#osteopathy

Literally all of the IM TrueLearn Questions

400 of the UWorld Medicine/Ambulatory Medicine

Anki from Emma Holliday lectures and Online Med Ed (I hate OME videos personally)

Made a personalized IM guide based on UWorld I got wrong and things I was pimped on in clinic (like 70 pages 😢)

Watched some Dirty Medicine to refresh topics

IM was a fairly taxing rotation for me. A lot of rotating shifts, lots of night shift and sometimes 80 hour weeks but I did learn a lot. I had plenty of slow shifts on nights which means that I had tons of study time (that wasn’t the case in FM, it was go go go). I almost feel like I doubled my medical knowledge in 8 weeks.

I really do love the hospital but I don’t think IM itself would be the right fit for me. I find myself wanting to be the person consulted on the case and coming up with the final diagnosis for the patient. I do love how IM felt like practicing all of medicine and it seemed like all medical knowledge was in it’s jurisdiction.

KJP IS NOT BIDEN’S DOCTOR. WHERE IS his physician Dr. O’Connor?!!

@PressSec is going IN CIRCLES spinning the ENDLESS lies — The lies and coverup are NOT working. It is a DOCUMENTED FACT that a neurologist who specializes in Parkinson’s Disease and movement disorders was called to the First Family clinic by the President’s personal physician. Who did he see and for what reason?? The American people deserve to know the TRUTH!!!

This festive day is a perfect reminder to cherish both body and soul. Christmas is not just about giving gifts—it’s also an opportunity to care for your health and well-being.

💆‍♂️ Release the tension: The holiday season can be exhausting. A relaxing massage can help restore your energy and leave you feeling light and refreshed.

🌟 Take a moment of calm: Meditation, a warm bath, or a gentle walk in nature can bring back a sense of harmony.

🕊️ May Christmas fill you with light, warmth, and joy: Leave your worries at the door and savour precious moments with your loved ones.

Wishing a very Merry Christmas to all who celebrate! 🎁✨

HEART-NECK-PAIN-LINK

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THE PERICARDIUM

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[FASCIAL ANATOMY - OSTEOPATHIC APPROACH]

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This post and illustrations are an amazing follow up to my previous post about the pericardium and connection to neck pain.

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The heart (1) has obvious importance for sustaining life but it has a lesser known connection to the more “orthopedic” problems commonly seen amongst patients. Specifically, the fascial outer layering called the pericardium is directly connected to multiple tissues in the thorax and spine.

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On the anterior is the connection to the sternum (2) via the superior and inferior sternopericardiac ligaments (3,4). Superiorly, the link is the cervico-pericardiac ligament (5), which is connected to the deep cervical fascia (green) and houses the trunk of the brachio-cephalic vein (6). Inferiorly, the pericardium directly connects to the diaphragm (7). Lastly, and perhaps most interesting, is the posterior-superior connection to the cervical spine. The Vertebro-pericardiac ligament (8) directly connects the heart to the anterior aspects of C6 and C7.

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Tension on bones is not just muscular, but can be from visceral connections such as this. Tension in this tissue can contribute the anterior translation and sheer forces in the vertebrae and discs. This raises the question why we see so much degeneration, disc herniation and pain at the lower cervical spine. Perhaps a direct connection of cervical problems to poor breathing patterns? Maybe we can positively influence the heart via the neck as therapists? The anatomical LINKS provide us the possibilities!

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How I manipulate the pericardium with a fascial recoil technique via the sternum you can see in my previous post. You can influence the pericardium via the superior and inferior sternopericardiac ligaments (3,4).

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Credit: @anatomylinks

my last therapist told me to try craniosacral therapy, which is where you lie on a table and a hippie puts their fingertips on your skull “with the pressure equivalent to the weight of a nickel” to “adjust your cranial bones”. 

well i looked this up. it’s been tested because we can actually test stuff like “how hard do i have to squeeze to make someone’s skull bones move”. it takes significantly more pressure to adjust the cranial bones of a rabbit than the fingertip pressure being exerted on a grown human skull during “craniosacral therapy”. it’s placebo. very effective placebo which utilizes the demonstrably healing principles of bedside manner, calm interest in the patient, and the laying on of hands, but placebo nonetheless. putting on a pair of glasses puts more pressure on your skull bones than “craniosacral therapy”.

here i finally found the thread i made about it on twitter where i actually worked out the numbers:

i politely informed the therapist of this, she made a face, and as a result i never made another appointment. ¯\_(ツ)_/¯

i have a simple request and it is to stop saying Bull Shit to my face, and im not sure why this is so difficult when presumably the people who went through 4-8 years of medical or therapeutic schooling have access to all the same pubmed articles that i do, without even having to use sci hub to get into them. 

trauma is a somatic injury and placebo/reiki/snake oil are somatic treatments, which is why a LOT of CPTSD patients end up there after decades of getting worse in CBT type therapies. but i cannot and do not benefit from them because i simply dont trust goofy rainbow rhythms dorks to heal me with the power of crystal energy beams and you absolutely have to believe it and trust them in order to actually benefit from the placebo.