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New posts fortnightly on Medicine, Pharmacy and sometimes completely unrelated but interesting topics. I hope you enjoy!

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Andreas Astier
Guarding the afternoon
Guarding the afternoon
Possibly a Brown Goshawk, Queensland, Australia.
Koala in his tree
Koala in his tree
Queensland, Australia.
Majestic stare
Majestic stare
Resting on a lost farm road, Australia.
Majestic dog
Majestic dog
Resting on a lost farm road, Australia.
A little head pop
A little head pop
Wallaby, Townsville, Queensland, Australia.
A lonely wait
A lonely wait
Serre Chevalier, Briançon, France.
A bearded profile
A bearded profile
Black & white photo of me.
Coming home
Coming home
Nice, France.
Une paire de Colvert
Une paire de Colvert
Fontaine-de-Vaucluse, France.
Colvert qui flotte
Colvert qui flotte
Mallard, Fontaine-de-Vaucluse, France.
Lonely ruin
Lonely ruin
Fontaine-de-Vaucluse, France.
Snowboarder's descent
Snowboarder's descent
Serre Chevalier, Briançon, France.
Mighty mountains
Mighty mountains
Serre Chevalier, Briançon, France.
The long wait
The long wait
Serre Chevalier, Briançon, France.
Mountain's final light
Mountain's final light
Serre Chevalier, Briançon, France.
Illuminating tree
Illuminating tree
Under the warm night of Brisbane, Australia.
Endless sunset
Endless sunset
Flying over Siberia at 10 000 meters.
Endless sunset
Endless sunset
Sunset over Siberia at 10 000 meters.
Early morning greeting
Early morning greeting
Pheasant Coucal, Townsville, Australia.
Early morning greeting
Early morning greeting
Pheasant Coucal, Townsville, Australia.
Guarding the afternoon Koala in his tree Majestic stare Majestic dog A little head pop A lonely wait A bearded profile Coming home Une paire de Colvert Colvert qui flotte Lonely ruin Snowboarder's descent Mighty mountains The long wait Mountain's final light Illuminating tree Endless sunset Endless sunset Early morning greeting Early morning greeting


I recently graduated in medicine from Townsville, Australia, and I still enjoy writing blogs on medicine and pharmacy-related topics. I appreciate writing about my experience on different placements or topics I'm interested in. As English is my second language, writing blogs is a hobby and a fun challenge!


Andréas Astier Educating in Medicine & Pharmacy
Hughenden — My Medical Rural and Remote Placement, Queensland, Australia.
Feb 10

Feb 10 Hughenden — My Medical Rural and Remote Placement, Queensland, Australia.

Andréas L.P. Astier
Medicine & Pharmacy

This video is about my rural and remote medical placement experience as a medical student in Hughenden, Queensland, Australia. In context, every two years of my degree, we have a rural/remote focus placement. In my 4th year, I decided to go on a solo placement to Hughenden.

The Laughing Kookaburra in My Backyard — Townsville, Australia.
Jan 10

Jan 10 The Laughing Kookaburra in My Backyard — Townsville, Australia.

Andréas L.P. Astier
Nature

I should have been studying, but who can when these Laughing Kookas are making a ruckus? I desperately tried to catch a complete “laughing cycle” but I was unsuccessful, still though I had fun having these companions in my backyard.

The Types of Primitive Reflexes in Infants and Its Meaning.
May 15

May 15 The Types of Primitive Reflexes in Infants and Its Meaning.

Andréas L.P. Astier
Medicine & Pharmacy

Primitive reflexes, also known as developmental reflexes, are special reflexes that originate from the brainstem and are present from birth to early infant developmental stages. These reflexes are involuntary motor responses which facilitate survival.

Causes of Post-operative Fever: Using the 5 W and Its Management.
Apr 15

Apr 15 Causes of Post-operative Fever: Using the 5 W and Its Management.

Andréas L.P. Astier
Medicine & Pharmacy

Post-operative discomfort is a well-accepted phenomenon that occurs to almost everyone that undergoes surgery. However, the post-operative complications need to be looked at closer and with caution as the healing process is not performing. The 5W mnemonic may guide the physician to the most likely cause.

Using HEADSS as a Screening Tool: Its Usage in Child and Adolescent Health.
Mar 15

Mar 15 Using HEADSS as a Screening Tool: Its Usage in Child and Adolescent Health.

Andréas L.P. Astier
Medicine & Pharmacy

A lot happens during adolescent hood as teenagers have an increase in risk behaviours and psychological issues, which contribute to mortality and morbidity. Hence, when adolescents reach the healthcare system, it is imperative to do a HEADSS assessment.

How to Document on Ward Rounds Using the SOAP Framework.
Feb 15

Feb 15 How to Document on Ward Rounds Using the SOAP Framework.

Andréas L.P. Astier
Medicine & Pharmacy

Medical students who are soon to be interns need to acquire the skills of clerking on ward rounds. The SOAP framework (Subjective, Objective, Assessment, Plan) enables proficient and easy documentation on ward rounds and provides the basics required for good documentation.

Using the ISBAR Method for Successful Handovers.
Jan 15

Jan 15 Using the ISBAR Method for Successful Handovers.

Andréas L.P. Astier
Medicine & Pharmacy

An ISBAR is a recognised and effective method to deliver handovers practically to another person/team. The ISBAR is simple, quick-to-use, memorable and portable. It is designed to have a logical, structured approach in providing concise and easy-to-understand information, making communication more effective and streamlined.

How to Proficiently Acquire Consent in Surgery.
Dec 15

Dec 15 How to Proficiently Acquire Consent in Surgery.

Andréas L.P. Astier
Medicine & Pharmacy

The consent form is a critical aspect of surgery. Before doing any major and minor procedures, the patient must consent to that particular surgical procedure. In addition, the consent form helps the patient understand the procedure, how it is basically done, its benefits, harms, alternatives, and complications.

How to Perform the 4 A’s Test of Delirium: Simple, Quick and Reliable.
Nov 15

Nov 15 How to Perform the 4 A’s Test of Delirium: Simple, Quick and Reliable.

Andréas L.P. Astier
Medicine & Pharmacy

Delirium is a severe change in mental abilities, causing confusion and reduced awareness, and is a common and serious complication within the elderly population. It is often misdiagnosed, missed or diagnosed late. Thus, it is crucial in the emergency department or at a patient's house to quickly and efficiently identify patients presenting with delirium.

I GET SMASHED Mnemonic: Pancreatitis Causes and Management.
Oct 15

Oct 15 I GET SMASHED Mnemonic: Pancreatitis Causes and Management.

Andréas L.P. Astier
Medicine & Pharmacy

Whilst being on the surgical ward, I was astounded at the number of patients who presented with pancreatitis. An easy way to remember the causes of pancreatitis is by using the mnemonic I GET SMASHED. Statistically, you should find the cause of the pancreatitis and help you manage your patient.

Disease Summaries for Medical Students: A Simple Structure and Approach.
Sep 15

Sep 15 Disease Summaries for Medical Students: A Simple Structure and Approach.

Andréas L.P. Astier
Medicine & Pharmacy

Pathophysiology is a full-on and heavy subject to learn in medical school, and with so much going on during the clinical years, it is essential to create a streamlined and efficient way to describe diseases/conditions. By the end of the year, you may have a long list of diseases to learn and remember: hence, I recommend keeping it brief, succinct and easy to explain.

Transitioning and Surviving into Clinical Years: Tips and Tricks for Medical Students.
Aug 15

Aug 15 Transitioning and Surviving into Clinical Years: Tips and Tricks for Medical Students.

Andréas L.P. Astier
Medicine & Pharmacy

Today's blog feels more like an actual blog rather than the other more serious and referenced articles. So instead, I talk about how I managed my first clinical year as a student and, essentially, the routine I used to tackle the second half of my undergraduate degree.

How to Take a Sexual Health History Efficiently and Effortlessly.
Jul 15

Jul 15 How to Take a Sexual Health History Efficiently and Effortlessly.

Andréas L.P. Astier
Medicine & Pharmacy

As an integral part of a patient’s overall health, a sexual health history is a valuable skill to require and is essential in assessing sexually transmitted infections (STIs), genital symptoms, pregnancy and sexual functions. Regarding the nature of the questions, the examiner needs to make the patient at ease and comfortable talking about this topic.

A Simple and Reliable Tool: STOP-BANG in Assessing Obstructive Sleep Apnea.
Jun 15

Jun 15 A Simple and Reliable Tool: STOP-BANG in Assessing Obstructive Sleep Apnea.

Andréas L.P. Astier
Medicine & Pharmacy

The STOP-BANG questionnaire is a tool that screens for obstructive sleep apnea (OSA, not for central sleep apnea) and is one of the most recognized screening tools for OSA. It is a screening tool, thus not diagnostic, and depending on the outcome, advise the assessor on the next step.

Creating Differential Diagnosis List Using VINDICATE.
May 15

May 15 Creating Differential Diagnosis List Using VINDICATE.

Andréas L.P. Astier
Medicine & Pharmacy

In medicine, patients often present with signs and symptoms that resemble and overlaps with other conditions. Therefore, having the principal diagnosis (or your best suspicion) may not fit the picture perfectly; hence it is essential to think of other conditions that mimic the presentation. The differential diagnosis thus comes into play.

Bite-Size: Advanced Health Directive, Everyone Should Get One.
Apr 15

Apr 15 Bite-Size: Advanced Health Directive, Everyone Should Get One.

Andréas L.P. Astier
Medicine & Pharmacy

The AHD is a legal document that allows patients peace of mind on how their health will be taken care of if they are incapacitated. Their wishes will be legally fulfilled by the statutory health attorney whom they have appointed. The results enable family and friends to know and understand the patients’ wishes, alleviate extra anxiety and stress, and improve end-of-life care.

How to Use the BREAKS Framework for Delivering Bad or Life-Altering News.
Mar 15

Mar 15 How to Use the BREAKS Framework for Delivering Bad or Life-Altering News.

Andréas L.P. Astier
Medicine & Pharmacy

The BREAKS framework, just like SPIKES and ABCDE, can be used for interviews where bad news will be delivered. Breaking bad news can be stressful for both the patient and the physician. Patients will distinctively remember the day when bad news was delivered to them, and in a way, the physician becomes part of that moment.

How to Use the ABCDE Framework for Delivering Bad or Life-Altering News.
Feb 28

Feb 28 How to Use the ABCDE Framework for Delivering Bad or Life-Altering News.

Andréas L.P. Astier
Medicine & Pharmacy

The ABCDE framework can be used for interviews where bad news will be delivered. Breaking bad news can be stressful for both the patient and the physician. Patients will distinctively remember the day when bad news was delivered to them, and in a way, the physician becomes part of that moment.

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Andréas Astier

Doctor & Pharmacist

 
 

I am a pharmacist and recently graduated in medicine at James Cook University in beautiful Townsville, Australia. I am originally from a small French island called Île de la Réunion. I completed my secondary education on the Cambridge system at Saint Charles College in South Africa and then moved on to Rhodes University for my Bachelor of Pharmacy. I achieved a distinction in pharmacy and was honoured to become an Investec Top 100 in Student Leadership. From there, I was accepted at JCU for my Bachelor of Medicine, Bachelor of Surgery (MBBS) program. My focus is rural and remote health in Australia.

 
 

 

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