You know you are in MBBS when....

You know you are in MBBS when....

• When drinking, you and your friends think that the increase in your AST/ALT tomorrow is going to be hilarious!
• You still do drugs, but at least you know what they do to you. And never fail to inform those you're doing them with.
• You blame neurotransmitters for anything going wrong in your life.
• You can have a conversation about the abscess you drained today while eating cream of broccoli soup without any problem at all. Or for that matter, over any kind of meal.
• You amuse yourself by hiding anatomy and trauma pictures about the apartment for your non-medical roommate to find at awkward moments.
• You chuckle whenever you see "fork" or "penis" labeled in a Netter's diagram.
• You still attempt to explain to your family what's going on in med school.
• You have named a dead person ... and talked to them about your stresses while finding their lumbar plexus.
• When you go out with non-medical students, you're abnormally quiet, because you don't know what to talk about besides med school.
• You know that specialties are pre-defined by personality type.
• The drama in your life now is worse than it ever was in high school.
• You refer to the semesters you took organic chemistry as "The Good Old Days."
• You've ever heard the phrase "You must be smart, you're in med school!" and wanted to vehemently disagree.
• You can't remember the last time you did anything spontaneous.
• You consistently tell people that they just don't understand how bad it really is. (Yes, yes, and yes.)
• You know that, in theory, you have a family and friends, but you can't place the last time you saw them.
• You don't bother dating because the divorce rate is 70% for physicians.
• You constantly find yourself saying things like "I just have to get to spring break" or "I just have to get through Step 1."
• You question every day if you should drop out and open a coffee shop (for me, it's a photography studio) then realize that as soon as you were two semesters into med school, you were too far in debt to be anything but a doctor.
• You can name the four people in your class who are the question-asker, the arguer, the bigshot doctor's son/daughter and the stoner/alkie/druggie who's never IN class. (Haaa. Yes.)
• You know countless dirty mnemonics for parts of the body, but couldn't tell anyone what the front-page headline today is.
• Your life consists of three parts: studying, drinking, and sleeping. (For me, replace "drinking" with "procrastinating", "crying", or "doing the running man in socks on my wood floor out of sheer delirium".)
• You're not really sure which professional organizations you're actually a member of, but you never joined the AMA.
• You've compared your friends to various immune system components, or some other enzyme. (Someone else does this???)
• You notice your friends ask you how schools going, then realize they immediately regret it when you actually answer.
• People assume you know something when you tell them you're in med school, but you know that you haven't learned anything.
• You've dissected a penis and can explain the way viagra cialis online pharmacy pharmacy works.
• There are still drugs, body parts, slides, cell types, or diseases you don't know the morning of your exam.
• You know that there is such a thing as studying too much and that after a certain peak, your grade starts going down with increased studying.
• You know that even with residency hour restrictions, you're still making less than the secretary.
• People constantly ask what med school is like, and all you can think of to say is "It really sucks." (Really, REALLY sucks.)
• You've never had problems before, but 6 months into med school you're on birth control, an anti-depressant, an anti-anxiolytic and sleep medication. (I'm afraid my dad just had a heart attack here. Don't worry, Dad - for me, one should replace "birth control" with "pain meds for my eeeeevil pancreatitis which is aggravated by stress".)
• You can name 3 specialties you're interested in, then immediately rule two of them out because they don't pay well enough to pay off your debt.
• Half your class is Asian of some sort. The other half is Jewish. All of you are completely nuts.
• A "study group" is you, your syllabus, and your Red Bull. (And Christy.)
• You assess beverages for amount of caffeine before buying only those with more caffeine than coffee. Then you explain to the cashier how caffeine works for you.
• You've done physical exams on your roommate, boyfriend, girlfriend, and any close friends.
• You think "AWESOME!" if someone keels over in front of you.
• You're pretty sure you used to be a normal social person, but now you can completely stop conversations by talking about the time that guy peed and bled all over you during a code.
• You meet someone and have to put off a date for months because you're crazy busy.
• Advisors tell you that you have to balance your life with med school, and then are baffled when you ask them how to do it.
• You've thought something like "what's another $10,000 in loans?"
• You're really frightened by the thought of some of your classmates becoming doctors. (I'm afraid my classmates think this about ME!)
• You go a week without sleeping with no problem at all. (I still haven't figured out how to do this.)
• Grey's Anatomy, House, Scrubs, Dr. 90210, Nip/Tuck and ER are your favorite shows, but you point out all the wrong things in them all the time.
• You have diagnosed yourself or others with at least 5 rare diseases (PML, Kaposi's sarcoma, Measles, Rheumatic Heart Disease, etc.) (No, one eeeeevil rare disease that I actually have is enough.)
• People talking to you for longer than 10 minutes start to get a glazed-over look while you wax poetic about kidney function. And you don't even notice.
• You keep trying to "catch" the kidney, because Bates says you can. Nevermind that every doctor you know says you can't.
• You create Facebook groups instead of studying for exams.
• The word "holiday" indicates the weekend after exams to you.
• You have a non-medical student in your life who either elbows you when you say inappropriate things or says "forgive him/her, s/he's a med student."
• You have mastered the art of only remembering things for a few hours (specifically, the 12 hours up to and including the exam.)
• You remember mnemonics from anatomy, but don't actually remember what they stand for.
• You have at some point had a yelling, screaming, throwing things, breaking down and crying incident in the last month. (How about in the past week? Day? Hour?)
• Your parents ask what you want for Christmas and you say "to be done with this semester."
• Your sibling calls you crying or upset, but in the middle of their hysterics, asks you if you're studying or if you can take time to talk, concerned that they're bothering you.
• You've thought something along the lines of "Couldn't my cousin/grandfather/brother have waited to get married/die/come visit until exams were over?"
• You've read, heard, or wrote a poem, performed or choreographed a dance, or drawn pictures of anatomy, anatomy lab or med school in general.
• You lose something like your license or cell phone a week before exams and don't even realize it's gone til afterwards.
• You have heard classmates say "I'm going to fail" before the exam, many who then told you they got over a 90% on the exam ... and many who really did fail and got a 9%.
• You see or hear about some disease or medically-related thing and instantly think "am I supposed to know that?"
• You still think that patients actually will fit right into symptom parameters set by textbooks.
• You've read House of God, don't totally get it, but know that you will when you're an intern.
• You're anti-war, nonconformist, and dislike structure - yet still considered doing the Army/Navy/Air Force Health Programs in order to have them pay off your debt. (I'm totally NOT anti-war and nonconformist. But y'all already knew that.)
• You find yourself becoming more like House and Dr. Cox as time goes on.
• You watch medicine on TV shows and think "HA! As IF!"
• When you talk about school to friends and family and every sentence is followed by "...is that good?"
• You celebrate a 70 on a test. (Yes. With balloons and confetti, even.)
• You've purposely sacrificed two tests in order to get an 80 on the third ... because there's absolutely no way to ace 8 subjects at the same time.
• You see neurons in soap suds in your shower.

Scarlette Fever – Medication Time (2011)

Scarlette Fever – online pharmacy viagra Time (2011)

Artist: Scarlette Fever



Album: Medication Time



Released: 2011



Style: Pop



Format: MP3 320Kbps



Size: 130 Mb

Tracklist:

01 – Crash & Burn (Radio Remix)

02 – Black & White

03 – Hours of Sunshine

04 – Good Day

05 – Praying for Change

06 – Let’s Go Shopping

07 – Cheatin’ Man

08 – Elated

09 – Single White Female

10 – You Don’t Know My Name (Album Version)

11 – Face the Facts

12 – Lovestruck (Varispeed)

13 – What Would You Do (Ash Howes Radio Remix)

14 – Looking Glass

15 – Give Me A Smile (Bonus Track)



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FGM and Associated Health Problems (Page 9)

FGM and Associated cheap cialis Problems (Page 9)

Article: Lucy Adoma Yeboah (January 30, 2008)

TWENTY-EIGHT-YEAR-OLD Hawa was sent away by her husband after a little over three months in the matrimonial home. When neighbours wanted to know her offence, her husband refused to talk but only said he was fed up with her.
Surprisingly, that was not the first time, but the third, that the beautiful, hard-working and respectful Hawa was being sent away by a husband, a situation people in her community found difficult to understand.
Hawa’s predicament elicited speculations. Some opined that she likely was not much of a cook. Some went so far as to say she might be a thief who was stealing from her husband. Other reasons assigned were that Hawa might be wetting her bed or was probably married to a spirit being, which made it difficult for men to keep her.
These rumours went on for a long time till Hawa thought she could bear it no more and decided to end it all.
One hot afternoon, a labourer in her father’s house found her lying semi-unconscious and foaming at the mouth and in the nostrils. When she was rushed to the nearest hospital, it was detected that she had taken in poison. Fortunately, the poison was not strong enough to kill her.
Hawa now preferred death to marital agony. Unknown to others, she had undergone female genital mutilation (FGM) during childhood and this resulted in keliod scars around her genitalia. This made it impossible for a man to have sexual intercourse with her. Which man would want to have such a woman for a wife?
Another scenario: Lamisi lost her two children. Her third child survived only because a female teacher in the community was smart enough to send her to hospital for a caesarian section two weeks to the time of delivery.
Lamisi, also a victim of FGM, had scars around her genitalia which, although allowing painful sexual intercourse, failed to stretch out at childbirth to enable a baby to come out naturally.
At a day’s training workshop on information and communication on FGM organised for journalists by the Ghanaian Association for Women’s Welfare (GAWW) in Accra on January 17, 2008, the President of the association, Mrs Faustina Ali, said it was believed that between five and nine per cent of Ghanaian women had undergone FGM. Some reports put the figure between nine and 15 per cent.
According to the World cheap cialis Organisation (WHO), FGM, often referred to as 'female circumcision', entails all procedures involving partial or total removal of the external female genitalia or other injury to the female genital organs whether for cultural, religious or other non-therapeutic reasons.
Types
Different types of female genital mutilation known to be practised today include Type I — excision of the prepuce, with or without excision of part or all of the clitoris; Type II — excision of the clitoris with partial or total excision of the labia minora; Type III — excision of part or all of the external genitalia and stitching/narrowing of the vaginal opening (infibulation), and Type IV that also involves pricking, piercing or incising of the clitoris and/or labia; stretching of the clitoris and/or labia; cauterisation by burning of the clitoris and surrounding tissue; scraping of tissue surrounding the vaginal orifice (angurya cuts) or cutting of the vagina (gishiri cuts).
It is worthy of note that the introduction of corrosive substances or herbs into the vagina to cause bleeding or for the purpose of tightening or narrowing it and any other procedure that falls under the definition given above also constitutes FGM under Type IV.
The WHO states that the most common type of female genital mutilation is the excision of the clitoris and the labia minora which accounts for up to 80 per cent of all cases, adding that the most extreme form is infibulation, which constitutes about 15 per cent of all procedures.
Mrs Ali quoted from a recent research conducted by the Navrongo Health Institute on the extent of practice among the Kasena Nankanas in the Upper East Region in 1995 which revealed that about 77 per cent of all women of reproductive age living in the northern part of that area had undergone FGM, while 85 per cent of women in the same age group in the Bawku area had also undergone the practice.
She pointed out that the practice continued in other areas of the Upper East, Upper West, Northern and Brong Ahafo regions by some ethnic groups.
Some of the groups mentioned were the Kasena Nankanas, Bulsas, Busangas, Kantonsis, Kusasis, Wallas, Sisalas, Lobis, Dagartis, Grunshies and Moshies.
It is important to note that migrants from areas of the country and other West African countries where FGM is practised, continue with the practice wherever they settle.
Reasons
Reasons given by those who practise FGM include reducing a woman's desire for sex and thereby reduce the chances of sex outside the marriage.
Some view the clitoris and the labia as male parts on a female body, thus their removal, it is claimed, enhances the femininity. It is also believed that unless a female has undergone this procedure she is unclean and will not be allowed to handle food or water.
Some groups believe that if the clitoris touches a man's penis the man will die. It is also claimed that if a baby's head touches the clitoris the baby will die or the breast milk will be poisonous. Additionally, there is the belief that an unmutilated female cannot conceive. For her to be fertile, therefore, she must be mutilated.
People in such communities also believe that bad genital odours can only be eliminated by removing the clitoris and labia minora, adding that it prevents vaginal cancer.
In the past there was also the belief that an “unmodified” clitoris could lead to masturbation or lesbianism, among other anti-social acts.
Health consequences of FGM
Addressing the journalists at the workshop, Dr Isaac Koranteng of the Department of Obstetrics and Gynaecology at the Korle-Bu Teaching Hospital (KBTH) said FGM was a cultural practice that started in Africa approximately 2000 years ago.
According to him, immediate and long-term health consequences of female genital mutilation vary according to the type and severity of the procedure performed.
Immediate complications include severe pain, shock, haemorrhage, urine retention, ulceration of the genital region and injury to adjacent tissues. Haemorrhage and infection can cause death.
He said more recently, concerns have been raised about the possible transmission of the human Immunodeficiency Virus (HIV) due to the use of the same instrument in multiple operations.
Long-term consequences, according to Dr Koranteng, include cysts and abscesses, keliod scar formation, damage to the urethra resulting in urinary incontinence, dyspareunia (painful sexual intercourse) and sexual dysfunction and difficulties with childbirth.
In the area of psychosexual and psychological health, he pointed out that genital mutilation may leave a lasting mark in the life and mind of the woman who has undergone it. In the longer term, women may suffer feelings of incompleteness, anxiety and depression.
Who practises FGM?
In cultures where FGM prevails, female genital mutilation is practised by followers of all religious beliefs including animists and non-believers. FGM is usually performed by a traditional practitioner with crude instruments and without anaesthesia and this can negatively affect the girl or woman.
It is considered primarily as a cultural practice, not a religious practice. But some religions do include FGM as part of their religious practices. This practice is so ingrained in such cultures that FGM is synonymous with cultural identity. In effect, elimination of the practice would be tantamount to eliminating the cultural belief that a girl will not become a woman without this procedure.
Prevalence and distribution of FGMIt was made known at the workshop that most of females who have undergone genital mutilation live in 28 African countries, although some also live in Asia and the Middle East. Those who practise it are also increasingly being found in Europe, Australia, Canada and the USA, primarily among immigrants from these countries.
Today the number of girls and women who have undergone FGM globally is estimated at between 100 and 140 million. It is estimated, too, that each year two million girls are at risk of undergoing FGM.
The age at which FGM is performed varies from area to area. It is performed on infants a few days old, on female children and adolescents and, occasionally, on mature women.
Speaking of the Law and Human Rights, Ms Chris Dadzie, a former Director of the Commission on Human Rights and Administrative Justice (CHRAJ), said there were laws against FGM in Ghana but that there was the need for awareness of the legislative framework to promote the translation of the law into practical policies and institutional arrangements.
Ms Dadzie also pointed out that the enactment of laws does not in itself address substantive issues which systematically undermine and constrain the ability of affected persons to participate equally and effectively in societal life.
She said there were many laws including the 1992 Constitution making provisions for the eradication of specific forms of social injustice, including FGM, adding that unfortunately the practice had persisted.
She also pointed out omissions in previous laws which targeted only practitioners and left out other parties who played a primary role in commission of the offence such as parents, guardians, families and members of the community.
She explained that both practitioners and participants of FGM were liable and could be sentenced to a minimum of five years and a maximum of 10 years’ imprisonment.

The Promise of Watermelon

This 4th of July holiday weekend, watermelon may be more popular than ever.

Results of a new study show that it can enhance one's quality of... life. But be aware that it's not a miracle worker.

LUBBOCK, Texas -- A slice of cool, fresh watermelon is a juicy way to top off a Fourth of July cookout and one that researchers say has effects similar to cheap cialis — but don't necessarily expect it to keep the fireworks all night long.

Watermelons contain an ingredient called citrulline that can trigger production of a compound that helps relax the body's blood vessels, similar to what happens when a man takes cialis, said scientists in Texas, one of the nation's top producers of the seedless variety.

Found in the flesh and rind of watermelons, citrulline reacts with the body's enzymes when consumed in large quantities and is changed into arginine, an amino acid that benefits the heart and the circulatory and immune systems.

"Arginine boosts nitric oxide, which relaxes blood vessels, the same basic effect that Viagra has, to treat erectile dysfunction and maybe even prevent it," said Bhimu Patil, a researcher and director of Texas A&M's Fruit and Vegetable Improvement Center. "Watermelon may not be as organ-specific as Viagra, but it's a great way to relax blood vessels without any drug side effects."

Todd Wehner, who studies watermelon breeding at North Carolina State University, said anyone taking Viagra shouldn't expect the same result from watermelon.

"It sounds like it would be an effect that would be interesting but not a substitute for any medical treatment," Wehner said.

Yes, very interesting.

I do think the fact that watermelon isn't as "organ-specific" as Viagra is an issue.

There may not be drug side effects, but there are side effects to self-medicating with watermelon.

Citrulline is found in all colors of watermelon and is highest in the yellow-fleshed types, said Penelope Perkins-Veazie, a USDA researcher in Lane, Okla.

She said Patil's research is valid, but with a caveat: One would need to eat about six cups of watermelon to get enough citrulline to boost the body's arginine level.

"The problem you have when you eat a lot of watermelon is you tend to run to the bathroom more," Perkins-Veazie said.

...Another issue is the amount of sugar that much watermelon would spill into the bloodstream — a jolt that could cause cramping, Perkins-Veazie said.

That's not good.

Eat six cups of watermelon. Make more frequent trips to the bathroom and have cramping.

Those are definitely undesirable side effects.

I'm afraid that watermelon isn't the answer, though I wouldn't be surprised if watermelon became increasingly popular.


Is that a watermelon in your pocket, or are you just happy to see me?