Every week at the beginning of case conference, we have a 10 point quiz on the case topic.
Last semester, I studied like a champ for all of these quizzes. I averaged averagely on them. It was a little frustrating. This semester has been different. I have had weeks where I put the pedal to the metal and study, then some weeks I go “Well, quiz, yours will be the lowest score dropped at the end of the semester.” Those quizzes are the ones I have done the best on.
It’s some sort of strange long-term memory phenomenon. For some reason I recognize/guess correct answers better when I haven’t crammed for the quiz right before. Something weird is going on with that.
This week we’re doing atrial fibrillation. “What’s that?” you ask. WELL. LET ME TELL YOU.
It’s when your heart cells decide that going with the flow and contracting in unison is so passe. They want to do something different. They want to do something the heart cells have probably never heard of. They want to be Hipster Ariel.
So these hipster cells, as I call them, decide to beat and contract whenever they see fit. This causes your heart to contract in different places and different times–what scientists call “willy nilly.”
It’s kind of cool and dangerous and exotic and trendy. But it’s also really confusing to treat. One therapy is to just shock the patient. That’s right. Dr. McSteamy shouts CLEAR and throws shocky pads on you. It’s a little more laid back than that, I guess. But the best part is that if it doesn’t work, you can “do it as many times as the patient will let you.” Awesome.
Sooo that is for the quiz tomorrow. I’d like to pretend that I can blow it off and get a 100% like a did last week, but I don’t think “shock the patient as many times as they let you” will be a viable option for every quiz question.
Back to the grind.