Day 36 - Kidney Physiology (30/10/2017)

Writing the diary a little bit earlier tonight - currently 22.51, planning to do a mindfulness exercise through the Headspace app and then straight to bed. I've got a metric ton of work to get through in the next few days, and I want to try exercising in the morning so it doesn't delay sleep, which is currently the case.

In first thing for another lecture on the kidneys, this time looking at the effects of drugs and the ways in which their actions manifest themselves. I needed to finish off my CBL preparation during this time, so I cleverly took a few slides from this lecture, ensuring to leave in all the lecturer's watermarks and design stylings for maximum conspicuousness.

This was followed by a lecture on medical law - I don't remember the first ten minutes as I was completing the aforementioned prep, but everything after that was actually really interesting. It was all about where the various medically relevant laws come from, how they are derived, and how they are updated in response to various stimuli. This generated a few ethical debates about when confidentiality can reasonably be broken, is inaction itself an action, that sort of thing. I'm not sure any of these questions ever actually get resolved, so my tactic is simply going to be remaining perpetually frightened of getting sued by patients or struck off by the GMC.

This CBL case has actually been a different experience to the previous ones. The case itself is no more challenging or remarkable than any other, but the level of knowledge required to understand it seems to be much higher. We spent a good chunk of the allotted time drawing together an anatomic model of the kidney nephron, and then focusing on the locations and numbers of various kinds of ion transporter in order to understand the normal function and physiology. Only once we'd convinced ourselves (and each other) that we knew what was going on, did we then move to considering the actions and interactions of the various drugs our hypothetical patient was taking.

The nephron, in all its disjointed, multicoloured glory

The nephron, in all its disjointed, multicoloured glory

Despite the increased difficulty, it was really pleasant to see everyone pulling together. Nobody seems to be afraid to ask a question at the risk of looking foolish, myself included. There's a common understanding in the room that the material is new and strange, and we will not move forward with the case until we're sure that everyone is happy to do so. It makes sense I suppose, as we all stand to learn by teaching one another, as it consolidates our own knowledge and forces us to think about it in alternative ways.

Went to the Boar office in the evening, edited an incoming article and chatted to a few of the other editors. I sadly wasn't able to stay that long, although the general vibe in the office is really friendly and upbeat, the same as before. My colleague is currently receiving InDesign training so I'm on social media and online detail for now, which is somewhat difficult as the website is down. Still, it's a good start and I'm excited to be able to work with the team.

Took a short stroll into Leamington in the evening for some supplies

Took a short stroll into Leamington in the evening for some supplies