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/sci/ - Science & Math


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10953702 No.10953702 [Reply] [Original]

crying in bed- edition

Old threads
>>10897943
>>10935364

We discuss research, offer advice (the best one is to see your family physician), make fun of premeds and shitpost.

Do not engage the clamp poster (https://pastebin.com/aYNv0zFc).).

Don't start discussing pro- and anti-vax shit because it degenerates and takes a lot of replies.

>What's the best spec for research?
Path, onc, anesthesia, etc.
>Best spec lifestyle wise?
Psych, ophtho, derm, rad onc, family medicine

>> No.10953703

medicine is gay

>> No.10953711
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10953711

>>10953703
>implying that is a bad thing

>> No.10953718

>>10953706
Go into researching, teaching etc. ?

>> No.10953726

>>10953718
Can I really be a good teacher when I'm so brainfogged and bitter about everything?

>> No.10953728

>>10953702
Why are you crying in bed? Meds are shadow thieves on steroids

>> No.10953733

>>10953726
I find that dealing with excited young people gives one a lot of energy. In addition to occasional affair with hot twentysomethings.

>> No.10953735

>>10953726
Probably not. I get the impression your problems are more fundamental than career problems.

>> No.10953737

>>10953728
I don't really cry in bed, I'm just an apu connoiseur, and happened to like this new one.

>> No.10953746

>>10953733
I thought a similar thing actually, that I need to reconnect with young people. But I feel I steered way too far off course when it comes to a teaching career, and getting back on track would require more energy than I can give it.
>>10953735
You're right, but I need to make money somehow as well, and this stupid job keeps getting in the way of me trying address those fundamental problems.

>> No.10953756

>>10953711
based

>> No.10953816

>>10953746
Can’t you reduce your hours while you sort things out? I’d imagine you’d easily still earn enough to keep afloat.

>> No.10953833

>>10953816
I haven't specifically asked, but seeing how nobody I know in this hospital works like that, it's probably not possible. I'm actually afraid to ask, since asking already conveys the implication that I'm feeling overwhelmed and burnt out by the job. Also my things don't really have a deadline to get sorted out, they're chronic shit that could take many years to soak up.

>> No.10953992

>>10953833
>feeling overwhelmed and burnt out by the job
>works the least number of hours in the entire hospital

How in the fuck is that even possible?

>> No.10953995
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10953995

>>10953992
I dunno anon, you tell me. I just want to enjoy life and not feel perma-exhausted by everything again.

>> No.10954035
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10954035

>>10953995
Do you exercise?

>> No.10954041

>>10954035
Used to, not anymore for now. It only makes me more tired.

>> No.10954122

Hey meds. I want to gain access to my entire health record including those kept by individual GPs. I am aware that the process likely differs dependent upon country of residence.

My reasons for doing so are to make an official complaint against a surgeon who raped me on the operating table. I wish to gather evidence to ensure that other meds are not colluding with the offender in question.

I'm not sure if this is common in other parts of the world, but here in Australia I want to make sure that this kind of unprofessionalism is dealt with appropriately.

Any information is appreciated.

>> No.10954199
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10954199

>>10954041
Well I guess you are fucked then. Here, have a frog.

>> No.10954222

Anyone know anything about pediatric neurology life style wise? Is it as good as psych?

>> No.10954232

why are medfags such pretentious cunts?

>> No.10954268
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10954268

>>10954232
no u

>> No.10954291

>>10954232
More to the point; Why do they leave questions like these ones unanswered?
>>10954122

>> No.10954292

My KNEE bro, my FUCKING KNEE

Someone tell me it isn't permanent. PLEASE

>> No.10954304

>>10954292
You're fucked.

>>10954291
>Why do they leave questions like these ones unanswered?

Prolly because no one is from Australia. Fuck off.

>> No.10954322

>>10954304
How are situations like this dealt with in your country? Are there processes in place to ensure meds are held accountable for breaches of professionalism? How effective do you believe these processes to be? Do your threads belong on /fit/ with all the other boneheads?

t.not going away haha
>clean up your behaviour

>> No.10954333

>>10954322
>rape
It would be a criminal case, and the state would investigate and prosecute.

>> No.10954364

>>10954322
>Do your threads belong on /fit/ with all the other boneheads?

I've never understood this line of thinking. Maybe if these threads consisted entirely of asking for health advice. But as it is, most of the relevant crowd hangs here anyways.

>waah doctors are not scientists
Neither are the vast majority of people with STEM degrees, and still there are plenty of doctors working in research

>waah medicine is not a science
Neither is engineering

>> No.10954378

>>10954333
Of course. Assuming that I can provide sufficient evidence. Which brings me back to my original question...

How transparent are doctors records to the patient? I can resort to legal action if they insist, however I would much prefer to simply have these records handed over with a pleasant smile on the GPs face.

Is there just a single patient file held by the GP or would there be several? Do I need to approach the GP directly or must I go through the practise who employs them?

>> No.10954392

How to deal with clozapine?
It makes me so sleepy all the time

>> No.10954480

>>10953702
Why crying in bed edition? :(

>>10954285
Palitan mo na yung tsinelas mo.

>> No.10954553

>>10954292
welcum 2 old

>> No.10954560

>>10954392
By quitting your meds and schizoposting on /sci/ all day

>> No.10954578

>>10954199
Thanx, is this OC?

>> No.10954626
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10954626

>>10954553
I'm 19

>> No.10954850

>>10952129
Please respond

>> No.10954904

>>10954850
Why would anyone want to work in Japan as a gaijin? Fucking weeaboo.

>> No.10954936

>>10954904
t. Never been to Japan

>> No.10954944

>>10954850
>>10954936
日本語が喋れるならいってもいいじゃん

>> No.10954952

but seriously you can get around in China without knowing Mandarin, you can't work anywhere in Japan without knowing Japanese forget it

>> No.10954959

>>10954952
Do you know how access to patient records is handled in china or japan? Say the patient wishes to keep their own copy of all their medical files.

>> No.10954966

>>10954959
I don't know of any country that doesn't allow you full access to your medical records. Maybe if you were in the military somewhere they might not give you full records.

>> No.10955091

>>10954232
Im not because i really try to help everyday people but they refuse help even when they request it.
Its irony on another level so it makes me kinda bitter.

>> No.10955092

>still no evidence based gf

>> No.10955094

>>10955092
>tfw when 25
really bad at small talk

>> No.10955109

>>10954291
>Implying there's a question mark in that whole text

>> No.10955132

>>10955092
Be my bf

>> No.10955234

>>10955092
>wanting a gf that cares about science

>> No.10955235

>>10955132
Kys tranny

>> No.10955238

>>10955235
</3

>> No.10955266

>>10954578
Yup

>> No.10955267
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10955267

Bonked this tranny without a condom, found out he might be HIV+. Haven’t had any symptoms since it happened a couple of months ago. Am I good?

>> No.10955270

I am about to start Bsc Pharmacology. Any general advice you can give?

>> No.10955272

>>10955092
>>10955234
you’re not scientists and would have failed out of science grad programs

>> No.10955291

>>10955272
Why do you care enough to be posting this? Are you jealous that doctors are much more respected and much better remunerated?

>> No.10955299

>>10953702
Do you guys know any site where you can practice radiology by getting image samples?

>> No.10955304

>>10953711
true
https://www.youtube.com/watch?v=56Bc9UoxklQ

>> No.10955316
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10955316

>>10955267
Go get yourself tested retard.

>> No.10955319

>>10954292
you're fucked

>> No.10955335

>>10955299
No

>> No.10955340

>>10955335
thanks

>> No.10955365

I've got mitral valve prolapse which was diagnosed when i was child. I have no single problem or symptoms related to it.
I got average heart rate like 60-80 bpm depending of time of the day. And blood pressure at the upper limit of normal.
Should i consult with doctor before starting of training(i want to start from low or moderate level intensity of strength exercises, nothing insane like crossfit or smth)? Or it would be fine?
I haven't been diagnosed with mitral valve regurgitation.
I was lifting priviously, and doing sports at younger age, now i'm 26.
I've read that if i don't have symptoms i don't need doctors consultation and can perform all sports activity, is it correct?

>> No.10955371

>>10955291
I don’t care about money or the opinions of strangers at all.

>> No.10955385

>>10955371
So why should we care about your opinion?

>> No.10955387

>>10955365
Ask on the Barbell Medicine forum. You’ll get a response from a physician that also knows about training.

>> No.10955389
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10955389

>>10953702
>crying in bed- edition
Oh, poor you, sexual sadist.

>> No.10955396

>>10955365
You should be fine, if you start experiencing new problems go to a doc then.

>> No.10955405

>>10954378
This depends entirely on the country, here you have online access to everything a doctor writes about you at any health care provider.

>> No.10955407

>>10955385
You’re replying

>> No.10955409
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10955409

>>10954480
>Why crying in bed edition? :(

>> No.10955412

>>10955409
Only so many baby penises to mutilate in a day, I suppose.

>> No.10955430

>>10955409
god this is such a sad retarded post

>> No.10955436
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10955436

>>10955412
>>10955389
>>10955430

>> No.10955484

>>10955407
Yes, but you initiated this discussion earlier in the thread. Why?

>> No.10955578

>>10953193
can you elaborate?
>>10954122
How do you get raped on an operating table and the whole surgical team keeps silent about it? Did they fucking watch?
>>10955267
Just get tested. Even my shithole country has free testing.
>>10955365
You should be fine, anon.

>> No.10955689

>>10954122
add Lumi#7063 on discord, ill help you out friendo

>> No.10955987
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10955987

My immune system is trying to kill me.

First got
>psoriasis as kid

Years later
>ulcerative colitis
>arthritis
>some type of bronchitis

All these auto-immune disorders.

Is there any hope?

>I'm on mesalamine (max dose) and 6-MP.
>I've been on Humira in the past which greatly helps the arthritis, but pretty much the same as the pills on the ulcerative colitis.

I'm willing to try anything. Gene therapy and the like. I've heard a possible cure is a bone marrow transplant, but high risk of death and it may not work. Also would have to go to China to get it done.


>pic related is the Humira molecule

>> No.10956052

>>10955272
How dare you, i am polymath

>> No.10956058

>>10955132
Im obscure country anon you cant reach me

>> No.10956062

>>10956058
yes i can u just gotta believe

>> No.10956067

>>10956058
>>10956062
You can always sext each other.

>> No.10956118

>>10956062
Anon, i... i’m not gay

>> No.10956258

>>10956118
im not either, anon

>> No.10956324

>>10955987
aliens kidnapped you, tested bone marrow transplant from their species and now you got gvhd
sucks to be you, they probably also inspected your colon with a lot of attentions

>> No.10956396

>>10954122
Nigga wat exactly HOW do you get raped by a surgeon in Australia in this day and age without the police getting involved and there being a massive scandal?

>> No.10956403
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10956403

How do proximal and distal work if the organs they're referring to are already inside the trunk
>stomach is distal to esophagus

>> No.10956415

>>10956403
For example, the bronchioles are more proximal to the trachea than the alveolar ducts

>> No.10956484

As opposed to general, broadly applicable knowledge (FM, IM), which specialties have the most highly specific and narrow focus? I’m thinking path and ophto?

>> No.10956574

>>10956484
Prolly some surgeon stuck doing one or two procedures assembly line style. Bariatric surgery and some neuro stuff comes to mind.

>> No.10956603

>>10956574
Yeah but that’s more of a routine issue than an actual field of study. What I mean is that something like ophto hardly intersects with other specialties (in relative terms, compared to the rest) and is isolated in its very narrow focus. I was wondering if any other specs were like that, since most IM related fields are quite broad in comparison.

>> No.10956670

>>10955267
was his bussy good tho?

>> No.10957746

>>10955267
Get tested m8, if you're in the US, most public health facilities will test you for free

>> No.10957754

I'm a nurse on a medical unit, is there anything I can do to help you med students when you're doing your rotation on my unit? I never know if you guys want to try practicing skills (mostly fun ones like starting IVs or putting in NG tubes) but I've always wondered if I should ask

>> No.10957757

>>10957754
Don't bully pls

>> No.10957864

>>10957757
I'd never, sorry if you've ever experienced that though homie, there's unfortunately alot of shitty nurses out there. Please let someone know if that happens to you though (I'd probably let the charge nurse know if there's any nurse being a dick).

>> No.10958042

>>10953702
So I survived 5 years of computer science and three years of PhD without going into depression. Now that I am shifting my career towards medicine/Medical AI, I am literally thinking about KMS.

Why didn't you guys warn me?

>> No.10958043

How do i differ sinistra/dextra of anatomical parts?

>> No.10958048
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10958048

>>10958042
Because we found our hugbox respectively

>> No.10958050

Any of you fags make it all the way through to the end and completely and utterly regret it? I don't want to make a mistake by going this path.

>> No.10958074

>>10955267
Yikes, pick a hotter tranny next time

>> No.10958086

>>10958074
It'd be kind of sad if he actually got something from whatever the fuck that is.

>> No.10958112

How much actual orgo is there in pharma? I like the idea of studying medications and their effects but I’m not very good at shit like substitution/elimination reactions, nomenclature and whatnot. I prefer cell bio, mol bio and biochem.

>> No.10958156

>>10958050
There certainly are people that regret going to medschool, Anon. The hype is there until residency hits and you get burnt out.

>> No.10958241

>>10958050
Yes
I should've just gone to make videogames or whatever

>> No.10958245

>>10957754
Do ask. The skills of people coming into residency are fucking appalling.

>> No.10958247

>>10958112
Not a lot.

>> No.10958250

>>10958241
>gone to make videogames
Now that's something that I completely and utterly regret.

>> No.10958329

>>10958247
So what kind of chem do pharma students usually focus on?

>> No.10958346

>>10955987
You're pretty much fucked anon. These deseases are manageable, but not curable.
>>10957754
You are a gem. Most nurses just yell at us and don't want to deal with us. Most students are sick from theoretical training so explaining things from practice is always helpful.
>>10958043
Do you mean when the organ is out of the body?
>>10958050
I don't.

>> No.10959090

How do you know if med school and being a doctor is for you? Seems like a expensive lesson to learn.

>> No.10959456

>>10958250
Why tho?

>> No.10959480

>>10959456
It fucking blows. The pay is shitty, benefits blow, unpaid overtime is expected from you, toxic office politics, little to no job security or transferable skills. Maybe if you are young, have a nice nest egg, talented group of friends (that you can afford to lose) and you start your own company. Otherwise I'd prefer even working on some legacy garbage fire in some cubicle.

>> No.10959497

How is modern psychiatry these days psychfags? Also how do you differentiate personality traits from mental illness?

>> No.10959522
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10959522

https://mobile.twitter.com/duskywhalerkate/status/1171008559921811456?s=21
Aussies are fucking based

>> No.10959528

>>10959522
>lurking medtwitter

>> No.10959534
File: 90 KB, 640x482, qjrE4yyfw5pEPvDbJDzhdNXM7mjt1tbr2kM3X28F6SraZkoqgfDfBMqFxtPvTSvTwdJadxgsh389KtHGXGAmyC9CAhb9jARdET2NLwxvmmYrX2Mw2Mmki4Sz.jpg [View same] [iqdb] [saucenao] [google]
10959534

>>10959528
I actually got it from r*****

>> No.10959853

>>10959497
optogenetics. mapping neural circuits. i use machine learning in my research.

>>10953702
nyu med 2nd yr student here. md phd. school started weeks ago. i'm already behind.

>> No.10959867
File: 154 KB, 1014x989, lääkeapustaja16.jpg [View same] [iqdb] [saucenao] [google]
10959867

>>10959534
get out

>> No.10959919

>>10959853
What kind of stuff do you do with ML?


>tfw be me, the only one doing ML stuff in the faculty
>publish a few articles and develop a few tools in your very minor subfield
>suddenly drown in funding as the uni wants to get into this field very heavily
>all the professors want you to collaborate with them
>way too much money, need to start hiring people, setting up gpu clusters, storage space for data etc.
>impossible to find anyone half competent in ML stuff to hire
>currently just using med students with coding experience as slaves
>basically running a research group now with no idea how anything works
>there is talk going around of making this thing into a separate department and yours truly heading it
>trying to juggle this shit and finishing my PhD and doing a residency at the same time

send help

>> No.10960050
File: 25 KB, 1280x645, 3,4-Dihydroxy-L-phenylalanin_(Levodopa).svg.png [View same] [iqdb] [saucenao] [google]
10960050

What are the long term effects of taking this everyday?

>> No.10960104

>>10960050
Dyskinesia.

>> No.10960152

What are some good ways to remove warts? Public healthcare doesn't want to remove them for me and scalpels are controlled items in my country

>> No.10960220

>>10958112
First year had a lot, not much after that. Just need a general understanding

>> No.10960258
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10960258

What are the long term effects of taking 5g of this every day?

>> No.10960261

>>10959919
SPOILER: nobody ever knows what they're doing they only pretend they do

>> No.10960324

Where did the clamper go? I haven't seen him in the last three threads.

>> No.10960435

>>10959919
used a pretrained CNN to distinguish dopamine spikes for two groups of mice, one group received rewards 100% of the time, the other group 90% of the time. these differences are indistinguishable to the human eye.

currently working on a GAN for another project.

that was also me btw, i was the only one doing ML while everyone else was doing shit on MATLAB. they gave me a wide berth, let me build a deep learning machine, etc.

thank god btw, cause i have ZERO wet-lab skills. so thank god for computers.

>> No.10960448

>>10960152
only way is liquid nitrogen. and your country sucks.

>>10960258
that coordination complex actually holds the cyanide molecules tightly, so it's actually quite safe in actuality.

>>10960050
I take this to replenish my neurotransmitters after adderall binges. along with L-tyrosine.

>>10955267
i've rawdogged ~800 women (and 5 traps) over the course of 15 years. i get tested every month. never had a single STD. not even cold sores.

i'm just a lucky freak of nature, though. i wouldn't recommend.

>> No.10960823
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10960823

>cut finger
>skin flap turns purple
How fucked am I? Any advice to avoid infection or whatever?

>> No.10960860

>>10960823
You bitch you'll be fine, doesn't even warrant a band aid

>> No.10960881

I'm becoming a rad tech, how fucked am I?

>> No.10960911

>>10960823
You better amputate the finger before that shit spreads, i wouldn't even wait to get to the hospital, shit looks urgent.

>> No.10960930
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10960930

>>10960860
>>10960911
Frig off, it looks worse in person and was bleeding pretty bad.

>> No.10960984

>>10960930
It's a super minor cut. It doesn't even look inflamed. Stop being such a pussy.

>> No.10961122

>>10960881
Not fucked at all.
after anatomy you learn how to operate few machines and how to protect yourself from radiation.
trust me you will do fine.

>> No.10961146

god i fucking hate pharmacology so much or maybe i just hate medicine in general does it get any better once clinical shit starts

>> No.10961158

>>10961146
oh and it'd be nice if anyone could give recommendations on textbooks that a brainlet can understand. Goodman and Katzung aren't helping.

>> No.10961175

>>10953702

This is an interesting OP in the sense that I cried in bed after pooping blood again while at my parent's house without telling them. Mom could tell something was a bit off with me but I managed to keep it from her and get away in the morning. Yes I've finally started the process of seeing the GP+colonoscopy (still have to schedule it), then we'll see if it's cancer or (as I suspect) ulcerative colitis or something else.

>> No.10961203

>>10961175
Hemathochezia can be caused by a lot of things, anon. I hope it isn't anything bad <3

>> No.10961235

>>10961146
Pharma is fine as long as you remain in the basics. (Like a FM doc), the rest is too complicated for my brain too, especially the shit anesthesiologists use.

>> No.10961238

>>10961235
I'm coming from a background in biology so all of it is just so foreign to me. I miss my fucking bats, man.

>> No.10961268

>>10959480
I can’t imagine a group of people I’d like to work with less than a group of gamers.

>> No.10961324
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10961324

>>10958346
>organ
no. I mean sin/dex of musculoskeletal anatomy. How do i differ something symmetrical?

>> No.10961327
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10961327

>>10959090
>How do we know something?
don't. I wish i were in biomedical major right now, looks edgy. All these pathophysiologies making my mind dull

>> No.10961333

>>10961327
Pathophysio is fun though.

>> No.10961363
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10961363

>>10961333
I can't argue with that trips but i never were a flowchart guy, so to make sense about seven hundreds of it not making me happy

>> No.10961366

>>10961333
Imo, it is fun but nephrology made me want to kms. Never liked it.

>> No.10961453

>>10961324
How do you know your left hand from your right one?

>> No.10961868

>>10961453
I use right hand for writing.

>> No.10961904

>just started med school
>Tinder now says 'studying medicine'
>getting matches like never before
I think I'm gonna like this

On a more serious note, how do you guys avoid getting bogged down by all the death and disease?

>> No.10961954

>>10961904
>how do you guys avoid getting bogged down by all the death and disease
Have you tried being born autistic? It just works.

>> No.10961960

>>10960448
>i've rawdogged ~800 women (and 5 traps)
(doubt)

>> No.10961971

>>10961960
women(male)

>> No.10962955

>>10953702
What are some off label uses for Gabapentin?

>> No.10963596

>>10960258
>>10960448
Doesn't it remove minerals from the body, though?

>> No.10963892
File: 79 KB, 722x750, aaaahhhhhhh.jpg [View same] [iqdb] [saucenao] [google]
10963892

bros what the fuck...
do i have cancer?

>> No.10963930

>stub 4th toe walking around the house.
>foot is swollen and painful.
>xray comes back normal.
>foot is getting better after 2 weeks, can put weight on it again.
>stub the same toe again.

I'm never going to make it.

>> No.10964530

>>10958086
I thought being the one penetrating meant your risk was much lower than the one getting fucked?

>> No.10964536

>>10959853
How does it feel to go to med school for free?

>> No.10964653

>>10962955

Anxiety, insomnia, cramps, any kind of neuropathic/disfunctional pain, as an adjuvant into the pain relief ladder etc

>> No.10966206

Besides ice, what are my options for at home pain control? Specifically, I'm interested in things like removing fishhooks.

What are some rules of thumb for knowing whether or not a laceration requires stitches?

Is Grey's Anatomy still a viable anatomy textbook, or should I get something else?

>> No.10966317

>>10966206
Moore Clinically Oriented Anatomy, Snell Clinical Anatomy by Regions, and Netter's Atlas.

>> No.10966483

>>10955987
elimination diet worth a try

>> No.10966491

>>10966206
>Besides ice, what are my options for at home pain control? Specifically, I'm interested in things like removing fishhooks.
Unironically meditation. You can train yourself to ignore pain.

>> No.10966494

>>10964536
>for free
They probably pay him a stipend if it's a MD/PhD program. Let that sink in he's literally getting paid to go to med school.

>> No.10966665

>>10961324
differentiate between them how? Do you mean on scans and images?

>> No.10966671

>>10961904
Realize we’re all gonna die. Worry if in the moment death is beatable and you aren’t able because of your lack of knowledge, if you are able than nothing to worry about. If death of someone is not preventable than your worrying won’t help anyone and can make things worse for you. Try to help someone like that by easing their pain, offer peace etc.

>> No.10966705

Why does this LARP thread even exist. We know no one on 4chan is competent enough to be a doctor. If i found out my normal regular gp used 4chan Id get him struck off the register the cunt.

>> No.10966747

>>10966705
>I am a pathetic failure so everyone else on this fairly mainstream website with millions of unique monthly visitors has to be as well
Stop projecting

>> No.10967040

>>10966705
>I couldn't get into Medicine therefore no one else can.
Lmao kiddo

>> No.10967051

>>10966705
Come at me bro. Not only do I use 4chan, I sometimes browse /sci/ in full view of people in my waiting room. Alpha as fuck.

>> No.10967100
File: 76 KB, 1280x720, 986303f4.jpg [View same] [iqdb] [saucenao] [google]
10967100

>>10966705
>Id get him struck off the register the cunt.

>> No.10967252

>>10967051
same desu

>> No.10967549

>>10961324
Use other anatomical markers. It's difficult from close up or from separate parts. That's forensic science.
>>10961904
You get numb at some point.

>> No.10967752

>interested in psych as a specialty
>am a huge autist
For other peoples’ sake, I shouldn’t, right?

>> No.10967894

>>10967752
Actual autist or "autist"?

>> No.10967963

>>10967894
>implying an actual autist has the mental faculties to post here
Autism

>> No.10968065

>>10967752
>it's another "interested in psych" episode

I never got the appeal of that spec. Seems bland and uninteresting, even from a pharma stand point it's boring.

>> No.10968390

>>10966491
>Unironically meditation. You can train yourself to ignore pain.
Interesting idea, but it doesn't help I'm out with my friends and someone fucks himself up.

>> No.10968508
File: 32 KB, 560x612, vihainen itkea.jpg [View same] [iqdb] [saucenao] [google]
10968508

Is it time to see the dogtor?

My left eyelid gets droopy when I'm tired, I posted about this and somebody suggested I may have a potentially fatal but easily-treatable autoimmune disorder (myasthenia gravis).

Apparently the best way to find out if you have this immune disorder is to put an ice pack on your eyelid and see if it improves, because the autoimmune disorder attacks some mechanism of chemical communication between the nerves and muscles that is improved by cold. I left the ice pack on my eyelid for maybe half a minute and it jumped right back up to where the other one is.

How fucked am I? One thing to note is that I was diagnosed with Asperger's syndrome before I can remember and my hand-eye coordination has always been pretty garbage, but I'm not sure if this relates to weakness from myasthenia at all.

I'm pretty weak physically as well, but I basically never exercise even though I know I should. I'm not muscular at all visibly, I don't know if that means the autoimmune disorder would probably be limited to my eyes or not.. Can a drooping eyelid from tiredness that's solved by application of an ice pack be caused by things that aren't a potentially fatal autoimmune disorder?

>> No.10968514

>>10968508
I've had diabetes for a decade and never went to a doctor. I've had to cut off three of my toes. Such is life in USA.

>> No.10968516

>>10966705
4chan is basically reddit. Are you saying there are no doctors on reddit?

>> No.10968520

>>10968514
I live in ausfailia but my doctor already thinks I am a retarded hypochondriac for panicking about an otherwise completely normal (structurally) mildly enlarged lymph node while having very bad cystic acne on my back
I am probably too retarded to survive in a country without a nanny state

>> No.10968527

>>10968520
I'd wait a couple weeks. It's not going to kill you instantly dude.

>> No.10968530

>>10968527
it is easily treatable regardless, but not knowing how something is fucked when it's probably fucked is extremely frustrating

>> No.10968536

>>10953726
probably not. teaching is not for everyone.

>> No.10968549

>>10968536
Being a professor at lower levels (undergraduate classes only) is piss easy. Many of my professors just put lecture videos for people to download and write a couple tests to take in a semester and that's all they do.

>> No.10968578

I wanna contribute to living forever research.

Is statistics a good path for me if I don't wanna major in biology?

>> No.10968599

>>10968508
Ptosis is one of the signs of myasthenia gravis. It shouldn't be just limited to your eyelids since it affects all of the skeletal muscles. Then again, ptosis can be caused by a lot of things. See a doctor lmao.

>> No.10968605

>>10968599
I've noticed it's been like this for a long time
is that a good sign?

>> No.10968661

>>10968605
If you're so fucking worried about it, go see a doctor. History alone isn't sufficient for diagnosing myasthenia.

>> No.10968762

>>10967894
I’m probably not an aspie, I’m just bad at social things.

>> No.10968771

>>10953702
What does /med/ think of Pediatrics?
My dad is a Pediatrician, but I'm curious of other people's views.

>> No.10968783

>>10968762
Then you can get better through practice.

>> No.10968807

>>10968771
Pediatricians mutilate infants by clamping, circumcision, and by injecting them with BCG and vitamin K at birth.

jk babies are cute and pedia is p. fun :)

>> No.10968911

>>10968508
If you're worried enough to post about it you should see a doctor. The icepack test is a physical examination with decent sensitivity but isn't a diagnostic test.

>>10968762
You can improve your communication/social skills by talking to people.

>>10968520
GPs who make you feel retarded for seeking professional advice need to quit.

>> No.10968936

>>10968911
>GPs who make you feel retarded for seeking professional advice need to quit.
To be fair I doubt the dude has medical insurance so he's going to a public GP which means the GP is making like 40,000 USD a year...

>> No.10969000

>>10968911
>You can improve your communication/social skills by talking to people.
No you can't. Nothing in the world will convince an aryan to talk seriously with a non aryan. The harder you try, the harder they try to misinterpret what you say to the point it gets completely ridiculous. Try making non white friends.

>> No.10969038

>>10954041
>It only makes me more tired.
that's not right m8, you gotta find something you enjoy

>> No.10969060

>>10968508
No, the ice test is not the best way to find out if you have MG, actually it's very unreliable. You need a careful clinical examination and eventually neurophisiological tests to corroborate this hypothesis. Consult a neurologist.

Eyelid dropping from tiredness is common and sometimes has no otherwise meaning, my right eyelid tends to drop too and I dont have MG.

Ocular disturbances (diplopia, eyelid dropping) paired with fatigability (rather than weakness) are strongly suggestive of MG, but there's not much an ice cube can tell you.

>> No.10969096

I have a ADHD Computer Test coming up at psychiatrist. What can i expect?

>> No.10969185

>>10969096
Scammy overpriced software that will diagnose you based on how many mistakes you make in some extremely simple and boring game.

>> No.10969197

research telepathy

>> No.10969307

So uh, I can't really talk to anyone in real life about this, but I edged for about an hour and a half today (been trying a nofap, 3rd day) and i didnt pull my underpants a lot, just pulled out my dick and balls, now the balls hurt, on touch moreso, and I feel like I'm gonna shit, piss and cum at the same time (but i haven't eaten in 8 hours so I have nothing to poop out), when's the pain gonna go away?

>> No.10969310

>>10969197
Already have.
https://www.youtube.com/watch?v=qw_O9Qiwqew

>> No.10969326

>>10968516
Why would doctors waste their time on either of those websites?

>> No.10969336

>>10969326
Why would anyone else waste their time here? We're only human after all.

>> No.10969342

>>10969326
You think doctors are a special breed above normal humans or something? People like to waste their time on cheap amusement, having an MD doesn’t magically make you immune to enjoying dumb shit

>> No.10969437

How do you realistically convince an anti-vaxxer that they're half way to joining a cult? After catching measles recently because my mother fell for the retarded studies at the time 20 odd years ago and I'm an even bigger retard for not getting vaccinated as an adult/keeping tabs on current outbreaks, we've been having huge arguments about vaccines in general. While I've been trying to explain to her what exactly measles does, how our body reacts and how it directly attacks the immune system, what herd immunity is and simplistic things like how we gain immunity, nothing seems to get through, meanwhile she's gotten a book with "400 FACTS ABOUT VACCINES" and spouts off "FACTS" which after a quick google search I've been able to debunk one after the other. Is she just lost or is there any method of getting through to people like this.

>> No.10969570

>>10969307
Masturbate.

>> No.10969574

>>10969437
Retarded know it all boomers are retarded. There is no hope, just move on

>> No.10969733

The amount of shit I need to memorize down to the last detail is staggering
What’s the best way to learn things? I know about spaced repetition and all that, but I don’t actually know how to learn. I read my notes over and over while making an effort to understand what I’m reading, but that’s not enough for everything to stick
I don’t really have the time to make Anki cards either. What do?

>> No.10969850

>>10969000
>aryan
yikes, that's why you don't make friends incel
have sex

>> No.10969855

>>10969733
>I don’t really have the time to make Anki cards either
https://www.reddit.com/r/medicalschoolanki/
if you can't use google you're too fucking dumb to be a doctor good god the standards are so low

>> No.10969868

>>10969855
My notes aren’t in English, moron.

>> No.10969890

>>10969868
>my notes aren't in English
Then you are the moron for not even being able to get into an American med school, enjoy irrelevancy and shit pay boi.

>> No.10969999

>>10969570
I want to check if I'll feel any better if I take a break for a while

>> No.10970101

>>10969890
Enjoy massive debt and fifteen years of working like a slave.

Now if anyone who isn’t a complete retard could offer some advice I’d appreciate it

>> No.10970114

>>10970101
>Enjoy massive debt and fifteen years of working like a slave.
I get paid to go to med school. Do you even know what a stipend is in your backwater country?

>> No.10970181

>>10970114
>he thinks this is a special occurrence
In first world countries, you do indeed get paid to go to med school after your second or third year. It’s nice that you guys are catching up.

>> No.10970930

>>10969307
It’ll go away when you stop being a degenerate

>> No.10971799

My schedule is up. This semester is peds semester. Peds, EM peds, surg peds and others unrelated to it. As someone that swears a lot, how the fuck am I going to suppress my degenerate attitude in front of children ?

>> No.10971934

My little brother is a medfag. Should I let him practice laying an intravenous cannula on me?

>> No.10971976

>>10971934
do it

>> No.10972018
File: 264 KB, 1040x1072, lääkeapustaja43.png [View same] [iqdb] [saucenao] [google]
10972018

>tfw you are getting too old for this 72h shit

>> No.10972235

I'm an OMS-1 that started off okay but doing worse recently as workload is getting heavier. I had time to go to the gym and shit while getting A's on quizzes last month, and this month I'm straight bombing quizzes (65% avg) with what feels like no time at all. Still haven't failed an exam but every time I study hard for an exam to only score ~80%, my quizzes for the week take a hit. I'm specifically struggling in visceral anatomy and embryology. I think I'm memorizing the right things thanks to Anki, but once I see the quiz it's like "wtf are these questions Gray's review didn't prepare me for this..." as it slowly chips my grade away from an 80% toward 70%. Maybe it's the time constraint that gets me? Any advice would be appreciated, I'll check this thread again tomorrow.

>> No.10972835

>About to submit my ERAS application
>still to scared and want to look over it one more time.
Should I do it or wait until tomorrow?

>> No.10972928
File: 387 KB, 500x500, d2c.png [View same] [iqdb] [saucenao] [google]
10972928

>>10958050
>go through 9 years of utter suffering after high school to become a doctor
>deal with all kinds of shit, both figuratively and literally every day
>this fucking biofag fresh from his 4-year undergraduate comes to work in the bacteriology lab
>works normal office hours while i bust my ass 12+ hours a day
>mfw he earns more than i do
Your choice, anon

>> No.10973005

>>10972928
Really?
I thought you need a PhD these days or at least a masters to work in a lab and make any kind of money.
Otherwise, you're usually doing it for free or with shitty compensation.

>> No.10973190

>>10953702
>>10953702
I'm surprised Anesthesia is considered better for research as opposed to neurology?
Is it due to shear number of pt that you can uses a research subjects and of course time(anesthesia is more flexible).

>> No.10973293

>>10973190
>I'm surprised Anesthesia is considered better for research as opposed to neurology?
It bothers me that you have ended that sentence with a question mark.

>> No.10973300

>>10973293
Sorry, it was a typo. Wasn't paying attention.

>> No.10973306

>>10972928
How can I become the latter? Do you know what experience he had that led to him being hired?

>> No.10973315

>>10953995
1. How about your sleeping ?
2. Do you have some free time ?
3. Are you going out or making some simple exercises ?
4. Is your blood pressure and cardio ok ?
5. Do you drink or eat tons of shit food ?

There might be tons of things behind that...

>> No.10973337

>>10972928
>this fucking biofag fresh from his 4-year undergraduate comes to work in the bacteriology lab
There's a constant labfags vs. medfags warfare at my hospital.
It's the most common thing seeing the chief physician responsible for ER shift grinding his teeth in anger after lab called in 'hemolysis' 3rd time in a row for the same patient.

>> No.10973535

Generalists RISE UP!!!

>> No.10973546

>>10971934
No. nothing invasive.

>> No.10973564

how much money does the average med student spend on cocaine and adderall in a given year?

>> No.10973571
File: 59 KB, 459x348, file.png [View same] [iqdb] [saucenao] [google]
10973571

>>10955316
The receiver has the higher chance of being pozzed.

>> No.10973729

Why are med students insufferable. When I was in undergrad sure some people were annoying but mostly they were fine. Now every single student is an attention seeking leech.

>> No.10973773

>>10973729
You have to be man...That's what it has become, especially if you want to get into more competitive specialties.
You need to impress your attendings and brown-nose as much as possible to get letters of recommendation. It's all so tiresome really, but what can you do?

>> No.10973830

>>10973773
This cock sucking system will be a bad thing down the line. It will select a certain personality. Those who work quietly and diligently will be phased out (the type who actually take their work seriously)

>> No.10973924

>>10973830
I don't know about that but I do think the entire system is irritating. I made a post about it before in a previous thread. Glad that someone agrees. I really am getting sick of it but there's nothing you can do if you want to match. The worst part is dealing with the people who over do it though.

>> No.10973927

>>10973564
all the money they have (they only have money if they suck cocks for it)

>> No.10974708

>not having a backbone and brown nosing the attendings
Do you guys seriously do this? I'm strongly against it and never done anything like it.

>> No.10974710

>>10973571
>pozzed

Please don’t be needlessly derogatory.

>> No.10974816

>>10973535
>not being a generalist AND a specialist

t. IM+endo

>> No.10974999

>>10974710
t. aids mcgee

>> No.10975005

>>10974708
Sounds like an American thing

>> No.10975163

>>10975005
Wanted to say that but oh well. Being from a shithole has its perks I swear.
>>10974816
>The virgin specialist vs the Chad generalist

>> No.10975185

>>10975163
>>10974708
>>10975005
It might be, but I figured it's like that everywhere when it comes to competitive specialties like ortho or if you're trying to sub specialize in cardiology or GI after IM, you need to impress a lot of attending and constantly remind them how much of a pleasure it was to work with them so you can do research.

>> No.10975599

>>10974999
Challenge: give a coherent defence of the stigmatisation of HIV/AIDS. I’ll be waiting.

>> No.10975840

>>10953702
Are any of you doctors here cheapskates that hire overseas companies to do your claims?

If so...
Why do you hire unskilled people to do your claims?

Why are you surprised the claims don't get filed correctly?

>> No.10975846

>>10968771
I respect pediatricians.

>> No.10975852

>>10975185
I don't know how it is in US, but in my gypsy shithole, after taking the residency exam, you can specialize directly in IM subspecs. For example you're a good student and you get a 936/999 (highest score I've ever seen here) and pick cards. You do 4 years of IM and 2 of cards afterwards and after you finish residency you become a cardiologist, not an internist. I think our residency program is a combination between your residency and the thing you call "fellowship". You don't really have to impress someone to get the spec you want here, if you're a decent human being and your brain works well enough to memorize medicine does trick. Brown nosing here is kept for the docs that want to get into those comfy admin positions (and also very rare but paid extremely well)

>> No.10975861

>>10975852
That* does the trick. FML, gypsy tier at english.

>> No.10976125

Hello. Is there any statistical significance between child cancer rates and the age of the parent? I can't seem to find this type of stats. Meaning, does the chamce of a child developing cancer correlate positively with the average age of the parents, or the age of the father. I have a suspicion that older parents having a child drastically increases cancer risk, and that (((doctors))) are keeping it hush hush to get a steady stream of funds for research.

>> No.10976128

>>10976125
Yes the older parent is the less life vitae is transferred through the ethernetic orgone to their plabencentar in the uterine valves. The only way to prevent this is to install anal anal rape implants in the father to increase his force life and etherically charge his memetic potentioalis.

>> No.10976160

>>10975852
Man the joys of living in a place where programs aren't that competitive.
We have to apply for both residency and fellowship here in the U.S. both requiring letters of recommendation from attending physicians you work with. I'm not even getting into how much money you spend.

>> No.10976161

>>10976125
How hard is it to Google "parental age" "cancer rate"

>> No.10976164

>>10976128
It's a serious question. I want to know if there's statistical significance so that I can scold boomers for giving their child terminal cancer.

>> No.10976165

>>10976125
No, that's not how cancer works. Advanced age of parent(esp mom) only puts children at risk for Down's syndrome.

>> No.10976170

>>10976164
>>10976164
I had a feeling you were just a shitposter. 5/10 for making me reply

>> No.10976173

>>10976165
So then what are the links in child cancer?

>> No.10976183

>>10976160
>how much money you spend
kek, here residency is free. Only if you want to swap residencies you have to pay for it.

It kind of got competitive in the past few years, top students usually pick cards or some clinical shit. The surgical specs are the last ones that get picked with FM, IM and Occupational Med. (And in surgical, I mean there's ortho positions free in the low 700 scores).

Most people don't give that much shit about residency because there are only a handful that want to pick something "cool". (Cards, GI, Ophto, derm, OB/GYN, endocrinology - the rest, not so much)

>> No.10976275
File: 31 KB, 400x711, c62.jpg [View same] [iqdb] [saucenao] [google]
10976275

Can you guys recommend me some books on prosthetic lower limbs? (Knee and /or ankle)

>> No.10976295

>>10976183
Pretty similar here. The benefits of 60-70% of med students being female is that anything with shitty hours or no prestige(this doesn't have anything to do with compensation mind you) is fairly easy to get in. Cards and the non-surgical operative specs usually are the hardest to get into.

>> No.10976304

>>10976295
Exactly. Most of the students are female (I'm the only guy in a group of 8 students for example), I don't know how but they usually score higher than males from what I've seen. No.1 in uni in our year is indeed a male but after him in top 50, 90% are female.

Besides the "smart" crowd, the rest end up picking either a surgical spec with inhuman hours or go for nephro (Romanians hate nephro, idk why, there are always places left for it at the end of the resident distribution, no one seems to want them), FM or IM. We have a shit ton of places for FM and no one picks them either and IM is picked by females usually that failed to get into a better spec. (Not that IM sucks, I actually like it)

>> No.10976308

>>10976160
BTW, are fellowships actually useful in the U.S., as in do they give you priviledges you wouldn't be able to get otherwise or some shit? Here they are a complete joke, signals of "competency". You can just do the same shit that the guys in fellowships do and get equally competent at it while making bank, and the patient doesn't understand jack shit about your fellowships so there is no signal value.

>> No.10976320

>>10976304
Here the one no one wants is PM&R.

>> No.10976435

Will exercise relieve chronic back pain that came about due to a fractured T12? Injury happened due to taking a really hard fall at a bar early this year, the pain is mostly from shoulderblades down to the injury site itself and gets worse during the day to the point that I'm always going to bed before 8pm

>> No.10977273

>>10957754
This, I remember being a student and having some great nurses give me a lot of opportunities to build my confidence. I always want to do the same for any med student too I just have no clue what the fuck y'all want from me other than information.

>> No.10977285

>>10960881
You're fine, just learn your anatomy. Every position in the hospital has the thing where they'll be the expert at. For you it's anatomy, nobody knows their anatomy like a rad tech.

>> No.10977292

>>10961904
You just become numb to the suffering, the only solace you'll find in death are the ones who die with dignity.

Ironically you'll find all the death and dying makes you a lot less empathetic to the minor plights you hear in your daily life. When my friends talk about girl troubles or some bullshit I just can't find any ounce of me that is concerned

>> No.10977299

>>10968771
Never met a bad pediatrician, a lot of ethical issues in peds though.

>> No.10977308

>>10971934
Sure, as long as he has the proper sterilization tools. And just call it an IV man.

>> No.10977310

>>10973830
The ones who work quietly and diligently will be the ones to survive the crushing workload of the hospital system

>> No.10977516

>>10975599
Still waiting.

>> No.10977603

What a laughing stock, kek. Went to peds in the morning just to tell us to come tomorrow and the Prof told us to wait in the lecture room. I just left, fuck this shit. Woke up at 6:30 in the morning to get sent home, piece of shit.

>> No.10977729

>>10977603
At one point for me it happened literally every other day.
I got so depressed that the mere thought of waking up just to experience another day of bullshit was too much and I was very unhappy.

>> No.10977762

>>10977729
I hope this shit will happen only in the first week. My mates went to onc lecture and were sent home. ENT from 5pm and I'm sure as hell it will happen again.

If at least we had an idea what books to buy or something to keep myself busy. I'm sitting at home being unproductive and solving Sudoku for hours.

>> No.10978515

Which spes are still very general (broad) while not being family med or internal med?

>> No.10978610
File: 39 KB, 426x463, 1546668767154.jpg [View same] [iqdb] [saucenao] [google]
10978610

since hwen is this general a thing?

>> No.10978726

>>10978515
Emergency Medicine, maybe Pedes?

>> No.10978836

post sexy/cute male nurses

>> No.10979115

>>10953702
A father and son get into a car accident. The son gets rushed to the hospital and when he gets there the surgeon looks at him and says "I can't operate on this boy, he's my son!". Who is the surgeon?

>> No.10979584

>>10979115
A fag lol

>> No.10979586

>>10979115
>Who is the surgeon
A virile Black Bull who fucked the boy's mother and cuckolded his father.

>> No.10979595

I should just quit smoking, but the stress...oh my God. I'm fucking embarrassed to be lighting up out there next to the bums, but there's always at least one other sane-looking student or PA or pissed--off-looking RN a few feet away from me doing the same thing and validating this awful habit.
Fuck, it's embarrassing. They have a sign right there saying you can't smoke. I can't have my fucking scrubs smelling like a sweaty ashtray. But I turn to these stupid things when I'm stressed and that's every day now.

>> No.10979628

>>10979595
just jerk off instead

>> No.10979647
File: 154 KB, 729x638, pepe (2).png [View same] [iqdb] [saucenao] [google]
10979647

>suddenly develop triple vision two years ago
>only noticeable with bright lights; like a computer/phone screen in dark room or the lights cars/businesses at night
>see an ophthalmologist 3 times
>they find nothing
>get an MRI twice in 9 months
>nothing was found
>vision is otherwise perfect
>no other symptoms
What the the fuck is wrong with me bros? I can't drive at night ever now because all the afterimages block my view. Do I somehow have a brain tumor that two seperate radiologists missed? Is this very slow onset MS? ALS?

>> No.10979655

>>10979647
All those drugs you did in your undergrad gave you permanent HPPD.

>> No.10979788

>>10979647
Let another optho check for keratoconus or globus

>> No.10980030

Had peds today. It's actually pretty cool. Our Prof is amazing, she already gave us the titles of the books we will need and told us to focus a lot on differential diagnosis.

I just placed an order for the books and can't wait to get into them. Peds already makes me happy.

>> No.10980090

>>10980030
Didn’t read

>> No.10980307

Freshly graduated anon reporting in. Volunteering in anesthesia today. Sedated a patient without his history and everyone yelled at me, a nurse said they'll never take me as a resident and fucked up a canula. Overall not bad, but I feel like a retard. Also I'm scared to admit how many drug dosages (non anesthesia) I don't remember. I feel like medschool should have prepared me more than it did.

>>10980030
>told us to focus a lot on differential diagnosis.
Apparently this is common practice in many pediatric departments. This was very useful for me when doing peds rotation.

>> No.10980468

>>10980307
You're fine senpai. Many fresh graduates have the imposter syndrome and it will eventually go away.

And regarding peds, I think that diff diagnosis will help me narrow down the possibilities, considering that children have a varied spectrum of pathologies most of the times. We had this little 5 year old lady that was admitted with wet rhales and convulsions, no fever. Was funny to talk to her, I found out she likes princesses and the color blue but for fucks sake, her mother had probably an IQ below 50. Zero fucking explanations, "It just happened, she felt ill." If the Prof didn't tell me she had convulsions I'd never knew.

>> No.10980481

>>10980307
>a nurse said they'll never take me as a resident
nurses are literally subhuman

>> No.10980529

>>10980307
Nurses are literally retarded. If they were intelligent, they would be a PA or physician.

>> No.10980623

>>10980307
A lot of nurses are mean bitches who hate their job and really hate it when they have to assist students. Just learn to ignore them.

>> No.10980632

>>10977603
>>10977729
central/eastern europe?

>> No.10980636

>>10976435
Generally, the best and only thing you can do to prevent bone and joint pain is to build-up the surrounding musculature.

>> No.10980650

Opinions on PharmDs?

>> No.10980733

>>10980632
Romanon. So yes.

>> No.10980885

Should I become a med lab tech?

>> No.10981015

>>10979115
the mother

>> No.10981019

I'm an undergrad majoring in biochem, will I be able to find a job in the pharma industry when I'm done?

>> No.10981057

>>10981015
False, women aren't intelligent enough to be doctors.

>> No.10981073
File: 94 KB, 484x610, 1565725757681.png [View same] [iqdb] [saucenao] [google]
10981073

>>10981057
>mfw 80% of students nowadays are females
>mfw most doctors nowadays are females

I get that you're an incel, but at least stop saying dumb shit.

>> No.10981092

>>10981073
>t. woman
invalidates everything you say.

>> No.10981099
File: 104 KB, 940x529, American_Psycho-Full-Image_GalleryBackground-en-US-1483994504848._RI_SX940_.jpg [View same] [iqdb] [saucenao] [google]
10981099

I've just taken the MMPI2 and the website which I viewed it on said a T score of above 75 is abnormal. I scored above 75 on:
> Psychopathic deviate, 92
>Infrequency, 89
>Schizophrenia, 91
>Familial discord, 84
>Social alienation, 101
>Post traumatic stress disorder, 83

I have to disagree with the schizophrenia and social alienation. I don't hear voices or anything like that. I'm married with a child and work with people every day.
I can't argue with the family discord or PTSD.
As for infrequency I'm unsure what this means. And psychopathic deviate, is the test honestly saying I'm a psychopath?

>> No.10981133

>>10981092
>implying I'm a woman
Stop projecting and eating shit, my man.

>> No.10981170

>>10981133
see>>10981092

>> No.10981338

>>10981057
Wrong (but only because you don’t need to be especially intelligent to be a doctor).

>> No.10981346

>>10981338
touche

>> No.10981353

New thread when. I miss clamper.

>> No.10981576

>>10981353
>>10981573
>>10981573
>>10981573
>>10981573
>>10981573