/sci/ - Science & Math

Women OUT!

>>10562486
No. Let them join and see that we are superior in every aspect.

>>10562484
Where does card fit into this?

>>10562495
between >my class hates me and >ok grades.

What to do with holes i knowledge when there is barely time to learn new stuff?

>>10562543
read in your spare time.

>>10562487
Nobody questions this.

>>10562291
I don’t think there are any interactions, at least my database didn’t say anything.

>be me
>eat shit hospital food from the cafeteria
>get home from rotation
>diarrhoea , stomach ache, smelly farts, I feel like vomiting

Now I'm waiting for mom to get to my apt and start an IV, how come hospital food is so shit? I know that I could've done better and choose to eat something from the store across the hospital but man, I just wanted to try the food, not die from it.

Veterinary should have been added as a joke for people that kept saying no.
Also, Neurology or Psychiatry depending on how my grades would be classified.

>>10562645
You had to do some tough shit to get there. I just went for FM and that's it.

>>10562484
What do you guys think of 5g no bullshit. I ask because you guys should understand the human body.

>>10562653
the fuck is 5g?

>>10562653
If you don’t tape your head to base station you should be fine.

Are there any surgical specs that don't have hellish hours aside from ophto?

>>10562670
No.

>>10562672
Shieet
Not even plastic?

>>10562683
>plastic
Kek. You're on call most of the times, trauma patients for reconstruction, burn patients and so on. It's a pretty demanding field.

>>10562653
Not med student but electrical engineer
It's bad alright

>>10562683
Oh, maybe urology, I forgot about it. Prepare for penis and pee jokes. It's a fun spec, I wish I wouldn't be so clumsy and do it but I'll just accept my limits and go into FM.

>>10562702
How come ophtos are never on call?

>>10562713
They are on call but they have very few real emergency compared to other surgical spe.

Can you help me orient myself? The annotation says that the image is from the larynx, but I can't figure out in which direction the cut goes.

>>10562631
Depends where you from.

EUROFAG HOSPITAL:
>Well ballanced
>Low sodium
>Easy to digest
>Doesn't spike sugar levels very high

Taste plain though & looks shitty (like shit) though.

>>10562736
>Can you help me
.. get some nice photo samples for my histology? Most collection cost a lot, and there's no torrents around with this shit.

>>10562753
http://histologyguide.org/

This is what I've studied from in my 2nd year. Absolutely shit, horrible and disgusting discipline.

>>10562767
http://141.214.65.171/Histology/

Also this if you want just slides and have fun browsing them.

I'm in Australia where fucking melatonin is a prescription ONLY medicine. If I go see a GP and tell them I'm having trouble adjusting to a new sleep pattern (new work schedule) and ask for a script will they just give it to me? I bought some off ebay a few times but the listings have all been purged. It's fucking melatonin for fuck's sake. God I hate this country.

>>10562747
EU hospital here too. I ate some meatballs and green beans at that fucking horrible place. Damn, how can patients even eat there?

I have an irrational fear that I will develop crippling essential tremors in the future and will fuck up my whole career. nobody in my family has it to any noticeable degree but sometimes I get shaky when I'm overcaffeinated and nervous.

>>10562543
Library genesis

>>10562839
stop drinking coffee, then.

>>10562800
Melatonin is a placebo. Just practice sleep hygiene.

>>10562839
Literally grow a pair.
Eat more daily,drink more alcohol daily,and drink turkish coffee 3 times a day.
You will be soon getting jittery when you dont get your caffeine lmao.

>>10562845
I have. The supposed placebo works funnily enough. The whole 'just be a normie and completely reset your circadian rhythm within a week by meditating and reading a book' stuff is just utter bullshit. Was getting 3 hours sleep a night and having frequent lowkey panic attacks the last time I tried that. 3-6mg of melatonin and I'm ready to fall straight asleep within 2 hours (plus some slightly sinister nightmares which I don't mind).

https://www.ncbi.nlm.nih.gov/pubmed/30982950

Do you agree?

"Nurses taking on extra tasks want respect and collaboration from doctors; as well as proper resources; good referral systems; experienced leaders; clear roles; and adequate incentives, training and supervision. However, these needs are not always met."

As a future family physician, I'm required by law (Romania) to have a nurse, I don't know about other countries, also nurses are not allowed to practice on their own here. From the article, "Nurses were comfortable with, and believed they were competent to deliver a wide range of tasks, but particularly emphasised tasks that were more health promotive/preventive in nature." but they still want to make more tasks and be more respected. Damn, if they want so much respect, just become a doctor instead, it's really not that hard tbqh.

>>10562653
I think they shouldnt make ‘antennas’ near living spaces

>>10562891
Good relationships in working place will make working environment better and outcome will be reduced stress and job better done

>>10562839
Aren’t there ways for surgeons to still practice in their field without operating, if they do end up crippled?

>>10562484
Do you really need such good grades to get into rads?

>>10562925
Well, that's pretty obvious. I see that at my mom's practice. She treats her nurse like an equal and they work very well together. (The nurse has been in my mom's private practice for approx. 11 years) But I was asking about American NP's that practice on their own.

>>10562928
There certainly are. Let me give you some examples. OB/GYN open their private practice but don't operate, just do check ups on women. ENT's do the same but without women only part, ophthalmology too and also urologists. I'm putting urology in because my urology prof doesn't work at the hospital anymore and he opened his private practice where he doesn't operate, just does check-ups and tests for patients. (But he's still teaching so idk how that goes tbqh)

>>10562939
You don't need to have good grades to get into any speciality to be good at it because you learn tons of things in residency but the chart shows that it would be ideal. Rads is complicated and is one of the specs that relies entirely on anatomy, a plus for a radiologist that respects himself is that he correlates the info from the patient's chart with the radiography or CT scan or whatever imagistic procedure he/she has done and that makes a 10/10 radiologist but nowadays, most docs don't give a shit about a radiologist's opinion so...yeah.

>>10562947
So what about specs like vascular, cardiothoracic, neuro or gen surg, are they fucked since their clinical equivalents (gen surg doesn’t even have one anyway) require specific additional knowledge of certain procedures?

>>10562967
Ob/Gyn, ORL, Ophtalmo are both medical and surgical specialities. CT, vascular, ortho etc. are almost exclusively surgical, so yeah they're pretty fucked if they can't operate.

>>10562967
Yes, they're kind of fucked. But keep in mind that you're a cardiologist and open a private practice, it doesn't mean that you have to do procedures, you can do consults, an EKG, some more basic stuff while surgeons can't. It would be absurd for a ct surgeon to open his/hers own private practice and not operate because cardiologists know the clinical part much better and more in depth.

>>10562988
>ortho
My orthopedics prof works at a private practice besides the hospital and he doesn't operate. He did a fellowship training and does arthroscopies there, not sure if it's the same in US but in Romania there are tons of choices in fellowship for most doctors.

>>10562988
>>10562993
So what do they do in that case? Just quit medicine?

>>10563016
That or they go for teaching.

>>10562747
Depends on where in the EU you are. In the Czech republic, we had a salmonella outbreak from polish imported chickens.

>>10562484

Question for all medfags here. How are IMG's viewed in the medical field? And by IMG's I just mean Americans or Canadians who decided to study outside their country and come back. Are they heavily stigmatized/looked down upon? I ask because I am considering UK or Australian medical schools but if I go to the University of Sydney or University of Wollongong I just don't want to be treated like a subhuman by all my colleagues. Even if Sydney ranks in the top 20 med schools in the world, I don't know if anyone will give a shit.

>>10562653
If I understand 5g correctly it utilizes 400 MHz of 28 GHz which is not carcinogenic at all and should be quite safe. Please bust my balls if I am incorrect.

>>10562736
The right is posterior(the muscular wall is an extension of the esophagus) and the left is anterior. I think it has been cut from the cricoid cartilage.

>>10562800
same here in Norway. I just bought some from Ebay.

>>10562839
Same. Just stop drinking coffee, get used to simple procedures and most importantly work out.

If general surgeon gives up surgery what can he work as?

What are the criteria to choose a good psychiatrist for CBT?

>>10562486
I'm actually not a misogynist.
I just think family comes before career.

>>10563118
Here in France, those who failed med school and go to Romania are not very well welcomed mostly because we think they're not as competent as us (which is true from my experience, same thing applies to Italians). As a Canadian who got his education in Oz you won't have any problem I guess.

The way you work and your professionalism is the most important in the end of the day.

>>10563212
Can’t you try again several times for med school in France? I thought they also eliminated the numerus clausus which means it’ll be easier to get in this year.

>>10563212

Cheers, appreciate your input. I think as long as you stay in the commonwealth it should be ok since in general Australian/British schools are pretty good as far as education goes. But yeah, going to Romania can be problematic for medicine. It's kind of like those people who go to the Caribbean which are basically just diploma mills

>>10563220
Until then you could try 2 times (3 times if you're lucky). From next September, numerus clausus will be decided directly by med schools (it was a national thing until then). It probably won't be easier to get in since they can't increase acceptation rate that much.

>>10563232
>Until then
You mean you can’t try again anymore?
I thought France needed more doctors.

>>10563212

And by the way, I would like to share this with you

https://vimeo.com/103340686 it is called Le Théâtre des Opérations and is very well made

I want to mainly do medicine for psychiatry, but honestly I am very fascinated by general surgery

>>10563231
>>10563231
>But yeah, going to Romania can be problematic for medicine. It's kind of like those people who go to the Caribbean which are basically just diploma mills

Yeah we could say that. You're the Canadian I was talking to yesterday? UK vs Oz is a no brainer if you have money, I spent 6 months in Sydney and it is absolutely great! A lot of Canadians, Poms, Irish etc...

>>10563212
>>10563231

Talking about Romanian medschool and you lads still have no idea what it's like. We have tons of docs that after medschool here went to work outside. Why did you accept them if you think of them as less competent?

>>10563253
It's a no brainer apart from the residency shortage we were talking about yesterday of course. But you'll have the same issue in the UK.

Is it wise to take begin taking multiple medicines at once? It seems counter intuitive to me because you don't know which medicine actually is helpful to you or if you have bad side effects which is harmful to you.

Friend of mine has terrible migraines, almost daily, and also mitral valve prolapse. They just got a prescription for propranolol and an anti depressant, for context.

>>10562800
You may want to look into valerian root and/or passionflower extract.

>>10562839
There are plenty of other ways to fuck up your entire career, don't worry.

>>10563253

Yeah that's me! It's really expensive, that's really the deciding factor for me. It is the same price as American schools, and triple the cost of the most expensive Canadian schools. I have yet to apply to medical schools and will try at least 2 or 3 times in Canada before I go to Oz though.

>>10562653
Med students/normal doctors wouldn’t know. You need to ask someone with an advanced degree in biochemistry who has actually done formal research.

>>10563257

Well not all of them are incompetent of course. But I mean the thresholds for foreigners are probably much lower.

>>10562484

Sorry if I make this a blog post.
My parents won't accept any other university for me outside of medical school.
They even bought the text books already and intend to sign me up for a prep course.
The thing is they believe every other major is basically a joke and won't get me a job in the future.
I'm frustrated, because even the entrance exam is hard as fuck (1 out of 6 gets through it) and even if you pass it it only gets harder, not to mention it takes 6 years to major (it's the longest) and it's still not enough because specialization is required which takes 5 more years !
They started using the guilt card with me telling me about this poor guy working hard in med school even thought he doesn't have my means, how they work their ass off to pay for my education, how hard it is to get a job nowadays and all that shit...
They keep saying I only need to commit and that I'm smart enough if I try, but I feel like a numbskull, and I always did poorly in the subjects (physics, math, chemistry, logic...) .
Christ my hs was humanities oriented, what do I know ...

Any advice ?

>>10563257
I was talking about French people who go to Romania and then get a residency in France, since they are allowed until now to pass the residency exam. Most of them are really bad, this is the truth... Some of them have been fired : https://www.europe1.fr/societe/des-internes-formes-a-letranger-exclus-pour-incompetence-2666011


Fortunately they won't be authorized to pass this exam anymore from next year.

>>10563269
I have plenty of family friends that went abroad and practice family medicine in rural setting (France) and another young lad that is a cardiothoracic surgeon attending in Vienna. All of them pure Romanians that went out to make more money because the salaries my country provides are shit. Or were you referring to French or other nationality students that study here and go back to their home country? If so, you're pretty much right, the training for the img's here is not that intensive compared to natives (They don't take Cardiothoracic classes or occupational medicine classes so they miss on a few specs we do rotations on) and we don't have any foreign teacher so all of them are Romanian that are not exactly native speakers in French / German. Out of the foreign programs here, English is the best and is exactly like the native program, Idk why German and French are different.

>>10563285

Yeah that is what I meant. The same thing is for Canadians who go to the Caribbean. But most cannot get a residency back home because they don't do well enough on the exams.

>>10563273
Don't go.

>>10563247
Thanks for the share, I'll watch it later :)

>>10563295
Sorry for misunderstanding, then.

>>10563273
>specialisation is 5 years
You haven't met FM, then.

>>10563273
Do you really need us to tell you not to go into a career just because your parents want you to?

>>10563016
Here you can get another specialty in a few years, so either that or practice as GP/consultant. Administrative work is a possibility too.

So did you have any blacks in your year and did they suck?

>>10563379

>>10563149
Are you sure that it’s horizontal?

>>10563387
All premeds are retarded niggers desu.

>>10563367
I wasn't sure what I expected to hear from you guys.
I guess they'll realize once I fail, I wish they simply listened .
I fucking hate this whole thing.
Stem subjects were never enjoyable for me in the first place...
They're so delude it's painful trying to reason with them

Obligatory blog post. You can't make this shit up. Also need advice.

>be me
>practice at mom's
>night shift comes (practice open 24/7)
>female 45 comes in, never seen her, neither mom
>pt says that wants to transfer from her FP to my mom
It's almost 8, we're open from 6pm till 8 am just in case of minor emergencies. She says it's an emergency. Okay, what is it?

Patient said this "Before coming here I felt a slight electrocution that started on the top of my head and went down to the anus and before opening the door to your office I felt a short , maybe one second, sensation like an arrow that went trough my abdomen". What the fuck. Mom does a check up on her, lungs are fine, heart sounds fine, ECG clear, echography is normal. Patient "But I'm sure I felt these symptoms, something is not right, I know it's not!" After my mom explained to her everything is normal, she caught on this lady's game and in the end prescribed her some algocalmin. Longest 50 minutes of my fucking life. So, my question is this: How to deal with hypochondriac patients that take a ton of time and are sure that something is wrong with them? The pt said that she wanted to transfer to my mom because the previous family physician wanted to refer her to a psychiatrist, kek.

>>10563257
The degrees are automatically valid inside EU. Here(Finland) people who go to Romania are not held in very high regard. Med school is free, and the government pays you gibs to study, so the only reason not to study here is that you were too stupid/lazy to get in or you wanted to go to a better school in Western Europe or the States. Better rejects go to the Baltic countries and the muck ends in Romania etc. So the quality of the people who come back from Romania is very low. And we recently had a case of nurses that just flat out bought diplomas from a Romanian school.

I'm sure that the schools themselves are perfectly adequate, but the Finns that go there wouldn't be good doctors even if they went to any school.

>>10563469
Med school is free for Romanians only. Foreigners pay 5k euro/year which is cheap for you guys. Idk why the fuck foreigners come back to their country with a shitty preparation. It's true that most of them don't attend lectures or don't go to do rotations because the profs are lenient (for foreigners only apparently, natives are very fucking strict, for example, I'm not allowed to miss a single rotation and I'm allowed to miss only 2 lectures.) I made some foreign friends when I had sports classes (it was general medicine students combined) and most of them told me they couldn't care less about rotations and are afraid to put a single finger on the patient kek. Now I understand you lads. Don't come here if you're not doing medschool at the Romanian program.

>>10563457
>algocalmin
>hypochondriac patient

Yikes, dipyrone for a patient that has nothing (somatically) wrong with them. I would prescribe something less risky if anything at all. From my experience the best way to deal with them is to do the full song and dance at first and if keeps going refer them to a psychiatrist. Most of these people are fairly anxious and stressed so if you sell it right they usually take the bait.

>work so hard to get into med school
>Be completely underwhelmed

Wtf I thought this would feel better

>>10563519
But do you think ma wanted to prescribe that shit? The bitch insisted because the other FP prescribed it to her, I told her to not prescribe anything but she told me "If you don't want to see her come in tomorrow for the same thing, just let me prescribe her the medication", I guess that's one good tip but managing a patient like that seems hard work to me.

>>10563532
You need to stand up to hypochondriacs, junkies, doc shoppers etc. I like the psychiatrist option. If another doctor has prescribed something they should provide records as to WHY. Especially if they are looking for specific prescriptions.

>>10563554
I'll ask mom to call the patient's FP doc tomorrow. Thanks.

>>10563554
Mom called me, she spoke with the FP she was at and wants a transfer. The other FP prescribed algocalmin for gum pain after tooth extraction and the pt felt better so she wanted more because it gave her strong placebo after this. Yeah, and she was extremely rude to the other FP when he told her it's nothing and should see a psychiatrist. He even said that he tried to convince her, basing her symptoms on stress and should see a psychiatrist to solve the main problem. And she said that she will never come back and stormed out. Kek, I think mom has a new unpleasant patient.

>>10563554
>doc shoppers
Is it bad to go to a different FP? The one I had since I was a kid is really expensive, kind of an asshole and actually made a mistake prescribing me the wrong blood tests once. Not to mention he's always at least an hour late.
Do other docs automatically assume you're a shitty patient if they see you went to a different FP?

>>10562891
Does Romania have PAs?

>>10563640
No PA's, no NP's, just nurses.

>>10563016
It doesn’t have to be that drastic. As the other anon said, they can always teach or move into a more administrative role either in a hospital or open their own private practice where they don’t operate.

>>10563273
Most kids go through this around college age. Just need to sit your parents down and explain to them that you appreciate all they’ve done for you but it’s your life and you’re not interested in medicine. Hard conversation but better to get it out of the way then fail the entrance exam or whatever it is you have to do where you live.

>>10563620
Still questioning the dipyrone, so many other options with less risks. The patient wanting the drug means nothing, I don’t write oxy for junkies even if they pull a knife on me and I certainly won’t give patients drugs just because they might come back tommorow.

>>10563839
>I certainly won't give patients drugs just because they might come back tomorrow

Well, so far it didn't fucked her up, so I guess it's not that big of a deal, honestly. If she takes one a day it's really nothing to worry about. But regarding the quote, I learned this in the ER first time, when the attending interacted with hypochondriacs and mom reminded it to me today. What would you prescribe instead?

Anyone know how oncology is as a spec?

Love genetics and found cancer very interesting when I studied it.

>>10563637
>>10563637
Is it bad? No of course not. You should seek out a practitioner that you feel meets your needs. However when you go to a new doctor and request specific medication, citing inane bullshit reasons like gum pain, you look like an addict. Poor bedside manner is a good enough reason to change providers in my opinion.

>>10563856
I post dental pain? 800mg Ibuprofen. Tylenol 3 at the highest.

>>10563532
Also, giving in to their demands will only make them abuse you and lie to you until they absolutely cannot any further. Then they find another provider. I'd say tell them you are going to try out something like Ibuprofen 800s for a while and then if it doesn't help she should consult a dentist.

>>10562767
>>10562771
Thanks, med-sempais!

>>10563957
>Ibuprofen
I thought NSAID drugs do more harm than metamizole, causes less kidney and CV damage than NSAIDs and even ODd metamizole is safer than ibuprofen.

All of this considering that the patient is taking it regularly for that placebo shit effect. Anyways, I really hope mom won't accept the transfer, also thanks for the tips! I'll keep them in mind. Just curious, are you the french lad that posts ECGs?

>>10563965
The gum pain is long gone, my friend. She takes metamizole because she remained with the fact that it releases all her pain.

>>10563989
No problem but it's the one and the same person.

>>10563115
>In the Czech republic, we had a salmonella outbreak from polish imported chickens
Keksimus magnus. I hope none died, though.

>>10563995
Nah, it has died down now.

Is a resting heart rate of 85 BPM bad for a 21 year old male with moderate physical activity and normal BMI?

>>10563993
American who deals with mentally ill and addicts everyday.

How much will an L1 anterior wedge fracture affect my ability to do things? It seems like I've had it for around a year, but I've been running and moving furniture as normal without any significant discomfort. I only have to move positions once or twice during a long car ride

>>10563856
I’d roll with ibuprofen at the highest. You always have a risk of agranulocytosis with dipyrol, even if you only eat it for a day.

>>10564559
*dipyrone

>>10564196
If it doesn’t drop below that at all, I would get it looked at just to be sure. It could also be stress-related, too much coffee etc.

>>10563893
You have to read a ton to keep up with the field and deal with people that you’ve seen for years dying.

I had a stroke 2.5 years ago and suspect my brain is severely damaged. never diagnosed or anything but obvious symptoms

any anons would talk to me?

>>10562736
>>10562767
Thank fucking god at my school the curriculum barely emphasized path

>>10562484
Any RNs know how University of Washington Nursing program is? Is it worth moving to Seattle?

>>10564714
stop spamming the board with this shit and see a doctor for your hypochondria

>>10564854
There is very little worth moving to Seattle over.

>>10563457
Tell her "I'm afraid modern medicine has nothing more to offer you."

then send her to a natropathic or chiropractic quack, they make their living on bullshit

100% serious

>>10563637
No, that's fine. You have a right to find a practitioner that you like.

Doc "shopping" really refers to seeking a provider or multiple providers who will write rx's for narcotics

>>10565318
If something happens, I'll update but she didn't show up for the rest of the night.

>>10564385
It will most likely fuck you up in the long run. For example with osteoporosis, you'll get some nice spine damage.

>>10562484
hmm, don't think you can become an oncologist with "OK grades" and being jus an "average nerd"

>>10564385
I plan on continuing regular cardio, swimming and calisthenics, is there anything else that I could be doing to strengthen that area/mitigate further damage and minimise the risk of developing osteoporosis? Thanks

>>10565528
Whoops, meant to reply to this post >>10565512

>>10563469
>The degrees are automatically valid inside EU
No wonder Canada makes it nigh impossible for Euro docs to practise here without re-certifying. Thank goodness.

>>10563532
if a poorly socialized dog brings you a ball and you consent to throw it, it will pester you to be it's 'ball thrower' for all time.
If you refuse to make the first throw, it will have to find someone else.

>>10565530
Except for Irish, and French in Quebec.

>>10565528
Swimming and cycling would be nice. Stop lifting heavy stuff and take care of your posture. Have you spoke to a physician about it? If so, what did they recommend?

>>10562484
where is Dr House on this charT?

>>10565592
No ID, no nephro, too bad Dr Gregory house.
>>10565539
Update: She went to the ER that night, kek. The lads from the ER put a banana bag on her and called psych. I'm really curious what is going to happen if she comes back to mom's practice.

>>10565584
Yeah I talked to my GP today, who discouraged heavy lifting that involves the spine but was very happy for me to continue with running, swimming and calisthenics.

>>10563273
Don't do it anon. If you do, you'll probably be miserable and you'll end up working something you don't enjoy and is kinda underappreciated and underpaid in most countries.
>>10563457
That kinda sounds like MS, but she might hypochondriac too. And to be honest I have no idea how to deal with these people. No doctor has ever given me an exact answer.
>>10563893
Hard as balls imo, but nevertheless very interesting.

>>10565650
>underpaid
Physicians in the first world are well paid pretty much everywhere, can't think of a country where doctors actually have a low income (relatively to the length of their studies). Underappreciated for sure though.

btw neurology internship rotation this and next week

>doing a ward round
>all docs are women
>everyone talking over each other
>no one listens to each other
>no one knows what's going on with the patients
>complain all the time
>no clear order on how things should be done

Sorry grills, but shit like this doesn't happen in mainly male collectives.

>>10565652
ok some specialties are underpaid, not all

>want to study dietetics

Do I have a place here or should I just kms?
Nutritions coo, man.

>>10565660
Nutrition is alright as long as you're not one of these fucks that just watch a whore brag on youtube how gluten is bad for you and you should go vegan and buy this tea. And how food is a medicine.

>>10565670
It's a big reason I wanted to go into dietetics specifically.

"Dietician" carries a lot more clinical weight in it's name than "nutritionist".

>>10565652
True. Here in Romania an EM attending earns 36k euros/year which is extremely low compared to first world countries but middle-high class salary for us.

>>10565693
Can you take your degree abroad?

Or do they just go
>romania
and into the trash it goes?

I knew a Russian doctor who went to the UK.

>>10565700
Of course they can go abroad. Actually many of our doctors go abroad and get a decent life style while some frenchies, germans and Italians stay here. But the foreigners do poorly in the residency exam here and most of them are left with specs like epidemiology, occupational med, public health and so on.

>>10565702
Where are they going for their residency?

>>10565704
Foreigners? I have literally no idea. Met this Italian guy that was at the foreign programs but spoke Romanian extremely well, he failed the admission exam at the Romanian program so he gave it a shot there. He lives here, his father has some popular clinic in my city (plastic surgery , Derm and OBGYN clinic) so that's one reason he wants to stay here but he is complete shit, seen him a few times waiting to re-take the childcare exam, kek. How much of a brainlet you must be to fail childcare?

>>10565720
>Foreigners?

I was talking about Romanians, where can they go after med school?

>>10565727
Most of them go to France, Austria and Germany. Most of them are FM or surgery of any kind.

>>10565616
Go and ask your question on the Barbell Medicine forum. They are doctors that are up to date with pain and injury research as it relates to exercise. Do not listen to your GP who is almost certainly not up to date with it.

I can assure you they will not recommend that you stop lifting.

>>10565745
You can't do your entire residency in France without passing french residency exam (Épreuves Classantes Nationales). From next September it won't be possible anymore for foreigners (even for EU members).

>>10565754
No. They go abroad after finishing residency here.

Are you schizophrenic?
Do you feel tired and hallucinate about ponies and stuff?
Well, we have the perfect solution for you!

https://www.ncbi.nlm.nih.gov/pubmed/30990224

>>10565845
>There were no data to analyse as no studies met the inclusion criteria
Lol. Shitty researchers btfo

>>10565853
Then why tf did they publish this shit? Holy shit this is kekworthy.

Opinions on neuro?

>>10565745

How do they manage that if they can't speak the language? I ask because I have an EU passport but will be studying medicine in Aus and would not mind applying for FM or psyc in the EU. Is this even possible if I don't speak German?

Had my testosteron levels checked due to fatigue, doctor said they were normal and shouldn't be of an issue

I could read the values, which were 9 and 35 (of what I don't know, metric country btw)

What could these levels be and are they actually normal?
>23 male
>physically active
>healthy green diet

Can prolonged local hypothermia cause inflamation or any -itis?

>>10566081
There is always normal range next to your own numbers you can look at that and see if its low

>>10566087
I don't have any paperwork at home to look at. I saw those numbers on his screen

>>10566082
>prolonged hypothermia
Like putting a foot in the freezer? It can cause frostbite. In what context do you mean "local hypothermia"?

>>10566058
They learn another language (besides English) during residency, just to make sure they're prepared. Most of them are very determined to work outside and they really fight for that juicy place in France/Austria/Germany at a big hospital or something. I can't imagine being accepted without knowing the language.

Should a 24 year old be really worried that his CRP level is 100 mg/l?

>>10566096
More in a sense of causing orchitis or prostatitis by sitting in cold surface, i did not mean limbs, but internal organs.

>>10566186
You could have a CFD.

>>10566090
Sorry i have no idea there are few systems maybe there was letters beside numbers this could be helpfull?

What are the drawbacks of choosing a specialty that can't be done in private practice (like anaesthesiology, path, some surg specs, IM...)?

>>10566186
You should probably go see a doctor.

>>10566240
You can't have a private practice. IM definitely can be done in a private practice though.

Quite specific but looking for information from UK doctors/med students in the armed forced or going into the armed forces.
Im a student at the minute and am interested in joining after medical school, but I know you have to commit a number of years (I read 7 somewhere)

Specifically want to know how practice compares to NHS work, and what specialties are available in the armed forces, because I'm sure some are in higher demand than others (e.g. emergency medicine), and some are outright unnecessary (e.g. paeds).
Don't want to go into it if I'll end up being forced to be a GP.

>>10565845
>Have no idea how to get published in med school, fear I'll never have any research or opportunities to get any publications
>These two clowns get this published
Maybe there's hope

Stupid graduating pre-med here. I’m taking a year off and applying this upcoming cycle trying to figure out what I wanna do.
What are the pros and cons of EMT vs. scribing? I have had my EMT-B certification for about 3 months but haven’t used it due to school.

>>10566267
What are the hospital-only specs aside from anesthesiology, general/neuro/cardiothoracic surg and pathology?
>IM
Yeah but you’d practice as a GP then right?

Anyone else skip posts that have word ‘premed’ in it without reading?

>>10563212
>tfw no one cares about ECG on a /med/ thread

>>10566351
that would mean they'd never respond to you anon

>>10566345
Not him but I'm pretty sure you can do more than a family physician with IM in private practice. You can go into primary care, yes but you can also be full IM and get referrals from the doc.

>>10566363
Tachycardia with some pathology.

>>10566371
>with some pathology

>>10563212
It's atrial fibrillation.

>>10566387
Also, does the patient have some pacemaker?

>>10566387
No. It shows regular rhythm and P wave, you have literally 0 argument for AF...

>>10566389
No.

>>10563212
Septal STEMI
>>10566387
Has p waves and regular rhythm

>>10566400
>>10566406
Idk man, just said first pathological thing that came to mind, kek. Thank god surgical specs don't need this.

>>10566345
Pretty much all the diagnostic specialties. Any surgery that is not day surgery (i.e. patient has stay in a hospital), though I know a couple of surgeons who basically rent an operating theater and the associated stuff from a private hospital.

You can definitely practice as an IM specialist, you just need to be good enough that someone will refer patients to you.

>>10566406
It's not a STEMI.

>>10563212
Brugada.

>>10563212
It looks like a bundle branch block to me. Probably RBBB?

>>10566453
You piece of shit! You reverse searched it?

>>10566453
Correct!

>>10566462
No, I know how to google words as well.

>>10566472
Kek'd. I honestly haven't heard of this until now.

Riddle me this, /med/. How many grams of oxygen are in a ml of arterial blood?

>>10566485
>grams
I thought there is only oxygen saturation.

>>10566485
Also, there are 7,1 - 9,9 mmols

>>10566324
Don't waste your time being a ditch doctor. Shit or get off the pot.

>>10563457
That's what homeopathy was invented for, my man. And all the other assorted bullshit.

Got some more ECGs or Echoes or something interesting?

>>10566585
OK, a repost from the old thread but no one noticed it. What is the diagnosis? Don't google it you fat fucks.

1/3

>>10566602
2/3

>>10566606
Pretty simple.

3/3

>>10566534
>what did he mean by this

>>10566602
Haven't done ophto yet.

>>10566606
Is it that little thingy in the left ventricle? Not sure about it tho.

>>10566610
That's a liver and I think it's cirrhosis

>>10566651
Right ventricle*

>>10566651
All 3 pictures are the same patient and describe one specific disease.

>>10566671
Well, 3 looks like cirrhosis but I only seen one case of this. Hep encephalopathy?

>>10566648
Just go to medical school

>>10566602
KF rings.
>>10566610
Cirrhosis.
>>10566606
Hyperintesity in the basal ganglia.

So Wilson's probably?

>>10566602
>>10566606
>>10566610
Willson’s disease

>>10566718
>>10566725

Correct! Another one, don't google it!

>>10566727
Broken Heart?

>>10566747
Yeah, we call it Takotsubo here but I guess it's the same thing.

How the fuck is r/medicalschool better than this cesspool of a general?

>>10566774
>unironically browsing r*ddit

>>10563201
Anyone?

>>10566774
You should go back there and enjoy it my friend

Here's one for you guys. Might be easy or not.

>>10566801
Someone who has lots of experience innit duh... also there are people who specialize only in cbt you can try them too

>>10566801
Honestly it's pretty hard to tell. A lot will come down to how well the two of you click. Research shows that inexperienced therapists have better effects, but it's pretty shitty research.

>>10566808
>it's pretty shitty research
Why?

>>10566811
The methodology is pretty wonky in most studies on therapy.

>>10566804
Larva migrans?

>>10566804
Ringworm or scabies but im not sure

>>10566774
Fuck off back to R*ddit you limp-wristed gook

>>10566816
yup

>>10566774
>r/medicalschool is better

>>10566831
Yep. At least the shitposting here is funny.

>>10566837

>>10566830
Another easy ECG.

>>10566774

You’re in the wrong part of town, onions boy.

>>10566858
STEMI STEMI STEMI

>>10566858
Pericarditis?

>>10566872
No

>>10566877
Correct!

No cheating. Saw this only once in my cards rotation and had no idea about this shit until then.

>>10566898
shit. Actually this was the one.

>>10566901
Stop posting this bollocks

>>10566957
I'm not the French guy that posted the others.

>>10562947
Genuinely curious, if nobody gives a fuck about what the radiologist says then why do they exist?

>>10567051
I think you took that the wrong way. Nobody cares what a radiologist has to say treatment wise. Diagnostic radiologists just see what's wrong with the pt and give the result back to the clinician. That's all the clinician needs, not an opinion on treatment and management.

>i'll be 31 when I graduate
any boomers in here?

Is MD/PhD a meme or should I just go pure PhD? I want to go into academic medicine, and help discover shit, but also want to go to a highly ranked school (Top 30)
>inb4 prestige doesnt matter
because of the absolutely retarded networking/facility advantage such top schools give you in regards to research specifically, it matters a lot in regards to medicine. Especially since the top 30 are basically the only unis actually getting shit done in this field. As for stats: Currently have 3.71 cum gpa but 3.83 science, 517 MCAT, 2 Semesters of research exp,~100 hours non clinical volunteering, and 0 clinical hours (I know im retarded and need to pump clinical numbers up before applying). On top of my already decent stats for anyone im also (((URM))) I mention it because it would only help in Md/PhD programs, not pure PhD programs where they dont give a fuck about your background; going pure phd would probably limit the probability of a prestigious uni taking me, and competition is fierce out there. If it matters in your analysis of my situation, I literally do not give a fuck about the opportunity cost of the income lost while in school because im one of those fags who truly love the science of it all and getting to work at a well funded uni doijg something I love is worth the loss in money, so i dont care about how just being an MD btfo’s the research route income wise

To reiterate: Any tips or resources you guys have for people like me who are curious about the efficacy of Md/PhD for someone interested in medical research? Is it worth it or just a meme? Should i just go for a PhD even if it hampers the prestige of where I go?

>>10567358
Another related question: Do you guys know of people who originally enrolled for strictly an MD but were able to pivot and successfully orient their careers towards academia regardles sof their lack of PhD? If so im open to that route too; as long as I learn the tools and am able to get a position where I can carryout research idgaf about the letters after my name

>>10567313
Me too. And I’ll be a U.K. graduate, where training is longer. Looking forward to retiring a couple of years after I become a consultant (attending).

>>10567358
>MD and PhD
Definitely not a meme, there is a lot of research you can only do if you have a MD. In addition it has a nice signal value. Medicine is a cult, it helps not to be an outsider.

>>10567364
There are a lot of plain MD's doing research, if you have enough merits, no one cares about the letters. Though attaining a PhD when steadily entrenched in research is trivial.

>>10567313
35 when my residency is done.

>>10567364
Some of the best researchers are pure MD, and a lot of MD/PhD programs are available to join after your first or second year of med school (by then your research experience can be more robust and you have a safety net).

>>10567358
>2 semesters of research
See, this is what scares me. I've always heard you need 2 or 3 YEARS for them to even take a look at you. I only have one year and I'm terrified.

>>10567140
I gotcha, thanks for explaining it

>>10566090
Call the surgery and ask to see the results, you can have them print them and come and pick them up (if you're close that would be easiest, since they'd probably do it then and there). Or ask them to email them to you, or you can ask them to read them out to you.

It's *your* data, man. you're allowed to have it

>>10567313
>tfw 30 right now and just considering studying medicine

I ain't gonna study to be a nurse if I can be a Dr.

FUCK research. I don't understand how anyone can enjoy that shit

>>10567928
They're currently trying to force us to do research in our undergrad, so instead of doing units that might help us down the line we're doing fucking stats and basic research principles. I spit on your fucking useless research.

So frens redpill me on going to dental school vs medical school. I just want to make a lot of money.

> there are actual doctors who are fat and have a BMI over 30.

Be honest , why are you in this profession if you are a slobbering fat fuck? Aren't you suppose to advertise yourself as a pristine model of health and well-being?

I've un-ironically witnessed doctors bitching at patients for their poor dietary decisions, while the doctors, themselves, have the most grotesque waist lines imaginable. Yikes.

>>10568244
cooking and exercise require precious time
you should be grateful doctors sacrifice their own health for yours.

>>10568258
> Literally not having the self-control to eat less
Yikes.

>>10568244
Job stress is one.

I know one doctor who has the dirtiest room you could imagine, but fuck me if he doesn't know pathology like a genius.

>>10568430
Those two go well together. Messy room and pathology are like fedora and anime.

Sorry if this is medical advice, but I just want more info.
What causes pelvic arteriovenous malformations to re-grow and resist treatment?
I was just diagnosed with one after trying to figure out the chronic pain in my groin. Told it's rare for men to have these, doctor thinks I was born with it and it just presented itself now due to my recent lecturing gig at uni where I stand for hours.
What causes the new blood vessel formation to be so aggressive when the AVM is treated? The vascular surgeon was saying how even with interventions, it can grow back larger and more invasive. Made it sound like a fuckin cancer. I want to learn more about blood vessel genesis or related info in an effort to calm my nerves.

Somebody just tell me whether being a "gunner" is good or bad. I can't even tell based on how other students use it.

>>10568244
>the vascular surgeon who chain-smokes cigs after his shifts
>on-campus
>in plain sight
I blame cognitive dissonance.

>>10568612
Gunner is bad. As a student you need humility. Gunners are the arrogant pricks that always question the profs decision and looks with superiority towards midlevels

>>10568616
Our pulmonology attending is a smoker. Also smokes in plain sight or in his office with or without the patient in front of him.

>>10568632
>Also smokes in plain sight or in his office with or without the patient in front of him

Which country? It is forbidden by law where I am.

>>10568612
I always felt that a gunner is a person who sees themselves more as an equal with professors than their fellow students, and always attempt to gain that validation from the profs and doctors rather than actually step back and be a student. They'll waste professor's time and set an unrealistic precedent for other students who don't want to study for 18 hours a day on content not even in the syllabus. As someone who worked part time during their undergrad, these people can burn in fucking hell.

>>10568129
You’ll need to read research for the rest of your working life to be a decent doctor, so it’s good that you have a basic understanding of statistics etc.

>>10568637
Hahaha. Romania, bro. It's forbidden here too, but he's the head of pulmonology department and in his office he doesn't give a single flying fuck. Today for example, he told us to come in his office (8 people, 9 with him) to discuss some CT scans and radiographies. He lit a cigarette and started browsing his PC kek.

>>10568154
this is my situation as well

>>10568659
>Romania

This is banana republic tier. Dude wouldn't do that in any western country or would be fired.

>>10568684
>banana republic tier
I agree. But he's an old dude that still lives and acts like it's communism. The only lad I saw smoke in his office or in front of us/patients.

>>10568154
You can make so much more money after finishing medschool and matched into a $$$$ spec. Dental is boring, barely any variety, not so much $ imo.

>>10568702
Well anything over 6 figures is a lot of money for me. I'm just wondering if working that much harder/longer is worth it for medical school. I'm also trying to consider my work life/regular life in this equation.

>>10568632
>>10568616
These dudes are based and redpilled and know that tobacco is healthy. Not their fault everyone else are sheep that blindly follow fraudulent health recommendations.

>>10568723
I don't know about that. I'm not a fan of cigarettes but here in Romania there are a few docs that are heavy smokers or tobacco chewers. My urology prof used to chew tobacco under his mask in the OR, kek. When I had an appointment to him and transformed my balls into anti stress balls, he wore a nicotine patch on his forearm (no idea why there) , I guess he's trying to quit. Seen many lung cancer patients on my rotations, 80% of them smokers, I honestly don't want to end up like them.

>interesting work
>very good hours and work-life balance
>don't have to deal with patient's bullshit
>great pay not only in the US
What are the drawbacks of pathology?

>>10568715
Psychiatry. Cash, free time, you don't get to touch patients but listening to them may be mentally exhausting.

>>10568741
>pathology
kek. Cancer risk, you work with carcinogens to make the slides. Can be boring if you don't go into research.

>>10568752
>Psychiatry
I'm not too interested in that but thanks for the suggestion.

>>10568632
>>10568616
>>10568244
For many it's just fatalism. You can be dead or dying tomorrow, no matter how healthy you live.

>>10568763
What are you interested in?

>>10568765
If I'm being honest, I'm not too sure. I'm not one for direct patient interaction so I was originally aiming for anesthesiology. Recently though, I've been considering dentistry though because it seems like less work and they still make a lot of money, at least to me.

>>10568770
Well, then. I wish you luck, but medicine is much more interesting imo.

>>10568772
Thanks anon, I'll eventually decide.

>>10568752
>>10568770
>>10568772
The best specs for what anon wants are probably ophto and derm. Free time, lots of money (more than psych), derm is kind of gross but ophto is clean as fuck, rarely on call... If you want an easy life those are the ones you should be looking at. Also radiology maybe.

>>10568775
I mentioned psych because psych hours are amazing. Ophtos are "on call" but it's true that they don't come in unless it's something weird or shit hit the fan.

>>10568776
>psych hours are amazing
Ophto and derm hours as well (most of the time, as you said).
Anon did mention he wanted little patient interaction though, so maybe those two aren't for him either. Rad then, though the work-life balance is less optimal

>>10568777
>minimal patient interaction
I can't think of anything else besides path and rads. Maybe occupational medicine (They don't really practice medicine anymore, it's just a ton of paperwork)

>>10568778
>besides path and rads
As he said, anesthesiology, also med bio. But yeah that's pretty much it.

>I want to be a doctor but I want little patient interaction, excellent work-life balance and tons of Shekels

Fuck off already, don't be a physician if you want "little patient interaction" and 9 to 5 workdays you mongs. This is hard work from med school to retirement and you will fail hard if you're not 100% at it.

>>10568799
You can easily have shekels and a comfy 9-5 as a physician with a private practice though, you just have to accept patient interaction. See derm, psych, ophto, and to a lesser extent neuro, stomatology and ORL.
Patient interaction isn't that hard anyway even if you're an autist, as long as you have a shred of empathy you'll be fine.

>>10568804
Even FM brings decent money and lifestyle, especially rural.

>>10568810
Depends on the country, I think. All the GPs I know who make good money have terrible hours.
Honestly if that's one's criteria for choosing a spec (and assuming they have good grades) I strongly recommend ophthalmology. The only drawbacks being that some find it boring, and that once in a blue moon they'll be on call, but if they can't handle that they shouldn't be a physician anyway.

>>10568816
Mom's a FM, the office is nearby our house, works 8 hours a day and keeps it open for the rest of the night in case of minor emergencies. There's always medical staff there, not always mom and the pay is especially good considering we live in Romania. She makes as much as an ER attending / year. (Also, is this a reason why most doctors are complete asshole towards FM?)

I just don't understand why the orderlies, the largest of the hospital staff, do not simply eat the physicians.

>>10568820
As I said, it's most likely heavily dependent on your country. FM is a good spec though, but you need to have great bedside manner compared to most other specs
>asshole towards FM
I've only seen surgeons be like that but they're assholes to everyone anyway

>>10568799

t. Premed romantic

>>10568804
Sorry but you're full of shit. No you can't "easily have shekels and a comfy 9-5 as a physician with a private practice" and you clearly have no idea of what it takes to be good enough just to consider PP when you're ortho or ENT. And even when you can actually open it, we're talking about heavy responsibilities, long hours, and sometimes heavy investment.

Please stop this misinformation.

>>10568844
The US isn't the entire world, dumbass.
>No you can't
Yeah, you can. It's not as unattainable as you make it out to be, not in Europe at least. Most people here who go into ORL end up with their own practice, being on call doesn't change that.
>ortho
Learn to read.
>heavy responsibilities
Are you fucking serious? Yeah, you tend to have a certain amount of responsibilities when you're a physician. Anyone who isn't completely retarded realizes that before going into medicine.
>long hours
Not always, no. Depends on the spec. Ophto, derm and psych definitely not unless they want to.
>heavy investment
For ophto, somewhat, but it's more than worth it. It's still nowhere near specs like radiology in that regard, though.

"Things that happen outside the united states" aren't misinformation, bub.

>>10566049
See my post about it >>10565655 I hope other neuro wards aren't like this.
>>10566194
I don't think this is possible anon.
>>10566453
I always miss this shit. Fuck this stupid syndrome.
>>10566602
>>10566606
>>10566610
Wilson-Konovalov
>>10566772
Is this a fucking cardio-pulmonary bypass in the back of a fucking ambulance?
>>10566901
kinda looks like RBBB

Not a med student but I was wondering, do all surgeons go through the same basics or are some of them specialized from the start? For example do neurosurgeons, eye surgeons and plastic surgeons know how to perform more general procedures (like appendicitis or whatever) or are they limited to their specific area?

>>10569177
>Is this a fucking cardio-pulmonary bypass in the back of a fucking ambulance?

Pre-hospital ECMO.

Diagnosis?

>>10567358
>2 Semesters of research exp
You need more research experience and you need your name on as many publications as possible. And yeah, 100 hours of volunteering is a joke. Triple it for nonclinical and get at least 100 hrs clinical.

>>10568154
The real red pill is to do a dual degree DDS MD. I know a guy who did it and currently works doing massive reconstructive facial surgery including teeth. Easily clears a million a year.

>>10569609
I think it looks like left venteicle hypertrophy can anyone confirm?

>>10569739
Wrong :^)

>>10562484
How many of you can do math above Calc 2 and how many of you passed Calc 2 on your first try?

Seriously, if you can do it over again, would you rather go to PA school rather than going to medical school?

>>10569830
lol no

>>10562484
>Choosing literally to waste time learning how to heal other people just so you can get money

LOL!!!!!!!!!!!!!!!!!!!!!!!!!

>>10569796
Why do you think that’s an important question?

>>10569796
I didn’t take Calc 2 because it’s useless for medicine. Hell, calc 1 is useless for medicine, along with physics and 95% of general chemistry.

>>10569796
> struggling to pass calc 2

Also, all you really need are anki and your female colleague's nicely typed notes anon.

>>10569796
I have a Masters in Physics

>>10569830
Why would I?

>>10570244
I have a Masters in Calc 2

Why is Med School so full of women? In my country 75% of medical graduates are women.

New thread : >>10570337

New thread : >>10570337

New thread : >>10570337

>>10569668
Ambitious