/sci/ - Science & Math

>>10579914
old thread: >>10570337

>>10579908
>IR? Hell yes
Is it true that rad is a shitty spec to get into unless you're going for IR?

I'm interested in studying to become a dietician but there doesn't seem to be a lot of demand for them, are there any nearby related fields/jobs that *do* have demand where I can contribute?

Who's that pokemon?

>>10579919
>Is it true that rad is a shitty spec to get into unless you're going for IR?

Absolutely not. Diagnostic radiology is crucial and helps the clinicians/surgeons a lot. In-depth knowledge of anatomy, very well paid and great lifestyle. IR is if you want more "action" in your life.

>>10579921
Have literally no idea what else to do and not become a doctor. (Endocrinology -> diabeetus where you actually do diet charts for the patients)

>>10579925
I was actually thinking about studying Dermatology. Seems like an interesting field with certainly more money than dietetics.

>>10579929
Yeah, and derm is a thousand times more competitive, so good luck.

>>10579950
So whats something that pays alright and isn't super competitive? General practice?

>>10579955
Family med is the least competitive and one of the lowest paid specs. General surgery is not competitive, high payment,but very demanding.

>>10579961
Fuck surgery. GPs still earn good money. Ok cya in 15 years I'm off to become a doctor.

>>10579963
I'm other saying that FM is not earning good money but compared to other specs it's one of the lowest paid ones.

>>10579994
To be honest I'd like something that is medical, but I like just the study and application of the knowledge and helping people who need it.

I don't have any business acumen at all, so I don't want to go into a field that is really cutthroat and full of people who want to stomp out the competition and get all the patients.

>>10579955
>>10579961

Strangely GP is one of the best paid 'specialities' in the UK.

>>10580023
What do they earn?

>>10580002
>>10580023
I myself want to become a family physician, in Romania FPs make more money than an ER attending but I was thinking OP is from US as most of the posters are. How much does an UK GP make/year?

What's the best residency for research besides path or onc?

>>10580038
Most of them. Cards, optho, critical care/pulm, anaesthesia.

>>10579955

Fuck off we don't need people like you going to med school you make shitty doctors

>>10580052
>being more concerned with maximizing profits than patient care is bad

Contributing to that great and wonderful American healthcare system, I see.
Go make some more opium addicts.

>>10580064

Not American
Not in favour (this is how normal people spell it, retard) of opiates except for palliative/hospice patients.
People who want to do medicine for money are the most insufferable NIGGERS. You retards get into medical school and become "gunners" aiming for some ultra competitive, high paying specialty like derm, optho, or otho, suck a lot of cock, inevitably fail like the fags you are, settle for FM, psyc or IM and then treat patients like shit.

>>10580094
What's wrong with having money factor in your decision when choosing a specialty?
Ideally it should be a combination of
>what you're good at
>what you're interested in
>what pays well/has a good lifestyle

>>10580064
Pretty much this >>10580094 , aiming to become a doctor just because of the money is a bad thing since there are other careers that bring decent money but with less stress. And as the other anon said, you'd probably settle for a spec like the ones listed by him where you have to be friendly and have a professional attitude towards the patient and instead you just shit on them with your "gunner" arrogance. I'm in medschool for a good reason, and money is not a good reason.

>>10580094
I think you have me confused with somebody else, I came into this discussion wanting to get into medicine, but if a field is full of bloodsuckers I'd rather go somewhere less about business grind and more about medical work.

https://allthatsinteresting.com/leonid-rogozov

>>10580117
Based guy, read about him in "History of Medicine" optional class in my first year of medschool.

>>10580103

Extreme Based (with a capital B) and incredibly medpilled.

>at gym
>water fountain's drain is clogged, so it's basin is filled with water
>get a drink
>water from fountain splashes into clogged up water and that splashes into my mouth

So how many diseases have I got now?

>>10580161
>so how many diseases have I go now?
Too many to count.

This is it lads. I can't study for pulmonology anymore, my head literally hurts, I can't memorize anymore.

>>10579922
>In-depth knowledge of anatomy,
As much as gen surg?

>>10580103
Eh, some narcissistic brainlets failing to realize their aspirations and taking it out on patients, doesn't mean that money isn't a valid reason to go into medicine. Motivation doesn't guarantee anything, I know loads of shitty and bitter doctors who "are passionate about medicine" or "want to help people" etc.

There are things that give decent money with less stress, but not a lot of things that will give more money than a doctor with similar certainty.

>>10580530
>more money than a doctor with similar certainty.
Private equity
More stress though, and more competitive

>>10580518
Depends, rads is good all rounder in anatomy, you basically have to know the anatomy of the entire body at a certain level while gen surg is going in-depth for abdominal anatomy, neck anatomy and pelvic anatomy in some cases.
>>10580530
Law school can bring plenty of cash, sometimes more than a doctor makes for example.

>I know loads of shitty and bitter doctors who "are passionate about medicine" or "want to help people" etc.

They're lying, then. Simple as that. No physician that enjoys what he/she is doing will be bitter or cold towards a patient in need of treatment/care. I know some students, friends of mine, that went for medschool because they were born in poor families (working-class) and they're in it mostly for the money. They do study religiously everyday and that shows in their grades, but honestly, there are too few of them that actually like to study medicine. As I said, I'm not in it for the money, my mother has a private practice where I can work after finishing residency and have a fat paycheck, I was attracted to medicine since day one when I realized how much effort my mother puts in order to make a patient feel better and help out other people in need.

>>10580586
Law is a meme, lawyers make like 50k a year unless they went to a top 3 school.

>>10580631
>average salary of 140k

>>10580666
That figure is for the largest firms only.

>>10580671
>family physicians average of 195k
And I doubt they counter in the physicians in private practices or small hospitals. There is a difference, but compared to how intensely we are trained compared to them, it's fine.

>>10580586
Law is much more uncertain, it's oversaturated in many places, and requires much more dick sucking or connections to reach decent wages.

>They are lying.

No, they are just stupid or lack self-awareness.

>No physician that enjoys what he/she is doing will be bitter or cold towards a patient in need of treatment/care.

Literally legions of these people exist. Poor social skills, long nights, personal issues not related work, etc. We are all human.

>>10580666
1 partner making 950k a year per 9 nubkins making 50k a year. average salary 140k

>>10580711
>Literally legions of these people exist
It's true to a certain level, but I'm talking about the ones that do this all the time. From time to time it's acceptable to behave like that, maybe a patient ruined your day or you go trough a divorce or something.
>>10580764
Who the fuck makes 950k after law?

>>10579869
>Why are naturopaths allowed to practice, anyway?
No clue. There was quite an uproar up here in Canada when it was found that a naturopath was treating a young boy's behavior issues with the diluted saliva of a rabid dog for fucks sake. The naturopath was not allowed to practice again but otherwise no changes in letting them run clinics everywhere. Naturopaths and homeopathic "treatments" are being put more in the spot light up here though since 3 kids died of curable conditions due to the parents choosing to treat with natural crap.

>>10580800
What I find particularly annoying is that every time I talk about homeopathy with someone, they invariably go on about how "well even if it's a placebo at least it works right?" which is such a retarded mentality

>>10580800
>diluted saliva of a rabid dog
I'm dying, kek

How come he got off so easily? No fines? No prison? It's a person's health we're talking about here.

>>10580803
Agreed. I'm a community health nurse and no matter how hard I try to convince, patients see these as natural=safe, so they opt for those magic pills instead of actual medications prescribed by their doctor.

>>10580805
She voluntarily surrendered her "naturopathic licence" before it was revoked, but intends to continue practicing as a homeopath. No prison time or fine, as expected of the Canadian law system.
But laugh more. Health Canada has also approved treatments made from the Herpes simplex secretion obtained by opening the vesicles, human lung tissue infected with Mycobacterium tuberculosis, cerebral fluid of those with bacterial meningitis, diphtheria infected membranes and cells taken from carcinomas.
What a joke. Canada sucks.

fellow dentists, howdy!
still in 2nd year after i failed last year "due to not caring".. anyway, i'm planning to -after my passion is back stronger- study materials that allows me to get the whole concept of dentistry in short period "as for theoretical science"
my question is, any suggestions for good books to start with? some basics? stuff that helped you with your studies?
appreciated.

>>10580857
>fellow dentists
>pepe has a stethoscope

No wonder you failed desu.

>>10580850
What the fuck. I wasn't expecting this from Canadians. What the scope of the treatment with those secretions/cells? Homeopathy? I feel like naturopaths are some kind of shamans that act as real doctors because they're frustrated they couldn't get in medschool or they're extremely anti modern medicine.

>>10580857
Good luck with that. Haven't seen many dentistry students here.

>>10580865
(pic related)
>>10580868
thanks, i remember there used to be some months ago.

>>10580868
>What the scope of the treatment with those secretions/cells? Homeopathy?
Yeah, homeopathy. I don't know how these people make and measure theses concentrations, or if it's all just water in these treatments, but it's a concern to me for obvious reasons.

>they're frustrated they couldn't get in medschool or they're extremely anti modern medicine.
I find with the general population it's a mix of anti-modern medicine and frustration with how modern medicine isn't, as they say, patient focused. From one patient whose since turned away from natural medicine, he felt going to a natural practitioner was giving him a more personal-guided treatment opposed to getting the same treatments as the rest of the population. Then his liver enzymes went into dangerous territory and he nearly put himself into liver failure. He's firmly anti-natural/homeopathic now.

>>10580875
I think you can see that the patient aspirated something when he chokes on something, steth won't help you with anything, rales or cracklings

>>10580902
The classic "Learn the hard way" patient. I know a few myself, a patient of my mom came in with his kidneys in acute failure. She had to call an ambulance for him and when she asked what happened or what he consumed he said he drank some tea that a ND "prescribed". Apparently it fucked his kidneys beyond coming back to normal, he was on dialysis for some time until he found a donor (took like 5 years, he was a 30 something year old patient). I can't remember what tea the ND gave him but he took legal action and the ND's office was shut down.

>>10580161
your fault for not bringing your own water, retard

>>10580930
Damn son wonder what was in that tea. What was his original condition? Why did he go to nd?

>>10580666
and you blow half of that on lexisnexus and other dtatabases

>>10580930
The worst one I saw a while back was a guy in late stage heart failure. The patient was ready to go, but the family wasn't. The physician sided with the patient and stopped all further treatment, so the family stated bringing in all sorts of "natural" diureics, heart supplements and any other panacea they could find.
We eventually had to search the patient's room for any weird product-of-the-day they brought in. Guy went downhill quickly and died 10 days after the doc stopped treatment. We wonder if all the crap the family was pumping into him may have aided in his quick decline. We found stuff like watermelon concentrate pills, ginseng tabs, natural salt-absorber crap and the family couldn't understand the importance of the fluid restriction. They would secretly give him jumbo-size, movie theatre style jugs full of water. Caught them once, and they accused us of torturing the guy by limiting his water.

>>10581008
His original condition, from what I remember, was stomach ulcer. He had to drink that tea before every meal which was 4-5 times a day and can't remember for how long it went on. The patient said that the tea worked...because he drank his pills for ulcer with the tea for fucks sake. Damn, I can't remember what kind of tea, I'm sure it was some kind of apple and wolf or something that was 100% bio and it was in a paper bag.
>>10581077
>accused us of torturing the guy
Holy shit, I'd snap. The worse thing you can deal with other than the patient is his/her family, you know that very well since you're a medical professional. I feel like they try that natural shit as some "last resort" thing but it's outrageous to blame the medical staff.

>>10580875
>a dentist must carry a stethoscope with him at all times
>mfw

>>10579922
Is it a bleed? It looks like the artery's fucked-up.

>romanian family med doc is a grill
I'm also a med student from a 3rd world shithole planning to do my residency in the US we should marry

Which specs have the most nerds? Hard mode, no path

>>10580875
>During a dental procedure, there is a chance the patient might realize you aren't actually a real doctor. ... Hence, a dentist must carry a stethoscope with him at all times

>>10581595
onc, and especially rad onc

>>10581595

none, doctors are horrible normies , even the nerdiest ones

Pharmacy student reporting in. Any oncologists around? I was wondering about the rate of occurrence of oxaliplatin-induced cold sensitivity. Is this something that is taught but "only rarely" occurs?

I feel like a lot of the major AEs we are taught I will never actually get to see in practice (ex- ACE-induced angioedema).

How does it feel knowing all of your years in medical school will be useless and your jobs gone in 15 years when doctors are replaced on mass by AI systems that are better at diagnosing and treating every illness?

Is it normal for surgeons to eat snacks in the OR? The general surgeon I'm rotating with stashes beef jerky in his scrub pockets and eats it during surgeries. Doesn't seem like sterile technique, to say the least but the RNs and gas guys didn't seem bothered by this.

>>10580052
>>10580103
>DUDE MEDICINE HAS TO BE YOUR PASSION LMAO

No, being a doctor is a profession just as any. This attitude is why doctors are overworked in the first place. You're either retarded or delusional if you think a majority of people who study/studied medicine didn't have money as one of the main motivators.

>>10582159
t. theranos investor

>>10581444
Uhhhhhhhhh new blood is white on scan, old blood is dark. To me that looks like neurodegeneration. Maybe an old alzheimer's with plaques.

>>10582160
Wouldn't it be the most sterile area to eat food?

>>10580909

>>10580796
top 75 law firms, you're making a million a year after 5 years as named partner

>>10582164

It is not like any other procession. You take an oath, you're supposed to honour it. This is why I hate capitalists. Morally bankrupt Amerifat niggers.

>>10582768

Profession*

>>10581586
Why the fuck would you think I'm a girl?

>>10580198
Don't believe everything you Google

>>10582821

>>10582156
>(ex- ACE-induced angioedema).

I have seen this three times in the last five years, so it's rare but it does happen.

>>10580902
>I find with the general population it's a mix of anti-modern medicine and frustration with how modern medicine isn't, as they say, patient focused.

I agree with this 100%.

About half the time, it seems like patients just want someone to sit down and empathize with them for 60 minutes. I really want to do this. But I can't. I am forced to see 4 patients an hour because that is the standard expectation in our medical system today.

The other half of the time, patients are seeking something that we can't honestly and ethically give them. A magic pill to "cure" a common cold, or to take away the emotional pain of their otherwise shitty life. A "cure" for the anaplastic metastatic cancer.

"Alternative medicine" appears attractive because they are not bound by any sort of medical ethics, and can easily offer loads of both time and bullshit to the patient

>>10579950

rash
steroid or antifungal?
hmm...
(12 years of training later)
why not both!

Hello frens. I'm starting pharmacy school in the fall and was wondering what I need to accomplish in the next 3-4 years to maximize my chances of working in an area that isn't retail.
While I'm not averse to the idea, and acknowledge that the retail setting is where a lot of pharm grads will find themselves, I (like many) would personally prefer to work in a more interesting area. Every retail pharmacist I've talked to irl says their fine with it and appear perfectly happy, but it seems like 90% of the posts I see online from people claiming to be pharmacists talk about it as if they're moments away from ending it all.

>>10580875
>>10580875

wherever i DDS, i must also auscultate

>>10582848
>"Alternative medicine" appears attractive because they are not bound by any sort of medical ethics
This. Do a google search for any cancer and you'll find scams out there claiming to cure GBM, PNET, melanoma, etc.
As easy as it seems to just blame patients/family members on making dumb decisions, these companies are profiting off these people's thoughts of a last hope for treatment. They don't want to hear 10% chance of remission from their oncologist. They like hearing "we have a safe and effective natural cure the medical establishment doesn't want you to know about!" instead.

>>10582156
>ex- ACE-induced angioedema

just go to the hood if yo ass want nigggalips, sheeeeeeeit

>>10582896
kek

>>10582159
Can’t sue an AI.

>>10582092
Yeah and? Nerd doesn’t mean khv

>>10582907

>wherever i DDS, i must also auscultate

Please stop lying Anon, it's OK to just be a dentist.

>>10582159
Feels fine because I'm not doing radiology and patients still prefer real human interaction.

>>10583007
>implying AI will be doing diagnostic radiology anytime soon

>>10582159

Stop being bitter about not getting into med school

>>10579914
might be a long shot but does anyone here have any experience with premed at a tech school (MIT, GT, Caltech). Am I better off at my state school? This is assuming they are the same price.

>>10583164
premed is heavily dependent on GPA. Better to be a big fish in a small pond that shred your head trying to beat the best in the world at those places, most likely. IF you are 100% sure that you'll want to stay with med and that you'll have a good chance at getting in, because if not you'd be better off having a degree from one of those places

>>10582167
lel

Came back from pulmonology exam. Prof gave me a 7/10. I'm not sure I'm happy or sad since my case was pretty complicated.

Had a 64 year old patient with asthma, came to the hospital 2 days ago in status astmaticus. Rhales and crackles everywhere. Had a shit ton of meds, I presented the case to my prof, asked me about complications and differential diagnosis between asthma and COPD, told him everything I knew and he seemed okay with it until...he asked me about therapy for smokers and sleep apnoea, he emphasised on tests with scores which I didn't even read from the book. Basically I nailed the start and fucked up very nicely the finishing part. I think I deserve it, anons.

>>10582898
Do research, make yourself look like you're interested in shitty subjects.

>>10583174
>7/10

You're the guy who started to study 3 days before his test? If so, either you're very good or your school is a joke. Where are you?

>>10583200
Romania. Yes, I started with 3 days remaining until the exam but I focused on the pathologies that are more common. So I studied asthma, COPD, pneumonias and cancer and didn't study the obscure ones.

>>10583223
>Romania
That explains it.

>>10583247
If you think so, sure. I'd like to think that I'm just a lucky piece of shit.

Every time I exercise lying down I get annoying acid reflux that prevents me from doing my exercises properly. How do I fix this without PPIs or similar medication?
I also get reflux during the night I think, since I have a burning sensation in my mouth when I wake up.

>>10583269
Go see your family physicians and he/she will prescribe you some anti-acids.

>>10583269
It depends on your age and how often symptoms occurs. You can try to lose weight if you're obese and stop OH + tabacco.

As we can't do medicine on a Peruvian cartoon board, I strongly suggest you go to your GP.

>>10583247
Explains what? Can we stop shitting on this guy for a bit? He got a 7/10 in 3 days of studying, maybe he actually studied or as he said, maybe he's just a lucky piece of crap. Stop spamming this shit about the country on /med/ threads, it gets boring.

>>10583296
>He got a 7/10 in 3 days of studying
Which means it's a shithole school in a shithole country. Keep samefagging and crying though.

>>10583300
And where are you from, then?

Also
>samefagging
Do you really need a screenshot that badly?

>>10583281
Nope, healthy weight and healthy lifestyle, I’m 21.
I know, I’ll go see my doctor, but I just wanted to know if you guys knew of anything that would help in the meantime. I read apples helped with stomach acidity but I don’t know if that’s momscience.

>>10583269
Check for hernia

>>10583300
It was my practical exam, the written one is in 1 month. At the end of each rotation we have the practical exams which consists of a patient and presenting the case. Also, here's a screen shot just in case. I don't mind calling my medschool a shithole and the country too because I know they are but as doctors, Romanians are actually quite experienced and know what's up (Except for the old, communist doctrine doctors)

>>10583320
It is.

>>10583338
Without untypical symptoms and at 21, first step is to try anti-acid or PPI (depending on how often occurs his symptoms). If it doesn't help, a gastroscopy will be performed. Ultimately, surgery can be proposed, but it's not that common (Nissen fundoplication).

https://www.ncbi.nlm.nih.gov/pubmed/31006335

Stop eating meat. Let's all eat grass.

>>10583392
>https://www.ncbi.nlm.nih.gov/pubmed/31006335
let's split the difference and let our meat eat grass again as in the olden days, and heart disease will drop considerably

>>10583458
Pretty good solution, but then, meat would be a rare sight since "naturally" grown livestock is rare as it is.

>>10583458

Insects are the answer. Majority of the world eats them. The West needs to learn.

>>10583392
Eggs, cheese and yogurt are associated with lower risk, vegans btfo.

>>10583479
Yes but dairy products combined with eggs is a whole different story. Idk why you don't want to eat raw carrots and dill for the rest of your lives.

>>10580023
In Italy too.
I don't find it very strange, it's a tougher job (if done right) than what would first hit the eye.
Of course, you have those shitty doctors who just give away amoxicilline and ibuprofen like candies but those few family doctors who actually care and want to help you, deserve every last cent

Question that I forgot to ask my mom.

Was at her private practice after pulmonology exam, 4 year old boy with asthma comes in. Has pulverizer instead of inhaler. Is it because of his age? He has mild asthma attack, the pediatric pulmo gave him that.

>>10583534

Yeah I agree it's not an easy job. I suppose, though, that it's funny because if you look at the US where the market is more free, FM is one of the worst paid specialties.

No complaints from me though. I'm considering it in the UK. So easy to get a training spot, shortest training time of all specialties, super flexible, time for research and other career interests, better money than most specs, sane working hours, etc etc.

>graduated md, what a horrible ordeal that was
>got a job in rad
>by all means it should've been a cushy job, but bitterness and frustration is still at an all-time high
>"doctors get all the girls" my fucking ass, off work I'm like a zombie incarnate, and even my alright pay won't compensate for that
>cunty colleagues came and went but my mood didn't change for the better
>spend half the workday browsing 4chan instead of doing my job unless it's an urgent case
>don't study off hours ever
>gradually start performing little personal experiments about how much I can slack off a CT review and still get away with it
>yet I still command high respect amongst my colleagues because of my """"godly"""" typing speed (actually a modest 80wpm) while they mostly hunt and peck
I'm fully aware that my shitty attitude is a detriment to my patients, and thus I want to quit medicine forever before I actually cause real damage - but I grew up under a rock and have no other employable skills. What do? Where do failed doctors usually go after they've given up?

>>10583571
You could try consulting, they usually like MD.

>>10583577
What do you mean by consulting? English isn't my first language. Aren't all consultants MDs?

>>10583571
Why don't you give teaching a shot? Something that will make you more responsible and it will probably make you take your job more seriously.

>>10583581
https://en.wikipedia.org/wiki/Management_consulting

https://www.mckinsey.com/careers/search-jobs/jobs/md-fellow-1511

https://lookforzebras.com/consulting-programs/

>>10583590
FRENCHIE! How's the uni going?

>>10583592
Good thanks, how are you?

>>10583581
Be aware this is a very competitive field though.

>>10583603
Very well actually. Got a nice bollocking about me getting a 7/10 a bit earlier. Have you took your tests/exams or something?

>>10583589
Me and resposibility is like fire and water. I don't mind exerting myself and working hard, but I'm terrible at keeping up with schedules - waking up to be at work on time every day is a tough task for me, and I keep forgetting congress dates and basically
anything that's suppposed to happen later than "a week from now".
I've had some very basic experience with teaching ultrasound, but I didn't even prepare for it - I adlibbed the whole thing, which might've looked good but I actually made up shit along the way when I couldn't remember some theory stuff.
>>10583590
I can't really imagine how this job looks like in practice, but I'll keep it in mind to check out, thanks anyway.

>>10583472
the West is wealthy enough not to have to. it grass-fed and free ranging our meat would redistribute our food budgets, and result in less of the purchase of other things, but that's ok as it'd result in increased quality of life and lower medical expenses. if you're saying morally we ought to eat insects, then perhaps its true, but I don't know a lot about that

>>10583624
You said you're a radiologist. Can't you find a private practice or something to work from home? It would be much easier for you.

>>10583464
that is true and thereby would further increase healthiness due to reduced consumption. meat should be more expensive and higher quality. I mean you can keep lowering the quality floor with new tech, like taking factory farming to an even greater extreme, but at some point even the consumers start paying with their health even if they don't care about animal welfare. We've already hit that point. It's time to revert and if that means rarer and more expensive meat, that's the way to go

>>10583650
I'm still in training, so working from home wouldn't be feasible and private practice is an option, but from hearsay it seems to be more demanding and competitive rather than less, thus not very compatible with my caustic ADD assburger lifestyle.

>>10583656
And working-class people won't eat any meat at all.

>>10583659
Damn, man. I hope you'll find something to get out of this mess.

>>10583571
despite how you feel about yourself, I appreciate that you care that your attitude affects your patients. I wish more docs were like you

>>10583667
I appreciate your post and I wish you'd be right. I don't even feel like I "failed myself", I just happen to be lazy or clueless at the most vital spots part in personality, part in how I was raised, part in life (in)experience. But I'm 27 right now and I don't quite feel powerful enough to fix it all at this point. I wish I didn't give up my initial dream of becoming a programmer because of being such a stereotypical "nerd dream" - I keep coming back to programming books all the time off work, but I don't have the fortitude left to learn while I'm in this job.
>>10583668
I think I might exaggerating to some degree since I didn't once get into trouble in the three years I've been a radiologist, so I might be either some latent lazy genius of some sort or just the standards of this job are really that low - but the worry is still there, that I'm definitely not giving it my all and I'm too caught up with fixing my own life to give a shit.

>>10583659
So still in residency? If so, just struggle to the end. You can choose when and where to work and are compensated better.

>>10583685
You like programming, you're a rads resident and you can't figure out what you could do?

>>10583685
are you in the US? If you got into one of the top 4 competitive specialties in the US and are doing fine half-assing it, yeah you're a genius

>tfw gypsy patients come in at mom's office
>tfw they reek of sweat
>tfw the sphygmomanometer's cuff comes down sweaty

Into the trash it goes...fucking gypsies, man. This is another reason for staying away from Romania.

Also what's the pathology here? Saw this in my cards rotation and just found it.

>>10583568

I've just graduated from med school and am starting F1 in August. There's a reason 50% of people go on to be GPs. Bear in mind as well that not only is the pay the same/better as a consultant, but you reach that pay level like 5 years earlier which obviously makes a massive difference later in life for savings, or at the time if you have kids etc.

I agree with what's been said completely though; it's easy(ish) to be a shit gp and give crap referrals, but the good ones are worth their weight in gold, and it's a joy to see them practice. Also the variability that you get is so nice - clinic a few days a week, can work in UCC, help in commissioning/on the CCG, management, minor surgery, become a GPSI etc etc. I know one who's a team doctor for a championship football club on the weekends. Not entirely convinced about the hours though, as that's what most GPs seem to be put off by the most, but I guess it's no worse than in hospitals and you're not tied to living near a hospital either. Extremely easy to get into as well which is always nice if you want to train in a more competitive area

>>10583730
Wait...family docs can work in hospitals? Damn dude, in shithole romania the state gives you an office and you can expand it however you want , here all FP's work at their private practice and for hospital we have internists.

>>10583571
What
I thought radiology was supposed to be one of the chillest specs with psych, derm and ophto.

>>10583762

UCC is basically people who go to A&E but it's not life threatening/needs admission/not massively socially complicated - sometimes people who are a bit ill but can't see their GP immediately so go to A&E even though it's a bit of a waste as it's not that serious. Often the UCC is run next to A&E, they're seen by the triage nurse who decides it can be managed in UCC and then sent home after. Other things commonly seen are strains/sprains, some sports/ortho injuries, some ENT + opthal, smaller cuts etc

Minor surgery is stuff like vasectomies, sebaceous cyst removals, cryotherapy for warts, joint injections/aspirations etc.

GPs do minimum 3.5 years of in hospital training and 1.5 years of GP placement training, then are fully qualified (I think but it may have changed - pls correct me if I'm wrong)

>>10583692
It's only two years left, but every day I keep asking myself if it'll be worth something when my mindset is like this.
>>10583693
Kind of, yeah. I'm not very good at this career stuff you see.
>>10583702
Not in the US, rather post-commie yurop.
>>10583799
I mean it also is, but you know, brain problems. Maybe it's a workplace issue, I can't really tell.

>>10583812
Wow. Here, the family physician can opt to open his office 24/7 (like my mom does) and has the same thing like you guys do and it's easier for suburban areas for minor emergencies (mostly children with fever) because the ambulance takes approx 15 to arrive. I would like our system to be the same here but it's nice as a physician to get your office right after finishing residency (Usually suburban and rural areas, family physicians in urban settings are pretty shit here)

>>10583847
Also forgot to say that here, FM is 4 years of residency. 18 months in a family physician office under the supervision of a higher ranked doc designated by the faculty and the rest of the years we do rotations on each and every clinical speciality, the most we're scheduled to be on peds and OBGYN.

>>10583826
>Kind of, yeah. I'm not very good at this career stuff you see

1. Apply to something like this: http://www.imperial.ac.uk/study/pg/medicine/biomedical-research/

2. PhD in machine learning while working in the UK as a radiologist

3. Stay in academics or go Siemens/GE for $$$

>>10582768
>>10582772
Stop being so emotional, and stop being so narcissistic.

Do any Australians (or similar nationalities) have any input on the whole public vs private workplaces thing? My observations so far are:

Public
>slightly better pay
>shitton of employee rights because it's government run
>higher quality coworkers
>staffing issues out the arse
>nonexistent training for new tech and skills due to waiting lists
>less emergency and interesting shit

Private
>treats you like human garbage when it comes to rostering
>slightly less staffing issues
>pay slightly less
>lazier and cuntier staff
>might train you in new tech relatively quickly if you stick your nose up someone's anus
>boring but less stressful patients

>>10583893
Meant 'more interesting shit and emergency' for public btw.

>>10583893
What's your profession?

>>10583865

It's more narcissistic to be concerned primarily with your salary, Dr Armchair Psyc Faggot.

>>10579914
Hello chaps

Wondering if anyone had any texts to recommend for someone from a non-stem major looking to go into medicine.
Britfag here, so I did my undergrad in psych but decided clinical psych is a bit of a meme compared to psychiatry/neurology, so going to revise for entrance exams for graduate medicine. Organic chem/bio I've heard are mandatory readings, is it worth revising actual medical textbooks prior to getting on to a course to get a head-start?
(I have experience working/volunteering in hospitals)

>>10584068
I was in your exact position, I’m starting this September. I only sat the UKCAT, but if you want help with that let me know or anything else let me know.

>>10583856
I can barely comprehend what this is really about and I'm not sure if I'll find something similar in my area, but thanks

What are some good research topics for family medicine?

Adolescent? Geriatrics? Sports? Some blood pressure monitorization stuff? I'd really like to start doing a bit of research since I have the rest of the week off (Finished pulmonology and start metabolic diseases rotations next week)

>>10584072
Warwick? I'm looking at ones that have the GAMSAT (Notts, St George, Newcastle) because they tend to not require specific STEM undergrad or even science a levels
Any reccomended reading for revision? Was going to rely on the CGP series for A-level bio/chem/physics really

>>10583174
>he asked me about therapy for smokers and sleep apnoea

you got two points deducted for not encouraging smoking cessartion (huge reimbursement issue) and for spelling apnea in some fucked up archaic way requiring one to put powder on their head and a wig. you can regurgitate PFTs all day but remember the etiology and all that too.

oh>>10583223

nevermind.... you vampires have differing collateral pulmonary circulation and PPH is a chemotaxic drive for human blood.

>>10583269

https://getyarn.io/yarn-clip/b5e4f33e-285a-48bb-a87a-3c545bf05c60

more like a relaxed LES. now, stop smokes, chocolates, caffeines,..... and in fact, yes, this is the right week to stop sniffing glue.

try pillows HOB at 30 degrees and learn sleep hygiene. also, none of this is medical advice you should see a PCP as i am not your doctor or any of this should be relied upon as a doctor-patient relationship or medical advice given to you.

>>10583369
>Nissen fundoplication

Think horses not Zebras... an option your PCP might recommend is H. pylori testing. 80% of the population has it and can contribute to GER/GERD.

>>10583392
>https://www.ncbi.nlm.nih.gov/pubmed/31006335
>Stop eating meat. Let's all eat grass.

But AOC said cowfarts will kill us all in 10 years. That's like in 2021.

>>10584164
>you vampires have differing collateral pulmonary circulation and PPH is a chemotaxic drive for human blood.

Holy shit, I'm dying. Based and vampirepilled.

>>10583571
>What do? Where do failed doctors usually go after they've given up?

You need a break. Take some time to remember yourself as a young student. Regain focus. Concentrate, focus power. If you're real, you're going to remember what motivated you and why you are who you are today. You just need a regular schedule and some time off.

https://www.youtube.com/watch?v=Ti5AkLup1mI

>>10584096
Yes Warwick.

I can't help you much with the GAMSAT since I didn't take it, sorry about that. I wouldn't be preparing for the course until you have a place, though. Focus on what you need to know for the exam. Warwick have sent offer holders some recommended reading prior to starting and it's nothing insurmountable.

Also, I hope you'll still sit the UKCAT. It's way easier to prepare for, it's quick, and you can take it all over the country. That way you'll be able to apply to Warwick, which has one of the most favourable applicant:place ratios. You could apply to Newcastle too if you crush it.

>>10584093
Diabetes, obesity.

>>10584240
Fuark I'm torn on where I want to go desu. I want to stay at home (L O N D O N) to save on living costs but at the cost of socialisation with my peers. But I dunno how much socialising would actually go on on the postgrad course if its intense.

What prep did you do for the UKCAT? I may as well look into it before deciding, as applications open soon and looking at it it definitely looks easier than the GAMSAT.

>>10584320
Not many obese patients in here but rather diabetics which are just a bit overweight and stick to their diet. Of course if I search a bit trough my mom's patients I think I can find some. Thanks, I'll keep it in mind!

>>10584054
Except I'm not, retard. What I AM concerned with is contributions to society, and job reliability and stability. The only reason I would want a high salaray for being a doctor is because of the debt; if I could be a doctor in 6 years with moderate debt, I wouldn't even need a six figure salary.

You're pulling assumptions out of you are, and in case you haven't realize, you are placing yourself on a pedestal. An oath you have to honor? Morally bankrupt? You're not a paladin. You're not a savior, you're not a hero, and you sound insufferable.

Are you only studying medicine so people can praise you and jerk you off?

>>10584538
Not the guy you replied to but the oath is pretty cool, imho.

"I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon's knife or the chemist's drug. " - This should be something that every physicians has in his "arsenal" and also this line

"I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sound of mind and body as well as the infirm. " - Yes, physicians also need money to live, and there's nothing in the oath about money, simply because considering the training one gets in medical school and all the sacrifices he/she made, the reward should be job satisfaction in first place and then money.

>>10584547
>the reward should be job satisfaction in first place and then money.

Yeah, and how many doctors do you know have a higher job satisfaction than salary? Being a doctor is difficult and stressful. The satisfaction comes from helping a patient, and fixing a problem, but those aren't the only things doctors deal with.

Money isn't a reward, it's a necessity. I do agree that you shouldn't study medicine if you ONLY care about the money, but anyone who argues that doctors shouldn't care about their salary is delusional.

>>10584562
I didn't say that they shouldn't care about their salaries, money is very welcome to anybody, regardless of their job.

>And how many doctors do you know have a higher job satisfaction than salary?
You can't really compare those two. It's one thing when a surgeon saves a life and feels massive satisfaction or a family physician's diabetic patient has lost weight and his HbA1c levels look normal where you don't feel as much satisfaction but there is satisfaction nonetheless. Compared to salary, well, that's another topic since the best paid specs are procedure heavy and being procedure heavy means that the physician is under a lot of stress, so he/she deservers every last penny for a job well done which is also normal. Don't get me wrong, I agree with you, I made the oath post just to express how I feel towards this career, money is a great factor and as you said >you shouldn't study medicine if you ONLY care about the money

>>10584178
That's why I wrote "ultimately". Moreover, using fancy aphorism is cool, learning guidelines is better. This is no solid relation between HP and GERD to date, HP is not considered as a risk factor, and guidelines do not recommend HP testing for GERB.

>Screening for Helicobacter pylori infection is not recommended in GERD patients. Treatment of H. pylori infection is not routinely required as part of antireflux therapy.

https://gi.org/guideline/diagnosis-and-managemen-of-gastroesophageal-reflux-disease/

Please be sure to be competent before giving medical advice next time.

Im sick of common diseases, what is an obscure but common enough to warrant development of new treatments?

>>10584624

I'm not sure what country or shithole you live in, but that is the standard of care with gastritis as part of the ddx.

You sound like a pretentious premed asshole. Get back to your useless job as a med tech or scribe. Leave the diagnostics to the professionals.

All patients with active peptic ulcer disease (PUD), a past history of PUD (unless previous cure of H. pylori infection has been documented), low-grade gastric mucosa-associated lymphoid tissue (MALT) lymphoma, or a history of endoscopic resection of early gastric cancer (EGC) should be tested for H. pylori infection. Those who test positive should be offered treatment for the infection (Strong recommendation; quality of evidence: high for active or history of PUD, low for MALT lymphoma, low for history of endoscopic resection of EGC).

In patients with uninvestigated dyspepsia who are under the age of 60 years and without alarm features, non-endoscopic testing for H. pylori infection is a consideration. Those who test positive should be offered eradication therapy (conditional recommendation; quality of evidence: high for efficacy, low for the age threshold).

Patients with typical symptoms of gastroesophageal reflux disease (GERD) who do not have a history of PUD need not be tested for H. pylori infection. However, for those who are tested and found to be infected, treatment should be offered, acknowledging that effects on GERD symptoms are unpredictable (strong recommendation; high quality of evidence).

The benefit of testing and treating H. pylori in a patient already taking an NSAID remains unclear (conditional recommendation; low quality of evidence).

https://gi.org/wp-content/uploads/2017/02/ACGManagementofHpyloriGuideline2017.pdf..

>>10584624

https://www.cdc.gov/ulcer/files/hpfacts.pdf

https://www.aafp.org/afp/2015/0215/p236.html

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2724145/

>>10584641

Bonus eruptus

>>10584664

Did you read what
>Patients with typical symptoms of gastroesophageal reflux disease (GERD) who do not have a history of PUD need not be tested for H. pylori infection.

Did you read what you just quoted you mong?

Please take some time to learn standard guidelines: https://gi.org/guideline/diagnosis-and-managemen-of-gastroesophageal-reflux-disease/

how many of you use focus drugs like Adderall or modafinil or speed? What percentage of your classmates do?

>>10584694
Tonnes at my school.

A known side-effect is excessive farting, and I swear to goodness whenever we sit an exam in a relatively small room it fucking stinks in no time.

>>10584694
you don't need it anon

>>10584745
I didn't think that I did til I started realizing the type of people I'll be 'competing' against to get in and to get residency of choice, and that they'll have no problem taking every advantage they can get. Maybe I'm ok against them if its a fair competition, but if they have that kind of edge, and most people are doing it, can I really afford not to? Thank you for the kind word though

>>10584694
I don't and no close colleague of mine does. It will fuck you up in the long run.

>>10583565
>Is it because of his age?

Yes. The only advantage of a nebulizer is that it can deliver drugs without the child’s cooperation. One of the main difficulties in pediatric asthma is ensuring patient compliance with the treatment regimen. Basically, its hard for a young kid to use the Metered Dose Inhalers (MDI). MDIs are otherwise superior in every way.

https://www.aafp.org/afp/2002/1001/p1311.html

>>10584538

>Just go into a humanistic profession for money bro hahaha!
>Disregard the ethics and morals you are supposed to abide by and get dat $$$$$

Honestly fucking KILL YOURSELF NIGGER

>>10585064
>KILL YOURSELF NIGGER
Well that's not very professional.

>>10584692

You might want to know that a patient that presents with chronic midepigastric (MEG) abdominal pain would in clinical practice receive H. pylori despite the national guidelines that intend to avoid excess cost despite the urea breath test sensitivity (97%) and specificity (100%). You site "guidelines" which are variable and suggestive based on presentation and not direct literal directions.

Anyway, moving on, if you have heartburn, get it checked out and best of luck in your future medical endeavors.

>>10584694
>how many of you use focus drugs like Adderall or modafinil or speed? What percentage of your classmates do?

ONE HUNNNRID PERCENT ABSOLUTELY I CAN DO ANYTHING ON IT JUST ASK ME HOW I FEEL LIKE A ROCKSTAR I'M KING OF THE WORLD

>>10584741
>I swear to goodness whenever we sit an exam in a relatively small room it fucking stinks in no time.

You lying sack of shit. You're the culprit. Admit it.

"He doth smelt it, dealt it."
(Ancient Hebrew Proverb)

>>10585059

... and the cost savings. Spacer today, fleshlight tomorrow. One must be proactive.

>>10580094
>>10580103
>>10582768
>Not quite based yet, but not that far either

>>10585082

Welcome to 4chan, please leave your feelings outside, nigger.

A few /med/ threads ago there was an anon here who said he wanted to do pediatrics. You said that you love babies, feeding the orphaned ones, putting them into their bed, and having them grip your finger or something like that. It was just very endearing and you're such a good human being. I wish everyone in med school was like you. You're a good man, a very kind man and I hope you have an amazing life if you ever read this.

>>10585515
Pediatrics anon here
You misunderstand, I'm actually a pedophile.

>>10585528

You're not him, you're just a larping faggot. But since this is 4chan I'm going to report your post to the police non emergency line just to be sure (have done this a few times) when I get past this drunken existential crisis. Piece of fucking shit. God I hate pedophile so much. One of the anons I reported a couple years ago was actually a legit pedo and got dinged for possession of CP lmao. Burn in hell nigger.

>>10584767
thank you. you in the US? Or regardless, are you in a competitive program where you can never sleep as much as you want to because of all the studying you must do? i do have concern over long term effects which is what keeps me away.

>>10585543

Cognitive enhancement is mostly a meme. Modafinil, nicotine, and caffeine can help to an extent with alertness, concentration, and memory . Modafinil is more likely to be used by residents or practicing physicians in the ER/OR to sustain alertness and concentration fyi.

>>10585515
I assume that's me and I mentioned neonatology. Thank you so, so much anon. I just woke up and decided to drink my coffee and your kind message couldn't come at a better time! I hope you have an excellent life, too and become a better doctor than I will be!

>>10585540
I'm pretty sure that was a joke my man.

>>10585602
Either way, he done goofed. I have already reported him to the cyber police and the state police. Consequences will never be the same.

>>10585059
The mom told us that it's pretty hard to know when her child has an asthma attack so the poor kid is kept under surveillance most of the time. Even at kindergarten, told her educator to keep an extra eye on her kid. Damn, asthma in small children is pretty hard to deal with.

>>10585602

HE DUN GOOFED

https://www.ncbi.nlm.nih.gov/pubmed/31006802

So, this is about menopause prediction.

"These results suggest that knowledge of the AMH decline rate does not improve the prediction of menopause." - So, why would you do the study, then? Just to know that it DOESN'T improve anything?

>>10585593

I am very happy people like you exist :) because sometimes it can be fucking hopeless. All my best anon, you will make it

>>10585652
"Although AMH levels are associated with age at menopause, individual predictions of menopause with a SINGLE AMH measurement are unreliable."

"This study investigated whether individual AMH decline PATTERNS can improve the prediction of menopause compared to a single measurement."

>So, why would you do the study, then? Just to know that it DOESN'T improve anything?

>>10585652
It's looking at the rate of decline as opposed to just taking a snapshot at one particular time (what previous studies have done unsuccessfully).
Turns out, no. The curvature of AMH decline is not an effective enough predictor for menopause.

So...as I said earlier, I'll start diabetes and metab disease next week. I feel like I'm a bit fucked since the lecture prof is the faculty's rector and this is the spec that's our uni's "speciality" to say so. Huge fucking textbook all about diabetes combined with internal medicine. Everybody is saying that the exam is a very hard one to pass. Should I study 3 days before the practical exam again?

>>10579922
There are hypointensive lesions on both thalami and maaybe a little in the cortex. Being on both sides I'd rule out tumor or vascular cause, but I have no idea what it really is. Any backstory?
>>10580383
What the hell are you memorising? The fucking GINA and GOLD guidelines lul?
>>10582189
That's na MRI.
>>10582159
best trole 2019
>>10583728
Can't see shit. I feel ya on the gypsie problem tho. I'm from BG.
>>10585751
Diabetes is so fucking annoying with their diets, a thousand varieties of insulin and oral therapy. I petty you, romanon.

To ask /med/ are journalists retards in your countries regarding medical topics? Bulgaria is horrific.

>girl apparently with some arm infection
>surgeons did work on her, but apparently weren't very friendly
>she insisted she was going to lose her arm
>jumps off the 7th floor and dies
>they blame the doctors for being rude to her
>??????

Other instance.

>homeless guy with broken shoulder
>someone calls the ambulance
>turns out he has a broken shoulder for the last month and is not an urgent patient
>they leave him out and refer him to an outpatient physician
>he just fucking lies on the ground
>someone took pictures
>DOCTORS DUMP PATIENT ON THE GROUND in news sites
>everyone now hates us and wishes death to all doctors

The frustration....

Croatia here
Journalists are hungry for scoops in literally every country and so are here but I don't really remember reading such stories in recent time. There was only one major story that I can think of that shat on doctors and it was about gynecologists doing some invasive procedures without anesthesia and that story might be true iirc but they made a huge fuss about it even though it was just one testimony from a single woman who was a politician

>>10585909
Romanon here. Journalists do eat plenty of shit here too.

>girl from orphanage gets infection
>meningococcal meningitis
>dies in 2 days
>didn't respond to almost any AB
>blame doctors for not doing their job properly and making drama about that girl being an orphan because if she had parents, the doctors would've treated her different.

This is the most recent one. Also

>Italian guy with no medical license practices plastic surgery at a clinic from Bucharest
>His first surgery
>mutilated patient that wanted a boob job
>goes to court
>"I'm not guilty, pls am real surgeon"

At least the prosecutor found evidence that the license was forged and he got prison time AFAIK. Journalists blamed the medical board but not the Serbian one which gave him the right to practice. When Romanian medical board asked Serbians they said they don't know shit. So thank you journalists.

Journalists are unironically human garbage.

>>10585909
No backstory on the photo. It's moyamoya disease. Just found it on google and seemed interesting.

>>10579955
neuroscience

>>10583728
Dentist here from somewhere in the balkans.
You dont know shit bud,my partner and I work together and half of the patients are gypsies since we are near gypsy neighborhood.
The shit ive seen im so sick of it.

>>10585992
Romanistan here, we do have gypsies but it's rare for them to come at my mom's practice. They usually want the fastest service possible and by that I mean, they call the ambulance for a headache or a diabetic exacerbation from not sticking to treatment. I hope I don't have to see them again for some time, they have a specific smell that makes me gag + they are somewhat rude. I'd break the oath if it wouldn't be possible to see/treat patients of that "race"

>>10585515
>>10585528
Imagine the baby gripping your dick like that just for laughs haha

>>10585996
Not more than 10 minutes ago a gypsy woman comes in and she wants to start repairing her theeth.
Fine we agreed on it few weeks back and we set the price then.
My pal starts the procedure opens one tooth and in the middle of procedure she says that as agreed we will fix all the teeth and she will pay when she gets paid(read you are not getting any money any time soon or at all for that matter).
So she received free service for one tooth said she will be back to fix the rest but she was mad that we didnt trust her to pay for the rest.
Now tell me fellow anons when you go to the bank and you tell the bank to do some service do you pay for the service?
How am I supposed to keep the lights on when shit like this is what im seeing every single day.
My partner had a gypsy patient that after extraction just got up said I have no money and left.
What is he supposed to do,chase him down the street.
And dont get me started on theirt behavior,they give their electronic ID and 2 get shit for cheap and then leave to some other dentist.
Every time they get in the office they have to use the toilet first,every time the have to shit and piss or change liners like they dont have a toilet at home.
god dammit im mad

>>10585983
You mean neurology?

>>10586022
I would just simply black list them. I know that dentistry services are a lot more expensive than a family physician's services and that can make your frustration go trough the roof considering you have to pay bills too and all these fucking crows do is to cheat you.

>read you are not getting any money any time soon
Damn, man. Fuck your oath, gypsies don't deserve medical attention.

>>10579914
Medicine is not a science and does not belong on /sci/. Staff should take this discussion to >>>/trash/

>>10586137
>the smell of jealousy
Is it nice to be a min wage slave and just masks the fact that he's a brainlet?

>>10586155
>min wage

Not him, but plenty of med students have to work tough jobs to get through school.

>>10586184
I'm talking about an actual min wage job compared to a physician's. Those posts reek of jealousy.

How do you convince someone fucking massages won't make a solid myxoma in the heart disappear or not be a problem?

>>10580803
Why is it a retarded mentality?

>>10582164
He’s not saying money can’t be a motivation, but if it’s your main motivation you’re going to have a bad time. You’re going into a field whos primary objective is healing people.

>>10585918
>>10585920
>>10585961
OK, we're on the same frequency.
>>10585978
Yeah, I thought it's gonna be some rare-ass desease.
>>10586022
So glad if everything turns out how I want, I won't have outpatient work.
>>10586252
Say they'll die if they don't get the operation. This always works. But don't give them that "high chance for complications" and "you might be fine" shit. Straight up say "You'll die." And it's kind of true, if this shit grows and obturates blood flow or breaks off, you're pretty much dead on the spot.

>>10586304
>I won't have outpatient work
That's the best kind of work, especially in suburban/rural areas. But make sure to not flee in a village ravaged by gypsies.

>started oncology rotation which only lasts 7 days
How am i suppose to learn all this shit in such little time

>>10586022
Black list them and pass their bills onto debt collection.

>>10586589
You don't. My diabetes rotation is 2 weeks and they have some super high expectations (We saw the subjects we need to study for the exam)

Oncology is tough, maybe they will teach you about treatment scheme and management?

>>10586270
Because some healthcare systems, like France, actually pay for bullshit like homeopathy. This reinforces the idea in people's minds that homeopathy can be anything else than a placebo at best, or indirectly harmful via lack of proper treatment (when it is used as a substitute for actual medication) at worst.
The most apalling thing is that some pharmacists, and even a few physicians, actually condone that garbage.
All members of my family fell for the homeopathy meme and it's no use trying to change their mind because they'll go "yeah well you don't know, you haven't done research on it, and even if you're right, a placebo is as good as anything else and much better than putting harmful chemicals in your body!"
Drives me up the fucking wall

>>10586155
>>10586189
I run my own business and have people work for me.

>>10586155
>getting called out as a fraud = jealousy

lol sure thing witch doc

>>10586659
I have big interest, this semester was most interesting but every subject is so short im unable to learn everything and i think even some essential stuff. I won’t probably have time during residency when ill have specialized shit to learn, i want to know every part of medicine nicely, this thoughts are tormenting me :(

>>10586746
>fraud
If you think so, sure. Keep treating yourself with tree bark and peacock feathers, Armand.

>>10586768
What spec do you want to go into? FM?

>tfw in your backwater country YOU pay for your residency

>>10586776
Romanon here, is this true? What country are you in that's objectively worse than Romania if you have to pay for fucking residency?

>>10586775
Im thiking gen surgery rn but i change my mind a lot, i’ll only go in this spec if only ill be 100% sure i have the knowñedge to qualify, i dont want to harm anyone or make mistakes

>>10586784
Georgia

>>10586788
>I don't want to harm anyone or make mistakes
Shit happens, especially in residency. Gen surg is tough, keep that in mind, long hours, on call but the money is nice and the satisfaction is huge. Since I entered medschool I knew I wanted family med, it's the most broad spec and you get to consult children too!

>>10586791
Damn, how expensive is it? We're talking Euros.

>>10586773
>butt blasted that even homeopathy has better results

LOL

>>10586788

>i’ll only go in this spec if only ill be 100% sure i have the knowñedge to qualify

that's the point of postgraduate exams, appraisals, etc.

>i dont want to harm anyone

you probably will

>make mistakes

you will

>>10586795
Public residency around 100€ or less, private can go up to 500€. (Every month)
To top all of this theres very limited spaces, im talking at best max 40places for entire country and at worst 0 (this year in gyn residency for example) imagine surviving in this shithole.
Im also same anon that wants gen surgery, desu i don’t really care about the money as long as i can feed myself, i just want to save/improve lives and don’t ruin them.

>>10586820
>public
>private
That's a fucking meme, kek. 40 max places/ ENTIRE COUNTRY? 40 places ALL THE SPECS? Do you have that many doctors or did I misunderstood?

>>10586832
Not all but it looks somethin like this
>internal medicine 20
>neurosurgery 1
>inf diseases 10
>gen surg 5
>gyn 0
>pediatry 3
>...etc
This arent exact figures but it was something like this on this year. I heard talks there won’t be places for gynecology for few years

>>10580052
If return on investment for 12 years of school plus 200k+ debt is not a concern for you then you're a recklessly naive brainlet.

>>10586155

Just because someone bashes you does not mean they are envious. I say this as someone who likes medicine and wants to get into a primary care specialty. Egotistical doctors have unfortunately given doctors a bad reputation.

Do any spes approach the level of broadness IM and FM have?

what's the scoop on pathology I've considered it and I want to hear what 4chan thinks

There were hundreds of women, children and men brought to the hospital that day, so many that we had to lay them out on the street and even operate on some of them there. The gutters around the hospital ran red with blood. The woman had not just been attacked with a machete, but her entire body rationally and systematically mutilated. Her ears had been cut off. And her face had been so carefully disfigured that a pattern was obvious in the slashes. She was one among many—living an inhuman and simply indescribable suffering. We could do little more for her at the moment than stop the bleeding with a few necessary sutures. We were completely overwhelmed, and she knew that there were so many others. She said to me in the clearest voice I have ever heard, 'Allez, allez…ummera, ummerasha'—'Go, go…my friend, find and let live your courage.'

—James Orbinski, Nobel acceptance speech for MSF

How stupid is it to date someone from the same clinic as me?

>>10579914
i can be medical doctor with an normal iq?

Should I go through with the sexual reassignment surgery?

>>10587178
yes you just need to be good at learning

>>10587212
A surgeon who had a sex change would be so rich. Same logic as why you never trust a skinny chef.

>>10587498
A lot of the SRS surgeons are transgender iirc. Anyway, >>10587212
is probably memeing but I wouldn't go through with it. At best you get a hole that kind of looks like a vagina and you have to dildo it daily or it closes up. At worst everything falls apart and you get infections, chronic pain, incontinence etc. Plus lots of guys are into traps, while no one's really into a woman with a weird looking pussy who used to be a man.

>>10582898
There are other things to go into that aren't community. You will experience different things on IPPE/APPE rotations. Use those to figure it out. Try to do your hours in a setting you think you would like. There's clinical/hospital, insurance, R/D, ambulatory care, etc. Look at your options.

tfw brainlet doc wanna be but can barely do well in organic chemistry
help

>>10586927
No, and even then there is a big difference between the broadness of FM and IM.

IM is "depth" and FM is "breadth"

IM is the master of all complex adult pathologies.

IM = "89 y/o with CAD s/p CABG, permanent A-fib on warfarin, CHF EF 35% s/p AICD, COPD on 2LNC, CKD4, DM2 on insulin, hx stroke, chronic anemia and CLL". And the medication list 15 items long. This patient will scare the shit out of every other specialty, except medicine - they are the best at the complex adult patient with multiple comorbidities. No other specialty can do this at the level of internal medicine.

FM will manage 80 year olds, 2 month olds, women who are pregnant, patients with psychiatric conditions, emergency department patients, and perform minor outpatient surgical procedures that can be done under local. No other specialty has the training to see all types of patients as an attending. However, it's like being a permanent MS4 - while you can do everything, but you'll never be the best at anything.

>>10587494
Having high IQ then?

>>10588063
no
motivation and studying is not dependent on iq

>>10588008
>CHF EF 35

a/ka/ HRrEF.

This reads like an ambulance driver or premed wrote it. Keep trying. You're off to a good start tho.

Also, FM is clinic work with the occasional trainwreck holy shit noncompliant INR 6 A1c 15.6% hasn't seen cardiologist in 3 years cold turkey off ß-blocker classic IM pt you have to manage with a set of ears and eyes and a referral you know won't get cashed in.

>>10587171
Very stupid.

>>10588008
>you will never be best at anything
Man...could you just say "Jack of all trades" instead? There's so much more to FM than management of patients, the hell you're talking about?

>>10588008

>>10588008
>CHF EF 35

a/ka/ HFrEF.

This reads like an ambulance driver or premed wrote it. Keep trying. You're off to a good start tho.

Also, FM is clinic work with the occasional trainwreck holy shit noncompliant INR 6 A1c 15.6% hasn't seen cardiologist in 3 years cold turkey off ß-blocker classic IM pt you have to manage with a set of ears and eyes and a referral you know won't get cashed in.

>its another UCF COM plans to change its curiculum randomly episode
Wtf is this shit? Med school is hard enough as it is, but you can't even use upperclassmen as a good support structure because they pull a "just fuck my shit up" with the whole curriculum every year or two.

>>10588008
>>10588008
>CHF EF 35

a/k/a HRrEF.

This reads like an ambulance driver or premed wrote it. Keep trying. You're off to a good start tho.

Also, FM is clinic work with the occasional trainwreck holy shit noncompliant INR 6 A1c 15.6% hasn't seen cardiologist in 3 years cold turkey off ß-blocker classic IM pt you have to manage with a set of ears and eyes and a referral you know won't get cashed in.

>>10588199
>Man...could you just say "Jack of all trades" instead? There's so much more to FM than management of patients, the hell you're talking about?

Between the Vampire "medical student - drink da blood" and Slavic premeds and Eurotrash hospital worker types on here, I'm not sure anyone on here has a legit leg to stand on or any rights to practice modern medicine. Agreed on FM - primary care and prevention is far more than scut work. There are a lot of posers on here.

>>10588008
>CHF EF 35

a/k/a HFrEF.

This reads like an ambulance driver or premed wrote it. Keep trying. You're off to a good start tho.

Also, FM is clinic work with the occasional trainwreck holy shit noncompliant INR 6 A1c 15.6% hasn't seen cardiologist in 3 years cold turkey off ß-blocker classic IM pt you have to manage with a set of ears and eyes and a referral you know won't get cashed in.

>>10588199
>Man...could you just say "Jack of all trades" instead? There's so much more to FM than management of patients, the hell you're talking about?

Between the Vampire "medical student - drink da blood" and Slavic premeds and Eurotrash hospital worker types on here, I'm not sure anyone on here has a legit leg to stand on or any rights to practice modern medicine. Agreed on FM - primary care and prevention is far more than scut work. There are a lot of posers on here.

>>10582768

>>10588063

i'll put the bunny back in the box if i can get an "an" here.

>>10588199
>There's so much more to FM than management of patients, the hell you're talking about?

Then enlighten me, as I clearly don't understand. What "so much more" is there besides management of your patients?

>>10588211
>ß-blocker

lol

>ambulance driver
>premed
>Eurotrash hospital worker

So which one are you then ?

>>10580161
drinking from a public fountain is bad enough...

>>10580868
>I feel like naturopaths are some kind of shamans that act as real doctors because they're frustrated they couldn't get in medschool
Pretty sure naturopaths are a million miles from getting into med school. Closer to camp counsellor tier.

My eyes fill with water easily especially in the sun, wind, or cold. My doctor was suspecting leaky tear ducts or whatever it’s called but there isn’t any itchiness so that was ruled out. What might be the case here? I’m sick of squinting and padding water out of my eyes every time I go somewhere.

>>10588275
As a family physician, besides managing chronically ill patients you also get to treat acute ones, prevent , do full check ups and the list goes on. You don't understand what a FM does then if you need someone to tell you, especially if you think that a MS4 can handle that kind of workload.

>>10588322
You have blue eyes, don't you?

>>10588275
>So which one are you then ?

tha nigga that just might be sitting on your admission committee biatch.

intothetrashitgoes.jpg

>>10588349
Brown, I’m mulatto.

>>10588324
I see, so it was the MS4 analogy that really rustled everyone's jimmies. Well then, I have to apologize to any MS4s who have just matched into FM in this thread.

My fault for being unclear. It's not the workload, it's the LEVEL of management at which FM is capable of performing.

FM can manage a routine L&D patient, even one with straightforward pathology like pre-eclampsia. But, once the patient develops HELLP and needs a CD, then you will be forced to consult OB/GYN.

FM can manage routine pediatric well child and acute visits, even a neonate from birth. But a ex-premie newborn NICU-for-apea graduate who now has a fever and URI? You need a pediatrician. If you feel "comfortable" managing this as FM, then you a danger.

FM can also manage very complex adults, as you described above. This is probably what FM does best, because the FM on-service months are mostly made up of these patients.

Still, though, not at the same level as IM, who has spent their residency off-service months rotating through ALL the subspecialties (cardiac/endocrine/pulm/GI/heme/onc/ID/rhem/neuro/allergy), instead of doing peds/ob/gyn/surgery.

So for anyone else considering between IM and FM, they can both be great choices, but you have to make sure you pick the right one for you.

The best part of FM is the freedom to see everyone, no matter the age or type of patient.

The trade off for being the "jack of all trades" is that you have to be willing to accept the second part of the title: "master of none."

Because the limited training outside of the FM service can only give Intern-level management of everything else (my sincere apologies for previously saying "MS4"). And you have to own it and love it, you can't get all butthurt about it or you'll walk around with a chip on your shoulder for the rest of your life.

>>10588211
>>10588354
By the way, I don't think an INR of 6 and chronic uncontrolled diabetes qualifies as a "trainwreck," and hopefully neither will you once start residency and see some real disasters.

>>10588429
Wasn't expecting this kind of reply. I want to do FM, my mom does FM, she taught me about "knowing my place in medicine" and when I asked her about the speciality she told me "In FM you know everything but actually you know nothing", basically you have a general idea about the more complex diseases, but if the case gets out of control and your area of knowledge, don't hesitate to refer the patient to a specialist.

I'm not comparing FM and IM, they are both very different and IM is much more complex. But as you said, FM gets to see newborn, children, adults and old people which is something that I absolutely like. Tons of diversity in diseases, patient management (especially diabetic and arterial hypertension AFAIK). I'm content with knowing a little about a lot, FM working with peds patients is cool and shouldn't do anything treatment wise to the patient if the pathology is unclear or the physician barely has a suspicion.

With that being said, FM is a vital spec for medicine, the world is full of specialists that shit on FM for being "easy" but it really isn't as easy as they think it is.

>>10588456
FM sounds like lawsuit-city, because they can't know the depths of specialties quite enough to know for sure what they don't know. if that makes sense?

>>10588466
A family physician that respects himself, practices with the utmost care and won't get any lawsuits, and I think they're pretty low on that scale in the US. I'm the Romanian anon, here they barely bring in law to FP's because all of them are in private practices. People underestimate the knowledge and importance of a family physician most of the times.

God romanian anon is so cute bros I hope she’s single fuck

>>10588444

when you finish yours we can talk. that horseshit scenario is a stroke in the waiting room. then again you maybe go for the boring DKA gastroparesis with a K of 9 for that high speed bullshit that is basically just watching someone slowly die. i like 'em when i find out they are super close to a major event and i can prevent it today.

>>10588481
>imself, practices with the utmost care and won't get any lawsuits, and I think they're pretty low on that scale in the US. I'm the Romanian anon, here they barely bring in law to FP's because all of them

it's about being part of the community. even with Fejos coming into town and bringing his toy doll

>>10588429
>>10588456

guys - it's the practice setting and scope of practice. if you don't know what this is or are some shitbag PGY-1 posing as an attending, do yourself a favor and get some perspective and knowledge on the subject. IM is for the hospitalist. FM is primary care. Basically, the former is trying to get them out of the hospital while the latter keeping them from going into one and knowing when to refer and co-manage chronic concerns.

There's too much ego and not enough experience from most of the responses on here.

>>10588429
>>10588429
>FM can manage a routine L&D patient, even one with straightforward pathology like pre-eclampsia. But, once the patient develops HELLP and needs a CD, then you will be forced to consult OB/GYN.

If you've taken the MCAT I'd be surpised. If you've cleared Step 1 even moreso. This doesn't read like someone who's spent one minute in medical school. FYI I can't think of a single physician who would manage pre-eclampsia outpatient and not have admitted antepartum with a direct cell phone call to their nasty obstetric friend to consult. The rest of your regugitation sounds likee those junk food books you see on the shelves next to medical reference ones. Equating family medicine with terminal residency is just embarrasing yourself. You have no idea how crucial a role they play in primary care and prevention.

Just stop.

>>10588429
>FM can manage a routine L&D patient, even one with straightforward pathology like pre-eclampsia. But, once the patient develops HELLP and needs a CD, then you will be forced to consult OB/GYN.

If you've taken the MCAT I'd be surpised. If you've cleared Step 1 even moreso. This doesn't read like someone who's spent one minute in medical school. FYI I can't think of a single physician who would manage pre-eclampsia outpatient and not have admitted antepartum with a direct cell phone call to their obstetric friend to consult.

The rest of your regugitation sounds like it's straight frm those junk food "medical school experience" books you see on the shelves next to medical reference ones. Equating family medicine with terminal residency is just embarrassing yourself. You have no idea how crucial a role they play in primary care and prevention.

Just stop.

>>10588322
>quinting and padding water out of my eyes every time I go somewhere.

first - stop going somewhere
second - allergy testing
third - leaky tear ducts and you were put on what?
fourth - get off this chechen underground cross-stitch forum and stop asking for shit medical advice on quadruple chans

>>10586784
the same is done in the balkans
i paid around 200 euros for mine

>>10588707

i'd hate to ask how much a lab coat is

>>10588713
i paid 20 euros for quality one made by a local company that manufactures personnel protection gear.
there are cheaper ones for around 15euros.

>>10588726
Bro...I got one for my birthday from my colleagues made by some Italians and was 35 euros. It's pricey as fuck for Romania and it's decent-good quality. I just hate it how easy it gets wrinkles.

>>10588664
>IM is for the hospitalist. FM is primary care.

Holy shit, you could not be more wrong. This is way more offensive to FM (and IM) than any of the shit I might have said above.

>>10588677
>>10588683
>FYI I can't think of a single physician who would manage pre-eclampsia outpatient

Oh, really, because I can:

"Women with preeclampsia and preterm pregnancy can be observed on an outpatient basis, with frequent assessment of maternal and fetal well-being"

https://www.aafp.org/afp/2004/1215/p2317.html

The AAFP in that link stands for American Academy of FAMILY PHYSICIANS

I also don't understand why you thought my example referred to outpatient management. Because the "L&D patient" I mentioned would by definition be presenting to "L&D"... an inpatient ward that FM also attends.

>Equating family medicine with terminal residency is just embarrasing yourself.

What is a "terminal residency"?

>You have no idea how crucial a role they play in primary care and prevention.
When did anyone ever say they didn't?

>sounds like it's straight frm those junk food "medical school experience" books you see on the shelves next to medical reference ones

I haven't read any of them, I wouldn't know.

I have been giving multiple specific patient examples that highlight both the limitations AND variety/flexibility of family medicine as a specialty. These are shared from my own experiences through these services. This is 4chan so I might be taking a politically incorrect tone about it, but this is no bullshit.

What have you contributed to this discussion, besides flaming and grandstanding?

>>10588655
>INR 6
>stroke in the waiting room

No, I don't think this scenario is really a major stroke risk.

If you think it does, then it present a good chance to discuss some medicine here.

Tell me specificaly how you would manage this patient in this situation (asymptomatic supratheraputic INR) and we can discuss why.

>>10586589
Mine was just a lecture course lul.
>>10586776
>>10586784
It used to be like this in Bulgaria, but they changed the law. Now you get paid, but departments pay from their own budget and with many departments working on a deficit almos no one takes residents now and it has become super competitive for any specialty. Sorry for the rant, but I'm in my last year and finding a residency spot seems scarry to me.
>>10586927
Intensive care, emergency medicine.
>>10587212
There are scarry stories about these surgeries. Look into the surgeon's history. Also I've read that suicide rates peak after these surgeries, not sure if it's a solution.
>>10587579
I've needed organic chem literally 0 times after first year.
>>10588514
Keep your pants on boi. Didn't even realise she was a femanon. Also how do you know she's cute?

I'm curious to know, what are medical students taught about neonatal circumcision and the foreskin? Based on how aggressively doctors push it, even shoving the release form to young mothers under general anesthesia, you would think med students are taught the foreskin literally creates superAIDS and by allowing it to exist for more than 5 minutes on a neonatals body, you are risking massive harm.

Even though literally every other surgical operation requires informed patient consent and diagnosis of disease, defect, or injury. But when it comes to baby penis, all bets are off and every body in the neonatal ward starts salivating and grabs a knife and starts carving in to baby dick.

>>10588817
>Based on how aggressively doctors push it
???
what country do you live in?
circumcision is discouraged in Canada, and many (most?) other non-Muslim and non-Jewish countries, I'm sure.

>>10587212
<-----not before you read this

>>10588829
In america, doctors aggressively push circumcision on parents, even drugged out moms still under general anesthesia. They get a cut of the profit, from billing the insurance agency.

https://www.circumstitions.com/regret.html

This website curates facebook posts from normies who give hundreds of anecdotes of american doctors shoving this procedure down their throat and bullying them into compliance

Countries like australia dont allow circumcision to be turnde into a profit, so its not a problem in those countries.

>circumcision is discouraged in Canada, and many (most?) other non-Muslim and non-Jewish countries, I'm sure.
Yes, well, you're not wrong....

>>10588803
>Now you get paid
Wait, during residency, junior doctors were used to not be payed? What the fuck, kek. In Romania, they pay us usually 1k euros/month + something extra if you're working in psych, path, rads, basically anything that might have a negative impact health-wise on the resident's life.

>>10588817
>based on how aggressively doctors push it
Romanian doctors, don't push it. Most of the mothers know how to bathe their babies and retract the foreskin and so on.

>you would think med students are taught the foreskin literally creates superAIDS and by allowing it to exist for more than 5 minutes on a neonatals body, you are risking massive harm.

Kek, what happened anon? I haven't encountered this.

>>10588883
>Kek, what happened anon? I haven't encountered this.
As previously mentioned in my earlier post, American doctors/hospitals get a portion of the profit from billing insurance companies thousnads of dollars to cut up baby dicks, and so they do very sneaky things like shove the circumcision release form in between stacks of other papers, bully mothers into compliance, and generally just harass parents until they relent

>>10588890
Damn, do they even do it without consent from the parents or they don't risk their license for a baby boy's foreskin?

Also, how much money do they make from a circumcision surg?

>TFW American with intact foreskin

>>10588902
Hispanics and west coast libs dont do it. Part of me wonders if someone high up just really has it out for Appalachians and southerners

>>10588899
Insurance is billed somewhere around $5k USD as far as I know. Then of course they get even more money when 10% of circumcisions are botched and the baby has to come back 9 months later :^)

Doctor goldstein needs his new porche, pay up

>>10588899
>Damn, do they even do it without consent from the parents or they don't risk their license for a baby boy's foreskin?
Theyre *supposed* to, but it is not enforced whatsoever. There are hundreds of anecdotes of young parents who claim they never signed anything; they were only given a release form to sign after it was already done, etc.

If you manage to get your son out of an american hospital with his penis unmolested, it's basically like trying to rescue Kaz from Afghanistan in MGS5. Cause american neonatal "care" doctors/nurses are out for blood.

>>10588909
Holy shit, I knew US was expensive, but 5k for a circumcision? How much is an MRI or full body CAT scan + doctor's interpretation of it?

>>10588918
>it's basically like trying to rescue Kaz from Afghanistan in MGS5

Kek. So, for example, do they make the circumcision surg, and after they tell the parents that the newborn had a "condition" and circumcision was needed? Dick move, man.

>>10588919
Cutting up baby dicks is a lot of labor, Anon.

>>10588922
>Dick move

>>10588922
American doctors act like the foreskin is the most disgusting, horrible thing to ever live. Even though women produce 4x the amount of smegma as a man, smegma is constantly thrown around in talks with parents, and the word ""hygeine"" is used at least 500 times. These people are jackals and hyenas who would eat newborns alive if they were paid to. Or theyre extremely stupid. Which is why I asked to begin with, European medical journals on foreskin never make it to american med students. American med students never see foreskins in medical diagrams.

Which is why i wanted to know what theyre taught, because the way american doctors act, they act like a foreskin gives babies cancer. Or theyre just child rapist sadists.

>>10588919
Maybe I wasnt clear, American parents never pay for the procedure. It is billed to the insurance. Every insurance covers circumcision. Even ones that dont normally cover cosmetic procedures. Makes you think.

>>10588925
I know you're joking but for real now, I will never understand why US is such expensive healthcare wise compared to other countries

>>10588927
It was not intentional

>>10588929
>altough women produce 4x the amount of smegma
Well, I'm not circumcised, can confirm that I wash my meat thorougly until squeaky clean and never had a problem with my foreskin. It's probably as the other anon said, maybe circumcision is some kind of "secret" for them to make 5k/operation

>>10588933
Now I get it. So they make the insurance company give that 5k to the hospital and 10% is going into the surgeon's pocket.

>>10588940
It gets worse, because the foreskins are sold to medical researchers for several thousands as well, and can generate up to 100k USD by stimulating cells to reproduce

Yes, in the land of the free, babies are ritualistically sexually tortured for bigpharma profit, and Americans blindly go along with it. OH SAY CAN YOU SEE.

>>10588952
Wait, what the fuck can you do with a foreskin for research? Stem cell stuff?

>>10588955
>>10588955

Fresh new thread. Get in here

>>10588955
>>10588955

>>10587171
beyond stupid