/sci/ - Science & Math

>>10897943
not a science or math

>>10897954
Thank you for reminding us! Now do something about it.

>looking like a guy who sells flip-phones from a stall in the mall back in 2003
>not wearing your white coat everywhere

>>10897985
Nope. It's annoying to wear and looks like we're working in a butcher shop except we have clean ones.

>>10897943
You didn't use the updated pastebin reeeee

>>10898004
Shit, I forgot about it. Put it now so it'll be easier for me to grab it for the next bred.

>>10897985
i avoid wearing it anywhere that is not the inside of a medical building.
It makes me cringe where i see people wearing what is basically their work uniform on the street,in a local market,plus everyone not related to the profession now has one because if you cut meat or cut hair you are just as good of a medical professional.

>>10898018
Basically this but I don't wear it even in the hospital. We're required to wear something so I just go with a scrub top or, in one exception, a prof told me to go take a photo and pay for a hospital ID card but I wasn't a volunteer, only a student (volunteers get those).

>>10884054
>Like you are literally being irradiated for chump change.

if you get irradiated, you are a candidate for the Darwin award. You get the stuff from the techs in a syringe in a lead box, how can you spill it?

And do you know how low the radioactivity is compared to interventional cardiologist/ orthos who need to x-ray more or less the whole time?
And do you know this little rings on both hands of nucs and the little thing in their pocket? well, it is for meassuring the amount of radiation you get. If it gets to high, you stop working till you are good again. Radiation is not only about the amount of energy, but also exposure time.

We could talk about deterministic and stochastic radiation damage, but you have no clue it seems, so it has no value.

I am also currently in nuc medicine in Germany, since it is really laid back and future proof for now. It makes also huge steps in therapy, PRRT and PSMA are not the end for sure.
if I want i can also get the radiologist training, both together would be 8 years then here insteads of the 5 years you usually need. Will think about it when I decided if I want my own clinc or aim to become a leading doc.

>>10898010
Here you go :)
https://pastebin.com/aYNv0zFc

>>10898047
Thanks senpai. Won't forget the next time.

>>10897954
Spotted the raging incel

>>10898018
>everyone not related to the profession now has one

I guess this is the is the difference, here no one else wears a white coat.

>>10898084
Pretty based desu. UK, I assume?

>>10898093
Not him but probably UK since they have iron grip on the masses.

>>10898096
>iron grip
What do you mean by this?

1) for the last weeks (maybe even months already) the muscle beneath my left eye has been involuntary been twitching, I assumed it was because of fatigue or stress.

The last few days my whole face often suddenly spasms and contracts making it look like pic related. What is the cause of this and how can I eliminate it or reduce it? My diet is great and currently lean bulking, lifting and kickboxing and getting at least 9 hours sleep at night. Although I need to do several naps per day.

2) another question out of sheer curiosity: how many hours do family physicians study on average on the side of their practice to keep up with medical knowledge?

>>10898104
too many laws,the the living itself is over regulated so they have polices in place that forbid anyone but people with title doctor use a white coat.

>>10898106
> how many hours do family physicians study on average on the side of their practice to keep up with medical knowledge?

Depends on the physician. Mom, for example, looks up an article of interest every week. (Usually advancements in chronic disease management or pediatrics) Also depends on what the physician is interested in. I recently subscribed to the Family Med Journal (Romanian version, ofc) and the first one got here pretty fast and studied it with mom. There are physicians that study intensively and there are physicians that don't study at all. It's stupid to assume all of them do it.

>>10898093
nah, northern europe.

>>10898120
Based anyways. I wish we had those rules. Here, we have to wear something to distinguish ourselves from the patients or visitors, but I think a stethoscope is enough, to be honest.

Been searching trough my mom's books. Found an IM 1993 book. Looks decent, will start reading it. /comfy/ at its finest.

>>10897943
No idea where else to ask this so here goes. I've been thinking about becoming a physiotherapist for years now seeing as sports, sports injuries, anatomy, physiology and biology have always been some of the only things I'm good at. I'm already a licensed health coach and massage therapist (complete fucking waste of time and resources) so I already have some knowledge in the field. Thing is I want to be guaranteed a job after and I do not want to waste a bunch of money on a degree which leads nowhere

>>10898288
So...what's your question?

>>10898291
If getting a physiotherapist degree is worth it financially and timewise

Can any burgerdocs explain how your system works?

Let's say you have a patient with psoriasis currently on methotrexate and you want to switch to biologics, do you have to clear this with the insurance company?

>>10897943
The area just below my navel hurts once or twice a month when I pee. Is it a kidney stone? Or something else?

>>10898298
It is if you work in a PM&R clinic, imo. I wouldn't go into the private sector by myself but it is worth it. US, UK, you know, the medically superior countries, not like my shithole.

can someone name few bone imaging techniques that are not commercially available?

>>10898345
alright, so basically pointless if you live here in Sweden

>>10898355
Depends, senpai. If you have any neuro or ortho clinic, you can do very well there.

>>10898288
Physical Therapy in the US is borderline total garbage, its really sad because you have to go for MD and the costs are over 100K and you only get paid 75K or so sometimes lower.

If you are starting from scratch, be a total Jew and just cut corners everywhere, go to community college, try to get scholarships and pell grants then get into a reasonably priced PT school, like NAU in Arizona where its a 50K degree.

The actual JOB is in crazy high demand supposedly because of the fact that few people want to get the degree and yet a lot of people need therapy services.

This may not apply to you but maybe will help someone.

>>10898383
I don't want to create my own bussines senpai. I'm only 21 and have zero past work experience. Then again if I become a physiotherapist alongside being a massage therapist and a healt coach which I am then I can start my own physio/massage/PT and motivational interview clinic, lol.

>>10898399
I got through 1.5 years of community college via scholarships and savings, unfortunately I have no shekels left and have to apply for student loans when I start studying at the university hospital I was planning on going to, I will absolutely not drink unless someone offers, and I will buy the cheapest fucking food possible, me and my gf will split the rent (planning on moving to her since she lives in the area where I'm gonna study) way cheaper than a student's apsrtment, and aside from rent and food I will only spend money on a cheap as fuck gym membership. Maybe apply for a night shift job at a gas station or mall or whatever.

>>10898115
>MUH MUM!!!
shut up already brat

>>10898320
You don't really have to "clear" anything. You just prescribe what is indicated and it will usually be covered by the insurance plan (assuming it's private or Medicare. Medicaid can be kind of a mess sometimes).

The only real trouble you run into is if you're trying to prescribe something off-label, or something expensive that has other alternatives. Some common examples would be:

1) Trying to prescribe a high potency lidocaine patch for something off-label like neuropathic pain. Most insurance companies won't pay for it for anything other than its main indication, which is post-herpetic neuralgia. So then you have to "clear" it

2) Trying to prescribe something like Myrbetriq for overactive bladder when there are tons of dirt cheap meds that basically do the same thing. They want to know that the patient has failed things like Ditropan and Toviaz first.

3) Trying to prescribe Eliquis when the insurance company has an agreement to only cover Xarelto. You basically just have to figure out which med is covered by the plan and choose that one.

>>10898399
Physicians are in higher demand, get paid more, and the total training time isn't even that much longer compared to the total benefits. Really I can't see any reason to get a DPT unless you just couldn't get into medical school or really really want to do physiotherapy.

Any tips on how to succeed in anatomy? Also our final is an NBME exam, any tips on that as well?

>>10898469
>brat
Dude, he wanted an insight. I gave him an insight from what I know. What a waste of a fucking reply.

>>10898518
I'm the guy you initially replied to, thanks for the answer. I lurk most of the /med/ threads and find you one of the more interesting persons, ignore the other anon

>>10898520
yeah, never seen an oedipus complex like this case. Fascinating.

>>10898520
Thanks, I guess. Sorry I couldn't give you a better example.

>>10898493
Not him but do PM&R docs do what a PT does too? Besides managing the patient and creating a program with the exercises, occupational therapy if needed.

>>10898525
>oedipus complex
Just stop projecting, my man.

>>10898529
https://www.aapmr.org/career-center/medical-students/a-medical-student's-guide-to-pm-r/what-is-the-difference-between-physical-therapy-and-physiatry

>>10898515
>Any tips on how to succeed in anatomy?
Read the material, read papers, participate in labs and cadaver dissections. If all that fails brute force memorization with anki and become a pajeet tier doctor who knows nothing about anything and flies by the seat of pants.

>>10898532
>no u
Come on man, you cite your mother on every second comment. there is not much to project mate.

>>10898542
I never said anything like "no u", just told you to stop projecting because it's not true and assuming shit like this it's incel tier desu. Now how about you stop being a little assblasted baby boy and do something more useful, like contributing to the conversation instead of spitting shit out of your mouth.

>>10898559
Boy, the only baby boy near and far is you.
you spam "my mum doos x/y/z" shit on every thread. In the begining it was interesting, then amusing, now it is finally annoying . And it's not only me, in every thread somebody points it out. The only difference to the the clamp guy is that you somehow make sense, but just a tiny bit more.

I just want to ask the following: considering inflammation is mediated by the release of chemiical substances and migration of white blood cells at the site where inflamition takes place, is it possible for inflamtion at one site of the body, say at the gums, can worsen inflamation at a completly different site like say, a muscle of the leg? thanks!

>>10898597
Yes, I do write things about my mom, so what's wrong with that? If you find in annoying, just filter the word "mom" or something, I don't really care. The anon asked for something, I responded the way I knew, I don't see anything wrong with that.

>in every thread somebody points it out
Okay, don't know when but the only time I know about was the first time when someone whined about it. You're the second one, to be honest with you.

And now you gave me the
>no u
answer
Holy shit, my man. This is the most retarded post I've read in a while.

>>10898477
Cheers. Really appreciate it.

Sounds pretty much like here then, although we do have more discretion if there are alternatives.

So I think I have a mild concussion from having to do too many headers at todays soccer game. The enemy goalkeeper was literally retarded and shot every ball sky high.
How long does one usually have to rest in a situation like that? I should go to the doctor tomorrow, right?
Also what are the chances that my brain will be fucked for life? I dont want to lose intelligence etc...

>>10898793
I honestly don't know how can you possibly get a concussion from heading a ball, my man. I hope you headed it with your forehead, like a normal person, right?

>>10898799
Some yes, at least one not. Its harder to judge the kind of balls that literally just fall from the sky imo. Now I have headache, neck feels stiff, i feel slower, somewhat dizzy if I move faster.

>>10898803
I don't think it's something serious, tbf. Just take a hot bath and go to sleep.

What the fuck is wrong with my posture/spine lads? I feel like it shouldn't be at this sort of angle when I'm just standing up

>>10898659
I think you already asked that and got an answer in a previous thread. Nonetheless, if the question is can cytokines released by inflammation in one place cause a systemic reaction, then yes. Might it make preexisting inflammation somewhere else a bit worse? Sure, but the inflammation would have to be pretty severe. But can localized inflammation in one place directly cause localized inflammation in another? I doubt it. Why would circulating cytokines just decide to stop and hang out in your leg and only your leg? In that scenario, it's more likely there's a common factor underlying both. Gum infections are particularly bad about causing bacteremia, which can cause septic arthritis in distant joints or infective endocarditis which can then send off infectious emboli to random places. Many autoimmune conditions can also cause inflammation of seemingly unrelated parts of the body.

>>10898706
It really depends on the patient's insurance. Better plans will approve almost anything with little to no hassle. Shitty plans will fight over anything that isn't in perfect alignment with their preferences.

>>10899191
scoliosis

>>10899308
Scoliosis is in the coronal plane, not sagittal.

>>10899310
so it's like kyphosis but the opposite?

>>10898288
>Thing is I want to be guaranteed a job after and I do not want to waste a bunch of money on a degree which leads nowhere
Sorry, if you're in america that's the only option. Shit's fucked.

Is your brain chemically balanced doc? Doesn't look that way to me looks like we will need to get the big one out.

i really don't want to see patients
should i go in radiology or pathology?

>>10899483
Shouldn't go into medicine at all.

>>10899318
No, kyphosis and lordosis are opposites and are both in the sagittal plane. Scoliosis is lateral bending, in the coronal plane.

>>10899483
What, don't want to listen to dozens of boomers' back pain every day? Radiology makes more. Microscopes or physics, whichever one is more interesting to you.

>>10899500
*crack* *sluuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuurp* Ah, yeah, now that's a good fucking drink. My wrists hurt a bit from mowing the lawn. I should check it out with my family physician. Thanks for the advice /med/.

Excuse me while I _lmao_@ differential diagnosis that includes Psych Rx

>>10899551
Genuinely interested. Post study.

>>10899554
My philosophy professor used to say in an offhand way what bullshit Psychology was.

I took many psych electives.

Abstract
The theory and practice of psychiatric diagnosis are central yet contentious. This paper examines the heterogeneous nature of categories within the DSM-5, how this heterogeneity is expressed across diagnostic criteria, and its consequences for clinicians, clients, and the diagnostic model. Selected chapters of the DSM-5 were thematically analysed: schizophrenia spectrum and other psychotic disorders; bipolar and related disorders; depressive disorders; anxiety disorders; and trauma- and stressor-related disorders. Themes identified heterogeneity in specific diagnostic criteria, including symptom comparators, duration of difficulties, indicators of severity, and perspective used to assess difficulties. Wider variations across diagnostic categories examined symptom overlap across categories, and the role of trauma. Pragmatic criteria and difficulties that recur across multiple diagnostic categories offer flexibility for the clinician, but undermine the model of discrete categories of disorder. This nevertheless has implications for the way cause is conceptualised, such as implying that trauma affects only a limited number of diagnoses despite increasing evidence to the contrary. Individual experiences and specific causal pathways within diagnostic categories may also be obscured. A pragmatic approach to psychiatric assessment, allowing for recognition of individual experience, may therefore be a more effective way of understanding distress than maintaining commitment to a disingenuous categorical system.

>>10899596
>posts the abstract

>have L1 anterior wedge fracture
>the only chronic pain I have is at T4-T5
????

Don't understand how someone can do pathology. Seems like a soulless specialty.

How do I stop my mother from trying to give medical advice on everything just because she was an occupational therapist for two years? From what I understand it's not a particularly well respected profession and lots of her advice has completely gone against what I've been told by osteopaths and musculoskeletal specialists

>>10899795
Let her do it, just don't take it.

Mom's always give advice. always. Regardless of who you are or what position you're in.

guys so, I've been doing the Russian kick dance out of boredom and now the upper part of my knee hurts whenever I completely extend my leg or flex the quaddricep, can someone tell me what most likely is?

>>10899644
how can i post links, it thinks they are spam

>>10899833
hyperextension of the knee. Common in people who "lock out" the knees habitually when standing. Cure is stop doing it. Maintain a healthy slight flexion

>>10899803
>Moms always give advice
Nah, typically women are only mentally unstable between the puberty and before menopause ends. After the hormones stop they can be pretty rational.

I want to do no actual work and just talk to patients, what's the best specialty for this.

>>10899866
For how long is it supposed to last? I think I've been going for two weeks now

>>10899877
Depends on your posture and gait. Call your family physician and ask him to recommend you to a physiatrist. If poor American just get a drug addiction and die in a puddle of vomit such is america.

>>10898469
Shut it scrub. His reply was helpful.

>>10899596

Psychologyfag here. This is true. Some aspects of psych are pretty intriguing/not bullshit but a lot of it is nonsense (see replication crisis).

>>10900000
Based

>>10900007

The name's Bond. Dr. Bond.

>>10899862
Just post the pubmed id

>>10899869
psychiatry

How to survive obgyn rotation without getting a rape charge?

>>10900197
don't get caught

>>10899596
Fuck what a stupid paper. This is why the field is in the dumps, we have been publishing papers like this for the last 150 years.


>>10899554
Allsopp, K. 2019. Heterogeneity in psychiatric diagnostic classification. Psychiatry Research, 279, . doi:10.1016/j.psychres.2019.07.005

>>10899869
Do I dare to say it?
Nursing.
*dab*

>>10900345
Kek. Based post.

>>10900345
BuT nUrSiNG iS ThE bACkbOnE oF MedICNe

>>10900345

WALLAH dinner served on a platter fit for a kang

https://www.youtube.com/watch?v=TATSAHJKRd8

Can we discuss this? Amerifags is this true? Also I thought US docs are mixed. Non-amerifags how is it in your country?

My colleagues are racist as fuck, but every patients gets examined and treated the same. I procede in the same way (but not racist tho).

>>10899782
More like comfy as fuck specialty. Chill at the office look at slides all day. Crack up the music. Slurp coffee and chit chat with other paths.
>>10899869
Psych. Maybe nephro? They don't have much manipulations, biopsies are not done by many. You just need an US.

MBBS are fake doctors

>>10900725
kys

What is the most based speciality?
I'm in 4th year and I need to decide soon.
Literally have no clue, potentially thinking about going RAF and space medicine route but that sounds autistic and I don't fancy being a slave for 6 years.

>>10900836
Family medicine -> aerospace if you want to. But you'll mostly practice on pilots of commercial flights AFAIK.

>>10899869
Just go for a psych degree instead.

>>10900725
Leftists desperately want everything to be racist. If something isn't overtly racist (like most things in the modern world), they will point to any deviation from exact proportional representation or any expression of any idea that isn't in perfect agreement with the progressive orthodoxy of the moment as absolute and unquestionable proof of systemic racism. They've become so committed to the idea that it's basically a religious belief now, and trying to have a serious discussion is about as productive as trying to have a coherent conversation with clampschizo.

>Have been coughing up lots of phlegm every morning for as long as I can remember
>I'm only early 20s
Is asthma to blame for this or is it because of something else? It's a pretty antisocial problem that I'd like to manage if possible

>>10901541
Asthma can do that. Is your asthma being treated?

>>10901572
I'm on medication for it (asmol and seretide) but I tend to get lots of low intensity asthma that I don't medicate (it goes away on its own after 20 minutes or so) instead of full on asthma attacks. For whatever reason I have to use medication most commonly when I'm just lying in bed, exercise doesn't really trigger it so I don't know what the deal is with that, but it might be why I only get phlegm in the early morning

>>10898201

tl;dr: tacos no es bueno

>>10901650
Romanian is closer to Italian actually, funny though because the book seemed to be more focused on digestive system pathology, the rest of the systems were like 5-6 short chapters so I guess tacos no es bueno at all.

>>10900345

FUCKI'N A BROTHER

>>10900197

get in fast, get out even faster. don't use the finger over the introitus, just get that speculum in immediately and don't dig around, and oh, don't lick your lips.

>>10901541

screened for CF?

>>10901672

at least the freeholeeze, really bad for the ampules of vater, hey, vlad?

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

>>10901716
Kek, not this again.

Guys should i go into general surgery? Ive really enjoyed my surgical rotation and I could imagine myself doing this for my career. I'm just worried if I can survive general surgery residency plus fellowship since I'm not that smart or mentally tough. Also I can't match a surgical sub specialty since my board scores are too low so I would need to do general surgery to do surgery at all.

>>10901705
Yes, it's not CF. I'm leaning towards asthma but not sure how to treat this

What's the weirdest thing you guys have personally seen in an op? Not necessarily goriest but just plain fucked up

>>10901601
Asthma is an inflammatory condition. Your serum cortisol level decreases at night, so inflammation gets worse. It's normal for asthma to get worse at night. Exercise is a common trigger, but by no means universal. Do you take the seretide every day even if you don't have symptoms? You should also consider seeing a pulmonologist as it sounds like your asthma isn't very well controlled.

>>10901705
Possible, but extremely unlikely. Diagnosis of CF in adulthood is exceedingly rare and you'd expect more severe symptoms than just phlegm in the morning.

>>10902024
Sex Reassignment Surgery

I've seen everything imaginable and SRS is the only thing that can actually make me feel disgust.

Circumcision really should be banned on infants and children in all seriousness desu. Unless there is a true medical reason but I doubt there is any even phimosis has alternatives.

Where did the clamper go? I miss him.

>haven't lurked /med/ in about 2 months
>romanian poster still going on about his mom

How often do you masturbate to momcest porn? be serious

>>10902190
This is equivalent to walking up to your friend who is always talking about his daughter and accusing him of being a pedophile.

>>10902190
Shoo, vendetta-chan. Leave Romanianon alone.

>>10902022

stop smoking. how's your farting?

>>10902037

granted if PFTs are normal and exacerbations are rare, looking at autoimmune or mediated response conditions as discussed. learn to weave basic science bitch knowledge with clinical relevance and you'll do great.

>>10901969

no one is. review the life and shadow a cutter before becoming one and having doubt later. no ragrets.


>>10902024

hemipelvectomy

Anyone here know much about CT physics? I'm so fucking confused.

>>10902339
I don't smoke, drink alcohol or coffee. Farting no more than average, but why would that matter anyway?

>>10901510
I'm relatively left myself, but this is ridiculous.
>>10901969
Smart surgeons, lol?
>>10902024
>A famous professor, burst a main vessel out of negligence. Twice.
>>10902188
Don't summon him.

>>10902190
ah, nice to see somebody else also mentioning it.
>"but only two ever complained"
Well, obvs. lie and maybe time to reconsider your lifechoices. But as long as fags like >>10902215 encourage him, he's not gonna think about it.

>>10902352
whats the problem to understand? simplified: instead of producing a plain 2D picture, you produce a 3D object (voxel) with the density information. Your pc calculates an model, shows you the picture, the end. And don't tell /a/, /b/ and any robot, but 3D seems to be better then 2D.

>>10902683
Nah just more confused about the technical factors, like what slice thickness actually means.

>>10902683
That's the most absurdly hand-wavy explanation I've ever heard. You might as well just say it's magic.

>>10902685
Quite literally the thickness of tissue imaged in each 180º sweep of the scanner. The reconstruction interval is the thickness of the reconstructed slices, and is a function of the slice thickness and the table speed.

>>10902711
well, the most basic explanation. he needs to open a book for everything else, not here to make his homework.
but your explanation, god-like. explaining the asked term with the asked term:
> "the thickness of the reconstructed slices, and is a function of the slice thickness"

>>10902190
>>10902664
Assblasted fags. I'm engaged, don't know why would you assume I'm obsessed with my mom when I only post stuff that she does as a doctor. I can't relate to anyone else besides her and I'm pretty sure that you'd do the same if you lived your entire life being raised by a physician.

>inb4 2 people complained
I don't really care, I'll post what I want as long as it is on topic and I'm pretty sure I haven't derailed unlike you.

>>10902711
>>10902722
LIterally all I want to know is this: if we have an axial slice from a series, like a thorax, then what is that slice representing? Is it demonstrating a 5mm thickness of tissue in the axial plane, that it has somewhat condensed into a 2d image? Or is that 5mm block of tissue literally only 1 pixel in the z axis so can't be expanded any further?

What if you have a series where you have 3mm slices, but change the display to 6mm? Will it only show every 2nd slice when you scroll through?

>>10902737
yeah, engaged is an understatement. you post to every shit to any time. often not even on topic. Can remeber a discussion about bio.chem. and you start with "i like family medicine", completly unrelated.

If it is what you like, go for it. but don't pretend like you are still on the normal spectrum.

>>10902746
We don't talk about pixel anymore, we talk about voxels first of all.

And second: Everything even with a gif examlple is here:
http://xrayphysics.com/ctsim.html

>>10902737
>fags
Why the homophobia?

>>10902759
he is from romania

>>10902757
I will look at that, thank you anon.

>>10902750
>wooo, he went off topic once from what I remember, haha
Ok.

>you post to every shit to any time
???

>engaged is an understatement
Is this supposed to be banter? I think I wrote about my fiancee in the older threads, so idk why you're so assblasted.

>>10902759
>why the homophobia
It's 4chan, fag is the normiest insult senpai.

>>10902768
>engaged
means als very commited (to post here).
Not in my wildest dreams I would have imagined you would use your finacee to prove you are not overly attached to you mother after all the shit you write about her here. I mean, what is the connection? plenty of guys are still mama lil baby even if they are married. no point there.

>you post to every shit
half of the posts here are usually from you. and in half of these comments, you mention your mother. but you seem to be pretty assblasted when people indicate you use /med/ like your diary.

>>10902768
>the normiest insult
no that would be incel, sweaty

>>10902787
I just wanted to make sure we're clear about one thing and you fuckers just stop bragging about this. I may be very attached to my mother, but the reasons are mine and mine alone, I don't have to prove anything to you.

>using /med/ as your diary
Shit man, you got me. I have no social life and have to prove stuff about my life on an anonymous image board. Just stop. Look, if you really want me to stop, I'll stop, man. I thought everybody would be fine with it as long as I was on topic and you wouldn't mind that I mentioned my mother that much. I didn't give it any thought, being in her presence for so long, I remember a ton of shit about what she did and is still doing.

>>10902791
Ok

>>10902791
Fag is is a suffix on 4channel and faggot is just a filler word
For example
Newfag
Nursefag
Moralfag
Clampfag

>>10902722
"It's not pixels it's voxels" is not an explanation of anything, much less an explanation of how CT works. Voxels are just a feature of one approach to image reconstruction, and aren't a necessary part of tomography or axial reconstruction of CT scans.

>>10902746
A slice as captured by the scanner is usually about 1mm thick and is a property of the machine. The reconstruction width is based on the table speed, so if you run the table such that each trip around the patient takes 10mm, then you'll one 1mm slice per 5mm of patient. The computer will interpolate between the slices to give a continuous 3D reconstruction, or to create the appearance of flat slices (the scanner runs continuously, so each raw slice is actually a helical section). Exactly how that's done and how it's displayed is specific to the software and probably varies between different manufacturers and models.

>>10902849
It was not an explanation, it was a correction because OP did not use the right term. might not be important to you, but if you the most basic terms wrong, it is already a bad sign for an exam.
and you are wrong again:
"A CT image is composed of a square image matrix that ranges in size from 256 X 256 to 1024 X 1024 picture elements or pixels. Since a CT section has a finite thickness, each pixel actually represents a small volume element, or voxel. The size of this voxel depends on the matrix size, the selected field of view (FOV), and the section thickness." (Prokop and Galanski, 2003)

Of course the resolution got better, but the point still stands: a voxel ist the smallest unit of an Ct picture, aquivalent to the pixel on 2D. Its size deffines also the thickness.

Also it is not only about the speed of the table, but the dedector width. I see you like your reconstruction very much and is important, but every picture starts with the recording of the data. And vor this, the detectors are the most crucial part.
to cite the website from further above:

Slice thickness and Reconstruction interval. In step-and-shoot CT, slice thickness and slice spacing are the same - each time you scan one slice, you move to the next slice and start again. However, in helical CT, you are continuously scanning the entire patient. This decouples the selection of slice thickness from slice spacing (reconstruction interval). With single-slice CT, the slice thickness is determined by the detector width - with mild slice broadening just based on the pitch of the helical scan. With MDCT, slices can be composed of a single detector thickness or multiple adjacent detectors. For example, if you have 2.5 mm detectors, you can either create 2.5 mm slices (well, slightly broadened by helical technique), or you can create 5 mm slices by adding the data for two adjacent detectors.

>patient comes in
>says he feels like something pushing down on his chest
>hear sounds fine
>left lung is normal but I can barely hear the murmur on the right one
>no coughing, no fever, haven't had a cold or flu in a long time

We sent him to pulmonology. What could've been? The murmur was barely perceptible. The patient is 30 y/o and works as a truck driver. If you need more info ask.

>>10903274
I hope you did an ECG?

>>10903295
Yep. Normal. O2Sat = 97% , HR = 74bpm.

I've been seeing flashes of white light in the left corner of my left eye for about a month and a half now. My vision in that eye has also gotten progressively more blurry. Like when you swim in a chlorinated pool and everything looks blurry and has a glow when you get out, the vision is like that all the time. It's gotten so bothersome that today I've been keeping that eye covered so I can see clearly with only my right eye. In addition to that I have hidradenitis suppurativa with two currently draining boils in my groin and a swollen one on both inner thighs. I may need to go get those two lanced, it doesn't seem like they're going to drain on their own and the pain is becoming intolerable. I have literally zero dollars to go get treatment with. Is it over for me lads?

>>10902453

so you don't drink don't smoke?

>>10903274

Sits all day? Fat? Smokes? Unilateral chest pain?
Rule-out NSTEMI?

Sheeeeet negro, that's a PE.

>>10903304
that's not how you interpret an EKG, EMT.

get some learn'n

https://litfl.com/top-20-online-ecg-courses/

>>10903495
Well, he's mostly driving his truck for 8 hours. (Courier) bmi is 23, something can't remember. No pain, just the feeling of having pressure in the middle of his chest.
>>10903502
Gee, man. Thanks. I just added the sat and bpm for extra info.

What a fucking day, guys. Today was "get your labs for free" kind of day, this shithole at least has cheap to free healthcare and it's decent. Had like 30 people in total only for blood - in this country, the FM's office receives like 50 or something free CBP's (as well as urine and shit samples) which is nice. Today we had only 30 left, so 30 tests were gone like fresh bread, then other people came here (had a hypochondriac one that told us she wants to change psychs because she believes her psych is up to her standards, I fucking kek'd but hey, it's their right so I had to do a bit of "research" before recommending one because apparently she's too fucking stupid to give google a quick search) and now in the afternoon the online patient database went into maintenance...just as we had a packed waiting room full of people wanting refills and here, to write a prescription you must validate it in the database, so everything has to be done trough that program. Fucking gypsy IT people, after making such a shit program to work with, they closed it for maintenance at 4PM...

>>10903603
is NOT up to her standards*

Does medical technology even progress nowadays? What are some incurable disease or similar from beginning of the century that can be cured now.

>>10903621
I don't think there are any. But diagnosis wise, we kind of evolved, but we found this:

https://www.medscape.com/viewarticle/916372?src=soc_fb_190824_mscpedt_news_neuro_bloodtest&faf=1

Which is kind of cool.

>>10903624
Holy shit fuck medicine. Here I hoped they might be able to reverse sensorineural hearing loss in my lifetime.

Im this >>10898793 Anon

Doctor said I have a concussion and said no exercise for two weeks. Say my symptoms are gone in two weeks, is my brain back at 100% in that time?
Im afraid to get concussion again desu...

>>10903646
A concussion from heading balls? Damn, that was unexpected anon. Make sure to check back with your doctor in two weeks. Take care.

>>10903746
Yes its actually the first time in 18 years of playing that I experienced symptoms like this lol. And as I said no other goalkeeper i faced shot the balls as high as him.
Are you knowledgeable enough to answer the question?

>>10898018
>>10898084
>>10897943
The patrician choice is clearly the custom patigonia/pull over.

Anyone else find the history of the obstetrics kind of interesting? It started of under control of women as midwives, then got co-opted by men as doctors in hospitals. Now it's made it's way back full circle under control of mostly women [doctors] again. It's expanded to include all aspects of reproductive care from keeping a pregnancy viable(MFM) to ending it whenever possible. Women basically are able to control when a baby is born and when it's not. Women have come a long way indeed...
Just some random thoughts.

>>10903621
HIV can effectively be cured with an undetectable viral load if the person sticks to their medication regiment closely enough.
Like they literally have sex and not transmit it. You probably shouldn't do that all the time though just to be safe.
>>10903624 Don't listen to him he's likely just a premed or 1st year medical student at best.

Surgery has gotten pretty good with noninvasive and tissue preserving techniques. Reconstructive surgery especially( you should see the shit they're able to do with gender reassignment surgery now).
Treatment for most autoimmune diseases like Rheumatoid and plaque psoriasis are are pretty curative if a person is consistent with their meds.
Sickle cell is one of the few genetic diseases that can be cured with a bone marrow transplant, It's still kind of risky though with rejection and all as with any transplant.
Cancer is hit or miss. Some cancers are pretty easy to take care off like breast, prostate, and colon, and some leukemia. Others like pancreatic(mainly because it's hard to detect early unless you literally give people CT scans every year which is just no) and lymphoma are still shit. There is research going into immunology about coopting the immune system to better recognize cancer cells by looking into what we call T cell anergy.
https://www.ncbi.nlm.nih.gov/pubmed/11434720
https://www.ncbi.nlm.nih.gov/pubmed/22865456

>>10903878
>you should see the shit they're able to do with gender reassignment surgery now
Make shock pics that put offended and lastmeasure to shame?

>>10903830
>mfw I have a polar vest instead
Yeah, these are acceptable but they only work with scrub pants or such, imo.

>>10897985
Seriously, why do medics do that, should not they actively avoid to use them outside to prevent contamination?

>>10903445
Go to Mexico or Canada and receive better attention than the United States literally for free

>>10903901
>to prevent contamination
I think there are only a handful of cringelords that wear their white coats outside but either way, it won't be "contamined" in any way unless you're on the surgical ward and work without gloves/perform surgery with white coat on which is kek tier shit.

Hey medfags. Anyone interested in joining a private forum about health/self-improvement? We have dam dere lab connections. We started out 7 years ago as a small group of guys synthesizing research compounds for curing baldness (don't laugh okay) but now we've branched out into other stuff. Now we experiment with nootropics, rare bodybuilding compounds (SARMS, ibutamoren, etc.), mewing tech, diet, and lots more. Pretty much anything healthmaxxxing-related we've done. We'd love to have more members with biochem or medical background, but really we're happy to have anyone who's trustworthy, high IQ, and willing to read scientific literature. If you're interested email me at:

mythrowaway420@protonmail.com

>>10903894
Nope.These are pretty good too and fit over most business casual pretty easily. My medical center also has black ones.
I haven't seen the vests used much.

>>10903943
Vests are used by the ER staff from my experience. Those jackets look cool, though, but I'm not a coatfag or a scrubfag. I'd rather have an ID card on me and a stethoscope.

>>10903890
Nope. They have gotten pretty good at making not only aesthetic vaginas, but fully functional ones using skin graft from more sensitive regions of the body and transplanting and preserving the urethra.
constructed penises are pretty good too, only thing is the trouble diverting a blood supply to it to maintain erections. Also urethral strictures as a side effect.
Breast reduction/augmentation surgery is near perfect of course.
It's some pretty crazy shit but still interesting.

>>10903954
>fully functional ones
Proof?

>>10903958
I'd have to look up the grand rounds lecture I had. Look up Dr Keith. He's pretty well known.
http://njms.rutgers.edu/centers_institutes/trans_health/
As well as members of the world professional association of transgender health:
https://www.wpath.org/
They have a lot of information on their site as well.

>>10903603
>not posting the med apu version of your image

shame on you

>>10904078
I did not have that frog in my collection. Thank you based anon.

>>10903488
Correct

>>10903646
You’ll be fine. In the future take care of that precious head of yours.

>>10904130

what do you do?

>heart constantly beating fast
>constant minor trembling in arms, legs as well in evening
>constantly somehow feel drained and energetic at the same time
>wake up exhausted every morning and feel that way throughout the day
What should I be getting checked here? There's so much seemingly contradictory stuff going on

>>10904253
Sit around with crippling depression while trying to get a job, mostly
It's a weird mix of being dispassionate and constantly stressing out about everything

what is this?

>>10904914
low circulation

>>10904917
the nigga is gonna get his hand cutoff. What can cause this?

Anyone else's school as busy as mine? All my other friends seem to be cruising with covering Back/UE anatomy over a month with a little bit of biochem and immunology here and there with "participation credit" quizzes every week, while my school crammed Back/UE/LE anatomy with clinical correlates + radio in 2 weeks, along with histo and embryo (which I don't think are even topics covered in boards?) and OPP magic class where we have either a quiz or exam literally every other day? Like why?

>>10904936

Sorry I meant having an exam or quiz for any of the classes, not just OMM. My friends are partying mid-week and weekends while me and my classmates feel like we don't have time to do jack shit...

Every article I find on nail biting considers it to be some compulsive disorder, but isn't it just instinctual? How else did humans trim their nails 10k years ago?

>>10905064

Wilma Flintstone had one helluva nail salon, only cost two ox bone and one dead rat. Good time

>>10904697

Subtle innuends follow

>>10897943
>vax
Causes brain damage its a fact

So I have a rashes that isn't severe but just irritating.
They're small bumps and they appear all over my body in random spots such as: wrist, feet bridge, and thighs.
The doctor prescribe me with cetirizine but it keeps coming back.
Foods that makes my rashes appear are:
Eggs, chicken, pork, beef, fish and bread.
I don't know why but bread is the one mostly makes my rashes go very itchy.

I barely even eat them after taking meds and I eat nothing but fruit, vegetables and soup.
What the fuck should I do ?

Hi /med/, /k/ommando here. I want to know how close one could get to a real life version of the Hollywood tranquilizer gun, so as fast acting as possible. Sodium thiopental is already used for this purpose and takes 60 seconds to hit full strength (longer from a dart), is anything quicker than that?

>>10902737
Romanon, you're feeding the trolls again. >>10903274
PE/asthma debut/hypertension (didn't see his bp)? Keep us updated if you hear from him again.
>>10903445
Probably not over, but your QoL doesn't sound great.
>>10903646
Concussions are only functional so after you get a good rest you should be nearing 100%. There are times where a mild cerebrastenia(not sure if this is a term in english literature) is present, but that too passes.
>>10904694
A normal BP and ECG I guess.
>>10904914
Burn/erysipelas(less likely it's bilateral)/freeze/severe handcuffing with acute ischemia

>>10905275
Thiopental isn't a very stable solution and causes necrosis if not injected in a vein, I don't see how it could work. Propofol is faster, but needs to be intravenous too, midazolam is fast acting and I think it can be applied intramuscular. Ketamine too. K is used for induction in anesthesia for uncooperative children and adults.

>>10905275
Even if you had a drug that acted instantly, it would take at least a couple of minutes to diffuse into the capillaries and circulate tot he brain with intramuscular injection. IV is faster, but there's no way you could do that reliably with a dart.