Thursday, September 19, 2013

WILTIMS #35: The large and small of medicine

I'm not sure what changed exactly, but histology lab didn't seem quite so useless today. It may have been that the subject matter, lymph tissue, was less familiar to me from a histological perspective, a fact that was helped by my profound inability to stay awake during the related lecture yesterday...

At lunch we had a guest panel about the Affordable Care Act (Obamacare) and how it will affect us as practitioners. It's been interesting seeing how doctors around here feel about that law. The consensus seems to think that the law has many problems that still need to be addressed and will dramatically alter how we practice medicine, but that anything is better than the system (or lack thereof) that we already had in place.

We also had a guest lecturer from NYU School of Medicine who came to present some case studies that illustrate health disparities endemic to our health care system that will be our job to help fix. Examples were of the poor, uninsured immigrant population who may have a (rightful) distrust of our system and of the homeless who are sometimes understandably non-compliant regarding follow-up orders.

TIL: Social workers are the unsung heroes of medicine (I already knew this but it bears repeating).

The high endothelial venules of lymph nodes and the venous sinusoids in the red pulp of the spleen are analogous structures that allow for the selective perfusion of blood into the lymphatic system.

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