/sci/ - Science & Math

First for cyka blyat.

>>10852812
If balls don't touch it's not gay. This is science.

>>10852824
You're right. Being a male doing a female job is gay.

>>10852812
Male nurse are amazing!

>>10852842
>Male nurse are amazing
THREAD RUINED, EVERYBODY OUT

I would put my penis in a male nurse butthole, if that counts.

>>10852865

>>10852812
I'm not in medicine, but nurse is a respectable profession

>>10852812
You really had to start with that image, huh?

>>10852909
I think he just wanted to set the mood.

>>10852893
Yes, for a woman.

>>10852911
No reason why it shouldn't be for a man.

>>10852939
>no reason
It's for men that were not able to get into medschool and they cope as hard as they can.

>>10852911
No, for anyone.
Quit with the gender roles an sexism please.
Just because they don't make most of the medical decisions unlike doctors doesn't mean it's any less intensive or respectable.
Some men and women are meant to be leaders, some less so. It's not a man or women thing. Just stop.

>>10852950

>>10852947
It's for women who weren't able to get into med school too(that and "public health" but less so). How is it more pathetic for men?
Oh, because in your most women don't aim to be doctors?

>>10852950
I'm inclined to agree with what you're saying but you're being a real faggot about it

>>10852957
>how is it more pathetic for men?
A man telling another man what to do, because that's his job and the second man (in this case the nurse), has a huge inferiority complex usually.

Women are better at taking commands and also more efficient.

>>10852954
>implies im trolling because I'm calling out his b.s.
Think what you want.
Even if you weren't trying to be sexist, it kind of comes off that way.

>>10851756
This guy here.

What do you guys think about joining the army?

https://www.goarmy.com/careers-and-jobs/amedd-categories/dental-corps-jobs/HPSP-student.html

doesn´t sound too bad

>>10852985
Yeah, sounds good but what do you do if a war breaks out, senpai? Instead of running away like most of us would do, you'd be forced to join the war, kek.

>>10852962
Aaand here we go.
Women are not inherently better at following directions. Men can follow directs as well, it's called not being a hot head or wanting to get fired.

Right, so according to your retarded logic, when a male boss at a corporate company(or in any other field besides healthcare) tells his male employees what to do, they also have a huge "inferiority complex."
Sounds like your own inferiority complex and and projection to boot.
At least it helped motivate you to get into medical school so theirs that.

>>10852993
The true requirement to being a doctor is to have a superiority and inferiority complex at the same time.

>>10852990
Well I´m simply fucked in that case. Shit happens tho

>>10852994
Huh, looks like I'm getting into med school

>>10852994
Kek. I'll give you a 5/10 only because this true for about half of my class.
On the subject of nurses following directions, you'll be surprised at the number of mistakes that happen because the (mostly female) nurses didnt follow directions.
It's definitely not black and white.
It just depends on what the person wants out of life. Nurses have a sweet deal when it comes to flexibility of schedule and units they can work. EM, psych, optho, and derm, are the only ones that compare or surpasd and not everyone wants to do those specialties(i hate EM and dealing with schizophrenics) or even can due to competition.
"What's the point of making all that money when you can't even enjoy it most of the time" is how a lot of people feel about medicine.

>>10852985
I heard things are going south in Germany but is the pay that bad?
i heard only good things from colleagues in Austria and Switzerland so maybe look for solution there first

>>10853092
>I heard things are going south in Germany but is the pay that bad?

Dude...my parents are planning on moving back to the US as well. Not a single reason to stay here for me.

>i heard only good things from colleagues in Austria and Switzerland so maybe look for solution there first

Austria is actually fine, lived there for a longer time. Might be also an option, moving from one EU country to another as a doc or dent isn´t a problem (besides language depending on where you want to move). Still I would like to leave Europe.

Also like 80% of my family is in the US military, my father is a veteran as well. So why not?

>>10853120
What's so bad about Germany or Europe in general? (no memes)

>>10853120
then military dentistry is fine.
im reading their textbooks in the past few weeks out of amusement and im liking them,very well structured and explanatory.
hope it works out for you

>>10853123
Well besides refugees and shit seeking a career as doc/dent isn´t as lucrative as it used to be in Germany. Payment is complete shit compared to working hours (not so bad when working as a dentist but still) and taxes are beyond retarded. Also shit mindset of people in general. I lived in several countries through my life and really can´t stand my people at all.

Best options for a doc/dentist in Europa are Norway and Switzerland. But I think I would be a lot happier in the US even if this is the more complicated way.

Somebody will surely show up and claim otherwise but this is only my opinion.

>>10853131
Thank you. Mostly reading positive things online about it (on the other hand they will make sure the negative stuff won´t show up lel)

Still some time till I have my degree here so plenty of time to think about it.

>>10853146
>Best options for a doc/dentist in Europa are Norway and Switzerland.
Those are the only good euro countries for doctors? Jesus. Are they difficult to move to?
What's so good about Norway? Don't you need to speak the language anyway (and pretty much nobody outside of Norway speaks norwegian afaik)

>>10853149
>Those are the only good euro countries for doctors? Jesus.

The best at least.

>Jesus. Are they difficult to move to?

Not at all but like you said when moving to Norway learning the language is required.

>What's so good about Norway?

Probably overall best working conditions and payment for meds in Europe.

Btw look at this, happened today in Germany. Some refugee (not confirmed yet but who else would do such a thing) killing a guy with a sword.

https://twitter.com/diegolunijavea/status/1156656269270216704

Earlier this week a refugee shoved a mother and her small kid in front of a train and the kid died. These things are completely by this time.

>>10853167
Yeah I know the refugee problem is bad but I didn't know it was so bad that people actually left the country because of it.
Can euro doctors easily move to a non-euro country or are they limited to schengen?
According to the internet, the country that pays meds the best in europe is the netherlands, dunno if that's true though

>>10853180
>Yeah I know the refugee problem is bad but I didn't know it was so bad that people actually left the country because of it.

Like I said it´s not only the refugee problem for me but there is simply not a single reason to stay for me. Some people even moved to Hungary lel.

>Can euro doctors easily move to a non-euro country or are they limited to schengen?

Within EU/Schengen no problem at all. Only thing stopping you work as a med is usually the language.

>According to the internet, the country that pays meds the best in Europe is the netherlands, dunno if that's true though

The Netherlands do have a nice healthcare system. Luxembourg is probably also not bad. However like I said at the moment I would prefer moving to the US.

>>10853192
About languages, is the required one in Switzerland German or French?
And yeah, I can understand. Overall the US most likely has a better QOL than the majority of Europe anyway.

>>10853206
>About languages, is the required one in Switzerland German or French?

Depends where in Switzerland but majority is German speaking.

>And yeah, I can understand. Overall the US most likely has a better QOL than the majority of Europe anyway.

Around 2010 I would have denied this but nowadays yeah I agree. Also: freedomz

nursing is for people who were too dumb to be doctors and too pussy to be paramedics, prove me wrong

Hey, guys. I’ll be starting the ADN program this Fall. Any advice or tips? I’m not too nervous about the work, I just don’t really like interacting with other students that much.

Should I go through with the sexual reassignment surgery?

Anyone else /in training/ here?

What the fuck have I gotten myself into?

>>10852950
>doesn’t mean it’s any less intensive or respectable

But it literally is.

>>10853348
Yeah, go ahead and chop your cock off. Nothing is more important than yer feelings.

>>10852834
pic related

>>10852962
Better to be a nurse than flipping burgers.

Why are asian doctors only good at fileting dicks?

>>10853900
Because that type of surgery is in demand right now...?

>>10853167
You are not German faggot

Post your medical books. Romanon here. "Family medicine" textbook by Lange was a mistake and it's bad.

So fellas, I'm from a shit tier euro country (not romanon) and we have a deficit for all kinds of medical professions. Ours go to Germany, germans go to the US and northern eu and so on. They passed a regulation for government funded specialisation positions to keep young professionals in the country. Up until now the specialisation positions were funded from the hospitals themselves and the departments in particular. You can guess how eager the departments were to pay these people. So the government decided to fund some specialties with a deficit, but under the condition that after you get a specialty you are obliged to work for a regional hospital that has a deficit for specialists like you. So you might have to go to work on the other side of the country if there's a deficit there. If you refuse you have to give the money the government has given you back. I can imagine how shitty it's gonna be if you have a wife and kid and you either have to move with them or be apart for 3 damn years. What does your country do to keep specialists in the country?


>>10851995
>What about you?
I'm the surgical rotation bro and I'm in vascular surgery department. There's a cool anesthesist I'm hanging with, but they have very few operations, I suppose it's because of the summer months.
>>10853371
What do you mean by this?

Second shelf. I have the three sinelnikovs in very good condition, also some books are for nurses (my fiancée's but she got into medschool eventually)

>>10854323
poorfag, so most of it is photocopied

>>10854334
I have some of mine photocopied too, most of the textbooks I have are old, the new ones are too few.

I usually put the photocopied ones in a bag and throw them in the attic.

>>10854324
>So you might have to go to work on the other side of the country if there's a deficit there.

Pretty shit, senpai. Here, when you take the residency exam you have two options: Take a spec and work until residency is over or, the second option which is much more competitive, take a spec and sign a contract with the hospital you do your residency in and no one forces you to take a job in a place you don't want. We need general practitioners here and the demand is high but the pay is low. If you opt to practice in a rural area, then we're talking cash because you get like 60%+ of your salary as a raise which is nice but new docs here still want to live in the city. (They won't pick even the close rural areas which are like 1km away from the city, kek)

>What does your country do to keep specialists in the country?

Not much. The ones that want to make serious money, they will just leave for France (especially rural France) or Germany. The govt raised the salaries (except for FMs - since they get that juicy 60% added to their salary if they choose rural, so you're basically forced to practice FM in rural if you want good money) of doctors, but they also made them work more (instead of 12-24hrs/shift, they have to work 18-30hrs/shift depending on spec). But yeah, private sector in my gypsy shithole is much better than public. I've considered even occupational medicine or even public health/epidemiology, but I can't see myself doing them - both seem kind of boring.

>>10854360
>rural France
I thought no french docs wanted to go rural because it sucks and pays like shit.

>>10854328
author of those anatomy books?

>>10854375
I think you misunderstood. I'm the romanon, hence "my gypsy country".

We'd be glad to practice in rural France. Two colleagues of my mom are practicing somewhere in France and told us they get much more respect and money than they'd ever get in Romania as a family physician.

>>10854388
Oh, right. Man it sounds like Romania sucks just as much as the stereotypes say it does

>>10854390
Depends on the region you live in. I was lucky enough to be born in western romania which is much more prosper than the south or north for example. Nobody wants to practice medicine there because you have 0 opportunities to develop. After I finish I'll spend the money I have in my bank account on a praxis to open my fm office. (It's really cheap compared to the west, if a doc retires, you can buy his praxis and the PATIENTS too for something like 30k up to 60k euros) so my "dream" of medicine isn't really focused on medicine as much as I want to have a chill lifestyle.

Romania sucks hard in the public sector because you have to kiss asses and basically walk over the bodies of your peers to get a good paying, stable job at a hospital. Zero investing in hospitals, they look awful, the staff isn't that friendly and the atmosphere is usually very serious (like communism). I'm very easy going and lazy, so I can't bother doing shit I don't like.

>>10854323
Fuck, all of the books I own are spiral bound bootlegs that I printed out myself.

>>10854378
Victor Papilian, it's a Romanian author and I doubt he has anything translated in english or such...

Sinelnikov are the three red ones.

1st volume is bones, muscles, joints.
2nd volume is organs and vascularization
3rd volume is brain, spine and nerves.

>>10852842
Yes, like in every occupation on earth, men are amazing compared to females.

>>10852950
>Quit with the gender roles an sexism please.
You're on 4chan bitch.

>>10852865
Based!

>>10854390
Learn German and go to Germany mate. We are desperate for docs in rural regions here.

>>10854710
Well, I assume this post is addressed to me (I don't think you replied to the right anon).

But no, I don't want to leave my country because I'm pretty sure that I will never get used to be seen as a foreigner. I don't know, it's just a hunch I have,.

>>10855350
cute bocchi

>>10855352
Thanks. The thread needed some anime to get back on track. Kinda quite today, tbqh.

>>10852985
I work with a military optometrist, he's also able to work as a civilian. Going into the military isn't too bad as per his opinion, but only if you're not a med student or starting residency. Otherwise, your gonna essentially be forced into a field the military needs/wants, like emergency med/trauma, general surg, internal medicine, orthopedics, optometry, ENT, and surprisingly dermatology and psychiatry.
If you haven't even started med school yet, you're taking chances. The military can decide which med school you go to that benefits them more in terms of cost and distance to the military base. So if you were planning to go to some Ivy league school, they may just send you to the state school. Always speak to a recruiter for more details though. It's actually something I plan doing once I finish my residency.

M3 at a midtier usmd school here, dropped the ball on step 1 with a 213 and will probably do family med. Im completely find with FM and primary care but seems like a lot of people have a poor opinion of it including some PCPs Ive worked with. Anyone have thoughts on the lifestyle/pay of a PCP and if its a fulfilling specialty?

>>10856191
Not from US, and I'm heavily biased towards primary care. It's a spec that will always be needed. Yes, you don't get the same "respect" you would get as a specialist from other doctors but the patients you interact with for a long time, they will respect you enormously. You're also a part of the community, doing house visits, the doctor-patient relationship is the best in FM.

You must know that you have to be content with small successes (e.g your diabetic patient started losing weight and his HbA1c levels are getting better, etc) and do not expect to act like a savior (like EM docs do when shit hits the fan) because you're simply in a very chill environment. Lifestyle wise, idk how it is in US, but I guess it must be pretty nice, even though the hours you might work are a bit demanding.

People have a poor opinion on FM because they expected to do something else (and by this I mean that they wanted another specialty).

>>10852812
In the US the umbilical cord is commonly clamped before the completion of placental transfusion. This causes hypoxic brain damage, and via lowered ferritin, leaves the infant more susceptible to free radical damage. One of ferritin's major roles is to manage free iron, and thus fenton reaction mediated autoxidation. H2O2 in the presence of free iron can rapidly become hydroxyl radical via this mechanism. Lowered ferritin is no small thing. There are few if any cases where this is NOT contraindicated. In any case where it's "necessary", it was only made such due to some other incorrect action taken during birth. All these problems are chained together.

https://www.ncbi.nlm.nih.gov/pubmed/30473033
https://www.ncbi.nlm.nih.gov/pubmed/30278462
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004074.pub3/references
https://www.ncbi.nlm.nih.gov/pubmed/30193752
https://www.ncbi.nlm.nih.gov/pubmed/30598672
https://www.ncbi.nlm.nih.gov/pubmed/29101631
https://www.ncbi.nlm.nih.gov/pubmed/30208504

https://www.ncbi.nlm.nih.gov/pubmed/27654493

https://www.ncbi.nlm.nih.gov/pubmed/30355293

This cannot continue to be ignored. You can try to say I'm trolling, spamming, or whatever, but all will know what's going on. And this isn't even the full extent of it.

And I want to be clear, I'm not trying to spread despair or hopelessness here. What's done is done, and I'm going to make damn sure everyone knows what this place is and has the means to see through its illusions when the time comes. There are so many stories of parents who went in expecting sanity, and had no idea the brutality of the average "hospital birth". They treat us like an animal on an assembly line. We are not their cattle.

Our belief in them and their lies is our consent. A man protects the children. A manchild puts his head in the sand and pretends everything is fine. Decide who you're going to be.

>>10856191

Incoming IMG here at a mid tier Australian school. Probably fucked.

>>10856191
Pay is on the low end by physician standards, but still higher than pretty much any other job you could have. There's enormous flexibility in how and when you work, and who you work for, so lifestyle is whatever you make it. Whether it's a fulfilling specialty depends on what you think is fulfilling. Many people think it is, but there are also a lot of fuckups stuck in FM because they wanted to be surgeons or dermatologists or whatever but failed to match, and they blame FM for not being the specialty they wish it were.

>>10856689
>but there are also a lot of fuckups stuck in FM because they wanted to be surgeons or dermatologists or whatever but failed to match, and they blame FM for not being the specialty they wish it were.

Holy shit, so much this. Most of the docs that ended up doing FM and didn't want it, are frustrated. Not everybody is made for "harder" specialities, and not everybody is made for FM either.

Is it safe to have bird closed in cage near where little kid leaves?

Like some air transmitted disease? Assuming I would have something similar to pidgeon from the street, what should I do to make it harmless to society, different than killing it?

It looks like it's too young to handle the heat outside.

For an MD who doesn't want to do clinical but doesn't want to teach, is the pharmaceutical industry a good option? Is the pay much lower?

>>10856801
Go into epidemiology or public health instead and do prevention campaigns.

>>10856823
Why would I do that? Clinical trials and the pharma industry sound more interesting.

>>10856831
Well, I just gave you another option to consider. Doing clinical trials is "clinical" work, you know? You have to check the patients for adverse effects, complications, etc. It's the same shit but you're experimenting on healthy volunteers.

>>10856853
I'm not really interested in public health.
You're right, I didn't express myself very well, it's just that I can't see myself building a career in a hospital or a private practice. Pharma also seems like it would have a lot of research opportunities (or R&D) but with higher pay than universities and no requirements to teach. I don't know much about the industry though which is why I asked about it.

>>10856857
I don't know about US, but in my country, there is a speciality named "Clinical pharmacology" which is basically what you want. All my pharma profs were either on toxicology or clinical pharmacology specs. I assume the pay is decent, but why don't you want to practice at least privately? Get a spec that doesn't require any tools such as psych and you can do a shit ton of research there because it's a relatively new field treatment wise and there is a lot to be discovered.

>>10852812
So I fell off a ladder about a month ago. I was unconscious before I fell so I dropped like a sack and was concussed. Doctor downplays the whole thing so he doesn't have to do an MRI. Idk if lazy or stupid.

I'm not feeling right a week later. Had learning and concentration difficulty, a big memory gap from the event, constant headaches and ringing in my ears. Sometimes my peripheral vision in one eye would...Fade out. Kind of hard to describe.

So I go back, he has an MRI done. Tells me the report done by idk like nurses at the MRI place is good. Doctors don't check these results themselves?

I see him writing up a whole new observation chart. What the actual fuck.

Reads some concussion pamphlet at me verbatim aside from reading comprehension issues. Makes up some ridiculous return to work schedule and that is that.

So I'm not really keen of going near these clowns. I'm feeling much better now. In another week or two I would like to dose a few times with a small amount of psilocybin. Is it too soon?

Another thing. Should I get a second opinion? That doctor was a clown. I'm generally feeling better but still have some problems with focus/concentration. How likely is this to be permanent?

No I do not have a regular GP. I am rarely ill.

>>10856866
Do you know anything about what the job market and evolution prospects are like for the pharma industry?
>why don't you want to practice at least privately
It just doesn't look like something I'd enjoy much. I'd rather have to deal with some corporate nonsense occasionally.

>>10856882
No idea about job market and evo prospects since most of the people that do it are pharmacists that work in a lab. Clinical pharmacologists work with patients.

>>10856888
Alright. Thanks for your help, friend.

>>10856892
No problem, senpai.

>>10856874
>Tells me the report done by idk like nurses at the MRI place is good. Doctors don't check these results themselves?
MRI reports are written by radiologists, who are doctors that specialize in interpreting medical images. The doctor who ordered the MRI can look at it, but they usually defer to the report because radiologists have far more expertise at interpreting MRIs than anyone else.

>>10856874
>Reads some concussion pamphlet at me verbatim aside from reading comprehension issues. Makes up some ridiculous return to work schedule and that is that.
So in other words, the MRI didn't find anything and didn't change your treatment at all. The doctor was right not to order it in the first place. What are you upset about?

>I'm generally feeling better but still have some problems with focus/concentration. How likely is this to be permanent?
Hard to say. It's not uncommon to have problems like that for a while after a concussion. Sometimes they're permanent, but that's usually a cumulative effect of many concussions rather than a one-off event. On the other hand, it's also not uncommon for people to convince themselves they're having problems with concentration when really they're just dwelling on it. Since you don't trust the first doctor, it might be worth getting a second opinion. I don't think they're going to tell you anything different, but it might help your piece of mind to hear it from a second source.

>I would like to dose a few times with a small amount of psilocybin. Is it too soon?
If you're worried about focus and concentration, you might want to consider avoiding illegal psychoactive drugs.

>>10852950
Ok this is how it works
Men are dominant there fore should be doctors
Woman take orders therefore should be nurses.

This is like the basics

>>10857032
The man penetrates. The woman is penetrated. This is the baseline state. Man is active element, woman is passive element. This is subconsciously embedded in most Western cultures and goes all the way back to the alchemists. Circle is man. Draw a square within, that is woman. Put a circle within a circle, that is becoming whole again, the divine androgyne. Adam's loss of the rib ties in here.

>have a hot bath
>pinkies and ring fingers on both hands go numb along with the side of the hands
>get out
>temporary tunnel vision where most of my eyesight goes dark green/black around the edges and I feel dizzy as fuck
What are the medical reasons for whatever the fuck is happening here?

>>10857144
Low blood pressure.

>>10857144
Do you have a scoliosis or problem with your neck? You could have a pinched nerve or compressed artery. The pinky and ring finger are supplied by their own nerve branch.

>>10857144
Visodilation and bp drop from heat

>>10857154
>>10857160
Well duh, but WHY? Probably because his muscles relaxed and it pinched the nerves and blood supply to his brain.

>>10857155
I've got slight induced lordosis because of a fractured vertebra, would that do it? I thought my spinal cord was relatively unaffected.
Pic related, I've spammed /med/ with it a few times before

>>10857163
No?

Look at >>10857160

Vasodilatation = low bp. It's physiology you mong.

>>10857178
Ignoring the part about the fingers.

Ladies and gentlemen, this right here is in large part what's wrong with medicine. Next thing you know you'll have him on some drug.

Shaking my head tbqh

>>10857199
The diagnose him. Let's see what you've god, premed.

>>10857199
>ignoring the part about fingers
Kek, you're what's wrong with medicine. Stop fucking your brains over something this trivial. It's very likely that's nothing wrong.

>>10857205
I can't, unfortunately. It's likely the nerve and or blood supply is being compressed in his lower cervical / collarbone area, but that's about as close as I can get. When he was rising, something more than just heat compromised his autonomic adaptation. It's likely not vertebrobasilar, because his knees didn't buckle etc and it doesn't really make sense. That means the carotid supply. He has now indicated he has a prior spinal trauma. This should be checked in a load bearing state to make sure nothing is seriously misaligned.

Not even a premed.

>>10857210
BAM. This right here.
Don't let this fucker practice. Ever.

>>10857217
???

If people fuck their brains over shitty things like these, I can't imagine how much they will over prescribe or over treat as doctors. Go to a doctor and tell them that after a bath you have some shitty symptoms, he probably won't give a fuck.

Depends on a lot of things, the temp of water, if he bathed before or after manual labor, etc.

>>10857221
Nah my dude. Think about the whole body as a system and trace out the basis of what the patient is self reporting, find reasonable objective measures to follow up.

Do your fucking job.

>>10856874
Meds are the enemy. Arrogant moron probably believes he is superior and you should be lobotomised.

>>10857232
>imagine being this retarded

If a doc had to put up with shit like this, he'd be making an appointment with a therapist in no time you fucking mongrel.

>>10857238
gggrrrrrrr, I can't do it, i mad now u say this I went to college so i didn't have to think hard and make sense, ggggrrrr!!!

>>10857246
>I can't do it
It's I don't want to because it's a waste of time. Instead of asking questions on a peruvian basket weaving forum, go to a real doctor and see if he/she will give a flying fuck, kek. Now stop projecting.

>>10857251
>I-I could, I-I j-just don't want to! Sh-shut up!

>>10857265
Yeah, greentexting like a faggot when you have zero (0) arguments. Thanks for the (You)'s!!!!

>>10857272
Here's another one.
>(You)

>>10857272
>>10857280
>He can't simulate every system of their patient at the same in their head

>>10857298

>>10857298
>S-S-Shut up!! Stop i-it!!!11!one!

>>10856801
Nah, pharma pays well.

>>10857213
Where would I go to get the alignment/nerves professionally checked? GP, hospital or would it be better to find a spinal surgeon?

>>10857518
>implying a surgeon has time to see you for some shitty request
Start with the GP, but as I said, it's probably nothing and that's the likely answer you will get.

>>10857609
>that's the likely answer you will get.
Which has no bearing on the truth.
>Yeah but but but
>Some witty bullshit
Save it kiddo.

>>10857652
Kek, come back afterwards and post a pic of what the doctor recommended you to do (besides sending you to psychiatry for being such a big fucking pussy)

>>10852812
Any of you chaps use tablets instead of laptops? Reccomended models?

>>10852812
Wait, isn't anesthesia a lifestyle specialty? Also, how is it good for research?

>>10857753
>how is it good for research?
You can do research on a lot of things.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5988539/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5341432/

https://www.ncbi.nlm.nih.gov/pubmed/27943002

Why does my heart slow down while fapping? It's usually 80-100 BPM but when I fap it slows down to ~60 BPM

>>10857761
and the first part of the question?

>be surgeon
>well endowed, if you catch my drift
>got a pelvic MRI for a testicular issue I had
>female radiology colleagues giving me thirsty looks ever since
Awkward, but bretty good

>>10857782
I don't know, tbqh. Don't anesthesiologists have insane working hours? Who the fuck knows why it isn't in the OP.

>>10857798
Fuck them right in the pussy (Was it this look?)

>>10853337

clear out your calendar now, get laid now, get sleep now. basically just be prepared to march one day a time thru school, thru nclex, thru first job (get RN residency/magnet hospital/level 1) and first year or two until you know what you're doing. also, don't interact with fellow students. they're shitbags that talk to much and are useless.

>>10854323

not enough hematology books on the shelf for a self-described romanian

>>10858010
Hematology is in the IM books. We do hem with onc and that's what I'll do this year, so yeah...I'll get some hem books soon.

>>10856191

NO CALL, eat what you kill, work-life balance. yes

>>10856874

get an ENT referral, new PCP, and stop fucking abusing hallucinogenics until you can stay on a ladder for five minutes you scrub

>>10857772
Ach

post pics, for sceince

>>10858020

it's a dracula joke u mong

>>10858050
Oh...I told you guy I'm a stupid twat when it comes to jokes online...

>>10858058

fejos?


https://www.youtube.com/watch?v=ZvE0ezIfyiM

>>10858061
What's up with it? I live in cucksylvania but never watched it, all I know is that fejos is magyar.

>>10858072

https://www.youtube.com/watch?v=7TQGqylkCKQ

>>10858079
Oof, I kek'd hard.

"You don't want to ask us about...Dracula?"

>>10858086

vat aboudda blobb?

>>10858106
What the fuck?

Are you not supposed to make appointments or something? I don't care how busy you are, there is no way in hell any of you are booked for 2-3 months straight. Are hospitals unironically trying to promote drop-ins?

>>10858369
Idk, from where I am, FMs work with walk in patients instead of appointment based. What shit hole do you live in?

>>10858033
Cheers. I'm not a hypochondriac I just like my brain and that doctor did not inspire confidence. Concussion is beyond my current self-care knowlege base. No leaking fluid no problem. Got it.

I experiment with herbals because I've lost faith in the healthcare system. I've never been healthier.
>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6082376/

>>10858659
Just thought I should add to this. I know what drugs meds are taking. I've seen what it turns them into.

I've seen all the other meds laughing about it. That's not compassion.

But thanks.

>>10858086
Dracula, ie, Vlad the impaler, son of Dracul, impaled because he and his brother (from his father's second marriage) were given as tribute to the Ottomans at the age of ~10. They were circumcised in a public ritual intended to humiliate, dominate, and maim. They received military training but were beaten and raped by the older pederasts. Vlad resisted and was beaten severely, his brother submitted. Vlad was eventually imprisoned with the possibility of execution, he watched the Ottomans impaling people. For some reason he was released, got away, and this is why he impaled the Ottomans. The Bible mentions instances of other men who were penetrated or mutilated that then went on to do unto others tenfold.

Imagine if he was clamped and vaccinated.

>>10858659
Based AND redpilled!

>>10858659
>I don't trust doctors so Imma just take these hallucinogens some random guy on the internet told me are safe!
Why do people do this?

>>10858982
Clamped and greypilled.

>>10857176
There's probably nothing you can do. Talk to a good orthopedic surgeon. They'll operate if it's unstable, otherwise they'll probably leave it alone.

>>10858982
C'mon man. If you cunts are gonna come in here spamming your propaganda at least have the decency to stay out of the other topics...

Take the study I linked back to pol. You cunts need it hey.

>>10857232
>Think about the whole body as a system and trace out the basis of what the patient is self reporting, find reasonable objective measures to follow up.
That's correct way, but it's rarely achievable. I wont excuse lazy & unethical doctors, but there are many hospitals where workload exceeds service capacity by many times & health-care professional have time to only glance over most of the patients that aren't in mortal peril.
The hospital administration is well aware of it.
Practitioners are well aware of it.
So is government & part of the general public.
It mesmerizes me how the system still somewhat manages to function without major mishaps, though there are both occasional patient casualty or practitioners suicide.

just wanted to say i had a based male nurse today who took like 3 vials of blood quicker and more painlessly than any other nurse i’ve ever had; placed an IV impeccably before i even noticed he was gonna try

i appreciate that a lot. last person to try drawing blood from me was like wiggling the needle around trying to find the vein and then had real shaky hands changing vials which also hurt, it was so bad i had to just say stop before they got to the third vial

>>10852939
What if a man doesn't want to go to medical school but still wants a career in health care?

>>10859179
He is unclamped and somewhat brutally redpilled.

>>10859179
The whole natural medicine bandwagon needs people who aren't charlatans. The chinese had a decent application of scientific method as they kept using natural medicine into more modern times.

It's honestly even more complicated than modern medicine. There is real stuff here but work needs to be done to unlock valid data. A lot of deadbeat hippies get into natural medicine and try to scam their customers because money.

The same issues plague modern medicine to be perfectly honest. Unpredictable results. Fee based service.

>>10859210
I've never seen what you're describing at any appreciable level. More realistically, it's MD types thinking they can just get into herbalism cuz they went on pubmed, and then recommending extremely powerful traditional remedies like essential oils. It's allopathic thought applied where it doesn't below, at all.

>inb4 wah wah essentialy oil, bad phrase i attack!
Go put some cinnamon bark essential oil in your eye, fucker. Get back to me..... eventually.

>have dementia patient in ER
>accompaied by her adult son/caregiver
>patient unable to describe why she's at the ER when seen by triage
>patient's son goes on rambling about how his mother is in constant pain, is weak, can't breathe well, can't sleep, etc.
>poor demented patient just agrees with everything her son says despite displaying no signs of illness other than dementia
>one MD decides to believe the son's account
>prescribes buttload of meds, including opiates to the dementia patient
>3 weeks later find out the son was taking his mothers pills for his own use
>he's now in the ED for a polypharmacy overdose
I've already seen 3 other similar cases like this in the year.

>>10859210
>The chinese had a decent application of scientific method as they kept using natural medicine into more modern times.

>>10859329
Do not engage, god fucking damn it.

>>10859358
Oh fuck I'm retarded

>>10859360
It's ok, anon. I still <3 you.

>>10852812
How do I into pathology? That seems like what I'd be interested in doing but aside from a biochem degree I don't have much in the way of going towards that. If anyone in the field is willing to give their takes/experiences with it, I'd appreciate it a lot.

>>10859220
>More realistically, it's MD types thinking they can just get into herbalism cuz they went on pubmed, and then recommending extremely powerful traditional remedies like essential oils.

So much this. Obviously the safer alternative is people who are not subjected to any oversight, have zero accountability or educational requirements.

>>10859370
>get a residency in path
>complete residency
>now you are a pathologist

>>10859220
Man chill lol. I'm taking baby steps and only practise on myself. I often dose way over the doses I see recommended for some things and way less of others.

I'm not trying to cure cancer. I'm working on mindstate and inflammation mostly. I don't have many health complaints. Yet.

I've done better with my depression and inflammation than anything recommended by modern medicine.

I can tell you stories of things like misdiagnoses and clueless hippies just going along with whatever is prescribed. The individual needs to take more interest in the medication. The same thing is happening a lot in modern medicine also.

>>10859329
Yea a lot of it is probably rubbish or needs additional research done. This is expensive which is why it is not done. Another problem which also plagues modern medicine.

>>10859358
Err sorry bro but you need to educate yourself. Can you tell me how many modern medicines originate from herbals?

I didn't think so...

Try to get less triggered. I don't know what made you is way.

I hope you all die of completely preventable diseases.

Just great. We have the clamp schizo and the herbal retard now. What a time to be alive.

I think we will have to update the OP again.

>>10853327
I think Paramedic looks like an amazing job but in CA nurses make at least double ($80k-$180k) and often times triple the amount medics ($40k-60k) do unless you're a flight medic or a fighter fighter/SWAT medic, then you get bumped to around $100k-120k.
Not to mention you don't have much of a career path unless you want to be an operational EMS Director or instructor, but even then it's still a physician who generally runs the show. Most medics become EM PA's from what I understand because there's really nothing like a ADN-BSN bridge program for paramedicine.

What are your thoughts on medics and their future role in the healthcare system?

what's the most physically fucked up you've seen a guy who's still alive, /med/?

What's a good text book for mental disorders on par with robbins and coltran?

>>10859739
>nurses $80-180k
Where the fuck are you getting those numbers? Maybe NPs and nurse anesthetists, but there's no way your average RN on a ward is making six figures except maybe in the heart of Silicon Valley where cost of living is 500% higher than the rest of the country.

>What are your thoughts on medics and their future role in the healthcare system?
It's a shit job and they have far too little training for the scope of practice and level of responsibility. Their future role is the same as their current role: advanced life support taxi drivers.

>>10859744
>physically
If by that you mean trauma patients, I've seen a 18 y/o hit by a car (hit and run), rushed to the ER, stabilized, arrested again and died, she had spine damage, concussions, broken ribs and both of her legs in unrecognizable state.

If by that you mean terminal cancer, boy I've seen the most cancer rekt patient that has ever existed. So, I was doing my summer practice in the ER, patient with terminal brain cancer came in, he was having seizures for well over 20 minutes before he came in and had to be sedated. After sedation, I was assigned to the part of ER where he was and the surgical section (basically I had to check in on the patients, call for doctors/nurses when they were needed). Like 3 hours go by and the cancer guy (who was very muscular and used to work as a fucking docker) starts waking up, is yelling and having seizures again. I literally jump on him to "try" to keep him down (note: I'm a lanklet, tall and skinny) but he kept moving me like I wasn't there. The nurse I called for told me there's no more Noradrenaline and had to go up to the ICU to get some. Worst 15 mins of my life. I don't know if it counts as seizure but the guy opened his eyes, ripped his oxygen mask, started shaking the bed with his hand, I don't know how he didn't rip out his arterial catheter. Cancer sucks, guys...

>>10859758
https://www.nursingprocess.org/rn-salary/california/
Here you go, I was a little off but the $180k figure is a friend of mine who is a nurse manager and does wound care.
New NP's sometimes even initially take a pay cut sometimes when they leave floor nursing. CRNA's can make as much as PCP in some cases while still working 3/12 schedules.

I agree with you about their lack of training and education, but what kind of curriculum would suggest then? What part of their scope are you concerned about?

I wear the outer heels of my shoes much faster than the rest of the sole.
Is that a symptom for anything?
I'm rather skinny and I exercise at least 3 times a week, my knee don't hurt, neither do my ankles, but I tend to slouch since I'm not the dominant alpha male.

>>10859814
Yes. Hypochondria. See a psychiatrist immediately.

>>10859819
>guys I have x what is it
>"See a fucking psych you goddamn lunatic"
/med/

>>10859820
This. I'm not saying I have heel cancer or something. But the wearing pattern is something I'm intrigued by.

>>10859814
They just make shitty shoes, I also fuck up the heel part the fastest.

>>10859820
But it's the truth, lol.

>Hey guys, I usually sleep on the right side of the bed and don't move the whole night, but this morning I woke up on the left side of the bed. Is there something wrong with my brain?

Sounds like it

>>10859823
We, as humans, step with heel first. The wear on the heel is there because it's a pressure point, I guess. Add that + friction and voila. Nothing /med/ related.

>>10859828
>>10859829
Yeah, but I don't wear the heel evenly. I recall that wearing the inward of the heel faster is a symptom for fucked up knees and an abnormal gait cycle. But I don't recall anything about the opposite: wearing the outside of the heels faster.
If there's nothing wrong I'm good tho. Just wanted to be sure.

>>10859837
Your heel is not perfectly flat and your legs aren't rigid cylinders. Why would you expect the heels to wear evenly?

>>10859814
This just depends on how you walk. You probably strike your heels. If it causes any problems, go see a foot therapist.

>>10859837
Both supination and pronation in excess can cause problems, and can be remedied with training and footwear, but if you don’t have problems, there is nothing to worry about.

>>10859840
If not evenly at least symmetrically
>>10859853
Yeah, I tend to let my heels strike when I'm walking for like 30mins if I don't pay attention.
No problem just yet, but just wanted to check so I know I should consult if I start feeling discomfort.
>>10859860
Ok, good to know! Thanks mate.

>>10859727
Healthcare practitioners are often narcissistic. You should get yourself checked. Your colleagues will thank you.

>>10859876
?

>>10859324
What a piece of shit, kek. How the fuck did the MD took the worst decision possible? I assume you guys had done her blood work and the rest of investigations.

I knew that drug seekers were pieces of shit, but this one takes the cake. How in the fuck you use your own mother to get meds?

>>10859329
Funny story related to chinese herbal shit, I probably said it before but here it goes anyway.

>be me
>medstud 3rd year
>IM rotations
>old hag comes in complaining of breast pain
>attending tells her to undress
>one of her breasts looked like a fucking cauliflower
>When did it start looking like this?
>Oh, 6 months ago, I just drank some [Insert tea/concoction name here] because I've read somewhere online that it would help
>And did it help?
>Not really, but I got some propolis and another thing cream and started to massage it and it was better

Yep, a few days later the result came in, stage 4, 6-12 months to live.

>>10860038
Fucks sake

My mom has stage 3, had surgery, but refused chemo which I understand but won't take the non chemo therapy that targets the estrogen sensitive part of her cancer, meaning whatever is in her body is growing. Instead she chose to use traditional Chinese medicine.

I'm fucking mad and I don't know what to do. I've told her there are drugs to counteract the loss of estrogen from using the cancer drug, and make it so her bones won't get osteoporosis but she won't fucking listen. Fuck fuck fuck

>>10860044
Damn, anon. I'm really sorry for your mom...Have you tried recommending a therapist? That might help in convincing her to take the meds.

>>10860038
>>10860044
I can't get my head around people doing this. Sorry for your mum anon, have you tried scaring her?

>>10860044
A lot of older people just don't get it yet.

>>10860038
>natural medicine
They didn't really know much about cancer in the times when herbal medicine was used. I'm certain there are anti-cancer substances in plants and clues may be found from herbal medicine. Not a worthwhile investment for capitalism.

What do you guys think about the inevitable replacement of surgeons by robots? Neuralink is installed by a robot which outperforms a human surgeon.

Would medical science advance more rapidly if surgeons weren't fighting to preserve their position?

>>10860093
>I can't get my head around people doing this
It's simple actually, they don't want to visit a doctor because they're scared of what their suffering might be. This kind of delusion is the worst.

>>10860124
>clues might be found from herbal medicine
I call bullshit. All of them are chemicals and I doubt any of them are extracted from plants rather than being synthesized in a lab.

>inevitable replacement of surgeons by robots
It simply won't happen this millennium. The surgeons can see stuff that the robot doesn't. For example, a surgeon has to do an appendicectomy. He observes a mass in the patient that a robot wouldn't pick up, simple as that. Maybe after some refining, etc it may have a slight chance to see some practice, even then, assisting the surgeon, but to replace it 100%, not going to happen.

>>10860127
I see both of them filling different roles. The surgery done by neuralink is incredibly precise. Far superior to what is possible for a human. It's simply astonishing what is going to become possible with these machines.

The cost savings are through the roof with robots. They work non-stop. Patient wait times would plummet.

>observes a mass in the patient that a robot wouldn't pick up

I guess a lot of surgeons have recently begun finding plenty of these.

>>10860155
Yeah, yeah, the idea is great and stuff...but it simply won't happen. Surgeons can switch between them, you know? That's why robotic surgery exists.

>>10860127
>chemicals
What do you think plant secondary metabolites are made of? They're literally chemicals. Phytochemical screening is a huge research field and researchers are constantly testing plant extracts for cytotoxic and antioxidant properties.

The only difference between crude plant extracts and the isolated manufactured pharmaceuticals is the amount of impurities in the crude botanicals.

>>10860124

Robotic surgeons? I'd rather a computerised GP. Way less mistakes.

>>10860174
You took it too literally. Whey I said chemicals, I was referring to chemical med compounds, not natural and such.

Impurities lead to a difficulty in "refining" if the med with natural extract has many adverse effects. Simple as it gets, I'll always pick a pharma product over herbal nonsense. (When I'm sick, ofc.)

>>10860178
Well, I agree in a way, even though I want to be a GP. The field is vast and physicians are prone to make mistakes because they either underestimate the patient's situation or overestimate it and that means they over treat. But as >>10856689 pointed out

>a lot of fuckups stuck in FM because they wanted to be surgeons or dermatologists or whatever but failed to match, and they blame FM for not being the specialty they wish it were.

>>10860124
https://www.ncbi.nlm.nih.gov/pubmed/16009521
>Plant-derived compounds have been an important source of several clinically useful anti-cancer agents. These include vinblastine, vincristine, the camptothecin derivatives, topotecan and irinotecan, etoposide, derived from epipodophyllotoxin, and paclitaxel.

>>10860191
What year are you in?

>>10860204
I'll start my 5th year this autumn. Why?

>>10860195
Typical chemotherapy that doesn't do shit nowadays.

>>10860195
Also kind of shit since you didn't give me a full access article. The abstract is just a meme.

I've noticed that the big toe on my right foot is slightly numb/less sensitive than the big toe on my left foot. Something to be concerned about or not?

>>10860227
Sounds like necrotizing fasciitis

>>10860191
After you graduate you will get an introduction to fee for service. This dynamic causes susceptible individuals to become cannibalistic.

Please don't become one of those ones anon.

Also. Always blow the whistle. Anonymously. You don't want to end up in the kind of facility where nobody blows the whistle.

>>10860228
kek

>>10860229
What??? Kek'd again

>>10860217
>claims to be fifth year med student
>"chemicals"
>doesn't know how to access full papers
>doesn't use proper pharmacologic terminology when referring to pharmaceuticals
>vinca alkaloids don't do shit even though they're included in the WHO Essential Medicines List

OK, LARPer.

Where's Romanianon and Finn EM doc? I miss them.

>>10860231
Meds are only human. So they do human things. Like take the anaesthetics. Or other things. They get addicted to it. They drug and rape people on operating tables.

Sometimes genuinely caring people get trapped in these places as staff.

>>10860234
>You don't use pharma terminology like a smart ass I am, so you must be LARPing
Stop projecting, please. You're fucking deluded if you think that herbal med > modern med. Now, thanks for the (You)'s but I've seen too many retards like you on here that claim to know shit about medicine when they actually know jack shit. I bet you don't know what is Einthoven's Triangle or how many derivations an ECG has and you brag about me not using pharma terminology? Fuck off you pompous fuck.

>>10860237
Here I am (Romanon), just casually ending a conversation with this monkey.

>>10860239
>implying I'm mentally ill
Mate, I can assure you that I have 100% control over myself and my actions. No need to worry, I promise you I won't rape anybody or take drugs. I don't even want to practice surgery wtf.

>>10860242
Do you understand the concept of fee for service? Most doctors are contractors. The more patients, the less time they spend with them, the less healthy they get... The wealthier the doctor.

You can't stay naive forever anon. Enjoy it while it lasts.

>>10860250
No, I actually don't get it. Is it that hard to make an appointment based program? You have approx 15-20 mins to see your patients and listen to them which is more than enough.

what program can i use to opern CT scan and MRI scan files on home desktop computer?

>>10860267
Doesn't that come with a CD? When I had a CT scan, I got a CD which contained the program and images so I played a bit with it. Otherwise, I really don't know.

>>10860254
It's just that as a GP or specialist etc, you would be paid a fee for each appointment. So if you have ten appointments you get ten fees. If you have three appointments you only get three fees.

So if your patients don't ever get well they have to keep coming back. If you squeeze a few extra appointments in each day thats extra money in the bank right. 30mins becomes 20.

On and on. It's nothing personal. It's just business.

>>10860270
yes, unfortunately this one was sent to me by mail.

>>10860286
Idk about US, but I can tell you about Romania. It's pretty simple, GPs here have a basic salary which we'll call X. Then, you get paid a certain amount / patient that visits your practice but the maximum amount of patients that is going to be paid by the state is 20, you have to charge for the rest (which doesn't happen, mom always treats for free).

Now, on a bad day, mom has 20 patients minimum on average (It's a walk in practice, not an appointment based one). People come for diverse shit, full physicals, referrals, refills, the usual GP stuff. The amount she gets paid / patient is very low, she gets paid 1 Euro/ Patient by the state and I'm not even joking. 1 fucking euro/ patient. 20 Euros / day. Imagine what a shit salary she'd have without the base salary. Luckily, the base salary is high because she works in a rural area and gets a 60% raise and I doubt she does it for the money if she treats for free after that 20 patient threshold.

Now, on your second point. Her patients are mixed between young and old. The younger patients come in whenever they feel ill but the problem here is constituted by the older patients which suffer from chronic diseases. As you may know, for chronic diseases, they need constant monitoring and refills. Trust me, we're not trying to "squeeze" extra few appointments for extra cash, we just want to make sure the patients get the best care possible in this shithole. No offense taken.

>>10860287
I'm sorry, then. I really don't know which program is used. Maybe try google?

>>10860267
>tfw a patient accidentally sent you a dvd with his home porn instead of xrays

>>10860324
Kek, did this happen?

>>10860325
Yup, the patient had some xrays taken in another country and I wanted to take a look. Even called a radiologist to come look at them with me.

>>10860334
> Even called a radiologist to come look at them with me.

OH NO NO NO

>>10860124
>A lot of older people just don't get it
A lot of people don't trust healthcare professionals & it's rather warranted.

Who here /radiationoncology/

>>10860267
Some sort of DICOM viewer.

>>10860212
>Typical chemotherapy that doesn't do shit nowadays
t. ignorant faggot

>>10860384
>I have zero arguments and will resort to insults like a faggot I am

Keep it up, I like the juicy (You)'s.

>>10852950
You have to go back

>>10860388
"Irinotecan, topotecan, etoposide, vincristine and vinblastine don't do shit" is stupid and false, kys don't @ me

>>10860394
>is stupid and false and I have nothing to back it up
Okay.

>>10860388
That's a different anon, btw.

>>10860324
>>10860334
kek home porn accidents are the best

>be me in medschool
>visiting gfs parents
>very rich and very stuffy
>live in a legit mansion
>they don't seem to think very much of me
>want to show me some sailing video
>they put in dvd
>it's not sailing but a home porno
>blasting out of an impressive speaker setup
>the mother cries out and throws the remote at the tv??!!
>the father rushes to shut to shut the tv
>my gf is dying from the shame
>I'm desperately trying to hold my poker face

>>10860421
Shit happens, senpai.

>>10860424
Kek, why the fuck would you put your home made porn videos together with the family videos? That's a bit...too intimate.

I don't have any porn stories, but... I was looking at vacation pics of me and my now fiancee (then gf) when we went to Vienna and I was showing them to my mom. Well...some nude photos of her were in there too and I quickly slammed the laptop's monitor to hide it. I wish that my patients will send me home made porn vids too. =(

>>10859876

This is true

/med/ need some advice… last bread no one replied :( is diagnostic radiology gonna be fully automated? Its my only interest currently. 250+ step1 btw

>empty bed pans
>star IVs
>complain about a job where you only need 90IQ but still make 80k a year

wew

Opinions on GE? Why are they so well remunerated compared to other med specs?

>>10860038
>How the fuck did the MD took the worst decision possible?
It was a newer MD who I guess decided to save his ass if the patient did in fact have something wrong. Chest X-ray was clear, some electrolyte issues but nothing major, and other tests were clean, BP slightly high.
We had to get social work involved, and had a legal team to get protection for the poor lady from her son. Feel kinda bad desu, cause she really looked to her son for her care.

>>10861233
No.

Have you seen CAD for breast imaging? It is garbage. You have AT LEAST 2 decades before they try to phase out radiologists and that's being generous. When I was a student, the chair of the ACR came to give a talk at the hospital I was at, and she was incredibly adamant that no huge changes were in the near future.

If you thoroughly enjoy rads, do rads.

>>10860212
>Typical chemotherapy that doesn't do shit nowadays.

What does that even mean? What kind of stupid statement is this? Nowadays? They used to work and now they don't?

>>10860038
Had a patient the other day who wouldn't shut the fuck up about how great he feels since he started downing tons of tumeric. He quit taking his blood pressure meds and insisted that he's never been healthier. Meanwhile his BP is like 190/100 and he's in the ER for a headache and chest pain.

People are fucking idiots.

>go to hospital
>get trated by someone of /med/

>>10861588
thanks for the 0.02
At this point I think I'm radiology or bust
Worst case scenario.. mid career I get replaced and then switch to senpai med or ED or something

I have some long thing in my asshole. Described it to my doc some months back and she said it was a probably a hemorrhoid. She didn't examine it. How do I know it's not a polyp? Should I see a proctologist?

>>10860228
This, full stop. Amputate before it's too late.

My right foot had this patch of dried skin, but it's gone. For a few weeks now, my right hand's back has been dry.
Where will it transfer next?

>when it finally sets in that years of ignoring basic lab safety measures, carrying radioactive samples in your pocket next to your cigarettes, forgetting about those samples and falling asleep with them, handling the exact equipment that was used to weigh the uranium for the Mnahattan project barehanded, getting X-rays, flying frequently, walking in front of particle beams to avoid having to walk around them, and living within visual range of an atomic bomb testing site for 2 decades was probably a bad idea
I want to get a cancer screening, but that would just be even more radiation. At this rate I'm amazed I'm alive.
Not even exaggerating, Nevada set off a nuke like 60 miles from where I was born while I was in utero. I drank fucking Los Alamos water for 4 years straight during my undergrad. I'm a smoker who's trying to quit. Again.
This shit scares me.

>>10861939
dont even trip dog. you will go when it's your time to go.
honestly there's nothing you can do. try not to go into chernobyl or something.

>>10860424
>kek home porn accidents are the best
I always have to laugh at the middle aged guys who come in with sex toys and other objects stuck up their butts. The excuses they make are humorous.
>i sat to take a bath and didn't know it was there
>i slipped and fell down in my room and up it went
>i woke up from sleeping and my wife told me she put it up there
>my ass was itchy so i scratched with "said object" and it wouldn't come out
>i was swimming in my pool with lots of the kids toys, don't know how it got there
>i didn't notice it in my underwear
Or you get the psychotic who gains pleasure by sticking lightbulbs up his ass, then having them bust in his rectum

>>10861932
You have psoriasis, get steroid cream from your derm if it doesn't go away from your hands or shows up on your face.

>>10861600
You're definitely not /med/. Have you heard about cancer cells developing chemo resistance?

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3047496/

That's why we need good cancer research to be done, because it's time to change from chemo. Chemo is rarely effective nowadays and has many side effects. We need a new drug. Simple as that.

>>10861606
Kek'd at the turmeric part. People are ignorant and poorly disciplined. Worst kind of patients are exactly these ones.

>>10861762
Isn't it possible to specialize in interventional rad and then just do diagnostic? That way if the situation becomes dire for diagnostic rads you can always move to interventional.

>>10861669
It's ok anon, this won't hurt.

/med/ after graduating

>>10862513
>efg
Is this 2007

>>10862515
Y-yeah, sure...

>>10862517
penis the phrog

>>10862456
You're definitely not /med/ if you think "chemo" is a single thing or that it's significantly less effective today than it was ten years ago for the majority of cancers.

Cancers are not independent organisms. They're not transmitted from person to person. They don't accumulate adaptive mutations from multiple hosts. A cancer can evolve resistance to a particular drug in a single patient, but that doesn't mean the same type of cancer in another person is any more or less likely to evolve the same resistance, or that resistance is likely to become more common in the general population.

>>10862583
>You're definitely not /med/ if you think "chemo" is a single thing or that it's significantly less effective today than it was ten years ago for the majority of cancers.

Literally a cumbrain response.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4502609/

>From bacteria to cancer, (multi) drug resistance is becoming a central issue and a significant challenge for medicine today. Although drug resistance is often studied at the single cell level, it is important to realize that the ability of a drug to interact with its target is more complex involving many body compartments. Also, over the past decade, there have been significant changes in our understanding of some fields from biology. Whereas, before, the key-lock model was supposed to uncover biology helping us to understand life, it is clear today that evolution theory needs to be introduced at the single cell level to clarify our understanding of some diseases including cancer. The famous key-lock model, as well as the long-awaited magic bullet to kill cancer, has to be revised accordingly. Therefore, we suggest reframing the concepts used in drug resistance in a more general context thereby dismantling the monolithic tone that the resistance is only a matter of genes. We propose that drug ineffectiveness results from tumor-host interactions and that a clear understanding of such an interaction open new opportunities not only for the discovery of new drugs but also for new therapeutic strategies to overcome the development and evolution of resistance to cancer chemotherapy.

Chemo is ineffective and as you stated about the resistance developed by it in a single patient, then the patient will need a multi drug treatment which is way more aggressive and is probably a death sentence. Don't get me wrong, I'm all for cancer research, but imo surgery and radiotherapy is way more effective (Also because they're used then cancer is in early stages) than chemo (which is often used in stage 3+).

>>10862641
For additional info

https://www.karger.com/Article/Abstract/86183

Free article, you have the PDF there too.

>>10852812
I’m probably going to certify as a radiology tech sometime soon.
What can I expect? Besides good pay, of course.

>>10861266
Anyone?

>>10861266
What’s GE, google is useless due to GE (the healthcare company)

>>10862696
Not him but AFAIK, GE = Gastroenterology.

>>10862641
Holy fuck you're retarded. Nowhere in either of those two articles do they claim rates of resistance are increasing or that chemotherapy is becoming less effective. You clearly have absolutely no clue how resistance to chemo drugs works, or for that matter even the most basic principles of cancer treatment. It's not a question of chemo versus radiation or surgery. They're all used together depending on the nature of the cancer and applicability of each treatment. Different chemo drugs have different mechanisms of action and are used for different cancers that develop resistance at different rates through different mechanisms. Multidrug protocols are not a "death sentence". They're more effective than single drugs, which is why they're used, and a major part of why survival rates for many types of cancer have significantly increased over the last 30 years. And stop acting like this is some kind of new revelation. People have known about chemo drug resistance for as long as cytotoxic chemo drugs have existed.

If you're actually a med student, I feel sorry for whatever shithole country is stuck with you.

any cool medical books outhere to read that are not just textbooks?
Maybe ones featuring stories about very unorthodix true cases and how they were handleled.

>>10862732
>Nowhere in either of those two articles do they claim rates of resistance are increasing or that chemotherapy is becoming less effective.

Was this the point of our discussion? Do you really think that chemotherapy is still effective? If so, you're deluded.

>Multidrug protocols are not a "death sentence". They're more effective than single drugs, which is why they're used, and a major part of why survival rates for many types of cancer have significantly increased over the last 30 years.

Yes, because of radiotherapy and surgical procedures, not because of fucking chemotherapy you mongrel piece of shit. Chemotherapy is ineffective. Show me a study of its effectiveness pelase.

https://www.ncbi.nlm.nih.gov/pubmed/15630849

>As the 5-year relative survival rate for cancer in Australia is now over 60%, it is clear that cytotoxic chemotherapy only makes a minor contribution to cancer survival.

Please fuck off, cumbrain. Thanks for the (You)'s.

>>10862456
>You're definitely not /med/. Have you heard about cancer cells developing chemo resistance?

Yes, this happens with EVERY cancer. That's what cancer does, it mutates, that's why it's cancer in the first place.

Cancer can become resistant to any chemo, but it's not like resistance is becoming more common. The only feasible way for this to happen would be if a person took chemo, their gametes were somehow able to form resistance to the said chemo, and then that person created offspring that then developed cancer.

Resistance is nothing new, and the immunotherapies are no exception.

>>10862743
>Yes, because of radiotherapy and surgical procedures, not because of fucking chemotherapy you mongrel piece of shit. Chemotherapy is ineffective. Show me a study of its effectiveness pelase.

Chemo is treatment of choice for lymphoma and actually does cure pts, or at least put them in remission for many years.

>>10862871
Finally a good response without any insults. I know there are exceptions in cancer, but what about bladder cancer? I know that the treatment is usually with local doxorubicin and if that fails you have to change to immunotherapy, something like bezacivumab for example. Can cancer develop resistance to immunotherapy the same way it does with chemo? If so, is multi drug treatment the answer?

>>10862883
With lymphoma I agree with but not in all patients. I have a...pretty sentimental example.

Dad was diagnosed in 2008 with Hodgkin's lymphoma and chemo did a good job but he went for stem cell transplant which fucked him up so badly I couldn't look at him and not cry. He died in 2009 and honestly I don't trust cancer treatment since. He was 49 and can't get my head around why he died in such a short span of time considering that it was caught in a relatively early stage and after some months of chemo the lymphoma still a advanced to his lungs.

>>10859814
see an podiatrist. seriously. please. get orthotics now before you develop orthopedic changes later in life. by the way, this is very common but rarely treated.

>>10862891
Bladder cancer varies. If it is early stage and hasn;t invaded the muscular wall, it can be treated with intravesicular BcG, which is the tuberculosis vaccine. Interestingly, putting it into the bladder causes the lining to shed and the cancer to shed with it.

Unfortunately that is as far as my knowledge of bladder cancer goes. That being said, yes cancer can develop resistance to immunotherapy, the same way it becomes immune to chemo. The mechanism is obviously different, but it just involves downregulation of whatever protein the therapy targets. Multidrug treatment is always better than monotherapy. The idea is to kill the cancer before it can mutate and become resistant. It's the same idea with bacteria really.

>>10862898
My mother had GBM and was predicted to live only about 6 months, she ended up living 4 and a half years due to chemo. She wasn't miserable the entire time, but it certainly took its toll on her. Most of the time chemo isn't meant to cure, it is meant to lengthen survival. The issue that we run into is that we need the "perfect storm" to fight cancer. The pt needs to be healthy, they need to make sure they are eating healthy, they need to stay on the chemo, the cancer needs to not mutate, and they need some luck from their body to not get rekt by the chemo. If any one of those is missing, chemo isn't very effective. It's pretty sad really. Since every pt is different there's no way of telling how much chemo lengthened or shortened their life.

>>10863200
I remember from urology that they use bcg and doxorubicin. Thanks for the insight

Also, sorry for your mom, GBM is one big aggressive pile of shit. Her body fought well to keep it cancer in check for such a long time. I remember when dad had chemo and couldn't eat anything without vomiting his stomach right away. Even though the doctors said his prognosis was good, in the end it took a toll on him and his body couldn't handle it anymore. In late stages, the last resort (if I can say that) was stem cell transplant which went well but that made him prone to infections and died from pneumonia. The individual matters too much to have one single treatment for one type of cancer, it's too unpredictable.

Does rad onc have more or less the same lifestyle as diagnostic rad?

>>10862482
Yep. I’ve thought about it for sure. Don’t know if I’d like the IR lifestyle though, but at least there would probably be job security

>>10863302
From my limited exposure to both /radonc/ has a superior lifestyle to DR. That being said, I believe the job market favors DR over rad onc. With DR there are probably more jobs to be choosy

>>10863343
>/radonc/ has a superior lifestyle to DR.
How so?

>>10863348
Lotta DR jobs have call, some have weekends, some are literally only night shifts.
Ever heard of stat radiation therapy?
There is never call, there are no 3 am consults, there are no weekends (as far as i have heard). There is nothing emergent about radiation therapy. Rad onc is a true 9-5 job

Why are my balls cooler than the rest of my body

>>10863468
I believe it's so your sperm don't die.

>>10863437
What is patient contact like in rad onc? Is it as emotionally taxing as med onc?

>>10863200
>she ended up living 4 and a half years due to chemo
Nice. Don't know if you know the specifics, but was she lucky to have the IDH wild type mutation? Only saw one patient like that ever, she was originally given a year to live until a biopsy revealed the mutation, and she's still alive. That diagnosis was 6 years ago. I still see her now and again for yearly MRIs. She wants to start a career in biomedical lab stuff now despite the fact that she's nearing 50.

>>10863519
This. Sperm actually need a temperature slightly cooler than body temperature to mature the best.

Fun fact:
The scrotum sags more when it is hot to get further away from the core body temperature. The stalk that connects the testicles has both veins and arteries running in it. The veins actually form a lace like network around the arteries and when the veins carry blood back, the veins actually cool the arterial blood.

>>10863656
Not as much as medical oncology but more than surgery.

Oncology as a field has a lot of emotional lows but it also has the greatest highs in medicine

non medfag here. When I was a kid in the US I had a checkup or some shit and the doctor felt the skin around and on my dick and ass. I havnt had any of them do this at any of the other checkups ive ever had and I was like 5 or 6 at the time. Did i get molested or do doctors REALLY do this? To be clear I know some of that is normal in a physical but this seemed way more thorough.

>>10864332
Well...gps certainly check the foreskin in children but you being from the US, I doubt you're not circumcised. Have you had any problems in those areas or did your parents suspect anything that you might have at the time?

>>10863468
They would clamp your balls if they could get away with it.

>>10864335
think i might have had some sort of reaction to shampoo or soap in my urethra actually.

>>10864348
Then it's fine for them to check. I remember a few years ago when a 5 year old came in that had a really bad case of phimosis and my mom had to check him. The foreskin was basically glued to his penis and had a lot of smegma around it, probably because of very poor hygiene.

Take care of your penis, senpai. Your parents did well to take you to a GP.

>>10864400
You can't have phimosis at 5. The foreskin is occasionally still fused to the glans.

>>10864405
>Phimosis is normal for the uncircumcised infant/child and usually resolves around 5-7 years of age, however the child may be older

I thought phimosis is "physiological"?

>>10864413
Only if the child is older, it's no longer fused to the glans, and the foreskin is too tight to be retracted. In which case it is stretched.

>>10864432
Well, AFAIK it was too tight to be retracted, he ended up getting a circumcision because he was in pain or something along the lines. It was a long time ago, can't remember much about it tbqh.

>asthma
>Raynaud's
>hypotonia
>hypermobility
>partly undeveloped lungs
Which one of these is behind constant fatigue since birth and a heart that's always rapidly beating? Fuck prematurity

>>10864439
That's unfortunate, because a healthy and important part of his body was amputated due to medical ignorance. In a sane world, we'd all call that "malpractice".

>>10864445
Check your spine. Go to a chiropractor.

>>10852962

You what? Women are largely incompetent, especially in following direction.

Went to the psych today. Took me off Trazodone and I have just Paroxetine left. Feels good, lads.

>>10860237
I'm on holiday.

Pea brain M1 here trying to figure out how to organize my days when there's quiz after quiz I need to study for.

I always feel behind and I feel like I focus too much on studying a certain dense lecture while not having enough time memorizing shit from latter lectures (like 2 lecture hours worth of material taught the day before it shows up on a quiz.)

How the FUCK did you guys do this? Am I just gonna struggle getting a C the entire time? I'm trying to keep my Anki decks as small as possible but im not sure if it's helping.

>>10865470
>How the fuck do you guys do this?

It's pretty simple, actually. I just focus on my textbook and don't give a shit about lectures. I still make a ton of charts and memorize it in a logic "fun" way.

Example: I was studying microbiology in my 2nd year (I do 6) and was learning about antigen presenting cells. I just imagined a bodyguard that takes out a dubious person out of a crowd and presents it to the security department (In this case, the T cells).

You can do such things with ease in many classes. If you have clinical classes, then you can't really use this method, but do charts.

When I start my charts, I read about each disease first and take the ones that have common symptoms and put them in a chart so I can eliminate the common symptoms and focus on the specific ones to be able to differentiate between them more easily. After I'm done with those, I just make a second chart with the rest of the diseases and try to make an acronym for each (Symptoms, differential diagnosis, treatment - treatment also separated between medical and surgical if needed)

>>10865356
Still doesn't stop me from drawing frogs from time to time.

>>10865641
Still pretty based, to be quite desu with you.

>>10865356
Enjoy your holiday! ily and your cartoon frogs

>>10865641
This one is a bit low res, but at least the sleeves are correct now.

>>10865641
>>10865913

This is one that I did. Do you like it?

>>10865922
Not him, but should've made wojak on an operating table and pepe dressed as an anesthesiologist.

Apu's are superior.

Can vitamin pills go bad?
Got a plastic jar 1-2 years ago with some 200 pills. Been standing in an open kitchen shelf in shadow from the sun.

>>10865947
They're fine.

>>10865947
might lose their potency, but they won't be harmful-

>>10865913
That's pretty based, desu.

Talking about white coats, they're shit and I can't wait to get rid of mine. Idk why the fuck they're mandatory.

>>10863302
rad onc is basically an office job and you let the machine do its work. The only thing you have to do is to make sure the patient is getting the right treatment and look for more mutations in case of radiation overdoes (which seems unlikely but...it can happen, I guess).

>>10862737
I don't know...you're looking for something academic or just literature in general?

If you want to know about history of medicine, try Hippocrates.

>>10861669
N-nice and easy anon, it will be okay!

>>10865979
>>10865979
>>10865979


FRESH NEW BREAD!! GET IN THERE

>>10865941
Haha! Yes!!

>>10859876
took me four years to put this together.
because im a soft hearted retarded.
im off to go work in a prison now, to go and learn how to be a tyrant.

>like the rest of you cunts.