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Bits and pieces....

I spent the better part of my morning in a specialist endocrine clinic.There is so much to learn.Majority of patients were ones with thyroid or diabetes and we had one with Conn's and a few with multi-system involvement.Take for instance diabetes,the protocols in it move at breakneck speed.There are so many newer drugs and insulin coming into the market,managing it is a full time speciality.We saw patients with pancreatic implants,talked about it's limitations,insulin pump,newer insulins which give a more stable baseline than Lantus.....and the list goes on whereas in thyroid there was not really much new.
Just sitting in the clinic one morning my learning curve just went on a surge.I learnt more in a few hours than I have in the last one year ,I think.
I spent a better part of one morning just learning echoes from a very patient person.I believe there is a course called critical care echo which I wonder if I can get done before I leave for home.
Don't get me wrong I am a great believer in learning while working which does happen all the time.

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