/sci/ - Science & Math

https://www.ncbi.nlm.nih.gov/pubmed/30877090

>During 15 years of postrandomization follow-up, metformin reduced the incidence (by HR) of diabetes compared to placebo by 17% or 36% based on glucose or HbA1c levels, respectively.

So, patients with high risk of diabetes are treated like diabetics, then what's the difference? It's like having a high risk of cancer and doing chemo even though you don't have it. Please explain, anons.

>24yo industrial engineer
>generics pharma manufacturing QC experience
>interesting in chemistry, biochem, health
>plan to become pharmacist
What's the general course of steps I'll need to take? Sights are set to attend UIC pharma program, but I need a fair amount of bio credits, and org chem that were not required as an indy engineer. I already have textbooks I've collected over the years for bio, microbio, chem, biochem, etc; can I self study for PCAT and proficiency test out of bio courses? All advice is appreciated.

>>10474784
Can't access to the full article so can't comment properly, anyway i guess those high risk pts were probably ones that had altered fasting glicemic profile but not yet diabetic. Usually those sooner or later progress to diabetes, and it's been confirmed that the sooner you treat them the better it is on long term consequences.
>It's like having a high risk of cancer and doing chemo even though you don't have it
This would be the case if - lets say - they selected patients just on familiarity but with otherwise perfect glicemic control. Again, can't confirm what they did from the article.
Also the risk of metformine is uncomparable to that of any chemotp, plus you can't start it before knowing what kind of tumor you are dealing with (histologically speaking).
Pts with high cancer risk undergo stricter screening and diagnostic, but there's no reason to treat randomly. Also chemotp is both treatment but also cause for secondary tumors.

>>10474899
Thanks for the reply. I must say that my comparation was pretty bad, chemo drugs and metformin have totally different effects. I just thought it's a bit out of place and had no idea that patients with high risk of diabetes will eventually develop it compared to cancer patients which depends on their genetic analysis results and the type of cancer.

>>10474907
The point probably is that all the diabetics share the same mechanisms, while all tumors are on their own. So you can make a logical try on seeing if a pre emptive therapy will work on progression of the condition that you can't do for neoplastic patients because they are vastly eterogeneous. And in general the first thing you will do with those is to try to early detect and surgically remove tumors.
Let's say you got a Lynch sdr patient: you can leave the colon there and by doing so letting him have a few decades of normal life. Once the cancer race starts, you can ipotize removal of it or colectomy so that there's not the background for the illness anymore (extremly simplifying, but deal with me). Chemo has a meaning if you are at unoperable stage or want to make it unoperable or if there is specific indication for chemo in that specific type of tumor.

All my post is very generic anyway, take it all with a grain of salt.

>>10474932
>All my post is very generic anyway
I honestly like the explanation. In early stages usually tumorectomy is indicated (if it's operable ofc) and in later stages with the TNM classicification with M of at least 1, surgery is useless and there's where chemo comes in.

There's a huge difference between diabetic patients, as you said, they share the same mechanisms and cancer patients (depeding on tumor) have different manifestations so I won't be able to "prevent" cancer with chemo because there's a risk that the patient will eventually develop tumors which is a no-no.

Had to look up Lynch syndrome. There are a ton of variations on what cancer the pt may develop but colorectal is the most common. But 1 in 300 develop this gene mutation and it's passed from generation to generation but at least only a small percent develop the disease.

Thank you so much for the explanation!

Another interesting one

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4444561/

79 year old patient with "An Incarcerated Colon Inguinal Hernia That Perforated into the Scrotum and Exhibited an Air-Fluid Level"

Too bad he refused to live, I know this is not about ethics, but it's shit that they can sue you even if you save them.

>>10474993
Guess he had a bad surgical experience with that gastric cancer removal. Can't imagine many logical explanations to this behaviour. Maybe he just was psicologically ready for departure.

Any UK med students here?

>>10475004
I agree. Probably his quality of life wasn't that good considering that after gastric cancer the patient must have a strict diet. The hernia incarcerated in the scrotum is a pretty rare sight, haven't seen one yet.

In a way or another, I think his decision is understandable considering his medical history. It's a double edged sword, because he survived cancer for so long but his QoL was affected. It's the only explanation I can think of. A psych should've come in, tbqh.

Is the romanian student still browsing? 'cause i wanna know if you are from UMFCD or another university from the country.

>>10475081
Here I am. UMF VB Timișoara.

>>10475114
What year are you?

What did you specifically learn in order to get there? Did you learn all that red book?

>>10475123
I'm 4th year. No. I just memorised the answers. Got in with 7,59/10 which is low, so I'm a tax student.

I didn't have anyone to tutor me, so I thought fuck it, I'll memorise random answers from 2 books.

>red book
I assume that's from Corint. You should also get more books, they're listed on the test book in the back. I know that the exam is 70% Corint and the rest are from the other 6-7 books.

>>10475123
Also me. I'm the OP of both med threads. I'll be here pretty often.

>>10475147
How did you memorize the answers?

There are like hundreds of questions.
And yeah, that red book everyone uses it.

I guess you are into general medicine, not pharmacy or dentistry.

>>10475197
Well, I just took the test book, cut out the answers, looked up each question from each chapter. (Start slowly) and memorised them over the course of 2 months. So, I basically "studied" for medschool for 2 months kek. Chemistry is impossible to memorise but bio is easy. There are 2k+ questions in the bio test book. It doesn't matter how you study it because in medschool you will start from scratch again.

Yes, general medicine, family medicine is the one I want to practice.

>>10475212
So now you are studying from another corint book named compendiu "anatomia si fiziologia" yes? If so, will they require you to study it on the course of three years or just this year?

>>10475217
No, lol. Only the manual, not the compendium. You don't use that shit after you got into medschool. The profs will tell you what books to buy in order to study each year.

I have a ton of book from which I'm studying now and I can assure you that Corint is not good after you've been admitted.

>>10475147
>>10475249

>the other 6-7 books.
could you name them?

also what about chemistry? do they still teach u organic chem with reaction mechanisms included?

>>10474128
>>10474134
>>10474181
>>10474188
Osteopathy is a philosophy in modern times. They still practice OMT, Herbal Therapeutics and other less popular techniques (ex. Sitz baths) in an attempt to challenge the allopathic mentality which thinks every ailment can be treated with pills or surgery. It's a holistic approach; many holistic doctors today are D.Os. Instead of prescribing antibiotics for minor infections, or powerful opioids for any pain level (which might disrupt the bodies chemistry causing more harm in the long run) they may discuss plans with the patient to help them manage ailments naturally, though they still reserve the right to prescribe whatever they see fit (antibiotics or opioids). If you believe OMT, Herbal chemistry, Nutritional advice, and therapeutic lifestyle changes have no value in medicine - please stay out of medicine.

>>10475276
Can't name them, if you have the bio test book you can find them on the last page at the bibliography section.

You won't need organic chem at a high level, you won't be solving problems or stuff like that, you will just have to memorise a shit ton of information.

>>10475303
By any chance, do you know german? or you moved to get closer to the university?

>>10475277
> Rod of Asclepius edition
D.Os are represented by the Rod of Asclepius (single serpent staff) and M.Ds are represented by the Caducius (two serpent staff).

This illustration has so much meaning to me as a healthcare practitioner, it is amazing how relevant this artistic piece is today even after several hundred years. In Greek Mythology Asclepius is known as the deity of healing; here he is illustrated wielding his serpent-entwined staff which heals the sick and could raise the dead. To his right are his three daughters representing some essential components of healthcare - Medicine, Hygiene, and the esoteric or perhaps spiritual/psychologic elements of recovery.

Asclepius is shown looking down upon Hermes - a mischievous god of trade and wealth, and his kneeling merchant companion who are shown proposing something to him. This is an (early) indication of the divide between Commercial Healthcare and true therapeutics. The Global Healthcare System is ill with greed, and it's up to this generation to heal it. So, what say you aspiring medical practitioners? Will you practice for love of your patients, or will you practice only for love of yourself?

>>10475277
I believe they have some applications in medicine, maybe not as many but there are some people that need it. Do they use that in order to treat minor illnesses or to prevent diseases and ensure a better lifestyle?

I honestly am not very friendly towards naturopaths and aromatherapy stuff simply because they act like dicks thinking that natural "medicine" is the way to go. Honestly, as a future family physician, I will try to make sure that what I do won't harm my patients since it's very easy to harm than to cure in medicine, I get it that it depends on the case but when a child comes in with otitis media, I'll prescribe them ABs or AVs rather than giving him some essential oils or shit like that.

>>10475277
This post is goddamn mess

>>10475320
I don't know German. I only speak Romanian and English, am born and raised in Timișoara.

>>10475341
I'm the guy that replied to you earlier. I will practice medicine out of love for the patient. As I stated in the last thread, the doctor-patient relationship is key for me. I don't care about money, I just want to be a good doctor that will help people, maybe not in their darkest hour since I want FM, but I want to be a part of their life. I could go on about this, but it'd take a while.

What about you, anon? Are you a doctor? How did you end up in medicine? How did you choose your speciality?

>>10475358
How were the exams in february? Because you must have had them.

>>10475344
You got it anon, as far as herbs it's definitely better to use them as an alterative. Prevention is preferable to treatment, and they can help aide the process. Isolates are great, but herbs contain a plethora of constituents which can make recovery more complete. Besides, most pills today are designed to provide symptom relief and don't really address the issue. That's our issue... Many naturopaths don't know how to communicate effectively, and I do apologise on their behalf as they make others look like quacks. They are simply overzealous, but they do have the right idea. Good luck Anon, you'll do great.

>>10475341
>Will you practice for love of your patients, or will you practice only for love of yourself?
I will treat my patients with methods that have been shown to work, rather than charging them for sugar pills
If you're ailments are minor and not dangerous, then I won't care if you try whatever methods make you feel better. But any naturopath that says he can treat cancer is a fucking dick and should be treated as such

>>10475277
Sure, but they should learn how to keep their turbo manipulative marketing in check. Incidentally, docs should learn a bit from them.

>>10475368
What? I had them in January. Passed everything first try . I had urology , got a 7. Ortho 9. Gen surgery 10. Occupational health 10. Transplant surgery 10. Emergency med 7.

>>10475370
You don't have to apologise for them. They're not even close to our level of knowledge, anon. It's only natural for us to treat symptoms instead of the disease, think common cold. The only way to treat the disease is in a infectious diseases department where you know what to kill the bacteria/virus/parasite with but you do treat symptoms too, fever, vomit and so on.

Thanks, anon. All the best to you!

>>10475390
You did 6 exams in a single session?

>>10475357
I'm phoneposting, thanks for your constructive feedback.

>>10475358
I urge you to talk with more D.Os. My story is long... I was a patient my entire life from a chemicall-babysat latchkey kid to a vehicular trauma patient. This unique patient perspective drives my passion to develop the industry. Right now I'm nursing, next stop is MD. They're all a means to an end, my true passion is developing new therapies for disease which most of my research happens independently. Right now I'm researching the effects of silver nanoparticles and beta boswellic acid on HIV and cancer respectively. (NCBI it, I can't post research from phone)

>>10475390
I know there was the jan-feb period. Because i looked it up and it spanned until february i think. Anyway, we will still talk, if you said you browse this forum sometimes.

>>10475406
>>10475390
one more question

what do you think about this link?

http://fiziologie.umft.ro/ro/CV6.PDF

is it a full summary of the lesson? Does it really helps for the admission?

Is it for the ones learning from home? (if they have that kind of feature in the faculty)

>>10475383
Agreed.

>>10475358
I'm the "Chad nursing major" from last thread. Pic and namefig related

How hard was the exam to pass in your local uni? Here 90% get rejected but most of them are objectively there to warm the chair and never opened a book.

>>10475399
Yep. This semester I have Cards, Pulmonology, Metabolic diseases , rads and puericulture.

>>10475406
Sure, no problem. February was included for the lads that failed, I guess.

>>10475401
I don't know any DO's since in my country we're all MD's. I have a colleague in 4th year with me that's a fucking genius. The dude wrote an article about magnetic nanoparticle in vitro and vivo on cancer and got first place at this huge conference that took place last week. Massive achievement.

>>10475410
Yes and no. We have moodle.umft.ro which is restricted to UMFTVB students and we have the entire courses there. This one seems to lack explanation for each individual part of the course. As you can see it's only pics, numbers and acronyms so it's not helpful at all if you don't have someone to explain it to you.

>>10475412
Good luck, my friend. I hope your dream will become reality!

>>10474772
who would want to become a dentist unless purely for the money

>>10475419
What the heck. Even the absolutely monster students can't do more than 3 serious exams in a session here. Were they all verbal ones?

>>10475422
There are people that have parents that practice dentistry and yeah, the money is good but I would never choose it. Maybe if you went for maxfax but not even then, tbqh.

>>10475427
The exams are composed of two parts. The practical one where they leave you with a patient, have to get his history right, get to know what's wrong with him, what test would you order and what do you suspect the disease might be. And then, there's the written part which is pure theory, some are with multiple choice answer questions, others are essay type. They're not easy but with good time management and a bit of ambition you can easily get top grades.

>>10475429
I'm not outright critizicing the choice, but to look at people's disgusting mouths for a living

I dunno man

>>10475438
t. proctologist

>>10475419
Heck yeah man, I'll try to post some research when I get home. Really awesome vivo vitro trials, I don't understand why they're not more popular. I'm living the dream already, friend. If I die now at least I have advocated on 4chan, the most important scientific community...

>>10475438
lol in romania even becoming a dentist is hard, you have almost the same exam the future students from the general medicine have.

I don't even know why the fuck they give you 6 years in dentistry. It should be less, like 4, just as it is at pharmacy.

>>10475451
same difficulty as the guys from general medicine have in order to get admitted.

>>10475436
>essay
They give you a topic and you have to research it and deliver after a while? Don't have essays here, just curious.
And never had a verbal exam?

>>10475438
I don't think it's that disgusting, even with british-tier teeth but it's rather boring. Same old procedures, no variety.

>>10475444
Trips of truth.

>>10475451
Yeah, I agree, 6 years to work only in the oral cavity is pretty dumb. Also pharmacy is 5 years in Romania, or at least at UMFTVB

>>10475452
Yep, same difficulty but they enter uni with lower grades. A friend of mine was admitted with 6,44/10.

>>10475455
Never had a verbal exam. Essay is something like this. You get a paper with 10 subject, the questions are made from the book the profs recommended.

Example:

"What's the effect on the esophagus and stomach mucosa of acid substances in post caustic esophagitis? What about bases? What are some paraclinical tests that you order to confirm the diagnosis? What's the treatment?"

And that's basically one subject.

>>10475277
Since when is nutritional advice and a therapeutic lifestyle not part of evidence-based medicine? And since when is "herbal" chemistry different from regular chemistry?

>>10475491
I was trying to make a distinction for whole-herb concoctions usefulness in treating illness biochemically; I inferred most could make that distinction from context so I apologise for not being concise. I hate phoneposting... I put nutrition and TLC are to make a comparison of herb to classify it as evidence based medicine, which is where allopaths disagree, which is what it seems you're doing by not including it so thanks for proving my point.

>>10475444
>vivo vitro trials
I'm not sure if there's a language barrier here, but in vivo and in vitro are two different things, and you generally don't do both in one trial since it weakens the validity of the trial (in vivo is externally valid but not internally, in vitro is internally but not externally)

>>10475574
>in vivo and in vitro are two different things
I know, the dude from my uni did both in one trial to show how magnetic nanoparticles affect cancer cells and so on .I can't find the study online, else I would show it to you.

>>10475546
Sure thing Doc, I bet you'll become a great physician

>>10475581
I'm sure it's on MEDLINE. It sounds interesting, I've seen some reviews on the subject over the years, and it's related to my practice a bit.

>>10475574
>Trials
>(s)
>Plural
I meant to say "invivo and invitro," yes there is a language barrier. I'm phoneposting and therefore not putting much effort into detail.

>>10475582
Thanks Anon, I'm already pretty great at what I do so I think you're right.

>>10475574
Actually it is very common to have both in vitro and in vivo experiments, usually in that order. An in vivo confirmation strengthens your in vitro results

>>10475613
Which you should do as separate trials. It can be one publication, but you should not include the two in the same experimental design.

>>10475612
I was very, very sarcastic

>>10475617
I'm not sure what you mean by experimental design, but that you can publish the results together and use them for the same discussion is what I meant

I practice with questions banks that make me want to commit suicide, but it makes the actual exam questions look easy

I'm starting med school this fall. Will I have time to watch my chinese cartoons and play vidya? I really hope med school doesn't take up 90% of my time.

>>10475642
You're totally fucked, anon. If medicine is not your main focus, then you won't survive.

>>10475468
>Never had a verbal exam
Wow. Can't imagine that. All written exams i had never really evaluated my preparation like a verbal one did. It's like 10 times more difficult. But well, if people don't die left and right there it's surely ok that way too.
>>10475642
If you work seriously you can still keep hobbies. You can't play 4h every day tho. But it's very subjective.

>>10475657

>>10475622
I got that part, Anon. You're a simple man aren't you?

>>10475581
Almost home... I'll search it.

>>10475662
If by verbal you mean that the prof asks you questions, that only happens at practical exams.

>>10475665
Good luck, anon!

>>10475675
>If by verbal you mean that the prof asks you questions, that only happens at practical exams.
Yeah i mean that. Usually here you do a written test to filter out the absolute garbage and then you do a verbal one. 2-4 questions (eg what's the therapy of AF, talk me about gastric cancer, what's Addison...) and usually multiple mini questions inside that topic that depend on who's giving you the exam. This is done 2 or 3 times with different professors so that they are reasonably sure they covered enough topic with enough standardized evaluation.

>>10475696
Kinda the same shit that happens at practical exams. Had this 31M at urology exam and had bladder cancer. After I finished with him, my prof and his assistant came and started asking questions like

"What's the main cause of bladder cancer"
"What are some chemo meds we give the patient?"

And after 5 questions like that he jumped to prostate cancer and then he let me go after I told him about some procedures (e.g if the cancerous bladder doesn't respond to doxorubicin, then remove it and replace it with a part of the colon, the patient can gain control over their new bladder if they "train" themselves by going to the bathroom once every six hours and palpating his abdomen in the hypogastric region)

And that shit still got me a 7/10 because he didn't like me, kek.

https://www.ncbi.nlm.nih.gov/pubmed/30877145

"Increasing Mental Health Engagement From Primary Care: The Potential Role of Family Navigation"

How important is this? We're talking about mild mental health disorders that a child might suffer from: stress, anxiety (generalized or not), panic disorder and depression.

Primary care should be able to recognize if one of the above is present in a pediatric patient. And so, the physician should ask the patient about his life at home and his parents if they're going trough a rough time such as a divorce or a parent died. Those are not the only cases, I've seen 6th graders that suffer from panic disorder and generalized anxiety disorder because their parents are very strict and demanding regarding their child's academic life and expect him/her to be on the top of the class.

Anyone here use anki cards for Step l? If so, would you recommend any of the card stacks as being more useful than others.

>>10475341
Errm, no. Learn your history,

>It is relatively common, especially in the United States, to find the caduceus, with its two snakes and wings, used as a symbol of medicine instead of the Rod of Asclepius, with only a single snake. This usage was popularised largely as a result of the adoption of the caduceus as its insignia by the U.S. Army Medical Corps in 1902 at the insistence of a single officer (though there are conflicting claims as to whether this was Capt. Frederick P. Reynolds or Col. John R. van Hoff).

The majority use the correct one even in the States, and outside of the States no one uses the caduceus.

>>10476042
I'm not him but the rod of asclepius is the original stuff, right?

>>10475277
>Nutritional advice, and therapeutic lifestyle changes
In no way exclusice to D.O.:s.
>OMT
Again, nothing to out of the ordinary, I just have a physical therapist do it.
>Herbal chemistry
What the fuck does this even mean?

I fucking hate this holier than thou holistic crap, a holistic perspective has always been present in the practice of medicine. Almost every day I deal with the fallout of these homeopathic fucktards; people dying or getting injured in vain, because muh scary vaccines and antibiotics, better stick to drinking that silver.

>>10476094
yup

>>10475546
Okay buddy, hit me up with some papers for these herb concoctions. You could also explain what "treating illness biochemically" means.

>>10476097
This is so true.

Mom is a doctor and most of the parents that come in don't want their child vaccinated. She once argued with a "stay at home, researching on google mom" because she didn't want antibiotics for her 10 year old kid with otitis media. In the end, mom gave up and told her to find another doctor. It's mentally draining to put up with uneducated people almost everyday. It's a suburban area with low class to middle-high class people and the biggest problem is represented by the low-class. They always try to treat something with idk, polenta and fucking vinegar. (Note: It's not that they can't afford it. I'm from Romania, here, healthcare is cheap , sometimes free. They just don't trust doctors.)

Man, I know that I'm going to be a family physician one day but I'm not sure how mentally prepared I am to put up with that kind of stuff.

>>10476106
That sound relatively tolerable. Here we have to do a 9 month FM-stint(sic) after graduating, to become qualified to practice in other EU countries. The place I did it had a large population of antroposophists. No vaccines cause they interfere with reincarnation or something, mistletoe for cancer etc. Had a measles outbreak while I was there.

>>10476124
>No vaccines cause they interfere with reincarnation
Wtf?

I've heard of people not wanting blood transfusions because their religion doesn't allow it, but this is 10 times worse.

>That sounds relatively tolerable
I as a person am hot headed and get annoyed fast if the patient doesn't understand what I'm telling him. I'm okay with explaining the same thing twice but the third time makes me angry. Usually old patients and hypocondriac patients are very "careful" and make sure to ask at least 4 times that the medication mom prescribed is safe and will have no side effects or will cure their disease.

why are general practitioners so disgustingly ignorant on nutrition?

>>10476042
> US adopts Caduceus as a symbol of medicine
So this completely negates the origins of the two staffs, of which I gave a historical account of complete with an illustration? I know it's used in the US, that's why I said
> M.D.s are represented by the Caduceus
Because that's the case, just like D.O.s are represented by the rod of Asclepios as I said before. You should go back and take another look at that post anon... How it was adopted in the US is sort of irrelevant to the point made and doesn't
indicate that I'm lacking in historical knowledge.

>>10476094
Yes, just as I said in >>10475341 this is Greek Mythology

>>10476097
> What the fuck does that even mean?
If you've been following... >>10475546
> homeopathic fucktards
I agree, homeopaths are foolish. You do know what a homeopath is, right? Or are you just grouping everyone who's not a mainstream pill-pusher? Because homeopaths would suggest the use of vaccines, since the "like cures like" philosophy is in effect. I think you've developed a bias after reading too many Facebook posts.
> better stick to drinking that silver
Ah, which brings me to my next point I've been meaning to address as I brought it up to >>10475419 earlier.

Again, if you dismiss the value of herbs (or elementals in this case) please stay out of medicine. Silver nanoparticles between 1-10 nanometers bind to GP120 spikes on HIV-1 cells which inhibits them from articulating with CD4 receptor sites on human immune cells, thus acting as an effective entry inhibitor for viral replication. Not impressed? What if I told you the duration and overall effectiveness of silver as an HIV specific antiviral has been shown to be greater than the four leading pharmaceutical categories of HIV medication on the market today, in vitro? That is Fusion inhibitors, Reverse Transcriptase Inhibitors, Protease Inhibitors, and Integrase inhibitors respectively (pic related). You can also in the source below, %fusion to CD4 positive cells is diminished with nanoparticle concentration which further proves the effectiveness of silver in fighting viral loads.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2818642/

>>10476097
>>10476189
So yes, I'll stick to drinking my silver, Anon. In fact... I felt cold like symptoms coming on the other day as my friend from out of town was staying with me. I snorted some silver colloid as soon as I felt the infection coming on, and it didn't even last a full day. Of course I paired this with some vitamin C therapy, warm clothes and socks - you know, holistic therapy (not to be confused with homeopathy you daftie.) No Dextromethorphan, Codeine, or Zithromycin needed (that's antibiotics, if you were unaware). I'll skip the perturbed balance of natural flora and the subsequent disease it causes (source below) among the other repercussions of overusing antibiotics.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3427468/

>>10476174
In my uni we don't have a single exam about nutrition stuff. I'm pretty embarassed about that. Only had an optional course of a couple hours about meme diets.

>>10476189
>homeopaths would suggest the use of vaccines
Wouldn't they suggest the use of homeopathic vaccines tho?

>>10476174

>another boring thread about vaccines

>>10476194

very sad. my gp told me to eat less fruit because it could "give me diabetes" and eat more meat. i was 118.5 kgs and he never, not once complained or comment on my obesity but soon as i dropped a fuck ton of weight and became athletic he suddenly took an interest and said i was too skinny because he could see stretch marks on my arms. he put my stats into an online BMI calculator and obviously it said i was in the healthy range for my height.

>>10476200
>118.5 kgs
Well, no need to have a strong nutrition game to realize this is not good, unless you are a giant. We did many lessons on obesity on the other side. Had the generic hints on how to reduce your food intake and how to calculate your macros. But you could google those things up in 5 minutes.
The importance of phisical activity is much more stressed.

>>10476210

the point is he saw no issue with me being a lardass and suddenly his alarms went off when i became slim.

>tfw this thread becomes a /fit/ one

You guys know that there are nutritionists out there than can help you out if you really want to keep an eye on whatever you're eating. Family physicians have other things to deal with too.

>>10476193
>Dextromethorphan, Codeine, or Zithromycin
Not that anon, but who takes that for a cold? Make a tea and stay at warm.
Interesting article anyway. I lack the knowledge for a true understanding and i speedread, but how reliable is the specificity of this nanoparticles? You suppose it will be enough for a satisfying result in vivo at doses that have acceptable toxicity? What's the cost of those particles?

>>10476224

nutrition is key to good health. the fact gps are ignorant on the subject is irresponsible, especially when they give poor advice to people with insulin resistance.

also fuck /fit/ everyone on there is a keto-retard.

>>10476105
Sure buddy, I'll answer your questions. Illness is caused by a variety of biological factors at the cellular level. Treating illness biochemically means to introduce foreign chemicals to the body (either herbal constituents or pharmaceutical isolates) to redirect these cellular processes towards a state of recovery. This includes everything from combating pathogens to correcting neurochemical imbalances, all of which can be done to some extent using herbal constituents and is often relatively easy for home health remedies. For example...

Thymol has been extensively researched and proven to be an effective antimicrobial agent. It is found in high concentrations in the essential oils of Thyme leaves, a common household herb. One could easily drop thyme plant into their tea to help fight infection without doing the damage taking a Thymol isolate would create with respect to human microbiota (sourced in >>10476193). It will also add vitamins, minerals, and other constituents besides Thymol to the bodies molecular reservoir [arsenal] which it can use to recover with. These extra constituents have a number of potential benefits, such as their application as an anti inflammatory (see source below).

Anti Inflammatory
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3345235/
Anti Microbial
https://www.ncbi.nlm.nih.gov/pubmed/22103288

I can go on and on, Anon. But something tells me wise words fall upon deaf ears. That something is experience. Though I appreciate the critics as they have molded me into what I am today, so I thank you.

>>10476105
OOPS... I almost forgot. Why would Thymol impress someone of your status? Might I introduce you to beta-boswellic acid instead? It's a constituent of Boswellia Carterii (Frankincense) oleo-tree-resin which has been proven to have anti-cancer properties in vitro and in vivo. Here's some "papers," buddy.

Ethanol Extraction of Frankincense and it's effectiveness in fighting cancer in vitro:
https://www.researchgate.net/publication/5365583_Cytostatic_and_apoptosis-inducing_activity_of_boswellic_acids_toward_malignant_cell_lines_in_vitro

In vivo experimentation using Frankincense essential oil and it's effects cancer cells ability to reproduce
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2664784/

>>10476253
Not that anon, but his concerns are probably due to the diffusion of those products that are usually considered as a wonderful, less harmful, more effective alternative to conventional treatments. Whether this is due to marketing or simple attitude by the public is irrelevant. But it's important that the right thing is used for the right pathology. If you have a lubar pneumonia, maybe a Thyme infuse isn't ideal. Equally, if you have a cold, maybe slurping all the leftovers antibiotics you have at home isn't also ideal. Those products give a side door for bypassing the doc, which should be the one that tells you what option is better for you, and leaves it in the hand of people that could possibly not have the knowledge to give the instructions that are in the best interests of the patient.
I think no one denies the importance of stuff derivated from plants, lots of drugs that are commonly used are derivated from them.

>>10476199
Lol, nice dubs. But introducing viruses to fight viruses is the most homeopathic thing you can do, and it's ironically effective. Most homeopathic remedies are ridiculous pseudo, though. (ex. heating up someone with a fever)

Since we're on vaccines, I'd like to suggest this course of action for all physicians dealing with antivaxxers:
Act like you're on their side. Suggest the use of vaccines that prevent deadly or debilitating diseases and also suggest they skip the annual Walmart flu shot. I give any antivaxxer who's listening a vaccine schedule and try to explain what each one prevents, case by case. They usually cave in by the time I get to Polio. >>10476097 >>10476124 >>10476163 >>10476200

>>10476227
That's my point, Anon - these medications are overprescribed. Dextro is actually over the counter medication by the way, Robitussin. Silver nano is extremely effective in vitro, more so than the leading pharmaceuticals as illustrated by the graph and article. They have a very high ld50 values - I think it says it somewhere in the article (I also speed red, but I've read plenty of articles on the subject). That means it has a relatively low cytotoxicity, much lower than Warfarin for example. The cost to produce it is insanely cheap, you just need pure silver, distilled water, and an electric current (pic related). Of course you'll need some decent lab tech to make the particles small enough to be effective (1-10nm) but it's still cheap with respect to it's true value. The primary concerns of introducing colloids to the body is that raw minerals/metals tend to deposit in the body over time and this can be dangerous. The only notable side effect of using silver nano today is argyria, or permanent blueing of skin. This is a rare condition may I add - and it only possible through decades use of high PPM, large particle colloids in direct contact.

>>10476288
This anon gets it, +88

BTFO practitioners that are close minded because of a couple hippies selling snake oil. You're the real reason we can't progress in the areas mentioned above. I hope I answered your questions to satisfaction, honestly.

Bonus round: https://www.youtube.com/watch?v=9HmQj74Z5Xk
Invest into TOCA please, stockfags. It's in Phase III clinicals in the US and it's been adopted by the EU as an orphan drug. I think that China is using it too. They basically engineered a virus to attack cancer cells specifically...

>>10476300
>Silver nano is extremely effective in vitro
My main doubt is that such a generic component will link to a lot of stuff in vivo, i don't remember a comparable exemple where some basically pure element links in a very specific way to a biological protein allowing for a complete loss of function. But I'm just a student, maybe there are and i just don't know/remember.

>>10476187
Nigga, MD’s or doctors in general are not represented by cadduceus, never were, aside from the current misunderstanding in the states. Your interpretation doesn’t make any sense outside of the symbols current use in the USA. Why not medicine in general against the nature of business?

>>10476321
Why shouldn't a virus aspecifically targeting actively replicating cells also attack healthy replicating cells like mucosal ones or all the bone marrow lines?
Why wouldn't such a virus be recognized as non self and eliminated in the course of a few days-weeks?
Why would eliminating the highly replicating cells solve an eterogeneous pathology as cancer that as small groups of slowly replicating cells that are usually the ones that stay living after chemo?
What's the membrane molecule that mediates the internalization of the virus? I didn't get it from the video. Does it use MHC that expose the enzyme? If so, how does it deal with tumors that stop MHC syntesis?
How will it deal with tumors that are naturally slow and replicate very slowly by default?

All honest questions.

>>10476322
Right, I'm not suggesting you introduce this as therapy. It's in a research stage. Although I've known two HIV+ patients, one of whom is an MD, who swear taking it orally reduces their viral load. I was thinking of some sort of combination dialysis therapy through a silver-mesh filter since HIV is a blood-lymph based immune disorder. Keyword, thinking - please don't expectorate onto me.

>>10476328
Because I'm an American, I do most of my business here despite having taken a global health initiative. I copied that history lesson from my Facebook. Next time I'll tailor it towards the global perspective.

>>10476343
As much as i believe that doc, the swear of a single person don't amount to much. Obviously this is a young research so some theories are acceptable to keep morale up. If it works results will come anyway, pointless to argue at this stage.

>>10476193
Wow, that N=1 really is impressive, what next, hearsay? You are beating up your own straw-man here. Only a retard would prescribe antibiotics to a common cold.

The semantics bit is also a kinda dumb, you understand me perfectly when I talk about homeopathy, just like I understand you when you misuse allopathy.

>>10476253
>Treating illness biochemically means to introduce foreign chemicals to the body
>This includes everything from combating pathogens to correcting neurochemical imbalances

So isn't this what most other pharmaceuticals do? Why aren't they biochemical healing?

>>10476342
>>>Tocagen.com/
It is actively eliminated in healthy cells, though cancer cells lack effective immune system responses so it's able to spread easily within the tumor. That should answer your first three questions for the most part.
> how does it deal with tumors that stop MHC syntesis?
> How will it deal with tumors that are naturally slow
I'm not certain of the exact mechanisms, as it's probably a trade secret, though I do know it's not a cure-all despite being a broad-spectrum.

>>10476354
Right, I know anecdotal evidence is worthless in the scientific community; I just thought you may find it interesting an HIV+ doctor swears by it.
> If it works results will come anyway, pointless to argue at this stage
That's the spirit anon, don't try and contribute or anything.
> pointless to argue
That's the difference between you and I... You argue, I'm just stating fact. Have I made any claims I didn't s scientifically substantiate? If so, please tell me.

>>10476371
I never said they weren't, I actually explicitly stated they were. Wew lad.

>>10476300
Why not the annual influenza shot? If that was what you were talking about.

>>10476377
Because it's not necessary for most of the population. If people don't want mercury, fluoride, or aluminum pumped directly into their blood stream where it can't properly metabolize before causing damage that's somewhat reasonable. You can level with anti-vax patients at this level, and explain how some vaccines are an absolute necessity (those life threatening or debilitating). I for one don't get annual shots, but I've gotten many on the schedule as a kid and still get Hep titers/shots because I work in medicine.

Vaccine ingredients:
https://www.cdc.gov/vaccines/vac-gen/additives.htm

>>10476377
I would recommend Flu shots to my immunocompromised patients and those at risk for other types of co-morbidity; but I wouldn't bash a young healthy patient on getting the flu shot if they don't want it.

>>10476321
Umm, hello? How have you btfo anyone? My main gist with you is that everything you preach is in no way unique to "holistic practitioners". In fact it forms the core philosophy of the vast majority of people you denigrate as allopaths. And it has for a long time. I mean just look at that certain oath.

>>10476376
>That should answer your first three questions for the most part.
Not really. Especially the third.
If the mechanism is unknown/secret, what are we talking about? Why should someone invest in this? Because you "know"?
>You argue
Discuting if you prefer? English is not my mother language. What's the point of a discussion on something that hasn't proven any effectiveness yet? You can surely be happy of its in vitro effectiveness but that's it. A good hope. The vast majority of stuff effective in vitro fails at later stages.

>>10476390
>>10476405
Herd immunity?

>>10476408
I know it's not unique, it's just more prevalent in the School of Osteopathy from my personal experience. That's the entire divide that exists today between the two schools of thought... It basically comes down to Allopaths rejecting many forms of classical medicine on the basis that snake oil once existed. Am I wrong, or do Allopaths readily accept the herbal, elemental, and other "alternate" therapies the way D.Os do? After all, this is "Rod of Asclepius" edition. I don't mean to denigrate all Allopaths, I know many great MDs personally and of course some who are naturebois.

>>10476428
Sure, Anon... That's exactly where I was going with that.

>>10476253
>>10476259
Holy cow buddy, you have any idea how many chemicals have those effects in vitro? I'm not against patients supplementing their effective treatment with something like this, but to actually use these as some sort of curative treatment at this point in time, that's just criminally irresponsible.

>>10476451
Um, I posted multiple articles on invivo results as well as stated herbs should be used alteratively. Do you know what that means? Here's a pic related to help you.

What exactly is your "effective treatment" for the common cold?

>>10476451
PS: The ld50 of thyme tea is much lower than that of chlorine, ethanol, isopropyl or hydrogen peroxide.

>>10476445
>Allopaths rejecting many forms of classical medicine on the basis that snake oil once existed.

The thing here is the lack of evidence. I don't know anybody who is against the patient using harmless treatments to supplement their treatment or to ease chronic conditions. The main hostility arises from the wild health claims that most of the advocates of these "alternative" therapies constantly spew, just hit up any of the substances you brought up on google and see if they have the restraint to only tell what research can back up. As experts our duty is to publicly confront claims not based on rigorous research and to give proper advice to patients regarding these matters.

> Am I wrong, or do Allopaths readily accept the herbal, elemental, and other "alternate" therapies the way D.Os do

Yes if it doesn't interfere with proven, effective treatment, nor cause any harm.


I'd also stop with the allopath stuff if I were you, it only makes people associate you with the worst kind of muck. Neither is there any allopathic principle guiding modern medicine, nor are we practitioners of any heroic medicine.

>>10476471
Yes and?

>>10476466
Cell line studies can hardly be used as evidence for clinical efficiency. There is a reason why we animal tests and clinical trials.

I wasn't talking about the common cold, most of your papers were about cancer.

>>10476193
>antibiotics for common cold
this is how I know this "doc" nigga is a larper. GTFO /med/ please.

>>10476300
>these medications are overprescribed
Whats so bad about cough syrup? You can literally get codeine-dextrometorphane cough syrup OTC in my country and opioid addiction is practically unheard of. Nobody gets hooked on robitussin. If your cold is so bad you absolutely need to buy something to relieve the symptoms a cough syrup will probably do more good than harm.

>>10475341
>>D.Os are represented by the Rod of Asclepius (single serpent staff) and M.Ds are represented by the Caducius (two serpent staff).

I have never heard this before and it turns out it's because you're full of shit

>>10476411
Phase III Clinicals and adoption by the EU isn't "on a whim"

>>10476496
Agreed, much misinformation is spread by advocates and shills. This is widely accepted truth. I should have worded this differently - "do Allopaths readily prescribe the herbal as part of their TLC recommendations" I guess I'm just bias because I come from the big city where round patients are shoved in square holes so quickly it's sickening. I think we have a slight misunderstanding; let me clarify. I'll put it as simple as I can - I'm trying to advocate against the physicians who overprescribe and underevaluate patients, who just so happen to find themselves in a specific medical school of thought here in the US. These same physicians are the ones who undermine the many effective non-invasive modes of therapy due to their origins, and also mud-sling them adding further stigma which is already very prevalent due to the advocates/shills mentioned earlier. It's true many of these are complimentary, few may stand alone with respect to conventional meds... But there are anons even in this thread who believe they have no place in modern medicine. That's my source of hostility. Apologies, this is my passion.

>>10476521
Ah, looks like I posted the wrong article for the invivo experimentation. There's one on pigs with bladder cancer taking it orally, but I can't find it unfortunately.

>>10476685
> nigga
Yes, listen to this man instead. Is that seriously how you chose to represent yourself? What is this, underage /sci/? Antibiotics are over prescribed, just ask the WHO.

>>10476698
That's not the problem, the problem is people are using "cough syrup" thinking it's going to cure their cough, when really it's just an analgesic. Probably because it's marketed as "cough syrup".. ITT: We miss the point.

>>10476725
If you never heard of it, you haven't been in med very long. At least not in the US, according to other anons. It's literally the first Google search result "MD vs DO" (pic relate)

>>10476735
>Antibiotics are over prescribed, just ask the WHO.
No doctor that didn't cheat his way through the entirety of medschool would prescribe azithromycin for a cold. Stop presuming otherwise.
>>10476735
>people are using "cough syrup" thinking it's going to cure their cough
literally nobody does this. Not A SINGLE cold medication says "it will cure your cold". They all say "symptom relief", and guess what, codeine and dextro do relief bad cough, so "cough syrup" is a perfectly appropriate term. Stop the LARP.

>>10476744
relieve***

>>10476735
>Asclepius rod on the AMA logo
>Caduceus on a shitty clickbait forbes article

mmmmm I wonder which one is an authority on medicine in the US.

How come I can't wake up sleepwalkers?

>>10476758
https://www.theregister.co.uk/2007/01/27/the_odd_body_wake_sleepwalker/

I've been using amphotericin B for three weeks now to treat mouth candida, when is it safe to stop? How do I know it's gone away for good?

>>10477102
>How do I know it's gone away for good?

Check your mouth? Go to your family physician or derm to check you and inform you if it's gone. Even if it's gone now, you should still take the meds for another week or two to make sure it won't come back.

>>10477140
I'm not sure if the bumps I'm seeing at the back of the tongue are normal or if they're thrush
Guess I'll go to the doc

>>10476735
>>10476685
No real doctor would even consider giving antibiotics for the common cold unless GAS is indicated

I'm seething now anons…

>be me
>have cardiology rotation
>slow day, only 3 students present
>me and two chicks
>prof doesn't mind, we go to see a heart echo
>don't understand shit
>go to patient
>29M, heavy drinker, drug abuse, smoker since 16 with one pack/day, syncope, mild signs of liver failure, severe aortic stenosis, his carotids made such a clear sound I don't think we should've used a stethoscope
>while we talk to him he suddenly passes out
>panic
>no pulse
>call for help
>prof and two residents rush in
>chest compressions
>patient is in V-Fib
>until one of the resident came in with the defibrilator he turned asystolic
>atropine + adrenaline
>nothing works
>time of death 8:50 am

I had a great start to my day, he was admitted to "one day admission" ward, prof said it was an interesting case. We tried to save him for 45 mins but did not respond to anything, he was a single man, but his mother and cousin were in the waiting room. Went with prof to deliver the bad news, got them into an empty room and prof told them about the situation. Both broke down in tears, his cousin was there with her child that did not know what happened and had a letter with her. Me and my colleagues stood a bit with her and the letter was...oh man, the feels. She told us that she wanted him to feel better and that she loves him because he always brought candy for her.


Don't do drugs, lads. They leave behind people that care about you, now I'm home and finished bawling my eyes out like a pussy. I called mom and told her I love her. Do the same, anon.

>>10476744
Who are you? It's been rigorously studied and proven that antibiotics are overprescribed, that's why the World Health Organization is launching campaigns to combat antibiotic resistance. This peer reviewed study of over 15 million cases shows that over 50% of the antibiotics prescribed were inappropriate or did not even match the diagnosis code. 70% of which were prescribed in private practices, and nearly 20% of which were zithromycin (followed by mock pen).

https://www.bmj.com/content/bmj/364/bmj.k5092.full.pdf

> literally nobody does this
Only a Sith deals in absolutes. Do you really need convincing that a significant portion of the general population doesn't understand medical labeling? Most don't understand the difference between symptom relief and treating the root cause of an ailment. I think you've drank too much Codeine in your freshman year, anon.

>>10476752
The "authority on medicine" originally used the Caduceus until 1912.

>>10477261
Broad spectrum antibiotics are used when "symptoms are severe" as per CDC recommendation. Common cold misdiagnoses aside, there's still the heavy handed use of antibiotics for mild strep cases.

>>10477102
>>10477145
Going to the Doc is always a smart move. You could also eat some yogurt to help seal the deal, it contains Lactobacillus which is normal flora that combats yeasts such as Candida. This will help restore balance in the oral microbiota.

>>10477658
>Common cold misdiagnoses aside, there's still the heavy handed use of antibiotics for mild strep cases.

Not him but if the patient is an adult, I'd definitely go for ABs. It's a lot easier to deal with the infection and solves it faster so he can get back to work, for example. Pair that with a med that restores the normal flora and the pt is good to go.

Posted this in last thread but got no real answer
Im finishing med school in a year, havent done any voluntary nurse work in hospitals, will this make entrance to residency hard for me?

>>10477670
Do you first run any lab tests to identify the pathogen, or do you simply prescribe based on the consultation? I'm not entirely against this, though I wouldn't be so quick to draw depending on the patient.

>>10477265
This will be your whole career, just witnessing death and most of the time being unable to prevent it due to whatever circumstances.

No wonder doctors have the highest rates of suicide, I kinda get it.

>>10477681
Consultation should be enough. Running test and waiting for the result is pointless since it will take the same time amount to treat like treating it without ABs.


>>10477726
One of the things that represent my defects is my emotional weakness. I mean, don't get me wrong, I do act professional in front of the patient but somewhere deep down there, I care very much and when this kind of stuff happens, I just can't hold it in. That's why I want family medicine in a way or another, I will have a long relationship with my patient but I will also suffer with them when one of them will be diagnosed with a terminal illness. Celebrating and suffering with the patient, kinda masochistic goal.

>>10476229
Literally the only non-meme diet is carb cycling. Optimizing your macros for your daily expenditure and still feeling great on your high days and losing shitloads of fat on the low ones. This shit should be common knowledge taught in elementary.

>>10477736
>it will take the same time
Also, coltures are often inaccurate.
>>10477738
Intermittent fasting seems to be showing actual evidence of being effective iirc. (the 8h eat allowed / 16h fasting daily, not sure about other protocols)
Far from being a magic solution, just not completly ineffective.

>>10477658
>Proportion of antibiotic prescription fills in each appropriateness category Among all 15455834 fills, 1973873 (12.8%) were appropriate, 5487003 (35.5%) were potentially appropriate, 3592183 (23.2%) were inappropriate
Not really 50% but ok. Inappropriate use still high, but not only because of common cold but because of acute bronchitis and URI. I agree that abx shouldn't be used for mild infections, but they are still prescribed for legal reasons or as >>10477670 pointed out, it may help the patient get to work faster (presuming you're not dealing with something viral). Prescribing abx for a common cold is still immensely retarded and the cases I've heard about people using abx for a cold are patients that get them themselves otc (allowed in my country)
>Do you really need convincing that a significant portion of the general population doesn't understand medical labeling?
We're talking about prescription-strength cough syrup here, the patient getting the medication may be retarded enough to miss the "symptom relief" thats written directly on the bottle but the doctor that prescribes is not. Doctors don't prescribe cough syrup as a "cure" because a common cold cures itself. Treating the "root cause" of a cold is irrelevant because it will be gone in a week or two anyway. That little anecdote you had about snorting silver when you felt like coming down with the cold might as well been just an allergic rhinitis. Really tough to give a cold diagnosis if it didn't even last a day like you say.

>>10477658
>asclepius rod in use for over a 100 years by MDs
>"no but md's use the caduceus guise i swear!"

>>10477658
>eat some yogurt
I thought lactose helped candida grow?

>>10476229
literally the first advice every every pre-diabetic and diabetic patient get is that they should drop weight and exercise more. which meme diet they do is irrelevant as long as the patient reduces total caloric intake.

What's the difference in recovery from a mild bacterial infection, for example let's say otitis media, between a smoker pt and a non-smoker one. Do they both recover in the same time or the smoker takes longer to recover? I didn't want to give as example a respiratory disease since it's clear that the non-smoker one will be the one who will "win".

>>10477758
>cultures are often inaccurate
And that's another point for just going with the treatment.

>>10477770
For mild bacterial infections and if the patient wants to be working ASAP, abx are fine. For common cold, as usual, treat the symptoms, rest and the pt will be fine.

>>10477819
>For mild bacterial infections and if the patient wants to be working ASAP, abx are fine.
yes this is what I said. Also it helps that every doctor that isn't a dinosaur prescribes some kind of probiotic/flora supplement so your gut flora doesn't get completely rekt. Antibiotics alongside cough syrup for common cold is still something I've yet to see a doctor prescribe.

>>10477839
>Antibiotics alongside cough syrup for common cold is still something I've yet to see a doctor prescribe
Here it's a plague, but it's all self prescribed with the leftovers of some former AB tp that had sense. I wish for the day when the pharmacists actually give the patients the exact amount of pills they will need for their tp without always having extras that not only are a waste but easily lead to this behaviour.

Does anybody have a link to some good case reports? Most of them nowadays are pretty bad.

>>10477853
>but it's all self prescribed with the leftovers of some former AB tp that had sense
yep same here. Even if pharmacists don't give extra pills people still have shitloads of leftover abxs because most people don't even finish their treatment, they just stick to it for 3-4 days (until the symptoms get better) and call it quits. There are other people that are straight retards like one of my friends that every time he gets a cold he goes to a local nurse office (don't know the english term, think of like a place where you go to get shots/wound cleanup) and pays for a penicilin shot. I've told him time and time that its useless and dangerous for him to do that and he still swears by it.

>>10477782
Not if you believe in nature strong enough

>>10477923
Lmao

https://www.ncbi.nlm.nih.gov/pubmed/30878253

Interesting piece considering that ovarian cysts are common nowadays.

"In women no prior history of surgery for endometriosis, serum AMH levels increased with cyst size in cases of OMA."

>>10477770
You excluded the last part
> (28.5%) were not associated with a recent diagnosis
code
I would consider that inappropriate as well, and >>10477670 proves my point because >>10477736
> Consultation should be enough [to make a diagnosis that warrants antibiotics]
Viruses are not visible to the naked eye last time I checked. I'm sure he prescribes antibiotics to to plenty of viral patients using this method (i.e. Common Cold patients)
> We're talking about prescription-strength cough syrup here
I'm pretty sure Dextro is OTC and kids steal it to get high.
> Treating the "root cause" of a cold is irrelevant because it will be gone in a week or two anyway.
By that logic, why would you need to prescribe antibiotics for strep that goes away in 3-7 days? You're conradicting yourself at multiple points here Anon.

>>10477776
> Your historical account of 65 years of the organization I used in my argument using a false symbol of medicine is irrelevant!

>>10477782
Candida Albicans ferments glucose and maltose to acid and gas, sucrose to acid, and does not ferment lactose.

>>10478200
Not him but:
>Viruses are not visible to the naked eye last time I checked
You must be pretending to be retarded to make this conclusion from what he said.

>>10478207
You must actually be retarded if you think that's the point of that post. Let me clarify, prescribing antibiotics without lab tests will surely lead to prescribing for cases where they're not applicable (overprescribing).

>>10474772
>Asleepius
>fake name

>>10478239
Thanks for confirming you are retarded. I didn't want to believe it, but I have to accept facts as they are.

>>10478200
>viruses are not visible to the naked eye therefore diagnosing a common cold without doing lab tests impossible
I dont think that DO schools skip over semiotics so im definetively writing you off as a LARPer based on the multiple retarded claims you constantly make. Even a MS1 wouldnt make such idiotic statements. Filtered

>>10478243
Kek, I love the dude's smile in the background!
>>10478239
Tell us what difference lab tests make. Don't tell me you ask for cultures.

>>10478200
Because improperly cured strep troat can cause rheumatic fever. Its clear you dont know a goddamn thing about medicine

>>10478349
Okay doctor Google, you got it. Fear of rheumatic fever (a rare exacerbation) is a great excuse for prescribing broad spectrum antibiotics without comprehensive diagnoses.

>>10478341
You don't culture viruses, an antigen test is a quick way to determine if antibiotics might be necessary. Simply looking at inflammation, etcetera and prescribing antibiotics is irresponsible in my opinion. I'm not entirely against it, but I suggest there should be more requirements in a Docs mind besides "this guy needs to get back to work." Should we begin prescribing methamphetamines to trauma patients so they can also get back to work?

>>10478313
Thanks for contribootin, here's your (You)

>>10478335
He is a nurse.

>>10478424
>DOs are so shit at physical examination that they need to run an antigen test to determine if the patient has a cold
Yep, either retarded or not a doctor
You just keep confirming your own retardation

>>10478424
If the pt has signs of common cold, no doc will prescribe abx because it's just stupid. Considering that CC is often seen in a primary care physician's office, so the doctor should perform a physical exam and order blood test and urine test + cultures if he/she suspects the patient may have something more than just CC. This is the only good response.

>>10478424
>Given the relative ease and low cost of GABHS pharyngitis treatment to prevent ARF occurrence, there is little excuse for hundreds of thousands of new cases of ARF annually. Authors cite varying reasons such as patients not seeking care for pharyngitis, poor compliance with antimicrobial regimens, or even ARF without a clinically apparent preceding sore throat as missed opportunities to prevent ARF.242,243 A recent meta-analysis of the treatment of GABHS pharyngitis to prevent ARF concluded that there would be an approximately 60% reduction in cases of ARF if pharyngitis was appropriately treated, especially in endemic areas.
>While the incidence and prevalence of ARF and RHD have been decreasing in developed nations since the early 1900s, they continue to be major causes of morbidity and mortality among young people in developing nations. It is estimated that there are over 15 million cases of RHD worldwide, with 282,000 new cases and 233,000 deaths annually.

If you are such a shitty doctor that you can't even diagnose strep throat without waiting 2-3 days for a culture then its on you.

>>10474784
>cancer is equal to diabetes

>>10478518
>he didn't get the point of it

>>10475040
Recently I saw a bilateral scrotal hernia, his scrotum was the size of two of my fists

>tfw palmar hyperhidrosis
It sucks because since it's basically harmless nobody gives a shit, but man it really takes a shit on my QOL in general, especially since talc and aluminium chloride don't do shit

>>10478587
get sum botox bih

>>10478590
Don't you have to get it reinjected every six months, for life, or it stops being effective?

>>10478594
if i had to chose between that and not being able to shake hands with people then its a no brainer

>>10478602
I guess. I just wish something more effective was available.

>>10478587
Same. Doing garden works helps as a short term relief for me, no scientific basics for it tho. Maybe the thickening of the skin makes the sweat in check enough for the handshake.
>tfw a friend literally did a ganglionectomy to solve her problems

>>10478569
>the size of two of my fists
Balls filled with intestines, nice.

>>10478587
I'm just interested, is it severe? Like sweating a bunch while doing nothing?

Post your stethoscopes, lads. Recommend some too. Pic related is mine, it's pretty good for a student, I like the black finish chest piece a lot.

>>10477675
RIP anon in peace

>>10478713
If I was being pretentious I would tell you it has no bell and therefore it's shit

But this is AMERICA so all of your patients are morbidly obese and you won't hear anything besides "distant heart sounds" no matter what you use. I personally use the throwaway piece of shit ones you find on the isolation cart when I pretend to auscultate.

>>10478200
Seriously, the more you talk, the more you demonstrate what a poser you are.

No real physician at any level of training would actually attempt to argue against antibiotic treatment of strep pharyngitis. It wouldn't even cross my mind. Not even as a troll.

What is clear from your writing is that you don't understand there is actually a difference between "acute pharyngitis" and "streptococcal infection".

It's also clear that you also don't understand there is a difference between treatment to cure infection, and treatment to prevent of sequelae.

These are concepts that are taught during the earliest years of medical education, and any actual student of medicine would have already internalized.

You have -- at best -- a educated laypersons understanding of some of the big picture concepts in health care. For example, someone who majored in biology in college, or who reads a lot of New York Times, or maybe watches too much House MD.

But here's what you don't understand -- a laypersons understanding is different from formal training in medicine, and your writing betrays you. It's not obvious to you, but it's clear to the rest of us in with even some amount of medical school behind us.

So feel free to keep posting, "Doc", but understand the only person you're really fooling in this thread is yourself.

>>10478778
I'm not American and I can't recall if I had that many obese patients, tbqh. It's decent for cards and excellent for lungs.

>>10478713
This gets all the nurses wet. Never forget that modern and old need to walk beside each other and not fight to see who's better.

>>10478713
I use this one. It's in a decent price range, I'm a med student too, so I don't need fancy stuff. Maybe I'll replace it after I become a doctor.

>>10478803
Kek, it looks like a bell that a cow would wear.

>>10478778
Oh yeah woo yeah oh yeah woo yeah woo yeah oh yeah

>>10478803
>>10478713
>>10478713
>>10478778
I've been thinking of getting one of those 100$ littmans because I take a cardiology rotation next semester. Is it worth it or should I stick to my crappy MDF stethoscope?

Also LMAOing @ the fucking idiot tripfag pretending to be a doc, you should drop your trip m8 you got absolutely blown the fuck out

>>10479196
Keep the MDF . Unless it's littmann cardiology, there are barely any differences. Also, there's no need to be a dick, pal. He had an opinion.

Is engineering a good undergraduate degree for medicine, dentistry and pharmacy. I like it because it gives my a back up if I am unable to enter med school.
I'm a high school student.

>>10478613
> is it severe?
Thankfully not, but my hands (and feet) are always moist.
>>10478610
>ganglionectomy
I thought that was risky.

>>10479640
Is there anything you can do to improve your QoL? Besides surgery. Wearing gloves or is there a cream that dehydrates your hands?

>>10479753
Gloves are too inconvenient (and extremely uncomfortable since I sweat inside them). As for creams, lotions and whatnot, it's all similar to Driclor i.e. aluminium chloride, and that just dries up my skin without really affecting the sweating in the long term.

>>10479760
So there's no non-surgical option. Even if you don't work much with your hands, I guess it's still annoying, the worst is regarding handshakes.

>>10479831
>the worst is regarding handshakes.
Yes, what bothers me the most by far is how it affects socializing because pretty much everyone finds it uncomfortable or disgusting.

>>10479831
I wouldn’t call botox a surgical option

What do you like/dislike about primary care, studs?

>>10479846
My bad, so there's no permanent non-surgical options such as ganglionectomy. I recall that you have to redo botox.

>>10479833
I don't want to put salt on your wound, but yeah, that is as disgusting as shaking someone's hand when they just got out of the bathroom with their hand still wet.

>>10479861
Upon reading further on the non-surgical options it seems that botox is pretty suboptimal for palmar hyperhidrosis as well, since it's painful, requires a specific anesthetic procedure, and very expensive while also not being definitive.
Do you think that if I book a meeting with a surgeon for a sympathectomy without going through a derm first, they'll tell me to fuck off?

>>10479934
>Do you think that if I book a meeting with a surgeon for a sympathectomy without going through a derm first, they'll tell me to fuck off?

Pretty much, yes. A surgeon will definitely want to know if another medical professional looked at your condition before doing anything and wants to be sure it's the right decision.

>>10479939
How am I supposed to convince a derm to directly recommend surgery instead of botox and iontophoresis? Considering my condition isn't as bad as it could be (my hands aren't dripping wet, just moist all the time) they'll probably be reluctant to go for a sympathectomy from the get-go.

>>10479950
Not him, but why don't you try at least once botox? The surgery is painful, permanent and carries risks, maybe you won't even like it. Losing termoregulation, even if only in a part of the body, in inconvenient.

>>10480065
Botox injections have to be redone every six months at least. I wouldn't mind that if the injection didn't cost almost a grand for palmar hyperhidrosis (it's cheaper for the armpits but treating hands is more difficult apparently).
None of the pages on sympathectomy I read mentioned the loss of thermoregulation in the hands, by the way. The most common side effect of the surgery is compensatory sweating, all other stuff affects less than 1% of patients.

>>10480065
I agree with this guy. You don't have to go for the permanent solution, botox is fine but the cost may be higher. Depends on your budget and your will to risk.

Medically, how do I stop being a lanklet and have treetrunk arms natty?

>>10480081
>>>/fit/

These shit questions don't belong here.

>>10480084
Still medical.

>>10480073
I'm honestly unprepared on this topic, but the girl i mentioned lost completly her ability to sweat from the upper body, so it carries some risk of overheating in summer. Maybe there are different degrees of surgery, but we never even mentioned it during lessons.
The money thing is surely relevant, in fact i said that you could try once, to see if maybe you won't like it permanently and will maybe just live with it. Also, asking the doc if they can link you to someone who had the surgery to tell you their exp could help with your decisions.

>>10480085
Not medical. A personal trainer can tell you easily and make a diet for you. We discuss illnesses mostly.

>>10480087
Is that completely unpredictable? I thought the seriousness of potential side effects could be mitigated if the surgeon was particularly familiar with that kind of procedure.
>different degrees of surgery
Don't think so, everyone refers to it as ETS surgery.
>maybe just live with it
I've had it since my teenage years and it's always been hard to deal with since it prevents me from initiating contact with people and thus affects my relationships.
But I'll try the botox once and ask the derm for information, I guess. Thanks for the advice.

>>10480105
My knowledge is too weak to add anything else, i think some other anon might know better, but asking directly to a surgeon would be better (even just about infos on possible terapies).
I also have sweating palms and yeah, sometimes some rude cunt will point it out, but most of times they have the decency of saying nothing. If you are young, i can understand your trouble, but it will mostly solve itself after 25yo or something.
A handshake lasts what, a couple seconds? You surely aren't the only one around with sweaty hands and everyone will forget it after a few mins.

>>10480113
How old are you if you don't mind me asking? You noticed that your condition had improved as time went by?
And sure it's not a debilitating illness or whatever, but it sucks especially with women because I'm always uncomfortable about physical contact due to it.

>>10480129
29. Always had sweaty hands but always linked it to lack of phisical work. I think i mentioned somewhere itt that when i do some pratical work (gardening, building some ikea furniture or whatever, noticed no variations to sports) the sweat decreases.
With women here a standard greeting is cheek kiss so handshake is not a particular problem, and when i had a gf for some reason i never had particular problems. I guess there's a lot of psicological tension involved with strangers.

>>10480143
That's a bit of a relief, I hope I'm in the same case. Thanks again

>>10480143
That sounds interesting. Why don't you do some research about it? Get some people with the same condition in your country and do some experimental work on them. Maybe they are reacting to it the way you are, as you said, with all the social tension towards strangers and also to see if the secretion reduces when they do handywork.

>>10475422
I did because helping people is in my nature unironically.(read this person is very naive)
The medical system here is equivalent the one in africa so you cant get rich unless you do very shady things on the side.

>>10480187
Not him but out of curiosity, what country? Or at least give me some info.

Dentistry became a meme, tbqh. There are like 5-6 specialities with barely any places for residents and most of the failed physicians become dentists. That's just my opinion, if you want to do something good with your dental school license, go into maxfax and earn a ton of money and help even more people with more interesting procedures.

>>10480187
Unlucky, here dentist is literal meme field for gold diggers. But they got their own course of studies, they don't need to become docs and then specialize as dentists (anymore).

>>10474772
/notmed/ here, how the fuck do I read this lumbar MRI I had done earlier today? Numbness and deep throbbing pains in the entirety of my left leg caused me to have this done (I have symptoms around my body but this area is the most severe)

>>10480215
>But they got their own course of studies, they don't need to become docs and then specialize as dentists (anymore).

Same here, they still do 6 years and it's still regarded as a meme doctor. It's bland and boring.

>>10480217
You got an MRI without a result? That's a new one for me. Give us more info, when it started, what characteristics does the pain have, where else in your body is the pain present, does it hurt when you do effort or it hurts when you're resting too, does the pain go away or not? if yes, when? do you take any meds?

>>10480225
Still me. Give us a pic of your left leg, I'm interested in your calf, tell me if it's warm, swollen or red and if it goes behind your knee to rule out deep vein thrombosis. I know that DVT is localized, but you may have more affections than you think.

>>10480217
Usually they give you a written paper with the explanations. Wouldn't trust any internet guy that isn't a confirmed radio specialist with a great experience in a MR evaluation. From what you say the suspicion is a compression of nerves and MR was proposed to evaluate the cause.

>>10480240
Kek, nobody should take anyone on the internet seriously regarding their health but I was just asking him because it was a vague explanation that seemed interesting to me.

>>10480247
Wasn't shitting on you, considering you just asked clinical infos for better understanding. Just discouraged an online MR evaluation.

>>10480251
Oh, ok. Sorry for the misinterpretation. Anyways, the pics he provided aren't of the best quality. Even if we had a rad here it would be difficult to see something.

Are medical penlights good for a family practice? Not an ophthalmoscope, just the regular good old penlight. I only saw them used once in a fp and very frequently at the ER for hematomas.

Lads, what do you think of NPs and PAs that practice in a primary care setting by themselves?

Experience is 0 compared to a physician that trained a lot to be good. I also hate the fact that they think highly of themselves comparing to their physician colleagues. PAs should remain what they are, our assistance and NPs should practice supervised by a physician, basically should remain a nurse. I get that NPs and PAs are cheaper but they're discount MDs/DOs.

>>10480225
>>10480237
I had the MRI done today and I have an appointment scheduled with my physician to look over the results, I just asked for a disc to keep for myself. Started about 5-6 years ago as numbness, tingling, and burning sensations in the outer-left side of my left thigh, just above the knee. Over the years it has since progressed into a deep throbbing pain, started in my left buttocks, and then moved down the entirety of my leg and ankle, with the numbness and burning still there, but mostly in the same thigh region. I have similar throbbing pains in my left arm, mostly where my arm and shoulder meet, as well as in my left bicep area. I've had similar symptoms in my right arm, but it does not happen as often. I have had numbness and tingling in my upper back (shoulder blades), and have recently felt it in my face (around my nose, the "T" area made by my nose and eyebrows).

Typically the leg pain (which is the most severe) happens when I sit or lay down in any position, but I have gotten it while standing and being active. The numbness and burning is most prevalent when sitting or standing/doing activity. I was prescribed naproxen which I did not feel like helped, and I am now on Gabapentin, which I also believe does not help, or at least on most occasions. My left calf sometimes feels sore, and I can self-induce cramps in it extremely easily, which I can't do anywhere else, but I'm not sure if it's related. No history of injury or previous medical issues.

>>10480542
Doesn't seem to be DVT, you had it for a long while. I'm thinking some neuropathy, maybe sciatica. It works for the major symptoms but not for the other parts of the body. Please don't take this reply seriously as it's just a brief assumption. Sciatica seems the most obvious.

"When you hear hooves, think horses not zebras" - go for the common diagnoses, not the rarer ones. All the best, anon.

>>10480680
Thanks, I will keep /med/ posted as my blog with results and images, maybe someone will enjoy looking through it or learn from it somehow

>>10480433
>what do you think of NPs and PAs that practice in a primary care setting by themselves?
Risky. My province doesn't have PAs, but they're gonna be giving more responsibilities in the future to NPs in clinics. As far as I've heard, they're not bringing in more physicians to oversee the work of the NPs.
No NP here has yet to make a huge, deadly mistake, but I fear it can happen if they're not supervised. Only good thing here is that NPs are required to have accrued hundreds of hours experience as a BSN nurse before becoming a NP, so at least they don't jump into the role without any experience.

Is opposite of death "life" or "birth"?

>>10480734
Anytime, we like brain teasers like these. Keep us updated, anon!

>>10480738
The thing is, that in my country (Romania) we don't have such roles as PA and NP. Only RNs and medical assistants. All of them work under the supervision of a physician and don't do anything by themselves. I've seen many posts from PAs and NPs on r*ddit (I know...) which don't know where their place is. We're the country with the lowest number of family physicians (1 at 1,3k patients ) in Europe. This is another reason why I want to become a FP, but to think that someone with much less experience than me will have the nerve to compete with me is just rage inducing. Know your fucking place.

>>10480747
yes

>>10480747
The opposite of death is life and the opposite of birth is abortion. Thank you.

>>10480805
>We're the country with the lowest number of family physicians (1 at 1,3k patients )
I think that's why the physicians don't mind the NPs taking over some cases here. In this province, 25% of the population out of 8 million don't have a family doctor, so many people with minor things go straight to the ER, filling up the waiting rooms for dumb stuff like runny noses, sore throats, sore backs, etc. There are not enough clinics to take this load, especially in the flu season. Private family physicians are denying new patients and no one wants to become a family doctor, so everyone is swamped.
The physicians then are more than happy to have a NP take one of those patients out of their workload. It may be a case of "know your place", but there's no competition here over taking patients away from someone.

>>10480217
some bulging on L3-L4, L4-L5, and L5-S1; but without axial cuts, hard to say if it's touching anything that would be causing your symptoms.

>>10480938
>>10480542
Additional image - If interested after lecture I'll post screencaps instead of just taking pictures of my screen off my phone

>>10480890
As I stated and you know, I'm not from US. Mom has nearly 1.1k patients (FM is main speciality and peds is second) , the money is good considering we live here and patients come in with all sorts of minor stuff and chronic diseases. I like this aspect of medicine, practiced from a general point of view, and mom in my eyes is the best doctor, no matter how minor it is, she either visits the patient or calls him in. It's a walk in private practice and not a appointment based one, everything is mostly free except for echos, I can't imagine a NP or PA do better, her nurse is young and mom taught her almost everything, supervised whenever she draws blood and so on. To let them practice like that, I'd be offended in a way because they think primary care can be practiced by mid levels. I get it, minor stuff that doesn't require much, but what about chronic patients and management, what about ID patients? Some of the diseases are hard to recognize and you need to know where to send your patient so the doctor that receives him/her won't bash you because you're a brainlet that can't diagnose. Maybe I'm biased because I want to practice fm and my mom is my idol so , don't take it that seriously, I just discovered this and had to get it off my chest.

https://casereports.bmj.com/content/2015/bcr-2014-207398

Kek'd at this one.

>be at party
>need to use inhaler
>earring stuck in inhaler
>still use it
>earring is aspirated into the lungs

>>10480433
To get qualift for grad school for a MSN (minumum in some places to practice as a NP, in many places you need a doctorate) you need at least two years of experience as a RN and a BSN. It's true physicians need more time to practice in the capacity that they do, but it's not like these degrees are written in crayon.

>>10481819
Qualified* ...fuck, I'm not making a good case here.

>>10481819
I know it's not written in crayon, they do have important roles in private practices and hospitals, but compared to a physician, their knowledge is a walk in the park. As you can see, I took it kind of personally, which is shitty from me but if I have to be objective, I'd say that it's still a dick move to give mid levels the right to practice by themselves, 2 years of experience as a RN is still half of med school and not even as intense.

Anyways, idk why am I talking about this anymore, I'm not even american.

Would an aspie make a decent psychiatrist?

Any way around them?

>>10481962
Definitely not. The "normal" psychiatric interview is at least 45 minutes long. This speciality is based around social interaction.

>>10481968
Let me guess...premed?

>>10481982
No. Premedical students, by their programs, usually are taking the prerequisite courses.

>>10482007
So...what's the point of the picture? I don't get it.

>>10482016
I shouldn't need to take these courses if I already know the material quite well. I have a high GPA and MCAT score. Why can't they just let me in instead of making me waste more of my life?

>>10482074
Grades reflect nothing, friend. You'll learn that in a way or another in medschool.

>>10482080
If they reflect nothing, friend, then what good mandating courses to which the result given is a grade?

>>10482102
They reflect absolutely nothing of your medical knowledge. It just shows you studied for the exam and passed, and after that you forget them. Friend.

>>10482116
Which brings us back to: >>10482074

Any other med students taking Step 1 soon? I'm only 4 days into my dedicated study period and already exhausted

>>10482141
Not a med student but isn't step like generally a dentist thing? How hard can the bones be?

What happens in this period, not white? Brown nobody want to know how cool it can be. I'm also not going to not do all the reading so don't hold back.

>have constant pain under my foot, specifically localized right under the fourth toe but not quite on the sole (don't know shit about foot anatomy but it seems next to the lateral plantar nerve)
>painful when I apply pressure to it, but no swelling at all
>have had it for years, it comes and goes, but these past few weeks it's been getting more uncomfortable
Any ideas where it could come from? It's starting to hurt when I walk whereas it only used to be painful when I directly applied pressure to that specific area.

>>10482132
>not even premed and this dumb

>>10482630
Have you done any imagistic exams? You should get an MRI or a normal X-ray to rule out a fracture that compresses the nerve. Fractures in that area do not hurt like let's say a tibial fracture. Go to your family physician.

>>10482757
I've had it for years and I remember getting an X-ray of my legs (for something else) when I was a teenager that showed no signs of fracture.

>>10482764
It doesn't matter if you had it for years. I mentioned fracture because the bone fragments might've moved and created a vicious callus that break easily. If you say there are no signs of fracture then it might be some kind of neuropathy.

>>10482780
Shit. Could it be something linked to flatfoot? That's what I originally had the X ray done for.

>>10482102
Med is full of things that you will have no use for you and will be a lot of exercise of futility. All those early things are made to test your will to go through that. Many exams will be useless according to your career plans and yet you will have to pass them anyway.

>>10482788
You have that condition? It might be. But there also might be tarsal tunnel syndrome and many others, that's why I urge you talk to your family physician to get a check up and then a referral to a neuro.

>>10482797
Let him be. He won't understand anyways. A good doctor isn't represented by good grades, that's what a tryhard brainlet gunner thinks. This is why I dislike premeds. Most of them are overconfident and that degenerates to arrogance.

Sup lads. I just started a degree in Paramedical Science. Am I cool enough to hang with you guys?

How much proper medical knowledge (diagnosing, anatomy, etc) does a pharmacist have?

>>10480081
Have you tried liftig heavy weights and eating more, faggot?

Is the US the place to move to if you want to be a rich doc? I heard they can make 250-750k per year depending on specialty.

>>10482828
Sure, why not. What's up.

>>10482838
Not much. Pharmacology is their best point.

>>10482845
I'm not from US, but I know that the lowest average income is 190k/year as a family physician then peds and infectious diseases. However you really have to be good to be accepted somewhere from what I've heard. And by good, I don't mean grades, maybe some research papers and experience.

>>10482867
>Pharmacology is their best point
Forgive the brainlet question, but I don't really understand the difference between pharmacology and conventional biochemistry. What does a pharmacist do that a biochemist/chemist/biologist can't, and that justifies such a long and difficult degree?

>see dentistry ad
>"doctor" wears stethoscope

Why is this happening, anons?

>>10482876
Pharmacology is the science of medication. You learn interactions between different medications, how are they eliminated from the body, how are they processed in the body, what's the circuit of the medication in the body until it reaches the "problem" when biochemistry is based on organic chemistry and you learn about different enzymes, vitamins, proteins, lipids and so on. Also in biochem classes you learn about the test the doctor orders for the patient, for example CK-MB, triglycerides, cholesterol and so on.

>>10482880
Huh, I thought doctors (as in physicians) were supposed to know all that as well.

>>10482889
We do have pharmacology classes and we do study medication. But think about it, pharmacists do mostly that shit all their uni years.

>>10482867
Would a UK GP struggle to find a job as a GP in the US?

>>10482905
I honestly don't know. You might get a job in rural setting and make a ton of money. Why don't you like it in UK? I heard money is pretty good there.

>>10482889
Docs know those things, but at a more pratical level. Pharmacists have a deeper knowledge, that is maybe not so useful in pratical terms (it won't change how you adapt a therapy or whatever) but that is necessary to make a research on a certain topic. Also consider that most pharmacist are very ultra specialists, and usually focus only on one type of drugs (eg the one that did my exam could btfo everyone on antipsicotics, but on nsaids she had a conventional knowledge - high tier but not btfo tier).
Pharmacists know everything about molecules, from their chemical structure to their behaviour to how they link to a certain receptor etc at a level that just isn't interesting to a doc, that needs to know pharmacocinetics, dinamics, interactions, side effects, indications, controindications...things that are necessary for clinical practice.

>>10482909
GPs in the UK make £60-80k so just above six figures. Specialist surgeons make just above £100k, so under $200k. Compare that to what I hear specialist in the US like Othopedics making $500k on average it’s crap. I guess taxation and other bills are a thing in the US but living in a non-income tax state like Texas would fix that.

>>10482961
*just above six figures in USD

>>10482961
>GPs in UK make 60-80k
I thought GPs made at least 100k/year. Now that you mention it, it's a pretty big difference.

If you are unsatisfied with how much you earn now, sure , go for it. But keep in mind that you might not like it. There's a difference between UK and US in general and in healthcare. I wish you all the best, anon.

>>10482943
Not him. While pharmacy is interesting, why would someone go into pharmacy as long as they don't want to do research? It seems pretty shit to do so much intensive training to become, idk a medicine salesman at a huge pharma chain or work in the hospital where you only give out meds. It feels a bit bland, to be honest. If I'm wrong, please, change my view.

>>10482966
>If I'm wrong, please, change my view.
It's quite correct to be honest. Dunno around the world, but here it's either to have a safe boring high earning job (especially for people that already have a dad the started the business) or to do research (but that's not for everyone, it's demanding, competitive and takes real skill).
I don't think it's a bad area but it's overcrowded at least at the early years but i don't know how many actually graduate.
If you already know you want to be a researcher and that this stuff is your thing you can bypass all the generic biology degrees that mostly waste your time.

>>10482966
>if you’re unsatisfied with your current wage
I’m just an engie major who may do medicine as my second degree. All the UK salaries I stated in my old post, half them to get engie salaries. I went into eng for the money but there’s not a lot of money in it than what people originally shilled.

>>10482980
>safe boring high earning job
I guess that's correct. Here they have some specialities as they can go into clinical pharmacology or cosmetics. If they don't match in any (there's usually 100 places/year and there are nearly 2k candidates each year), they work at a pharmacy. I'm not saying that it's a dead field, but if you don't do research, it's just bland. As you said, research is demanding and you really need to have some brains up there to be able to stand out from the rest.

>>10482989
>who MAY do medicine as my second degree
If you're up to the task, go for it. First, become a med student and only then think about going abroad. The path of medicine isn't for everyone, if you're in for the money at least specialize in something else rather than going into family practice.

>>10482989
It probably takes time to start earning well, and that's true for most fields i would say. Maybe you should stick to your thing and see what you can improve? Starting a new degree means paying for it while not earning for the job you could already have. And it's not like doc is a short road, nor you start earning good from first day after degree.

I'm in search for a new stethoscope. My Littmann's broke because I left it in my bag and left my bag in the car while it was freezing outside. I got it earlier today out of the bag and when I wanted to put the earbuds in, half of it broke and it's beyond repair.

So, I was looking again at Littmann's, Erka and MDF. Which one to choose? I'm clumsy as fuck regarding my steth and I don't really need super clear heart sounds.

Please recommend. Price range is maximum 100 euros.

Aside from pathology and radiology, are there any specialties that don't involve much, if any, contact with patients?

>>10474772
Med is not sci

>>10482680
>loses argument
>resorts to ad hominem
>being this much of a shill for academia screwing talented people and making them take semesters of superfluous courses they already are proficient in, which cost money and time.

>>10483447
>loses argument
?????????
You're an exception, you're the dumbest premed I've ever seen

>>10483412
Clinical lab

27 year old female patient presenting cough, shortness of breath and fever approximately 10 days ago, sputum culture positive for klebsiella. What do you see on the x-ray /med/?

>>10483491
Fucking phone flips the pic for some reason

>>10483491
>>10483500
The one from the lateral position is on the left side?

Pneumonia, not sure if pneumothorax or not (Am noob at this kind of stuff, I barely started rads). I don't know what's that air space right there, it isn't the stomach's air bubble. Pls help.

>>10483491
pair of nice titties

>>10482080
>>10482116
>entirely contradicts himself

>>10483589
Both statements are equal you retarded premed. You have to be 18+ to post here.

>>10483416
>brainlet cope

>>10482966
>don't know enough about medicine to be as important as a physician
>don't know enough about chem to do useful stuff like cook illegal drugs
>basically studied six or more years to sell aspirin at CVS
Pharmacists are stupid

>>10483975
>don't know enough about chem to do useful stuff like cook illegal drugs

kek'd. I somehow agree but they know how different meds work much more in depth than a physician. Imo, pharmacy is a good field if you choose research, otherwise you finished uni to become a salesman with a license.

>>10483997
>they know how different meds work much more in depth than a physician
Yeah but for what purpose? So that they can tell the old lady at the counter to be careful with the posology of whatever boring pills she's taking?
Pharma research is valuable but the rest is a dead end.

>>10483664
>grades reflect nothing so course requirements are a good idea.
SEVERE CASE OF BRAINLETISM

>>10484036
For research purpose, ofc. Otherwise is as you said, useless.

>>10484048
Here's your last (You), I'm done replying to dumb premeds that have brainlet reading comprehension. Once and for all, a good doctor is not represented by his grades in med school, if you can't cope with it, you're an insecure little fag.

>>10484087
This wasn't about academic performance in medical school, brainlet—you're the one lacking in reading comprehension. The discussion was concerning prerequisite UNDERGRAD courses, and their superfluity if one already knows such information. There is no good reason, at all, to mandate these aside from ensuring the university system pockets even more money. They are precluding many applicants, obviously more talented than you.

Any sonographers on here? Currently doing general medical imaging technology and hate it (mostly due to the FUCKING coworkers). With ultrasound I'd mostly get to work by myself or with a doc for procedures.

Looks very comfy but I'm a little worried about having to do all the breast and gynecological stuff cos it's gross.

>>10483491
>>10483500
I see a couple of really incompetent x-rays and some left lung fuckery, pneumothorax or some shit idk. Also anonymize the patient's name next time, you can get fired for that shit.

>>10484609
I think ultrasound is the future, I would grab all the exp I could in your place.

>>10484631
It would help if I wasn't a massive autist and could actually make some job connections now to get a paid place in a sonography program later on.

>>10484635
Meh, autists and social losers are everywhere in the field. Even cuties can barely stay socially accepted by how retarded they are socially. No one gives a shit about your deficits, trust me. Ask randomly and try to push a bit, it will be ok.

>>10483045
Anyone?

>>10484641
We'll see. The only autists I've met in my rotations so far were skinny females so they got a free pass. I was literally told to get better at making small talk with other staff or to not bother asking for a job when I graduate.

Is pathology a good choice?

>>10485634
Seconding this question, along with epidemiology

>>10485764
Wtf guys. Epidemiology is boring a because you need an outbreak to happen to be useful are you guys premeds that already think about specialities?

>>10485634
Path is fine if you like to sit in a dark room and read slides. Also you get to do autopsies which is nice.

>>10485764
As the other anon stated, epidemiology is pretty much boring. You have to do a lot of statistics, barely any patient interaction if there's no outbreak of some disease, basically if you want an office job, go for it.

Fresh new thread

>>10485829
>>10485829
>>10485829
>>10485829
>>10485829
>>10485829

>>10482141
any tips for ms1