It is almost test time again. Monday we get to battle with genetics, muscle (in both histology and physiology), ECGs, blood, plasma proteins, clotting factors, hemophilia A, B and C, sickle cell anemia, the anatomy of hands and legs, medical ethics, writing a cardiology history and embryology. Honestly, there are other things, but I can't take a long enough study break to write them all down. I think I'll do okay. I think I'm ready, but boy, they could make this bad. Let's hope they just make it challenging; I can handle challenging.
I can't get Lesh Nyhan Syndrome out of my head. For those of you who don't know, Lesh Nyhan is a TERRIBLE disease. It is a congenital defect of purine metabolism with the clinical symptoms of gout and central nervous disorders. Specifically it is characterized by mental retardation, self-mutilation of the fingers and lips by biting, impaired renal function, and abnormal physical development (predominately in young boys). We haven't even talked about metabolism this semester (I believe we do it next semester in more detail than I had last semester) so I'm not sure why Lesh-Nyhan Syndrome is on my mind. For some reason, Lesh Nyhan is in every medical review book and I hear is often on the boards----as a wrong answer choice (probably because it is very rare). Nine times out of ten, if you see Lesh Nyhan Syndrome, it's the wrong answer choice.
When I say my prayers at night, I'm ever so thankful that I don't have any major health problems. Since starting medical school, I'm more shocked every day that we have healthy people. There are so many things that can and do go wrong. It almost seems like a healthy person should be the exception considering how many things must work out.
Speaking of prayers, I've got a big exam--I better get back to the books.
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