/sci/ - Science & Math

>>10612954
I'm currently reading the ATLS textbook for my emergency med class and I have never heard or read about leaving an ETT in the esophagus. Wouldn't getting a mask seal be practically impossible with a tube sticking out of your mouth?

>>10612814
>>10612844
Also don't surgeons send a biopsy during the surgery to path so they can do a frozen section and not have to wait until after the surgery is over to decide if they have to remove everything?

>>10613039
Yes, they can but that requires a path lab to be on stand-by, basically to be scheduled, I think.

>>10613041
Sounds like the surgery they did on that anon's mom was scheduled. Seems weird they wouldn't do that

>>10612958
>dat pic
I always liked this part of going to doctors and shit. Like ayy lmaos
Idk why. Maybe I'm a creep

>>10613054
Correct. My bad, I have no idea, then.

>>10613057
That's a weird thing, man. I'm a medstud and when I had surgery to remove a mole, even though my attending was operating, I still shat myself a bit when I saw him looking at me. It's weird. But hey, at least I spoke to him a ton during surgery and found out stuff about him.

Quick question I have about PM&R spec. Short: Is it worth it?
Long:What's the better thing to go in PM&R? Taking care of patients that had a stroke or had major surgery or the elderly that need hydrotherapy and mud baths? I haven't had these classes yet, I do PM&R in my sixth year of medschool. I heard there are some procedures, such as joint injections and joint echography plus EMG.

>>10613298
I don't know what this stuff means. I just like the idea of being studied. Examined.

I got a brain MRI because im currently getting diagnosed for adhd. I read somewhere that adhd brains look different in certain parts, would you be able to see that if I posted the pictures?

>>10613370
I guess it depends on the individual. I personally hate it. Especially when a doctor auscultates me or checks my throat. The thing that I hate the most is when they palpate, holy fucking shit I hate it so much.

Last thread I had asked for some tips from any surgeons that would benefit a nurse student) in theatre and the team :) many fanx

>>10612958
my piss is brown/really dark yellow. Does it means i have cancer?

>>10613602
You're either dehydrated or you have rhabdo. Drink some water and wait to pee, then update us.

>>10613600
>asked for some tips from any surgeons
>implying surgeons browse 4chan
Not a chance, my man.

>>10613613
>>implying surgeons browse 4chan
Not any more unlikely than any other MDs

>>10613615
Well, we had that psych guy. And one or two residents if I recall correctly.

>>10613616
Yeah so I wouldn't be surprised if some posters were in surgical specs

>>10613619
slim chance. posters that are in surgical specs usually have a much bigger workload than the ones in clinical specs, so I doubt they have time to get in here.

IGNORE ROMANIAN POSTERS
DO NOT RESPOND TO ROMANIAN POSTS

>>10613652
They already did. What's your problem? Another romanian poster? I don't think the thread can handle us both, my man.

>>10612923
Smoke weed all day long and take a lot of psychedelics. Watch conspiracy videos nonstop.

>>10613621
Okay, thanks anyway guys! Appreciate any kinda feedback in that case

>>10613666
Trips of the devil.

I don't know what tips are you looking for. What would you like to know?

I have a question for you medfags that deal/have dealt with patients with cancer: Is there something sadder than someone's life ending like this?

>>10613677
I honestly think it is the worst way possible to die. Sometimes it's a slow death, sometimes you recover, sometimes it comes back. It's complicated shit. I've had this 50 something patient on my pulmo rotations, he was Stage IV, terminal, already had multiple organ failure, he had the worst jaundice I've ever seen, turned extremely yellow, Even he was in that state, he still spoke to us and was a very friendly guy overall, he seemed to be comfortable with his inevitable death. From all forms of cancer, lung cancer is the worst kind to die from, imo. Our patient was struggling for air, even that oxygen tank wouldn't help him.

He died two days later, didn't ask the attending anything else. She just told us he died, that's all.

>>10613669
Just anything you can think of that’s been helpful or pissed you off :)

>>10613717
>helpful in the OR
well, procedures. I got to see them, as we don't have such thing as surgical techs in Romania, there was a nurse that helped him. She was experienced, knew how to anticipate the surgeon (Like when he needed scalpel, suction, stuff like that). I don't really know what to say.

>pissed you off
The music in the OR.
The fact that you have to stand the whole procedures.
I hate the smell of the OR
So yeah, surgery in general pisses me off.

>>10613725
>The music in the OR.
Why?

>>10613731
I made a post about this

Urology = classical music which was fine
Gen surgery = Despacito
Ortho = rock or metal which I despise

So yeah, not my cup of tea. But the surgeon is the DJ, basically.

>>10613621
4chan takes as much or as little time as you want.
It's just that when most doctors are gonna take some free time, they aren't going to spend it talking about medicine. They'll be far away from /sci/

>>10613740
I agree with you. I doubt that there are doctors that come to 4chan on a regular basis tho.

>>10613039
I think they do this only in indefinite cases. You can usually tell benign from malignat tumor right on the spot so I guess that's why they only got the cyst. But now he tells us he has to take out everything. Either the hystology isn't correct then or he just wants the money. I don't like thinking of colleagues this way, but I just can't help it... It was in a private hospital btw.
>>10613407
Err I think that's in functional MRI.
>>10613619
There was an urologist once in the older threads.

Doctors are like if you like put lawyers in charge of healthcare. It's just a day job for affluent assholes.

>>10613772
Fuck off pinko retard

>>10613772
Bro, what?

>>10613736
That’s hilarious, I will def look out for these stereotypes

>>10613797
Yeah, I can't wait to start my fifth year and get to explore what do other surgeons listen to since the procedure itself is boring.

>>10613736
>Gen surgery = Despacito

>>10613801
What would you listen to?

>>10613809
Hmm, good question. I'd probably go for pop music. Maybe something like https://www.youtube.com/watch?v=upeEim0zP9U would be cool with me.

>>10613809
>>10613811
>not performing procedures with harsh noise in the background
plebs

>>10613613
>>10613602
thanks, i drank about 0.75 liter of water and resulting piss is light yellow, almost watery, made me calmer. Should i drink more? Most of the days i drink cup of coffee in morning and cup of tea around 20:00 + half a 1.5l water bottle when i excercise

>>10613855
Y-yeah. Drink more. At least 2L of water/day if you don't exercise. Add that 1.5 during exercise and you get 3.5L/day. That should be enough.

Hi /med/,

What would happen if a person were to be injected with semen intravenously?

>>10613775
Did you get your feelies hurt?

>>10613407
For a conventional MRI?
No, just shows the anatomy

>>10613972
An outcome that is well deserved

how prevalent is psychosomatic pain among the general population? what can you do to not experience it

>>10612958
My left tit hurts a lot, like cramps n shit. Female btw. Has been for 1 day btw.

>>10614085
What day are you in your cycle? My boobs get ultra sore in the middle of my cycle

>>10613811
Oh yeah that’s not bad at all. What surgeons listen to jazz?

>>10614085
How frequently are you farting? What do they smell like?

>>10614186
Mm they smell like normal i guess. Idk how much i fart, probably a lot.
>>10614131
Come to think of it i am on my period though it's my last day. I only asked why they hurt because it's the first time, but it's likely normal.

Tips or mnemonics to learn all the plexuses of the body.

>>10612958
guys i have a toenail infection bc my gf wanted to try and work out my ingrown nail while i studied. been working in the icu and resp for two months so prob colonized. Is this a janeway lesion on my bicep? I'm scared of getting an infective endocarditis.

>>10614344
You don't have infective endocarditis. Put some mupirocin on it if it doesn't get better in a week see your doctor.

>>10614367
thank you

>>10613972
It would be extremely painful

>>10614438
for you

>antisera for immunohistochemistry that some pathologists gave my professor didn't work
Picture me surprised.
Meds shouldn't do research they can't do shit

>>10614577
Not all* meds should do research.

>>10613814
>harsh noises
Explain

>>10614943
https://www.youtube.com/watch?v=AguPH0XBxdw

>>10614949
Oh, that piece of grabage. I think that would drive everyone in the OR crazy.

>>10613811
>pop

do we ever get a stop of basic bitches here? why are so many (wannabe) med students plain and boring?

>>10615106
>if you listen to pop music you're a normie
???

Daily reminder to stop posting off topic shit and ignore/report trolls.

>>10615132
nah, your reading comprehension is off again. I said basic bitch, and your are one since you complain and prefere bland stuff. Most med students including me are normies.

>>10615147
are we on reddit?

Medanon here. Disclaimer: I will see a physician, but I want to know this - is tinnitus from hypertension in both years? I've been having tinnitus in my left year for the past week, but it's only in the left one and occurs only at night. It sounds like a heart murmur but only in my ear which makes me conclude that it's something vascular.

>>10615328
https://www.ncbi.nlm.nih.gov/pubmed/25190255

You're a medanon. I've found this. HT is etiological for tinnitus, however "There is evidence of an association between tinnitus and hypertension, although a cause and effect relationship is uncertain." - as the article says.
How old are you?

https://onlinelibrary.wiley.com/doi/full/10.1002/ccr3.2180

Great case report of a 4.5 y/o with CF that developed pseudo-Bartter syndrome.

"Abstract: Cystic fibrosis (CF) is an autosomal recessive genetic disorder. We report a case of a boy aged 4.5 years with cystic fibrosis, presenting under‐weightness, hypocalcemia, metabolic alkalosis, hypokalemia, and hyponatremia. Sweat analysis of the patients concluded pseudo‐Bartter syndrome, which was successfully treated using antibiotics, physiotherapy, fluids, vitamin supplements, and pancreatic enzyme therapy."

Happy reading, anons.

>>10615196
Why don't you want to keep it civil? I know we're all anons here, but come on. You don't have to bash someone because they like some kind of genre. Don't be a faggot.

>>10614085
>tit
>n shit

Vulgar and unrefined woman. Very very disrespectful. Please leave and grow up.

Engineer fren here
What is the /med/ way to deal with stress? I don't want use weird shit like those guys who use adderall for studying

>>10612958
How much reading does one have to do in med school? I'm a slow reader (dyslexia), but I'm still getting fine grades in bio undergrad classes. I'm mainly concerned about the time it will take to study.

>>10615375
>to deal with stress
Just chill after you study, no TV, no phone, no internet acces, just chill on your bed. Don't use drugs to "enhance" your academic performance, I used mnemonics but now I make charts because I started clinical/surgical rotations and have to memorize symptoms, treatments and stuff like that.

>>10615384
>How much reading does one have to do in medschool
Depends, honestly. It's a difference if you memorize most of the important stuff from your first "walk-trough" of the book and if you have to read the book 3 or 4 times to memorize the same amount. Depends on the individual.

>>10615384
Anon... I....

Medstud here. I'm really scared about something.

My girlfriend has Free T4 10.4 pmol/L (10.8-25.5) TSH 3.03 mu/L (.27- 4.2) and has eye "pressure" she says and had swirling of her vision, but no bitemporal hemianopia. I noticed nystagmus at the extremes in her left eye that is reproducible. She exhibited thyroid status signs like anxious mood, eye pain, fatigue, etc which prompted me to get her tested. Her grandfather died of GBM age 64. The GP surgery told us we would be contacted if abnormal bloods, we were never contacted in the last three weeks but I chased it up after she complained of eye pain and fluctuating mood. They told her to come in within the week. I just pulled the results. Free T4 10.4 pmol/L (10.8-25.5) TSH 3.03 mu/L (.27- 4.2)

Her father and sister (both descendents of the grandfather with GBM) also have what look to me like the same bit of proptosis she has so I thought I was going to see Grave's. They also have aberrant anxiety and irritability so I thought it was a sort of familial hyper.

>>10615497
Thyroid seems fine to me. Free T4 value is negligible. Have you thought about an optho or a neuro consult? Maybe a full head to toe CAT scan? It would be only speculating if we would start to discuss her condition based on two labs which are normal and her symptoms.

there is literally nothing left to research

>>10615574
Cancer research
Cell bio research
Nutrition research
Biochem research
Metabolic diseases/Metabolism in general research
Hem research
Neuro research
Pharma research

Tons of research opportunities. All you have to do is to ask yourself a question that hasn't been answered before and there you go, you can start researching.

>>10615532
Her eyes are painful she says. She's putting tea bags under her eyes in the am under her eyes bc the bulges underneath. She says her neck feels full. proptosis looks like to me.

are you joking with the head to toe ct scan? pituitary adenoma?

>>10615574
your fucking stupid

>>10615585
>are you joking with the head to toe CT scan?
No. Why would I joke about it.

Now, stop speculating and thinking about shit and do something instead. Take her to a physician so she can get a CAT scan and let the doctors do their job. We're medstudents, we usually go for "zebras" instead of "horses". Someone with more experience is objectively better.

>>10613801
It sucks. Clinic sucks. Research is the best. Academia is the best. Doctors are boring. They do the same things always, remember few drugs to prescribe and that's it. You waste your knowledge by being a doctor who works in a hospital.

>>10615593
you wouldn't do a full body ct scan for that. just an mri head for space occupying lesion and maybe a thyroid ultrasound

>>10615607
>you wouldn't do a full body ct scan on that
Okay, then don't do it. I wish her the best.

>>10615606
>Clinic sucks
>Research is the best
Oh, fuck off. For me clinic >>>>>>>>>> research, hands down.

>>10615606
i have a phd and found a few big things. i used to hate the clinic/wards until i gained a better understanding. each patient is an experiment out in the wild, and finding the diagnosis is detective work. don't dismiss the puzzles of patients and the intrigue that may come with that. that being said, don't accept maintenance over excellence in terms of current knowledge/science

>>10615609
well it's boring to me. especially being the GP. i hate clinic. At least in my country.

>>10615607
>>10615585

as a romainian medical resident, get a fucking CT scan of the head no one gives a shit about muh muh radiation abloobloo
stop speculating about useless crap just do the CT

>>10615608
>Oh, fuck off. For me clinic >>>>>>>>>> research, hands down.
never nigger

>>10615617
>especially being the GP
I feel like that's one of the best specs you can go into. You can be up to date with a ton of info and also see a ton of variety in your patients.

>>10615618
ROMANIBRO!!!! What spec are you in?

>>10615626
internal medicine
>inb4

>>10615629
>IM
Cool. I want to go into family medicine. What part of Romania are you from? (I'm from the Western part in a big city that starts with T)

>>10615626
well i respect that but i started hating clinic as soon as i started frequently going there. first 3 years of med school were best as they were theoretical and usually plenty of science there. Clinic is all about personal preferences of doctors. You don't even use the same knowledge you've gained before. I don't know i just don't like it.

>>10615637
so from Timișoara? never been there, I'm from Cluj
familly medicine is comfy as fuck and can pay big bucks if you get lucky. Just don't get memed into picking a specialty just because you have a big grade at rezidențiat, like others did.

>>10615648
Yeah. Timișoara. As I said in the earlier posts, I can work easily in a suburban place since one of my parents is a family physician. That's what I wanted to practice since I got into medschool and practiced there.

Cluj is a nice city, been there a few times and the people are really chill. How is IM so far, anon? Do you like it?

>>10613031
To be honest I haven't personally had to do this myself, but I have mask ventilated patients with 18Fr 6mm OGTs and NGTs. A 7.0 ETT has an outer diameter of 9mm so slightly bigger but still similar enough.

The extra tube does make it more difficult, but you can move the tube over to the one side of the face and use a two-hands seal.

Mask ventilation is also surprisingly difficult in general unless you practice it on real people a lot.

>>10613600
Be affable and be able to carry on a good conversation is all. Hot topics right now are GoT and Avengers

>>10613745
There were two other anesthesia residents besides me in prior threads.

>>10615638
Then you'd make a good pathologist. Of all the specialties, most of their practice is similar to the material learned in pre-clinical years

>>10615663
>How is IM so far
it's one of the more harder and down looked specialties, but I was surprised how much I liked it. I mean I had doubts at the begining when I picked it after the rezi exam, but damn as soon as I started working it was very nice. Finding the diagnostic and then shipping the patients to some surgeon or whatever to do the dirty work feels nice.
as with everything, having bro coworkers at a hospital makes or breaks everything, don't think familly medicine has this problem, but you will see it as you move around clinics as a resident

>>10615684
Heard about residents being very competitive with one another. It's true that some of them are literal bros and they're very calm and friendly but most of the times, I've seen very competitive people. (Especially in cardio and pulmonology) had no idea there were shitty people in IM. It's nice to find a spec that you click with from the beginning. Of course it's looked down on since there is full of specialists. Hope you'll become a great doctor and help patients out!

What is the biggest technological/business trend threat to medicine as a comfy career? Asking for a friend.

>>10615617
phd again here, yea the gp is boring as hell. wards are much more interesting so i agree with you there. major downside tho is getting colonized. just do pathology

>>10615693
IM people are very chill, psychopaths tend to clutter in other, more sought after specialties

>>10615577
>Cell bio
>Biochem
Do MDs work on those though? What specialties?

>GP is boring as hell
Are you sure you don't have social anxiety, friends? Jokes aside, many people told me that GP is boring and barely sees any action but that is kind of false, especially if you're open 24/7 and after work hours you only accept minor emergencies, plus at home consults. I feel like it's one of the most underrated specialities, with IM and ID.

Maybe I am biased, but I always liked this general part of medicine more than being an expert in one field. Plus I'm easygoing myself.

>>10615710
Good to know. At least I want a non-competitive spec. I basically have to be a brainlet to not get into family medicine.

>>10615717
My cardiology prof does research on biochem and metabolism. Not sure about others, but I'm pretty sure any MD can do research on whatever they want as long as they're good.

>>10615720
phd medstud here, i dont mean to dog it- im a big introvert so its just not my thing. i do have great respect for the very very smart and skillfull gps ive met, two were prob the top 10 docs ive ever seen, but it just sucks being there as a student and can be boring at times if you dont like talking to people.

>>10615725
>im a big introvert so its just not my thing
What spec are you interested in, path?

>>10615701
The biggest business threat is the physician practice management industry and the "wal-mart"-ing of medicine

Groups like Team Health, Sheridan/Envision/AMSurg/EMCare, with the ultimate goal of these organizations being corporate profits over quality of patient care and physician independence. When they buy out all the groups in a city, your only option is to work under the corporate overlords or move to a different area.

Anesthesia, Emergency medicine, and Hospitalists were the first to be affected because we don't "own" our own patients, but don't think that you're safe either. If the model succeeds they will come for every other specialty as well.

more here:
https://www.aaem.org/resources/key-issues/corporate-practice/ppm

https://www.apsf.org/article/large-anesthesia-groups-practice-management-companies-discuss-the-impact-of-production-pressures-on-patient-safety-with-apsf-leaders/

It's laughable whenever I see a pre-med post about how AI will ruin doctors, when the real thread is good old human greed.

>>10615729
path, onc, immunology. not sure

>>10615725
yes, exactly as me. i don't like working with people that much but i like medicine. i like combining medicine with other fields of science and using that in research.

>>10615735
>onc
If you don't like talking to people it seems like a bad choice

>>10615735
those are nice fields especially immunology

>>10615730
id call it the uberification of medicine. imagine amazon hires a shitload of foreign docs on visas and undercuts the market. or uses all midlevels lol. whatever path is a service anyway. im family with a guy who hires pathologists for new institutions so hopefully he hooks me up

>>10615739
yes so maybe path. i dont like talking to people but patients really like talking to me. on wards they always flag me up to attendings as being great.

>>10615724
>any MD can do research on whatever they want
Yeah but you don't usually study cell bio or biochem in depth when you're an MD

>>10615759
>Yeah but you don't usually study cell bio or biochem in depth when you're an MD
this. you only conduct some boring clinical trials or collect statistical data to present it at a conference that nobody even pays attention to.

>>10615717
>cell bio
>biochem

Academic research specialties.

Neither of those have an ABMS certification board, so no MD can "practice" those areas.

If that's your interest, then you'd be best served by a MD/PhD from the MSTP program

>>10615759
Well, it has its downsides, but they can do it.

>>10615767
this but unironically, the amount of shitty papers churned out by regular doctors makes me cringe

I am back, argiefag here with another episode of "diseased homo I met on the streets: metro edition".
>homeless
>drug addiction (fucked up teeth, noticeable substance-induced weight loss, I'd say it's crack)
>severe speech impairments
>drooling
>muscle function loss in his left arm
Thoughts?

>>10614295
Spaced repetition for the rest of your life.

>>10615958
Kek. These are the stories that I should post from Romania, not Argentina.

>>10615958
Also, lack of jaundice rules out long term alcohol and he his good balance also rules out the theory he's drunk. His pupil dilatation also seemed to indicate he wasn't under LSD.

>>10615574
Testicles and the brain are the final frontiers.

>>10615975
I see the likes of him regularly but he was far more fucked than his other druggie relatives. I found it interesting so decided to share it.

>>10615976
Pupil dilatation could mean a lot, not just LSD. There are plenty of causes for his symptoms. Maybe he had a stroke from too much drug use, you also didn't see his abdomen and at least palpate the liver, hepatomegaly might be present, his spleen might be nearly destroyed. We're just speculating here.

>>10615730
Don't see how that would work here. Public healthcare will always take a employee over an contractor and doctors are so heavily unionized (like over 99% here) that they'll push in anyone's shit if they try something.

>>10615743
That's why very few countries accept foreign residencies.

>>10616047
Of course, that's the fun of it, speculating. You see, he was wearing 3 layers of heavy clothing despite being 26 degrees celsius so he could also be having some sort of fever. He sadly left 20 minutes ago so right now we can only speculate based on those symptoms but even then, isn't it fun?
By the way, I just pointed out he wasn't under the effect of LSD earlier since it could've explained all (or at least most) of his symptoms.

>>10616069
Fair enough, argie. I think he sleeps in those clothes and since he doesn't have a home, no reason to take them down. Peripheral circulation might be shit from the alcohol too.

My tit still fucking hurts and I'm no longer on period.

>>10616094
Make an appointment with your family physician.

>>10612958
Will rads be automated? Should I just do an MD+PhD in Rads+computer science for diagnosis or just a PhD in CS?

>>10615958
herpes lesion in brain?

I got accepted to Central Michigan from their waitlist, but I'm leaning towards reapplying instead. What should I do?

>>10616370
Not from US, but why would you reapply? Aren't you satisfied?

>>10616370
I know someone who went there. She was a total cunt. That being said, youll be fine. Depends on what you want out of med school

>>10615839
me too. i attended few of those conferences where they presented those papers. they were literary just some old statistical data with copy paste physiology from textbook. e.g. diabetes mellitus in patients with cardiac problems or some shit like that. and they talk about diabetes how its bad for heart.. yeaa like nobody went toed school for that.

I left this shit in my car for four fucking hours today and when I came back for it the tube was hot to the touch and the mineral oil/ white petrolatum partially liquified. Is it useless now?

>>10616389
It's a bottom-tier MD program that was founded only 5 years ago. I have a strong MCAT score, several publications, and a GPA that is about average for general matriculants from my major (Chemistry), so I'm assuming the issue is either with the written portion of my application or my LRs. The issue is that I only have another 7 days to decide, so I don't think I'll be able to pin down if I have a bad LR or something more serious as an issue in that amount of time. My main worry is that other schools know about a gap in employment that I had last year (I'm 2 years out of undergrad), as CMU was the only school to offer me an interview.
>>10616413
I want to specialize in Radiology. CMU is primarily a family med factory, and I want to get the hell away from mid-Michigan, anyway.

>>10616487
should ask a chemist bro. it might even say on the tube what the do not exceed temperature is

>>10616519
It says 80° but I'm pretty sure the inside of the car was like 90° F

Does the do not exceed temperature indicate denaturation at the max and min?

i want to get off my meds (fluoxetine) because its not really helping me out.. ive been taking it for 3 weeks btw

>>10616551
k

>>10616553
fuck you

>>10616551
you've been memed by psychiatrist lmaooo
big pharma just fucked with your brain for nothing, ez money for them you loser

>>10616526
it has exceeded the do not exceed temp.

>>10616578
Lol no shit my dude what does that mean though?

>>10616594
...

oof

>>10616599
Fuck you

>>10616594
Nothing, it's fine. It's completely safe to ignore the do not exceed temp indications, they actually serve no purpose whatsoever

What's the most retarded thing you've seen a nurse do?

>>10616800
Make me a porter and delivery boy for labs. I still hate that bitch, but at least my attending took me under her wing and stopped that bitch's rampage.

>>10616370
>accepted to Central Michigan
Congrats anon!

>leaning towards reapplying instead
Holy shit, I'd think you were trolling but you might be seriously considering this if you were the anon from the previous thread.

I just googled their 2019 match list and it looks great. I see Diagnostic Rads, Rad Onc, IR at Dartmouth, Ophthalmology, Anesthesia at Cleveland Clinic, UVA and Stanford, Orthopedic surgery.

That's a decent goddamn match list, if I've ever seen one. Study hard, don't be a gunner, and you will do fine.

Enjoy the acceptance and welcome to the family.

>>10616811
>can't be arsed to carry some bloodwork to the lab from time to time

never gonna make it lad

How likely is it that my gf will essentially vanish from my life when she starts med school next year :(
Did your relationships with outsiders suffer
Does it help at all that my career is pretty heavily related

>>10616852
>time to time
You have no idea..

>>10616370
You'll be an idiot for not accepting the spot if that's your only acceptance. It took me 3 tries to get into medical school and every successive application becomes hot garbage. I only got in due to a backdoor to Tulane.

>>10616857
Got bad news for you bud...

>>10617024
:c
Should I start bringing her to seminars at the hospital I do research at so she associates me with medicine and won't be able to easily throw me away

>>10617049
Do that, but she will sink a lot of her time into studying, keep that in mind.

>>10616551
Speak to the psych that prescribed them to you.

>>10616551
Speak with your doc, there can be serious side effects if you quit SSRIs cold turkey.

>>10613745
An advantage of being a psychiatrist is that going on 4chan almost counts as research.

>>10613621
I know that a buddy of mine from medschool frequently shitposts on /tv/ and he is a hand surgeon.

>>10617733
>An advantage of being a psychiatrist is that going on 4chan almost counts as research.

"Hypochondriacs among 4chan users: a short study" comes to mind.

>>10617739
>it's a "romanianon gets angry at hypochondriacs" episode

>>10617746
How the fuck did you know? kek. Was it that obvious?

>>10617747
You're the only person in these threads who complains about hypochondriacs on the regular and your posting style is fairly recognizable.

>>10617748
Fine. I accept that description.

Finishing school in year and i absolutely love medicine but cant decide the spec CLOCK IS TICKING

>>10617761
>can't decide on the spec
I guess you narrowed your options, what are the top 3 specs you really like?

>>10617761

>>10617766
>being "not hardworking" leads you to the three most selective specialties
Got any more insightful flowcharts like these anon

>>10617772
It's more about the lifestyle of the spec itself.

>>10617777
Nice quads
Path's lifestyle isn't bad at all though

>>10615334
I'm 25. Measured my BP yesterday in the morning and 2 times in the evening, it was normal. But later in the night I got it again. Off to a otorhinolaryngologist i guess.
>>10615375
Crack a cold one with the boys, practice a hobby, do sports. Nothing special, /eng/ fren.
>>10615384
2-3 hours a day during non busy times and it jumps to 7-8 before exams.
>>10615958
Stroke? Does he have increased muscle tone?
>>10616094
What >>10616097 said. It might be mastitis, it might be fybrocystic changes, it might be nothing. Also learn how to make a self exam.
>>10616551
3 weeks is nothing for an SSRI. Didn't your doc warn you about this? These meds take up to a month or two to express positive results.
>>10616800
Hit a malnourished baby because it was crying.
>>10617761
Romanon had posted a pic on here which helped exactly with desired specialty. Like a diagram or some shit. Romanon, you know what I'm talking about.

>>10617766
>tfw no family medicine
I guess if you like everything you should go into it? I'm pretty sure that "Medicine" in this chart refers to IM.

>>10617772
you have to be very hardworking to get into the very not hardworking specialties

>>10617789
Romanon coming trough. Is this the chart?

I've also found this. A bit different.

>>10617793
>>10617794
>tfw all those pics are telling me to go for path but spending my days looking at biopsies and breathing in formaldehyde doesn't sound all that attractive
Are there any cool subspecs within pathology?

>>10617793
Exactly the one.
>>10617800
Imunohystology.

Plastics sounds nice.>>10617793

>>10617764
For now infectious diseases, gen surgery, onco, IM.

>>10617809
Those are very different specs, barely related one to another.

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)30418-0/fulltext?fbclid=IwAR3_T0Po3Q7Uv8PGE5E0OnWhzZMsPZ7FyCkeTd_sTWA11YUHKFJ6tUyGsAg

Daily reminder that HIV is no longer a death sentence.

>>10617800
Forensic pathology.

>>10612958

so when did you realize that most diseases arise because people are fat fucks?
they shoud literally tax every value of BMI above 25
>inb4 that one smartass saying but BMI is not a good representation because 0.5% of the popualtion plays sports or some other shit

>>10617820
>tax every value of BMI above 25
I thought americans do this already.

>>10617820
>they shoud literally tax every value of BMI above 25
I wish. It's so easy to not be fat, I don't get how people can disrespect their body so much.

>>10617811
Yeah thats the problem

someone please explain how do gene expression arrays work, I have to know how much I have to buy

>>10617883
>>10613933

>>10617859
check out the charts, have no idea which one to choose form the ones you've listed. I'd presonally go for IM, if I had to choose between those.

>>10617943
Not him but doesn't IM have a pretty shitty lifestyle?

>>10617966
Depends. If you go into primary care, you should have a chill life. If hospitalist, then shit hits the fan, but at least you make decent money.

>>10617814
Brilliant! Let’s go have promiscuous degenerate gay sex!

Do you guys wonder if farthagged pajeet will come back and update us on his situation? I miss him.

>>10618122
He probably died of exhaustion from all the coffee trips

>>10618147
Or maybe he pissed off the attending by reporting the residents and made him the fart inhaler.

>>10618122
Stop forcing this shit.

>>10617972
>If you go into primary care, you should have a chill life
Why not just do FM in that case

>>10613345
Anyone?

>>10613031

blocks the gullet so you wont tube the goose (again); don't attempt please you clearly don't even know what an airway is.

>>10613600

keep your tits out of the field. start there.

icu? get THE icu book
or? learn to become a pretty hate machine.

>>10613677
>Is there something sadder than someone's life ending like this?

get on a box and see what inner city field medics too. short answer - by a mile there is far, far worse. there is a world beyond your comprehension that can show you but cannot return you to where you are now.

>>10615328
>but it's only in the left one and occurs only at night. It sounds like a heart murmur but only in my ear which makes me conclude that it's something vascular.

IIH. See your provider. Might need a CT. I'll bill later.

>>10615532

Free T4 and anti-TPO only for inclusion diagnosis not ongoing managment. Dude's gf is nuts and anxious with strong history, senpai, or she needs a headache workup and maybe some imaging. Regardless, he shouldn't be handling his own loved one.

>>10615677
What do you think of nurse anesthetists? Im gonna apply for CRNA school in a couple of years.

>>10615701
>What is the biggest technological/business trend threat to medicine as a comfy career? Asking for a friend.

google.com

although ...

>>10615730

makes some interdasting points. Don't think consolidation = quality as it's the completion opposite. Free market FTW

>>10616370
>I got accepted to Central Michigan from their waitlist, but I'm leaning towards reapplying instead. What should I do?

burden hand.... acceptance isn't a diamond dozen

>>10616601

K-oof

>>10617973
>>>10617814
> Brilliant! Let’s go have promiscuous degenerate gay sex!

top or bottom?

>>10619488

excellent choice.

Anyone else feel like they’re becoming so reliant on spaced repetition that they can’t learn anything any other way?

>>10617789

SSRI's are gay. 25% efficacy at best, often enough positive effects can be attributable to placebo.

>>10619141
Because some of them don't want to work in hospital for the rest of their lives and when they get older, they might want to open or at least work at a private practice in primary care.

>>10615328
Trust me stop smoking

>>10617733
kek, /tv/ of all boards

>>10619635
I don't use it but from what I've read about it it's pretty solid. Why do you want to change your study style? It works very well with clinical/surg, diseases, treatment, symptoms, pharmacology, procedures, etc.

>>10620132
It is a good method, but it’s just kind of tedious knowing that anything I want to remember has to be put in a flash card.
I just wonder how people who don’t use spaced repetition do this stuff.. I know some people who like to rewrite notes but that method doesn’t work for me

A recent injury has made me take first aid kits seriously, so I'm making a shopping list.
Should I use saline water or povidone-iodine to clean wounds? Is peroxide useless?

I was given chloramphenicol gel to put on the wound directly, and I've substituted it with terramycin. Both of these are apparently mainly for eye injuries. Are they standard topical antibiotics or is this a bit of a jury-rig?

>>10620446
Can't help you, anon. I just fill up tons of notebooks and make some charts, I rely on my photographic memory and it makes it so much more easier for me.

http://med.stanford.edu/news/all-news/2019/04/biomarker-for-chronic-fatigue-syndrome-identified.html

Good news, exhausted anons.

Anyone here familiar with loud gut noises constantly throughout the day? Had this issue for over a year, Doctor dismssed it as IBS but nothing online has indicated this is common among people with IBS, outside of slight grumbling when they have diarrhea.

>>10620664
I don't have them constantly, only after eating something spicy. Why do you think it's not IBS and the doctor's wrong?

>had my first pathology exam out of 2 a month ago
>get results
>1/3rd of people failed
>my dumb ass is one of them
On one hand, I can finally study for Patho 2 without the wait for the results on my mind.
On the other, I kinda wanna die.

>>10620742
Shit happens, my friend. Study harder next time, I wish you best of luck, anon.

>>10620666
IBS is a catch-all terms for gut/stomach issues, he's technically right, in the same way calling a dog a mammal is right.

I never had stomach issues in the past, this started as a singular incident after eating pasta/cheese and getting stomach pains that resulted in me having to go to hospital, about a month after I finished a course of anti-fungul medication. I suspect either the fluconozole has effected the gut, or the cheese (imported, never ate it before) and the immediate issues it caused did this and for some reason my gut has yet to heal, but it's certainly not something that has developed with time, it began overnight and never went away, but food poisoning symptoms should have ceased by this point, so it's been a headache to solve.

>>10620752
Thanks, will do. This time around, I actually know what to expect (scope of the questions-wise) so here's hoping.

I'm considering supplementing electrolytes + vitamins because I'm a student living off cupnoodles atm

good idea?

>>10620785
Why wouldn't you take a multivitamin? They're cheap enough

I'm the anon from one of the previous threads who put up my brain MRI with a left occipital lesion. Thought I would put up another for fun. This is hopefully my last brain MRI, I have no more plans to get other neuro issues.
This one is the axial FLAIR image. I would not have seen anything wrong with it until it was pointed out by the neuroradiologist.

>>10620851
Have literally no idea. Can you show us, please? Also are you alright, anon?

What to fucking do with urinary stress incontinence

>>10620889
Signal abnormality of the right amygdala and hippocampus; hyperintense in FLAIR. Possibility of a space occupying lesion. I subsequently had a right-sided amygdalohippocampectomy where a lesion was found snuggled between the two structures. Ended up being an accumulation of glial scar tissue and there was evidence of immune cell proliferation.
I'm alright now, just living with the after affects of both the left occipital lesion from 8 years ago, and the brain surgery from this 3 years ago. The amygdala/hippocampus lesion was hell. I had seizures that manifested with the inability to move my left side, paresthesia, diaphoresis, and dizziness. I now live with occasional numbness in my left arm and leg, and will forever live taking anti-seizure medication. Once had a seizure after the surgery where I started to have decorticate posturing too, don't know what that was about.

>>10620982
Talk to a physician. I haven't heard about this condition tbqh.

>>10620987
Holy shit. I wasn't expecting brain surgery. I hope you will be okay from now on. Meds for the rest of your life isn't that bad, especially if they improve your quality of life enormously. I wish you the best!

>>10620982

toilet schedule. set your phone/watch/alarm really.
also kegels. will be later.

>>10620990
then get off this bored, thanks

>>10620994
Thanks anon. I hope I'll be alright from now on as well. But at least with the resection I have a little more room for brain swelling just in case something happens. I found a way to overcome the Monro-kellie doctrine.
Hoping to go into medicine or neuroscience now after what I've been through.

>>10621031
You’ll be an angel with your experience

>>10620664
Yeah I get them all the time, bloating and gas too
It’s annoying as shit I hate it

What are the most future-proof specialties? Which ones are the most involved with technological advances?

>>10621467
You're not alone fren

I'm reading up on probiotics at the minute, but there's so much misinformation online it's ridiculous, guess I'll try convinving my Doc to give me a SIBO test, atleast it'll mean ruling out one possibility, though I think belching is a common symptom of small-intestine problems which I've never had an issue with.

Pic related was an interesting read, it talks about starches being the issue, as opposed to another "just stop eating sugar" article.

>tfw hearing it can cost as much as 50million to get something FDA approved

No wonder that organization is such a joke.
I would not be surprised if these idiots still believed in the food pyramid.

>>10621606
Have you tried fasting? Or considering changing up your diet?

>>10621606
So your only complaint is that your stomach rumbles loudly and you think you have SIBO? I think you should go to a psychiatrist to get your somatic symptom disorder checked first..

>>10612958
What do you guys think I should do this summer in addition to summer courses to improve GPA?

Studying for next semester
Learning MATLAB and Java
Continuing in my non-traditional research lab
Volunteering in the hospice I am currently in and adding another opportunity
A part time job, either as a scribe or something else.

>>10616370
You do realize you'll get blacklisted for rejecting a med school acceptance right?

wtf are these? Part of the occipital bone?

>>10622719
Zygomatic bones, anon...

>>10622720
Can you see the occipital bone on there at all then? What about inferior margins of the orbits? I've been sifting through this shit on google for hours because who the fuck still does skull x-rays honestly.

>>10622720
Dumb premed, zygomatic bones are a bit more in the lateral and higher.

>>10622721
You can't see the occipital bone from the front, anon. Here is an x-ray which shows the inferior orbital margin.You can see them on the X-ray you posted too.

>>10622721
Tried to highlight it.

>>10622733
So what are the things I circled then? I think I can see what you're pointing at for the margins yes.

>>10622738
Simply the maxilla?

>>10622748
I don't think so. The maxilla goes up higher in that pic.

>>10621031
does weed help lessen the severity of your seizure? just curious

I was just recovering from acne on face and was busy to find a way to tighten pores and get rid of acne until one day I woke up with this, a friend did this while I was sleeping. Kinda hilarious, but not so if they will be scars forever. Will they? They did it with a pink girl lady shaver razor.

>>10622738
The white line going perpendicular is called crista zygomatico alveolaris("crista infrazygomatica") its usually at the roots first upper molar and going up.
The rest is empty space,the base of the skull and portions of the mandibular ramus.

>>10619477
Yeah will do. But I think I got to the bottom of it. I have TMJ problems because of bruxism and I think the muscle tone of my chewing muscles goes up in the night so that's why I start hearing it around the same time in the night and then it goes away in the day. Shitty part is there's no cure for bruxism. But to confirm this, I need to check with an otorhinolaryngologist to rule out ear problems.
>>10619642
I see this quoted many times, but with no source.
>>10619983
I don't.
>>10620453
Peroxide is great. It has hemostatic abilities as well so it's great for fresh wounds. Downside is turns into water when left open for a long time. Povidone-iodine is good too. For topical antibiotics I've seen bacitracn powders, but I'm not sure they make these anymore. Saline is good to have handy as well, for nose and eye cleaning.
>>10620652
Not bad, but when will it become a routine test?
>>10620785
>>10620800
Aren't fruits and veggies cheaper than freakin supplements?
>>10621476
Don't fall for the meme anon. We won't be replaced by robots any time soon.

>>10622909
>won’t be replaced by robots
By future-proof I meant specialties that will benefit greatly from future advancements and won’t get hindered by them

>>10622916
Not him, but most surgical specs will benefit from technology. Laparoscopic and robotic surgery are both famous for now, especially the former and I think that both will see massive improvements with some technology. Interventional radiology, maybe interventional cardiology, would be nice to see EM, IM and family physicians with "toys" like pic related and probably replace stethoscopes with them altough you'd still need to hear the sounds of the lungs for crackles but that could be implemented in the echo.

>>10622988
What about diagnostic rad? I always hear about advancement in rad onc and interventional but never the diagnostic part of things

>>10623039
Because the foundation is already pretty solid, MRI's can show the image in 3D and you can rotate it however you want, you must be blind to not see the problem (if there is one, ofc). CAT scan and X-rays might get something but nothing too fancy imo. Working with radiation is already hard the way it is and I think they focus on "problem solving" technology rather than "diagnostic" technology. (Unless you use the pocket echo I've posted before)

>>10620800
>>10622909
How many fruits, nuts, berry's, vegetables, stakes etc. do I need to fill my electrolytes + vitamins. I just can't buy and cook all this shit during the day consistently hence why I'm asking if supplementing vitamins + electrolytes while on a carb diet like cup noodles is a good idea.

How does this little bitch cause so many diseases? Why isn't there a vaccine yet?

Can doctors in pharmacy practice in another country as easily as MDs?

>>10623150
>Why isn't there a vaccine yet?
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328312/

Is it possible to distinguish benign from cancerous growth in breast tissue with only ultrasound? Patient had low vascularity, heterogenous growth 13x5 behind areola. It looks both something like fibroadenoma and carcinoma to me.
Pic related
1/3

>>10623448
2/3

>>10623453
3/3

>>10623448
If you think it's fibroadenoma, you need to get a mamography and a galactography + a cytological exam of the discharge.

For carcinoma follow the same as fibroadenoma, you should spot the difference. Carcinoma on mamography looks poorly contoured, microcalcifications, peritumoral edema with a transparent halo and retractile fibrosis. You can't really tell if it's malignant or not based on an ultrasound. Should get a biopsy for confirmation, but until then, it's just speculation. If I missed something or said something wrong, I'm sorry, I'm trying to recall what I've studied last semester at gen surg .

>>10623467
Doc told her that she shouldnt worry and not have biopsy before next visit, so im not sure if they will come back and if ill be there next week, was just interesting case. She came in with galactorea from one breast, not the one that has growth in though. Had history of treating high prolactin, without high tsh or confirmed pituitary adenoma. Pap test results and hormone profile should be there next week too.

Have a question for the mods or at least someone that knows. Am I allowed to put videos or pictures of some medical conditions that are pretty gore-ish or that's considered a bannable offense? Am I allowed by making a spoiler image? (Is that allowed on /sci/?)

>>10623490
Well, it is an interesting case, but a mamar ultrasound can only show you and make you raise the suspicion of a tumour. (You want to do it to see if it's a solid mass or just fluid that accumulated)

>>10623048
Not much for the vitamin part. You don't need them in that big quantities. Eggs are cheap and fast to make and they have most of the fat soluble ones along with some water soluble. They give you protein too. Cytrus fruit and berries for your vit.c needs. Noodles have salt in them so you get Na+ and Cl-. Milk for Ca++. Not sure what has Mg+. K+ is in olives and the body has a huge reserve, so you don't need much of it anyway. You're gonna need meat for Fe++ though.
>>10623150
It doesn't cause them 100%. It plays a role in their development.
>>10623448
>>10623453
>>10623456
I think very experienced people can, but I say biopsy that motherfucker.

Sleep: what are the cold, hard facts?

>>10623532
It's nice.

>>10623532
People with sleep apnoea have constant diurnal fatigue, they basically fall asleep when they're standing in line at the grocery store for example.

>>10623494
Post

I'm tellin' ya pajeets are experts in pseudomedicine.

>>10623628
I don't know what to do. Seems risky.

>>10623717
Who needs surgery anymore when you have pajeet matcha tea?

>>10622809
What makes you think I use that crap?
My meds work fine despite the little gaps in its efficiency, I just need to make sure I get enough sleep, eat well, and avoid stressing myself out.

>>10623740
Lmao whats risky? Discussing medicine involves trauma too

>>10623910
I agree, but I don't want to get banned for posting NSFW stuff on a blue board.

>>10623922
Whatever pussy

>>10623922
At worst you'll get a two day ban and that is if the mod is being particularly retarded
Just do it

Ok fuck it, let's go.

What do we have here, anon?

>>10622833
Pls don't forget me.

>>10623972
Why didn't you post this on imgur or something
You think mini-mods know the rules on here? This is a fucking blue board. No need to get this graphic and you can post via a link. God I was eating.

>>10623972
Looks like there's something wrong with that arm

>>10624148
nah shell be right, mate

>>10623972
Tractor accident?
I'd probably just keep the area moist and clean, keep the patient as stable as I could and just resort to calling plastics and orthopedics to take care of this. I'll see if there's bloodflow to the hand via dopler, maybe angiography, ability to mode the fingers and extensors. Might want to do RSI on her just so she doesn't have to look at it.
Pretty nice injury though.

>>10624205
Nice management but the diagnosis is incorrect. It's not trauma.

>>10622833
Hello pls I've been mildly assaulted without the traumas can anyone pls judge if this pic will leave a war-scar on my face? I know I'm not interesting enough so tell me what I should do to get an answer. Is quora better?

>>10624205
>It's not trauma.
Is it a bad case of necrotizing fasciitis? This is a pic after removal of a VAC dressing?

>>10624356
>>10624285
Whoops. On 2 hours of sleep right now.

>>10621606
What do they mean by K. pneumoniae being "found in AS?" Wouldn't these patients be on immune-suppressing steroids/drugs making them susceptible to opportunistics?

>>10623972
Ah, I saw this online somewhere. Necrotizing fascititis s/p debridement. Patient was injecting drugs into the sub-q space, I think?

>>10624356
yep necro fasc.

>>10622833
Hello I am a girl teehee who will post tits and then I'll gtfo
Answer pls

>>10624402
Wow. Is it due to what this anon said? >>10624400
My area has had a boom in IV drug users, so I wonder if we'll one day get this.

>>10622833
It's fine

>>10616800
Let's see...
>Attempt to use the same gloves she just used touching everything else and writing on the white board to draw blood.
>Try to tell a patient that Medicare doesn't allow early leave (it does depending) instead of bumping the question up to a supervisor
>Couldn't tell me what several relatively common drugs are without using a phone (admittedly there are shit ton of drugs that could simply be looked up on a phone so I'll give it a pass)

But hey, at least they don't usually fuck up the same way some of the residents have fucked up.

>>10616852
you do it once and you are the designated delivery boy for the rest of your life

unless you are getting 10 blowjobs per delivery its not worth it

>>10623972
According to the grand wisdom that is the internet, meth user who missed a vein and it got infected.

Essentially what >>10624400 said.

>>10625152
so no scars? i just discovered one on my fuckig arm while showering. about equal depth.

>>10623532
Low temperatures make it easier to fall asleep, and firm mattresses are good for your back.

>>10625353
Anon, you should probably go to a dermatologist. Scars are not that big of a deal these days, and your first problem merited a visit anyway.
Look up dermarolling.

>>10624400
>>10625225
Can intramuscular injections ever go this awry?

>>10625392
i am going to a dermatologist actually she gives me vitamin a and it prevents ingrown hairs etc... and is a god's given. she says that dermarolling is bad so yeah idk. and i read about it, seems like it should be done by a precise person. i have the vit a since i complained about "not as muh acne but i stil have the look like i have acne (scars)" and that is why she prescribed that. i also have snail gel that actually has mostly snail slime. also, am having exams right now so forcing her to gib me dermarollers is impossible right now. fuck, you mentioning dermarolling means i will look for rest of my life as an emo cutter just because my friend was shitposting irl? they even carved a swastika on my forehead. have bangs so i didn't notice until later when i looked in the mirror LOL.

>>10612958
How possible is it to make up rank and climb after med school? Im about to graduate but due to fucked health have literally scrabbled to pass every year and hardly have an impressive record.

I hope one day it will be sorted and i can begin to work at full capacity but im afraid im sort of fucked and will always be working some shit job in a shit town.

>>10625482
I would say dermarolling is only tricky when you're using big needles and aren't disinfecting them beforehand.
I use a generic .5mm roller (which I bought myself: I roll the nickels, I deal the cards) and it doesn't draw blood. I don't have acne scars, I'm just vain.

>>10625566
hmm. i might give it a try then. it makes sense why scars would fade more. if they are expensive i'll make a gofundme and say i got assaulted I guess. also could they be done on fresh wounds? they're still all fresh, which may be a good thing since i rather want them to heal scarless on their own. and if not well that's a good thing because muh exams.

Why does eosinopenia happen during acute hemorhagic pancreonecrosis?

>>10625614
I'd say let them heal first, otherwise they might get larger. You want micro-injuries on healthy skin. IRRC it's the same principle as exercise: micro-injuries in muscle to promote growth. But you don't exercise injured muscle.

>>10625995
>>10625995
>>10625995


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