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Issue 16 - Social media in medicine, what's new this week & the role of CK

Issue 16 - Social media in medicine, what's new this week & the role of CK
By Pulsenotes • Issue #16 • View online
Morning team!
Welcome to the 16th instalment of our weekly dose!
This week we are delighted to bring you an absolutely fantastic article on the impact of social media in medicine by Samhitha Alavala - a fourth-year medic and member of our student team.
As always, we’ll let you know what’s new @pulsenotes and Norton’s got some top tips on the interpretation of creatine kinase.
Enjoy our ‘weekly dose’? - Remember to tell your friends about us!

Social media in medicine
Ever forget your notebook and pen? Check. Purse or wallet? Of course. Phone? Never! With mobile phones glued to our hands, tablets tucked into our bags, and computers around every corner, social media (often abbreviated to SoMe) is simply a click away at any moment. Numerous platforms, endless advertising and continuous mentions in conversion make it rare to find someone without multiple SoMe accounts – including us medics. It is undeniably convenient for sharing thoughts, networking, and finding opportunities in fields of interest. With the added ‘free time’ available recently, more and more have turned to the internet to find ways to keep in touch with medicine, venture into academia and accumulate CV boosters.
‘Productivity’ has become a current buzzword, as we take to SoMe to share our activities and successes. Whilst we wholeheartedly applaud others’ achievements, the difficulty arises in not drawing comparisons and wondering if we really are striving to reach our full potential. We begin to question our own work and lifestyle – Why haven’t I partaken in research projects? Why haven’t I gotten publications? Why aren’t I on multiple national committees? 
Am I really good enough?
The answer is Yes. Medicine has always been painfully competitive, and continues to be so throughout all stages of a career in the field. SoMe amplifies this, so much so that we often fall into a spiral of feeling lost and inadequate as we pit ourselves against one another. However (although easier said than done), we should remember that we deserve to be here, and other people’s successes do not devalue our own. Rather than allowing envy and pressure to triumph, let us be inspired by others’ work, and be motivated to progress ourselves. 
Top Tips:
  • Work-life balance – time for yourself and for social activities, to avoid burnout
  • Choose the ‘right’ opportunities for you – eagerness for academic and personal development makes it incredibly easy to grab any opportunity that floats your way and drown yourself in responsibilities. Consider your interests, what YOU wish to achieve, time commitment and effort required (can you devote this?), and don’t forget the enjoyment factor!
  • Studying from home and online lectures are the new norm, requiring adaptation – Can you optimise this for yourself by creating a designated study space (that isn’t your bed), online ‘study groups’ with friends, watching lectures together with housemates?
  • If you are struggling, please talk to someone. Your friends, family, university (e.g. a tutor or wellbeing service) – whoever you feel most comfortable talking to. All of us struggle at some point – never be afraid to ask for help
You have worked hard to get where you are – shift your focus onto the path you wish to take and watch your efforts pay off! 
Samhitha (@Samhi_A)
What's new this week?
LIVE webinars - what we’ve got coming up…
This week our run of FREE LIVE WEBINARS continues with a fantastic lecture this Sunday on Acute coronary syndrome (ACS)!
Norton will be continuing his cardiology series by going over the key topic of ACS whilst we work on some great new content!
  1. Sunday 23rd August 11:00 am BST - Pulsenotes LIVE: Acute coronary syndrome.
Remember - recordings of all these LIVE events will be available for members that aren’t able to make it!
More new stuff…
We’ve uploaded recordings of last weeks LIVE events for you to watch at your leisure! These include:
This week we have launched a brand (and long awaited!) new series - Breast Surgery! In addition our library grows with some more hepatology content:
And it doesn’t stop there. We have added new medical questions and a brand new set of ABG interpretation questions!
Norton's Corner
Creatine kinase
Creatine kinase (CK), which is a commonly requested blood test for the assessment of skeletal muscle breakdown. CK catalyses the production of ATP by transferring phosphate from creatine phosphate to adenosine diphosphate (ADP). It is located on the inner mitochondrial membrane within the cytoplasm of myofibrils. Skeletal muscle has the highest concentration of CK within the body.
In clinical practice, CK is extremely useful in determining the cause of muscle weakness when a myopathy is suspected. Inflammatory myopathies, such as polymyositis and dermatomyositis, or drug-induced myopathies (e.g. secondary to statins), all lead to various elevation in CK. The rise in CK helps differentiate a myopathy from a neuropathy as the cause of weakness.
CK is also essential for the diagnosis of rhabdomyolysis. ‘Rhabdo’ is a potentially life-threatening diagnosis that causes skeletal muscle necrosis and marked elevation in CK levels. The full clinical syndrome of ‘rhabdo’ is also defined by evidence of myoglobinuria from muscle breakdown, and acute tubular necrosis leading to acute kidney injury. The condition is usually transient and will lead to recovery, but some patients may require renal support. The condition should always be suspected in patients at risk of skeletal injury (e.g. long lie on the floor or crush injury).
Remember, never forget to add on a CK for any elderly patient who has presented with a long lie!
Benjamin Norton (@medicalreg)
Final words
Remember to get in contact with any questions, suggestions, or topics that you wish to be covered!
Thanks for reading, remember to tell your friends, and see you next week!
Instant access to over 185 topics, 1.3k questions & 55 hrs of video lectures!
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