/sci/ - Science & Math

>>10510987
That's mostly untrue regarding patients. We do have some of them that are a bit uncompliant (doubting prescribed meds or just not being satisfied after a full check up after telling them everything looks good) but most of them are actually kind and take the medical advice very well. Haven't met someone that lied to me (at my mom's private practice), otherwise, hospitals have their fair share of liars. Family med isn't for everyone, everybody think it's basic and easy and so on, but in the end, it's the purest speciality around with great lifestyle and has plenty of variety. I hate monotony, I wouldn't be able to consult 10-20 patients in a day with only cardio diseases or kidney diseases.

>>10510993
>Why can't common folk understand this?
Because we're all different. Also, hello my Bulgarian neighbour.

>>10511006
>are a bit uncompliant

This is a big lie:

https://www.who.int/chp/knowledge/publications/adherence_report/en/

"Medicines will not be effective if patients do not follow prescribed treatment, yet in developed countries only 50% of patients who suffer from chronic diseases adhere to treatment recommendations."

And if you didn't met somebody lying, then you are to gullible, you don't want to know it (cognitive dissonance is tricky) or you don't look to deep.

When I did my elective in private practice, I have seen it a million times.

"Do you need a new prescription?? No, you still have it at home? How come, you were prescriped for 90 days 100 days ago?"

"How are your self messured sugar levels? Normal? Yes, this explains you HbA1c of 9%, perfectly."

Don't get me wrong, I am very happy people are up to do it. And I also understand the appeal to a certain level.

But pretending patients are adherent or most of them understand what you are doing is lying to yourself. Don't need that, have enough people trying to bullshit me (Mainly patients...)

>>10511006
Greetings. Now is the time to say how much I admire your emergency agency SMURD.
>pic related our emergency agency

>>10511027
From my experience in the private practice (suburban area) most of the patients do comply with their treatment and can't remember a liar. As I said, in hospitals I had my fair share of liars but most of them look down on us because we're students and change their fucking medical history when the attending comes in.

At my mom's private practice, people come in for refills, check ups, complete blood panel, the usual stuff, the only patients that are not compliant are the patients that want a referal without a check up or blood tests and hypochondriacs. I'm pretty sure mom interactioned with patients that lie at her practice but honestly, I have never witnessed one in there or at least I can't remember.

>>10511057
Kek. SMURD are the actual good guys while ambulances are 10 tiers below. That pic is just one tiny part that happens here, recently on the news, an ambulance drivers was caught buying gas for his car from the ambulance gas money. How was he caught? They had an emergency to go to, and when they were on the way to the hospital, the ambulance was left without gas. I kek'd so hard, like that's Romanian tier stuff.

>>10511062
Med student reporting in. This summer I'll take rotation at Urgent Medical Aid Service in my hometown (SAMU) : https://www.youtube.com/watch?v=Z0QE3f7p1C0

>>10511087
>BMW's

Wew lad. Right back at ya.

>>10511093
Nice :)

>>10511101
Bro, come on. We already spent half of Romania's bank to get those. Don't shit on me.

Is psychopharmacology worth going into or is it a dead-end field?

>>10511130
Explain. I haven't heard of it.

>>10511151
>Psychopharmacology is the scientific study of the effects drugs have on mood, sensation, thinking, and behavior. It is distinguished from neuropsychopharmacology, which emphasizes the correlation between drug-induced changes in the functioning of cells in the nervous system and changes in consciousness and behavior.
Basically the intersection between psychiatry and pharma. I assume it requires a pharma background rather than medicine->psych, though I might be wrong.

>>10511200
Oh. Then basically pharma field that does on antidepressants, anxiolitycs and so on.

Yeah, it's a good field to go into. I, for one, would like a more refined formula of Paroxetine with less side effects so I can drop Trazodone to eliminate them.

>>10511105

>>10511234
Cool. Do you know what it's like to work in pharma research?

>>10511257
I honestly have no idea about pharma research. I'm just a med student, but the field has a bright future.
>>10511245
Cool looking helicopter. Red is better tho.

>>10511275
Red is firefighter's color here.

>>10511245
And also this. Helicopter going for the helipad at the hospital I have my rotations. Emergency med is cool, considered going into it for a while but I just couldn't see myself working 30 years in such a stressful place. I'm also better off solo than being in a team.

>>10511275
Oh, okay. You know any pharma students or what the studies are like in general compared to medicine (which I have more exposure to)?

>>10511290
Firefighters are red here too. But SMURD is basically a combination between medicine and firefighters, they go trough very intensive training, they can open up cars if the victim is stuck in it, respond to fires and the list goes on. Basically SMURD responds to situations where really bad shit happened.

>>10511275
>>10511291
Red = firefighters here. They sometimes have a physician inside but that's not always true (SAMU white choppers always bring doctors).

>>10511294
I have a friend that's in pharma school but he's more interested in anaesthetics. Did a ton of research and appeared in multiple newspapers and articles. Basically he and a physician do trials on critical patients with multi trauma, and see how it goes. It's only him and the head department of anaesthesia/ICU.

>>10511303
See >>10511300

Well,France (I assume) is like 20 years ahead of us, so no surprise there. At least our healthcare is cheap.

>>10511312
Sounds interesting. How competitive is pharma school in your country? I'm guessing anaesthetics is one of the more sought-after subjects.

Canuck RN here from QC. I'm real jelly about you guys with special rapid response teams with physicians on board, medivac, and all that cool shit.
We had one unfortunate guy with fukkin v.fib have to endure a 30 min ride to hospital despite being rushed by ambulance. EMS were not trained to get IV access, which is common here, so he got no epi, amio, or other ACLS drugs. He got CPR and shocks the whole ride to the ER. Arrived here and despite the docs best efforts, didn't make it.
A lot of us here feel that if we had a heli service to get to him, he would have seen a better outcome. He lived out on the farm.

>>10511333
>How competitive is pharma school in your country?

Not competitive. After finishing pharma school, the candidates have to take an exam similar to the residency one but compared to how many places medical school residency program offers, pharma school only offers a few. For example, last year there were only 100 places. (50 for cosmetic pharmacy and 50 for clinical pharmacology) 100 places to almost 1000 candidates is bullshit and you have to be really good to score in top 100. To do research, you have to get into clinical pharmacology, otherwise without a "residency" spot, you'd sell aspirin at Carrefour.

>>10511557
This is in France? How come pharma is so difficult there?

>>10511437
SMURD was made specially for the worst situations, we do send ambulances to heart attacks or strokes but the medical staff is always prepared and well trained (besides the drivers which are pieces of shit for stealing gas). And SMURD was also created by an emergency doctor who saw that normal ambulances can't handle worse stuff, such as multiple trauma patients in car crashes or buildings that are on fire and burnt patients wouldn't usually make it to the hospital. The project got approved by the government and funded them, so they're basically two kinds of SMURD. Firefighters and ambulances (the latter has the knowledge of firefighters too).

Sad to hear that EMT'S are not competent, especially in a country like Canada.

>>10511572
Romania...I'm the Romanian guy.

>>10511582
My bad, I was misled by you mentioning Carrefour. My question still stands though, why is pharma so difficult, especially to get into research?

>>10511589
Kek, I said Carrefour because it's one of the most popular supermarkets in here.

It's hard to get a spot because medschool has a speciality called "Clinical pharmacology" aswel, so they will go trough intensive training to have pharma knowledge and do research because they understand the interactions a bit better since they did physiology and pathophysiology.

>>10511608
That's specific to Romania, isn't it? I can't find much info on the web but it seems so.

>>10511615
It's a Europe-wide chain based in France

Why can't I build muscle?

>>10511580
>Sad to hear that EMT'S are not competent, especially in a country like Canada.
It's only this province it seems. Ontario, BC, and other provinces have fully trained paramedics who can give/start IV meds and even intubate if given the authority by an MD. The issue here is that many simply get the 2-3 year associate degree which is just an EMT-B, which is the minimum you need to start working here.
A lot don't want to spend more money, and spend another 2+ years getting certifications to become an advanced care paramedic.
It's rare that you'll have an ambulance crew here where someone can put in an IV, start medications put in an oral airway, etc. Even then, they need to be in contact with a physician before they can even do all those interventions; usually a medical director who is an already busy doctor who doesn't have the time to coach the crew on how to intubate en-route to the ER.
Only the rich are lucky enough that they can pay for a private medivac when they go vacationing in the ski-hills or kayaking in the rapids.

>>10511615
Apparently it's specific to us. Don't feed the troll, he's funny.

>>10511657
>Only the rich are lucky that they can pay for a private medivac

That doesn't surprise me, if I had money and something happened to me or my family, I'd want the best life support out there.

>A lot don't want to spend more money, and spend another 2+ years getting certifications to become an advanced care paramedic.


How much does it cost? I have the feeling it's not breaking the bank.

What personal characteristics do you need to have to be a good surgeon? What about good doctor generally? (Of course you should have adequate knowledge but i mean besides that)

Should I give up on being a doctor if I got below average grades on community college (Biology AA)?

I started pretty fucking well on my first semester with 4 As and a B but dad pressured me to find a job so I could get "real life experience" and I just crashed and burned during my summer and fall semester, didn't even bother to take spring again since I will just hurt my GPA even more.

My GPA is around 2.5 at this moment, and my advisor told me that its not possible to replace a grade unless its a withdrawal or an F, so those Ds and Cs will stay forever.

Should I just leave my job, rise my GPA by retaking F grades and getting good grades on the rest of the classes I need, and become a Nurse? I don't think I will be able to get into med school anymore anyways.]

>>10511699
Surgeon:
Leadership
Confidence (But not too much because it degenerates to arrogance)
Teamwork

These are the main 3, rest of them optional

Doctor in general:
Friendly (patients and staff)
Humble
Confident
Comfy to be around
Empathetic

>>10511708
>Having a job while in school and want to go into medschool

That's a big no-no. I mean, some manage but they're probably dead inside by now. Shouldn't even consider getting a job in the first place but you should quit it and give Nursing a chance. Or even become a PA and get more authority.

>>10511731
Yeah I think getting a shitty min wage job while in college was my worst life decision to this date

>>10511697
>How much does it cost? I have the feeling it's not breaking the bank.
I was actually wrong about with my info. It's that many don't want to go to university after the associate degree, and older EMTs just don't want to go to school
But costs here are:
EMT-B: $1,300
University: $2,250 + costs of certifications

Really don't know why we don't have more just getting the damn uni degree.

>>10511759
You're in a shitty situation, my man. Hope you can become a medical professional in the end. Or at least something that you would enjoy doing.

>>10511767
2,250k that's almost as much as my medschool tax/year is. And I'm Romanian, kek. That should be a piece of cake for Canadians.

I know that most people don't want to study after college, because they want to "enjoy their 20's". Or at least this is what happens here. Or, in the worse case, they do some meme university such as Publicity or Human relations and they still end up working a dead end job like pizza delivery or some shit.

>>10511768
Is being a CRNA out my range of possibilities?

>>10511793
No idea, honestly. Maybe someone else in here can give you some advice.

I'm from dominican republic, came the the states long time ago, I've been told that studying there is a good option, some people tell me that its even better than studying here in the US.

I have a whole lot of friends that are still in contact with me, I have family members, and the university (UNIBE) is 5 mins from my grandpa's home (his vacation home, he goes there when he feels like it, but he allows me to stay there rent free.)

>>10511853
That's a good opportunity, go for it. In romania we have a ton of French, Africans and Asians. Maybe because it's cheaper but if you don't want to do it in US, sure go for d.republic

https://www.ncbi.nlm.nih.gov/pubmed/30926396

Apparently CPAP can make you look younger. Am 22, if I get myself a nice CPAP, will I look 16?

What the fuck.

>be me
>have GAD
>take paroxetine and trazodone
>paroxetine has many side effects
>I lost my sex drive and today I realized I gained 2kgs and my belly looks incredibly ugly
>Trazodone should prevent the side effects
>Sex drive is back again
>Belly still there, work out and still nothing

Life is good again, but at what cost? My fiancee has panic disorder and mild anxiety and takes paroxetine too, but she didn't put a single kg on her, and we're both eating the same shit and work out together.

>>10512125
I would suggest that you don't try having kids.

>>10512125
>Belly still there, work out and still nothing
You eating right bro? Weigh your food and count your calories. Don't just guesstimate. A nice -1000kcal deficit and some cardio should get rid of that belly in a month tops.

>>10512084
Who the fuck funds those studies.

>>10512385
I know paroxetine does horrible shit to the fetus during pregnancy, but we're not planning to have children anytime soon and by then, we'll be off paroxetine for sure.

>>10512386
I'm doing cardio only, I don't like going to the gym. I eat whenever I have some free time, so it's regular, like at a precise hour. I usually eat junk from the hospital cafeteria or I eat at home some home made food. Thanks for the tips, I'll keep it in mind.

>>10512393
I don't know, but these meme studies make me chuckle so it has its upsides.

>>10512475
If you don't wan to think about it too much just skip a meal and have a whey shake instead. Also try getting most of your calories from protein since its more satiating. Snack on beef jerky instead of doritos you know, shit like that. Weigh loss is 80% diet. Godspeed bro

I have been on the antidepressant venlafaxine for a few months now, and I've noticed that they drastically reduce uncontrollable thoughts I have, despite not being diagnosed with OCD or anything. I was taking them for depression, but they have had the side effect of drastically reducing the amount of the sexually disturbing thoughts I used to have relating to relatives, siblings and others. I still get them occasionally, but not as often or aggressively.

Is this normal?

>>10512475
>we'll be off paroxetine
That wasn't my concern.

>>10510988
What does it mean if you are constantly zoning out? And I mean constantly, even when doing important stuff?

>>10512606
Rude

>>10512625
ADHD, you're done for.

>be me
>pulmonology rotations start
>professor doesn't show up
>we're sent home
Excellent start. Woke up at 7:30 am just to get dressed, take a walk and go back home.

>>10513665
Can't you just follow a resident or a senior?

>>10511793
RN student here
I go to a community college so I'm not getting my bsn upon graduation, so we get a lot of schools pitching to use about continuing with them. They often also pitch np programs at the same time. As far as they're concerned passing is the only prerequisite, you could pass by a point and they dont care they'll probably still accept you. From what they told us acceptance has more to do with your work history and references as they wont even let you enter the program until you have a few years of work experience under your belt. That's just how it is in my area things may be different for you.

>>10513673
Another attending told us to fuck off because our prof is not here. Well, fuck him.

Did you guys do experiments at cell bio, in the 1st year? I remember we had to do create slides from our saliva and then from our blood. One female colleague of mine, did the saliva slide and was too afraid to do the blood one, but that doesn't matter, and when the prof took each of our slides to examine them (her microscope was connected to a laptop and projected the image on the board so we can all see it), this girl's slide had saliva and fucking sperm cells. Okay, we laughed it off but the prof really made a huge fuss about it, like it's not normal for people to have sex once in a while (that's the feeling I got) and destroyed my colleague.

>>10513789

>>10513825
She wanted to drop out after she got shat on by the professors and she's one of the best students in the uni. If I was a prof, I wouldn't give a single fuck, but our old vintage wrinkly bitch went apeshit.

>>10513665
>>10513695
Ahhh, gotta love last year internships. It's good I don't count the amount of times someone has said to us to fuck off.

>>10513924
You're in last year? I'm 4th year but EU. 2 more to go. So far weve been told to fuck off many times, especially at ortho since my group is formed by me (male) and 7 girls. Idk, but orthopods seem sexually frustrated.

>>10512625
How old are you?

https://www.sciencedirect.com/science/article/pii/S245224731730273X?via%3Dihub

Hardcore sex leads to rupture of corpus luteum cyst which leads to hemoperitoneum

Bump.

Where the fuck are you boys?

Wanted to study today instead jerked off and had long nap

>>10514711
based

I did fuck all the whole day too.

what up nibbas? just gonna leave this here.

>>10510988
Nurse here, can I hang out with you guys?

>>10514726
Accurate except we use the rod of Asclepius rather than the Caduceus. Or at least we used to, but the rod was the original stuff. Oh, and also the ugly shoe part is true.

>>10514730
Sure, what's up.

>>10514725
I dont wann go on like this i need love and meaning in my life

>>10514817
A bit sad, my friend?

>>10514744
Another day, another pediatric vent patient with pneumonia/other respiratory disease. And of course helicopter parents critiquing everything. I should have become an engineer desu.

>>10514901
Well, that's the issue with peds. It's harder to reassure the parents than treating the poor kid. You're still in medschool, right? Maybe you'll change your mind after peds rotations.

>>10514914
Nah m8, going the nurse practitioner route as soon as it is financially feasible.

>>10514923
Oh, then I wish you plenty of luck, anon. Hope you're going to make it and find a place that actually satisfies you rather than exhausting you mentally like this.

>>10514927
Thank you anon, I genuinely appreciate your kindness and understanding.

>>10514704
Happened what happens irl. Med talk is incredibly boring and meds have very low adaptability to make an interesting conversation.

>>10515185
Case reports are better and more engaging

>>10514744
>Accurate except we use the rod of Asclepius rather than the Caduceus. Or at least we used to, but the rod was the original stuff. Oh, and also the ugly shoe part is true.

I knew this btw and I'm extremely irritated by it. My uni uses the Cudaceus and it's retarded.
>>10515185
>>10515858
I'm in derm rotations and literally nothing happens I can't share anything interesting. Gonna dodge the next days and volunteer in ICU, maybe they'll have interesting stuff.

fuck, still 6 weeks to go till the the last exam. No motivation left, especially not for surgery.

But first gonna go on a congress, maybe something interesting happening there.

>>10516141
Idk why the go for caduceus, the rod looks much batter. Also you have excellent taste in medical symbols.

>>10516220
>first gonna go on a congress
Students go to congresses? I'm OP, never been at a conference or at a congress because I find them boring and beyond my knowledge.

Surgery exam was fun for me. Got a 10/10, had a patient with postcaustic esophagitis that tried to kill himself, found out he drank caustic soda and his esophagus was very damaged but they managed to save him by taking a part of his transverse colon and replacing the esophagus (liquefying necrosis). Now that shit was interesting, not some boring congress.

>>10516238
Nah man, it's my last exam overall.

Oral exam in Surg, Internal, Choice (Rad in my case) and a random subject (Child. Surg.) over two days.

Probably it's what you expect and how proactive you are in a congress.
Well, it's my first congress, was not available on the one I should present my poster with our data.
But since this congress is in the speciality I've choosen, I am confidet it's gonna be at least good to see the other people. And also my future boss gonna be there.
Only problem is I still lack knowledge about details and the newest techs and developments. but where when not here I gonna lern them?

>>10516247
>my last exam overall
Good luck, anon.

I wouldn't go to a congress even if it's the spec I want (family, and I doubt there are congresses regarding it), but if it's something that involves tech and stuff like that, sure why not.

>>10516238
>Students go to congresses?
Went to a couple here. Incredibly boring. Understood something but not too much. The free food is of top quality tho.

>>10516278
Kek, I heard that the food was incredibly good but never got to push myself and go to a congress. I remember that I wanted to go to one, it was about orthopaedics and the professor that was going to present was from the Royal Army or something like that but in the end, I said fuck it, I'll take a nap instead.

>>10516281
It was kind of useful to see the interactions between professionals. Most of the time of the congress was used to lick each others ass and to give compliments to the great achievement of the older ones. The more you go on with the day, the more they talk about boring stuff, people leave, and in the end there are only a handful of students and the organizers listening to a data flood that would kill anyone.
It was a useful yet disgusting experience.
Shit, the more you go on, the worse it gets.

>>10516286
>interactions between professionals
Other than the interaction I see in the hospital between them, I don't want to hear about their new fishing hobby or the orgy they attended with their wife.

>>10516292
They aren't friends, they are just collegues sticking to etiquette. You see the most rude professors there going on about endless monologues about the virtues of their invited guests.
In hospital they are usually more true to their nature (read as: all superior will treat inferiors as shits). I think there are more funny people in surgical fields, sad that i hate it.

>>10516294
>more funny people in surgical fields
Not sure about that. Orthos have an anger management problem, from what I saw when I had my rotations, gen surgs are fucking bastards and destroy students because >muh superiority
Urology was so-so, I'm neutral towards it. And that's all the surgery rotation I've done so far. The best prof was in Internal Medicine last year, holy fucking shit, he was so chill and funny, I wish to become a doctor like him and don't be stressed or at least be very good at hiding it.

>>10516301
>have an anger management problem
I mean, all surgeons are permanently angry. But at least their insults are funny, usually. Some are just butthurt toward life tho.
From what I've experienced, surgeons will look at you like a piece of trash and treat you like a piece of trash, while clinics will smile at you and treat you like a piece of trash.

>>10516307
Agreed, surgical specs have extremely good insults. Was in ortho and there was a new female resident (and the only female resident in that whole ward) and was assisting our professor in a distial tibia fracture. She was holding the bone wrong and the prof just snapped "YOU'RE HOLDING THAT LIKE A DICK, STOP IT AND DO *whatever he said*". And I think they have the right to be assholes. Standing for hours dressed with those lead costumes to prevent radiations is fucking hard as it is, but to do surgery with that shit on, you have an extra 15 kilos and still have to repair stuff.

>>10516316
Hehe yeah they are funny. Heard a bunch of ORLs laughing their ass off because they did a fibro on a girl that had absolutely absent gag reflex, and you can imagine the discussion they were having.
I think anger is one of the triggers you can use to keep such high concentration for that long, like some athlete rising himself up for the incoming struggle. Maybe some can do it by sheer dedication, but anger is probably more convenient since it also puts all the subordinates on the attention.

>>10516320
>Heard a bunch of ORLs laughing their ass off because they did a fibro on a girl that had absolutely absent gag reflex
>imagine the discussion

The casual blowjob jokes, kek.

Anger is indeed an easier way to rise, but they are so competitive between them that they become arrogant and narcissistic too. Many of them don't understand team work or at least being loyal to the team.

>its ‘gen surgery professor goes on another rant about rothchilds and space master race anunaki creating humans as slave race’ episode

>>10516442
Hahahaha. My cards prof (god bless I'm done with that horrendous spec) was going full philosophy and told us how much he admires Cioran (It's our philosopher) and how he identifies with his work, and quoted A DOCTOR QUOTED THIS: "Only idiots don't kill themselves", yep he should see a psych ASAP.

Looks like there are "woke" profs everywhere.

It's another pulmonology is not that interesting episode. You basically have to be a robot to memorise all that IPB, VEMS, CFV, VR, VIR, VER. We talked about this shit , pyothorax and cystic fibrosis. And our prof didn't show us any patients. Hope it will get more interesting than this.

>>10516815
pneumologists are usually fun and carefree tho, so it's not too bad

>>10516449
Let me tell you right now your professor is absolutely BASED and BLACKPILLED

>>10516833
Our prof is an old man with a funny haircut. I thought I had peds rotations at first.

>>10516862
Was expecting this.

Nowadays what does general surgery consists of? Which is better in your mind gen surgery or neurosurgery and why?

>>10516929
Depends on the person.

Gen surg is broad, a gen surg doc knows every surgical abdominal pathology, upper digestive tract, breast pathology and sometimes female reproductive organ pathology.

Neurosurgery is more narrow but it's still very hard to get into it and to actually practice it. The doc needs to know absolutely eveything about the brain, how it functions, every role of each part of the brain, where and when to make incisions but also under a lot of pressure.

If I had to choose between the two, I'd definitely go into gen surg because I know that I'm not capable of doing neurosurgery.

>tfw came into work this morning to find the patient i've been taking care of for the past week is suddenly on TB precautions

New medical team decided that this relatively stable patient with a lower lobe pneumonia should be tested for TB for shits and giggles I guess.

>>10517116
Wait for his bacteriology examination and if it's positive, you're fucked bro. Are you sure you didn't come in contact with some of his saliva or stuff?

I remember this guy in my IM rotations that was constantly coughing but without expectoration and he was uneducated enough to not cover his mouth, so we started wearing masks. Two days after, he was still there and we did a check-up on him, started coughing violently and bloody sputum came out. Haemoptysis, oh shit. Well, that wasn't the worst thing, he expectorated that shit on my colleague's white coat and it was sliding down her coat, yep, whatever that guy had in the end (haven't seen him after that) I wish it wasn't infectious.

>>10517140
>Are you sure you didn't come in contact with some of his saliva or stuff?
Pretty sure I'm gonna be ok, patient was on general precautions for the pneumonia so at least I was often wearing a mask, gown and gloves in her room. Just not a N95 though.
The staff here are more upset that it was so sudden, and late in her admission to test her. The previous med team didn't see any reason to even suspect TB, and this patient has been slowly getting better with antibiotics. No hemoptysis, just purulent sputum. We asked the new team what their rationale was considering this patient would be able to be dc'ed by weeks end, and they just said that it hadn't been checked, so they figured they would test it.

Been having second thoughts about dental school. I'm from a working class family so I can't expect any help with paying for school. The 200-500k price tag has really been making me doubt about going through with this.

Are military scholarships common or is that something that only a very small amount of people get? I.E. the military scholarships where they foot the bill for your tuition and in exchange you serve X number of years in the military as a dentist.

>>10517196
>>10517116
Yeah I don't find why testing for TB would be indicated if the patient has already a pneumonia dx and history doesn't show a >2 weeks cough and weigh loss. Especially if he has been showing improvement with abx. You should try to ask in the most polite way why would they suspect TB in that patient.

>>10517218
you can do it but make sure it's financially and otherwise worth it. With med school military scholarships they can make you pick the specialty they need, I think. And you will have to deal with military BS. But shit if money's the only thing stopping you and you're not as soft as a kitten's belly, go for it, those are trivial considerations in stopping you from a life-long well paying career

>>10517218
I found this https://www.airforcemedicine.af.mil/Media-Center/Fact-Sheets/Display/Article/425437/hpsp-fact-sheet/

Which lists the gpa and mcat requirements but I don't think the acceptance rate is public information. A fair amount of people on student doc forms don't recommend it if you are only doing it for the tuition which doesn't make sense as 3-4 years active service would mean you're free from interest payments while your peers would be still saddled with debt which also means you'd be be to look into things like a business loan for opening your own practice.

>>10517196
If the new medical team is right, they're pretty good a spotting pathologies. What do you think that the old medical team miss?

>>10517218
Why don't you consider medschool? If you get into a nice speciality, you might pay the debt off pretty fast. Hell, even hospitalists get rid of them extremely fast.

>>10517289
>Why don't you consider medschool?
Work life balance. I want to be a father and husband one day and actually be there for my family. Average dentist has pretty good work/life balance compared to most other med professions.

>>10510988
Medical Laboratory Scientist here, supervise many departments for a large lab in a major US hospital.

Anyone have any lab questions?

image is a micrograph i took of an epithelial cell loaded with Streptococcus pyogenes. 1000x gram stain prepared from a throat swab of a patient with pharyngitis.

>>10517301
There are some specialities like psych where you're not on-call and work 9 to 5. They actually have the best lifestyle.

>>10517310
Sure, can you please tell me what exams do you make if you get fluid from a pyothorax?

Also, if you have any pictures and show me some images (microscopic of course) from a pyothorax?

I just started pneumo and pyothorax was the main subject today, but they talked about symptoms and stuff and forgot the lab exam part.

>>10517235
>You should try to ask in the most polite way why would they suspect TB in that patient.
I'm just a BScN, so the residents and current MD would be pretty butthurt if a nurse was questioning their thinking. The previous MD in charge of this patient has gotten involved for good reason, so it was a pretty busy day today with all the back-and-forth between the med teams. He was upset since it seems this new team is rejecting his diagnosis.

>>10517289
>What do you think that the old medical team miss?
The previous team did everything appropriately as far as I can tell, got a chest x-ray, sputum sample, bloods, RT was involved, everything.
It's a bunch of newbie residents now, so I guess they did it just to be extra sure the previous team was on the right diagnosis. Sputum sample from before showed gram + diplococci and abx were working.

>>10517324
>>10517324
>pyothorax


So for a pleural fluid you would typically get a cell count, that includes the following analysis criteria:

Color
Clarity
Volume Collected
# Of Total Nucleated Cells (AKA # of WBCs +Small# of Mesothelial cells) / microliter
# of RBCs / microliter

I will also prepare a slide and look at a small amount of the fluid under a microscope, differentiating those nucleated cells, ie 60%polymorphonuclear 40%lymphocytes, whatever it is and also looking for any signs of malignancy or other cell abnormalities.

Microbiological studies will often be ordered as well. Working in a sterile environment i will inoculate an agar plate with sheep red blood cells for nutrients and see what I can grow. An array of selective agar plates (petri dishes) are used to differentiate bacteria growth. Immediate gram stain preparations can offer some insight into microbial pathogens in body fluids, but growing the organism and identifying by metabolic patterns will take 24-48 hours. On some body fluid like cerebrospinal fluid or blood I can do molecular testing; harnessing the power of multiplex pcr to identify organisms in 1-2 hours.

Sometimes providers also order pH and chemistry tests like lactate dehydrogenase (LD) and total protein, these ratios can help classify fluids as transudates or exudates.

The pH i can obtain by using a probe with a permeable glass membrane and an inner solution with constant 6N H Cl

The LD and total protein i will obtain by spectrophotometry.

Often cytology is ordered as well, the fluid is fixed in formalin and special stains can be prepared which a pathologist will view.

These are the most common labs but other exotic options exist that i sometimes get orders for, and have to send out to a reference laboratory overnight in Utah; for oligoclonal banding or some weird shit.

Sorry no micrographs specific to pyothorax; but here is a synovial fluid with PMNs attacking my favorite bug, Streptococcus pyogenes

>>10517324
again not pyothorax but another fluid, this time an ascites fluid, so an abdominal accumulation not in the chest, but it's loaded with white blood cells fighting a bacterial culprit, this time a gram negative rod. Was probably an E coli, I forget.

CHALLENGE for anyone to spot the single bacteria that's visible in this image. Would have been easy to miss- but these little fucks can't fool me.

>>10517411
please be gentle

>>10517399
Thank you so much. Print screened and will keep in mind in case they ask me stuff like this on the exam. Pulmonology does a lot of testing, but besides spirometry and other boring stuff, this is actually useful and easy to keep in mind. Thank you so much, again!>>10517411
I would say pic related. Please don't kill me.

>>10517310
how the fuck do I tell corynebacterium apart from coccus

>>10517310
>>10517900
meant to say other bacillus*********

>>10517411
is this it? it's been forever since I've read a gram stain

aah i cut myself

This fucking guy is fucking BASED I highly recommend his video lectures (they're all free).

>>10516238
>Idk why the go for caduceus, the rod looks much batter.
I hate it because it has nothing to do with medicine.
>>10516442
>>10516449
I swear people that get a prof. title in the medical field lose their mind.
>>10517310
Nice. I have a question. I'm a 6th year and I'm revising some of fields where my knowledge got rusty. I'm on clinical lab now. Do significant interferences happen often? Because what I'm reading now, lab result interference happens even if the patient is on aspirn or his position in bed is slightly changed. I can only imagine what happens when someone with 4 chronic deseases and on 10 meds can do to a lab result.
>>10518031
pee on it

Can an industry/research pharmacist synthesize new molecules, or is that a chemist's job?

>>10518440
It's definitely a chemist's job.

>>10518462
So the process starts with the chemist making a new molecule, and then the pharmacist figures out if it solves the problem they're working on?
How does the chemist have enough knowledge of medicine to figure out if the molecule he's working on is even relevant to the problem at hand?

If I don't like Biology, does that mean that I won't like medicine?

>>10518413
Thanks. I'll check him out.

>>10518485
Depends what do you dislike about biology.

>>10517336
AFB smears are notoriously difficult to grow, and a routine sputum sample is not usually enough to identify TB

Differential dx of any pneumonia can include TB.

>>so the residents and current MD would be pretty butthurt if a nurse was questioning their thinking.

Insulting the medical team by calling them "butthurt" is pretty obnoxious, and not going to make you any friends here, anon.

If you have a question about the medical decision making, just politely ask: "just for my understanding, what influenced your decision to do something different from the previous team?"

>>10518671
This. You have to trust the team and stay loyal to it, because in the end, you're a part of it too. Politeness is key.

>have various chronic health problems
>go to a GP or to various specialists
>"uh yeah it's just stress"
You guys study for a decade to come to those conclusions?

>>10518724
Tell us what's up.

>>10518732
Several problems with digestion, tiredness and feeling kind of shitty in general, pain in my mouth (no lesions) that's strongest in the morning but tends to dissipate after eating, occasional nausea but no vomiting.
I did blood tests and nothing came up. I exercise and eat properly.

>>10518734
How's your lifestyle? Besides eating and working out. Tell me about your workplace.

What do you mean by problems with digestion, tiredness and feeling kinda shitty in general? Explain.

>>10518738
>workplace
I'm looking for a job right now, in the meantime I live at home. I'm not a shut-in neckbeard though.
>digestion
A lot of gas and cramping, mostly. Sometimes irregular bowel movements.
>tiredness and feeling kinda shitty
I have little energy despite exercise, healthy living and a regular sleep schedule. I never feel fresh or energized, and often during the day I'll randomly feel exhausted or have a mild headache.

>>10518744
>digestion
I'm thinking IBS. Don't take the advice for granted, is just an opinion.

Have you done some imagistic work? A full CAT scan would be nice.

>>10518747
I thought about IBS too but the GE didn't mention it.
>CAT scan
I did an ultrasound for my digestive tract, kidneys and all that and everything was fine. Do I need to ask for a CAT scan nonetheless?

>>10518752
The CAT scan would see inside your organs rather than the surface so it would be nice to get one. A full body cat scan will get you some radiation level (equivalent of 70-100 x rays) but you do it once every 5 years so the radiation level in your body will wear off.

>>10518734
>blood tests
What did you test?
Check out for gluten related disorders. There is celiac disease but also non celiac gluten sensitivity to be aware of. Also FODMAPs intolerance exists. But most of those are diagnosis by exclusion, and most of the patients simply find what foods trigger their problems and avoid them.
Generic panel of allergy tests would also be good.

>>10518762
Ok I'll ask for this. Can my GP refuse?
>>10518763
Can't really remember, but I got a bunch of shit done, including gluten intolerance and allergies which came up negative.

>>10518774
Then it could really be a non celiac gluten sensitivity. But it's still a diagnosis by exclusion, with many overlaps with IBS.
A diet rich in FODMAPs can worsen the symptoms (they are substratum for the intestinal microbiota, they use it and produce gas as a results, which expands your bowels and produces pain and bloating), but removing them from diet is complex and requires a dietist to help you.
I would go to either a gastroenterologist or a dietist to see this thing out.
CT scan won't help, what you are describing is a classical gastrointestinal functional problem, which won't show shit on a CT. Might take in consideration later if everything, diet included, fails.
(also let's not forget that there is a sieronegative celiac disease, so without an histologic exam it's still not completly sure that you don't have it)

>>10518782
Alright then, thanks for your help.
Is the other stuff I mentioned linked to the GE problems?

What are the specialities that students choose as a last resort? Or the lowest picked specs among students?

>>10518826
In general for this conditions there is a long list of both intestinal and extraintestinal symptoms: usually the general ones are vague, like fatigue, feeling of foggy mind, generic feeling of not being at 100%. For the intestinal ones the most common ones are abdominal pain, bloating, alterations in your defecation rythm (both ways, diarrhea and stipsis), low appetite and similar stuff.
The mouth pain is something i didn't read about, but there might be other explanations to it. Maybe you are just pushing wisdom teeth, or have aftoid ulceractions in hidden areas, or maybe it's just a less common symptom of your overall condition.
The "it's just stress" is a common and not so wrong approach, many problems that one faces in life gets somatization on your gastrointestinal organs. Many people whine over it even if they have almost nothing, so a first reject might be ok to filter out those that don't really feel so bad that they will follow up with more requests. If you insist that you still feel bad, no doctor will reject you.
Try to be clear about what you have, and stress the "im not at 100% of my usual capability" thing, since it's often what makes the difference for a doc. But also trust your doc more than some shitty anon.

>>10518841
Is there a reliable way to know if pain and discomfort come from somatization rather than an actual problem?

>>10518851
Not really, no. If you have some anxiety disorder or other similar stuff you might say you have a predisposition on that, but it's not like an anxious guy can't have actual "real" disorders.
If someone in your family (or close relatives) also has intestinal problems, ideally with a diagnostic label, it might strenghten the suspicions.
If those problems only happens for short period of time, closely linked to stressful situations (even a "positive" stress, like idk an incoming mma tournament or whatever) then it's more likely that it's somatization.
Again, it's a part of medicine still full of grey areas. Maybe a dietist/dietician (the doc specialized in nutrition, dunno the correct english term) could be a good choice to figure out if there's anything with what you eat triggering your situation.

>>10518854
Ok, thanks again.

is nephrology basically discount urology?

I have some kind of growth, on the area circled in pic, it feels like 0.5cm ball, only hurts when pushed. No lesions or color changes on mucous. Its been like this for more than six months no progression so far. Dentist told me it isnt in her field and i should see surgeon. I know it could be lot of things but do you have any ideas which can be more probable?
Gonna see doc tomorrow.

>>10518894
I would say more detailed urology

What does gen surgery consist of nowadays? What areas and surgical diseases do they deal with? As neurosurgery is taking over slowly takin areas from other surgeries what is left for others?

>>10518894
Urology is surgical, nephrology is clinical.

>>10518948
Yes, I know that

>>10518936
And non-procedure urology. I like nephro, is it worth going into?

>>10518929
If it hurts when you push it, it's not cancer.

>If it hurts when you push it, it's not cancer

>>10518979
>he fell for the bait

>i was pretending

>>10518988
>i took the bait

>>10518671
>>10518676
Thanks for your input guys.
And I absolutely respect the med teams, I know my place. The physicians and residents are great. Some doctors are just more sensitive when they receive questions about their course of actions, so I always approach with caution. Don't mean to push any buttons here.
I'm back at work tomorrow, and I hope the teams figured out what the heck is going on.

>AFB smears are notoriously difficult to grow
Maybe that's why they wanted a repeat ordered yesterday. 2 docs were discussing using PCR, but I don't know how specific or sensitive that test is.

>>10519261
Some doctors are more sensitive because they can't take any critique from anyone inferior to them. After the physicians that practice for money, these are the shittiest doctors. I've encountered many of them and as a student if you question the professors decision you get fucked at exams.

Anyone familiar with plastic surgery here? When I smile my upper teeth hardly show, what could be the cause of this? Are my upper lips/nose too low, or is it a jaw thing?
I’d rather not post a pic on 4chan so even vague answers are appreciated

>>10519277
Post cropped pic of lower half of face, preferably with visible bare feet in picture too.

Anyone here in sonography or nuclear medicin? Been doing lab work outside of medicine (for industry) and am curious about the career. I could do medical microbiology but honestly I'm just not interested in that anymore. If anyone has any info on either field I'd appreciate it.

>>10519552
Nuclear Medicine*
Sorry very tired

>>10517310
how long in school did it take for you? I'm thinking about becoming a lab scientist do you have any advice for me

>>10510988
When will tooth cloning and implantation become a regular practice, and wht is the hold up?

What's the best residency if I wanna research?

>class rank released
>Finished first

I felt nothing, is this autism?

>>10520129
Clinical lab, pathology, anaesthesia

>rad tech student coming up on 5th hospital rotation
>2 of my supervisors have subtly told me the career isn't for me, but I still don't believe that.
Any advice on how to be less autistic around coworkers so one day I can work on my own as an MRI tech or sonographer? Apparently I'm not social enough with the other staff, even though all they talk about it their kid's gay little football matches and shit. I usually just read textbooks I steal from the radiologists when I get a break between patients. I'm not even that fucking bad with the patients so I don't know why they're telling me it's not for me.

Came back from pulmonology rotation. Had this patient with massive broncho-pneumonia and it didn't respond to abx so they did a bronchoscopy to get some samples for inoculation. No lesions on the mucosa, it really is cool to see docs in action like that rather than staying in the middle of the hallway explaining boring stuff to us.

>>10520826
Don't get discouraged. They say that because all they do is talking between them and gossip about you probably. (And because you're reading textbooks and they don't which is again something that they can gossip about) Fuck them and do what you love.

>>10520912
>Fuck them and do what you love
I don't even like the job much at all, and the only rewarding part I find it actually looking at images I've taken and assessing quality and pathology. The very first chance I get to stop doing general x-ray ever again I'm taking it. The definitely gossip about me and mainly treat me like an annoyance when I ask for help or to check something, since all the actually competent and friendly techs are working in emergency or theater.

what do i do if i cant afford medications?

>>10520944
Why don't you go with the other friendly fellas? CAT scans are more fun to read and diagnose imho.

>>10520968
What meds? Also, you could start and save up for them, if you need medication, then the doctor that told you to get them had a reason to think it's a must.

>>10520968
at least if you're in the US, you could tell your doctor and they could give you samples for free for a while. And if you're that poor you can get on medicaid or whatever obamacare free plan

>>10520968
Vote for people who are for universal health care

Honestly Americans are funny, even with insurance you need to shell out cash

>>10518894
Hell naw. It's very complex really.
>>10518944
Abdominal surgery and pyoseptic surgery I think. But I think you need additional qualification for hepatobiliary surgery.
>>10519419
I think it's more jaw related. Even orthodontic maybe.

Interested in clinical lab but I don't like research. Is it worth getting into?

>>10518944
>As neurosurgery is taking over slowly takin areas from other surgeries what is left for others?

WTF are you talking about?

Today I saw a patient with possible HELLP syndrome and DIC and possible M3 AML in ICU. I hadn't seen shit like this. They think she developed the leukemia first which induced the DIC and HELLP. The kid had an apgar of 6 and weighed 1.5 kilos.

>>10521390
>those abbreviations
I'm not American bro. Can you explain? I have no idea what those mean

>>10521390
Oof. Did she not have any prenatal care?

Fix tinnitus.

>>10521384
Anyone?

>>10521624
It would definitely be good to be interested in research, but you can do without it too.

>>10520129
Highly dependent on what you want to research.

>>10518944
This is highly dependent on the country.

>>10521680
I'm in 4th year now (EU), everything is so chill and everyone is laid back in a lab, not huge nerds like I thought. Most of the clinical lab docs and residents that I interacted with didn't do any research and just simply enjoy what they're doing. I only asked this because I thought research might get me on a higher level or something.

Clinical lab vs clinical microbiology. What's the difference?

I know one is running blood tests and makes uro-cultures and blood cultures and makes slides with blood and stuff but what does clinical microbiology do besides making petri dishes with bacteria and identifying parasites in faeces?

>>10521842
medical microbiology**

Why doesn't the penis keep growing through adulthood? The hormones that cause it to grow during puberty are also present in the body of an adult, so why doesn't the penis keep growing? What mechanism stops it from growing and could we remove or inhibit that mechanism?

>>10521909
????

Growth hormones peak at 16 years of age and then slowly decline. There is no mechanism that you can apply to make it happen because if you get yourself some growth hormone therapy and you're completely normal, acromegaly will fuck your life.

>>10521390
Damn. Sounds like hell.

>>10521950
Do you think a surge in growth hormones would increase penis size in adults?

What if you did growth hormone therapy, but only locally applied to the penis?

>>10521998
>a surge in growth of hormones would increase penis size?

No.No.Definitely no. It would have the same result as the hormone therapy (acromegaly).

And also, there's no way to apply hormones locally since they will end up in the bloodstream and will give a negative feedback to the hipotalamus which will stop the hormone from being released by the hypophisis. So either way, you just can't grow your penis. At least with hormonal therapy.

>>10522008
Here's what perplexes me, thought. If a surge in the correct growth hormones doesn't cause growth of the penis, why does the increase of growth hormones during puberty make the penis grow? There must be something else to it than the levels of certain hormones.

>>10522022
It's quite simple. Growth hormones peak at 16, and they are released in a quantity that the body percieves it at normal. Then it gradually decreases, the body still percieves that quantity which is now lower as normal. If you use growth hormones, your GH blood concentration will rise and the body no longer thinks it's normal so it has to shut it down somehow by giving the negative feedback response that I talked about. Now, if the GW is still in large concentration in the bloodstream (large = quantity percieved as pathologic or abnormal), then other tissues will take care of it by "absorbing" them. Acromegaly is a rare pathology that usually appears in the fourth or fifth decade of life, and it doesn't even cause penis growth, it makes the patient's facial features big such as its cheekbones, jaw, forehead, also affects the soft tissues, heart , kidneys and so on.

If there's a huge quantity of hormones DURING puberty, then it's a whole new story. Until 16, when the body is still growing rapidly, a huge quantity of GWs cause gigantism. The patient has over 2 meters in height, long arms that reach to their knees, basically they're huge fellas. But why does the body percieve it this way in puberty you ask? Simple, because until 16, the body needs to grow, so every part of the body that needs to grow, will get GWs opposed to acromegaly where a body is fully developed. Again, there's no way you can grow your penis with hormonal therapy.

>>10521706
labs are great man they got some pretty cool people

>>10522065
Thanks for the post.

If it is like you explain it is, maybe the solution lies in having the tissue that make up the penis recieve/absorb/respond to growth hormones as if the person was undergoing puberty. What does this mechanism the body utilizes to decide which body part should be growing look like? If we knew how it works, the body could be tricked into percieving the penis as something that should be growing in an adult, creating a second puberty of sorts with regards to the penis.

>>10522087
I agree, whenever I had to bring blood samples from the ER the whole lab was usually chilling out, reading a book, listening to radio or watching TV in there. I remember this time when I went up to bring some samples around 4am and light were out in the lab, I thought it was closed but I was lucky that the tech saw me, otherwise I would have went back down with the samples. They were sleeping. I felt so bad for waking them up.

>>10522104
You can check all the subjects up, it's basic endocrinology.

>maybe the solution lies in having the tissue that makes up the penis respond to growth hormones as the person was undegoing puberty

It's kind of impossible to do that since you have to trick your whole organism to think it needs to grow, and it most likely make you a giant.

>What does this mechanism the body utilizes to decide which body part should be growing look like?

There is no specific mechanism. The hormones are released in the bloodstream by a gland, which can't make the GW go in a specific location thus it's useless to trick your whole organism to grow just to make your penis big (which probably won't happen since the bones are the ones that are most affected by GW)

>>10522155
>and it most likely make you a giant.
This seems like it could be a commercially viable treatment

>>10522199
It could be. But a person with gigantism doesn't have it that good, to be honest. Over 2 meters tall, lanky, all clothes tailored, it would be a pain in the ass.

But honestly, I think there are some 10 year old boys that want to be super tall so yeah, that would be nice.

>clinical lab
Do you have to be a doctor to practice in a laboratory?

>>10521842
Clinical microbiology is part of the clinical lab and mainly involves growing cultures, reading gram stains, bacterial identification, and antibiotic sensitivity testing. If you're in the first world, you probably won't do parasitology unless you work at a reference lab.

>>10522283
No. The people running lab tests have medical lab degrees. The only doctors who work in the lab directly are pathologists, who review blood smears for suspected leukemias and similar.

t. labfag. Here's an interesting slide I saw today - lymphoma cells in peripheral blood.

>>10522393
how hard/long does it take to get a lab degree

Here's a case of CLL with prolymphocytes.

>>10522396
3 or 4 years depending on the program, it's easy, just a lot of memorization.

>>10521842
Clinical microbiologists do a lot of consulting work for other clinicians, e.g. advise with treatment and diagnosis.

>>10522393
Not the guy you replied to but here (Romania) there's a speciality for this. It's called Laboratory Medicine and it's 4 years of residency. They basically do what you do (research wise and practical too) and I still don't understand why we still have that speciality. I'm sure that some other countries have this speciality too.

>it's another surgery prof goes on an endless rambling about how in turkey impalers were very respected professionals because it takes skill to penetrate the perineum and exit from sovraclavear space without puncturing any of the organs episode

>>10522155
>>10522065
>>10521998

You're wrong. HGH doesn't correlate with penis size, test does. There are tall people that have small dicks.

Haha boob

>>10523492
Breast biopsy? Adipocytes are present there but shouldn't be more of them?

>>10523492
It's young girl's breast afaik. It's our histology sample on uni

>>10523569
Hated histology, I'd rather go for clinical lab in residency than path.

>>10523569
Meant for this >>10523566

>>10521390
What a good start at life

>>10523569

>be me
>get into the theatre for a rads lecture
>have panic attack
>go out and go home asap
>have panic attack at home
>managed to calm down
>have childcare class
>go to see premature babies
>I lift a baby and vomits on me
>panic
>put the baby down in a rush and go to the bathroom to vomit

I'm seriously considering clinical lab, pathology and radiology now. I just want a place where I can practice solo or with maximum two others. Sometimes it just feels this way.

p.s: I'm the guy that wanted family medicine and was obsessed with it but now is having second thoughts.

>>10523577
Idunno, I like it. It's very chill atmosphere in practicum and nice chill professors

>>10523733
>nice chill professors
Yeah, I didn't have those. We knew that our prof hated my group so we were studying very hard for the exam. I remember I had 5 slides and guess each of them correctly for a 10/10. I had a slide with hypophisis as my last one and mistook it for fucking kidneys because I got panicked (Last slide, 10/10, here I come). So when she saw what the fuck I wrote there she got angry with all of us and failed us all, kek. The whole group of 8 people for a fucking slide. So we filed a complaint and everybody in the end got high grades except for me (I was the one who wrote it ) and got the minimum of 5/10. To this day, I still don't know what was he problem with us.

>>10523751
I have a neuroscience professor who failed 5 of us on the last term bc there was one guy with us who didn't know jack shit and he asked the professor if he can let him pass bc it's the only subject he didn't pass. Prof became furious and started yelling at the guy and started asking us unbelievable questions that nobody knew how to answer

>>10523818
Well..the guy kinda deserved it for begging but still, no reason to fuck you all up senpai.

>>10523844
He didn't even beg, he just said "well I didn't study bc I assumed you will let me pass bc it's my last subject"

>>10523850
Kek, that's even worse.

>worst spec for you
Go lads.

I hate neurology. Nowadays you can't even diagnose someone until you see a head CT. Basically office job.

>>10521683
I want to research stem cells.

>>10524446
Hematology / Oncology

>>10521415
HELLP-hemolysis elevated liver enzymes and low platelets
DIC-disseminated intravasal coagulation
M3 AML-promyelocytic acute myeloid leukemia
>>10521531
Nope. She was from a minority. They don't look after themselves. Her family haven't visited even.
>>10521977
>>10523600
Today I learned she also has mitral and tricuspidal defects and has pulmonary edema.

>>10524547
Thanks for the abbreviations. Looked them up already lol. How is your patient still alive?

>>10524547
:(

Bros abscess should be visible on xray right?

>>10524577
Abcess as in the pus filled thingy? No. Cat scan only.

>>10524590
Yeah, i thought abscess and granuloma left calcifications whuch could be detected on xray

College started out with 14 medicine applicants, only I remain. Enjoy your depressed pharmacy/biosic undergrads non russell group unis

>>10524547
F.
What minority? Not pol posting, just curious.

>>10524700
>14 applicants, only I remain
Whut? That low?

>>10524715
yep, Medicine in britian is really turning into a shit show, lowest number of applicants this year, and some unis are letting retards into subpar degrees because shit low quality unis are being given med schools as established ones close down

>>10524846
Same shit started to happen in Romania. When I had my admission exam the last entry grade was 8.95/10. Last year, the last grade was 7.21/10. I get it, maybe the admission exam doesn't mean you won't be a good medic, but the drop in grades is huge. (In 4 years)

How the fuck do I become less of a pussy? (how do I stop being squeemish?)

http://www.jlponline.org/

>Laboratory Physicians

Basically finish medschool to become a clinical lab scientist?

>>10524883
I don't think that's /med/ related, my friend. If you find a psychology general or if you ask on /lit/ or something you might get an answer.

>>10524879
Similar as a standard grade entries are AAA minimum some are lowered to ABB, but general interest has decreased thus we need lots of non English doctors however issue with accents/language are starting to become prominent.

>>10524932
I have a few friends that study medicine in UK, they told me it's crowded with Indians tho.

>>10524932
What have been your personal experiences with medicine in the UK? I hear a lot of stories from Americans but rarely from the UK. Are they desperate to snap people up at the moment?

>>10524937
Generally think only the Asians that have the /motivation/ to go through the process. All the interview i went to were 90% indians, paki and chinks. Getting beaten by you family is a good motivator

>>10524971
Its very demanding, the selection process for me was very hard, but there is a big demand for doctors. I only just scraped in by embellishing volunteering details. cant compare to american unis but in Britain you go straight to medschool from sixth from so getting everything in order in a year is a challenge. Also the NHS are cunts and couldnt care less if you want to be a doctor

>>10524973
>Getting beaten by you family is a good motivator
Kek

We do have some Indians and Arabs here, lots of frenchies and germans but medschool is cheap for their kind of money so they come here, that's why I don't think they got beaten to come to fucking Romania lol.

>>10524988
theres a big market of "english" students that go study medicine in bulgaria so you just need to pay and not be retarded.

I life in a asian filled community and dont mind the smelly bastards, better than the haughty wealth students that pay to get in

>>10524983
What exactly did you find demanding, the hours or the actual coursework, or just the application process for med school?

A friend of mine is looking to go into biochem, he's in college and getting top grades for biology and he got me interested in applying for a similiar course, though I was top of the school in physics I never cared for the other sciences and was looking to go into Tech. Still, he's noted how much support he gets which caught me by suprise, again, after the horror stories I hear from our American cousins.

>>10524994
Romanian bro, are you working for your government to bring in more students? Is the education decent over there?

UK hospitals are dens of misery and the staff are the angriest, most passive-aggressive people on Earth, and everyone thinks they should be on double their wages, I can see why people wouldn't want to be involved with all this.

>>10525023
I'm the Romanian bro, not that dude.

I'm just a student, yes medschool is pretty intense here, depends on which uni you go to though. (Uni from Iasi is the best medschool)

Romanian hospitals are in a shit condition, docs a chill because they just got their salaries raised but the nurses are a bit frustrated because they think they know all and eat med students for breakfast.

>>10524994
I personally prefer the indians than the rich fellas. Not only because the rich fellas think they're smarter than most of us, but they are arrogant as fuck too. I have this guy from Jordan, he's a fucking idiot, barely passed most of the exams and he's all talk.

>>10522456
I think they have to keep everything in order. Supervise the lab technicians and interpret the results, decide if there's any interference etc.
>>10523492
lul
>>10524355
Ob/gyn. Weeks, days, the fucking baby, the fucking hormones, vague clinical presentations and a shitload of legal jeopardy (not sure if using this correctly)

>>10524560
well...barely
>>10524702
Gypsies/Romani

>>10525000
In england we dont have course work so that was ok, the really demanding part was time, spending a summer revising, volunteering and prepping for entrance exams and interviews was quite hard, you need to decide as soon as you get to college to have the time to do everything. It is the case of losing the age of 17-18 to school (im from the north of english ages from 16-21 are primary for drink, drugs and parties) so its sorting out priorities. With it being so competitive I major advantage for me was high level of sports and i lucked out by most of my interviewers liking sports so i could relate to them.

Biochem is a brilliant degree and is my second choice, id rather do it now desu seen more fun, chilled or options and i want to work abroad

>>10525034
I think all medschools are intense no belittlement intended, i went to look at oxford for medicine and i got fucked by reality so hard. Those kids are not human. Ending up at Sheffield which is 75th world uni so cant complain.

>>10522805
Can test increase the size of the penis in adults? Anyone know about any studies regarding this?

>>10525049
Ofc we have some of those "robot" students too, but most of us are chill and not that competitive. We just want to live e decent life. Most of us are from middle and middle-high class families, the ones that really want to make money by becoming a doctor are the students that come from working class families.

What are the chances that a tinnitus that lasts for 3 weeks already is caused by clogged eustachian tube?
>Had influenza before tinnitus appeared
>Docs say it's bc of high blood pressure, did otoscopy and xray, found nothing and just gave gingko
>Tinnitus is much weaker in the morning
>Feeling of fluid inside ear
>Today blew out some dark green puss trough nose and it felt better, then later out of the sudden starts hurting again
If you need more info ask, I'm asking this for some other anon so I might ask him more specific stuff

>>10525053
No, but it will probably decrease your testicle size while you're on it. Cardio and increasing your blood flow would give your harder erections if that helps.
>>10525046
Don't you have older students? I always thought a background in sports and volunteering are unique to American academia in helping you get ahead, I always figured the UK/Europe to place more value on academic ability.

Yeah, he's absolutely loving biology and has already discussed working abroad for, I think it was 2 years, but apparently quite a few of his class have already dropped it.

I suffer from acid reflux and was prescribed Cinitapride and Esomeprazole like 8 months and it did help me a ton, I would say it reduced my daily sore throat by 80% but after all these months it has started to get bad again. Would it be a bad idea to self-medicate the same treatment once more? Or should I go to the gastroenterologist for a different treatment?

>>10511731
>>10511759

Studying medicine and working part time. Current status - joyless, human-like robot.

>>10525594
>acid reflux
If you would rather do self-medication than visiting family physician, change family physician then.

Other than that - work on your sleeping pose, it's harmless (there's always a chance of someone doing some stupid, bizarre shit though) and is very likely to solve your problem completely without medication.

should i go into the medical technician field or become a nurse?

>>10526235
What do you like more? People or technology?

>>10526243
technology
I only ask because I'm concerned about the stability of being a med tech

>>10526252
Tech, then. But if you get to work in a clinical lab or something like that, I don't think you need to worry about that aspect.

What's up with all the new research nowadays? Most of them are memes. "Scientists" researching eggs in diet and corelate it with cardiovascular risk, case reports that are absolutely not interesting and cancer research that's another language for the average med student like me.

>>10525132
Chances are high. Where do you live? Western doctors ignore the middle ear for some reason there. My sister had tinnitus and went to 3 different otorhinolaryngologists 1 neurologist, did an MRI and a course of corticosteroids. She came home, went to an otorhinolaryngologist here, she took exactly one look at her and diagnosed a clogged tube. Prescribed decongestants and she's better now.
>>10526361
I've asked myself this question. I think they're desperate to publish papers so they go with anything.

>>10526369
Why would they be desperate to publish such shit? I'd be more ashamed if I would be the one funding that kind of "research".

>>10525947
If you really need the money, then it's an extra stress on your side because you have to work, then.

>>10526374
No papers = no money

>>10526527
But don't do they make money already by being physicians? How much can they make by publishing an article that bad? Is there a standard payment per article or there are some factors that makes it depend? If so, what are the factors?

What are some ways I can treat my TOS other than forcing correct posture and minimizing stress?

https://jamanetwork.com/journals/jama/fullarticle/2730537

Now how can this shit be considered "research"? I'm seething.

>>10526369
It's a hungarian anon from other board that's been complaining about tinnitus for 3 weeks already and I came to the conclusion that it's probably clogged eustachian tube. And yeah his docs completely ignored the middle ear
>tfw a failing med student diagnoses you over nepalese basket weaving forum better than a lazy specialist irl

>>10525132
Like 99.9% based on what symptoms you are describing.
>caused by high blood pressure
Whoever said that is a fucking dumbass, did he actually listen for pulsatile tinnitus (or even ask if it was synchronized) or did he just draw an arbitrary link from measuring your BP?

>>10526598
I don't know why his docs diagnosed him that. I think he said that he measured a bit high blood pressure (140/90) but that it could be just from stress of having a tinnitus for over 15 days. They even did an x-ray to him before exploring other options, that's something I don't really understand

>>10526610
You're either Croatian or Czech. I have a feeling you are from either /int/ or /sp/, not /pol/ tier. I remember a Czech guy from /v4/ on /int/ who is a med student.

>>10526610
Well that's a dumb fucking opinion, acute tinnitus is in 99% of cases caused by acute changes in hearing perception (whether conductive or SNHL) and in those cases where it is not, i.e. somatic/objective tinnitus the sound is usually a) detectable by an observer and/or b) synchronized with pulse, assuming it is not of myopathic origin.

>>10526617
Croat from /v4/
I lurk here sometimes for interesting info but don't post much bc I don't really have that much knowledge to post anything interesting
>>10526624
Thanks, I really didn't know what was going on with the anon bc he was telling me how docs think it's bc of high bp so it was leading me in that way too and I didn't really know what to think but then he told me that he blew out dark greek slime trough his nose and that imo pretty much settles it that it's a clogged ET

Any good textbooks or resources for medical biochemistry or clinical lab related stuff that's aimed towards residents rather than students?

>>10526629
Med stud by any chance?

>>10526701
Yea, 2nd year repeating

>>10526753
>repeating
I remember that I posted in /v4/ a few times (Romanian) and told you I'm a 4th year and you were studying physiology or something like that. The year is not even over, how come you're repeating?

>do medium/high intensity cardio exercise
>feel unusual sluggish, weak, tired mentally and physically afterwards
>this state usually lasts one or two days depending on my fitness level and how intense the Training Session was
>usually feel a bit dizzy during the workout but not close to fainting or so
>Drink plenty of water throughout the day, not cutting calories and always a meal before/after training, have Electrolyte mix after exercise, most probably not deficient in any minerals/vitamins

Wut do desu? The blood tests that my doctor did (general stuff + Iron) where fine and now he wants to do a stress ecg. Are there any Lifestyle changes i could do that would help with these symptoms

>>10526771
Your doc is probably gonna find your issue, don't sweat it.

>>10526761
Yea, I remember you. That was last summer I think. I failed Physiology, chem and Neuroscience this fall and I'm repeating them now

>>10526818
Damn, that's harsh. Physio is a pretty tough obstacle especially kidneys and blood. Chem was one of my favs so I can't say I hated it, desu. Godspeed, anon. Work hard and become a good doctor, anon.

>>10526361
How are we supposed to make metas unless lots of grunts pop out those articles? A single one by itself doesn't have real weight most of the times. Would be thankful people aren't bored of making articles that they know 99.99% of times won't lead to relevant findings already before starting.

>>10526903
Most of them are irrelevant, tbqh.

Take this piece of garbage as an example

https://www.ncbi.nlm.nih.gov/pubmed/30949660

This and the article I posted before were published yesterday, for fucks sake. I can't find a purpose to them, I wonder if someone finds these kind of articles interesting or relevant. Many of the articles posted yesterday are complete bullshit.

https://www.ncbi.nlm.nih.gov/pubmed/30951668

This one again, good discovery, respectable shit but it's at most a decent article, not a good one.

>>10526911
>Can changing the position of online menu items increase selection of fruit and vegetable snacks?
Kekworthy
Well I guess someone has to do even this kind of research. And I'm sure someone would fins it interesting and maybe put it in use somewhere if the results are substantial

>>10526911
>https://www.ncbi.nlm.nih.gov/pubmed/30949660
More of marketing debunking maybe, but useful if you are making a plan on - let's say - manage obesity in school. You will know playing with menù won't affect it, so you will look into something else.
Obvious? Maybe, but now we know for sure. Maybe it was a student tesys and why not publish it anyway.
>https://www.ncbi.nlm.nih.gov/pubmed/30951668
Didn't understand shit. Maybe it's useful for some other fields.

I think you can always make use of data, even if they seems sometimes useless. The problem is to make the consulation of those datas feasible, you can't scroll through thousands of meme articles, but they are the foundation of our future knowledge.

>>10526920
>someone has to do even this kind of research

I feel bad for that person, it must be very hungry and wanted to make a quick buck off "research". You're right, someone might find it useful. I'm waiting for something good to come up and now I have to browse the 2015 database.


>>10526925
>Maybe it was a student tesys and why not publish it anyway.

This might be true. Most of the professors see the article's flaw but being the first time for a student, he might think it's okay.

The last link is fun for microbiology, lab stuff and so on.

>you can't scroll through thousands of meme articles, but they are the foundation of our future knowledge.

I'm not doing that, I just browse pubmed by the newest articles and find this kind of research, kek.

>"you have to have empathy to become a doctor"
>the only empathetic medical doctors I've met are either psychs or GPs
>specialists and surgeons are cold at best, and uncaring assholes at worst
Honestly I've always been interested in medicine but put off by the empathy aspect, but it seems to be complete bullshit in retrospect.

>>10527051
That's why they became surgeons. Pathologists and clinical lab physicians are the most chill and friendly ones. Empathy should be everywhere among the clinical specs, otherwise it's just an optional trait.

>>10527063
Are you implying that surgeons became surgeons partly because they have no empathy/are assholes?
Don't know about pathology and lab because I've never met any, but I've met several physicans from non-surgical specialties who were huge cunts too (GE, neuro, card)

>always insanely tired
>physically and mentally
>sleep 12+ hours a day to keep up
>wake up tired
>great diet
>lots of exercise
>24 years old

What is it? This has been going on for more than a year. GP couldn't find any issues with my thyroid, blood, nor any sleep apnea.
She thought it could be a burnout, so I took many steps back and have been relaxing for over half a year now and I'm getting quite bored. Doubt this is it.

She refused to test my testosterone levels, claiming I'm not growing any boobs. I just want to know for sure, libido has been down ever since too. What else could it be or where could I tell her to look?

Thanks

>>10527080
I'm saying that some students simply don't have empathy or lose it in residency. Most surgeons are asshole because they're either frustrated with the program, always on call and so on or that's the way they are which applies to other specs too. Most of my clinical speciality profs are fun to hang around and listen to them, surgery, on the other hand was a pain in the ass, especially urology. (For me)

>>10527105
Chronic fatigue? Testosterone could be low, ask her for a testosterone panel and insist on it.

>>10526547
Non clinical specialties get funded solely from research. And the bogus articles are made mainly from such specialties.
>>10526592
T-thanks I guess.
>>10527105
>>10527143
Isn't chronic fatigue a meme?

>>10527301
I thought non clinical specs make a shit ton of money (path, rads, lab). At least here. They have that juicy 80% increase in salary because of risks and most of them barely do any research.

Also, yes. Chronic fatigue is a meme but it's spring, this is the season of sleepy days.

https://www.thieme-connect.com/products/ejournals/html/10.1055/a-0752-9715

Found a cool case report with images. 4th stage myofibrosarcoma mimicking DVT

>>10527301
>T-thanks I guess
What do you mean?

>>10527381
I'm going to guess that he said that because he thought that when you mentioned the failing medstud part was referring to him.

>>10510988
Was there ever a proof of a vaccine's danger? Was there a single case in the world of a vaccination that caused actual damage to a child?

>>10527407
>he didn't read the OP

>>10527415
Shid. Let's delete it all senpai, sry.

>>10527420
It's fine, thread is going to hit bump limit anyways

>>10524355
nah nigga, there are nerves outside of the head as well

>>10527437
>>10527437
>>10527437
>>10527437

Fresh new thread

>>10524883
Increase exposure

>>10524892
>Laboratory Physicians

Usually you work in a supervising role, call the shots and interpret the weird stuff. Other physicians consult you on tests, results and treatment.

>>10526361
Research has always been a meme, we just remember the good stuff and forget the bad.

>>10527105
You could try sleeping less.

>>10527487
I tried and still try sometimes for a while, but the regular 7-8 hours aren't enough

Out of curiosity, does anyone know of / can link me an article about alopecia areata and its relationship to Bismuth subcarbonate, Magnesium carbonate, Calcium carbonate and Sodium bicarbonate