processes can masquerade.
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"WALKING THROUGH A MINE FIELD WITH CLOWN SHOES ON"
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Stay vigilant! Stay safe. 
Happy hunting.
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📷wallup.net
#ems #medic #paramedic #physician #er #emergency #hospital #teach #medical #doctor #doc #dr #rn #nurse #emt #pa #news #rt #covid #flu #sick #pandemic #covid19 #corona #virus

#Repost @the_resuscitationist

ANCHORING: a potentially dangerous practice in medicine (especially emergency medicine) that is a cognitive bias. It results in early closure of workups, decision pathways, diagnostics and/or disposition of patients. Similar to a horse with blinders only focused on a single direction. . . This pandemic with COVID19 has "anchoring" potential. For "flu like illnesses" and especially Dyspnea (the sensation of shortness of breath), consider these other possibilities and keep them on the differential while working through the mass of COVID patients. . . DYSPNEA DIFFERENTIAL: in no particular order and the list is quite extensive. Below are more of the "emergent and not-miss" presentations. . . 1. PULMONARY: -infection (TB, pneumonia) -pulmonary embolism -reactive airway disease -pneumothorax/hemothorax -cystic fibrosis -pulmonary hemorrhage -pulmanary edema -asthma . 2. CARDIAC: heart failure, cardiac tamponade, valve rupture, dissections, arrhythmia, myocardial infarction, myocarditis, pericarditis . . 3. OTHER: Foreign body, chemical/toxins, large ascites or abdominal fluid collection, diaphragm rupture, anaphylaxis, thoracic mass/cancers, anemia, CO poisoning, epiglottis, esophageal rupture, food bolus impaction, neuromuscular issues, guillain-barre syndrome, CVA/stroke. . . The differential is vast. It is imperative to take a thorough history/physical exam and order appropriate diagnostic testing/labs. COVID19 and many other disease processes can masquerade. . "WALKING THROUGH A MINE FIELD WITH CLOWN SHOES ON" . . Stay vigilant! Stay safe. Happy hunting. . 📷wallup.net #ems #medic #paramedic #physician #er #emergency #hospital #teach #medical #doctor #doc #dr #rn #nurse #emt #pa #news #rt #covid #flu #sick #pandemic #covid19 #corona #virus #Repost @the_resuscitationist - 7 minutes ago

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Hi, my name is Nura👩‍⚕️ and I am resident in Plastic, Reconstructive, Micro- and Handsurgery💉. I am working in Germany and I am passionate about my job! 😁
Follow me @doctor.nura ❤
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SEND US YOUR PHOTOS TO GET FEATURED ..
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Love & respect the profession you are in
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Follow personally ➡ @featuringdoctors 
#physician #surgeon #gynae #dentist #medschool #medicalhumor #medstudentlife #medical #medicastudent #doctor #nurse #nursing #futuredoctor #paramedics #dentastudent #residency #instamed #md #medicine #surgon #smile #socialist #premed #premedstudent #nutrition

Hi, my name is Nura👩‍⚕️ and I am resident in Plastic, Reconstructive, Micro- and Handsurgery💉. I am working in Germany and I am passionate about my job! 😁 Follow me @doctor.nura ❤ .. .. SEND US YOUR PHOTOS TO GET FEATURED .. .. Love & respect the profession you are in . . . Follow personally ➡ @featuringdoctors #physician #surgeon #gynae #dentist #medschool #medicalhumor #medstudentlife #medical #medicastudent #doctor #nurse #nursing #futuredoctor #paramedics #dentastudent #residency #instamed #md #medicine #surgon #smile #socialist #premed #premedstudent #nutrition - 7 minutes ago

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New day, new energy - let’s spend this energy on what we love, what makes us happy and what makes us one step closer to our goals! 💜

New day, new energy - let’s spend this energy on what we love, what makes us happy and what makes us one step closer to our goals! 💜 - 8 minutes ago

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Dr Jinendra Kumar #doctor #medicine #medical #health  #hospital #surgery #healthcare #doctors #surgeon  #medico #neet  #physician #dental #love #mbbs  #dentistry #beauty #wellness #med  #corona #india #google #ilovemyjob #instagood #instagram

Dr Jinendra Kumar #doctor #medicine #medical #health #hospital #surgery #healthcare #doctors #surgeon #medico #neet #physician #dental #love #mbbs #dentistry #beauty #wellness #med #corona #india #google #ilovemyjob #instagood #instagram - 9 minutes ago

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C comme Collectif 🌍 
C comme Chronique 〰️
C comme Covid 🦠
C comme Conseils🤓
... et C comme Chaleur humaine💓
La distance n’est que physique. Avec La Ligne C, nous sommes proches des personnes vivant avec une maladie chronique. N’hésitez pas à nous appeler☎️. #ligneC #DreamTeam #covid #santé #health #medecine #medecin #patient #physician #counselling #collectif

C comme Collectif 🌍 C comme Chronique 〰️ C comme Covid 🦠 C comme Conseils🤓 ... et C comme Chaleur humaine💓 La distance n’est que physique. Avec La Ligne C, nous sommes proches des personnes vivant avec une maladie chronique. N’hésitez pas à nous appeler☎️. #ligneC #DreamTeam #covid #santé #health #medecine #medecin #patient #physician #counselling #collectif - 18 minutes ago

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زيتا علتلك كيوب اللي عملك الخط الساخن اللي بيوصل الصيدلية  بالعميل خدمة 24/7 👌
لو صيدلي لازم تستفيد من خدمات كيوب 😉
تواصل تعرف أكتر 👇
📱 at this phone Numbers:
00201129964028
00201033998840 📫 Or sent Email:
info@zeta-inv.com
customerservice@zeta-inv.com 🌐 Or Visit our website:
http://zeta-inv.com/

#pharmacy💊 #pharmacology #pharmacylife #pharmacist #physician #medicine #medical #مصر #wellness #business #cosmetics #صيدلي #صيدليات #صيدلية #صيدليه

زيتا علتلك كيوب اللي عملك الخط الساخن اللي بيوصل الصيدلية بالعميل خدمة 24/7 👌 لو صيدلي لازم تستفيد من خدمات كيوب 😉 تواصل تعرف أكتر 👇 📱 at this phone Numbers: 00201129964028 00201033998840 📫 Or sent Email: info@zeta -inv.com customerservice@zeta -inv.com 🌐 Or Visit our website: http://zeta-inv.com/ #pharmacy 💊 #pharmacology #pharmacylife #pharmacist #physician #medicine #medical #مصر #wellness #business #cosmetics #صيدلي #صيدليات #صيدلية #صيدليه - 24 minutes ago

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Follow @teck_movi_ Like /follow /shar/ ________________________________________________________________________ Credit Follow @teck_movi_ Follow @teck_movi_ Follow @teck_movi_ Follow @teck_movi_ Follow @teck_movi_ Follow @teck_movi_ ________________________________________________ Friends please follow mee // ________________________________________________ #teachersofinstagram #technolife #techniques #technologyintheclassroom #technologyr #techart #técnica #technicalanalysis #technical #technicaldeathmetal #tecnical #tecnicamixta #scindapsuspictus #sciontc #scirocco #scientific #sc #datascientist #scientistsofinstagram #scienceiscool #physician #physicsmemes #physicalhealth #physicalactivity #gadgetfreak #techdeck #tecnología #technolovers #techvideo #instagram - 27 minutes ago

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No one is around and I feel like (iam legend) movie theme #stayhome #staysafe #hospital #physician #alonetogether

No one is around and I feel like (iam legend) movie theme #stayhome #staysafe #hospital #physician #alonetogether - 36 minutes ago

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CRANIOSTENOSI SINDROMICHE
Malformazioni della struttura cranica che consistono nella fusione precoce di una o più suture del neonato.
Ciò determina uno sviluppo anomalo del cranio e del cervello e può causare deformità craniche, asimmetrie nello sviluppo facciale e ritardo mentale.

Le craniostenosi sindromiche comprendono la sindrome di Crouzon (Fig. 1), la sindrome di Apert (Fig. 2), la sindrome di Pfeiffer (Fig. 3) e la sindrome di Saethre-Chotzen (Fig.4)

Viste le alterazioni facciali ed orbitare è fondamentale una valutazione oculistica e ortottica dei soggetti affetti già nel primo anno di età. 
#doctors #doctor #medical #medicine #health #healthcare #hospital #surgery #nurse #nurses #neet #mbbs #medicalschool #medschool #medstudent #surgeon #hospitals #medlife #wellness #physician #love #physicians #dentist #ophtalmology #science #ophtalmologie #anatomy #pharmacy #bhfyp

CRANIOSTENOSI SINDROMICHE Malformazioni della struttura cranica che consistono nella fusione precoce di una o più suture del neonato. Ciò determina uno sviluppo anomalo del cranio e del cervello e può causare deformità craniche, asimmetrie nello sviluppo facciale e ritardo mentale. Le craniostenosi sindromiche comprendono la sindrome di Crouzon (Fig. 1), la sindrome di Apert (Fig. 2), la sindrome di Pfeiffer (Fig. 3) e la sindrome di Saethre-Chotzen (Fig.4) Viste le alterazioni facciali ed orbitare è fondamentale una valutazione oculistica e ortottica dei soggetti affetti già nel primo anno di età. #doctors #doctor #medical #medicine #health #healthcare #hospital #surgery #nurse #nurses #neet #mbbs #medicalschool #medschool #medstudent #surgeon #hospitals #medlife #wellness #physician #love #physicians #dentist #ophtalmology #science #ophtalmologie #anatomy #pharmacy #bhfyp - 36 minutes ago

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#med #surgery #mattsmith #medicalstudent #premed #donnanoble #rosetyler #marthajones #medicalschool #medlife #claraoswald #petercapaldi #ameliapond #amypond #healthcare #physician #doctorindonesia #doctorsindia #doctorswithoutborders #doctorsday #doctorsuk #londondoctors #indiandoctors #unitedstates #unitedkingdom #france #italianfood #italy🇮🇹

#med #surgery #mattsmith #medicalstudent #premed #donnanoble #rosetyler #marthajones #medicalschool #medlife #claraoswald #petercapaldi #ameliapond #amypond #healthcare #physician #doctorindonesia #doctorsindia #doctorswithoutborders #doctorsday #doctorsuk #londondoctors #indiandoctors #unitedstates #unitedkingdom #france #italianfood #italy 🇮🇹 - 37 minutes ago

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#doctor #medicine #medstudent #medschool #medical #hospital #nurse #med #surgery #medicina #dentist #doctors #futuredoctor #tardis #doctorwho #davidtennant #mattsmith #medicalstudent #premed #donnanoble #rosetyler #marthajones #medicalschool #medlife #claraoswald #petercapaldi #ameliapond #amypond #healthcare #physician

• • • • • #doctor #medicine #medstudent #medschool #medical #hospital #nurse #med #surgery #medicina #dentist #doctors #futuredoctor #tardis #doctorwho #davidtennant #mattsmith #medicalstudent #premed #donnanoble #rosetyler #marthajones #medicalschool #medlife #claraoswald #petercapaldi #ameliapond #amypond #healthcare #physician - 44 minutes ago

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EMERGENZA COVID, Aspetto pediatrico:
Giovedì 2 Aprile, ore 18:00:

Dottor Deganello Saccomani Marco 
@dott_marcodeganellosaccomani:
Medico Pediatra strutturato nella pediatria ad indirizzo critico e pronto soccorso pediatrico dell'Ospedale della donna e del bambino di Verona.

Dopo l‘intervista di ieri con il dottor Andrea Dalbeni, un altro medico impegnato in prima linea ha dato la sua disponibilità a condividere con noi il suo impegno al fronte.
Ringraziamo anticipatamente per la disponibilità @dott_marcodeganellosaccomani e anche il medico specializzando @alex.ferruzzi, membro della pagina @abc.pediatria per il supporto e la gentilezza dimostrata.

Speriamo possiate aiutarci a raccogliere una lista di domande da sottoporre allo specialista, commentando questo post o in privato.
Inoltre vi chiediamo di aiutarci a condividere l’iniziativa per fare in modo che possano partecipare più persone possibili 🙏🏻 #medicine #studymedicine #chirurgia #universita #studenti #clinica #physician #dottore #surgery #healty #student #medici #clinica #medlife #ospedale #hospital #pathology #operatingroom #specializzandi #medstudent #wellness #medschool #pharmacy #infermieristica #sanita #science #reparto  #study #college #salute #saluteebenessere.

EMERGENZA COVID, Aspetto pediatrico: Giovedì 2 Aprile, ore 18:00: Dottor Deganello Saccomani Marco @dott_marcodeganellosaccomani : Medico Pediatra strutturato nella pediatria ad indirizzo critico e pronto soccorso pediatrico dell'Ospedale della donna e del bambino di Verona. Dopo l‘intervista di ieri con il dottor Andrea Dalbeni, un altro medico impegnato in prima linea ha dato la sua disponibilità a condividere con noi il suo impegno al fronte. Ringraziamo anticipatamente per la disponibilità @dott_marcodeganellosaccomani e anche il medico specializzando @alex.ferruzzi , membro della pagina @abc.pediatria per il supporto e la gentilezza dimostrata. Speriamo possiate aiutarci a raccogliere una lista di domande da sottoporre allo specialista, commentando questo post o in privato. Inoltre vi chiediamo di aiutarci a condividere l’iniziativa per fare in modo che possano partecipare più persone possibili 🙏🏻 #medicine #studymedicine #chirurgia #universita #studenti #clinica #physician #dottore #surgery #healty #student #medici #clinica #medlife #ospedale #hospital #pathology #operatingroom #specializzandi #medstudent #wellness #medschool #pharmacy #infermieristica #sanita #science #reparto #study #college #salute #saluteebenessere . - 45 minutes ago

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😅The last one tho. Stay safe y’all💙
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❤️@YouTube & @TikTok: @Doctor.Disney 💙
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#medschoolproblems #medschoollife #medicalmemes #medschool #medicalschool #medstudent #medschoolhumor #medschoolmemes #medicalschoolmemes #nursingstudent #medicalstudent #nursingschool #physician #doctormemes #nurse #nurselife #hospitallife #futuredoctor #nursesrock #studentmemes #usmlestep1 #premedlife #physicianassistant #premedmemes #feels #plaguedoctor #studentdoctor #studentnurse #interview #therapy

😅The last one tho. Stay safe y’all💙 . ❤️@YouTube & @TikTok : @Doctor.Disney 💙 • • • #medschoolproblems #medschoollife #medicalmemes #medschool #medicalschool #medstudent #medschoolhumor #medschoolmemes #medicalschoolmemes #nursingstudent #medicalstudent #nursingschool #physician #doctormemes #nurse #nurselife #hospitallife #futuredoctor #nursesrock #studentmemes #usmlestep1 #premedlife #physicianassistant #premedmemes #feels #plaguedoctor #studentdoctor #studentnurse #interview #therapy - 47 minutes ago

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Famous Electricity War 😉
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#physicsmemes #physics #nikolatesla #thomasedison #physicianassistant #physicsfun #pcmbmemes #memes #physicsteacher #physician #physicsjokes #physicslab #physicsclass #physicslovers #physicslover #physicsfacts #iitjee #mathstudent #maths #chemistrymemes #unacademy #jeeadvanced #physicswallah #mathsmemes #chemistry #sciencestudent #blackhole #particlephysics #electricity

Famous Electricity War 😉 ------------------------------------------------------------------------------------------------------ #physicsmemes #physics #nikolatesla #thomasedison #physicianassistant #physicsfun #pcmbmemes #memes #physicsteacher #physician #physicsjokes #physicslab #physicsclass #physicslovers #physicslover #physicsfacts #iitjee #mathstudent #maths #chemistrymemes #unacademy #jeeadvanced #physicswallah #mathsmemes #chemistry #sciencestudent #blackhole #particlephysics #electricity - 48 minutes ago

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23/02/2020
"Look deep into nature and then you will understand everything better"

#kerala #keralatourism #wayanad #wayanadtrip #banasurasagardam #mountains #dam #lake #friendship #friends #nature #enjoylife #tour #collegetour #thenewcollege #physician #naturelovers

23/02/2020 "Look deep into nature and then you will understand everything better" #kerala #keralatourism #wayanad #wayanadtrip #banasurasagardam #mountains #dam #lake #friendship #friends #nature #enjoylife #tour #collegetour #thenewcollege #physician #naturelovers - 49 minutes ago

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Seriously it’s like holiday shopping out there...
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#socialdistancing #haircut #coronavirus #covid_19 #australia #coronavirusmemes😂😂😂 #memes #medicalmemes #intern #nurse #nursing #doctor #resident #registrar #jmo #physician #medicine #medical #icu #criticalcare #anesthesia #respiratory #infectiousdisease #nursememes #doctormemes #medicalstudent #medstudent #doctorlife #medregmemes

Seriously it’s like holiday shopping out there... . . . #socialdistancing #haircut #coronavirus #covid_19 #australia #coronavirusmemes 😂😂😂 #memes #medicalmemes #intern #nurse #nursing #doctor #resident #registrar #jmo #physician #medicine #medical #icu #criticalcare #anesthesia #respiratory #infectiousdisease #nursememes #doctormemes #medicalstudent #medstudent #doctorlife #medregmemes - 56 minutes ago

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I truly commend all the physicians, nurses and ancillary staff who are all working tirelessly to combat this seemingly biological war. I especially thank my pediatric ER nurse team. Their attention to detail in making sure all the physicians and themselves were appropriately protected with PPE during patient encounters and COVID screenings. I thank my colleagues and our multiple conferences, double coverages and care coordination to provide the best treatment measures for our patients. It is unforeseen what to expect but surely if we all keep pushing forward and stay on course we’d make headway to normalcy.
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Cases of coronavirus 2019 (COVID-19) among children is reported as less severe than in those of adults. However, being of young age is not entirely protective. Infants have shown to have much severe illness than older children. To my knowledge and JHU data thus far; it has not been reported of any child fatalities thankfully though some have tested positive. Nonetheless, Children as well as adults are still held to the same standards of quarantine and social distancing to alleviate the burden of this virus. Stay safe everyone and use your best judgement.

#covid #covid19 #covid_19 #coronavirus #pediatrics

I truly commend all the physicians, nurses and ancillary staff who are all working tirelessly to combat this seemingly biological war. I especially thank my pediatric ER nurse team. Their attention to detail in making sure all the physicians and themselves were appropriately protected with PPE during patient encounters and COVID screenings. I thank my colleagues and our multiple conferences, double coverages and care coordination to provide the best treatment measures for our patients. It is unforeseen what to expect but surely if we all keep pushing forward and stay on course we’d make headway to normalcy. . . . Cases of coronavirus 2019 (COVID-19) among children is reported as less severe than in those of adults. However, being of young age is not entirely protective. Infants have shown to have much severe illness than older children. To my knowledge and JHU data thus far; it has not been reported of any child fatalities thankfully though some have tested positive. Nonetheless, Children as well as adults are still held to the same standards of quarantine and social distancing to alleviate the burden of this virus. Stay safe everyone and use your best judgement. #covid #covid19 #covid_19 #coronavirus #pediatrics - 1 hour ago

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Art of healing!
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#homoeopathy #homoeopathicmedicine #physician #docs #doctorsofinstagram #medicos #healer #art !!

Art of healing! . . . #homoeopathy #homoeopathicmedicine #physician #docs #doctorsofinstagram #medicos #healer #art !! - 1 hour ago

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If you’re in #medicine and you’ve never read The House of God - read it!! It’s a #classic  #novel focusing on dehumanization during #residency  training. It’s awesome. It’s satirical, but there are a lot of truths buried within. Take this one for example: “The delivery of good #medical  care is to do as much nothing as possible.” Medicine is messed up in a lot of ways - fix it and see the next patient...and do it quickly. Sometimes we DO ALOT, when what we really need to do is more of nothing, slow down, listen, connect, be patient, support the patient, and let the disease process declare itself over time. Not always - but many times DOING MORE is NOT the answer.
#read  #doctor #doctorlife  #medstudent  #medicalstudents #medschool  #medicalschool #physician #hospital
#harvardmedicalschool
#johnhopkins

If you’re in #medicine and you’ve never read The House of God - read it!! It’s a #classic  #novel focusing on dehumanization during #residency  training. It’s awesome. It’s satirical, but there are a lot of truths buried within. Take this one for example: “The delivery of good #medical  care is to do as much nothing as possible.” Medicine is messed up in a lot of ways - fix it and see the next patient...and do it quickly. Sometimes we DO ALOT, when what we really need to do is more of nothing, slow down, listen, connect, be patient, support the patient, and let the disease process declare itself over time. Not always - but many times DOING MORE is NOT the answer. #read  #doctor #doctorlife  #medstudent  #medicalstudents #medschool  #medicalschool #physician #hospital #harvardmedicalschool #johnhopkins - 1 hour ago

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Neurotransmitters are endogenous chemicals that enable neurotransmission. It is a type of chemical messenger which transmits signals across a synapse, such as a neuromuscular junction, from one neuron to another target neuron, muscle cell, or gland cell.

List of major neurotransmitters:
acetylcholine
norepinephrine
serotonin
dopamine
GABA
glutamate
endorphin . 
Do Share With Friends ↗️ Follow Your Best Medical Page 
@medical__lovers
@medical__lovers 
#medical #medicine #doctor #health #hospital #nurse #doctors #healthcare #surgery #medicalstudent #cannabis #medschool #surgeon #mbbs #medstudent #medicalschool #neet #bhfyp #medico #science #life #pharmacist #physician #pharmacy #m #wellness #love #healthy #nurses #bhfyp #medical__lovers

Credit @medical__lovers
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Neurotransmitters are endogenous chemicals that enable neurotransmission. It is a type of chemical messenger which transmits signals across a synapse, such as a neuromuscular junction, from one neuron to another target neuron, muscle cell, or gland cell. List of major neurotransmitters: acetylcholine norepinephrine serotonin dopamine GABA glutamate endorphin . Do Share With Friends ↗️ Follow Your Best Medical Page @medical__lovers @medical__lovers #medical #medicine #doctor #health #hospital #nurse #doctors #healthcare #surgery #medicalstudent #cannabis #medschool #surgeon #mbbs #medstudent #medicalschool #neet #bhfyp #medico #science #life #pharmacist #physician #pharmacy #m #wellness #love #healthy #nurses #bhfyp #medical__lovers Credit @medical__lovers • • - 1 hour ago

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