/sci/ - Science & Math

>>10600176
Isn't the medical part of ophtho included in the specialty as well? Similarly to ENT for example, you don't necessarily have to perform procedures and can restrict yourself to a purely medical practice.

Finishing med school without ever shadowing or volunteering edition

>>10600919
Correct

>>10600983
No mandatory summer practice from the hospital? Even we (Romanians) have that shit.

>>10600990
from the university****

my office got broken into again.
this is the third time in a year and always during national holidays and the fucker entered from the same place.
lucky no money was left since i learned my lesson the first time,still property damage is done again.

>>10601006
What country?

>>10601006
Is your house far from your office?

>>10601031
balkans,and i suspect its a patient since he went straight for the desks where i keep cash,and the closet where my coats are.
nothing else is touched.
>>10601039
like 50 meters but its orthodox ester and my family was all at the house either sleeping or eating.

>>10601049
It's orthodox easter for me too. My mom has her private practice around 50 m from our house too. Where are you from?

>>10601057
as i said balkans,im not giving more info than that because people i know me also lurk here.

>>10601062
/balk/ here too. Do you browse it?

>>10601063
i dont browse much else and stick to sci

>>10601069
Oh, okay. I thought you might post there since we have another medstud besides me in /balk/.

Seems that you're a doctor. What spec are you in?

>>10599593
To me that sounds like saying that working in a level 4 lab has a risk of anthrax exposure. Sure, if you work in some shithole where workplace safety is not a consideration, then it's a definite risk in the long run, but through proper management and equipment, the exposure is drastically lowered Here you have more formaldehyde in ppm in the air outside of path labs than inside.

>>10601072
https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-12-1054
When thinking about workplace safety issues, Switzerland is one of the last countries to pop to mind, yet Swiss pathologists report those problems as well.

>>10601077
>tumours or lympho-haematopoietic malignancies – previously believed to be pathology-associated malignancies - were reported [5]. Although these results argue against major carcinogenic effects of formaldehyde exposure in a pathology setting, some caution is warranted due to possible recall bias, selection bias and small numbers

>>10601122
*No brain

>>10600990
Nope not in my cuntry

>>10601204
Damn, I envy you. I don't want to spend half summer in hospitals with no air conditioning and smelly old people.

>>10601209
I would im just too autistic to make call or talk with someone to ask them for it

>>10601219
I don't have to talk to anybody. Every summer I get to choose between a clinical or surgical spec, choose one and the assigned to a hospital in the respective ward. All I have to do is to announce the attending when I come in and when I leave. The rest of the time is spent with residents but it gets boring quickly. (After like a week)

what's it called when you develop a marble-sized bony prominence at the bottom-left of your sacrum over the course of a few days, which then stays there completely fixed in place for the next 4 years and counting?

>>10601240
Exostosis?

Is sodium fluoride really harmful in toothpaste?

>>10601286
no its not,i know there is a raging fluoride topic going on atm so my pasta about the topic
the problems comes from putting fluoride in everything and going above safety limits.

1g = 1000mg

Sodium fluoride tabs come in sizes
0.25mg
1mg

acute poisoning = death
5g (5000mg) for adults
0.5g (500mg) for kids

chronic poisoning = major tissue damage
prolonged exposure to quantities of
8mg to 10mg daily via occupational hazard
or 2mg per liter in water(for adults that is 4mg daily)

dental fluorosis
above 2-3mg total daily intake during tooth development

>>10601286
>>10601680
oh and that said don't swallow toothpaste ofcourse,the fluoride is not intended to be ingested(considering daily water and milk meet your fluoride requirements) and the other ingredients including whitening agents in the paste like titanium dioxide that is already banned in eu because it turns out it deposits into the pancreas much like asbestos in the lungs and provoking diabetus :)

>>10601286
Probably in the long run.

What do you do as an MD with specialization in pharmacology?

>>10601907
Research. Develop meds, trials, etc.

>>10601909
So will you have any interactions with patients?

>>10601220
Things arent like that here

Can one use karnofsky performance status and ECOG status on every patient or is it only for oncology?

>>10601920
Yes. Because you conduct trials with experimental drugs on patients. So there's plenty of interaction.

>>10602004
So the drug development process goes
>chemist makes molecule
>pharmacist figures out the pharmacokinetics and all that shit to make sure it's safe
>MD runs the testing phase on actual people
Is that it?

>>10602004
OK, sounds good. Do you need good grades?

>>10602034
Mostly yes. But you can also teach.

>>10602040
Teaching sounds boring but drug development seems neat. Do clinical pharma specialists do anything else than monitor patients during the testing phase and report observations?
What's the lifestyle like for that field of work?

>>10602039
I have no idea. In Romania, clinical pharmacology was taken pretty fast. So...I guess you need good grades.

>>10602049
Honestly I have no idea. My pharmacology prof is a clinical pharma MD and does lab work too. Regarding lifestyle, I don't know.

What's the best residency for research?

>>10602176
Read the fucking OP

>>10602056
What would be the best specialty to associate to clinical pharma? In my country it's not a standalone spec for MDs and is usually acquired as a complementary spec on top of another one (like card, psych, whatever).

>>10602189
Cards or pulmonology. Very good specs with a big range of pharmaceutics

>>10602224
Would neuro be a bad choice? Research on SSRI/SNRI/MAOI/benzos is pretty important.

>>10602344
Yes it's fine but most of the newer meds don't have a known mechanism. E.g. wellbutrin , which correlates with less smoking, has an unknown mechanism why makes the users smoke less.

I have had a cough for about a month now. It started as what I presume was viral pharyngitis, but it migrated down to my bronchus and I developed a cough which won't stop.

>>10602441
Have you seen a physician regarding your problem?

Should I go through with the sexual reassignment surgery?

>>10602451
No. I am asking you guys for advice.

>>10600792
>med
>research
AHAHAHAHAAHAHAHAHAH
MEDFAGS CAN SUCK MY BIG JUICY BIOLOGIST BALLS

>>10602459
>I am asking you guys for advice
Big mistake, go and see your fucking family doctor. We can't rely on your auto-diagnosis, and we can't evaluate your properly since we're on a fucking Peruvian basket weaving board.

>>10602458
No, and stop posting this.

>>10600792
I need to work harder, but I can't because of my chronical tiredness.
I'm going to use stimulants to self medicate myself.
Which one should I choose?
I've access to modafinil, methylphenidate, d-amphetamine and some RC analogues.
I'm not going to use those RC analogues daily so no worries.
Which one of those would you guys recommended to me?

>>10602469
>which one would you guys recommend to me?
A physician. God damn, I can't stress this enough. Before asking us shitty questions from your auto-diagnosed diseases, see your physician first and tell him about your problem. He/she can fix it.

>>10602465
>biology
Oh, you're the failure that couldn't get into medschool. I see life is treating you well.

>>10602465
>broadcasting your inferiority complex so obnoxiously
You give biologists a bad name

>>10602485
Oh you are the delusional faggot who got in just for the money and social status.
Didn't even think once to get in medschool.
>>10602497
I probably have published more than you and am I not even half way through second year

>>10602476
I've been to one
He did a fuck ton of blood tests and everything was fine.
I had to pay 200 euros for nothing

>>10602514
>I probably have published more than you
Yeah definitely even because I don't care for research. Good for you.
You're pathetically insecure

>>10602514
I can smell the jealousy and inferiority, you little scum.
>>10602517
Then tell him/her your concern about chronic fatigue.

>>10602527
There is a monopoly in the dutch medical system so they probably will just give me a prescription for ritalin.
But I however have access to other stimulants so maybe you guys would have a recommendation for me.

>>10602550
You should still get checked for sleep apnoea (if you just zone out and sleep in broad daylight, like when sitting on a chair) or get help from you family physician because you suspicion chronic fatigue syndrome. The therapy usually depends, you might get referred to a psych or rheumatologist, it really depends on the condition, I can't give you other advice than this. Maybe some other medfag will recommend something, but I'm uncomfortable doing so.

>>10602517
Maybe you should stop being a little bitch and see a psychiatrist

>>10602571
I don't really zoom out, I just don't have the energy like other people.
This shit often drives me into depression because I can't do things in enjoy.
>>10602572
Never been to one and probably never will

>>10602189
Onc would be a good one too. Where there is big markets for drugs, there are jobs too.

>>10602582
If it affects you so much, meds only won't help you. You also need professional advice.

>>10602469
Firstly, just don’t. Secondly stick to just caffeine and modafinil, fucking with dopamine is always going to end badly in the long run.

>>10602584
Isn't onc generally considered the most mentally and emotionally taxing spec?

>>10602617
Probably depends as to whether or not you're the type of person who can stomach watching a bunch of people die slowly but being able to significantly help some of them.

>>10600792
>>10600792
soon to be grad nurse chiming in. Any advice from the other medical fields? Going into in-patient psychiatric nursing, eventually aiming for an NP after 3-5 years to get board cert, travel, and get settled financially (buy some condos, pay off loans, etc)

>>10602823
We have a psych that comes to this general from time to time, haven't seen him in a while, maybe you'll be lucky and he will respond.

>>10602582
>waaahhh i got mental health issues
>i will never go see a mental health professional tho xD
>do u have some drugs i could take guise? ;p
unironically, honestly kys my man

>>10601985
Those two are specific to oncology. Other services won't really intrinsically grasp their meaning.

In general, you can just describe their functional status, e.g. runs marathons daily / can push a shopping cart / walks to the mailbox / ambulates with walker / wheelchair bound / bedbound etc.

In Geriatrics, you can use the ADLs/IADLs

In Psychiatry you can use the Global Assessment of Functioning

In Anesthesia/Surgery you can use METs

Can we discuss how retarded the general public is acting towards psychiatric desease?

>I'm depressed
>No, you aren't life is great, see I'm happy

>has high BP
>take this pill
>ok
>has psychiatric condition
>take this pill
>OVER MY DEAD BODY

>person has psychosis
>when will he turn back to normal
>like fucking never

>>10603847

Not a medfag but psycfag rather. Finishing up my last year, can't agree with you more. I spent the better part of a year studying the biology underlying a lot of psychiatric disorders and the side effects of psychoparmacology. Fuck me mate. The public is retarded. If I get into med school either at home or in another country, 99% sure I will aim to do residency in psychiatry. Rates of mental illness will only rise in the coming decades.

https://discord.gg/CKnFXwv

>>10603860
Are you saying that the side effects of meds for psychiatric disorders are overblown?

>>10603866

No, not at all. I think they are underplayed frankly. The majority of psychiatric meds are linked to weight gain/obesity. In fact one of the main reasons behind the obesity epidemic is potentially due to changes in our gut microbiome due to pharmaceutical iatrogenesis. Antidepressants are prescribed for those that are not even depressed (e.g. seroquel in lower doses for people who have sleeping issues). Not a good trajectory that we are on. Antidepressants that are comparable to the majority of others but have a lesser degree of side effects (e.g. agomelatine) are not even legal in the US or Canada. It's a fucked up situation.

>>10603847
I see this shit everywhere. Here, in Romania, people are afraid to go to the psychiatrist because they think they might get admitted or something, kek. The mentality is bad, they fear what others might think and such. I, personally, have severe panic disorder and severe anxiety disorder, have to take Paroxetine and Trazodone to keep them under control, never objected, the improvement on my quality of life is massive and thank my psychiatrist each and every day.

The thing is, most psychiatric disorders don't have a very well known cause, and that is why some people think of it as some kind of pseudo science. We don't know how some meds work, for example, let's take wellbutrin. It's an antidepressant, and when patients were on trial, the ones that took wellbutrin didn't smoke as much as the rest, the mechanism behind why it makes the patients smoke less is unknown. Stupid people are afraid of disorders that don't have a very well known cause and that's why some choose to "shake it off" and don't go to a psychiatrist because they don't want to be labeled as "crazy". I've seen that most of the patients that go to a psychiatrist are usually middle to high class (in a private practice), the ones that are under a lot of stress and actually need someone to talk to and get some advice.

>>10603897

The stigma of mental illness is a major concern here in North America. Lots of studies/surveys have examined this issue and majority of people would not want to be friends with someone who is "mentally ill." Even in studies examining attitudes in physicians say they don't seek psychiatric help because they are afraid of damage to their reputation and gossip among colleagues.

I agree with you that people can be dumb and that medication can actually help but as I said here >>10603882 a lot of the meds do have side effects. For depression atypical (e.g. agomelatine) or NMDA antagonists like ketamine are probably the best though and with least side effects.

SSRI efficacy is basically attributable to placebo

Im 21 years old and skinny (183cm 70-71kg). My resting heartrate is around 68-70 and my blood pressure fluctuates between 120-130 over 70. Should I be worried? My blood pressure goes even higher when I do exercise, then it goes up to 145 over 85. Is what I'm describing normal? When I look at blood pressure charts it seems like 120 and above is bad, especially for someone young and skinny like me. Should I be doing something about this?

>>10602823
A good grasp of MI is worth gold. Generally just read a lot. Psychology, motivational stuff, even self-help.

ask someone who went the Caribbean route anything

>>10604001
>Caribbean route
What is that?

>>10604001

Oh so many questions for you.

Why? Just why? I presume you knew the negative connotations and subpar quality of teaching in the Caribbean? Why would you choose to go there when you could have gone to an Irish, British or Australian school for around the same price and at least have an excellent education and not have the negative stigma? You'd be an IMG regardless but in my view it's probably better to stick to first world countries that have high standards than go to some developing island nation.

How many of your classmates either dropped out or didn't match completely?

How many of your classmates were terrible human beings who didn't belong in medicine in the first place?

>>10604018

I'm considering going the IMG route. Not the Caribbean path but I am Canadian and probably looking at an Australian MD school like the University of Sydney or University of Western Australia. I would prefer to match in the USA for psychiatry. What are some absolutely mandatory things I should do? My undergrad degree is in psychology and I have undergrad psych research. I intend to show a dedication to the specialty as soon as I can in med school. But as far as USMLE test scores and rotations, etc. What do.I need?

>>10604001

I'm considering going the IMG route. Not the Caribbean path but I am Canadian and probably looking at an Australian MD school like the University of Sydney or University of Western Australia. I would prefer to match in the USA for psychiatry. What are some absolutely mandatory things I should do? My undergrad degree is in psychology and I have undergrad psych research. I intend to show a dedication to the specialty as soon as I can in med school. But as far as USMLE test scores and rotations, etc. What do.I need?

>>10603367
There has to be some scale that is universal because just describing is so subjective that two doctors may describe same patient differently

>>10603949
Your numbers are considered pre-high blood pressure, how healthy is your life style? Drop smoking, coffee and salty food, see if situation improves over course of few months and then see physician if it still persists

>>10604110
Differential diagnosis his numbers are fine and he's a hypochondriac.

>>10604189
Everyone is a hypochondriac according to you people

>>10604191
Yes, yes they are. Can't you see they ask us shit questions? We had that idiot the other thread which said that "I feel a slight itch in my throat after eating eggplant, will I be okay?". Do you think this is a normal question?

>>10604197
Jeez I hope you have better bedside manner with actual patients

>>10604208
Depends. If a hypochondriac comes in, immediate referral to a psych and see ya l8r bitch.

>>10604214
>immediate referral to a psych
That's the right thing to do, as long as you don't sperg out at the patient

>>10604225
No, but I can at least do it here, right anon?

>>10604227
Sure. Sounds like hypochondriacs really annoy you.

>>10604191
Worrying over blood pressure is a common condition it's easy to obsess over getting perfect numbers

>>10604231
Seen to many in mom's office. They always brag about stuff that they imagine. They do go to a psych too, but they will visit mom for EXTRA safety. I feel bad for them in a way, obsessing over your own health each and every minute of the day it must be exhausting.

>>10604237
Be careful, even if you suspect someone as hypochondriac i suggest you still give them good attention because who knows you might miss out on something crutial if youre so set to dismissing them.

>>10604250
they always come in with some complaint like "I felt a slight pain in my [insert limb here] that goes up to [insert body region here]" and so on. Mom usually gives them a full consult, so they do bring in cash, but it gets annoying at some point.

HELP MY TEMPERATURE IS 98.7
AM I GOING TO DIE? AM I DYING?
thank you

>>10604272
Better climb into an ice bath

>>10600792
Advise me medfags.
How are your social lives during training or post training? Am I destined to tfw no gf if I go down the mature medical student route? (25)

>>10604334
I'm 4th year (EU), have a fiancee (1st year, but she chose the nurse route and only now she got into medschool). Social life is actually good, but I think it depends where you do medschool.

>>10604337
I've heard advice from current med students that you should weigh up how important having a family to you is because of the work life, but I guess it depends on the person

>>10604337
>where you do medschool.
Meaning what country? Which are the worst?

>>10604339
Well, I want to be a GP and she still has time to think about her spec, so for us, there's no problem so far.

>>10604345
>which are the worst
I have no idea. I think every medschool has its ups and downs. Take my country (Romania) for example. Romanian students have a very strict program compared to eng/ger/fr students that study here.

>venezuelan
>muscular atrophy in his right leg
>mild paralysis
What are the chances he's suffering from poliomyelitis?

>>10604413
Simple. Was the patient vaccinated?

>>10604334
Similar question:
Should I break up with my boyfriend before moving off for my first year of med school? I'm sure the stress would break us up at some point during school anyway.
And by the time I'm a doctor I'm sure I could afford to get a real girl instead.

I'm gay btw, not sure if that matters.

>>10604415
That's why I specified Venezuelan. They're suffering from a vaccination crisis over there and I'm certain he recently crossed the border (I'm argentinian) so chances are he's unvaccinated.
I don't really know the guy but he lives 'round my neighborhood and saw him a couple of times.

>>10604423
Not enough information on the patient. Muscular atrophy could happen for a number of causes, mild paralysis too. When you see him, ask him if he had the shots if you don't know for sure.

>>10604436
Yeah, I'll do that since I sometimes see him with a child, which could be very bad news.

>>10604018
Not him but all the moralistic and snobby shit you just said about education being subpar in developing nations is kinda invalid since if you're really dedicated you can drop 2k in studying resources and still pass all the boards, so technically you would be just as knowledgeable as a US graduate. The only real issue is getting US clinical experience. Of course you won't be matching into derm or ortho as an IMG but at least you get to be a doctor.

>tfw social anxiety
>having a panic attack during night shift
>go to social anxiety discord on /soc/ to talk it out and calm down
>nonstop shitposting, can't even get a word in, useless useless useless
>CTing a stroke patient as I write this
>sent mail to psychiatrist a week ago, still hasn't responded
>have no one to talk to
Is this the endgame

>>10604795
Why aren't you on some kind of treatment? Have you seen a psych regarding your problem? Also try calling the psych instead of mailing.

>>10604798
I have, but that was years ago. Initially was treated with tianeptine for depression but reacted badly to it. I ended up discharged that I'm fine and healthy. I'm not about to kms this shift so I don't want to call, but it's definitely affecting my work performance negatively.

>>10604807
Go to the psych and ask him about it. Don't you have some xanax on hand to take it in case of panic attacks? (Altough you know it's not okay to take them regularly)

>>10604815
I've never dealt with the issue of panic attacks until recent memory so I don't really. Pretty sure that just having a deep chat with somebody would be enough to calm me down though.

>>10604829
Well, there are times like these when it's hard to find someone and when it affects your quality of work, for me, a sign of the panic attack disappearing is when I get chills on my back, try going outside for a bit if you can and if you're sure you have no access to any anxiolitycs.

>>10604840
Maybe going outside could work but the work phone keeps ringing to flood me with more and more shit, I hate it. And it's almost always crusty old farts that neglected themselves their whole lives, I'm sick of it. I want to work around young people for a change. The grass is greener etc. but at times like these I do envy my friends with cubicle wagie jobs.

>>10604888
>I do envy my friends with cubicle wage jobs
Don't. You went in this field knowing that you'll be working with people. Cubicle jobs are the worst, barely any activity besides moving your fingers.

The part with old farts that neglected themselves is so common, I hate it too. Especially if they complain about the doctor that told them what to take and when to take it.

>>10605052
Working -on- people, yeah. But I also expected to be working -with- people.
I just want to see young, vital faces again. I want to relate to them. All my life I'm surrounded by the elderly and I'm lacking a youthful spirit in me.

Which specs aside from ortho for prosthetics?

>>10605061
PM&R maybe? Not sure.

>>10604711

It's not snobby it's fucking 100% on point. Caribbean schools are known to be diploma mills with high attrtion rates. Huge class sizes mean education is an impersonal experience and from what I have been told by people who went that route the instructors mostly don't give a shit and are there for the money. Going to the Carribean will carry stigma with it. IMG's are already stigmatized regardless, why not at least go to first world nation?

>>10604101
>In general, you just describe their functional status, e.g. runs marathons daily / can push a shopping cart / walks to the mailbox / ambulates with walker / wheelchair bound / bedbound etc.

>>10604418
Eh, just let it run it's course.

>>10605061
dentist

>>10604334
Nothing changes. By the time you make it into med school you'll just do whatever you've been doing

The ones who partied in college also partied in med school and residency

The ones who stayed home to study and play vidya, also stayed home to study and game during med school and residency.

>>10604711
>If only I studied harder they would have been a 3.8 GPA and 520 MCAT.
>The US system is screwing good people like me
>I'll show them all, watch me study so hard in (Caribbean) med school and get a 250 on Step 1
>I'll be the one to match ROADS
>I'm not like the other losers who go to the Caribbean

The problem is that EVERY SINGLE Caribbean student thinks this. What they don't realize is that the pre-clinical education is WORSE than anything in the US, the clinical rotations will be at third sites that US students wouldn't touch with a ten foot pole, the emotional distress of being isolated on a shithole island takes its toll quickly, and the system is a student loan scam designed to fail people and take their money.

Even if you are the one of the best Carrebbean students, the problem is that residency program directors will always be very cautious of you.

Your Step 1 scores can't be directly compared to US students - you've had several months longer to study than the US students, so its not surprising that you have a higher score

Your clinical rotation evaluations and LORs are considered untrustworthy, unless they come from a clinician that the PD knows of. Most of these evaluations will be bullshit that does not reflect how the Caribbean grad will actually perform.

And then we come to the real issue - there are quite a few Caribbean grads who looked great on paper, but ended up failing out of residency because their training was so inadequate that they are years behind, and even months of remediation could not bring them up to speed. A program directors only needs to be burned once by these graduates to learn their lesson.

Do you think these PDs would ever want to gamble on another Caribbean grad again, if they can find a US grad to fill their spot?

>>10605126
bro literally 80% of the shit you learn in pre-clinical years can be learned on your own. In fact, I'd wager majority of US med students don't give a shit about their lectures and use other resources (sketchy, pathoma, first aid) to score well on the boards (which is the most important thing for residency applications since most med schools are pass/fail)

IIRC a lot of Caribbean schools have contacts with US hospitals and send their students there to do clinical rotations, so that is also a "pro" of caribbean vs the rest of the world.

>the instructors mostly don't give a shit and are there for the money
this is true for most parts of the world including the US. Don't get me wrong, I know that it's much easier to get a quality education if you study medicine in the US, but at the end of the day if you really put the effort, study hard and score a 250 Step I then nobody is going to give a shit if you went to med school in Ethiopia and you will most likely match somewhere (providing you have some US clinical experience, apply to a lot of programs and you aren't applying to competitive residencies)

The only thing fucky about Caribbean schools I've seen is that they usually cost the same (if not more) than US med schools. If you know another language and you can get into a foreign med school that doesn't charge as much then that could be a good idea too. Fuck the "stigma", if someone looks down on you because you went Caribbean or because you're an IMG then that person is a snobbish piece of shit. Again, if you pass all the boards and match into a residency that means you are as equally capable as any other US-educated doctor and there is nothing that indicates otherwise.

>>10605530
>The problem is that EVERY SINGLE Caribbean student thinks this
I agree. There is a big step between saying something and actually doing it, but if you dropout of a Caribbean school then thats entirely on you. Only a retard would think that med school is going to be a breeze because its on a Caribbean island. I also agree about Caribbean schools being overpriced
>
Even if you are the one of the best Carrebbean students, the problem is that residency program directors will always be very cautious of you.
This is why you have to apply broadly and stick to non-competitive residencies.
>Your Step 1 scores can't be directly compared to US students - you've had several months longer to study than the US students, so its not surprising that you have a higher score
I've yet to see someone with a +250 step 1 with no other red flags other than caribbean not matching anywhere.
>Your clinical rotation evaluations and LORs are considered untrustworthy, unless they come from a clinician that the PD knows of. Most of these evaluations will be bullshit that does not reflect how the Caribbean grad will actually perform.
You have a point but then again, if you apply broadly and choose programs that are IMG friendly you will greatly improve your chances of matching
>Do you think these PDs would ever want to gamble on another Caribbean grad again, if they can find a US grad to fill their spot?
This also happens a lot with other IMG's, the only thing you can do is to not apply to those programs.

You're not going to match into a top-tier residency program if you went caribbean even if you have stellar board scores but the notion that you will never match anywhere is just plain wrong. If you acknowledge the sacrifices and compromises that you have to make and you still want to go to a caribbean school then I don't see how that's a problem. It's not something I would've done because I don't like going neck-deep in debt

>>10605530
Also I forgot
>mandatory attendance
holy shit that must be hell. That's another reason I wouldn't go caribbean

>>10605571

t. seething Caribbean medfag

You dun Goofed should have went to Ireland or the UK.

>>10605632
nah bruv I wouldn't even go caribbean if given the chance but plenty of caribbean grads match every year, it's not a death sentence to go there.

>>10605650
It's not a death sentence.

It is a 50% chance not to match anything and ruin your life with 200k non-dischargable debt.

>>10605653
If you know are aware of the risks and you still want to do it then why not? Also not matching doesn't necessarily mean you're doomed, you can work consulting with just an MD and still make enough to survive and start paying your loans back

>>10605662
>If you know are aware of the risks
brain fart sorry about that

>>10605653

I am Canadian and Canadians who go to the Caribbean have a 20% match rate. Australia is like 53%

>>10605662
>you can work consulting with just an MD and still make enough to survive and start paying your loans back

Being an MD without a residency, board certification and a medical license will add no value to a job application. The only jobs that you'd qualify for are the same ones your undergraduate degree qualifies you for.


>If you know are aware of the risks and you still want to do it then why not?

Because:

$200k non-dischargable student debt.

It’s one thing to pay back $200K in loans on a $200K income. It’s entirely different on a $60K income. This risk is something that's difficult to truly grasp in your 20s when the choice is made to go Caribbean.

The risk is all the more unacceptable when there so many fantastic alternatives in allied health like PA/NP, RT, EMS, DPM, MLT, Audiology, SLP, surgical tech, sonographer, genetic counselor, anesthesiologst's assistant etc.

You only have one life to live

Is it really worth it?

>>10605731
>Being an MD without a residency, board certification and a medical license will add no value to a job application. The only jobs that you'd qualify for are the same ones your undergraduate degree qualifies you for.
I'd say otherwise
https://www.reddit.com/r/medicalschool/comments/bcs8c6/wellbeingserious_im_an_md_with_no_residency_that/
>inb4 leddit
Just to show you that if you have just and MD you can still put it to good use one way or another

>>10602465
enjoy your $60k/yr Scientist I position

>>10605790
just an*
my brain on some shit today

>>10605790
He works for EPIC because he is a computer engineering. He makes $150k, which is an expected salary of a software developer at a national company. The MD is an interesting bonus to the EMR company, but he could have gotten the job without it.

>>10605818
>The MD is an interesting bonus to the EMR company, but he could have gotten the job without it.
Maybe thats what gave him the edge over other applicants.

>>10600792
My chest always fucking hurts it's been for the past 17 months and it's on the left side and it really hurts more then alot like 101%+ wtf

>>10602458
Generally, I say know but objectively, they have made some great and impressive strides with gender reassignment surgery these days. I had a very well done grand rounds lecture on it.
The best ones are able to make completely normal looking AND FULLY functuibal vaginas/clits. Penises are the only things that are still slightly a challenge if you're ftm. There is no way to have organic erections with a penis a totally big enough to penetrate apparently.

>>10605923
Go see a doctor and stop trying to get free med advice. We wouldn't be a le to help you if it turns out to be serious anyway.

Guys, I've smoked cigarettes for 3 years (3 packs a week), but stopped a year and a half ago. Am I still in danger of developing cancer? I'm 23 years old.

>>10600792
Sup /meddit/. Constipated guy here. Ive been constipated since my teens and my baseline is about 1 bowel movement every 3 days, but I often go weeks without a bowel movement. I have to eat A SHIT TON(multiple pounds) of very fiberous fruit, oats and leafy greens to be able to have daily bowel movements. Am I alright? Never done opioids, also I'm pretty sure I'm not autistic, I'm more psychotic spectrum than autistic spectrum, not that I'm going to self diagnose though.

>>10606095
https://www.cancer.org/healthy/stay-away-from-tobacco/benefits-of-quitting-smoking-over-time.html

You've smoked 1.5 pack years

Calculate the expected risk for someone like yourself here:
https://shouldiscreen.com/English/lung-cancer-risk-calculator

>>10606095
Not an expert in the field but I would presume not. You're no longer damaging your lung tissue with smoke or inhaling carcinogens.

>>10606095
The risk of lung cancer at that age is close to zero. You're nowhere near a heavy smoker.

>>10605530
>ROADS
what's this

t. eurofag

>>10603897
I know it's retarded. Went to a psych with my sister because she's depressed and recently starded having anxiety. They talked for 1 or 2 hours and doc said she still needs to do psychotherapy, but perscribed a low dose of sertraline in order to help her with her anxiety and quality of life as a whole, just an adition to the psychotherapy which will be the main treatment. She still won't take it because "hurr durr antidepressants are bad".
>>10604334
Social life is if anything better than before. But I guess I have good time management.
>>10606165
1 every 3 days is normal. Weeks on the other hand is a bit rare. Keep up the high fibre stuff.
>>10606095
Keep it up and you'll be as healthy as a bull.

>>10606594
>She still won't take it because "hurr durr antidepressants are bad".

Non compliant patients are everywhere, it's just a matter of time that she'll realize she will need it or at least it will start with something like "Let's just try it for once". The improvement can be massive overall.

I have this retarded little story with a non-compliant patient of my mom. The patient had a laborious surgery and after some time, she got discharged from the hospital and given oral anticoagulants to take at home. She took them for 2(two) days and then, her husband came in shaking, asking for something to make him calm down. When we asked what has happened he told us that his wife (the patient) was in the ICU, dying because of a massive PE because she ceased the anticoagulants. Didn't respond to Tenecteplase and died shortly after that. So...the moral of the story is: TAKE YOUR FUCKING MEDS, PEOPLE.

>>10604025
Litterally do fucking ANYTHING to get into MD or DO in the states. Match rates even for psych are trash for IMGs. Also you are in psych so unless you are retarded your gpa should be good enough

I'm in Thailand, and I have a recent head wound with a silk suture and dressing. (I'm not being glib when I say I'll never drink again. It's the final straw.)
Is it harmful to have a wound like this in hot conditions? Or is being in air that is body temperature irrelevant to wound-healing? I understand that it encourages bacterial growth, but if the dressing is clean and regularly changed, would that make a difference? If you shouldn't get stitches wet, does that mean sweat is also bad news? This question will decide whether I move to a hotel that has air conditioning or not.
The local doctors are decent, but I have to use google translate half of the time. There is definitely a communication gap.

>>10606858
Did you fuck any traps yet?

>>10606868
So far, I've only fucked myself.

>>10606858
>but if the dressing is clean and regularly changed, would that make a difference?

Yes, it would make a big difference. I had surgery on my neck in the summer and the fact that I was sweating all over, I just had to take the old dressing down, put some betadine on the wound and change the dressing.

Don't worry, just make sure not to wash your wound with water and soap until stitches are removed. Sweat isn't such a big factor, just do what I did and you'll be fine. Best of luck, anon.

>>10606879
This is helpful. Thanks, anon.

>>10606908
Glad I could help.

So why is derm so well paid in the US? In my country it's one of the bottom specialties salary wise.

>>10606925
>one of the bottom specs salary wise
What? I'm in Romania and it's still one of the top paid specs, in what obscure unknown country do you live in?

>>10606928
>obscure unknown country
France lmao

>>10606933
What the fuck, lol. I had no idea it was one of the bottom specs.

I think it's paid well because they can do multiple procedures, also the venereology part is with increased risks. (I have no idea how it is in other countries but here, derms work with venereal diseases too)

>>10606939
Then I think the more adequate question would be why is it paid so badly here relatively to other specs, it's weird
>derms work with venereal diseases
I think that's the case in most countries, yes.

>>10606946
Well, it depends by how much is it paid compared to other specs. What's the next spec that's paid worse than derm and what's the next spec that's paid better than derm? So I can at least form an idea.

>>10606954
Apparently it's between pediatrics and rheumatology, the lowest paid spec being psych. It's hard to find a recent source though

>>10606980
>psych lowest
France is fucked up. I don't have a reasonable argument, kek.

>>10606986
The top ones are still the same as in other countries (rad, ophtho, ortho, anesthesiology...) though so it's not entirely fucked. I find it surprising as well that psychs are the lowest paid

>>10606990
I thought the lowest paid specs are supposed to be FM or peds, maybe public health. Probably you guys don't go to a psychiatrist as often as the rest of us, who knows?

>>10607002
Yes, FM and pediatrics are near the bottom, as well as occupational medicine which is pretty much the spec nobody wants, ever
>don't go to a psychiatrist as often
I highly doubt that, which is why I'm surprised. Everyone in this country is in therapy

>>10607008
>I highly doubt that
I was joking, pls don't take it seriously.

Occupational medicine is not medicine anymore, it seems to me that it's an office job where you sit on your ass for 8 hours writing papers.

>>10607014
>>10607008
Occupational medicine is a spec? I thought they were just GP's who got tired of doing actual medicine.

>>10607014
>Occupational medicine is not medicine anymore
Yeah I know a doc in the suburbs who doesn't have an office but just comes see you when you call him and writes you a justification for sick leave for fifty bucks, no questions asked
Truly the peak of integrity

>>10607029
In Romania is a standalone spec. Apparently in France too.

>>10607031
Okay, that's weird. We have an occupational medicine department at our biggest hospital but there are mostly people that worked in mines or textile factories. They even do consults but most of the times it's just writing letters to the company that the patient is not allowed to work in that environment anymore.

>>10607039
>that's weird.
Yeah I see the difference, here it appears to be more of a general thing that pertains to health in the workplace and whatnot.

>>10607046
And I think that's because mining is not a thing anymore in France or at least working in a factory and not having proper equipment compared to my shitty country. Here, they have protective equipment but they don't use it. I remember we had this one patient that lost his hearing in his right ear because he didn't wear the protective earbuds because they were "Uncomfortable".

>>10607057
>working in a factory
They still exist but worker protection is pretty strict so occupational hazards are less prevalent
>they have protective equipment but they don't use it
Well there are retards in every country

>>10607066
It's supposed to be strict here too but they simply won't use it because they think it's not necessary. Just like infectious diseases physicians that won't wear masks or gloves and still do a consult.

>>10607072
>infectious diseases physicians that won't wear masks or gloves
Jesus that's fucking dumb.

>>10607077
Only the attendings to that tho. They think they have developed some kind of immunity, kek.

>>10602517
Maybe you should stop listening to vocaloid

>>10606166
>>10606172
>>10606423
>>10606594
Thanks, guys.

>>10606933
Hmm I would think French people would be obsessed with skin care and aesthetics. Perhaps its because French people generally age well(as I've been told) so the botox industry isn't so large like most places. Botox is where a huge amount if procedure money comes from in derms

>>10607077
Depending on what it is, but for the most part mask and gloves aren't FOR YOU they're for the patient. Most microbio-infections (fungi, unicells, and viruses) have a sharp curve for protections. They go from cover your open wounds with scotch tape-level to wearing 3 layers of protective clothing, a self contained respirator, and taking a shower in the absolute most caustic shit known to man, and finally going under observation yourself for x weeks. Basically from run of the mill Strep, E. Coli, Candida to Smallpox, Fascitis, etc.

Lads why the fuck do I start coughing every time I try to manually breathe?

>>10607269
>obsessed with skin care and aesthetics.
Not any more than other countries from what I've seen. People don't particularly age well either, dunno where that comes from
Botox treatments seem as popular in France as they are elsewhere and many derms perform those procedures as well.

Pleb here, just curious about something. Is there any evolutionary advantage to Rh alloimmunization in pregnant women? It seems like a massively maladaptive trait that should have been bred out of the population if it didn't confer major benefits.

>>10600792
Question for all current med students.
Are statistics a notable part of your degree? Or research elements? Or are they a part of your degree at all?

>>10607636
>are they part of your degree at all?
No.

>>10607647
I can't do stats for shit. There is hope

>>10607636
I had a couple of courses on statistics. There are a lot of labs and reading research papers.

>>10607765
Fuck. What about running tests, stuff like anova, regression, t-test?

/med/ drinking game.

Take a shot every time the romanian mentions his mom

>>10607801
Kek, okay. I'll stop mentioning her. The thing is that I only see stuff whenever I visit there, that's why I mention it since it's not MY private practice.

>>10607801

Fucking hell, the one that doesn’t shut up about being Romanian and the one that doesn’t shut up about his mom’s practice are the same person? He must make up 50% of the posts in this thread.

If you’re reading this, Romanian, don’t go into anything patient heavy. You’re clearly autistic. I would recommend radiology (if they’ve discovered electricity in your shithole country).

>>10607814
You can still post all the relevant information without mentioning your mom you know. It's kinda creepy how you adore her, I bet you have Oedipus complex

>>10607845
>how you adore her
Man, wtf. But thanks for telling me, I'll change the shit I say from now on, had no idea it was annoying. Sorry!

Also
>Oedipus complex

>>10607832
>radiology
Why is rad memed as THE autist spe when path exists? Also neurologists can be pretty autistic.

>>10607861
Because they stay in dark rooms and inspect x-rays and CT scans? That's autistic. Path has some interaction with corpses. Neurologists are nerds but they at least talk to the patient.

>>10607877
>interaction with corpses
>not autistic

>>10607887
Well, it is, but they're not staying 24/7 in a dark room and there's not only one person when doing an autospy, so you can talk to your coworkers.

>>10607877
>they at least talk to the patient.

>"so do you know what's wrong with me doc?"
>yep
>"so what can we do?"
>nothing lol
Neuros are fucking spergs my dude.

>>10607908
Hey, there's more to it than that. When for example the patient comes in for the first time, in rest, I agree it's pretty nerdy.

>>10607891
>>10607916
Okay fair enough
Also surgeons (except uro) are autists but not in the same way

>>10607931
I agree. Urologists are fun because of penis jokes, it never gets old.

How effective is a few tablespoons of apple cider vinegar a day in regards to fighting bacterial infections? I know in vitro it works but I can't see much about the potency in ingesting it. This is alongside an antibiotic treatment, not replacing it. The drug doen't have any reactivity to acv, so it's safe to do so. I just keep reading it helps against biofilms but is this really true or bs? Same questions apply to eating a clove of garlic daily as well.

>>10607780

Not the anon above but in my school we have lots of courses on statistics such as using SPSS, t-tests, regression and all that.
We also learn find published research and determine what makes a good study.

>tfw no pajeet pathologist gf

>>10608040
SPSS is the bane of my life (psych final year contemplating postgrad med)

>>10608100
>tfw we will never know what happened to rajeev the farthagged coffee boy

>>10606696

I'm Canadian dude it's hard to get into an MD school in the USA for me even with a 3.7

>>10608141
RIP pajeet med student.

Cause of death: Trips to the coffee shop until exhaustion and executed by farthagging.

>>10608294
How did you manage to get 3.7 in psych in grade inflation socialist shithole Canada? Ace MCAT and give it a go but otherwise I recommend Australia

>>10608021
Essentially anything will kill bacteria in vitro, save your money, just take the antibiotics

>>10608445
I'm specifically trying to help in biofilm disruption. Antibiotics are shown to not work well against them. Acv and garlic apparently work against it but how well in a human instead of a petri dish, I can't find an answer to.

>>10608520
>>10608021
Where? is the question. Anything in your gut will laugh at vinegar. Esophagus or mouth would be best served with alcohol (like listerine).

>>10608680
What if ypu have bacterial biofilms putside of the digestive tract? How would you disrupt those? Are there meds for it? Supplements?

>>10608691
Outside? Like sinus infections? Vinegar should help. Crotch/feet/hands? Bleach if you can stand it. Mind you, I'm a mycologist, not a doctor. You should see a doctor if the abiotics aren't helping.

>>10608712
What about internally but outside the digestive system? And I can't say yet if the abx aren't working but I wanted to help them work even more.

>>10608808
Internally but outside the digestive tract? Dude, you're on an anonymous image board, you can just come out and say it.

>>10608828
In the brain?

>>10608836
Anon, if you had biofilms in your brain you'd be fucking dead. And vinegar wouldn't help.

>>10608836
Nah, vinegar won't make it. Fungi and their descendants (animals) are remarkably good at breaking down acids into usable energy, so it probably won't even make it to the bloodstream if ingested. And directly injecting it into the bloodstream is possibly lethal. Abiotics and surgery are most likely the only solution in this case. But, abiotics don't have a good tract record with biofilms. The bio-polymer is really hard to break down. What I've seen in lab is that penicillium species when introduced to a biofilm will either "eat" the biofilm, ignore it, or die. They'll constantly be producing antibiotics during this time, and sometimes it works, the other times it just sits there unable to penetrate the barrier. From a nonmedical side acids sometimes work, but bases almost always work. Nothing, but nothing beats physical removal (like scrubbing, scraping, etc.) Biofilm is the microbiological version of a rat king.

>>10608918
>>10608893
You can have bacteria reach your brain, certain bacteria make biofilms, I wanted to ask of ways I could remove them effectively if I have them in my brain. Antibiotics alone don't sound like they'd get the job done.

>>10608893
Plenty of stuff grows on the brain and takes decades to a century to kill you. You probably have fungi growing in your brainbox right now. Not having bacteria on/in your brain would be odd.
>>10608955
>I wanted to ask of ways I could remove them effectively if I have them in my brain. Antibiotics alone don't sound like they'd get the job done.
Just wait and see. They might do surgery if it doesn't work. I'm still not medically trained, so I have no idea. There are certain antibiotics that will absolutely obliterate biofilms, but they're very dangerous and will probably never see use in medicine. I've heard bacteriophages have some promising signs, but that's just heresay.

To people following along that don't know what biofilms are I'll give a simplification. They are more or less colonies of microbiological organisms that form a genetic goop made up of dead cells, random cell parts, dna, rna, etc. They cease behaving like their planktonic (free) counterparts, and that genetic goop is like a tough plastic. I referred to it not too incorrectly as a "rat king" here >>10608918
The gum disease JIN JUH VY TUS (gingivitis) often forms these. The alcohol (non-food grade) content in Listerene is pretty good at breaking down the biopolymer.

>>10600792
Amy /med/fags have a home lab they use for experiments/personal work?
What have you been working on recently?

>>10607439
There's some evidence suggesting Toxoplasma interactions change based on RhD status. I'd imagine it also has a relatively high mu value and founder effect probably played a role considering the distribution is pretty odd.

Is Harvard better than John Hopkins in Medicine?

>>10609221
Depends where you intend to practice/publish. Most of the difference in value of top-tier med schools comes down to name recognition. Broadly, I'd probably say Johns Hopkins has the better reputation in the Anglosphere but if you intend to work somewhere else Harvard is going to be better known.

>>10606503
In NA we call is the ROAD to happiness:
R = radiology
O = optho
A = anesthesiology
D = dermatology
Basically well paying specs with good lifestyle but thus are very competitive. Not sure what the specialty is in this case exactly, never heard that before

Is it bad if I [I]technically[/I] study/work in a medical field and I started watching Cells At Work to learn about the human immune system?

Is genetics a good spec? I'm thinking either genetics or neurology (I know, very different areas).

>>10609306
It's always bad to watch anime.

>>10609325
Thanks Mom.

>>10608335
Canadian schools deflate grades

>>10609374
No
T. Canadian

>>10609386
where'd you do your undergrad? i know mcmaster, uoft, etc. have class averages in the high 60s to low 70s for science courses

>>10607801
I don’t want to damage my liver

>>10607439
>The evolutionary history of variation in the human Rh blood group system, determined by variants in the RHD and RHCE genes, has long been an unresolved puzzle in human genetics
>Prior to medical treatments and interventions developed in the last century, the D-positive children of D-negative women were at risk for hemolytic disease of the newborn, if the mother produced anti-D antibodies following sensitization to the blood of a previous D-positive child
>Given the deleterious fitness consequences of this disease, the appreciable frequencies in European populations of the responsible RHD gene deletion variant (for example, 0.43 in our study) seem surprising.

Hum Genet. 2012 Jul; 131(7): 1205–1216. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3378649/

>>10609541
> In this study, we used new molecular and genomic data generated from four HapMap population samples to test the idea that positive selection for an as-of-yet unknown fitness benefit of the RHD deletion may have offset the otherwise negative fitness effects of hemolytic disease of the newborn.
>We found no evidence that positive natural selection affected the frequency of the RHD deletion.
>Thus, the initial rise to intermediate frequency of the RHD deletion in European populations may simply be explained by genetic drift/founder effect, or by an older or more complex sweep that we are insufficiently powered to detect.
>our simulations recapitulate previous findings that selection on the RHD deletion is frequency dependent and weak or absent near 0.5. >Therefore, once such a frequency was achieved, it could have been maintained by a relatively small amount of genetic drift.

Best question in this shitty thread

>>10608021
just eat soap, anon

soap and water has been proven even more effective against biofilms in vitro than apple cider or garlic

it also kills AIDS and autism

>>10608680
Alchohol hella causes mouth cancer though. That's why pretty much ONLY listerine does it nowadays.

>>10609541
>>10609543
Thanks anon. I googled my question but I couldn't find this article.

>>10607861
WHATS WRONG WITH PATHOLOGY

I feel like everyone that goes into medicine is autistic in their own special way

>>10609595
>WHATS WRONG WITH PATHOLOGY
Nothing, it's great if you're introverted and like medicine but dislike patients.

>>10609306
>Cells at Work
>learning immunology

the equivalent of trying to learn European history by reading gay Hetalia fanfiction

>>10609325
Based

>>10609306
Cringe

>>10609790
Yikes

>>10608335

I wasn't really planning on medicine until my later years, planned to go to grad school.

What is emergency medicine like? anarchy?

>>10609904
SIR PLEASE SIT DOWN SIR, WE'RE JUST TRYING TO HELP YOU SIR

>>10609904
Not really. When I had rotations it was pretty chill. Not sure about US but here, we don't really have that many cases of stabbing and shooting. Most of them are usually STEMIs or trauma from car accidents and the docs from the ER usually call for help and have an OR on stand by before the patients come in (trauma). But you must have great teamwork skills to be good at it.

>>10609904

Why do people keep farting on me on rotation

>>10609976
>tfw surgeon makes you inhale all of his farts so they don't contaminate the sterile field

>>10609976
Based pajeet.

>>10607780
Covered in the statistics courses.

>>10609554
Look dude, I'm just baffled that biofilms have yet to be properly addressed when it comes to curing a bacterial infection. Proper diet and shit like that is always recommended for helping meds work and I thought maybe eating certain foods actually had the ability to assist in biofilm disruption. I'm not a med major, cut me some slack.

>muh mom

>>10610289
Stop

How good is the lifestyle of a pathologist?

What medical residency has the best lifestyle?

>>10610737
>>10610756
Dumb questions and they were answered some threads back.

But fine. Path is OK lifestyle wise
Best lifestyle: Derm, psych, rads

What does IM deal with? Nowadays everything is so specialized and subspecialized it seems this guys should barely have patients, am i wrong?

>>10610898
IM = Hospitalist or Primary Care. So they deal with most of the internal diseases that don't require a specialist, can monitor chronic diseases like FM's do. They have tons of patients, especially in small cities.

When I was on the IM ward, I've seen kidney, heart and liver failures of all sorts, tumours, cirrhosis, hep cases, hem diseases.

>>10600792
I'll tell you how to make sure you don't make Elliot Rodger and make girls instead. I'm a doc so trust me.

Making half bred girls 101:
>taimingu
The most important factor is timing. The baby’s sex is determined by the chromosome carrying sperm. Y swim faster, but survive for shorter periods of time than their female producing counterparts. You should have sex TWO to FOUR days before ovulation if you are hoping to conceive a girl. By the time ovulation occurs, only the X should be left to fertilise the egg.
>sexpose
To conceive a girl, shallow penetration during sex is the key, but for a boy, the opposite is true. I advise missionary position or a small dick LMAO.
>don't make the girl orgasm/go for ACIDIC vaginas
Don't fret - my racetraitor brothers - it's science. The female orgasm releases an alkaline secretion which may help Y to survive longer, by creating a less hostile environment.
An acidic vaginal environment is more conducive to a girl. An acidic pH will negatively affect the Y, which is weaker and less resilient than the X.
>avoid nofap/have more sex, but with a different partner
MASTURBATE like a teen on heat. This will reduce sperm count, and mean there are less fast-swimming boy sperm available to join the race for fertilisation.
>don't fall for the coffeine meme
Don't drink coffee/stimultants if you want a girl and do if you want a boy. Apparently, the caffeine is detrimental to female sperm.
>drink milk/GOMAD
For a girl, eat milk products, drink milk, eat yogurt and cheese. A diet low in sodium and potassium and high in calcium and magnesium helps produce a girl.

>>10610737
Some people ITT said they were frequently exposed to carcinogens but I don't see how that's possible if you take the necessary precautions
That put aside, the lifestyle is great (typical 9 to 5, low stress, no patient interaction if you're cool with that, decent salary)
>>10610773
Don't forget ophtho.

>>10610911
Why wouldnt someone want to have boy?

>>10610898
In the U.K. we train in IM but then go on to specialise. There’s no such thing as an IM consultant (attending) here.

Should we make /med/ discord or stick to the threads? Or both?

>>10611242
>discord
Cancer that will completely turn /med/ into a attention whoring circlejerk, stick to the threads

>>10611242
threads are chill. discord would be full of premeds that ask "W-what's the best spec lifestyle wise?" or the one in the OP.

>>10611242
Go away Romanian fag

>>10611307
I'm >>10611276 you massive faggot

>>10611308
What are your best gypsy stories?

>>10611315
>best gypsy stories
Only in the ER because that's where they come when they need help. This particular woman comes to mind.

>be me
>ER rotation
>doors open, two ambulance guys come in with a stretcher
>obese gypsy woman on stretcher that could barely hold her fucking ass
>all she's saying is "Wow" followed by some words in their language
>from the ambulance team, we knew she fell down the stairs in the block because an old lady called them
>no family
>doesn't speak romanian
>ohshit.jpg
>drew blood, ecg shows RBBB, fast scan okay, no ptx or other shit
Here comes the funny shit, and I still feel bad for laughing at this
>attending told porter to take her up to the rads dept
>in like 5 minutes the porter came back yelling for help
>pt in cardio-respiratory stop
>dies later
>attending asks the porter "Wtf happened, man?"
>"She talked to whole way up, when I arrived with her @rads, she suddenly stopped talking and when the tech saw her, he told me she's not breathing and should take her back"

My sides were gone that night.

>finished biomedicine grad
>got a obrigatory internship in lab during it
>realize I hate working in a lab
>can't get a job in any other area except labs because it seems that's the only area people want biomeds working on
end me

>>10611719
What type of lab work? Analyzing samples is balls. Have you considered specializing out into a more biological field (a biomed should get you there)?

>>10611734
Clinical Analysis is the most normal work for Biomed.
It involves stuff all the way from doing imunoexams to having to deal with literal shit and piss.
I want to specialize in radiology but the market would rather take in a rad technician than a biomed specialized in the area.

Has anyone else had to wear one of these? It is literally hell, especially the ones with air tanks. I think the guy in pic is handling smallpox.

>>10610996
What about anesthesia?

Are there any surgeons here, student nurse here wanting to work in surgery and I have placement coming up. Any good hints and tips for a nurse to know that are extremely helpful to a surgeon? Ty :)

>>10611754
how the fuck do I get to a point where I work on viruses like this I want to do this

>>10609941
oh shit I wanna see the replies now

Answer me this, how the fuck did I manage to rupture/tear my ACL without even noticing? I do a lot of jogging and cycling but usually can't do 2 days in a row due to swelling. I've had varying degrees of knee pain and instability for several years but only just thought to see a doc and get and MRI.

Not asking for medical help or anything, just genuinely curious how I managed to fuck up the ACL without even fucking noticing.

>>10611761
Is this your first placement? If so you won't be doing much shit at all except talking to patients and doing menial shit. Most people except your direct mentors will not give a shit about you and ignore you or tell you to fuck off.

But you'll get to do a lot of stuff later on so don't get discouraged.

Heyo I'm finishing up my community college for undergrad. I'm set to transfer to uni in a year. While I'm not required to take any courses, I have the option of getting physics and o Chem out of the way. However, I'm thinking about working full time as an EMT again. Should I do a single class and work, or say fuck it and do both?

>>10612244
Hey thanks and no not my first placement. I’m aware it’s mostly observation but I’m just curious to know :)

>>10612243
Most, but not all ACL injuries are severe. You were in the 10% with a mild-moderate injur.

ACL injuries are classified by the following grading system:

Grade I — A mild injury that causes only microscopic tears in the ACL. Although these tiny tears may stretch the ligament out of shape, they do not affect the overall ability of the knee joint to support your weight.

Grade II — A moderate injury in which the ACL is partially torn. The knee can be somewhat unstable and can "give way" periodically when you stand or walk.

Grade III — A severe injury in which the ACL is completely torn through and the knee feels very unstable.

Overall, most ACL injuries are severe Grade IIIs, with only 10% to 28% being either Grade I or Grade II.

An ACL injury is a sprain, in which the ligament is torn or stretched beyond its normal range. In almost all cases, when the ACL is torn, it's almost always due to at least one of the following patterns of injury:

- A sudden stop, twist, pivot or change in direction at the knee joint
- Extreme hyperextension of the knee
- Direct contact

https://www.drugs.com/health-guide/acl-anterior-cruciate-ligament-injuries.html

>>10611759
not a lifestyle specialty because of the hours/call, unless you get an outpatient surgicenter job at reduced pay

typically:

$350-450k/year
50-60 hour/week
can dick around on the internet all day
requires gigantic balls of steel when things go bad

>>10612306
>requires gigantic balls of steel when things go bad
elaborate

>>10612308
I think he means that you must be very good in unexpected situations.

>>10612308
>be anesthesiologist
>routinely give the most dangerous drugs in the entire hospital
>induce apnea and hypotension in all of your patients
>all day, every day, your entire career

It's a numbers game that something will eventually and unexpectedly go wrong.

Here's the classic scenario

You've just induced anesthesia and now your patient is apnic. Then you discover that the patient is difficult to mask ventilate. You try to intubate the patient, but and despite your best attempts you cannot see the vocal cords to intubate. You guess where the cords are, but the oxygen sats keep going down. You realize you probably put the breathing tube in the esophagus instead. You pull out and try to mask ventilate again, but you are still barely moving any air.

You hear the terrifying sound of the pulse ox ticking down to 60% saturation

You realize you are now seconds away from killing this patient, who that walked into the hospital for elective surgery and trusted you with their life.

You'd better come up with SOMETHING fast...

>>10610289

fuck off fag

>>10612465
Not him but I have a question. If the tube is inserted in the esophagus by mistake, why would you take it out? Isn't it safer to keep it there and give intubation another try? From what I've learned in ER rotations is to not take the tube out if it's in the esophagus because stomach contents might come out.

>>10612485
Seething.

>>10612641
What did you try to achieve by posting that shit? It's just +1 to replies, nothing more. And pls, stop mentioning my mom if I already stopped. It's just rude :(

>>10612649
It's ok bro I liked hearing about your mom's work

>>10612679
Thanks, anon.

>>10612198
Do biomed/microbiology, then specialize in infectious disease/virology, then get your local version of a biohazard certificate.

>>10612641

No I'm not seething I'm just tired of you. You're a dipshit who just mocks an innocent dude sharing stuff about his mom's work because you have nothing better to do with your pathetic life. Go fuck yourself you pale nigger.

>>10606692
Pulmonary embolism is the desease I fear most. Difficult diagnosis, high death rate, underestimated by patients.
>>10611242
+1 threads. It's easier to follow.
>>10611315
Today one during gastro rotation wanted to treat massive cholelithiasis with herbs.
>>10612465
You always have a senior near by so he can help. Also laryngeal masks, also tracheotomy.

Pic reminded me of romanon.

BTW fellas I need to hear what you think

>mom got a laparoscopic oophorectomy with salpingectomy for a benign tumor
>surgery goes well, mum recovers fast, feels great as a whole
>hystology is mucinous cystadenoma
>goes for first checkup
>doc removes stitches and says she's fine and schedules a second checkup
>second checkup
>doc out of nowhere says these kind of tumors go malignant and recomends a full hysterectomy with adnexectomy on the other side

Obviously we're gonna schedule a second oppinion with another gynecologist and I'm gonna meeth with my patho teacher to ask him what he thinks. But from what I've read she should be fine after it was taken out. It was also 100% benign. Highly differentiated and stuff. Why go through another operation? Why didn't he take everything out in the first place? It just seems fishy to me.

>>10612804
Kek, it's not that dangerous, anon. Dogs don't use knives to kill you here.

Also, I've seen my fair share of PEs. Most patients died, of course and sometimes it's related to what I've said, negligence from the patient because he's either a massive idiot that can't take meds at home or don't want to but this is kind of rare. PEs are indeed hard to diagnose because it mimics very well many conditions, so...dear patients, please take your fucking heparin.

>>10612814
Because they didn't know it was mucinous cystadenoma in the first place. If they knew, they would've gone for a full hysterectomy.

how do you develop schizophrenia? i want to be a schizo

>>10612923
From my experience, I know that people develop schizophrenia after a big traumatic even in their life. My cell bio prof had to resign as the head professor after developing schizophrenia. (Her son died) She tried to teach, took meds, didn't work. I still remember the end of my first year. In the last week before the exam session she announced that this will be the last lecture she's going to do and she'll resign from her position. It was sad.

>>10612601
Because the OR and the ED are different places.

leaving the ETT in takes up space in the mouth and will make the next view harder to see. It also makes it more difficult to mask seal.

In the OR, patients are appropriately NPO and thus reflux/aspiration risk is very low.It's better to remove the ETT and try again.

In the ED, all inductions are rapid sequence and the aspiration risk is much higher. In that case, you're right in that it's best to leave the esophageal ETT in place and try again.

>>10612954
Oh, we're talking about anaesthesia. I thought we're talking about ICU.

How much do anesthesists know about surgery?

>>10612958
>>10612958
>>10612958

Fresh new bread.

>>10607877
>staying out of bullshit pat range
>earn more than decent money
>can even work from home, 9-5, etc.

Yeah, rad is so stupid hehe...

>>10612465

>>10612704
do you think it would work out if I did medical technology? I know that they have a focus on microbiology and plus I want to work in a lab anyways