/sci/ - Science & Math

I am a biohacker

>>10865986
pls no hacks, sir.

>>10865986
You are probably russian.
Just dont hack the elections again in our little banana republic.

>>10865986
fucking script kiddies i swear

>mfw summer is over and I have to quit research and go back to school

>>10866024
>mfw summer is almost over and 5th year starts and summer practice is over so I'm free
Seriously, fuck research. I'd rather give full consults for 24/7 than doing research.

another one

>>10866074
Hmm, it's...good.

This one i call the chief of gastrointestinal surgery.

>>10866152
Kek. Unironically looks like my gen surgery attending.

These threads are fun even though you guys get toxic af.

>>10866152
whoops that's a unpolished version

>>10866161
lol, what's with everyone in digestive surgery being fat

>>10866166
>toxic af.
Fuck off back to tumblr

>>10866169
The face on the badge needs to be fattened up.

>>10866170
Never change, /med/.

>>10866174
good point, i'll get to it soon

>>10866189

>>10866169
I don't know why they are this fat. The worst part is that he thought of himself as being a chad and he wore nothing under his white coat. He would generally just button it up, put some scrub pants on and off he went. I can still imagine the sweat he had on his chest, kek. But hey, I got a max grade because he was cool and lenient with me when I fucked up so, yeah. They're fat but cool.

Not sure if this is the right place to ask but I was playing a tabletop RPG set in a fallout/stalker world (so like, 30 years after an apocalypse) and one of the players captured a bandit woman in an abandoned hospital. He found a scalpel and some alcohol and did spinal surgery to sever one of the lumbar vertebrae (he said he was trying to make it so she couldn't want). Then he cleaned and bandaged her up. She was knocked unconscious during this time. Later she woke up and started screaming. This guy brought her back to their village to have a new life where she could make up for her years as a bandit.

My question is, how likely would it be she is dying from a spinal infection, what is the most likely kind of infection she would get, what are its symptoms, and how long would it take for this infection to kill her. Also what kind of drugs would be necessary to save her. I'm obviously skating by on realism in a lot of aspects here but this guy is an edgelord so if he's going to cripple women I want to give him a taste of his own medicine, and plus one of the other characters wants to find medicine to save her since I said she is in a lot of pain and slowly dying from an infection.

Also I think I looked it up and it was L2 or L3 vertebrae that got cut at. So what would life be like for this girl? Could she move her legs at all? if a surgeon tried to cripple someone like that could they do it? Would this girl be able to feel sex? Control her bladder/bowels? Just curious so I can portray this accurately.

Any advice you give me will help me make an edgelord's life less pleasant. Thanks in advance.

>>10866372
Just go full chaotic neutral and eviscerate the dude

>>10866372
>>10866372
>So what would life be like for this girl?

Motor control and sensory function are pretty much lost from the waist down, you might retain function down to the upper thighs if it was at L3. Incontinence is a given and you can't feel sex. The muscles which are not innervated will suffer wasting.

As for infections here are some resources; https://www.aans.org/Patients/Neurosurgical-Conditions-and-Treatments/Spinal-Infections, also you could consider meningitis.

>>10866466
>also you could consider meningitis.
Would that be the most likely?
The other page says osteomyelitis and seems to say it's basically a staph infection or something. My ideal would be something that requires a fairly rare and specialized drug to take care of so that there is a "quest" aspect. Or else finding a doctor capable of doing the complex procedure to help save her.

>>10866196
good job

>>10865979
>>10852812
Drink bleach and shoot yourself in the mouth, you fucking failed abortion.

>>10867157
What did OP do?

>>10867165
Curious. What was it about?

Is it true that in the US you can train to be a rad tech in two years?

Do you guys make fun of patients like me who are afraid of needles?

>>10867737
Don't know. Give me an example of "making fun".

Do you guys have a favorite doctor, either from a patient POV or towards a fellow coworker or supervising doctor?

>>10867743
Easy one for me. Mom.

>>10867739
>Give me an example of "making fun".
wait so you DO comment on it

>>10867733
Yes. Most technician/technologist-level jobs require two years of training or less.

>>10865979
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.

>>10867746
Well yeah, there's no excuse for a grown person to be afraid of needles. Get your shit together.

>>10867746
No, not really. I just try to convince them it won't take long and it's going to feel like a bee sting and that's it. Some of them are fucking terrible and need to lie down because they might faint.

>>10867749
When I was 5 I got stabbed right in the artery during a blood draw. I bet you'll change your tune if you ever had to go through that. They don't teach you empathy in med school?

>>10867744
Fucking wholesome.

>>10867744
>>10867761
guys please answer my question

>>10867747
I'm in Australia and it's a four year degree. Currently stressing over the compulsory stats subject. Might just kill myself instead.

>>10867763
I'm serious. Mom is the best doctor I've seen practice and I wish I had her bedside manner and mountain of calm.

>>10867743
William Ross Adey, MD.
Robert O Becker, MD.

>>10867743
Dr Frasier Crane

Have you banged all the hot nurses working with you already?

>>10867809
I banged my fucking forehead a couple of minutes ago

>>10867809
h-haha yeah banging hot nurses all day

Hey /med/, I'm the anon from the other day who had paraesthesia in my ring/pinky fingers on both hands in the bath, and also right scapula when standing up/going around with a backpack on/sitting in a chair.
I was prescribed a neck MRI scan and got it this afternoon, but I'm waiting until midday tomorrow before I can go in and get the report on it. In the meantime, is anything here particularly concerning? Cheers

>>10867860
Don't allow them to inject with contrast, like gadolinium.
Realize that an MRI is in many cases essentially useless because you're laying down, and therefore the spine is not in a load bearing state.

>>10867879

>>10868010
What are you even saying? Look it up you fucking moron. You don't want gadolinium in your body, period.

>>10868016
Gadolinium is out of your body in 24hrs. No need to be such a pussy you fucking lunatic hypochondriac. As long as your kidneys are functioning well, it's safe.

>>10868010
DO NOT
ENGAGE

>>10868061
My bad, senpai.

>>10868040
False. The gadolinium ion dissociates from its chelate and lodges everywhere in a wide range of contexts. Trivially searchable. Even the large entities are having to admit it now and backpedaling "W-W-Well maybe it does, but it wouldn't matter anyway even if we injected it non-chelated!" Then why is gadolinium recognized as incredibly toxic, and why was it formulated chelated to begin with?

The western mind double-thinks as needed. That's our organizational and survival strategy, and it's disgusting. This place is hell if you value the pursuit truth even slightly, you have to drag everyone else forward kicking, punching, screaming, bitching moaning, rationalizing, making excuses, and finally going quiet.

Pathetic. You should be ashamed of what you are.

>>10868061
>Don't look!
Pathetic. It's time for you all to rise out of your self imposed mediocrity. We are the ones we've been waiting for.

should I go through with the sexual reassignment surgery?

>>10868191
yah might make you a real man instead of a wussy

Anyone familiar with IBD pathways? I've got crohns affecting my entire SB and have burnt through every medication: pred, budesonide, aza, 6mp, humira, vedo, ustekinumab to no real success. 6mp and budesonide allows me to sort of get by at 40% functioning but it's been 6 years of that and it's not enough. Not sure what would be the next step and i don't have much faith in my gastro.

>>10868224
Have you tried getting a second or third opinion in these 6 years? If not, you definitely should.

>>10868258
Well the diagnostic process was long, trying coeliac disease and several scans/dietary changes. They found ulcers throughout the small bowel, stricturing and although i have no overt colon disease, granulomas on biopsy. Though i have since heard granulomas aren't actually particularly indicative of anything.

My mother has colitis and I've seen her gastro informally who agrees with the diagnosis alongside one private appointment with a different gastro. Though none of the appointments have been hard 'second opinion' tier.

My symptoms are a little atypical though, im mainly massively fatigued and lose weight non stop. I get eye and joint inflammation. For some reason i also get bad smelling urine and bladder urgency and instead of diarrhoea im constipated. No diet changes make any difference to it, my symptoms don't change day to day anyway, it's a slow burn.

Who knows, im just sick of being bed bound.

>>10865979
Should I go to med school?

>>10868380
No. Underpaid, overworked and the faculty and consultants are all self-righteous pricks.

>>10868380
>>>/adv/

>>10868380
If you have to pay for it, probably not. Otherwise yes.

Is it possible to be a psychiatrist and not prescribe antidepressants? I would be interested in becoming one, but I don't believe in medications. It interests me because I see psychiatry as one of the intellectual sides of medicine where you truly get to use your brain.

>>10868661
>where you truly get to use your brain
>don't want to prescribe
Well, you don't have to prescribe but eventually you will. Become a therapist instead.

>>10868661
> want to use my brain
> have a problem with one of the most effective and rigorously tested classes of medications across all medical specialities

>>10868676
Shit. What did he mean by this?

>>10868680
What are the best medical specialties to live a quiet life?

>>10868391
But you drown in pussy juices right?

>>10868661
>Is it possible to be a psychiatrist and not prescribe antidepressants?
No thats all they do kinda funny because they are mostly ignorant about true chemistry

>>10868685
Look at the lifestyle ones in the OP. Also FM for quiet chill life.

>>10868686
Not him, but I can assure you that you won't DROWN in them. Sure, you might fuck 2-3 chicks on the course of the years, but don't expect to fuck your whole class, senpai.

>>10868685
Maybe radiologist

why have I had radiating chest pain on and off for a month after swallowing a pretty long chicken feather along with being unable to take in a full deep breath half the time

>>10868760
>swallowing a pretty long chicken feather
Kek

>>10865986

I wear glasses too.

>>10866372
Nice copypasta, /tg/

>>10868763
It was embedded in the skin :( This shit has been haunting me for 5 weeks

>>10868661
>Is it possible to be a psychiatrist and not prescribe antidepressants?

Yes. As long as you are cool with prescribing in the becoming before being.

>I don't believe in medications

In general, just psychiatric or just antidepressants?

>>10868783
not pasta i was just reposting cause i might have time to go back to that game this weekend but the schedules are getting changed aroudn so there's not a reason to play it anymore.

honest opinion on ems?

Any guys here ever have a rectal exam?
My doctor did one on me today to check for hemorrhoids and now my stools feel loose and wierd so far.
Is this normal? Will it pass?

What does /med/ think about early assurance programs to medical school?

Are hemorrhoids passed on genetically?

>>10868289
>My symptoms are a little atypical though, im mainly massively fatigued and lose weight non stop. I get eye and joint inflammation. For some reason i also get bad smelling urine and bladder urgency and instead of diarrhoea im constipated.
Fatigue, weight loss, eye, and joint symptoms, and constipation are all common with Crohn's disease. Granulomas are indicative of inflammation. They don't necessarily tell you what's causing the inflammation, but they aren't supposed to be there. Crohn's is in inflammatory disorder and granulomas are a common biopsy finding. The urinary symptoms are the only ones that are a little unusual, but the absorption and excretion dysfunction caused by Crohn's can change the urine chemistry. Inflammation can also irritate the bladder or ureters and occasionally causes fistulas between the intestine and urinary tract.

Have you seen a rheumatologist? The fatigue, eye, and joint symptoms would be more under their umbrella, and sometimes they're better at tuning DMARDs and biologics than gastroenterologists. It would also be a good idea to see another gastro who specializes in inflammatory bowel diseases. The diagnosis may not change, but it's always good to get another opinion on treatment, especially if you've tried quite a few things and aren't getting anywhere.

goys, sometimes on x-rays i see patient's, lung lobe border lines, is this indicative of pleuritis?
another question, where can i get good guide for fluid transfusions? which is used in which situation and their safety precautions in pregnant or old etc.

>>10867793
i loved your mom's bedside manner last night too anon ;)

>>10867809
no i hate everyone in hospital

>>10870726
I think you're confused. Mom doesn't work in the cancer ward.

>>10867860
can't tell with single pic and you know it bro

>>10868661
you have idealized perception of psychiatry i suggest you volunteer in the ward for few months and decide after if you want to do it or not.

>>10868760
bruh at least take chest xray

>>10870733
weird! she did call my penis massive tumour though.

>>10866152
Holy shit, too acurate.
>>10867737
No, I'm annoyed by them.
>>10868191
Wasn't the suicide rate higher in operated people than unoperated ones?
>>10868661
>psychiatry
>doesn't believe in medication
You knuckleheads should realise antidepresants have their role in some conditions. I blame american doctors for overprescribing them and worsening social stigma.
>>10870214
I haven't, but I think it's normal. My girlfriend complains she's dilated after anal.

>>10870748
aren't xrays crude images and really low fidelity? feel like it wouldn't show anything.

>>10870863
Interesting, even if it's a bit too much information... Has your dad or any older dude getting prostate exams ever told you this? I too am a gril. I wonder if it's more common with us.
Anyway, it turned out it was a waste of time since I don't have hemorrhoids. I guess i just wipe to vigorously(sometimes blood is on the paper but it doesn't really hurt).

>>10867809
Half the nurses are middle aged filipino women.
The other half are married with kids and if they're not, they're a combo of fat young Filipino and white women. The young hot single nurse is rare.
Also, this isnt Greys anatomy, most people dont have time for this shit/ don't want to risk their job and/ or license doing something as unprofessional as fraternizing which could easily be turned into a sexual harassment charge.

What's the most fucked up thing you've heard a doctor do? Was it in your hospital?
Apparently, there was this doctor who would fap infront of his pt while they were asleep/unconscious.
He got arrested and lost his license...
I wonder how medical schools and residency programs feel when they find out a person they graduated was actually fucked in the head?

>>10868191
How many times are you going to post this same bait?
Do whatever the fuck you want after discussing with your psychiatrist and surgeon.
If you're just trolling, fuck you.

>>10870993
There was this huge case in Romania with a guy name Mateo Polliti. He's an italian that "bought" his medical license from Serbia and came to practice as a PLASTIC surgeon here in a private clinic.

The nurses noticed that he couldn't even do the surgical scrub right and reported him but the response took so long that he ended up mutilating two patients, one for a boob job and the other for a nose lift. Needless to say, the police found out he only completed 8 grades and did some jail time in UK. I haven't heard anything about the case since Feb.

>>10870993
>a doctor
>doesn't have a phd
yeah, right and i'm a pilot, i just don't have a drivers licence, trust me

>>10866169
>>10866238
Surgery is a stressful life. Don't have time to eat home cooked meals and fast food is easy to grab and go.
Most of all, you dont have much time to exercise. You either wake up at 3:30 in the morning to go to a 24hr gym, then shower to get to get to work on time, or push yourself after the end of a long stressful day on your feet to go to the gym, esp of you're a transplant surgeon. It's even harder when you have kids.
Don't mock them too much, you may be become them in the next 15 years.
That's why I would never surgery desu(or obgyn).

>>10870880
No

>>10868760
Maybe you're allergic?
It maybe causing a mild hypersensitive reaction.

>>10870358
No. Now eat your fucking fiber so you can stop being constipated lot of the time.

>>10871029
A mild hypersensitivity reaction a month after the stimulus? What the hell are you on about?

>>10871035
He said it's just be happening since he swallowed it though...didn't specify exact on set.
Maybe a type of esophagitis then.

>>10871039
He's posted in here several times and has received reasonable advice several times. It's either a bizarre attempt at trolling or he's mental.

>>10871043
He's obviously trying to make it a meme.

Have any of you ever seen a carotid/vertebral artery dissection from chiro bullshit?

best OB/GYN book that is up to date?

>>10871052
i saw patient who had two brocken neck vertebraes that were compressing his spinal cord, caused by simple massage in parlour

>>10871059
What kind of massage is that? With a pneumatic hammer?

>>10868661

Just be a clinical psychologist then

>>10871094
Oh yes, this is a good idea. When I was doing my pulmonology rotations on the ID ward with tuberculosis patients, they had a clinical psychologist in the ID ward. When I asked why, my prof told me that many patients can't handle bad news such as an AIDS diagnosis and they need time to think. Our prof also told us that they had a patient commit sudoku when he found out he was HIV+ so the standard protocol is to take them in an empty room with bars at windows and let the psychologist break the news.

>>10871100
>told you’re HIV+
>want to ask about implications for health
>psychologist doesn’t have a fucking clue

Sounds great

>Spec you'd choose in a zombie apocalypse
>You can get 3 meds with you of which you have infinite amount

FM country doctor - because variety

The three meds of choice would be:
Amoxicilin or Amoxi/Clav acid - Large spectrum AB for many infections
Alprazolam or Diazepam - In case of panic attacks so people won't go nuts
Ibuprofen/Dexketoprofen - General minor pain reliever

>>10871205
About the greentext, the psychologist tries to calm the patient down, that's it. And when he's sure the patient is okay, calls the doctor in.

>>10871211
Gen surg and EM will be most needed during zobie apocalypse and ID maybe

>>10871505
Agreed, but FM is good if you move a lot. EM is good in that sense too.

Anesthesia too, maybe an ortho.

Does someone have experience with a Neurology residence? I'm thinking about it.
PS: I hate interventionism and want to sleep like a normal human, so details about this are apreciated.

>>10871520
>and want to sleep like a normal human
>wants neuro
Kek.

>>10871520
You can work outside of acute stuff once you are done with your residency.

>>10871522
Yeah, I know; I'm saying compared to surgical specialties. I also live in a country were t-PA is only available in like two private hospitals so there's no much a neurologist can do in acute stroke.

>>10871043
I'm not trolling and not mental (mostly). I know it sounds ridiculous. Problem is I can't afford to fully utilize a hospital where I'm at currently (overseas) and I don't get back home till end of August. My health insurance doesn't cover me at all where I'm at. I can get an x-ray tomorrow but that's about it. All this time I've just been hoping it would go away and not come back.

>>10867760
Empathy can't be taught. You can teach phrases which may convey empathy but at the end of the day, empathy itself cannot be taught

>>10867860
I may be retarded but it looks fine? You mentioned paraesthesia in ring/pinky fingers on both hands in the bath. What do you mean by "in the bath"? As in, you only get it when you get into the bath or it came on when you got into the bath one time? Idk I'm rambling here cos maybe if you kept your elbows bent in the bath and your hand bent in the bath for quite a while you'd compress your ulnar and that would cause the paraesthesia bilaterally but you'd have to have both elbows and hands flexed for a while

Entering M1. Im thinking I want to do surgery, but I’m worried about time as I’m 28. By the time I finish residency I’ll be around 37-39. Should I look into something else? I’m also interested in anesthesiology. One of my goals in life is to pay off my parents house sooner rather than later.

>>10870520
Urinary issues may be due to interstitial cystitis secondary to Crohn's? Explains the urgency and the foul smelling urine which could be sulfuric

>>10868760
only explanation: you didn't swallow it you aspirated it

>>10871759
So...you need money. Why don't you try something with less residency years? EM is mixed, procedures + clinical. FM(+OB/GYN) is procedure + clinical. Both bring juicy money.

>>10871211
OBGYN is probably a good choice as well. Can help members of your party with regular health issues and help with giving birth which would be even more dangerous in a zombie infested minimal hygiene world

>>10871768
but I had bad abdominal cramps for many days after and blood in the stool for a couple days, is aspiration still possible then??

>>10871056
if you need up to date information on screenings and what not just use ACOG. You have free registration as long as you're a med student. Also ASCCP for cervical cancer screening especially

>>10871779
FM is only good if rural though

Thinking of doing peds neurology but realized most of the programs are combined these days so you still have have mandatory 2 years of peds then 3 years general neurology. Is it worth it since peds is only 3 years anyway and I would have the choice to pick any specialties or could I do worse in terms of lucrative peds subspecialties.

>>10871522
I thought neurology was chill except for stroke.

>>10872181
True that. In a small hospital you'd be making a ton of money. Can practice EM too.

>>10872197
I think we've had an anon in the earlier threads a few months ago that chose neuro and wasn't happy at all with it because of exhaustion.

>>10867860
Paresthesia in two fingers and scapula... You're lucky, I've got paresthesia and pain in my whole body. It's been like that for the last 20 years. You surely have a cervical herniated disk, nothing worrisome

>>10872200
What about peds neuro?
And yes, I'm>>10872187

Hi! I've got a thoraxic disk herniation at t9-t10. I can't sit without feeling enormous pain, and it has lasted for more than 6 months. I've been prescribed diclofenaco, etoricoxib, pregabalin, tramadol, all at maximun dosage, they do not work at all. I can only find mild relief using an inversion table. Any suggestions for my? Oh, and I had a vitamin c deficiency that I have already corrected

>>10871557
Okay, what are you hoping to get from this thread? Obviously nobody can examine you or order any tests. The best anyone here can do is tell you to see a doctor. Speculating about the cause isn't going to help. You said you had already seen a doctor and they said you were fine. Your only options now are to either pay for another local doctor or live with it for a few more weeks until you go home. There's no value in obsessing over it on the internet.

>>10872209
Probably more congenital stuff? Hydrochephalus and such...I really don't know.

>>10871952
nope. probably some bacteria on the feather which has given you a bad gastro infection, but i have no idea about the chest pain

Would matching neurology be hard if I went to DO school?

>>10872379
Not sure how competitive neurology is. If you go DO you literally have to ass-rape the STEP exams to reliably match anything competitive.

Do you guys have tips for someone who is considering med school ? I was thinking of pathology or perhaps emergency medicine for specialties

Just the kind of thread I was asking.
I'm a lesbian from /u/ who is writting a shitty thing.
My question is: What do you with a patient that makes ER unconscious but then wakes up without any visible issue? Patient supposedly was in a emergency situation where trauma could have ocurred, but there isn't evidence of it.
What would you do with a patient like that?

>>10872948
Examine. depending on how long they were unconscious, and if they have any other symptoms like headache, get a CT head.
Then, observe for a a few hours. If fine, let them go home.

What OTC medication(s) can I overdose on? The goal being death and not a fucked up liver.

>>10873178
ibuprofen.

>>10872907
You need to get into med school before you choose a specialty.

What did you all think of your EM rotations?
Favorite story?

>>10873191
before you think* about a specialty.

>>10869637
As a physician subspecialty or as an EMT/Paramedic?

>>10873192
Said this in the other threads. Did rotations on EM, we had to be only 2 students, night shift only, so there we went, me and my colleague.

The head nurse, i don't know if she had a bad day, was a total bitch to us and made both of us run up to the lab with the blood samples, then made us carry patients with their beds up to radiology (which was on the 1st floor but still, ,it was a pain in the ass) even though we had porters standing by. My hot cougar attending took us under her wing and showed us a ton of shit, afterwards and she confronted the head nurse. I felt happy but EM is a big no no for me.

>Favorite story?

>gypsy guy comes in after taking a fall on a flight of stairs
>broke some ribs
>tries to sell me a perfume in the meantime
>I jokingly say "I'd buy it but it's too much!"
>To which he replies "Sir, I'm being honest with you, it's original and sealed, I stole it yesterday from a shop!"
>kek'd and walked away
That's it, nothing really interesting.

>>10870950
This reminded me, that my dad should get a rectal exam. I don't know how vigorous can your wiping be to get blood on it. Are you using sandpaper, jesus? So yeah, you'll probably be fine soon.
>>10870993
I've heard about a guy that beat his patients that wouldn't cooperate.
>>10871023
Gynecologists are ripped or at least fit.
>>10873192
We actually don't have EM rotation. (probably the most retarded thing) It was a non-obligatory lecture course. We're supposed to learn about emergency situations from other clinical specialties.

Guys, it's done. The exams are finished.

>>10873363
Congrats anon. Also Kek'd because I got one more month until I start the new year.

US? What year are you going into now and how much free time you have?

https://www.inquirer.com/news/alin-gragossian-heart-transplant-hahnemann-penn--20190807.html

ER resident has congenital heart diseases, gets transplant. Article is about her experience.

>>10873368
Italy. I gotta prepare the final presentation but i'm doing fine, there's time. Will have to do abilitation at february (gets you listed in medical order so you can start to work), then specialty test next summer. Will use those months to fix the holes that i still have in my preparation.
Good luck on yours! What year are you starting? Here it's 6 years, but it took me a bit more.

>>10873425
I'm starting my 5th. I do 6 too, senpai.

What spec are you thinking about?

>>10873428
5th year was probably the hardest to me. All exams basically tripled in size.
Liked oncology but not so sure anymore. Against common sense, they are getting less and less relevant here. Because they basically only do chemotp and only get terminal patients. The radiotp school is much bigger and works with more sinergy with surgeons so they do most of the patients (considering the increase in early diagnosis and all) but it seems too boring to me. You basically wait someone makes new radiation toys to improve your possibilities but that's it.
I like internal medicine too but might be too "generic" in this age of hyperspecialization. A good card to play if i decide to move on the territory and don't curse myself in the hospital.
Pathology is also intriguing but i don't know if i have what it takes for it. I don't really like autopsies but i do like the lab work, but i suppose you can't pick, gotta take the whole packet. Would miss the clinical part, but with the recent developments in target tp it seems like a very promising field.

>>10873438
I've heard that the 5th year is the hardest clinical year. Pediatrics, onc, endocrinology, etc. Seems pretty hard.

So you want to get "involved" in medicine. Good for you, I guess, it's not for everybody. I, for one, just want to practice independently and do zero research, basically focus on the patients with what I have as modern medicine because I'm too much of a brainlet for research and lab work.

Good luck, anon! Please update us when you chose your spec and tell us how it all went. What are the holes you need to cover in order to get your knowledge in check?

>>10873449
Eh, i basically lack the pratical exp to know what specific drug choose and at what dosage for many situations. The basics are there, but it's one thing to repeat it for an exam, another to have it ready with a patient many morbidities. Our practice is a joke, so i will also have to take courses to learn how to place an IV. Maybe i can grab some kind nurse during my post degree practice (obligatory to get abilitation) that will teach me.
I'm not a genius myself, that's why i'm not too sure about it.
You already got an idea of what you will do? Those exams are all hard but also all interesting.

>>10873457
Family medicine since 12 years of age and still didn't change one bit, kek.

Believe me, our practice is kind of bad too, some of the profs focus on rarer cases to make things more "interesting" but the chances for me to see such thing while practicing are very low.

I learned how to put an IV drip in or how to draw blood and put a foley in while doing ER summer practice in my 2nd year. It was tough in the beginning because I have two left hands but after many tries, I got the grip of it (Although I'm not sure I remember any of them now, lol).

>hypermobility
>hypotonia
>Raynaud's
>asthma
>fractured L1
>early disc dessication in C2-C6
>some sort of issue with the nerves leading to right scapula (paraesthesia when loadbearing) and the ring/pinky fingers on both hands (paraesthesia/numbness in bath)
>just turned 22
How much of this shit can I manage/mitigate and how much will always be fucking me up? Feel like a physical wreck right now and I get wearier by the month

>>10873033
So guess I wrote the follow up right.
Thanks, anon, you're wonderful.

>>10873530
Dont be born as a mutt next time.
Pro tip* genes between races are not always compatible.

>>10873605
The issue wasn't racemixing but being born three months premature

Occasionally I get spontanously a dull and muffled feeling in one of my ears and a beeping tinnitus in that ear normally subsides rather quickly.
Is that any weird and potentially problematic? Should I see a doctor about that?

>>10870271
>your doctor posts pictures of anime girls with question marks near their heads on 4chan in his spare time

>>10873733
That's pretty based desu

>>10873733
My trust for my doctor would increase if I knew he was an animeposter.

Is there any intersection between medicine and software engineering? Which fields have the most overlap? I'm guessing radiology maybe? I'd appreciate some pointers.

>>10865979
Hello, med anons. /fit/izen here. I have a few questions. I am a strength athlete and keep a perfect sleep routine/diet.
Can someone tell me any direct benefits to having higher test levels? Also, what are some staples I should work into my diet? Any supplements actually worth taking?
I would thoroughly enjoy being a /med/ labrat. If it was legal I'd 100% let you biopsy my quad and take bloods for strange medical experiments. I have a 5 minute mile time, weigh 170lbs and can deadlift around 400lbs.

Well, I decided to go through with it, thanks /med/

>>10873787
Depends where you aiming at.
State your business are you a software developer or medical personnel?
Because I have wall of text incoming if you are software developer.

>>10873843
Kek. Post it anyways because I'm curious (not him)

>>10873843
I'm looking for advice pertaining to the "medical personnel with relevant software eng skills" side, but go ahead with the wall of text, anon, I'm interested.

>mfw romanian docs get dabbed on by nurses
https://www.reddit.com/r/medlabprofessionals/comments/ckpknl/so_yesterday_i_posted_a_photo_of_a_slide_that_was/
is it over?

>>10873857
How the fuck do you know OP is Romanian?

Also, I dislike labwork so idk what's going on in there. Air bubbles in between the slides?

>>10873849
Here is my humble experience as a dentist with my own practice.
Administration software is expensive as all hell.
With perpetual licencing you people are literally charging arm and a leg for an extended excel spreadsheet.I wanna transfer my patient database on another PC?
Oh hell no I cant do that,no sir I need to upgrade my license to PRO version before I can continue my business.Licence is up? better lock down my PC,you dont want me editing a patient record without a new license.
Oh and you store all my logins in plain text.
Remember we are medical practitioners not mentally challenged.
Second,there is a ton of specialty software from virtual articulators to "specialized" CAD/CAM modeling/machining software.Note the quotes,there is nothing special in this software hell you could literally make up plugin or script for blender or freecad and it would probably be better than anything available for the common folks.This lunch will probably be eaten by Autodesk very soon so im not too worried.
Otherwise this software is available only for clinical centers and rich people.
Every single piece of machinery comes with its own proprietary flavor(in a bad way).
There is huge market for innovation but i guess you people make too much money by making everyone's lives a little more difficult than they should be.

>>10873874
he said so in the thread
and the nurses intentionally made shitty slides to piss him off after he rejected a shitty slide the other day

>>10873927
Absolutely rekt.

>>10872379
Everyone thinks DOs are retards anon just forget about medicine

>>10867748
t. Clamped

>>10874130
Born via cesarean and taken from my mother for 4 hours without even letting her hold me. Unknown, but almost necessarily clamped.

>>10873788
All supplements are memes. Maybe the D if you are white and don't get enough sun through the whole year. Anything "fitness"-related is a complete hoax and in many cases detrimental to your health.

>>10874211
That's retarded and so are you. It's not your fault, this shithole world led you to a state of maladaptative retardation.

>>10873787
research, i dabble in meme learning and drown in professors wanting me to come to their group and help develop tools

>>10874216
are you responding to the right post or just some bitter mountebank?

>>10872252
Never said I went to a doctor for it. Only texted my one from home and he said maybe acid reflux--took some of my dad's Omeprazole and it did nothing. As for here I just wanted to hear if anybody had any plausible theories, which obviously would be mere speculation, but at least let me have a bit more peace of mind.

>>10874223
>mountebank
New word. Neat.

No, I got the right post. Research the following:
-N-acetyl-cysteine
-Acetyl-l-carntine
-L-ascorbate
-Co-Q10

-Theobroma cacao
-Hemidesmus indicus
-Bacopa monierri
-Ginkgo biloba
-Lion's mane
-Milk thistle seed
-Cordyceps sinensis
-Polygonum multiflorum
-Centella asiatica
-Galangal

tl;dr, you've been misled. ie, a natural process of maladaptation to a degenerate environment by becoming retarded.

Do you guys talk about PA’s in here or is this a doctor space only

>>10874118
Having completed my pathology residency I can confidently say my IQ is at least 76. #notallDOs

>>10874258
Every healthcare professional welcome.

https://news.stanford.edu/2012/08/29/cooling-glove-research-082912/

How’s this thing work? Is it just thermal fuckery to override some internal safety mechanism?

How miserable is M1 life and how can I stop from killing myself?

>>10867737
No we make fun of the fatties who shit themselves and retards who say their dick is sore after anal
We see peak retard every single week

>>10867860
why did they give you a fucking MRI when you just hit transient ulnar compression in the bathtub? I fucking hate patients like you. Also your chin is tiny and weak

>>10868224
you don't have IBD

>>10868380
No it fucking blows everyone here is extremely selfish, arrogant, and terrible with patients

>>10868661
>I see psychiatry as one of the intellectual sides of medicine where you truly get to use your brain.
kek
>psychiatrist
>don't believe in medications
top kek

what the fuck are you going to do with the psychotic manic who owns 8 guns? throw a stressball at him? You are an absolute retard.

>>10868686
no you will be on the wards or in the library all the time

>>10871052
seen many false diagnoses given by chiro.

>>10871520
Neuro is the most trash of all fields they literally just diagnose the patient and then dump thhem because there is no treatment. They are all fucking "academics" that are terrible with patients and have huge egos because of their big brains.

>>10873178
just buy oxy

>>10874642

I didn't know so many medfags were weebs.

>>10875416
This is 4chan after all

>>10865979
i got accepted for both an occupational therapy program and a physical therapy program. what the fuck do i do?

>>10875416
Anon-chin, I...

>>10875429
I didn't mean it in a bad way. It's honestly a pleasant surprise.

>>10875493
Doctor-san, m-my kokoro.

>>10875462
Depends on what you like more.

PT route if you like doing massages and gymnastics with some patients after they had a pretty long and laborious surgery or after they suffered trauma.

OT if you like to help people reintegrate in their work environment and such.

Both of them are related to PM&R.

>>10875416
>his doctor doesn't recommend AOTS each season for him

>>10875938
>his doctor isn't a three thousand year old loli

>women

>>10874642
Don't kill yourself. It's too late anyways..

>>10865979
Any doctor niggas feeling up to a diagnosis?
About a week and a half ago, I started feeling like my limbs were shaking before I went to sleep, but it was so mild I couldn't feel one hand/leg shaking with the other.
Within a few days, it was physically perceptible, and I had joint and muscle pain as well.
All of this has intensified to an uncomfortable degree, along with mild tingling in the hands/face periodically, as well as weakness, fatigue, chills, feeling hot/sweating, and dizziness.
These symptoms are worse in the morning and later in the day.
I don't have a fever and blood pressure is normal, but I do feel somewhat feverish, including that weird thing where it feels like your piss is molten iron.
Additionally sometimes I feel dizzy and weak as if I've gone without food for a a long time, even directly after I've eaten.
I also feel pretty nauseated when I eat, and hiccup a shit ton, but I've been downing lots of spicy pizza lately (I stopped), and I have known problems with heartburn.

When I contacted a local neurology clinic, the earliest they could book me was October 10th and this is already pretty intolerable lolgodpleasehelp

I give you this especially round dog as an offering.

>>10873605
Anon, but all of those conditions he mentioned have no predilection for race. Also, no racism in ITT please.

>>10873257
Which hospital are you at?
Most of the male gyn in my hospital are fat and at least half of the female gyns(and that's including the residents).

Any trauma surgeons here(probably not because you're too busy but here goes)
So the pelvis is a massive source of blood and women, especially when pregnant, can literally hemorrhage through their vaginas if they have major injury to the uterus/adnexa. Can guys also hemorrhage from their dicks, more specifically if they were erect, or would the boner die before that ever happened? Is kidney laceration the only way for guys to hemorrhage from a pelvic insult. I didn't know where else to ask this question.

>>10867748
What a grade-A pseudoscience is medicine.
Fuck doctors, hospitals and the rest.
Can barely fix or cure anything, get paid a fortune, and get revered as if they were gods.
If physicists took over medicine, I suspect every disease would be cured in five years, ten tops.

>>10867748
Don't forget about pic related

>>10877131
It really is pathetic. Most of the problems were already solved, and the solutions systematically buried along with common sense.

Thanks Rockefeller et al. :^)

>>10865979
>Do not engage the schizoposter.
Why don't you take your meds Dr. You seem sick today are you delusional do you hear my voices?

>>10877209
"Physician, heal thyself."
It goes way back.

>>10876958
Your terminology is totally confused. Are you talking about genital bleeding or bleeding as a result of a pelvic injury? Yes a man can hemorrhage from a penile injury whether erect or not. It can bleed a lot, but unlikely to be fatal. Bleeding from uterine injuries is mainly a problem during pregnancy because of the increased blood supply during that time. Serious bleeding due to pelvic trauma is because of the major vessels in the area, especially the internal and external iliac arteries that sit around the pelvic brim and are at risk of injury from pelvic fractures. Kidneys are not in the pelvis so a pelvic injury is unlikely to directly affect them.

>>10867760
Presumably you're older than five now. You obviously survived the experience. It's time to grow up and move on. Get your shit together.

>>10876898
can't you go to ER if you have severe discomfort? it will probably be free too if you arent burger

>its another have to wrestle with girl high on ecstasy for entire night in ER episode

>>10876898
>>10877493
Or just go to your regular doctor. This doesn't sound neurological anyway.

>>10877495
How often do drug users come to the ER in the US?

I haven't seen one yet and I've volunteered at the ER for 2 years before swapping to FM.

>>10877131
>I'm a soicuck physicist, pls gib moneyz

>>10877598
Continuously. Probably half of patients are on something.

>>10877617
>continuously
Do they come in usually with seizures or OD?

I'm curious because I've never seen this and would like to know how do you guys approach it. I'm guessing that the treatment is different for each drug they use?

>>10877627
Most of them come in with behavioral problems, altered mental status, or injuries secondary to behaving like a lunatic. Also a fair number of opiate ODs. Treatment depends on the drug, but for the most part we don't do anything unless they're not breathing adequately or they're too much of an agitated pain in the ass and need to be sedated.

>>10877640
Oh, so it's easier than it seems. I thought you'd need a whole team to put up some IVs, in some cases intubate. Maybe I was thinking about the shit hitting the fan, but from what you've told me, I assume is kind of rare?

What was your worst experience with a drug user that came in your ER?

>FM
>Hates money
How accurate is this, my senpais?

Victor Babes if I'm not mistaken was the physician who said 1 drop of semen is equivalent to some 60 drops of blood in its constituency and effort for the body to make.

>>10877817
Had no idea, senpai. All I know about him is that my university is named after him and also was a pretty fucking good bacteriologist and found the Babes-Ernts granules.

>>10867748
What kind of sick Brave New World shit is this. Goddammit I was definitely clamped.
t. Bernard

>>10873202
What an absolute chad

My balls are swollen and hurt. Do I have cancer? How long do I have left until I gotta chop them off?

>>10877817
He was retarded

>>10878060
See your family physician you dumb fuck. It could be testicular torsion or just an orchiepydidimitis depending when it started to hurt.

>tfw he thinks we can diagnose cancer in a shitty 4chan board
Ok.

>>10878063
Shut the fuck up, nigger.

>>10878064
>See your family physician you dumb fuck.
I will, but it feels weird to tell a female physician that my balls hurt.
>testicular torsion
From what I read that one hurts like shit, I just feel tolerable pain
>depending when it started to hurt.
A couple of days ago
>tfw he thinks we can diagnose cancer in a shitty 4chan board
I never implied you could. I'm just memeing over the fact that whatever symptoms you search online, the first result is always gonna be cancer.

>>10874642

Just be efficient and you'll have plenty of spare time to enjoy yourself.
If your school records their lectures just stay at home and watch those at 1.5 or 2x speed. Find out what study tools work for you, assuming your a usmd you'll hear about things like anki, boards beyond, sketchy and so on.
If your school is p/f then it literally doesn't matter how you do in class, just pass which is not that hard.
Your life should be pretty chill till midway though second year when you'll have to start studying for step 1. If you really find yourself depressed get therapy or get some anti-depressants. I know quite a few people in my class on anti-depressants and it helps.

>>10878070
How's the urine? Does it hurt when you pee or does it have an abnormal color?

Might be epididymitis, tbqhrwtqu

>>10878075
Nope, neither of those desu

>>10878076
Palpate your testciles. Do you feel varicose veins on any of them? (Palpate superficially and don't go deep)

>>10874747
For me it's fine because I'm kind of a misanthrope. Anyways, I was asking for information on Residency life, do you have any?

>>10865979
Starting premed in august. Any tips?

>>10878084
Based retard

>>10878084
wow dude nice what spec did you choose? I'm a premed too and I'm hesitating between neurosurgery and derm, not sure yet

>>10877296
Genital bleeding with or without pelvic injury. The uterus is unlikely to be damaged through pelvic injuries, true, but penis/ urtethra can be though.
And you're right, kidneys are in the back compartment of the abdomen. Sorry, for being an anatomy brainlet; it was late.
But, yeah, I was asking if there is any circumstance, where a guy can fatally hemorrhage from genital injury(like there is for women).
Thanks, anon.

>>10877131
>>10877145
I'll remember that if you get appendicitis and it perforates causing peritonitis.
>Can barely fix anything
Cancer, genetics/ autoimmune disorders aren't everything. Even then, many cancers are pretty curable with medical intervention and many inflammatory disorders controlled with the right medications. Hell, you can completely treat ulcerative colitis with cutting out the inflammed part of the colon and attaching it back to the rest of the normal bowel.
I'm starting to think STEMfag who post shit like this really haven't delved much into medicine outside of cancer and infectious disease(which yes, I will admit hasn't developed much over the years but at least we can essential cure AIDS now with enough persistent combination antiretroviral therapy).

>>10877131
>>10877145

>>10878169 HIV/AIDs*

>>10878169
Pretty based post, desu. I feel like onc and ID didn't evolve because standard treatments that usually work in a spec don't have to be changed massively as in ID for example, when MRSA made an appearance. In both specs, the diseases are "versatile" and sometimes it's more about "playing detective".

>>10878093
I was thinking about family radiology. (Basically read scans and stuff only of family members)

How do I condition my body so that I take a shit at the same hour in the early morning?

>>10878189
based

Woke up quickly and my fist was clinched with the index finger extended. This lasted several minutes and was difficult to move. Thoughts?

>>10878403
Hmm...Have you tried to speak to a psychiatrist maybe? Looks like you need some phenobarbital and midazolam tbqh be quite honest with you.

>>10878403
Go to the ER immediately.

>>10874244
Thanks, anon.
I will use this to help me get brain and bicep gains.

>>10878436
>bicep gains
How? Nothing works for me

>>10878436
You're talking to the actual schizo guy from the OP link

>>10878442
Progressive overload.
Starting strength plus clean eating for most noobs.
It takes time. But the basic math of progressive overload isn't too complicated.
Always start with strength focused programming.
Also, must supplements are a meme. I agree with first anon. Just wanted some outside opinions.

>>10878445
It's probably just him replying to himself. The unique poster count doesn't change when he posts sequentially.

>>10878453
But I can't progress to even 1/2/3/4 plates, and deloading doesn't help.

>>10873788
There's some interesting evidence for arachidonic acid. I'd probably take it if I were resistance training.

I hate you people so much. I was forced to ride in an ambulance for no fucking reason just because I was "mentally unstable" and now I owe $1600 plus I already spent over $4000 on medical payments already. You people are cruel you force me to do things I don't want and you make me pay for it.

>>10878598
>living in America
Found your problem

>>10878599
LIke that makes my problems go away? How can I live like this? I am staying away from doctors from now on.

>>10878598
Ok. That would be 60$ for venting in here, senpai.

>>10865979
How competitive are psych residencies?

>>10877889
>Brave New World
Don't forget the "hepatitis B vaccination" administered less than 12 hours after birth. Injections at birth.

>>10878169
>I'll remember that if you get appendicitis and it perforates causing peritonitis.
How many circumcisions have you perform, Dr. Quackenstein?

>>10878598
Doctors are a blight on society. All of them told me that I could build muscle by lifting but this did not happen. They don't even know what a satellite cell is and have never read a single article that wasn't spoon-fed by their universities (which only use papers from the 70s, which is why medicine is straggling nowadays) and they charge egregious amounts while the cleaning lady could do the same work

>>10878169
Hell, you can completely treat any disease with a bullet to the head.

>>10878763
Not very. Nobody wants to do psych.

>>10878763
Why waste time doing that when you could just do hc administration or nursing?

>>10878598
Don't forget about this:
>https://www.youtube.com/watch?v=uAskbJ7GB0k

>>10878786
The Jewish ones certainly are:
>https://www.youtube.com/watch?v=uAskbJ7GB0k

>>10878859
Circumcision sounds like state-sponsored sexual abuse of children

>>10878872
MKUKTRA subproject 68, if I recall.

>>10878786
99% of medical personnel are either brainlets programmed by their uni or literal pyschopaths. The 1% that arent have to learn to deal with

>>10878598
Don't pay.
Got the full story?

>>10878341
https://medlineplus.gov/ency/article/003971.htm

Have at it.

>>10878598
Kek, what did you do to get a 51/50?

Well this thread certainly has gone to shit. All the nutters are out in full force today.

>>10879202
>people who don't approve of baby dick mutilation are "nutters"
Get gassed, kike.

>>10879202
Sorry, anon. I hope the next one will be better and have actual medical discussions.

>>10867809
As a new grad male nurse, I've been absolutely slaying some Filipino poon. The downside is that it's sort of awkward with one of the women I've stopped getting with.

>>10878598
Just stop being mentally unstable bro.

>>10879271
Let's face it, you're only here because no one listens to you and most likely have been banned from all the other health forums. It's only due to the format of this website we're forced to see your posts, hence why you're posting near daily to, at most 50 people, who would even respond to this thread, hardly world changing.

Please seek help before you become violent and unable to control your homicidal thoughts towards physicians. God forbid you murder some rando doctor in your misguided crusade against healthcare professionals.
On a more empathetic note, it sucks that you have a mental illness, it must feel incredibly unfair that you were dealt such a difficult hand in life. Do you feel like it's the fault of a physician who "clamped" you at birth thus causing your current condition? Do you feel like you need to warn the world so no one ends up like you, harmed by a US Government/Pharma/Physician conspiracy? If I understand currently, you propose there is an entity bent on controlling the populace through brain damage begun at birth and continued through vaccines, ultimately resulting in death due to diseases we've cured but have kept hidden so we can continue to profit off of their suffering?

>>10879429
He's hopeless m8. His posts on /x/ are somehow worse. Even people on /pol/ are quick to point out that delayed cord clamping is the standard protocol.

He just ban evades by phoneposting since his posts have gotten deleted by jannies before.

>>10879429
he is a schitzo indeed but he is not wrong about forced circumscion being wrong

>>10879429
based

>>10879429
>>10879501
>>10879521
I'm not the "clamped" guy, you genital-mutilating medtards.
I'm a circumposter.

>>10879656
>giving yourself a retard name
So, we have the schizo clamper, the herbal retard and now this guy...

>>10879182
Basically I was getting tired of spending thousands on therapy and having no results and I had been thinking a lot about what I disliked about therapy. I told my therapist that I thought psychology was not all it is cracked up to be.

My biggest criticism was with the way suicide screening worked. I told her I didn't like that I could be forcibly hospitalized against my will if I was "too" suicidal because it made it hard to talk about suicidal feelings. I also told her I did not like the idea of being forced to take medication or even pressured to take medication as I had done my own independent research and KNOW medication is not helpful at all. I think the biggest thing though was that I told her there are former therapists out there with years of experience who believe really all mental illness comes from trauma not chemical imbalances and that the DSM is mostly bullshit. I phrased all of this in a nicer less "4chan" way.

After telling her all this she especially reacted to what I said about suicide and then there was a moment where I told her I thought I might really kill myself. I did not mean I would do it anytime soon but it was a nice moment because I could actually talk about my real feelings instead of trying to act like I'm getting better when I am not.

Then the next day she called me and said she wanted a short appointment with me. She was visibly shaking when I arrived and asked me if I still believed what I said and I said yes. Then she stormed out of the room and had a loud conversation with another psychologist and bam I was sent to the hospital. And fuck every single thing I said was true when I got to the hospital. They did try to push me to take medication and only because I am a stubborn ass I refused. They tried to keep me in the hospital but I pushed to get out ASAP. The other people there all had some kind of trauma in their lives and they all said the medication didn't work. Now I really hate psychiatry.

>>10880047
It's probably both.
Some people are more sensitive to trauma than others is the point. The people who are more sensitive are said to have a susceptibility chemical imbalance.
Did she ask if you had a plan(on how you would kill yourself) and do you?
Sorry that the medical system is so fucked here in America because of greedy insurance companies and pharma industries.
Doctors don't make 1/2 of the money that these industries I just listed do so please don't take your anger out on us.
Most o what we charge has to do with upkeep and resources we use to treat/dx.

>>10878786
How is your diet and do you have muscular dystrophy or something? There is no reason you shouldn't if you are consistent for a long period of time. Most doctors don't specialize in biochemistry/genetics. They know enough but the main focus is anatomy and physiology.
Sorry your doctor couldn't write you a 10 page dissertation on a molecular biology topic. That doesn't make him less effective at what he does.
Also, please stop using google to treat your conditions. You don't understand half the scientific articles that come up and you misinterpret them.

>>10878787
Do you understand what a hemicolectomy with anastomosis is?
https://www.crohnscolitisfoundation.org/what-is-crohns-disease/treatment/surgery/proctocolectomy-colectomy

>>10880501
>Did she ask if you had a plan(on how you would kill yourself) and do you?
Yeah and I repeated multiple times that I didn't. I admit I was kind of nervously laughing a bit but I also tried to tell her I didn't know why that was happening I think I just never talked to anyone about that stuff like that before it made me feel awkward.

> so please don't take your anger out on us.
I'm sorry but I just don't agree the blame is all on insurance companies. The doctors and psychiatric nurses, etc. all promoted the toxic ideology that psychiatry espouses. And they didn't simply state an argument and move on they really tried to push and guilt you into believing them. I could tell they were all engaging in a defense mechanism because the truth is too hard to face. Psychiatry isn't helpful, that is why there are so many homeless schizophrenic people. It isn't because of a "stigma" or because the laws respect human rights too much it is because psychiatry is a broken ass system. I have no respect for psychiatrists anymore except ones that try to fix their system from the inside which in my opinion would ultimately be the abolition of psychiatry and replacing it with some kind of empathetic psychological discipline focused on self-actualization not harm reduction.

>>10878784
The only people who do elective circumcisions are pediatricians and sometimes ob/gyn. I don't get what you're saying with this post. Urologist would take care of actual problems like a urethra being severed in trauma or a bladder punctured.
Genral surgeons fix hernias and remove gallbladders and skin tags. Also do biopsies.

>>10878859
I seriously don't get how Americans even started circumcising their kids? I am an American who was circumcised but no way in hell I will do that to my son. It makes no freaking sense especially when the rest of the world besides Israel doesn't do it.

>>10878063
More intelligent than you, brainlet.

>>10880541
Some psychiatrists are just there for the money and don't actually want to practice the psychology they learned so they prescribe drugs and tell you to leave. A lot really do care though. Same with medicine, in general. You just have to find the right ones. I do think your psychiatrist was just very concerned about your killing yourself.
have you ever attempted? If so, that could have amped up her concern
Why don't you believe in medications though?
Schizophrenics have the worse prognosis not only because the stigma but because the medications have HORRIBLE side effect profiles. The strongest ones basically give you temporary Parkinson's disease(until you stop it) and it's because the nature of the disease is dopamine related which is involved with a lot of important brain pathways.

>>10880574
>have you ever attempted?
No. If i would have I would probably be dead.

>Why don't you believe in medications though?
Because there is evidence that they are in the best case not very effective and cause permanent damage to your ability to have sex and in the worst case they literally destroy your brain. Also psychiatrist love to act like you can come off anytime that is complete horseshit. If you stop taking your meds you can die so you need the doctor to comply and free you from the meds. You sacrifice your own agency on something which barely helps at all. Also you hear the BS statistics that it is better for "severe depression", well look up the results for traumatized people with severe depression, it is not even worth attempting.

Also when you look into schizophrenia you will find the only people who recover do so free from psychiatry's influence and off of medication. Yes the drugs alleviate SOME symptoms but they also prevent real recovery from taking place. One famous example is John Nash, ironically hollywood used him as the poster for schizophrenia but guess what? He did not get better from psychiatry he got better on his own drugs did not help him.

>>10880515
Diet is fine and protein-rich. I went up to 3g /kg of protein which did exactly what I figured out it would do : nothing. I did not explore beyond that since it would seriously harm me (and I didn't keep the 3g/kg thing for too long, now I'm back to about 1.5g/kg which should be fine)

I don't have muscular dystrophy

The scientific articles are piss easy to understand. Like, 500 people did X for Y weeks, the results are as follows...

I take it you're one of those doctors? You assert there is no reason I shouldn't, can you point out a paper effectively stating that N>100 people consistently lifted and *everyone* gained muscle? The ones I find say 25% of the cohort can't build muscle, the others just give a mean of improvement, but does not state whether there were non-responders

Here's one of the articles : https://physiology.org/doi/full/10.1152/japplphysiol.01215.2007

lifting for months and 26% of the cohort did not experience hypertrophy

I want to build muscle, please help me I am suffering acutely I want to build muuuscle, life has no meaning when one can't build muscle

>>10865979
anthrax outbreak happened in my town today
flock of sheep had it and 30 people from the local veterinary college are infected.
im worried bros

>>10880586
So let me see if I can help:
Yes, the meds can cause impotency but there are a few that don't. And once you come off the ones that do, the impotency stops so I don't see your issue.
Every person is different even within races and sexes. (shocker, I know!) Some people may not react to one drug the same way others do, and that's where different medication classes come in, one thing I actually praise pharmaceutical companies for.
I admit this part is basically a crap shoot, but the idea is to find the drug that causes the least side effects(best if none) on a given patient.
When it comes to changing or getting off many types of meds, you have to gradually lower the dose(we call it tapering) so your body can normalize to not having it. Afterall, we just put an exogenous chemical in your body so your body needs time to gradually return to baseline levels. If you just stop some medications abruptly, shit can go bad(though not all the time obviously since people are different). Your body basically crashes.
This is almost always the case with psych meds and seizure meds (makes sense since it's stuff that directly effects your brain).
More severe depression is best treated with meds AND psychologic therapy(yes, your psychiatrist actually talking to you too).
Most severe with deep brain electrical stimulation. And no it's not as scary as it sounds lol.
Is there anyone else you can list that got cured of their schizophrenia without drugs? Sure it can happen but I'm concerned about the proportion. Everyone makes a big deal about the 1 or 4 guys who got cured without meds, woohoo, but what about the 1000s of people who didn't and the 100s-1000s that are actually stable on their medication that no one talks about? Of course, we have to keep in mind that in both cases, schizophrenia has degrees of severity so some people will be more easily treated than others.
I wish most scizo drugs didn't make patients feel so awful though.

>>10880649
>I admit this part is basically a crap shoot
Yes because psychiatrists don't actually know what the drugs do they are just guessing. It has been shown time and again serotonin actually has nothing to do with depression and whatever anti-depressants do to help depression nobody really knows (in my opinion it is likely just the placebo effect which is actually stronger if side effects are felt).

>Afterall, we just put an exogenous chemical in your body so your body needs time to gradually return to baseline levels
Anon what you are describing is the definition of addiction. The reason you can't stop the drugs is because they are addicting, you can butter it up with nice sounding words but call it what it really is an addiction.

>Most severe with deep brain electrical stimulation. And no it's not as scary as it sounds lol.
I really hope that is not an attempt to justify ECT

>Is there anyone else you can list that got cured of their schizophrenia without drugs?
Yes just watch this documentary: https://www.youtube.com/watch?v=EPfKc-TknWU
It gives two anecdotal cases which actually is not as meaningless as people think. Anecdotes are not inherently wrong they can reveal hidden truths that science would take decades to discover if ever. But also it references studies that you can look up on your own confirming the points they make in the video.

>>10880595
Have you checked your testosterone levels?
What is your goal btw? You want visible gains like pic related? It better not be some freakishly huge version of Dwane Johnson. Not everyone has the genetics to achieve that, without rioids(hell, for some people even with roids) even with years of training.
Maybe go to a personal trainer/kinsiologist to get more help. Doctors don't really speceialize in body building, just keeping you healthy, and treating sick people. You don't need lots of muscle to be healthy.
What I mean by study interpretation is, you have to keep study design and confounders in the back of your mind constantly when reading any study. Did you study a lot of statistics?
Not just the sample size, but the target population, how random and representative the population they used is to be able to generalize to a population(is the study relevant to a person like you?), the follow up, etc.

>>10880669
T levels should be fine. Women can build muscle too and they don't have facial or chest hair

I am expecting much less than pic related. Virtually any gain is welcome, I can't change at all and I have already been training for years
At day 1000 I look the same as day 1 despite lifting with high intensity 3-4 times a week using compound movements

I've already gotten a personal trainer who was useless and couldn't tell me why I wasn't making progress. He checked my form on all of my lifts too and gave me strength training programs which were similar to the popular ones

>>10880658
I said just that part is a crap shoot. Every drug usually works, it's just finding the one that doesn't cause the side effects that's the main problem. Nice job putting words in my mouth.
It's not addiction anon, one is not addicted to seizure medications, the same way, one is not addicted to coricosteroids when internists give it to you for your autoimmune/inflammatory disorders. You body needs to adjust to the change. It's a physiology/biochemistry thing with feedback loops and such.It's reversible but it needs to be done gradually.
Addiction is the drug to survive, often with higher and higher doses because of built up tolerance until you O.D.
The only meds that have been documented to cause addiction most of the time is benzos and that's why doctors avoid them like the plague.

ECT is justified if the depression is severe enough.

I didn't say anecdotes were wrong, obvious it's not wrong if it happened. I'm saying they are not generalizable. It may work on you, but remember, everyone is different as I said so it probably won't.
Medications aren't perfect, but that are definitely more generalizable.
And believe me, if we could, we would prefer to not keep any concentration of exogenous medication in anyone for long term, let alone for the rest of the lives. For a lot of people, that's feasible, for some...not so much.

new bred when?

>>10880700
>Every drug usually works
No it usually doesn't work if you are severely depressed for a long time.

>Addiction is the drug to survive
What happens if you abruptly stop anti-depressants?

>ECT is justified if the depression is severe enough.
No it is never justified and should be banned. It is completely barbaric.

>I'm saying they are not generalizable.
That is the exact point. Treatment for mental illness is not generalizable it is unique to you the individual but a common ingredient that will help almost anyone is empathy. Far more important than medication and empathy is severely lacking in our society compared to medication.

>For a lot of people, that's feasible, for some...not so much.
And who determines that? The psychiatrist or the patient. Why do psychiatrists have this unfounded arrogance that they know better than their patients when in reality they know very little. Psychiatrists know very little about the human mind and you can understand the human mind much better through dream interpretation, meditation, empathy, individuation, etc much better than you can through drug trials and examining how the brain looks in an MRI.

>>10880694
kek. Women have a small amounts of testosterone and androgens, anon. Testosterone is converted to estrogen in the body(it's the end of the pathway for estrogen) and the adrenal glands make some androgens.
>T levels should be fine.
But did you check them? Also, make sure you are using bottles for water that are BPA free. That has been shown to lower testosterone.
Anyway, you shot too? Did you check your growth hormone levels if so? Maybe an endocrine work up is needed. I'm not a body builder and I don't specialize in making men grow big muscles, but maybe try to increase working out to 6 days a week( one rest day) gradually. Most of the guys as big as pic related or close to it work out everyday to my knowledge.

>>10865979
>>10880724
>>10880724
>>10880724
>>10880724

NEW

>>10880712
But see, you keep going back to a concept that every doctor including myself knows. Everyone is different and will react to things differently.
If it is severe, multiple meds may be needed and of course psychologic therapy which I already mention is best even for more mild depression.

A similar thing that happens to you when you take corticosteroids and you are not addicted to them. Again, it's mostly a feed back loop, something to keep in mind for most drugs that are prescribed for most medical reasons. And as I said, psych and seizure drugs are exerting effects on the brain so you have to be extra careful, obviously.
You're making it look like tapering someone off of an antidepressant is as hard as tapering someone off heroin. It's not in the slightest.

Have you talked to someone who needed and had ECT therapy?
It's definitely not for your typical depression.

My point was that medication is more generalizable than those anecdotes you mentioned. But yes, medicine must be patient centered. That is why there are so many classes of drugs, that is why there are so many different approaches to psychologic therapy. The thing is, psych is tricky since suicide prevention is harder to foresee and treat than say, a heart attack.
I'm not a psychiatrist, though I have a decent understanding of how most of it works having been to medical school. It's not perfect, but it has helped quite a lot of people. I wish all the assholes who only like to prescribe meds and don't bother with talking to their patients would lose their licences. They don't deserve to practice. Failing that, the best thing to do is just find a one that is good.
It sounds like your psychiatrist was giving you both pills and psychological therapy though(the optimal treatment). Was she not? If you find she is not a good listener or doesn't try to understand you enough, find a new one.
>who decides that
The patient as in if they are able to return to being functional in everyday life.

>>10880742
I'm sorry but you are just shilling for psychiatrists. Even psychology was super expensive I still feel depressed I still feel horrible anxiety and now I know I can't even get help because you people don't care you just want to medicate medicat medicate and then lock me up if I behave to poorly. If I talk about things that are too difficult then bam to the hospital I go. It's a joke, there is no help out there.

>>10880750
I am not shilling for all psychiatrists. I just admitted that some are complete trash. Some doctors of other specialties are complete trash too. It can't be helped, just make sure you stay away from those. I feel like you're not even reading my posts anymore. And what do you mean by "you people." I told you I'm not a psychiatrist.
I'm just saying that the probability that you will get cured of your depression with just psychotherapy is not that high. You can try it, perhaps with a better psychiatrist(M.D.) or even a psychologist but just know it's probably not going to be as effective enough. As far whatever the hell else you had in mind like what those anecdotes you mentioned did, you can try that too, maybe even become religious(studies show religious people are less likely to become depressed), just know the chances of that other stuff working for you are even lower.
Have a nice day and stay safe.

>>10880772
There is nothing I can do that is the point. It's a fucking joke they only care about "correcting" bad behavior. FUCK PSYCHIATRY! I am alone and there is no help that is just the sad fucking truth that is too hard to accept. God fucking dammit I hate all of those assholes that act like there is actually help out there you are just liars.

It feels good to just say that cause it is the truth.

>>10880779
They...
the only behavior "they" want to want to correct in depression is suicide which is obviously life threatening if not ending.
It is a serious issue and you make it seem like they don't have a right to be concerned about that. There are things you can do, please don't feel hopeless. I'm saying you can try them
My highest recommendation though, is obviously going back a meds(perhaps a different class of antidepressants, not all them just work on serotonin anyway, many are combined) and talking to someone, preferably a therapist. If it has to be a different one than the one you are going to now, fine. Hell, if you decide to just talk to a friend or family member, you trust as your "psychotherapy" regularly, that's fine too.
You are not alone though, please don't feel that way. Most psychiatrists are not assholes, just some of them. And even the few that are "assholes", really just want to make sure you don't hurt yourself.

>>10880838
They don't even help with suicide. The hospital did not help all it did is force me to pretend like I didn't feel suicidal so I could leave. They surround you with happy quotes and coloring books and fake happy bullshit like it will actually make you feel better. It is a joke, people who don't actually empathize with mentally ill people create these facilities.

I'm not taking any meds I'm not seeing therapists I'm just done. Maybe I will kill myself eventually maybe I won't it doesn't matter nobody will actually help me anyways. You talk about statistics but you ignore the huge percentage of people who never get better from any of the treatment. I'm not going to become a ragdoll to experiment on I'm just fucking done. I'm doing the adult thing and walking away. I will just have to learn to overcome my depression on my own. I really think it comes from a sick society and shitty people in my childhood. And even into adulthood you have to hide all of this about yourself or you will get fucked by the world.

>>10880856
I'm sorry you had a bad experience at that hospital and with that psychiatrist.
>Pretend
but you said you weren't suicidal so which is it?
If you weren't suicidal, then you didn't "pretend" because you actually weren't and they made a mistake.
You have to understand that they want to prevent you from hurting yourself. It's not "joke" or fake bullshit. It's life or death and they have to be sure of it.
It's not a rag doll, experiment. They know the meds work with psych therapy, the issue is finding which one of them works well with your body so you can keep taking them for a long period(takes at lesst6-8 weeks for effects to shart kicking in btw)
How are you going to get better on your own if you're not talking to anyone? Not even family/friends that you trust?
Your issue seems to be that you're feeling alone and misunderstood also you had a "shit childhood."
If you're not going to take medication or see a therapist at least talk to someone, it's going to be very difficult cure a condition that makes you feel hopeless, fatigued, and disinterested in life/activities everyday.

>>10881137
I'm not an imminent threat to my life. There were people there who attempted suicide multiple times, like actual attempts and none of them are no longer suicidal just because they spent 3 days in a hospital.

>They know the meds work with psych therapy
No they don't. They will not take no for an answer in practice. If you say the stuff doesn't work they will not give up until you tell them it worked. It doesn't matter if it actually worked or not. And the studies do not actually show medication to be particularly effective there are huge percentages of people who do not get better.

>How are you going to get better on your own if you're not talking to anyone?
I don't know but I have nobody to talk to. I spend so much time on 4chan because I have nobody else. And therapy is so expensive and it doesn't feel like they really care. How can a 45 minute appointment once a week that costs me $120 possibly make up for an abusive childhood and a lack of friends as an adult. It doesn't feel like it is what I need. What I need is someone to care and be there for me when I need them of course even when I said that my therapist said I was "asking for too much" that's just ridiculous how is it too much to ask for a friend? I am making some friends at my new job though but there is no way in hell I can talk about my feelings with them it is too much for that.

>>10881214
Unfortunately medical care in this country is so expensive and accessible to a lot of people. Your job doesn't offer insurance? If you don't make too much, you could consider medicaid(which covers psych now). That's up to you though.

Well, if you feel like you are not at increase risk of suicide, and are able to function well enough at work and with friends, do what you want. A person like you with no close contacts is high risk though. If you are depressed it can hinder your advancement in friendship with your coworkers.
...it seems like you just don't like your therapist though, if you can't connect with her then it's a problem and you should try getting a different one as I mentioned before.

Btw, when evaluating studies, it's important to understand statistical significance. If 20% less people commit suicide or feel depressed after taking a drug compared to not, that's still a lot of people you're saving(think about the entire population) and it's worth trying, especially when there are so many drug options to choose from so that at least one of them should fit a person's body chemistry.
Alas, if no drugs for you, try to surround yourself with friends...its hard though since everyone else around you is happy or happier. That is, unless you find out one of them also has similar feelings and you're able to speak about it to/understand each other. But yeah, that usually takes time.

>>10881256
It's best if I just let go of any idea that anyone will help me. I have to figure out on my own how to get through this. It is too hard but I don't have any other choice. I tried therapy, it failed, there are no other good options so I am done.

>>10874405
> The glove’s early successes were actually in increasing the core temperature of surgery patients recovering from anesthesia.

“We built a silly device, took it over to the recovery room and, lo and behold, it worked beyond our wildest imaginations,” Heller explained. “Whereas it was taking them hours to re-warm patients coming into the recovery room, we were doing it in eight, nine minutes.”
So it works the other way around as well? I'm more excited about the job it's gonna do in hypo/hyperthermic patients. I don't give a fuck much about sports.
>>10876938
Big reagional hospital.
>>10876898
Your symptoms sound general and vague. It can variate from plain viral infection to a local infection or hell even some transmissive shit. Have you traveled to a tropical country, have you had sex with hookers? Have you been in contact with sick people? You see it's kind of har for us since the body has a stereotypical response to many infectious agents which can be summarised as Systemic Inflammatory Response Syndrome (SIRS). Which includes most of your symptoms. Specific blood work and maybe imaging testing should clarify your condition, but I don't think it's neurological.

>>10881837
vague anon here
I haven't been out of the country, I've barely been out of the house
Just had some labs done, which all apparently came back normal( this was just told to me over the phone before I set up my next appointment)
said labs include a basic metabolic panel which is appended by (8), I have no idea what that could mean
CBC with differential/platelet
and TSH

In the continuing vein of /sci/ offerings, I proffer this (potentially) very ancestral dog