If someone receives multiple blood transfusions and becomes hypocalcemic, it’s because there are chelating agents in stored blood products. If an astronaut is in space for 30 days, his muscle and bone mass will start to decrease and he’ll lose calcium to his urine. If a woman comes in with uncontrolled diabetes and hypertension, eats red meat three times a day and is an alcoholic, the best thing you can do is form a “therapeutic alliance.”
If a grandmother insists that you treat her grandson with chamomile tea, do not sit her down and show her your diploma to remind her that “you are a doctor, and she is just a grandmother.” Also, don’t tell a patient with poor lung function that continuing to smoke is “a complicated and roundabout form of suicide.”
These are the lessons that I learned yesterday while taking the USMLE. It was long, the breaks were short, and I felt rushed with every question. It was challenging and fun.
I really don’t like not knowing my score.
The best thing about the whole thing is it being over.
I don’t ever want to take a test like that again.
Thank you, everyone, for the well-wishes.