Current Events > Attn: medical residents of CE, I have a few questions

(+) Yeah! (+)

Got some interesting cases this week on ID. One with classic IE signs like janeway lesions, oslers jones, splinter hemorrhages. The other with nocardia bacteremia following immunesuppression with just high dose steroids for iga nephropathy.

What are the chances I can somehow get these things published.....like even on a poster somewhere local, or "image of the month" on some joke magazine or no-name website? Is it worth pursuing?

Need to buff up my CV for fellowship applications. Just wanted your thoughts. Thanks.

@Coffeebeanz
@Soviet_Poland
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Just a quick search some mother fucker in england published "janeway lesions" as image of the month at Journal of Royal College of Physicians.

I mean, I've never been published because I'm so over this shit and going hospitalist instead, so I'm not the best to ask.
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Hunt them down, assume their identity, upload a new one as an update.

Problem solved.
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Nocardia bacteremia is much more interesting to the snooty ID types than a classic presentation of infectious endocarditis with all of God King Osler's symptoms.
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One thing i learned in residency is that there are alot of low tier conferences, low tier journals, and online magazines that don't print that will take anything remotely interesting. Like theres some conferences that may or may not accept your case but they publish every submission in a special edition magazine so you can still claim that you are published. I've seen people get the dumbest things on their resume, even as "interesting images" on a non-print low tier magazine. Just have to find the right place to submit. I know a few but I still have to do more research into where to submit.

Before med school when I was a scribe, I worked with one of my attendings on a case study on viral myocarditis. We had a case where a young guy came in and was placed into low acuity in ED, but a subsequent ECG showed ST elevations. Was taken to the cath lab, which ended up being completely clear.

It didn't get published because the journal we submitted to had just published myocarditis like a month prior to that, but my impression was the case was publishable--just bad timing. I just never followed up with it.

I'd say your nocardia case is definitely case study paper-worthy.
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Awesome.

As for the viral myocarditis isn't that relatively common? I had one on each of my 2 CCU rotations. Viral myopericarditis was what it was, classic pericarditis on ekg with trops

Doctors don't get enough respect these days

Y'all are heroes tbh
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DanHarenChamp posted...

Just a quick search some mother fucker in england published "janeway lesions" as image of the month at Journal of Royal College of Physicians.

All you need to know is that there's coffee in that nebula.
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It's prob just lupus. It's always lupus.
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DanHarenChamp posted...

Awesome.

As for the viral myocarditis isn't that relatively common? I had one on each of my 2 CCU rotations. Viral myopericarditis was what it was, classic pericarditis on ekg with trops

It is. I think it was because his age was sort of borderline--like I guess it could have been a really early STEMI (in his 30s), and the fact it was missed by nurse triage. I think we were surprised to find a positive ECG like that. I remember the in-patient team was considering things like Takotsubo cardiomyopathy at first and such.

Made for an okay case about how to handle such a presentation, and whether all patients coming in with chest pain should get an ECG or not (except for like pediatrics).

It wasn't a prestigious journal or anything. I think your nocardia case sounds way cooler.
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Cool man, Ill see what I can do. I have literally nothing to lose. Ideally need to publish before next fall when I apply to fellowship.

Any suggestions for which journals to submit to? Or which conferences to submit to as an abstract/poster?

This is where I have trouble. People with experience already know which journals will take what. I dont have that experience.

DanHarenChamp posted...

Any suggestions for which journals to submit to? Or which conferences to submit to as an abstract/poster?

I wish I knew =/

The attending I worked with was connected. I just wrote the first draft of the paper. I'm keeping my eyes peeled for an opportunity to get a case study published, since I haven't done any research thus far (MS3).

Luckily anesthesia or ER doesn't really need it, lol.
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When I talk to residents who have published alot, they all tell me how easy it is to publish and how no one realizes how easy it is. Basically theres a ton of interesting cases but residents are just too lazy in general to write em up. If you put the effort in, it'll get accepted.