Today was my last p4 shadow! As usual I was watching him do a work up of the patients on his floor (this time it was cardio) & he points out a patient that's been hospitalized for his fourth heart attack from smoking crack.
Sidenote: yes, cocaine can cause a heart attack no matter how you get it into your system. Basically it prevents the reuptake of a neurotransmitter (chemical that triggers your neurons) which causes the euphoria...but it also makes your heart beat faster & constricts your blood vessels eventually causing vasospasms which will lead to a heart attack.
Anyways, so apparently the attending phsyician told this patient to stop smoke weed instead.
Ridiculous story, but also makes sense- if he's addicted & Going to smoke something, better something that's a lot more benign than crack.
Last set of practicals tomorrow! Two more exams after that standing in my way between relative freedom (:
Can't wait. It's going to be hard to stay motivated in these last few days but I'm pretty sure everything will work out just fine.
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