Looking back at this week like ✌🏼
About to go in clinicals soon? Wondering what you should purchase or know to be prepared for your surgical rotation? I’m compiling a list for you!
Often times, since the OR can be such a foreign place (ie absolute sterile technique, notorious type A personalities) students feel intimidated. Don’t be! Just read my post and rock it!
1️⃣ Hours can be very long. Cases can run over. As soon as you get up, EAT! Always eat breakfast. Whether it’s a yogurt parfait or bagel with peanut butter. Get some complex carbs and protein in there. And then hydrate. Yeah, you’ll have to pee, but it’s better then being hypotensive on the OR floor.
2️⃣ OR will provide you with scrubs. Don’t worry about those. However, depending on your surgery rotation if cases are cancelled or slow, they might send you to clinic to see new consults or post ops. Always bring a pair of clinic clothes just in case.
3️⃣ Get some OR clogs! Seriously it will save not only your feet but your back. They are not super fashionable but your body will thank you. Don’t want to shell out $100? No problem. Check out my surgery essentials Amazon page coming in part 2 for a pair that is budget friendly. That’s the #1 must buy item for surgery.
4️⃣ Get a USED copy of Surgical Recall. Read it between cases. I was able to answer a pimp question or two from that.
5️⃣ Your OR nurses and surg techs will save you. So give them respect. They work in these rooms everyday and have to document students who are in cases. When you come in a room, introduce yourself first as the student and your name. Ask if you can write it on the erase board if they have one. Ask them if you can pull your own gloves, and then give them your gloves. It helps to save time and keep preparing the room. You will be one of the good guys.
6️⃣ Go see your patient in Pre-Op before the case. Introduce yourself as the student and that you will be observing. Accompany the patient to the OR. (More to come)
Post #1 of 2: I think it always depends on the person and their underlying reason why they are having hypothyroid like symptoms or even hypothyroidism. The most common prescription is T4 or Synthroid, but unfortunately it is one of the worst, anti-thyroid and a very cookie cutter approach. Giving EVERYONE, you ever think about that, the same medication, no matter how many labs, what labs, values, etc were done/testing is analogous to not checking a persons blood type prior to giving a blood transfusion. We all have a history and different mechanism involved in what we are presenting with. Reminder: I am not offering medical advice, my intention is to educate you.
What mechanism has led me to need thyroid medication? There is NO single cause of low thyroid function. It could be adrenal stress, lack of blood sugar, auto-immune, estrogen affecting TBG, inflammation affecting conversion or decreasing sensitivity to your cells. You can check out my posts from all this week for more on the above. Lets say you have a conversion issue because of stress, inflammation or hypoglycemia. Your TSH may be normal, it may be slightly elevated. But you feel like CRAP! Your MD prescribes you Synthroid, should you take it and will it help you? No it will not help you and make things worse. There is nothing wrong with the thyroid itself and you have a conversion issue. So if you take more T4 you still won’t be able to convert it. 💊
The goal: Why is there a conversion issue? Most of the time hormones or medications will not help in this situation. I know some Mds, which is rare, will recommend T3. But this is an issue as well because you are not converting, which means you are not storing glycogen for this conversion. Energy is being used rapidly to fight stress, inflammation and to raise blood sugar. Taking T3 will stress the adrenals and burn out the thyroid more. Regulating daily stress, eating metabolic foods, creating a food frequency to regulate blood sugar and breathing exercises will allow the body to come down to a more homeostatic state. This will support conversion, the mechanism, as to why you feel the way you feel.
I thought it might be time for a cattle post. I am located in Cuming County which is #1 in cattle production in the state. Woo hoo! I joked with Adam that I can still literally smell when I cross the county line 🐄💩. #eatbeef#cumingcountyfeeders