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/sci/ - Science & Math


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10679869 No.10679869 [Reply] [Original]

"Skeletons in high heels"-edition
Last thread reached bump limit.
old:
>>10669274
>>10654055
>>10645251


We discuss research, offer advice (Just see your family physician), make fun of premeds, discuss residency and different specialties but we mostly shitpost

If you want to discuss vaccines, please make your own thread because it takes a lot of replies and the discussion degenerates.

>What's the best specialty for research?
Path, clinical lab, onc, rad/onc, anesthesia

>What are the best specialties lifestyle wise?
Optho, derm, psych and rads

>> No.10679886
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10679886

First for avocados

>> No.10679909

>>10679870

that´s where i´m not too sure. I don´t want to work at a pharmacy store (wouldn´t be the worst thing tho) but rather work for some pharma corp.

I can barely find any information about job possibilities, everybody is claiming theres no problem with finding one.

>> No.10679928

>>10679909
What would make you choose pharmacy over medicine if both are options?

>> No.10679930

Neurology resident checking in. Didn't see this specialty mentioned in last thread. Constantly wondering if I chose the wrong specialty, but too late to turn back now. Not sure what I would switch to anyway.

>> No.10679946

>>10679928
Primarly because pharmacy as a subject fits my interests more than medicine. I have two major problems with medicine tho

1.) God awful working conditions in most of Europe (especially Germany where I´am from)
2.) Hard to immigrate to other countries and work as a doc, especially the US (I´m dual citizen).

>> No.10680160

Does anyone else actually despise caring for their older, more senile patients? The animated ones with vigor and lovely, but I feel complete disgust, like real true disgust when I see a 85 y/o with dementia nearly non-verbal and barely concious.
I hate myself for feeling this way but its a gut reaction. I'm not a psycho with no empathy but damn, I feel as though by artifically propping these people up I am just prolonging their suffering. Am I alone in this? I hope not

>> No.10680174

>>10680160
I don't feel disgust personally, but I can relate.

>> No.10680177

>>10679930
What makes you doubt your choice?

>> No.10680184

>>10679946
Within the EU you can move pretty freely, even specializations should (theoretically) be recognized if the receiving country has the specialty. Only barrier is the language. If you want to go to the US, you should consider going to med school there, though the IMG route is not impossible in any way either.

>> No.10680185
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10680185

American med students, what are you taught about the function of the foreskin? The 15 square inches of highly erogenous tissue that all mammals have -- the prepuce.

Because based on how harshly and neurotically American doctors and nurses prod, push, and cajole parents, even mothers still under general anesthesia, to sign the consent form for circumcision, I have to assume you are all taught that natural human prepuce is a festering pit of disease and rot and must be forcibly amputated without the child's consent immediately, lest the boy to spontaneously combust. (Even though Sweden, Norway, Germany etc seem to have no issue with their neonatals dying randomly from UTI or spontaneous penis combustion?).

Are you taught nature was so stupid that it made a mistake in designing the penis, and that the glans of the penis is the only internal organ which must be made external, and must be constantly exposed and abraded by fabric of underwear in order to function properly?

Or are American neonatal healthcare workers just all unscrupulous sociopaths who want to be able to get a slice of the pie when the insurance is billed for a few thousand dollars and the hospital sells the tissue to organ harvesting companies, so those companies can farm $100,000 worth of fibroblast for collagen injections?

https://knowledgenuts.com/2013/09/23/the-bizarrely-profitable-business-of-baby-foreskins/

>> No.10680192

>>10680185
>spontaneous penis combustion
I think I have found the perfect name for my metal band, anon.

>> No.10680195

>>10679946
Maybe it's just me being sheltered in Scandinavia, but what are these awful working conditions you speak of. What's the problem in Germany?

>> No.10680202

>>10680185
Circumcision is part of US culture idiot, stop moralizing and get used to it

>> No.10680205

>>10679946
Working conditions are probably worse in the US, at least when it comes to hours worked.

Mind you, US docs are far higher remunerated so I guess that makes up for it. I’m hoping to go into Anaesthesia, and looking at their US salary compared to here in bongland is painful.

>> No.10680211

>>10680202
Organ harvesting from newborns is not a part of American culture.

I am asking what American med students are taught. I know for a fact they are never shown foreskins in any medical texts.

>> No.10680217

>>10680211
Oh please stop it already. If you had anything better to do you wouldn't be focusing on such a non-issue. People without a foreskin have normal lives, I don't get why that upsets you?

>> No.10680220

>>10680160
No. I don't feel that way, I actually like taking care of patients of all ages, especially older people since they have more pathologies. I remember that I had this old lady come in when I had ER rotations and she was suffering from dementia and always asked us "I have to go, I'll be late for the train!", and she had broken her leg...It makes my actually feel different and makes me take extra steps to deliver the proper care. It's just...more interesting, I could say.

>> No.10680224

>>10680211
Starting med school next year, but my buddy finished MS1. He passingly brought up how circumcision is associated to lower risk of penile cancer.

>> No.10680226

>>10680195
>working hours off the charts 60-70h per week (can be even 80h as a surgeon)
>while being an assistant doctor you get treated like a piece of shit and learn nearly nothing
>residency places are rare (the whole residency system here is complete shit)
>half of the time in a hospital you are documenting shit

A lot of german meds are actually moving to Scandinavia because of this.

>>10680184
>Within the EU you can move pretty freely, even specializations should (theoretically) be recognized if the receiving country has the specialty. Only barrier is the language

That´s true, but I don´t see my future within the EU.

>though the IMG route is not impossible in any way either.

It simply takes way too much time, depending on the situation I have to move more or less immediately. Also money is an issue here. The FPGEE isn´t that expensive and time consuming.

>> No.10680230

>>10680226
>german meds
>system that bad

Is it because it's competitive or?? I've seen a lot of Romanian doctors go to Germany to practice there for a better life, but I guess they're worked to death now lol.

>> No.10680243

>>10680217
I'm asking medical students question in the medical student thread. Sorry but this is topical.

>>10680224
Aren't most cases of penile cancers in elderly men? How many circumcisions have to be performed to prevent one penile cancer case? Amputating an eyeball surely lowers the chances of eye cancer? What medical justification is there in amputating thousands of peoples erogenous organs based on the assumption they want a slightly reduced rate of developing a cancer 70 years down the line? What about botched circumcisions and the fact that many circumcisions must be redone and some boys even die? That's an awful lot of surgeries that must be done and lots of complications that arise, surely?

>> No.10680248

>>10680230
>Is it because it's competitive or??

Not really, getting a job is no problem (thats why we import quite a lot meds, we have a huge lack especially in rural parts in germany). Also nearly 2/3 of German med students are female, meaning they will drop out sooner or later because they get pregnant.

>> No.10680258

>>10680248
Holy shit, never thought of that. I know some romanian FMs that went to germany to work there because the pay is very good in rural areas compared to this shithole.

What do you mean by drop out? Do you mean that they won't complete medschool or won't finish residency?

>> No.10680274

>>10679946

I am from Germany. and you have no plan.
you are repeating memes of the "God awful working conditions". Are you gonna work more than the average administration guy? yes, very likely. are you gonna more than the average consultant? probably not.

The truth is like often something in between: It depends highly on your hospital and specialty. I didn’t one single hour of overtime last month. My friend on the other hand did over 200 in several months. In my internship, I my surgery consultant left almost always on time. So overall it is one oft he worse profession, but what you put in is what you get.
If you gonna let you get a threat like shit, it’s your own fault.
If you wanna see bad working hours, talk to docs from USA, Mexiko or Poland.

And what means „all over Europe“? The colleagues I met in Sweden work very regular working hours, even their research is included and counted.

But yeah, maybe you should do something else.

>> No.10680350

>>10680274
This
>tfw can’t get any work done in the afternoons because everyone leaves work around 1 pm
>radiologist gone, lab closed, pharmacy closed, consulting docs gone

>> No.10680449

How hard is it to get spec in infectious diseases?

>> No.10680464

Fractured my L1 last year and right now the only real difficulty I have is that I'm constantly aware of some of the core back muscles surrounding the fracture (feels like they're always sore).
Will strength training help with this (building up the muscle to help support the weight of the spine since the vertebra presumably isn't doing it) or should I stay off weights? My GP said to stay at 10kg or below when lifting anything, but I went to see a sports physio as well and he said I should be ok to go well beyond that as long as I keep my form perfect.

>> No.10680505

>>10680464
To add on - I only really get this feeling on the right side of my torso, I'm not sure why this is. I've got a mild thoracic scoliotic tilt, would that be why?

>> No.10680664

>>10680464
Hmm. First things first, how often are you farting?

>> No.10681271

>>10680449
ID is pretty easy (3 year IM residency and 1 year ID fellowship), cause it's low paying. Insurance doesn't pay you for thinking

>> No.10681498

Higher risk for penile and cervical (in the partners of uncircumscised) is only problem if you don’t wash your foresking for fucking months and let all the smegma and microbs accumulate. This is literally not the problem in any first world country and won’t ve problem in US too.

>> No.10681519

>>10680449
ID is easy to get into but you won't earn as much as other specs, although you have to deal with contagious patients and such. It's really an interesting speciality and should definitely consider it if you want to play detective and find out what microorganism is doing all the harm.

>> No.10681584

>>10679886
Ouch
>>10680160
I think that's common in our profession.

>> No.10681602

Should medical studies be available for the general public? On one hand people should be informed, but on the other there is a huge quantity of BS papers that an untrained eye can't tell which are legit and which are not. Leading to misinformation.

>> No.10681611

>>10681602
They are available for the general public, the hell are you talking about? There's plenty of articles that come out almost every day (PubMed).

>Can't tell which are legit and which are not
Then why would you care about it? You need some medicine knowledge to understand some of the more complicated articles, you know? No knowledge, you'll automatically think that 90% of them are bullshit.

>> No.10681615

>>10681602
The studies themselves, no. Far too few people can actually gain any information from them. Here the biggest national journal keeps up an extensive database written for a layman and accessible for everyone. It's also very handy for giving your patients extra resources to read up on.

>> No.10681635
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10681635

CRNAs are now called nurse anesthesiologists

>> No.10681638
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10681638

>>10681635
They're full of bs and seething, lol. Does this mean that if I want to do anesthesiology, am I a medical student anesthesiologist now?

>> No.10681716

What does the term 'pearls' mean in regards to differential diagnosis?

>> No.10681751

>>10681716
From google: "Clinical pearls are best defined as small bits of free standing, clinically relevant information based on experience or observation. They are part of the vast domain of experience-based medicine, and can be helpful in dealing with clinical problems for which controlled data do not exist."

>> No.10681836

>>10681271
>>10681519
Thanks for the answers. How good grades do you need? I don't really care about the pay because I want to do a medical spec that I think I will enjoy. So far this has been by far the most interesting subject I have had in med school. Also, how much stress and how much overtime is normal in the profession? Is it easy to fuck up compared to other specs(e.g. surgery, cardio) and how many stressful acute emergency situations will I encounter?

>> No.10681840

>>10681836
It is pretty fucked up since you have to wait for antibiograms if the microorganism is resistant to some ABx, and bacteria nowadays is very resistant. Haven't been in an ID setting before, but I can tell you about IDs in pulmonology. You emergencies probably are sepsis, acute exacerbation of a pneumonia, for example, sometimes patients ending up with pachypleuritis, pleura diseases and stuff like this.

>> No.10681863

>>10679869
This is a sexy skeleton. Where can I find more sexy x-ray pics to fap to?

>> No.10681870

>>10681716
'PEARL' in the examination findings can also mean Pupils Equal and Reactive to Light

>> No.10681871

>>10681836
Your med school grades don't apply when looking at training positions. What matters are good clinical references and your scoring on your BPT exams.

>> No.10681880

Is it possible to end up working overnights as a fresh or relatively new radiographer grad? My dream job is doing graveyard shift in emergency but it seems like it's all CT, which is hard to get qualified for where I am.

>> No.10682010

>>10680185
Bump for this

What does /med/ think about forcibly removing 15 square inches of erogenous tissue from a person without their consent

>> No.10682109

So what is the general treatment for acne?

>> No.10682120

>medicine
>free time
Are those two things incompatible unless I'm good enough to get into derm or ophto? Even then do any specs really have a good amount of free time for hobbies and such, or are physicians essentially expected to give themselves up for medicine?

>> No.10682148
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10682148

If I go into a speciality like Psychiatry would my first year out of med school be as an internal medicine intern? Or would I go straight to a psychiatric internship/ residency?

>> No.10682242

>>10681863
I just googled sexy skeletons

>> No.10682246

>>10681880
Yes it is possible. Radiologists are needed 24/7 especially in the ER. My hospital utilizes them all night.

>> No.10682250

>>10682120
No. Plenty of other specs with good lifestyles.

>> No.10682255

>>10682250
Which ones?

>> No.10682264

>>10682255
Literally in the starting post.

>> No.10682265

>>10682264
Rad is as hard to get into as ophto and derm. So there's only psych then?

>> No.10682266

>>10682264
And to add that, aside from obvious specs like EM and many surgical specs, you can pretty much choose how much you want to work after completing residency.

>> No.10682277

>>10682265
Lot of the rarer and smaller specialties have a good lifestyle

>> No.10682282

>>10682148
Here you go straight to psych residency but they don’t allow you to have any patient interaction in your first residency year.

>> No.10682295

>>10682266
>you can pretty much choose how much you want to work after completing residency.
Aren't you on call anyway?

>> No.10682378

>>10682282
Ver ist here?

>> No.10682498

>>10682378
I’m going to take a shot in the dark and guess Romania.

>> No.10682550 [DELETED] 

>>10682265
Optomology is pretty chill too.

>> No.10682569

>>10682498
Nope, that's me.

>> No.10682720

>>10682120
>free time
Of course, you will have free time, just less. The average person does absolutely nothing with his free time(it is a reason why Netflix is so popular), so as a doctor you cherish that small free time given to you much more than the average person and you will actually do something more productive.
>inb4 I am on 4chan

>> No.10682725

>>10682720
>you will actually do something more productive.
When I'm done with a long day's work, I just want to shitpost, play vidya and laze around, I have neither the energy nor the mood for productive activities.
In general though, I don't think non-surgical specs are too tiring anyways. It might not be a 9 to 5, but the average physician doesn't go home completely exhausted every day, residency notwithstanding.

>> No.10682732

>>10682725
Personally, after a long day, I just want to relax. But in the weekends, if I don't have a shift, I always do productive stuff like go biking, skiing, fishing or brewing.

>> No.10682736

>>10682732
What's your specialty?

>> No.10682739

>>10682736
Haven't started one yet.

>> No.10682747

>>10680449

idk, how many scripts for Bactrim do you have left on your pad?

>> No.10682753

>>10681635

We get it. You didn't get into a CRNA program. Do you really need to live on 4chan spamming each /med/ thread with your pity party bullshit and scaring the foreign grads with the prospect of losing a visa spot? No one really gives a shit dude.

>> No.10682785
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10682785

>>10682753

>> No.10682856
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10682856

>>10682753
>imagine defending AANA

>> No.10682952

>>10682295
Nah, in many specialties that’s optional. Really depends on where you work too, private practice vs. hospital etc.

>> No.10683153

>>10682109
Sex.

>> No.10683161

>>10682148

Where are you from? In the USA/Canada I know for sure you will start residency right away, but in Australia after you graduate you have to be an intern for a couple years before you apply to specialist programs.

>> No.10683566

>>10679869

Question - sometimes when I am doing things, I feel. How do I treat? Doctor does not have diagnosis despite full workup. We discuss differentials and consider possibile of thing. What does you peeple thinks?

>> No.10683923

>>10683566
The big gay syndrome

>> No.10684186

>>10681611
>They are available for the general public, the hell are you talking about?
Yes, but should they be? Some papers have bold claims and misleading abstracts and people think that if it's in a scientific article is true.
>>10682010
I'm not for it, but it ain't as a big deal as americans make it out to be. I myself got circumcised in high school because of phimosis so I know how it is both ways and it's not a big deal, I dunno, I just don't understand.
>>10682148
Depends on country, I guess. Our residents start right up.

>> No.10684200

>>10684186
>should they be?
If someone is interested in buying them, yes, why not? Most new articles require a subscription to a site or you need to buy the article.

Of course, some of them have some bold claims, but they shouldn't be published in the first place if they're not contributing to the field whatsoever.

>> No.10684248

>>10684186

I am not American but have been contemplating going to med school in either Ireland or Australia. This isn't necessarily a bad thing but I would prefer to jump directly into a residency in psychiatry or family medicine instead of staying in Australia or Ireland (it takes longer, etc). The only thing is that if I go there, I would be considered an IMG. Also their curriculum does not really prepare you for STEP 1 which I would need to realistically get at least a 215-220 in. I guess basically I'm asking for advice on the best way to prepare for the USMLE's if I decide to do this. Is it very difficult to match into a psychiatry or family medicine residency in the USA as a foreign medical grad?

>> No.10684267

Knee hurts when contracting it over 90%. Before that there is no pain whatever the load/twist. After 90% I can't move, like standing up from a crouch. Only the tight knee and it's been like this for 2 months. Unknown origin, I just started feeling it 2 months ago. No change in intensity whatsoever.

>> No.10684279

>>10684267
Are you sure that it hurts when contracting it or when bending it? And are you sure you're referring to it as 90% or 90 degrees as in angles?

>> No.10684280

>>10684248
>Is it very difficult to match into a psychiatry or family medicine residency in the USA as a foreign medical grad?

nope

>> No.10684281

>>10684280
I think that FM isn't competitive as it is. Anywhere in the world, to be desu.

>> No.10684305
File: 5 KB, 112x151, Capture2.jpg [View same] [iqdb] [saucenao] [google]
10684305

>>10680243
Yo Fuckbrain, its obviously correlated.

We are taught that foreskin harbors more bacteria on average, and can, in some instances, increase the chances of UTI and other related conditions for you and your partner.

>> No.10684310

>>10681602
Do you have autism

>> No.10684315

>>10684305
>yeah man let me just mutilate your penis and remove one of your erogenous zones so that we can lower the risk of this relatively uncommon condition among males that's also fairly easy to treat

>> No.10684318

>>10684279
yeah im sure. last 10% of the travel. google didn't show anything. my gf is a general doctor and no luck.

>> No.10684333

>>10684318
Why don't you get yourself some voltaren and see how it goes? If it's persistent or increases in pain, then get a knee MRI. Basic advice, can't do more.

>> No.10684339

>>10684333
nice trips. the pain doesn't bother me too much, I was just wondering if it was something serious, of am I safe waiting a month or so to see if it goes away.

>> No.10684343

>>10684339
I think it's nothing serious, maybe a bit overworked, but to be sure get some voltaren gel and apply it on the area and rest for a bit.

>> No.10684350

>>10684280

Advice on how to do it?

>> No.10684473

>>10684339
More specifice pain localization?

>> No.10684596

So anons, answer me this:

Why don't you want to become a family physician? Primary care needs YOU!

[Insert propaganda poster with uncle sam dressed as a nurse and pointing his finger towards you]

>> No.10684599

>>10684596

I actually really want to go into primary care but psyc interests me more. See >>10684248 for my dilemma though.

>> No.10684623

>>10684596
I don't really like patient interaction

>> No.10684635

>>10684596
easy one.
- don't want to help patient who don't understand shit
- Don't want to get in touch with patient who don't want to help themselves
- Don’t want patient were half of them are hypochondriacs
- Don't want to do a lot of administrative tasks
- I want highly specialized care and to use advanced technology if necessary
- I want to earn a decent amount of money

Well, some points might be different in your home, but for my country it isn’t an option.

>> No.10684636

>>10684596

senpai medicine is desu the fire

>> No.10684638

>>10684350
get a phd while in med school

>> No.10684647

>>10684596
When the system can cough up adequate compensation for it and severely restrict access to doctors, we can talk.

>> No.10684656

>>10684638

I've considered MD/PhD programs or in the very least getting my MSc before applying to medical school. Not sure yet though.

>> No.10684696

>>10684647
>severely restrict access to doctors
What do you mean by this?

>>10684635
You know you don't have to be so close to the patients, right? I mean, yes, you see them more often than any other physician, but that doesn't mean you have to focus on a certain patient. Admin tasks are done everywhere, to be quite desu.

I don't have a comeback for the rest of them, but hey, primary care is cool, hehe.

>> No.10684711

>>10684696
I spent several weeks at 2 GPs, even if they aren't close, the people feel close to them and behave accordingly.
Don't give in to the illussion, even if you love your mum romanian-med stud. FM is a lot of "relations-bullshit".

Admin tasks are way more common in internal/family medicine. Did you ever spent time at urology/surgery/etc? Their patient reports are almost always the same. here are GPs also in charge for writing rehab letters, letters to insurance, workplace and and and.

>> No.10684728

>>10684711
Fuck, you identified me correctly. I know there's a certain level of relationship, but it's distributed equally between the patients (I mean, there are some favorites since some of them actually cooperate), but it's nothing too fancy compared to other specs. "Regulars" is the right word.

I've also seen that they also write more papers, but when I have uro/surg/ortho, there's about the same paperwork considering that surgeons have to write up the procedure and what they found, if they found something, how it went, and it other specs you don't have to do this.

>> No.10684763

How's life as a psychiatrist?

>> No.10684766

>>10684763
Boring

>> No.10684777

>>10684763
really depends on where and what you work on

>> No.10684798

>WHO saying gaming addictive
>Addictive because dopamine and other shit.

I never came here but I think here is the right place to ask for this.

Let's suppose there are a drug that only stops all production of dopamine and/or blocks its receptors completely.
Why not block all dopamine?
I think something will and must go wrong since no one is doing that but what could go wrong exactly?

>> No.10684802

>>10684696
>What do you mean by this?

It's too easy for people to see a doctor here. This leads to loads of mundane and trivial shit eating my precious time. Special mention to workplaces that don't allow employees to take a few days of sick leave without a doctor's note.

>> No.10684807

>>10684798
You would literally induce depression.

>> No.10684817

>>10684807
Depression alone doesn't look bad enough.

>> No.10684824

>>10684798
Most antipsychotics are dopamine antagonists, go read up on their effects.

>> No.10684826

>>10684802
sounds like germany

>> No.10684841

>>10684817
True. I remember reading up on an interesting case study where they gave healthy people high doses of dopamine antagonists, a lot of interesting reactions. Can't seem to find it.

>> No.10685062

>>10684826
scandinavia

>> No.10685345

Hey, I have a literature question for you guys, please help me with this:

I'm looking for a guide-book on the human physiology; with at most superficial diagnostic details, more like a manual for "how things work", which organs perform which function, are activated through what cascade .. and so on.

Is a physiology textbook for a medicine student a good source, or would something else be better?

Thank you.

>> No.10685348

>>10685345
Physio book is definitely the way to go.

>> No.10685358

>>10685345
Yup textbook is what you need

>> No.10685364

>>10685348
>>10685358
Thank you both very much. Seems like good news -- the academic mill with their "we need students to buy the current edition!" churns out a lot of previous generation copies for cheap.

>> No.10685403

>>10685345
Nah senpai u dont need to read no book

Wikipedia is good

What the fuck is even the alternative to reading shit man, what kind of answers did you expect.
Get that fucking guyton son

>> No.10685408

ps PRO tip a printer is cheaper than books just print out the chapters you need, theres shit in there (flight/space physio, sports phisio) that you dont need at all.

FUCK ELSEVIER, FUCK JEWS AND FUCK JANNIES

>> No.10685471

>>10685364
Boron is really good, try to look for that one.

>> No.10685584

Any actual medfag here?
Ever since yesterday, a part under my left eye has started ranfdomly spasming. Sometimes I can feel it and sometimes I can't, but it noticeable if I look at it from a mirror. The episode last from 5 seconds to 10 seconds. I regularly use glasses, is that has anything to do. What is going on?

>> No.10685588

>>10685584
Yeah, check with a psychiatrist.

>> No.10685591

>>10685588
Hard day, romanianon?

>> No.10685592

>>10685588
Yeah what? And a psychiatrist? I am not crazy.

>> No.10685599

>>10685591
Pretty hard day. Been studying for radiology for some time but now I'm done for today.

Also, FUCK you got me.

>> No.10685805

>>10685584

how is your farting?

bro- it's fartigue. relax and turn off the porn. get some sleep.

>> No.10686052

>>10685805
Non-meme answers please?

>> No.10686118

>>10686052
Most fasciculations are due to stress/anxiety/fatigue, especially in the smaller muscles of the eyelid.

Without any other symptoms it is likely to be benign fasciculation syndrome or an irritant.

Magnesium deficiency and low calcium has also been implicated, but it is unlikely if you consume a regular diet.

Very very very rare causes include multiple sclerosis and neuromuscular disease.

>> No.10686194

>Final year of pre-med
>get offered a position at a local medical examiners office assisting with general tasks
>first day
>see a mutilated stab victim on the table
>next table to a herione case who wasn't found for a few days
>literally almost pass out from the sight and smell
>doc tells me to get some fresh air and that you get used to it
How do I get over this. Cadavers are one thing but seeing mutilated rotting decomposing corpses is really upsetting.

>> No.10686206

>>10686194
youll get used to i t

>> No.10686208

>>10686194
You get used to it.
In the mean time enjoy not being able to eat, sleep, or close your eyes for the next few months.
You'll never get the smells out of your nose though.

>> No.10686215

>>10686118
Thanks medanon, I appreciate it. You will make it.

>> No.10686418

>>10686194
Spend years of your youth on /b/ circa 2007.
The surgeon is inspired.

>> No.10686593

Proff said sometimes people with neurosis have hemorrhage marks on the skin of thighs, anyone has any idea why could it happen? What is the mechanism behind it?can’t find anything about it anywhere

>> No.10686629

>>10679869

Can any anons say some basic, big-picture stuff about the morphology of the human circulatory system? I'm just curious and don't want to ask wiki at the moment.

So it has some basic structural features common to (almost all) humans (main cables), but then the smaller stuff, capillaries etc, those have a slightly different physiology in each person, like a "fingerprint"? Is that a fair description?

Also how exactly is the "thousands of miles long" stuff or whatever it is computed, or is that partially a meme.

>> No.10686638

>>10686593
Never heard of this but maybe it's from grabbing/fidgeting with the thighs as a nervous tic?

>> No.10686655

>>10684596
It bores me.

>> No.10686665

>>10684798
Dopamine has effects on other tissues and systems not only the brain, you don't wanna block those.
>>10686194
You literally get used to that. Some do it faster than others. You can train your mind with gore threads.
>>10686629
>those have a slightly different physiology in each person
I guess so. But only up to a point.
>Also how exactly is the "thousands of miles long" stuff or whatever it is computed, or is that partially a meme.
It's an estimate. You can't really measure it.
>>10686593
>>10686638
I also thought of this.

>> No.10686685 [DELETED] 
File: 65 KB, 870x1024, 1547015092340.jpg [View same] [iqdb] [saucenao] [google]
10686685

>I put "scientific/scientifically speaking" in my post so it's /sci/-related

>> No.10686896
File: 154 KB, 841x960, 1558039617051.jpg [View same] [iqdb] [saucenao] [google]
10686896

Why is every pharmacist I've ever met a complete fucking weirdo?

>> No.10686897

>>10686896
You probably met some weird pharmacists. The ones I know are pretty cool and always up to drink a beer and chill out for a bit.

>> No.10686899

>>10686896
why has /ck/ followed me here?

>> No.10686901
File: 135 KB, 1400x1050, 44842676_2228033403938057_3050107515296546816_n.jpg [View same] [iqdb] [saucenao] [google]
10686901

>>10686899
No escape from jollibee

>> No.10686911

>>10686901
lel

>> No.10687149

Got a bit of a case here. Let's speculate.

Old woman (late 70s - early 80s) was at a cardio check up 6 months ago. Everything was fine, no hypertension, heart was beating alright, no heart failure signs, perfectly normal besides her left carotid (20% obstructed). Now, the patient also goes to a psychiatrist and takes anxiolytics and anti-depressants (Forgot which ones), she suffers from depression and anxiety for about 1 year.

Now, she came in today because she had a panic attack and needed to recover, then she was given a paper to get another cards consult + psychiatric (She complained about vertigo, headaches and she gets tired much more easier than before, dyspnoea).

After the cards consult, her right carotid was now obstructed 70-80%. In 6 months, from 20% to 70% is a pretty big deal, her blood work is fine, urine is fine, the only surgical procedures she had was for cholecystectomy and for a femural head fracture. (5 years ago)

Now she was sent to do a full CAT scan to see what's wrong, if there is something. Also, I was a bit skeptic at first when my mom referred her to a cardiologist because those symptoms usually appear in panic attacks, but then she told me that she had to make sure and be cautious considering the patient is old.

Now, what do you think happened, friends?

>> No.10687153

>>10687149
did she get in a fight at mcdonalds

>> No.10687168

>>10687153
Cool memez bro

>>10687149
Also forgot to mention that she takes Clopidogrel.

>> No.10687188
File: 137 KB, 352x512, 1556242212700.png [View same] [iqdb] [saucenao] [google]
10687188

>>10686901
Based.

>> No.10687191

>>10687149
>her left carotid (20% obstructed)
>her right carotid was now obstructed 70-80%.

wait what

>> No.10687196

>>10687191
Oops. Right carotid both times. Sorry, I wrote it in a hurry.

>> No.10687210

>>10687149
That's pretty fast, usually it's around a 5% a year at the fastest with medication.

>> No.10687220

>>10687210
She works a lot in her garden, maybe it could be caused by trauma? Considering her age, I think that even some light hit would be able to do something like this. But it doesn't add up because she's on Clopidogrel. (She started taking it at her first cards appt, 6 months ago)

>> No.10687239 [DELETED] 

>>10687220
How often is she farting?

>> No.10687335

>>10685599
radiology is easy man. just imagine all the shekels. Ahhhh, thats a good feel

>> No.10687502

>>10686118

don't forget chink-slant eye (CSE) blepharospasm phenomenon

>> No.10687506

>>10686629
>Can any anons say some basic, big-picture stuff about the morphology of the human circulatory system?

Air goes in and out, blood goes round and round. Any deviation is a problem.

>> No.10687517

>>10687153
>10686118

sounds like a case of the Unhappy Meal.

>>10687149

how is the dyspneooeoaoa now?

old bag gots dem aortical stenosis thing going on, probs in and out of da afib, showering clots, lots of good time being had there. idk about you but a UA ain't gonna tell you shit other than UTI (which at her age if she doesn't have is a red flag) and honestly why is she on plavix without a proper reason? family trying to get rid of her?

>> No.10687524

>>10680185
>nature was so stupid that it made a mistake in designing
wew

>> No.10687529

>>10687517
She's on plavix because the cardiologist prescribed it to her. Have no idea about anything else. We ordered a complete blood and urine test just to make sure, and it was performed before she went to the cardiologist.

>> No.10687546

Any dentalfags here? Is it reasonable to assume that I have arrested caries if I have no pain nor changes in the appearance or size of the cavities over several months?

>> No.10687567

>>10687529

>>10687529
>She's on plavix because the cardiologist prescribed it to her.

Lazy. Like telling a pt "it's technical." She stroke out before or somethin?

>> No.10687568

>>10687546
>Is it reasonable to assume that I have arrested caries if I have no pain nor changes in the appearance or size of the cavities over several months?

dunno. is your teeth black?

>> No.10687570

>>10687529
Oh dear. Please tell me this isn’t a serious post?

>> No.10687582

>>10687567
>>10687570
Absolutely no joke. She came back and told mom that "The cardiologist said that you should tell me about this medicine". Lazy pieces of shit everywhere.

>She stroke out before?
Nope, angioCAT scan will be next and her new cardiologist might see the actual problem.

>> No.10687583

>>10687570

It's Romania expect nothing less. Sometimes for variety they like blood thinned, somewhat comparable to the preference of skim milk. It's a Eastern European thing.

>> No.10687587

>>10687568
Obviously I have discoloration, otherwise I would not suspect the possibility of needing dental work. It is however solid to touch, not painful, doesn't smell etc.

>> No.10687588

>>10687582

so nobody anywhere knows why an ataxia altered patient with severe ASCVD is on a thinner? socialized medicine folks.

>> No.10687591

>>10687587

do your teeth feel a need to move whenever a you hear low frequency sounds like similar to a bass note? Any uncontrollable desire to not chew food when you ask it to do so?

>> No.10687594

>>10687588
Well, I'm pretty sure the cardiologist wrote on the letter that she only has this obstruction.

Probably obstruction ---> blood thinners?

Have no idea, man. I wish I was at mom's right now to look it up a bit.

>> No.10687601

>>10687591
No, like I said no pain etc., nothing abnormal at all other than discoloration which is clearly caries.

>> No.10687603
File: 177 KB, 500x772, you-need-to-start-asking-questions-dave-3376312.png [View same] [iqdb] [saucenao] [google]
10687603

>>10687594

>> No.10687607

>>10687601

do your teeth make excessive noises? hmm. well, this could be diagnostic - do your teeth "get along" (communicate) well with your other teeth?

>> No.10687611
File: 10 KB, 240x250, 1556289482297.jpg [View same] [iqdb] [saucenao] [google]
10687611

>>10687607
Could someone non-schizophrenic answer this? I have little knowledge regarding dentistry and I'd rather avoid spending a large chunk of cash on seeing a dentist if it is a case of arrested caries as I suspect.

>> No.10687613

>>10687603
Kek'd. Such is Romania, my friend. Specialist usually don't give a fuck about follow-ups or at least they don't even explain it properly to the patient because they think that FM's should. The patient has an appointment tomorrow, I'll make sure to check in and see the papers because obviously I think I'm missing out on something.

>> No.10687616

>>10687611

how many times have your teeth been arrested?

>> No.10687623

>>10687613

do you providers talk to each other and provide progress notes or H&Ps or just throw shit on the wall and hope it sticks?

>> No.10687624
File: 24 KB, 400x324, 1301019362472.jpg [View same] [iqdb] [saucenao] [google]
10687624

>>10687616
Kek'd

>> No.10687633

>>10687623
Well, they SHOULD have but they really don't. I mean, the newest info my mom got was the letter from the cardiologist but they don't keep in touch because that's how specialists work here, basically they don't give a fuck as long as there's a FP that can take care of the issue. If it progresses, then the FP sends another referral to cardiology.

>> No.10687640

>>10687611

would you say that perhaps around thirteen of your teeth are the reason for over half of the problems in your mouth?

>> No.10687642

>>10687623
>>10687633
Oh shit, forgot to mention that surgeons of all people to this with the family physicians because the patients need to be monitored and they need a follow up until the surgeon is happy with the patient's condition.

>> No.10687643

>>10687633

wow

>> No.10687645

>>10686665
>You can train your mind with gore threads.
Pictures have never bothered me, but seeing in real life is a totally different feeling.

>> No.10687652

>>10687643
Well, what do you expect from my shithole of a country? Rural FM is the coziest, the rest are for people that are crazy for money and think highly of themselves (Well, not all of them, but the competitive ones)

>> No.10687665
File: 14 KB, 250x250, 1543639222338.jpg [View same] [iqdb] [saucenao] [google]
10687665

>>10687640

>> No.10687793

>>10687642

surgeon doesn't sound too inspired.

>> No.10687795

>>10687652

Do you have inferior potassium tho?

>> No.10687798

>>10687793
What do you mean?

>>10687795
Borat is from Kazakhstan, not Romania.

>> No.10687802

>>10687798

Yes and Kazakhstan has best potassium except for near northern fence of Jewtown.

>> No.10688908

>>10687149
Was IVUS/OCT used to measure the obstruction in either case?

>> No.10688920

>>10688908
Just speculating if either the original or the current % stenosis is mal-informed.

>> No.10689102

>>10688908
>>10688920

R U trying to ask is like if the pipe is clogged or wat? Yeah. Get a Roto-Rooter

>> No.10689240

>>10687611
Dont listen to the cunt trolls anon, fuckin ruining thread for everybody. Let me ask you some questions to get things more clarified. Try to give me as detailed answers as possible.
Which teeth do you suspect?
What is the exact type of discoloration (color, size etc)
What is the amount of gasses released from bowel daily?
Have you done dental work before?

>> No.10689470

>>10688908
IVUS in both cases.

>> No.10689484

>>10687149
is she Asian? Might be vasculitis.

>> No.10689489

>>10689484
Nope. Romanian 100% old babushka that works in her garden almost everyday for about 5 hours.

>> No.10689522

>>10686629
You triggered my autism, so sure we can. So the five basics parts of the cardiovascular system is
>the heart: pumps contracts and pumps blood automatically.
>arteries: blood vessels which leave the heart and has high pressure. Usually, the blood is oxygenated.
>Veins: blood vessels which enter the heart and has low pressure. Usually, the blood is deoxygenated.
>lungs: oxygenates blood
>blood: consists of red blood cells which contains hemoglobin and is oxygenated.in the lungs and deoxygenated in peripheral tissue. It also contains other shit that is not that important in general CV physiology.
The main function of the cardiovascular system is to carry blood deoxygenated blood to the lungs where it will be oxygenated and take it to tissues which are in need of oxygenation. TH CV system has other important tasks like transporting nutrients, hormones, white blood cells, etc.
We can divide the circulatory system into two basic compartments based on their function. Pulmonary circulation and Systemic circulations, we can also divide the heart into the right heart and left heart based on which circulation they supply.
Now here are some basic arteries every prole should know based on what they supply
>Aorta: main artery in the body; supplies every abdominal organ.
>pulmonary artery: supplies the lungs with deoxygenated blood
>coronary arteries: supplies the heart. Occlusion here can cause a cardiac stroke.
>illiac + femoral + popliteal artery with corresponding veins: leg circulation
>Axillary, brachial, radial and ulnar artery: arm circulation.
>carrotid artery: external supplies the head region, internal supplies the brain with vertebral arteries. Occlusion to cerebral arteries can cause a cerebral stroke.
some important veins
>vena cava superior and inferior: the main vein drains blood to the right heart.
>arm: basilic and cephalic vein
>legs: vena saphena
>portal vein: important if you want to learn about nutrition.

>> No.10689607

hello myfriends in this episod of romanian medicin we talk about diseases of piping and blood
easy thing really

if liquid things is going solid pipes can block and god say if pipe block you go dead.
for this we have pill for liquid to stay liquid

stay tuned for next episode: diseases of brain and homosexuality

>> No.10689613

>>10689607
Rude

>> No.10689621

>>10689522
Ouch. Lots of misinformation in here.

>> No.10689681

Q: Are you forced to take Hypocrate's Pledge when you finish your studies?
I'm currently hesitating to get into medical school but I refuse to take the pledge. (Or take it but don't apply it.)

>> No.10689698

>>10689681
Here you don’t have to. And it actually doesn’t bind you to anything. Just cross your fingers.

>> No.10689742

>>10689613
just fucking withcha a bit

its the exact same where i live

>> No.10689760

>>10689742
I know you were joking, anon. Such is life in Eastern Yurop.

>> No.10689895

Can you help me medfrens? I'm >>10689740

>> No.10689979

>>10689681
What you have against the pledge?

>> No.10690263

>>10689979
>not wanting to fugg all the slaves in your patients house

are you gay or something?

>> No.10690303

>>10689895
Do you experience pain behind the eyes when you pee?

>> No.10690337

>>10690303
No but sometimes when I pee really hard, my eyes pop out and I have to resocket them afterwards.

>> No.10690413

FUCK Doctors. Mine made me do a CT scan and didn't even bother to tell me about the increased cancer risk.

>> No.10690454

>>10690413
>eat like shit
>live like shit
>live in a smogged up shithouse
>but I got this cancer from the CT I had 10 years ago I swear!

>> No.10690617

>>10690413
Doing a CAT scan once every 5 or 10 years is fine. The radiation dose is big, but I'd rather get the radiation instead of having some disease that no one knows about.

>> No.10691006

I wanna learn anatomy. Personal purposes: understanding my body, fitness, sexual health.

Recomandations on books / podcast / atlas / documentaries?

>> No.10691507

>>10689681
>>10689681
>Q: Are you forced to take Hypocrate's Pledge when you finish your studies?

Yes. At gunpoint. Refusal is either occipital GSW (Eastern Europe) or forced acceptance of 4 years of medical school tuitiion, in cash, 100 dollar bills, crisp, uncirculated, by 5:00 p.m. on Friday.


>>10689607
>stay tuned for next episode: diseases of brain and homosexuality

let skip and go chapter of 5 where jew is thrown down well

>> No.10691512

>>10689522

you forgot penis vein. very importance for ERECTION and SEXY TIME

>> No.10691518

>>10690413

I don't see how the state of Connecticut has anything to do with your increased cancer risks, sorry. I just don't and you won't change my mind whatsoever.

>> No.10691652

>>10690413
FUCK pilots. Made me sit in an airplane for 6 hours and didn't even bother to tell me about the increased cancer risk.

>> No.10692081

>>10680160
I don't feel any major disgust but it's very frustrating and stressful to deal with, especially when they're distressed. Elderly patients w/o dementia are fine when they've taken care of themselves but I get the absolute shits when obese smokers come in and act like they're just unlucky victims for have fucked up knee joints and can barely breathe.

I'll never forget this absolutely lovely man who was 79 and still cycled over 100km per week, and was in for early stage dementia testing. Never met someone kinder and with a more calming presence. Getting one patient like that for every 100 obese, immobile patients who can't even lie on their side without bitching almost makes the job worth it.

>> No.10692085

>>10689522

I wrote the general question you replied to. Thanks anon!

>> No.10692093

>>10690413
>made me
Nobody at all can force you to do any sort of radiographic examination.

>> No.10692098

>>10691006
Moore

>> No.10692125

>>10690413
You're right, we should exercise more caution when we talk with the populace.
As your attorney I advise you to stay away from bananas permanently. Don't even look at them!

Instead of that chest CT, you could've eaten 58 thousand bananas. But no -- you had to get that test done. There's your banana budget -- blown.

Maybe you could mitigate your lifetime risk by isolating yourself in a lead sarcophagus for a year or two, to shield yourself from the background radiation.

Good Luck!

>> No.10692159

>>10692125
And such, the first /med/ pasta was born.

>> No.10692235

>>10679930
neuro is 100% unpleasant from what ive seen
ortho is cool

>> No.10692236

>>10692235
>neuro is 100% unpleasant
Why?

>> No.10692243

>>10692236
super traumatic injuries (and their families), strokes, cranial nerve issues, gabapentin megadoses, the fact that there arent enough neuro patients to justify an entire unit for them so other super-fucked up patients are also on the floor

>> No.10692250

>>10692243
>(and their families
Which units have the least family/patient drama? Which have the most? I'm guessing neuro, pediatrics and oncology for the latter

>> No.10692257

>>10692250
>least family drama
unironically family medicine

>> No.10692262

>>10692257
What else?

>> No.10692267

>>10692262
Well, not like FM but I guess path, rads, optho, uro.

>> No.10692344

Which specialities have the lowest drama between healthcare staff?

>> No.10692375

>>10692344
Probably path

>> No.10692400

>>10692344
A spec in which you don't need a nurse or something like that, let's say in private practices are psych, cards, OBGYN

>> No.10692461

>>10692344

The ones with the lowest number of women. Surgery is a good option because most of your colleagues and seniors will be men, and the women theatre staff can be ignored/talked down to.

>> No.10692464

>>10692461
The issue with surgery is the unholy working hours so you'd be trading one form of stress for another.

>> No.10692841

>>10692344
I fucking hate working with nurses. Women doctors tend to be ok, but nurses love drama and are fully retarded.

>> No.10692851

>>10692841
Well, not entirely true. If you work in private and have a nurse, you'll be good friends because you get to choose whom you'll work with.

>> No.10692861

>>10692851
I'm NHS, so i will not be working private for a long time

>> No.10692863

>>10692861
I guess you can still build decent relations with them. Depends on your behavior too, but to me some nurses are fine, some are fucked in the head.

>> No.10693106

>>10692250
>most
It's ped psych, not really even about the kid, just treating the parents through the kid.

>> No.10693111

>>10692344
Psych is pretty great, over 50% male nurses here. Clinical psychologists and all kinds of therapists can go fuck themselves though.

>> No.10693130

>>10687149
How was coagulation? Hypercoagulation explains neural symptoms and dyspnea (microthromboembolism) cardio check up is in order, I guess. CT if it's with contrast pulmonary embolism will pop up maybe.

>> No.10693147

>>10689607
fuck off
>>10689681
Yes. But it's just a formality. Your rights and duties as a doctor are written in the health law.
>>10692344
Where there aren't females.

>> No.10693169

In my country, doctors can legally precribe nembutal powder for medically assisted self-euthaniasia.
I've been diagnosed with schizophrenia in 2016 and am now having physical symptoms as well.
My question is as follows: what would you, as a doctor, answer to a patient like me seeking this medicine for this purpose?

>> No.10693173

>>10693169
People should have the right to end their life if they choose to.

>> No.10693191

>>10693173
Okay, so would you give me the medicine say, the following week without asking anything else?

>> No.10693292

>>10692841
Nurses are basically Facebook moms who have extra large egos because they took a babby tier a&p course. I can't wait until they're replaced with robots.

>> No.10693832

How often does adultery happen between doctors and nurses in hospitals?

>> No.10693884

>>10682120
Buddy, rads is a 9 to 5 job and a lot of bigger hospitals have night hawks so the only call you worry about it weekend day, and there are usually enough radiologists that the call schedule is very lenient.

>> No.10693891

>>10684596
Too much patient interaction with people who don't listen to you anyway. Tons of paperwork. Low pay. Your fellow PCPs are probably shitty.

Unfortunately, the people who go into primary care tend to be low scoring individuals or people who aren't likeable enough to match better residencies. Not all, but a lot of them.

>> No.10693898

>>10687149
Whoever read the first image probably fucked up. No way you get a 50% occlusion in a year due to atherosclerosis, even if you breath mcdonalds.

>> No.10693901

>>10687149
>>10693898
Or the second image was probably not read right.

>> No.10693909
File: 1.98 MB, 272x194, 1500060811539.gif [View same] [iqdb] [saucenao] [google]
10693909

Here's a question for everyone. How do you feel about the WHO saying transgenderism isn't a mental illness?

I know a couple who were at my medical school and they were fucking weird. One had a better 5 o'clock shadow than half the men. How is that we say self mutilation is an issue but these people can have a doctor chop their dicks off and pump their body full of hormones for shits an giggles?

>> No.10693912

>>10693909
>One had a better 5 o'clock shadow than half the men.
This was male to female btw.

>> No.10693919

>>10685403
Wikipedia is shit for science and medicine. Most of the articles are needlessly overcomplex because neckbeards compete to show off arcane knowledge, then there are the people who insert their random hobby horse that's not aligned with the mainstream consensus, and an assortment of completely made-up bullshit.

>> No.10693929

>>10693919
This applies to everything on Wikipedia desu senpai

>> No.10693934

i went to a shitty doctor in my shithole of a country and he shoved a camera up my ass and he detected 3 polyps
he suggested that I do a colonoscopy to remove them and then do a histology on those 3 things

should I do it? I thought only old people do it
is there a huge risk of me actually having real polyps or do I have "pseudopolyps"? he said that i don't have cancer and that I shouldn't worry, but I'm pretty sure he's being pedantic since AFAIK a polyp isn't cancer, even if it was a pre-cancerous one (hence "pre-")

I really don't know what to do, should I go? there' a 0.1% chance of a fuck up to happen, and since I don't live in a wealthy country like Switzerland or the USA I'm gonna have to increase that risk to 1% or maybe 10%.

>> No.10693944

>>10693934
>should I do it? I thought only old people do it
Yes you should. Colon cancer is a shitty way to die and it is incredibly easy to prevent. Colonoscopies are recommended in the US in anyone over 50 years old. If you have a first degree relative who had colon cancer, it is recommended at 40 or 10 years earlier than when they were diagnosed (whichever is first).

Polyps are essentially pre-cancer. It's a benign tumor that has mutated and lost some of the regulatory mechanisms to prevent them from growing in the first place. If they lose more regulatory function, they can become cancer.

It's also pretty hard to perforate someones colon, you really have to be a fuck up.

>> No.10694145
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10694145

>>10693901
Welp this probably means they wont be getting free or discount hormones, terapies, surgeries if it is not an illness anymore....

>> No.10694149

>>10694145
Ment to reply to this anon >>10693909

>> No.10694259

>>10693944

Guidelines changed now down to 45.

>> No.10694263

>>10693292

i can smell the autism from here. fucking shut up already

>> No.10694270

>>10692243

you're getting on my afferent nerves

>> No.10694430

Thinking of going into med school once I finish my second Bachelor degree next year. I could care less about the work-life balance most people tend to bring up now-a-days solely because I have no life. But is that a red-flag to admissions, if you have no extracurricular activities, volunteering, etc., that implies you have a social life?

>> No.10694497

>>10693884
Is rad the only spec like that? Is there something similar for those who didn’t score that well and can’t get into a very selective specialty?

>> No.10694530

>>10694430
>if you have no extracurricular activities, volunteering, etc.
You will not get in to an MD school without a well-rounded application. You might stand a chance if your grades and MCAT score are both in the top 5% or so of applicants, but even still they are looking for reasons to not accept you.

>> No.10694535

>>10684596
It's boring and doesn't pay enough relative to the cost of med school.

>> No.10694661

Thread is boring af so here are sone pics of severe penile cancer.

https://imgur.com/38K3UMM
https://imgur.com/w0tim2w
https://imgur.com/dm3er9d
https://imgur.com/lw3uMhx

Using imgur since it's a blue board.

>> No.10694664

>>10694661
Damn and I thought I had an ugly dick

>> No.10694874

>>10694661
Now I don't give a shit that my dick is small. Thanks!

>> No.10694888

Is there any good evidence about the effectiveness of fart transplants for IBS?

>> No.10694932
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10694932

>>10679869
>Applying for STP with the NHS
>10 places
>Currently 271 applicants

>> No.10694985

>>10694259
It depends on who you ask, but most people follow the USPSTF guidelines.

>>10694497
Family medicine is often times a 9-5 job, but there is a lot of paperwork involved and a lot of patient interaction. I am sure pathology is probably pretty chill as well. Generally, only the primary care options (FM, OB/GYN, PEDS, PSYCH, IM) are available to lower scoring people, but psych and peds are actually somewhat competitive now, or were this year.

IM can be a sweet gig if you get a hospital that will allow you to do a 7 day on 7 day off schedule. You literally work half the year and get half the year off. It is a lot of paperwork and crap in the hospital though.

>But is that a red-flag to admissions, if you have no extracurricular activities, volunteering, etc., that implies you have a social life?

It can be, I personally didn't do any of that stuff and then bombed my MCAT. I primarily applied osteopathic because of that but didn't get in my first year so I did a post-bacc program which took me after I passed that year. The hardest part of medical school is getting in. If you don't make it in the first year, look for a postbacc program, don't waste time.

>> No.10695025

>>10693944
thanks anon, I think I'll do it
no one in my family died of cancer, except my maternal grandfather who died of leukemia, but everyone has a healthy gut and I don't really worry about it, but I'm pretty sure mutations can happen
better be safe than sorry

>> No.10695027

>>10693944
but aren't polyps essentially the same as moles? by this I mean, there exist some types which never lead to cancer? this was my impression when I read about colonoscopy: that some polyps are ok (and just random mutations) while some are bad but there is no easy way to detect this without histology so mught as well shave them off and be safe

>> No.10695049
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10695049

>>10695027
They are all benign and it is possible that they may never progress to cancer, but it isn't a risk worth taking when it is so easily treatable.

If you look at the bottom of pic related, the begining of the polyp is loss of specific gene expression. To have a polyp means a mutation is already present. A polyp may not progress to cancer because it may not lose all of the genes required to prevent it, but as long as the polyp is there, you are at increased risk.

In the cancer world, there is something known as the two hit hypothesis. It means that cancer requires a knockout of two copies of the same gene (you have 1 on each matching chromosome) to develop. So if you are born with one that is faulty, you only have one, but you have a very high risk of developing cancer, so much so that you will likely inevitably develop it. This is for something like retinoblastoma (eye cancer) though. For colon cancer, think about those 4 or 5 genes you need. Now you need to knock what I would assume to be all 8-10 of those genes in a cell to develop cancer. If you have a polyp you already lost 2.

The idea that some polyps are worse than others comes from the fact that some haven't mutated as much, but a tumor is a tumor, it reproduces at a higher rate than normal tissue, in weird ways, and it often mutates. Not all benign tumors use the same genes, so moles are usually less of an issue, but they can turn to cancer.

>> No.10695075

>>10694535

another undergrad shitbag. tons of ways around this and FM can pay mid-200s if you're not a piece of shit retard. which for this board, is rare.

>>10694661

rude. i like my boner without your post-traumatic rape issues transformed into online trolling of bad penis pictures, thx

>>10694664
>>10694874

pics of gtfo

>>10694888

mostly qualiatative studies. see the sentinel JAMA report, "he who dealt it, smelt it."

>>10694985

don't get me going over ACS v. USPTSSFTF guidelines shit again.

don't know a single hospitalist that is off 7 days. you're welded to the wards once you're in... ya know, "for zee germans."

https://www.youtube.com/watch?v=2oK_trZhVdk

>>10695025

if you don't have first degree relative positive history, just wait till 45/50 to get the ass camera job. ask your provider tho, never 4 chins

>>10695049

just needs more 18q is all. right as rain

>> No.10695464

Why are male nurses so insecure?

>> No.10695592
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10695592

>b-but anon, FM is boring!
>s-stop saying otherwise!

>> No.10695697

>>10695592
FM is interesting for the "human factor" for lack of a better term, and the versatility that you're supposed to display, since you have to consider the patient more holistically than most specialties.
However you rarely get very interesting cases, and if you do, you quickly refer them to a specialist.
I also think it's more intellectually satisfying to specialize in a certain field than to be a jack of all trades, but that's just me.

>> No.10695744

>>10695697
Well, I want to live a comfy life, treat my patients when they need to be treated, refer them if they need to be sent to a specialist and I don't really care about interesting cases. As I've said earlier, I like chronic diseases and doing full physicals. Also doing home visits is pretty cool.

>> No.10695944

>>10695744
Fair enough. Though FM is not the only spec that allows you to lead a comfy life.

>> No.10695974

>>10695944
I know that, but I like having "my own" patients and FM is the only spec that has this, at least where I'm from.

>> No.10695978

>>10695974
>FM is the only spec that has this
Psych is like that too. Not for everyone though.

>> No.10696576

>>10695464

why are you such a bitch?

>> No.10696693

>>10695744
sounds like a concierge practice would be perfect for you. or just a rural practice maybe

>> No.10697163

>>10694530
>they are looking for reasons to not accept you.
Fug. Guess it's not too late to join the student outreach and volunteering group here.

>>10694985
>If you don't make it in the first year, look for a postbacc program, don't waste time.
Leaf here, I'll admit I've never heard of a postbacc program, what is it, an American thing? Either way, I know that if I don't get into med school, I at least have backup plans. I would still like to go to medical school though.

>> No.10697291

>>10696693
Rural. I really like to live in rural setting because it's closer to nature and much more silent than the city.

>> No.10697562

does struggling with biochemistry means i am low IQ?

>> No.10697619
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10697619

>>10695464
It’s not the fact that they’re males, it’s the fact that they’re nurses.

>> No.10697768

>>10697562
insecure kid

>>10697619
>what's the difference between a NP and a FP?
>the paycheck...
Makes my blood boil every fucking time, holy shit.

>> No.10697779

>>10697163
>Leaf here, I'll admit I've never heard of a postbacc program, what is it, an American thing? Either way, I know that if I don't get into med school, I at least have backup plans. I would still like to go to medical school though.

It may be. Not all medical schools offer them. Some that do offer them are shitty about the requirements, like they are for people who weren't science majors and if you've already had any science classes, they won't take you.

It's a convenient way to get in though if you are good at normal tests and not shit like the MCAT and you don't like extracurriculars.

>> No.10697824

Do you bros use any medical apps to help you out?

>> No.10698270
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10698270

Anyone familiar with this psychiatric approach?

>> No.10698396

>>10689621
STFU faggot and do it better if you're so fucking great with only 2000 characters. I could only get down the most important details of the CVS, which means most of it was left out and some consepts had to be simplified.

>> No.10698427

Should I write my own letter of recommendation for this cycle Supervisor in my lab is too busy to write one, and he asked me to draft one.
Problem is, I’m worried Admissions Committees will notice I wrote it myself, resulting in bad shit happening. Secondly, he asked another girl in my lab to do the same thing. I’m worried our writing styles will be different and med schools will notice two completely different styles from one recommender. But this is also an opportunity to write about things my other recs might have missed and write a good one.
What do?

>> No.10698439

thoughts about neurological physical therapy?

>> No.10698717

>>10698270

how many did you mow down with your M249?

>> No.10698722

>>10697824

yes!

>> No.10698739

>>10697824
I sometimes use the bmj app.
>>10698270
>customised ketamine treatment
No problem here, ketamine is the shit
>Emotionally Focused
Doesn't mean anything
>Interpersonal
literally what
>Ketamine-assisted psychotherapy
You mentioned the ketamine already
>Psychodynamic
Psychoanalysis, now without any falsifiable parts
>Relational
Still doesn't mean anything

Ketamine is a cool drug but it's honestly getting out of hand, we should stick to the infusions until we have more research on oral.

>> No.10698749

>>10698717
Psychiatric patients make infuriatingly bad mass shooters.

>> No.10698756

>>10698439
it's physical therapy

>> No.10698758

>>10697562
biochem is legit brainlet field, so you need lot's of work

>> No.10699728

Is teachmeanatomy.info good for MS1/MS2 anatomy? I'm middle of MS1 in australia and at the moment just study anatomy from textbooks and self-test, but I'd really like something that would give me overviews for revision and lots of questions.

Wondering what peoples' experience is with it and if its worth the lifetime purchase (if it would help in MS2 as well) or if its only basic

>> No.10699787

Opinions on nuclear medicine? I never see it talked about here.
How’s the lifestyle, is it interesting, is it a good specialty to get into?

>> No.10699954

>>10697824
It's one app for medication released only in Romania where I have indications and counter indications, adverse effects and dosages that help me out a bunch when I'm studying.

>> No.10699981

>>10699954
Gee, that recommendation will be helpful for all the Romanians on here.

>> No.10699997

>>10699981
Well, he asked about what apps do I use. That's it.

>> No.10700017

>>10699997
Presumably he wants recommendations he can act on, not some unnamed app from a third-world cesspit.

>> No.10700048

>>10700017
Kinda rude but okay.

>> No.10700081

anyone have that flowchart on choosing a specialty?

>> No.10700106

I must be retarded

How the absolute fuck am I struggling to get above a 500 on the MCAT when my GPA is 3.75?

Do I just go ham practicing questions on the daily or what?

>> No.10700163

>>10700106
The MCAT was an incredibly stupid exam. I had a 3.9 GPA in undergrad. I studied quite a bit and got a 10 on the biological sciences, 9 on physical, and a 6 on verbal reasoning. This was the old one which each section was graded out of 15.

Now, that being said, my GPA on finishing medical school was a 3.8. My COMLEX level 1 score was the 96th percentile, my USMLE Step 1 was 76th percentile, and my COMLEX level 2 score was 86th percentile.

In short, your MCAT doesn't mean shit, it has no bearing on how well you will do in medical school, it's just a stupid exam.

>>10699787
I am assuming you aren't in the U.S. as there are very few Rad/Nucs residencies. However, in the US, Nucs is pretty laid back and offers the best lifestyle for radiology. There is little to no call, it has the lowest amount of patient interaction, and is the shortest work day, but the pay is also the lowest out of all the subspecializations.

>> No.10700183

>>10700163
Why are rad and nuclear together? In Europe they're entirely separate specialties. And here it's paid about as well as diagnostic radiology.
What is the work like though? It's rarely talked about so I wanted to know if some anons had some first hand experience.

>> No.10700196

>>10697824
Sometimes I use WikiEM.
>>10699787
They're well paid in my country with good lifestyle also they get early pension, because radiation n shit. I personally find it a bit boring.
>>10700081
See previous threads. OP links them every time.

>> No.10700201

>>10700196
>they get early pension, because radiation
Is that a legit risk or is it bullshit?
It's the same thing with interventional rads, are they actually exposed to enough radiation that it poses a significant health risk over the course of an entire career?

>> No.10700298

>>10700183
In the US there are a few special residencies that focus on nuclear medicine during the radiology residency. Most of the time, you need to do radiology then to a 1 year fellowship in nuclear medicine. That's just how it works here.

In terms of work they do, it's pretty much only read nuclear studies. No procedures, just reading and explaining iodine treatments to patients who need them.

But it also depends on the hospital you are at. Generally, the larger hospitals have you only read what you did a fellowship in, but smaller hospitals might have you read whatever comes in.

>> No.10700300

Could you use wine (10~12% alc) to disinfect a wound, or would the sugar content just encourage bacterial growth?

Not something I'd ever do, just curious.

>> No.10700430

Someone make a new thread. I'm too lazy to make one rn.

>> No.10700534

>>10700163
I know it's shit but I won't get into any school if I can't even reach the mean. Anyone got any advice?

>> No.10700536

>>10700533
>>10700533
>>10700533

>> No.10700536,1 [INTERNAL] 

It is important to remember that not all patients with severe aortic stenosis suffer obvious symptoms, however on more in-depth questioning, it is often found that the patient’s activity levels have declined over time without them realizing.

>> No.10700536,2 [INTERNAL] 

Open heart surgery is a surgical procedure to fix an error or damage in one's heart.