 What is up guys karma medic here and welcome back to another dose. It is finally here in my previous vlog My medical school oski exam got postponed to some indeterminate time in the future. That day is tomorrow Let me show you this is what we have been up to for the last couple of weeks And then tomorrow is oski day This is the final med school oski like the biggest most notorious hard bad scary Anxiety inducing exam is tomorrow and when I tell you that I have lost the will to live And I've lost the will to study for this exam like I'm I'm so done. I'm over it. I'm over it. You're done kid You're done. So yeah, honestly these last couple days have just been brutal boring studying and I'm very very over it Which is why today I actually don't plan on doing that much studying at all I've got a list of a couple of things that I still need to go over and then after finishing going through this list I just want to practice sort of the main big four exams at Donald exam Cardiovascular respiratory and then cranial nerves and upper and lower limb motor and sensory exams because those are very very likely to come up And I feel like if I just want to them one more time, I'll be in the best position I can be to do well in them and that's pretty much it after that. I'm going to the gym I'm gonna play video games with my sister. I'm going to rest and relax because I'm over it I just want this to be finished and I need to chill out Here's what we're gonna do. We're not gonna think We're just gonna do if we stop and think about having studied this exam for another day. It's not gonna be fun All right, so we're literally not gonna think and we're just gonna get started with the day. I have got some lovely strawberries About to go get some coffee and let's do this All right, let's do this phone on silent. All right I'm throwing this on my bed and Again similar to last time when I was preparing for Oskis in my fourth year, which you haven't seen that vlog I personally really like it. You can check out somewhere up over here I'm using this book kind of as my like North Star. It is totally falling apart Now that I want to show you it's not but basically all the pages are like loose and like different parts are falling out I've made good good use of this book So the first thing on my list that I want to learn about is advanced Directives decisions you can make in advance about your treatment in the case that you were to lose capacity In the future and not be able to make those types of decisions for yourself. So I'm gonna read up on that and Then move on Yeah, it's a Mother's Day today in the Arab world So we sent my mom some flowers and a card and she just received them and we're saying a quick happy Mother's Day Anyways back to work. All right So it's been about an hour of studying and everything on this first little sticky note is finished Which is great news because you get rid of that and throw it away and now I've got a second sticky note Mostly containing things that I didn't even know we're gonna show up on our exam until my good friend Georgina kindly informed me about them Yesterday, so that's what we're gonna go through right now So one of these things is a C-spine x-ray or interpretation of the C-spine x-ray So I'm just gonna watch a random YouTube video on that now If you're wondering what this thing is here on the side screen on my iPad over here This is a video game that I have running in the background doing something very menial or not very click intensive basically so I can stay sane and Make my time spent at this desk studying a little bit more enjoyable It's kind of like my motivation to sit here and study is every 10 minutes or so I click about a little bit here play a tiny bit of this game and it's kind of what's getting me through this This last day. So that's what that is. Anyways, without further ado, let's watch this video and take some notes Genuinely, I cannot stress this enough. If there's something you don't understand or something you're learning for the first time I genuinely find YouTube videos are the best way to do it These are people who have already learned the thing you're trying to learn and are now trying to explain it in an easy to understand way With all kinds of nice memory hooks images diagrams, etc This is often so much easier than your lecture, which is like a 50 minute lecture I'm sure there are many 50 minute lectures covering cervical spine x-rays, but you know, they're going to lots of detail They'll show a lot of research and the history of coming to where we are now I just want to know how to interpret spinal x-ray a C spine x-ray. So this is this is what I need All right, so I'm going to present this like it's in my exam today I'm looking at a C spine x-ray for patient john smith a 55 year old man who's coming to the hospital All right, so history taking and communication stations are only two parts of the oski exam We also have things like examinations procedural skills and assessment stations So all those involve doing practical things with our hands talking to patients and examining them using things like a nice little Stethoscope and a tendon hammer. Also, please just ignore whatever the hell is going on here my exams tomorrow I don't have time to clean my room right now. So if you remember from some of my previous vlogs We had sonic the hedgehog this big fluffy toy that I could examine and it was actually really helpful But kind of threw him in the bin. So he's gone, but instead what we do have is Mr. Chair is that gonna stay nope. All right, let's get some tape found it All right, Mr. Chair. You're gonna have to stay put bud. So Mr. Chair is a 24 year old gentleman Who's presented to the emergency department with a cute shortness of breath So I'm going to examine him put a mark scheme up on the screen and hopefully not miss anything And practice my examination skills. So now what's funny guys is when we first started preparing for oskies back in second year Actually, you might know this already if you used to watch my videos back then I used to complain a lot about how the six minute timer that we have in order to complete these examinations Is super short and how could we possibly do everything we need to do in the six minutes that they give us? And now when we practice these exams as final year medical students We get through them with like a minute to spare sometimes even a minute and a half depending on the examination Which is absolutely crazy to think about but I guess it's a testament to just show like practice makes perfect Keep working on something you'll get better at it etc. Etc. Anyways, I'm procrastinating from doing this examination So let's just get started. Hi. Good morning. My name is Nasser and I'm one of the final year doctors here in the emergency department Could I start by confirming your name and your age, please? Yes, hello, my name is Mr. Chair and I'm 24 years old. Nice to meet you, Mr. Chair Today what I've been asked to do is perform an examination of your lungs This is going to involve me having a look a listen and feel of your hands your face and your chest area Would that be okay? Yes, that would be fine. You can begin. All right. Thank you very much I'm just going to mention a couple of things to my examiner as we go along if that's okay Well, thank you very much, Mr. Chair. That brings us to the end of the examination Um, you can put on your t-shirt now. Thank you very much for your time. Great So we've got a minute and a half left on the timer. Um, assuming I didn't miss anything big Which is always possible. Let's go through the mark scheme and have a look All right, so introduction, patient details, wash his hands, explains the exam Ah Survival, lymph, and enopathy. So you have to check for the lymph nodes from the back of the patient You can feel for the superclavicular nodes. Um, and then come up to the cervical chain Submandibular pre-oricular or sorry post-oricular and pre-oricular as well. Don't forget To check the lymph nodes Oh vocal fremitas 99 99 99 So when you listen to the patient's chest in all the different areas, you're supposed to listen again and ask them to say 99 99 99 99 99 99 And this is a test called vocal fremitas And if you have a consolidation or mass in the chest, then you'll the sound will transmit better And so you'll hear the 99 louder over the areas that do have consolidation versus the ones that do not That's what that test is for. All right, so I remembered pretty much everything I just didn't remember to do vocal fremitas 99 99 and to check the lymph nodes in my humble opinion This would be an easy pass of the station and then also, of course, you have to summarize your findings report back to your senior Etc etc, but in terms of missing those two things. It's okay. It's not the end of the world All right, so basically What the deal is is that with every examination I do I am bound to forget a couple of things, which is fine It's okay, but I want to minimize the number of things that I am forgetting And so that's what this practice is for but big picture forgetting a couple of things in the exam is okay It's not going to be the end of the world. Certainly not going to fail you I want to forget as few things as possible many hours later. All right guys, it is several hours later We're about to hit 1 p.m. I just wrote down from memory all of the sort of major steps and special tests That are involved for all the musculoskeletal exams hit knee shoulder ankle hands And then also peripheral arterial and peripheral venous disease exams and I feel ready. I feel good Um, honestly, I don't think I'm gonna do much else study wise for the rest of the day I'm gonna ask Kenji and Georgina if either of them are down to practice a couple of histories Just to kind of practice it one more time the day before but other than that I think I'm done. It is an absolutely beautiful sunny day today Um, so I would like to get to enjoy that at least a little bit I'm going to go to the gym and also probably play some video games with my sister in the evening And yeah, just kind of unwind relax and calm down before exam time hits So I'm gonna go grab some food get some lunch and yeah, we'll just continue on with the day Try and unwind and relax and tomorrow is tomorrow Now obviously before the exam we need to be looking at our best So that means a clean shave and then some nice formal clothes and a shirt So yeah, I need to get rid of all this fluff trim up these lines a little bit And let's just do it Now I did just hit me that I'm actually gonna be wearing a mask the entire time throughout the exam So I guess we'll make that much of a difference, but if you look good Then you feel good and it helps with overall confidence and everything. So I think it's still worth it The fact that that camera hasn't fallen is a bit of a miracle All right, and just like that we are done. Let's go get some food. All right So we've got ourselves some lunch And we're gonna be watching the new episodes of top boy, which have just been As you all know, this is my favorite eating utensil By miles makes everything much more comfy even though it makes me look like a grandpa, but it is what it is All right, let's kick back relax And enjoy the show Spoilers by the way major spoilers for the show How's it going bro? Good bro. How are you? Bro, you're not scared of hitting your laptop off the parking table. No, no, it's it Oh, they're pulling your back There's there's some good clearance like at the back. Hi. Good afternoon. My name is Nasa karma. I'm one of the doctors here Can I start by confirming your name and your age, please? Yes, Paul Mastin and I'm 65 On my way to the gym. Look at this beautiful weather we've been having here for the last week Fortunately, I've mostly been cooped up at home studying and preparing for this exam But I cannot wait to take advantage of this once exams are over going on another ski trip But after that anyways, let's get in this one last session of de stress exercise Sweat coming out and just resting and relaxing my head and I'll see you in a bit Thanks That's good. That was really good I'm just waiting outside the location which is pretty damn beautiful if I can say so myself I've got myself a quick coffee and my general plan is to go in at the last possible second So I can sit out here and listen to my music and de stress as much as I can So that's what I'm going to do for five minutes and then head inside for Exam and then point in period and they're going to take our electronics. So I won't be able to film much After afterwards. I'll see you later. Oh my god. Oh my god Oh God Okay, so that's day one finished. So yeah, I'm not gonna lie That was a lot more complicated than I thought it would be It was not as straightforward as previous Oscis that we had and in fact I think they deliberately tried to trick us going into a respiratory exam station Which then turned out to be an A to E station So yeah, and then there were other stations where the wording was very unclear And a lot of students complained about like Misunderstanding like what they wanted us to examine or what they wanted us to do So and they came in and took feedback from all of us about how they can change the wording moving forward So could have done a better job But it's all right Wasn't feeling too great about two out of the six stations that we had today And then there's another six stations tomorrow But once I got the written feedback from the examiners, I think it kind of put me at ease The comments there were a lot better than I thought I had done in the examination So it should be okay Anyways, I mean that's basically it Exam one down one more to go tomorrow So we show up at eight in the morning Then we have to quarantine until 11 a.m And then we write the exam and then we have to quarantine again until 1 p.m So that other students on other campuses around London are not out of the quarantine whilst we're out of the quarantine We can share information or whatever So a lot of waiting around but I think it's fine. I think it's fine That's the end of my ramble about this exam I'm heading home Okay, I'm gonna do just a bit of practicing on prescribing because that didn't come up today Maybe review one exam or something but other than that I'm gonna sit down and play video games at Newark's That was very fun yesterday Anyways, I'll see you guys at home Hello team I'm at home John on the couch Just unwinding debriefing and chilling relaxing for a little bit I'm gonna hop on a call with Kenji and Georgina Just to debrief about the stations that we did today in the exam Talk about them a little bit and get what we need to say off of our chest And then probably do a bit of prescribing practice And I think I'm gonna call it there I'll pick up the camera again when I start that debrief call Do a little bit of stuff But man, it's actually it's hitting me that this is almost over Like med school, it's almost over Final exam Madness, madness, madness All right, see you in a bit All right, Paige, you're on to the PDF book Page 32 PDF page 32 or book page 32 All right, let's say guys Like I said before, any more studying would have made absolutely no difference today And I think any more studying is gonna make absolutely no difference tomorrow So I'm just gonna call it here It's 5pm I'm gonna chill, relax, pack my bags So I'm ready to fly out Thursday early in the morning And so I can go out celebrate tomorrow In the evening with everybody and I'll have to pack And yeah, that's what I'm gonna do for the day So almost there See you guys in a bit Peace All right So I'm going skiing tomorrow Well, after tomorrow with about 10 of my friends from high school To celebrate finishing medical school Hopefully finishing medical school Given that everything goes well tomorrow Touch wood And yeah, let's pack Cue the time lapse All right, so all packed Everything is pretty much there I just need to put in a couple last things tomorrow And now me and Nora are gonna sit down and play Elden Ring For a couple of hours, relax, enjoy the night And that is it I will see you guys tomorrow Number two I'm heading to a different location today I'm on the train for the second part of the auspice They're spreading us out I mean we're in a strange pass So they're spreading us out across all the different locations Of Kings College London So that it's as fair as possible And we each, we all see different examiners And we're with different groups and things like that So that is just a fair exam across the board New video getting released tomorrow So prepping that Instagram card right now And yeah, just trying to take it easy and chill Relax as much as I can before I go into the exam I'm a little bit early, so I'll have some time to kill And I'll see you guys in a bit Peace Is this not filming? So, we are back on campus Guys, campus Yeah, to be honest, I think today didn't go as well as yesterday I think there are a couple, two stations where I found them quite challenging And I don't think I got the intended diagnosis in the end But hopefully my communication skills and everything else The questioning, history taken, whatever We'll make up for it But anyways, I'm not going to think about that I've just had a meal with Aaron and Georgina I'll post some pictures up over here And now I'm going to Guy's Bar Which is just over there To meet a couple other friends Have a couple drinks, relax Deep breathe I'm fucking soaked this in All right, so it's actually been about a week Since the last clip that you guys saw I forgot to close off the vlog And I've only just realized that I haven't done that yet During this time, I've actually gone skiing in Austria And then I've come back And I started surgery this morning I had to wake up at five o'clock in the morning It's all been very hectic But that's a vlog for another day I just want to say thank you For taking the time to watch this video I hope you enjoyed it And if you did, please don't forget to leave a like on it And also subscribe to my channel See more content from me in the future And I'll catch you in the next one Peace What is up, guys?