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RE: SEC S20W1 || Hematology [Hematopoyesis - Modulo 1]

in #hematology-s20w13 months ago (edited)

As a doctor myself and coming from a family with over 6 doctors, I'll be delighted to take part in this contest soon, but in my opinion the clinical case that you presented might be a bit too much for those who have no whatsoever affiliation with the medicine field. I'm not sure if even a lot of them understand the terms glomerular filtration, nephropathy, creatinine etc. Infact, when I read the application post from you two, @dexyluz and @aaliarubab, I got to know that Aalia is currently enrolled in the FSC second year. I'm sure Aalia would agree with me when I say that in Pakistan, you don't get clinical scenarios like this one till Med school.

I don't want to be a party pooper but I think a lot of users here might copy paste the entire clinical scenario to Chatgpt and copy paste the answer here. What do you think @dexyluz?

Secondly what does this mean?

Who would be the ideal person to donate blood to?

Is this a grammatical typo? Or am I not able to understand the question?

Thank you and looking forward to participate in this challenge.

Regards,
Dr Huzaifa Naveed

cc: Dr @abdu.navi03 would you like to share some thoughts on this topic with us?

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Hola amigo, muchas gracias por tu comentarios, estaremos felices de verte participar

Con respecto a los términos términos puedo acotar lo siguiente:

Se le otorga una orden de exámenes donde solicitan Hematología Completa, Glicemia, Urea, Creatinina, Filtración Glomerular y Perfil lipídico.

Puse en el caso clínico que ''se le solicitan exámenes'', pero es simplemente para hacer un poco de relleno, porque con lo que dije a continuación ni si quiera necesitarías saber para que sirven dichos exámenes (Pero si sabrías que son Exámenes por lo mismo, por ''Se le otorga una orden de examenes''):

Los resultados de los exámenes arrojan una importante pérdida de sangre y Nefropatía por diabetes tipo 2..

Inmediatamente hago saber el diagnóstico. Los casos clínicos de la universidad son mucho mas complejos porque tienes (con los resultados de laboratorio) dar un diagnostico de la enfermedad y explicar que está ocurriendo en el paciente. Sin embargo para que sea mas entendible puedo cambiar la palabra ''Nefropatía por diabetes tipo 2'' a solamente ''tenía una importante perdida de sangre y daño en los riñones por enfermedad crónica''

Además le hice saber a @aaliarubab que solo hacia falta colocar una palabra especifica con respecto a caso clínico que está dentro de este tema (de hecho también deje una pista, puede leer con detenimiento el tema sin saltarse nada) para colocar una buena calificación en esa pregunta..

Y si tienes razón, alguien podría pasarse de listo, usar chat GPT para descubrir la respuesta, sin embargo no debería simplemente copiar y pegar la respuesta como dices (porque esa porción será analizada y detectada por los analizadores). Debería analizar con sus propias palabras lo que descubrió, no es así?

Y con respecto a esto:

¿Cuál seria la persona ideal para donarle sangre?

El paciente tiene una perdida de sangre, quizás necesite donante. Cual debería ser el perfil del donante? me refiero a edad, tipo de sangre, si fuma o bebe alcohol, entre otras cosas parecidas.

Los buenos estudiantes, siempre harán preguntas, para eso están los comentarios. Si alguna persona tiene dudas con el caso clínico, puede preguntar con confianza y yo lo orientare. Queremos que los estudiantes de este curso desarrollen capacidad de análisis

Muchas gracias por tu intervención, quedo atenta a otras dudas

Thank you for the detailed explanation. I appreciate you taking the time to respond. Before your comment, I was discussing this post with my brother, who is also a doctor, and we were both aligned in thinking that the relationship between nephropathy and an RTA was quite weak. However, your clarification has cleared things up for me.

The patient has lost blood and may need a donor. What should be the donor's profile? I mean age, blood type, whether he or she smokes or drinks alcohol, among other similar things.

Thanks again for this explanation. I also suggest adding this information to the assignment post to help students better understand the requirements.

P.S.: Could you share your Discord ID?

Thank you and best regards.

Amigo, entiendo la confusión, la diabetes no esta directamente involucrada en el sangrado. Mas que todo concéntrate en el choque y sus resultados

Estoy en discord como Dexsyluz o en telegram como @dexsyluz

Thank you for organizing this contest! As my brother, Dr. @huzaifanaveed1 , pointed out, the clinical case presented might be a bit advanced for those without a medical background. While the scenario is undoubtedly educational for medical students or professionals, the heavy use of abbreviations (like UFC-LM, CFU-L, etc.) and medical terms (such as nephropathy, glomerular filtration rate, and glycemia) can make it difficult for others to follow. Even with my medical background, I found the dense use of short forms and lack of explanations for certain terms a bit overwhelming.

To make the case more accessible, it might be beneficial to limit the use of abbreviations or provide clear explanations for them. Additionally, incorporating a flowchart or diagram to visualize the process of hematopoiesis could help readers better grasp the broader aspects before diving into the specifics.

Regarding the clinical case, I noticed that the connection between diabetes and blood loss isn’t clearly explained. Also, terms like glycemia, creatinine, and glomerular filtration rate could confuse those who aren’t familiar with them. It’s crucial to include Hemoglobin (Hb) levels when discussing a CBC in the context of blood loss.

Lastly, I agree with Dr. Huzaifa’s suggestion to include the patient’s blood type in the case, making the question about blood donation compatibility more challenging and educational. This would test the students’ understanding of the ABO and Rh blood groups and add depth to the exercise.

Looking forward to seeing how this contest evolves and happy to contribute where I can

best,
@abdu.navi03

Es que realmente la diabetes no estaba involucrada, de hecho para mejor comprensión lo he eliminado. Puede leer este comentario con mi respuesta amigo:

https://steemit.com/hematology-s20w1/@dexsyluz/sjk5y0

La idea es que todos podamos aprender, y también había señalado el significado de todas las abreviaturas mencionadas (menos una :) ya sabrás porque...)

PD: después hablaremos de compatibilidad sanguínea, por ahora solo el perfil de un donador

Es fundamental incluir los niveles de hemoglobina (Hb) cuando se habla de un hemograma completo en el contexto de una pérdida de sangre.

Paso a paso amigo, en la próxima clase hablaremos de eso (nota que en el caso clínico no agregue valor porque sabia que no los entenderían)! primero era saber como se forman dichas células

Thanks for clearing that up! I appreciate the adjustments you’ve made to make the case more accessible. It’s great to see the effort you’re putting into ensuring everyone can learn and engage effectively.

I’m looking forward to the next tasks and discussions. I’ll be very happy to participate

I absolutely agree with you and even after starting reading the contest I felt very sad for others, that is complex subject Hematology and very, very difficult. I can imagine that people will be searching in internet and copying the information but reciting, it is a shame because we wanted the peoples thoughts and not re-citing. I have tagged you in my comment below, as I felt that the organisers should know our opinion. I absolutely agree medical jargon has no place in such contest there are always simple words that we, as practicing medical staff using in order to explain to 90 y.o person or maybe 9 year old child that is something that organisers should be using so that users do not feel excluded from the challenge. Like you comment and very appropriate

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