 What is up guys Karma medic here and welcome back to another dose in this video I'm gonna be taking you along on my emergency medicine elective at a major trauma center here in central London I've already been here for two weeks and it's been very exciting I've got to do a lot and see a lot so come along with me for the week I'm almost at the hospital on a Monday morning at 9 a.m I feel like I have a lot of things to tell you about both of what has happened in this elective And also what I'm going to be doing. I just don't have time So I think what I'm gonna do is just gonna head inside get started and stuck into the day Go see if some patients examine them do all the rest of the stuff that we met Students do and then I'll catch up with you guys later probably when I have a lunch break. So enjoy At 11 a.m on a Monday We have teaching with all the other students who are placed at this hospital in the emergency department for this rotation So this hospital falls under the group of hospitals. That's with Imperial Medical School So all of the other students here are going to Imperial except for me We go to KCL and so every week anywhere between one to three medical students present their cases of anything interesting that they've seen during their time in A&E this is really useful because it gives us an opportunity to ask consultants and registrar's Questions that we might have about these cases and is also a good opportunity for us to get better at Presenting our cases and our patients to our seniors after that teaching I headed back down onto the wards stuck myself to the F2 who I've been with for a little while and went to see another patient All right very solid warning time to grab some lunch. All right So that is the end of my morning in ED. It was quite interesting I mostly followed just one or two patients because they were quite complicated and needed a lot of Investigations and then a referral and for that specialty team to come in So it was kind of one patient over a long period of time Which is kind of good because you also get an in-depth understanding of their condition and what's going on I'm not gonna take a quick lunch break and then in the afternoon I'm gonna work on my cannulation skills because it's something that's been really bothering me and I keep practicing practicing Practicing and I want to get very good I don't want to be a doctor in a couple of months and not be able to do cannulations fairly easily So I'm trying to practice as much as I can now to make sure that I get it down Anyways whilst I've been here in this hospital One of my favorite places to go eat is my favorite Greek place in all of London Which is called it's all Greek to me and it's like literally around the corner So I go there as often as I can. Hi there. Good afternoon. I received an email I'm asking me to make an appointment following my recent blood results All right, just booked an appointment then I needed to get done and now This food reminds me so much of home. Look at that. Beauty Mmm Yum yum yum yum yum Gonna wolf this down and then get back to the hospital Me. Go. Home. So that was overall a little bit of a slow day I think mostly just did history taking no practical procedures or anything like that Which obviously also has its place into something that I need to get better and better at and keep on practicing I did meet a trauma and orthopedics registrar the other day And he said I can come see him in theater anytime and help out with their surgeries and things like that Which sounds very exciting. I need to wake up or I need to be there at 7.55 in the morning So let's see if I can find the courage and energy for that somewhere later on in the week Anyways for now, I'm just gonna sort of undress, unpack, unwind Grab a little bit of something to eat and then I will catch you guys in a bit. Peace Okay, so if you've seen my last vlog Then you know that I wrote to the last written exam of my time here in medical school That's my mental straw for my coffee So the only things that I have left are one oski exam, which is the practical exam Which you guys see me, Kenji and Georgina practicing for all the time And then one prescribing exam as well Now because of this, I haven't been doing too much traditional medical school studying in the evenings After my placement, I've been trying to just relax, lay back, play some video games And just enjoy these last months of freedom that I have before I eventually have to start working as a doctor But I am doing some prep for that prescribing exam with the help of the sponsor of today's video, Skechie Now I want to make one thing abundantly clear There is no way I would have performed as well as I have throughout my time in medical school And on my USMLE Step 1 exam if it wasn't for Skechie Genuinely, I owe such a huge handful of marks on most exams that I've written in medical school directly to Skechie You guys have seen me use Skechie over the last couple of years In my really long study with me videos In my videos prepping for the USMLE Step 1 exam And in my random vlogs here and there as well Skechie is an online platform which takes all of the incredibly complex and difficult subjects that we need to learn And converts them into a well written and clever cartoon story In doing this, they create all of these crazy memory hooks and fun and interesting ways to remember all of this information Till this day, whenever I get asked a question about microbiology or pharmacology on the wards or on my exam I literally picture in my head the Skechie cartoon and then use that image to figure out the answer to the question This has been particularly helpful when consultants are grilling me on a ward round And the fact that I'm able to quickly recall that piece of information is 100% thanks to Skechie So let me just show you Here on my notability on the left hand side under USMLE studying I have an entire section dedicated to Skechie Farm and Skechie Micro I've taken a screenshot of the cartoon image And then used it to annotate everything about that image here on screen as well So if we take a look at any one of these images Let me find one that I actually really like This is a good one This is for the loop diuretics And this is quite obviously represented by a big loop over here for the loop of Henley Now if you look closely on each one of these images There are numbered parts of the image So let's find number 1, 1, 1, 1, 1, 1, 1, 1, 1 There are one loop for the loop of Henley Number 2, 2 Show them just where we are in the nefron And then 3 Bananas for potassium And then 4 The ATPase machine, potassium ATPase machine I mean, I remember so much just from having done this ages ago So then from this image you watch the video And you can annotate what each one of those numbers means And what each part of the image represents So for example, we go over here to number, I don't know, 10 and 12 So 10, I believe she was holding ice cream if I remember correctly And 12 is magnesium Now the ice cream, I don't remember what that was for But magnesium, this was showing that you keep the magnesium magnet inside the loop of Henley And so it gets excreted in the urine If I remember correctly So number 12, as a result, magnesium, oh yeah, ice cream was calcium So I don't be reabsorbed and stay in the lumen This is literally how I remember, I think of this image And then I get the information from here Anyways, I'm getting way too passionate about sketchy medical You guys get the point Now largely for the most part, I haven't had to review these again Because I've memorized most of the information from the very first time that I wrote them Which says a lot about how well these memory hooks and these cartoon stories work But since I do have my prescribing exam coming up I'm going over the sketchy farm content I'm going over all of the different drugs that we use in medicine Infinite amount of drugs and trying to refresh my memory on all of those Especially the diabetes drugs, where are those? Those are so hard to remember And these images really help me a lot The medical section is split into clinical and also preclinical, which you see here And that contains the microbiology and pharmacology, which you've heard me talk extensively about But it also has things like pathology, biochemistry, physiology and anatomy Then of course on the clinical side, you've got all of internal medicine Cardio, Resp, Gastro, Endo, everything Surgery, Peeds, Obs and Guiney You name it, they have it And one more thing They've also got a really big and successful MCAT resource Which I absolutely wish that I had back when I was taking the MCAT in 2015, 2016 I think They've got 235 lessons covering everything from biochem to physics to chemistry and more Sketchy also has quizzes that help you identify gaps in your knowledge And then fix them And of course all of their answers come with fully comprehensive explanations And even review cards that help increase your memory retention if that's your thing And if you want a medical student, don't worry, Sketchy still has you covered They've got entire resources for both PA and pharmacy as well Now honestly, I don't think I've ever been so proud to endorse a brand on this channel Sketchy is a service that I really believe in And I have seen make significant results in my own life And I think it would for you as well If you want to check out Sketchy and see all of these resources for yourself You can visit the link that's on screen right over here That is also in the description down below Alright guys, so I've got what I need A nice bowl of grapes over here Some sparkling water, my favorite And yeah, I've got the Sketchy notes over here for pharmacology And then on the right, obviously my conditions list I'm going to open it to pharmacology Because that's where I have all the information on all the different drugs that we need to know And yeah, it's time to just get to work I will see you guys in a bit, base Alright guys, so that is it I did all my studying I don't know when you're watching this, but when I'm recording this It is February 14th, so Valentine's Day And so I'm not going to do anything for the rest of the night I'm going to give Alexia a call And we're going to have some quality time together Watch something together, just chill, relax and enjoy our night All things I'm not going to film for this camera So I will see you guys tomorrow Peace, have a good night Bye, but what I can show you is my delicious, delicious dinner So let's check that out Yum, what do we have here? Salmon, broccoli, tomato, potato Mmm, call me Chef Medic Peace Alright guys, good morning and welcome back to day two So yesterday was largely a history taking and examination day for me I didn't do many practical procedures or skills at all And so today that's what I think I'm going to focus on the most In A&E, if you go to the triage area Which is sort of the first place where patients come in When they come to the hospital through A&E Then they often get a generic set of bloods So they'll usually need a cannula placed It's a good opportunity for me to practice that skill So I think I'm going to go there today, focus on that And see how we get home I know that I said it was going to be all procedure based today But that didn't happen in the end I was honestly just having too much fun in majors Going to see the patients taking their histories And trying to figure out what was going on Today everyone seemed really complicated And a lot less straightforward than some of the other days that I've had here But anyways, learned a lot, met a couple of really nice doctors They helped take me in and took me under their wing Teaching me what they know Going with me to examine patients and take their histories and things like that So I found it very useful Possibly considering it for a future career But who knows, it's honestly too early to say I don't really have dedicated plans in mind Anyways, going to head home Catch you guys later, peace Alright guys, so it's a couple of hours later now I had a bunch of YouTube behind the scenes administrative stuff to do So knocked that all out And I was about to sit down and chill and relax for the rest of the day But then I remembered that it's gym day I'm going to the gym about every other day now I just do push, which is chest and triceps Then pull, back and biceps, and then leg day And then I slap cardio in there somewhere in the middle Whenever I feel like it There's something about being a final year medical student Where you are finally sort of given the respect By the other members of the healthcare profession And they are really invested in teaching you And letting you do things And they take your opinion seriously and everything like that It makes going into placement so much more exciting And you feel like you're actually playing a role in the healthcare team I love the description of being a medical student As you're always in someone's way Because it's very true for a lot of the time you're a medical student In clinical placement You really just feel like you're getting in the way of other people Doing their jobs But because medicine is such a practical sort of career It really relies on other people teaching you And showing you and demonstrating things to you And it's just integral to how medicine works So you always feel like you're in the way Until you get to the point where you can be actually useful Alright guys, good morning It is 8.44 in the morning And as you can see I'm not in my clothes Ready to go to the hospital So today I've decided to stay at home for the morning And then go in for the afternoon evening sort of shift And the reason for that is twofold So the first of which is that I haven't had sort of downtime Relaxing fun time for two days in the evenings And that is not okay with me As you guys know If you watch this channel I'm a really big proponent of having balance in your life So making sure you do all the hard work that you need to do Go to the hospital Do all the studying that I need to get done etc But then also make sure I exercise And actually just relax and have fun So that I can be happy doing both And not just do one without the other So that's the first reason The second reason is that Anytime you go to the emergency department Or you have a clinical placement in A&E or whatever Everyone tells you the same thing Which is don't come in in the morning Come in the afternoon in the evenings Or for the night shifts And the reason that they say that Is because the people who come to A&E In the afternoons, in the evenings And in the night time Are people who really need to be there Otherwise they wouldn't be Because it's extremely inconvenient And so you tend to see things that are more serious That are presenting more acutely etc On top of that Because the hospital is not as well staffed In the evenings and overnight As it would be in the morning And maybe early afternoon You get a lot more responsibility And you get to do a lot more See a lot more And be involved as part of the clinical team A little bit more So that's what we're doing today I'm going to be chilling at home Up until about I think midday Maybe one o'clock And then I'm going to go in Spend the afternoon And early evening in the hospital And then I have dinner With my friends plan tonight So I'll take you along with me For the whole thing Now you guys very well might be wondering Nasser, what are you going to do With all this free fun time That you have today in the morning? First things first I'm going to go through my emails Very very quickly Don't judge me I just want to get them out of the way Get them out of my head So then I can move on To do the actually fun stuff And at the top of my party This today is to go through my discord The Karma Club Discord And read through every single channel Make sure I'm caught up On all the messages Because you guys have been Really active in there recently And typing a lot So I need to make sure I catch up I love being a part of it I love interacting And reading it every single day And yeah just being a part Of you guys' life In this discord community If you guys want to join the Karma Club If you want to be a part Of this discord community I'll leave links on screen here And in the description down below You can sign up to my Patreon Which then gives access to the discord And you can join all these lovely people Study with them chat with them Talk to them and me Anyways without further ado We've got a nice fresh cup of coffee Oh yeah that's the stuff Alright let's open up those emails Bang them out And then move on to actually fun stuff It shouldn't take long Alright guys so All done catching up on the discord server And I'm now going to sit down And play some video games Now as you guys know I play a decent amount of video games Some with my sister Some with my friends from high school And then Rarely, rarely, rarely Some by myself Now generally I'm really bad At doing things by myself And it's something that I'm trying to work on And improve at Get better at spending time With my own thoughts And with myself And being comfortable doing that But generally speaking If I ever want to watch a movie Or if I ever want to play a video game Or something like that It has to be with someone else Traditionally I've never done those things alone And so Kind of for the first time In a very long time Playing this game Has actually allowed me to just sit down By myself And be fully immersed in the game Not think about everything else That I need to do Or be distracted Or feel that I need to check my phone Or anything like that I've been able to actually sit down And enjoy myself Have fun, relax, etc. Which is great So I'm trying to do As much of that as I can In my free time Learn how to better Relax, lay back And enjoy myself In the thing that I'm doing At this moment I'm gonna sit down And play for like an hour So just do something random And then We will go to the hospital And continue on with the rest of this vlog Quick little Video game Fun time interruption But I'll see you back For medical school stuff In a bit Peace Alright guys So I'm feeling rested Re-energized For an afternoon shift In the ED Hopefully I see Someone say Looked after me yesterday They were absolutely fantastic Very, very helpful Helped me learn Took me under their wing And it's really cool I can ask for it While I'm on placement So yeah I'm excited for the day Let's see how it goes And I'll see you guys later Day 3 Back in our favorite spot The Greeks of Lackey Place It's amazing How much you can do And how much you can earn If you just attach yourself To the right doctor You know Someone who's Actually gonna take the time To teach you To examine with you To be feedback And everything like that Very, very helpful Thank you So yeah Absolutely fantastic Day so far I'm just gonna Quickly grab something to eat And then head back into the hospital I cannot believe This is gonna be my job In a couple of months It's It's mad Instead of sitting at a desk all day Staring at a screen I get to be in the hospital Helping patients And seeing all these amazing Incredible things See you later Alright guys Leaving the hospital now What a fantastic day You're really, really great I saw so many presentations That I've never seen before And got to do a couple of New practical skills That I haven't done as well Trying a couple of cannulas Got some Got one Failed a couple It's a never-ending struggle But I'm trying my best To work through it And just get in the practice As much as I can About getting to in my head About it Anyways I'm excited for this dinner Gonna go see my friends Hang out and chill And I'll see you in a bit Nice Coffee is secured A bottle of wine Also secured Gonna sit down and relax And enjoy my night on wine And then back to the ED Tomorrow Alright guys And that is it That is the end of today What a fantastic way To sort of rest And relax And recharge After a long day on placement Had a great time In this afternoon To evening session So I think tomorrow I'm gonna do the same thing I'm gonna go in In the afternoon And hopefully have Another good day Touch wood And yeah That's it Gonna put something on the TV Watch a little bit And pass out And I'll see you tomorrow Peace So I spent this morning Doing some more prep For that prescribing exam That I was telling you guys About earlier in the week Using my good friend Sketchy And now I'm going in For the afternoon Shift in the hospital And luckily The two doctors Who I was with yesterday Are gonna be there as well Which I'm very happy about So I'm excited to do All kinds of interesting stuff That's pretty much it Today And then tomorrow Is gonna be my last day And that'll be Elective number one Done I'll have one more Elective One more placement And about I won't believe it But I just did An Iliac fashion nerve block So this is A form of pain relief That you can give to patients Who have had a Necofemur fracture Or recent knee Or hip surgery And are in a lot of pain And it's like It's this really big needle That you insert Kind of in the patient's Growing area And it's full of local anesthetic And then you get into The right plane Of the Iliac fashion And the local anesthetic Distributes in that plane And apparently Gives really great pain relief But it's really Hands on procedure Something really really cool Shout out to the doctor That let me do it Thank you, you're the best Alright guys Just had a quick something to eat I'm gonna head back Into the hospital now Not for much longer Maybe an hour or so I just wanna do a little bit more And then head home early Gonna take it easy So yeah Gonna head back in now I'll catch up with you guys later Peace Good morning It is Friday The last day Of my emergency medicine Elective I think one of the best things That I've had on this placement Is being surrounded by people Really taking me under their wing And shown me how to do things And let me do them first And you know Really give me good solid feedback To help me improve And help me learn And the fact that yesterday I did the Iliac fascia block Is amazing Like I still can't believe That I did that It was such a good feeling And you know That would never happen If there wasn't a doctor there Who said Nasser you do this Like I'm gonna guide you through it You do it first We'll do it together Blah blah blah I'm just really thankful To be honest It goes a very long way When a junior doctor Gives you that responsibility And trusts you to do something right And so I'm gonna make sure that I do that going forward When I'm a doctor next year I can't wait To have medical students Surrounding me And yeah I'm gonna take them under my wing I'm gonna try and teach them Whatever it is that I know And whatever I can And make sure that They get that experience first And they get the practice in As well With all that being said I'm gonna run out of the house Now Actually have an occupational health Appointment For an immunization That I apparently need I did some blood tests And they said You need to do an immunization I don't know which one it is So And you know Continue the same stuff One of my favorite doctors Is gonna be there Which is great And yeah That's it Final day of this elective I'm then out For two weeks I'm flying back to Greece To just relax And enjoy myself for a bit And I come back here And continue with My second elective In rheumatology That's the big update I need to put on my coat And get out of here I'll see you guys soon Thanks Alright So I'm just leaving My elective for the last time And I bumped into Two Imperial students How are you guys? Very bright Hey guys How are you guys all doing? I was over there And I was walking And I was like It's messy And I got my phone And I was like I was like I'll say hi There's a couple of final year Students over there Celebrating Something or the other I guess they're About to finish Yeah See you guys Peace Alright guys So I'm back home Trying to Get this TV ready For lunch My camera died So Gonna continue this Friends to play minigolf So I think I'll close out this vlog With some clips of me doing that And alright That is it Without further ado This brings us to the end Of this vlog About my time In the emergency medicine elective In the major trauma centre Here in London I've got one more elective And then one more oski And then one more Obscribing exam And I'm going to officially be a doctor Which is absolutely amazing Thanks so much For taking the time to watch this I hope you enjoyed it Hopefully learned something useful as well And I'll see you In the next one Peace Woo Woo Get the shit out of me