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SPICE?!?! Is it really you?! :-)!!!!!!!!!! Wow, hi! It took me a bit to remember that name...

Day 42 FML

I'll start off today by thanking who's ever responsible for yesterday's comment. BTW, plus read the follow...

http://www.drugs.com/mtm/marinol.html

Yeah, that's what I thought...

I'd also like to say that I hold a 8-2 domination record in Fifa so far. Yes, domination.

And, FML, the piece of shit transformer I bought for the XBOX blew up or something, which I thought ruined my XBOX but luckily I just had to .... rig it through my bedroom into my living room.

Okay, onto tonight's entertainment. The PIECE OF SHIT, MOTHER F***ING anatomy lab. Ha, ok, so I don't think it was that bad, but it was pretty fricken bad. Tonight, I have a sense as to how the Red Wings felt after losing game 7, well, maybe a little bit. They worked so hard, for so long, repeating their routines every day, day in, day out...improving, doing what they need to to achieve their goal. And they make it to game 7 of the Stanley Cup Finals. They finished as the second best hockey team in the world, yet they felt like failures. Humbling, but I can promise you one thing. I can promise you that after their break, each and every one of them will forget about the past, and work their asses off to get to the top again. I know a little bit of how the Red Wings feel.

So, I guess we will have to wait until probably Monday to see how I finished. I feel like shit because I really knew my shit. I really, really know the upper arm and back, however, when certain arteries or nerves or muscles are tagged on a body that is crusting over, decaying, hardening that have been chopped up from hundreds of students, its hard. Honestly, I won't be TOO upset as long as its above 25/40. Below that and I will have to take a little more extreme measures to correct the situation. So far, these two will count for 30% of our overall grade. We will see....

I also heard news that I'm a proud member of the semester that had the WORST average in the HISTORY of this university on Mini 1. See what I mean when I say morons are abound here. In the 30 year history of the university.

Its been a long, strenuous day...

Good Night,

Doctor Samsun

Day 41 Anatomy Review

Good evening.

I've been thinking that I originally started this blog to update my life through the trials and tribulations of medical school, yet I have written about very few medical things. Well, tonight, on the eve of my Anatomy Lab Practical, I've decided to give you all a little lesson in anatomy. Now, this post won't be for everyone, but bear with me.

BTW, thank you Spice for the words of encouragement. I appreciate it...

Ok, today's lesson is going to be about the upper limb, aka the arm. I am going to do all of this through memory, so we will see how far it takes us.

We will start with what I know best. Nerves. Your arm is innervated by the brachial plexus, which is comprised of the ventral roots of spinal nerves C5, C6, C7, C8, T1. These 5 roots form into 3 trunks, superior, middle, inferior. Off of the superior we have the dorsal scapular which goes to ur rhomboids major/minor, and levator scapulae, the supraspinatus nerve, and the subclavical nerve. From the 3 trunks we have 3 anterior and posterior divisions, which form 3 cords, lateral, medial, and posterior. Off of the lateral cord we have the lateral pectoral nerve. Off of the medial cord we have the medial pectoral nerve, the medial cutaneous branch of the arm, and the medial cutaneous branch of the forearm. The posterior cord gives rise to the upper subscapular, the lower subscapular, and the thoracodorsal nerve. These 3 cords give rise to 5 main branches of the brachial plexus, the musculocutaneous, the axial, the radial, the medial, and the ulnar. Remembered by the mnuemonic, and i quote "My Aunt Raped My Uncle." Yes, medical minds are so smart.

Musculocutaneous: flexor muscles of the arm (bicep, brachials, coracobrachials)

Axillary: deltoid, teres minor

Radial: All the extensor muscles of the arm, forearm, and hand (about 15)

Medial: Most of the flexors of the forearm (about 15)

Ulnar: Most of the muscles involved in your ring finger and pinky (about 8, yeah, I said 8)

Each of the branches have minor branches coming off of them as well. Easy stuff, right?

Next, lets move on to ARTERIES!! My weakness.

The axillary artery arises from the subclavian artery. There are 6 major branches off the axillary remember by, "She Tastes Like Sweet Apple Pie."

1) Superior Thoracic which divides into 3 branches

2) Thoracoacromial: ABCD

- acromial branch

- (Breasts) = Pectoral branch

- clavicular branch

- deltoid branch

3) Lateral Thoracic

4) Subscapular

5) Anterior humeral circumflex

6) Posterior humeral circumflex

Each of these have various branches that you must know, but I'll most on, so at this point we started just before your shoulder, now we are at about an inch below your armpit...yes all those are in a 4 inch span...mmm hmmm, FML.

The axillary artery turns into the brachial artery which has a few branches of its own.

1) Profundii Brachi (which in itself is just as important and complicated as the actual brachial artery its just the artery for the back of the arm)

2) Superior Ulnar Collateral

3) Inferior Ulnar Collateral

Each with their own branches

Then the brachial artery splits into the radial and ulnar artery. Both of those are as complicated as the previous. They take blood from the elbow to through the hand and back. And yes, anastomses. That word means that each of the arteries connect with one another looping around circling back and forth so if one gets constricted the others will work. FML.

Okay, enough.

Now, each of these nerves and arteries all have specific muscles that they supply. The 50 some muscles in one of your arms. I never even mentioned the 25 some bones in each arm. Oh yes, they need to be supplied as well. Each muscle has a tendon. There are 50 some ligaments. There are disorders to go with each nerve as well. Claw hand, Ape thumb deformity, Colles fracture, wrist drop. Hand of Benediction. And this is just the ARM!!!

The lab tomorrow covers the arm and back/spinal cord. ALL of this information is far game, plus the loads I left out. Dr. S, how may questions are there to test all of your knowledge? 40!!!!!!!!!!!!! Are you shitting me?! FFFFFFFMMMMMMMMMMMLLLLL.

Class dismissed,

Dr. Samsun

Day 40 What Today Meant To Me

8:30 AM

I wake up. I feel like shit, tired. I lay in bed for an extra 20 minutes. I summon all of my motivation and put on my shorts, then socks then shirt, then shoes. I run, I work out. I hate life. I run home. I notice the electrician working. I shower, I'm feeling a bit better.

10 AM

I take a seat. I spot I know all too well. I will be here for 11 of the next 13 hours of my life.

11:30 AM

I eat one of the tuna things my mother set me. I hear chainsaws outside my apartment. FML. Ok, I have a chore for you. Close your eyes when you are finished reading this and picture in your mind exactly what you imagine when you think of the electric company out cutting down limbs and repairing a electrical wire. Ok go. Ok, so it probably went something like they had the orange cones out, flashers buzzing on the specialty bus, professional.

2 PM

Inbox: FEDEX

Thank you, Mother! Fifa has arrived along with pictures of Samsun the Spartan Warrior doing his thing, and my renewed credit card. On my way, I see the electricians. Wearing their ordinary clothing (rag shirt and jeans) these guys are 50 feet in the air, on top of the poll with a pair of gloves, strapped down by their belts. The truck, a glorified pickup. No barriers, no cones, no flashing lights. They did get the job done though, I thought.

2:30 PM

Play Fifa! J XBOXLIVE doesn't work. I'm working on fixing that though.

7:00 PM

Powers out! FML. Honestly, the terrorists shouldn't bomb our financial buildings. They should go after our electricity. Life without electricity is miserable. Thank god for the battery in this computer. Think about it though. Scientifically, the battery has seen the weakest growth. I mean computer batteries last a few hours, pathetic.

7:30 PM

I sit down on my bed. I've decided the only thing productive I could do is write my blog. Sorry if it's a bit long. But before I decided to do this blog, I may or may not of decided to smoke pot, (sorry to the 3 people that are disappointed) but I've been really good and I've studied really well, and the FRICKEN power is out. I have no candles, no flashlights. Notice I used fricken. Yah, I didn't disappoint twice. Back to being high. I've made some realizations. There IS a small percentage of the population that has tried it and really hasn't enjoyed it, but for everyone else, you would be high right now if given the option, if it was legal, and no one would EVER find out. And you all know it. I have another chore for you, and for those who can't do this because of their job, you're excused, but for everyone else smoke a bowl, smoke a joint, rip the bong, whatever you have to do, just do it. Go in your bed. And just think about life. Think about what you're doing. Think about all the things that make you, you. Think about where you are. Think about who you're with. Think about what you were like in elementary school, middle school, high school. Think about all the different crazy stories that help mold you. Crazy trip, aye? Sometimes we can focus so much on the future, we never stop to remember the past. Unfortunately, doing that only helps answer those questions that you had at that age, but it proves to be some interesting and entertaining shit…

8:15 PM

The power is still out. FML. I just read what I have written for tonights blog. Yeah, I promise I'm normal. Well, perhaps a bit above normal, but you know what I mean.

8:35

Power's on…

Dr. Samsun

 

 

 

Day 38 Shit, I can't get cocky...

So, as you can see...I've updated my Histology score to reflect the 1st Histology Lab Practical. A 43/50 = 86% -----> A. Yes. Another A, but wait! Anatomy Lab is in 3 days. The one that I really need to do well in. The one that I got a 55% on the mock-tical...yes thats a "Mock Practical," but it has shown me exactly where I need to study. You know, learning the brachial plexus is one thing, but actually being able to identify the different nerves is another thing. FML. Anywho, back to my brilliance. I mean, I still did get 7 wrong. They haven't given us our responses yet, nor the key, so I have no idea what those 7 were.

So, 20 people viewed this blog yesterday, and not ONE comment?!

I'm tired, and you people bore me...

Good night,

Dr. S (and yes, I've already started abbreviating)

Day 37 LAKERS WIN!!!

Congratulations to the Los Angeles Lakers for winning the 2009 NBA Championship!!!

http://espn.go.com/nba/recap?gameId=290614019

Not that Kobe needed any validation of his greatness, but he pulled another championship out of his ass to prove himself again. I remember a few years ago...7ish, when I thought Phil Jackson was just a product of coaching the best players at the time, but I've since realized that to win an NBA Championship it requires much more than 1 guy. The NBA is a truly team game, not quite like hockey, but in its own way. Sometimes 8-9 can make up an NBA team, but they must all work in harmony with each other. Kobe needed Pau, and Odom, Fischer, Mr. Shannon Brown, Ariza, Farmar, Walton, Bynum, Sasha, he even needed DJ Mbenga. They all had to work together. Unlike the Red Wings, the Lakers wanted it more than the other team. They were the more focused team, the more driven team. The Lakers came out and out hussled Orlando. The GREAT thing...this is going to go on for at least another 3 to 4 years.

BTW, I recalled you can check a previous post, I'm pretty sure I called it in 5. Yeah, I know my shit. Figures this happens after I quit gambling....

I also realized something today that I should have realized quite a long time ago but...I was in this exact position at this exact time last year. Both the Lakers and Red Wings made it to the Finals of their sports. I had both to cheer for. Of course last year, the Wings won and the Lakers fell short. I was 1/2. Not quite the shit, but not amazing. This year, opposite. 1/2. But that is soooo much better than being 0/0. God, how bad would it suck to root for anything Chicago. The last 20 years their record is 1/2 and that 1 was with the White Sox, and who gives two shits about the White Sox??? Da Bears being the 0/1. The Cubs....hahhahahahahahhahaahah. I literally laughed out loud when I typed that. I'm still actually laughing. HAHA.

I purchased my very first stethoscope today. I listen to my heart beating for like 20 minutes. da DUMP, da DUMP, da ssssss (what the f___)...nah just kiddin...ha. (Ok, now I don't know. I really want to be able to use the word fuck in my blog, but I know the my parents are reading this as well, is it appropriate? Hmmm...)

Check in tomorrow for an update on anatomy...FML...by the way...FML stands for fuck my life....HAHA, again, I made myself laugh out loud.

Expenditures: 300 EC (electricity) 1468 EC (rent) 200 EC (stethoscope) 74 EC (dinner/bagels/cream cheese) 60 EC (food) 2102 EC

Goooooood Night,

Dr. Samsun