/sci/ - Science & Math

Been shitting blood for the last three months, what do I take for this?

>>11071033
A visit to the doctor

To recap from last thread:

Going to school for paramedic = bad.
Going to school for RN = good.

>>11071173
Being a male nursoid is the last and final cuck

>>11071189
Negative. Transporting Mildred to the hospital at 2am for abdominal pain going on for a week is the final cuck. And right after you’ll be going to pick up 16 year old Shaniqua who’s having contractions.

Why can't i take less pegvisomant and octeiotride and more cabergoline?

>>11071033
cyanide, you have colon cancer

>>11071012
M1 at US MD top 50 program. Finished with a 92% in anatomy. Feeling kinda down about it. Really wanted 95.

>>11071260
As my ortho proff used to say:

>Anatomy, pffft, who gives a fuck as long as you pass

>>11071012
I am in my first year of biomedical sciences, I really love science and engineering, but I also love having a stable job with a good salary.
Should I study medicine instead or is it going to become obsolete in the next 20 years?

>>11071469
Also how is the lifestyle for an anesthesiologist

>>11071012

getting treated by nigger doctor? not even once

Hello med fags:
I am a dentist . Spend way too much time in hospital for autistic and retarded kids and make no money doing it.

Here’s my question: all the physicians and nurses appear to condescend me for being a dentist. That’s fine, they’re friendly but you can just tell they think they’re better.
My question is: is it real or in my head?
Respond your view and your occupation. Ie: dentists are retarded I’m a nurse

>>11071473
Amazing after first few years but even then it’s pretty chill. I quit becuase it was fucking boring though.procedures like cataracts is more money and time goes by faster.

After watching some faggot sow up his shit for 2 hours you just want to die

M3. Step 1 255. How do I know if surgery is for me, specifically ortho

>>11071629
Are you a chad? If yes do ortho. If not don’t.

All chads and bitchy women

>>11071563
In your head.

t. doctor

>>11071012
I'm in nursing school. What specialty should I be shooting for? I fucking hate people, kids and most of all, nurses.

i got into an md school earlier this week. can i shitpost about nurses now?

>>11071926
Pathology?

>>11071926
Circulator or the OR one that just picks the music and fetches patients between cases

>>11071941
They’re stupid and cocky but med students are worse by far

I'm a premed can I bitch about highschoolers yet?

>>11072770
Premeds get out reeeeee

I'm on antidepressants. How do I get my dick hard?

>>11073038
Try men maybe

>>11073038
Female human

>>11073038
What are you taking? When I was given Cipralex one of the effects was the opposite, though the medicine never worked for me in spite of being one of the better ones.

>>11071563
There are so many people going through a service these days between the patients, the residents, the students, the nurses, the auxillaries, the stretcher bearer, the physios, the nutritionists, etc... they 100% don't care about you as long as you don't make their job more difficult, they probably don't even know your name.

What do docs think of hospital pharmacists?

Been volunteering in aneshtesia for two weeks and shadowing a doc.
>have only one failed spinal
>intubations are starting to make sense
>bag and mask ventilation is still kind of tricky
>did CPR on a patient and he actually survived
Gotta say things are coming together. I want to be hired as a resident so bad. This shit is definitely my thing.

>>11071033
Proctologist

>>11071012
Why do the mods allow these threads?
Medicine isn't a science.

>>11073183
>Seething pile of jealousy

Anon, I...

>>11073159
Takes like 2 months and you will be a master of anesthesia. The rest is just cheap labour for the uni hospital.

>>11073149
I’m on staff and have all the privelages and physicians lounge access etc. But I’m still a nutritionist tier?

Had a Pt with abdominal and back pain, lower quandrants, 7 out of 10, pain happened 2 days ago but disappeared, then came on with fairly quick onset today and remained at 7/10 for several hours, ruled out appendicitis due to medical history but previously had kidney cancer that was surgically removed decade ago, no bowel movements that day, no problems passing urine however, pain was localized, not radiating, then shifted to anterior right lower quandrant, panic/anxiety, but no other symptoms, so no fever, but couldn't get bp/hr

They said it was possibly kidney stones due to location of pain, is that the most likely diagnosis?

>>11073251
Ultrasound is the next step if it hadn't have it already. You can't just diagnose based on history and clinical examination nowadays. An ultrasound is the least a physician can do.

>>11073260
fair point, never got to see the Pt afterwards but they were sent in for an ultrasound

I have severe cognitive rigidity that makes it hard to read and socialize. I mostly think in discursive tangents and always procrastinate. It's so bad I can't finish my degree. Could I have ocd? I've tried adhd medication and it didn't help. Only alcohol has shown me what it's like to live without tunnel vision blinders.

>get patient who had a radio treatment at the left eye, she is told is localized low rad
>has rads everywhere
Some of you guys are butcher.

>>11073283
I would advise either to test your neurotransmitters if they are equipped for that in your country.
And if you have done a blood test see if they gave you the testosterone count.

>>11071012
In the Mom edition thread Iasked for starting pages like Wall street Journal for bankers but for doctors. Maybe a bit like 4chan but medicine related?

Sry I missed out on possible answers because I didn't check the thread after asking the question, I don't know how it's already saturday.

>>11073381
I replied to you doubling down and asking the same question we got no answer maybe this time we will get lucky.

>>11073241
You seem to be the one far up his own arse desu.

>>11071588
whats your specialization for cataract, isnt that a surgeons job?

>>11073183
You’re right, let’s have 100 more IQ threads please

Excuse me for the blog post but

God I fucking hate OMM I hate that I have to take this shit for two whole years I literally sperg during practicals why can't every test be multiple choice in med school fuck AT Still

No other complaints than that so far about med school though, getting the hang of it, the material is super fun and the fact that I'm so busy every day keeps the depressive thoughts away

Thanks for the support /med/ you aspies really helped me cope with the initial stress

Do I have a herniated disc? For 3 weeks I've had pain in my lower back after deadlifting badly. The pain only happens when I start slouching i.e. bend my lower back a lot. After moving around a bit it usually doesn't come back. The pain doesn't seem to be concentrated on my lumbar spine, it seems to affect the surrounding muscles too. The pain sometimes also feels more like soreness, it really doesn't hurt that much.

Do I have a herniated disc? For 3 weeks I've had pain in my lower back after deadlifting badly. The pain only happens when I start slouching i.e. bend my lower back a lot. After moving around a bit it usually doesn't come back. The pain doesn't seem to be concentrated on my lumbar spine, it seems to affect the surrounding muscles too. The pain sometimes also feels more like soreness, it really doesn't hurt that much.

Any doctors/medical students/nurses/etc here who know about this stuff want to answer

Will retail pharmacists be automated anytime soon?

>>11073704
Maybe.
You need an MRI.

>>11073704
Don't listen to >>11075140. This is a classic case of vertebral subluxation that will not improve unless you see a licensed chiropracter.

>>11075142
>thinks he's in any position to give medical advice when he can't even spell chiropractor correctly

>>11071629
1. You like money
2. You hate free time
3. You can cut people

is it dumb to try and diagnose my neurodegenerative condition?

I am 21 years old and have heat intolerance, shortness of breath, memory loss, trouble focusing in college, inability to work or drive, and also erectile dysfunction.

the dementia progresses rapidly because only 2 months ago I was in college studying and now I cannot focus on TV, video games books, or reading.


The neurologist said possible testing includes
-imaging besides MRI(already completed) like PET scans
-exome sequancing to check for genetic diseases
-IQ testing (IQ was over 130, 2 years ago)
-lumbar puncture to check for neurological disease

>>11075392
I was just thinking it might be pointless because there is likely no treatment for the disease and it is probably a terminal illness

>>11075397
Honestly if it's legitimately neurodegenerative you're probably completely fucked and diagnostic tests are likely going to be expensive if they're not covered. On the other hand there's a chance you're not and could be treated. If the results come back positive you would be able to at least try to reach out for studies that could eventually be beneficial to other people down the line. There isn't really an objective answer.

>>11075407
I would feel good to help researchers study my condition.

makes me feel like I at least contributed something to our society in my 21 year life even if I am just donating my body to researchers.

>>11073153
Very highly but the only ones I know are cute fun women desu

>>11073477
I just had a gig doing blocks and sedation with an ophthalmologist and was jealous because he made more money and had more fun

>>11073857
CVS basically has them working for pennies dude. They’re safe via complex state by state regulations making it too hard and not worth automating

>>11073153
Love and cherish the good ones. Bsd ones that reject good orders because protocol are speedbumps

>>11073183
Right, it requires more than just plugging into formulas from the 1700s

>>11073241
Lol teeth! Fuckin brush em
Also flossing is gay and fluoride is an inside job

>>11073283
You got nerditis

>>11073622
You should have done better in undergrad instead of boozing and vidya 5 nights a week so you wouldn't have to go to magic school

>>11073704
Clearly muscular "lumbar strain" dont get an mri

>>11075392
You don't have neurodegen disease. You are a depressed loser. Get off 4channel. Check hormones, cbc, cmp

>>11075612
I got a CBC and I have chronic high hemoglobin and I have a high autoimmune antibody result for year now.

this only strengthens the evidence of a disease, which is obvious because of my chest pain and physical disabilities.

>>11073704
Does thoust feelest loss of the sensation in thy toes? Like pricking shit or tingling, my guy?

>>11075621
Those results mean literally nothing

>>11075628
>things that you don't understand must be unimportant

>>11075628
I got a hemoglobin of 18.4 and it was almost polycythemia but it went back down a little

>>11075629
You're a fucking hypochondriac and at every clinic you've pestered the physicians and nurses talked shit about you.

>>11075633
then what explains my chest pain and inability to exercise I used to be a very strong runner and athletic.

now suddenly I am unable to leave the house for the majority of the year because of hot weather

your just an incompetent medical professional who resorts to diagnosing difficult cases as hypochondriasis maybe if you were smarter you wouldn't have to do this

>>11075641
Sounds like Clampercism Syndrome to me

>>11075641
Holy shit this is great stuff.

>>11075633
t.good goy
That's right anything we can't prescribe drugs to is a hypochondriac

>>11075633
why would I give shit about nurses they are even more fucking retarded. lol

>>11075433
>pennies
I thought they made decent money.

>>11075645
* c l a m p e d *

>>11075641
Post your complete labs.

>>11075701
AUHHHHHHHHHHHHHH

>>11075392
>>11075641
>>11075632
How hot are we talking? How fat are you? Do you smoke? You posted your intelligence test results but not the relevant tests that you claim to be evidence for your purported condition.

Autoantibodies aren't specific for autoimmune diseases. They can be elicited by shit like viral infections. The upper limit for normal Hg in males is 17.5 g/dL and the lower limit for polycythemia is 18.5 but you didn't mention your MCV and other values.

You've got a bunch of non-specific signs and symptoms that can be caused by several factors and your first thought was neurodegenerative disease. So much for that 130 IQ.

>>11075641
Most likely anxiety/panic disorder with somatic symptom disorder. Fits pretty much all of your symptoms and what you've explained of your thought pattern. You should really at least take the time to see a psychologist if you're already taking the time out going to a doctor.

>>11073240
>The rest is just cheap labour for the uni hospital.
Nice to see how it's kind of the same everywhere.
>>11073622
Is this something related to osteopathy? Also aren't their manual therapies bs? I mean from what I understand DOs study the same medicine, but with that suspicious alignement stuff.
>>11073704
Hernias hurt more and pain radiates towards the leg.

>>11075761
I know it’s neurological because of my memory loss and cognitive difficulties, only 74 degrees Fahrenheit is unbearable. My BMI is 23

>>11075877
Have you gotten your thyroid checked? Seen a shrink? Iodine deficiency?

any colleagues here with their own practice or clinic?
bros we need to talk entrepreneurship.

>>11075887
Yeah checked thyroid it was normal I am diagnosed with POTS, autonomic nervous system disease

>>11075914
Fucking hell, it's you again.

>>11071012
Sup /med/, theoretically what would be the most grotesque way to kill myself?
I fantasize about going into a hiking trail and opening my abdominal cavity. I would keep a handgun to my side just to seal the deed.

>>11071173
Paramedics make good pension if you live in the US and you're willing to work for the county your whole life. Seems like a comfy life as long as you work to combat the pizza/beer gut and chronic back pain, as well as the early onset dementia after you retire early.

Why does this thread always attract the mentally ill lads?
Just go make your /psych/ general, it's not an open consultation you freaks.

>>11073704
Sounds like a muscle injury

>>11076124
A lot of people like to think that the medical field is hiding a lot of secrets. The only secret it's hiding is how retarded it is and how little we know.

>>11076088
Dying of old age with your loving family by your side

>>11071012
Is there any way to increase penis size (erect) without too many side effects by 4+ cm? Asking for a friend

>>11076124
Just don't respond to the hypochondriacs. Ignoring them on 4chan has no consequences.

What's the best ways to learn and remember infectiology?
I find I need to understand a bit of the nosology to memorize most diseases but when it comes to infectio it's straight up a rabbit hole when you dig a bit and overall very dry.

>>11071033
Tell your boyfriend to use a condom

What is a good book or book section about chromosomes? I want to fully understand their active role, I mean not at birth but during adulthood.
Or is studying from the basics just good enough or what?

>>11076360
Any genetics 101 book

I wanna do a Diploma in Biotechnology so I can get into pathology. But a diploma is the lowest certification.
The reason why I wanna do a Diploma is because I have been to tafe 3 times and all 3 times I had an amazing time.
Then I went to Uni and tried doing a degree in Med & Health Science but I couldn't stand how much it reminded me of high school.
Is it worth doing a 2 year diploma in biotech or is there somewhere else I can go for a higher level of education thats not uni and is in Australia.

I am starting to think that Hospitals should carry a placque saying something like "the time you don't invest in living, is spent in dying" or something.

Of all people who can't afford health care, it maddens me those that can and don't.

Because of family connections I am currently acting as the secretary/assistant to a small university doing tests on a machine that could replace other means of doing analysis.

I am a messy person what is a good format on how to write impressions, the data gathered, etc. I have no experience in that.

Why does my throat hurt like shit? At first I thought it was a cold, but I don't really have any other symptoms. My physician prescribed Ospamox (I think that's amoxicilin) but it still hasn't gone away. It feels like swallowing nails.

>>11076400
>Americans
So glad I wasn't born there. Sometimes you guys make my shithole look much better since healthcare here is absolutely free and insurance is covered by the state (40 or 50 dollars / year). We don't have the fancy shit they have, but healthcare is okay tier.

>>11076440
Are you sure it's a bacterial infection? Pharyngitis is usually viral and has some clear signs when it's bacterial. Ospamox is a shitty choice anyways, Amoxi+Clav is the superior choice for throat infections. If you can look into your throat, looks for fire red delimitation, and pus like vesicles on your tonsils. If you find it only red and spread all over, it's usually viral and you should quit taking ospamox. Treat symptoms instead, get some strepsils or other "candy" for your throat, nasal spray in case of rhinorrhea, ibuprofen for the pain and drink warm stuff, not hot, just warm enough so your throat can tolerate it

>>11076475
>"candy" for your throat, nasal spray in case of rhinorrhea, ibuprofen for the pain and drink warm stuff, not hot, just warm enough so your throat can tolerate it
I've got Strepsils and ibuprofen. I also drink one or two cups of tea every day out of habit. There have been times when my throat hurt for no apparent reason but it's never been this bad.

>>11076461
I am not American, I am European, but as I have been getting closer to medicine I am seeing people who can afford medical care and feel they are too busy for it, I had a guy who was doing a cancer treatment, without radiation, dunno how it worked though, that had finally allowed him to sleep after 2 months, then what does he do? Instead of keep doing it he goes to do Chemo.

>>11076088
Train

>>11076227
Vit D

>>11071563
100% in your head, I'm a nurse & I personally think it'd be pretty cool to watch a dentist do his thing

>>11076487
Have you checked with an ENT specialist? You can tell your FM that the treatment doesn't work and it might be worse than you think. I'd recommend a specialist consult, to be honest.
>>11076498
It's not the patient's choice, radiation sessions are usually once every day for 30 days because you don't want to induce metastasis from too much radiation. The way onc goes is like this:

3 big options - Surgery, Chemo, Radiation. There are tumors you can't operate on/too late to operate on, chemo and rads are double edge swords since sometimes they can do more harm than good and radiation because as said earlier, it can make new tumors appear. So, switching to chemo after radiation therapy is pretty standard.

>>11071563
considering you’re too dumb to tell fingolian autism phenotype from fetal alcohol syndrome in nw european children they are probably right, you’re inferior to medfags

>>11076715
>fingolian autism phenotype from fetal alcohol syndrome
What's the difference?

>>11076712
He was not doing a radiation therapy.

>>11076884
Oh shit, my bad. What was he doing? Immunotherapy? That's usually some kind of last resort treatment and resume chemo after a while because it gets ineffective after a while.

>>11076915
Not your fault, you did not know as I don't really either, I don't know all the various methods that exists for cancer treatment, for example there was my grandma who had breast cancer and my mother told me her treatment used some pills she did not know so I guess that was outside of radio/chemo too.
>Immunotherapy
I would not call it that, because they certainly did not, but is something similar, in the sense that it was slow and about stimulating the immunity system.

If you don't live in America where you can fool richtards into giving you 100 millions for a juice squeezer (Juicero), which government and through which channel is it worth communicating with?
I am confident that I found a way to cure celiac disease, that should save some millions every year, I know Italy spends at least 250 of them, but Italy is an inefficient country and would never listen.

So, a while ago I went to the dentist to get a bunch of fillings. After I had a couple done, I got an abscess and he put me on antibiotics before fixing that tooth as well. Now the area is red and swollen, and I get a weird taste in my mouth whenever I touch it with my tongue, but the other fillings are fine. Did he do a shit job treating the abscess or what? Should I pay him a visit?

Moore,Guyton and Gartner are gay meme books.

>>11077074
Do you have a single fact to back that up?

how does cognitive reserve theory manifest itself?will individuals of high IQ, large brain volume or high cognitive reserve have delayed dementia?will they function for longer and remain undiagnosed?

I have had memory loss for many years and I was reffered for IQ testing but the results have always been far above average despite my amnesia and inability to work, drive or study in college, I am massively disabled don't be fooled by my IQ score.

>>11071012
I've heard vaccines don't work, is it true?

>>11077148
Depends, were you clamped?

>>11077176
Can you explain to the lurkers what that is before I answer?

>>11077178
A third of the Circumclampccination triangle

>>11071173
Whats wrong with being a paramedic ?

>>11077180
Hmmmmm, I don't think the lurkers will understand that sort of language, sir. Try again.

>>11077196
That comic is powerful.

>>11077066
patent it if its not bullshit

>>11077074
>moore
no
>guyton
yes
>gartner
yes

>>11076715
She's Swedish.

>>11077066
Patent, set up company, get bought out.

>>11077148
Not the ones they give to plebs like you.

>>11077377
Is a dog born in a stable a horse?

>>11077350
I don't know if it can be done, is achieved using a pre-existing machine but using a program/parameter that the makers don't know. Although you don't use the machine directly, you can make a "product" with it, something tailored specifically for gluten intolerance and could solve it in 10 days of treatment.

>>11077397
Well 4chan is probs the worst place to ask. Why not go to your alma mater and talk to someone there? They could help out

>>11077387
Is an albino born in Africa white(racially)?

>>11077487
A University? Well, I am part of a small starting up Uni, but the rector shittalks the other unis at any chance they get.

>>11077737
Depends on whether or not its parents are white(racially).

Anybody here got a hot take on diatomaceous earth as a health supplement? this stuff seems to be all the rage right now, but the FDA has not approved it for direct consumption and seems to have gone after some of the companies shilling it. What gives?

I have a question about teeth clenching that's been bothering me and was wondering if anyone could help me with it.

Around and since my college graduation about 5 months ago I've noticed certain nights I wake up and it feels like I've been clenching my teeth. I think this is due to stress/anxiety, but I'm also concerned about whether or not I've always been doing this and am only just noticing it now.

If I did have a clenching/bruxism problem, would/should my dentist have been able to tell/check for it during all my past dentist visits with him? I've had tooth bonding on a front tooth, but I'm pretty sure that was from a bad habit of biting on pens during high school (and he told me to not do put any foreign objects in my mouth when I pointed out the mysterious chip in my tooth). I have never had any cavities, noteworthy tooth sensitivities, or enamel problems as far as I know. Never have had jaw or joint pain, or headaches either. I can't tell if I've ever had attrition like tooth chipping/flattening anywhere.

I hope this is just a recent problem stress induced clenching problem and I can mitigate it with stress relief.

Hopefully someone any ideas. Appreciate it, thanks.

Honest tips on how to conduct myself professionally?
My grades are all right and I do well on the exams that matter. My resume is fine. But I'm at the point in my life where my stoner-rockstar-go-fuck-yourself-tryhard-jackass attitude might actually screw me in getting references and letters of rec. Also I have resting bitchface and some kind of autism spectrum disorder and I worry about that screwing me professionally.
Like, how passably do I actually have to communicate to succeed here?

>>11077858
Don't they use that shit as an insecticide? It's just dead diatom shells. What health benefit does silica even have?

On a side note, diatoms and microalgae in general are really nice organisms. Hella pretty to look at under a microscope.

>>11077869
I am a dentist. Generally I am against giving personal advice online. However next time you are in ask for a night guard, it should be deisgned to place your mandible properly to relieve pressure on the TMJ and absorb the force rather than you grinding your teeth. I personally wear one l. They’re expansive but insurance usually covers one every 5 years or so.

Also, if you don’t when you’re 70 or so you could grind down to the nerves and need very expansive root canals and crowns to rebuild the whole occlusion. Far cheaper to get the night guard.

>>11077072
Oh boy. Impossible to say without seeing. If the abscess didn’t go away after the antibiotics I’d be surprised. Did he do a root canal?

>>11075676
They are over worked and underpaid at Walgreens and cvs.

>>11075588
>brush em
I make $350k a year becuase people don’t. I literally beg them to brush and they won’t
>flossing is gay
Thé zoomer dance? Yeah pretty much
>fluoride is an inside job
(((They)) put it into the water

I'm currently going to school for a BS in Kinesiology, Rehab focus. How fucked am I because I generally think my prospects are good but I'm a total neophyte in terms of the career field.

>>11073038
Make up a fantasy in your head

>>11077924
the new age people make the typical claims that it "detoxifies" etc, but apparently they have been using the stuff in agricultural feed for decades as an antiparasitic, with some research backing it up.

>>11075877
>I know it’s neurological because of my memory loss and cognitive difficulties
there are many more causes of memory and cognitive impairment, schizo

>>11076088
make a narrow incision and feed your intestines to a goat while you bleed out slowly

>>11078137
Yes, he's obviously drunk.

>>11076297
sketchy micro

>>11078137
>misdiagnosing dementia as schizophrenia is just complimenting on the persons high intelligence

dementia and neurodegenerative conditions have a different presentation in individuals of high intelligence, thats why I am being misdiagnosed

>>11077888
Grow the fuck up and act right. Start immediately.

>>11071012
What's life like for a PA? Is it just writing prescriptions all day? I assume they work 40hr/wk as well.
I'm trying to decide which direction to take. If I was in any other nation I'd go for the MD but I don't think I'd be happy with U.S. residency hours, I want more time for a family.

>>11078196
PA is pretty wide open becuase it depends who you work for and what specialty. Could be great or shit

>>11077761
the parents are black (racially)

>>11078196
PA basically does what an MD does except you deal with more of the paperwork, dont get to see the interesting cases, and you make a lot of fuck ups

>>11078196
residency ends eventually

>>11078214
Then it's an albino that is black (racially).

>>11077186
Career growth stops at paramedic. With RN you can go on to CRNA, NP, or specialize in basically any aspect of medicine. Paramedic has lower hourly pay, and at the end of the day you’re still a Department if Transportation worker. Also with RN you can up and move wherever you want and still find a job.

>>11078292
So we have shown that a peson who looks like they have the fingolian autism phenotype and is born to Swedish parents in Sweden with no hint of Finnish mixture for generations is Swedish.

Anyone here in psychiatry or optho? so far these 2 specialties are the ones I like. are these lifestyle specialties and will they make 250k+ ? hows the job market?

>>11071012
Just gonna say, the wife is finishing her second year of residency after Pharmacy School here in the US, and it's such a fucking comfy job. Already has a position waiting for her at the VA Hospital where she's doing her residency. Makes me wish I had done medicine instead of Comp Sci.

>>11071196

GET BACK IN SERVICE

>>11071235
>pegvisomant and octeiotride and more cabergoline

combine all three for synergistic effect. italians have a name for this: gabbagool

>>11071260

don't fret. really. it will be ok. you'll match radiology in duluth so it doesn't really matter anyway.

>>11071926
>I fucking hate people, kids and most of all, nurses.

Oh you sound perfect for the ICU. Where you can pretend you matter as long as you have good tits and shiny hair. Don't worry, eventually after going through a few resident classes and really prolapsing that labia, you'll find a husband.

>>11073251
>ruled out appendicitis due to medical history

uh.....

>>11073260
>You can't just diagnose based on history and clinical examination nowadays

look up specificity on psoas/obturators... get back to me when you get in residency. also, screw US those fucks are slow get me a non-con tummy CT

>>11073283
>I mostly think in discursive tangents and always procrastinate. It's so bad I can't finish my degree. Could I have ocd?

top three ddx include oppositional defiant disorder, latent-terminal anal praecox, and external projective asshole syndrome.

>>11073704

why r ur bones pink u fag are u a fag, i bet you're a cute fag, probably a top, are u cute, what's ur number mr. pink bones. yes, lumbar radiopathy you needs some mri hopefully it's not a dick disease just a disk disease

>>11075621

PV possibiy. You need a lower viscosity motor oil. Recommend some pliers and a set of 30 weight ball bearings.

>>11078793
I'm a guy, my dude. I'm also not a narcissist either.

>>11078751
How is it comfy?

>>11075761

retrosigmoid intraluminal pressures of 32 mmHg suggestive of inconclusive incomplete retrograde grade III propulsion of luminal gas. thus, diagnostic question is - how is your farting?

>>11076088
>heoretically what would be the most grotesque way to kill myself?

find yourself still on 4chan in 10 years.

>>11078830

night shit CVICU RN. honest answer.

then transition fixed wing interfacility transfer CFRN. don't mix with others, learn the toys and the job. first pass school and the nclux

>>11075392
>neurodegenerative condition
>21 years old

Nah, it sounds like an anxious disorder or a mood disorder
Let's wait for test results tho

>>11078886
I know thats because I have superior intelligence so the neurodegenerative condition isn't immediately obvious, this is very well documented and is known as cognitive reserve theory. Individuals with superior intelligence can avoid the worst effects of dementia.

you wouldn't understand your brain is too small and you have far less neurons than me, so you assume that it's have a just mood disorder.

>>11078886
>imagine arguing with someone with dementia and losing

seriously just kill yourself

no idea where else to ask this, My most recent dentist has told me that the work recommended (but not done) by a past dentist was knowingly unnecessary. Should I do something about this? I'm not about to go beat him up for trying to scam me in a way that would ruin my teeth, but I can't have him doing this to other people.

I've had an L1 anterior wedge fracture since Feb 2018 which is beginning to cause issues now I'm at work, as I get a really annoying ache/soreness in my shoulderblades and around that area of the spine since I'm sitting in a chair for 8 hours a day. Can this be mitigated somehow or do I just have to live with it? Right now it feels like I'll never be comfy again, it's a general issue even when I'm lying down (I can feel the ache if I stretch in bed) but more pronounced when I'm in a chair

>>11077869
GERD

>>11078800
Appendectomy in the past?

>>11078904
You have an AAFS

>>11079112
>Should I do something about this?
Dentist here.
You cant do anything about it except change dentist and leave bad yelp review.
Every day me and my colleague see at least one case where someone was over charged.People need to learn for themselves that as with anything that higher "class" establishments will charge you arm and a leg for simple/straightforward interventions.

>>11077350
The second he patents it,the medicine becomes free for all and everyone will try to copy it without infringing the patent.
Companies with big marketing departments not only will take you to court but they will outsell your brand because they have connections and dealerships that you cant even imagine.

*ahem*

FUCK private practice

>>11079606
>working for the government
Cringe

>>11073038
swallow 30mg zinc tablets every day to boost your testo.

>>11079606
lmao at the wageslave

Med student trying to figure out how the fuck to do a direct fundoscopy. My prescription is -7.5 bilaterally but the opthalmologist we had teaching us had to set it all the way to -20 to see anything in my eyes. Even before figuring out the focus setting I couldn't see well through the lens though that might have something to do with having a bright light focused on my retina for 20 minutes beforehand. I've gotten the red reflex before and a blurry optic disc in someone with papilledema but I'm not sure if that's because of the papilledema or because I couldn't see shit. I'm fine if I'm wearing my glasses and using a slit-lamp. Should I try to buy an adjusted opthalmoscope for my prescription or does anyone have better advice?

Given the amount of medical errors related death, I wonder statistically how likely is that your medic is a murderer.

>>11079768
Find the one that drinks on the job and you have your guy.
I know 2 people like that.

>>11078751
>VA

Lol

>>11078793
Lmao. Saw a bitch say she wouldn’t go on a mission trip because she was ICU nurse and she needed to be where the action was. Rollin my eyes senpai

>>11079112
Typically a fancy building dentist has to pay for his fancy building and boat and car senpai. They’re the guys pushing the limits of ethics.

Usually I try very hard not to talk shit about other dentists but sometimes you see a patient come in who was getting scammed. It’s unrea but happens a lot. Find a nice dentist in an older building with no ASPEN or GENTLE DENTAL corporate sign on the door.

I remember once reading an equation that define the maximum amount of times a human cell can multiply? Anyone keen in biology remembers such thing? Or its name?
I want to know what exactly makes someone die of "old age" even if their health is fine.

>>11073038
Do what I did and fap for 4 hours straight to hentai

>>11080593
You're thinking of the Hayflick limit

Is this skin cancer? Had a bad sunburn 5 months ago, noticed a spot a month ago on my forehead that looked different at the time (see next pic). Now it looks like this (pink/scaley/scar like--I never picked at it). Is it stress?

>>11081030

>>11081030
>>11081036
high res front face cam pic with flash

>>11078728
Psych is a total fucking nightmare. Literal human garbage who can’t pay and you are essentially paid pennies by the government to zonk them out so they don’t murder anyone.

Optho market is amazing. You can make $15k a day one day a week for a few years and retire. Just pick a medium sized town not near the coast

>>11071012
im not doing premed and doing pre-pa now

god damn i am so happy and less stressed

>>11081209
>pre

>>11081030
I am going to check hold on.

>>11081030
>>11081036
>>11081174
to be clear im referring to this. basal cell carcinoma? it looks pink and scar like in the mirror.

Reminder that allopathy is a mental disorder

>>11079559
>Every day me and my colleague see at least one case where someone was over charged.People need to learn for themselves that as with anything that higher "class" establishments will charge you arm and a leg for simple/straightforward interventions.
I don't care much about overcharging for useless/overpriced treatments, but he was actually going to drill on health enamel, which is actively harmful to my health. I feel like that is at least worthy of a fine if not a battery charge.

>>11079400

one can only hope that was the assertion.

>>11079763
>Should I try to buy an adjusted opthalmoscope for my prescription or does anyone have better advice?

fake it like the rest of us. "optic disc is sharp, 1/3 physiologic cup"

>>11081335

whereas homeopathy is the fifth circle of hell thank you very much.

Metaraminol is the best drug, discuss

>>11081268
this not an open consultation, fuck off
this not an open consultation, fuck off
this not an open consultation, fuck off
this not an open consultation, fuck off
this not an open consultation, fuck off
this not an open consultation, fuck off

What is better, general practice or psychiatry? I can't decide

>>11075392
It's probably clinical depression, go to a psychiatrist

>>11081746
GP

You get to actually connect w pts and counsel on lifestyle. Psych is protecting society from loons. GPs also cover mood disorders and "mental health" issues that normal people get. It takes 8 months to get into a psych unless you're manic psychotic

>>11081746
>FM or psych?

FM all the way. No need to think about it, just pull the trigger.

>fresh emt-b license
>got a ER tech job
>get paid close to paramedics to mostly sit around and do phleb and random shit night shift (still make a fair bit less since I don't do overtime)

Pretty cozy and I'm having fun cutting my teeth here but the other techs are loser CNA2's that have been there for like 5 years plus, can't believe they haven't moved up yet. Thinking about putting in a year here and then going BSN seeing how things go and then NP/PA. Decent idea?

>>11081746
If you like psych go psych, if you like the other shit go FM

>>11071012
How do i get better grades /med/ i'm tired of people getting better grades than me because i have no money for pills
i know most of the people that get good grades are on medication

>>11075894
I am a dentist with my own practice, however in Canada.

>>11082597
Doesnt matter desu.
I was thinking about expanding in the near future but honestly the mere thought worries me.

My brother, 25, is getting diagnosed with some form of lymphoma to tonight not sure is hodgkin's or non. How fucked is my family or is he going to be alright?

>>11071012

Paramedic here. I've been in EMS for 23 years.

Unless you can work for a municipality (id est: Fire Department), avoid this industry like the plague. Private EMS is the worst fucking thing you can do. The people who own the services are cocksuckers who survive by defrauding the government and by treating their employees like rental equipment. The units are garbage and the stations, provided you actually have one and don't post on the side of the road, are worse. My station just had a bedbug infestation. My service has two owners. One is a rampant narcissist and the other is about as easy to contact as fucking Bigfoot. I once got suspended because a guy rolled a unit over on my day off and somebody told admin that I drove to fast once. It is an arbitrary, capricious, shitty fucking industry.

If you go into nursing, go straight to RN or higher and pack on as many certifications as humanly possible. LVNs get stuck working in nursing homes and home health services giving meds to trailer trash. RNs with no additional certs end up in MedSurg. Normally that wouldn't be so bad. But MedSurg is where hospitals stuff their diversity hires. So if you're white you probably won't even be considered and if you do get in, you'll get stuck doing all the work for a bunch of negresses. Also, if you're male you will be a constant target for every virulent strain of female bullshit you can imagine and a few you can't. To put it another way: My workplace is toxic as fuck and I won't even consider nursing as an option.

>>11083713
>How fucked is my family
You are playing the genetic lottery. I am treating a guy right now, I think he is in his late 40s, got a son, he has a Hodkin's lymphoma, started showing the first symptoms, swelling of the lymphonodes, but his cousin died for it at 18.

>>11083792

remember what EMS stands for.

only way to make a career is get into a large city munipical fire service with progressive EMS or fly, do not work for transfer scams. also, fuck Austin EMS and their wannabe shit.

CFRN/CEN/CCRN or forget it.

>>11071196

This. All of this.

Plus: Nurses are cunts and will call in and complain about you for anything. Some examples with the actual event in plain text and the complaint in green:

A nurse at Texas Children's in Houston wanted me to do her vitals on a patient I transferred there. So she literally snapped her fingers at me and pointed at the dynamap. I snapped my fingers back at her and hooked my thumb at the thing, then turned my back.

> Your paramedic was rude and refused to give me en route vitals on a patient. He was also rude to the patient and her family.

I was working a code (CPR) in progress at a local chicken processing plant. We loaded the patient onto a backboard and started to lift him when the board slipped and the patient's entire 300lb weight landed on my thumb. I said "Fuck!".

> Your paramedic was rude to our staff and shouting profanities at them. (got fired for this one)

Had a conversation with my partner in an elevator in a hospital 79 miles from my station regarding a coworker of ours who fell asleep in the back of the unit.

> Your paramedic was bragging about how much he slept in the ambulance with patients loaded.

Brought in a code to a local ER with only myself and my partner in attendance. When we got to the ER, the charge nurse came out to the bay and stood there watching us move the patient into the ER and openly asked why I wasn't ventilating the patient (note: I was doing compressions and operating the stretcher and she literally stood there and complained without moving towards the stretcher).

> Your paramedic refused to ventilate the patient during a CPR in progress and I have sent the report to the hospital administration for review.


I have 23 years of this shit.

>>11083799
>swelling of the lymphonodes

close relation but not as fun as the nympholodes

>>11083830

rural metro?

>>11082131

cut out the delay.

>>11083833
Hi Vlad.

>>11083824

Overall, I like the work. The problem is that I got in a long time ago and ended up stuck in this area because of my kids. There are two municipalities I could work for, but they pay for dogshit and are run by exactly the same kind of despicable cocksucker as every other service around here. So I drive two hours one way to work 48 and 72 hours for an interfacility transfer service. Which actually isn't that bad... on the face of things. The pay used to be good (they never kept up with local trends so they're actually underpaid. Their insurance is the tits. Their units and station used to be good but the owners have become dysfunctional as fuck and never deal with anything anymore. And, nursing bullshit aside, the calls are usually gravy. I did that 911 bullshit for two decades. I'm fucking done with it. I just want a nice, cozy place to curl up and make my overtime without worrying about some crackhead trying to stab me (it happened).

And things are better now than they were 23 years ago. The nurses being cunts thing is just the way a female-dominated industry is going to be. My present employers get this and usually ignore complaints. But there are still huge problems that will never be fixed and that's just how it is.

Still, I'd rather jam a red hot poker up my own ass than be a nurse. Fuuuuuuuck that shit. Those cunts are fucking horrible.

>>11083838

Not for a long, long time.

I work for a little private service running IFTs everywhere. Read: I manage vent patients while playing Minecraft on my phone and shitposting on FaceBook.

>>11083833
uh I accidentally a literal translation.

>>11083841

Most PA programs want medical experience though, I think one year in an emergent setting would be good. I could also do part time ambulance while in college though, but I don't think they give a shit about pre hospital.

>>11071473
pure anesthesiology is peak comfy
but if it's paired with critical care in your country, that part is absolute ass

>>11073159
>have only one failed spinal
doesn't mean anything over such a small time period
unlike intubation or even CVC where you actually learn and understand(and see) what you're doing, there's always going to be that one patient, even with an externally perfectly normal spine, but the needle keeps hitting the fucking vertebra
on the flipside i've had plenty of horrible fatsos in whom you can barely palpate the spinous processes under the fat, but then the spinal goes first try ez

>>11083852
fuck

Where does a male nursoid escape to then? ED?

>>11084025


Find a male GP with his own practice.

The fuck is up with boomers thinking they can't have their phones with them for fucking x-rays? Do they think they're having an MRI for their stubbed toe?

>>11084419

What the fuck is up with boomers telling the ambulance crew not to drive to fast because they don't know how to get to the hospital and want to follow you there while you're transporting their relative when they're standing there holding a perfectly good smart phone?

>>11084504
They're probably still on their $50/month phone plan from 2005 that doesn't include data. Not that they understand how phones have internet.

>>11073857
This worries me
Medicine will never be automated in our lifetimes but is pharma really safe if you do retail? Is it better to aim for clinical just to be sure?

How do I get good study discipline? All my brain wants is cheap dopamine rushes (4chan, vidya, junk food, porn etc.) and it makes it hard for me to study for longer periods of time. How do you guys manage to study well? I'm starting to think I'm really handicapped in this sense.

>>11084015
Oh yeah, I'm far from thinking I'm some hotshot. The doc I'm shadowing always has a question, I fuck up and I have a lot to learn from the practical standpoint. I just expected to be performing worse than this.
>there's always going to be that one patient, even with an externally perfectly normal spine, but the needle keeps hitting the fucking vertebra
The one patient I failed was exactly like this lul.

>>11084760
My mother is 71 and knows how to do this shit. People are just lazy cunts.

>>11085181
What do you mean? Self-medication?

>>11071012
Quick question before I go to the doctor because I'm a burger and I don't really want to pay $300,000 USD. Please respond.

I have the symptoms of low potassium but at the same time I'm afraid I feel like I have a blood clot. However, I don't have the symptoms of a blood clot. It's my left leg. I'm 99% chance of going to the doctor on Monday but still.

I had a relatively difficult childhood and I went throught what I hope was the worst part of my life between age 16-20.

I did a lot of mistakes, learned from them and I now understand that only myself can sort me out.

It was never a dream for me to become a doctor as a child, but for a year now i've come to the conclusion that it might be the best course of action for me in order to find happiness some day.

Med schools in my country are free and entrance is an open competition exam.

Thing is I think i'm kinda set back due to the fact that I damaged my brain and body quite heavily during the last 7 years.

But I still think I can do it. I quited smocking weed and almost tobbaco, fixed my diet, stopped strocking my dick 3 times a day, started reading again and several other stuff.

But i think it's not enough so this year, I'll start to exercise and re-learn fundamental science in order to be ready next year.

Any advices ? Do you guys think I'm being delusional or courageous ?

Also thanks to whoever posted the "learn how to learn" online course on coursera in a previous thread, that helped a lot.

anyone got a chart where you can choose what specialization u want to as a doctor? it had something like "yes" and "no" answers with questions like "do you like people" or something like this, help please

>>11071926
ICU, do that for a few years and fuck off to CRNA school

>>11077186
The pay is low, hours are shit, and most of your calls are transporting bums who want a taxi to the hospital

>>11071012
Are Urgent Care/Family Practice PA's in large cities cucked? I want to practice independently. I don't want to go to medical school, and I don't want to be a nurse.

>>11071012
Ok lads, been feeling exhausted, dizzy and weak lately. Used a friend's blood glucose tester and came out as 3.3mmol, thought god need to eat so literally spooned sugar. It went to 7.8mmol and now half an hour after dinner it's 5.6mmol.

Am i dying?

>>11086156
In cities? YES. I'm in NYC and its so fucking saturated here. Starting salary for PA's is like 85K at the big academic hospitals and you'll spend youre entire time being the doctors bitch. If you want money become a surgical or derm pa, and if you want independence you need to go rural

>>11071012

I've spoken with a neuroscientist suggesting Iowa if I'm going to be a neurosurgeon.
I'm Euro however and have yet to take the USLME.
Any neurosurgery residents or anybody with experience in this department got any suggestions on which US state would be nice to work in? I know it will my score to decide where I'll end up eventually, but I'd still like to know your opinion. Thanks in advance.

>>11076712
What kind of cancer is that that keeps there even if there was chemo - surgery - radiation - more chemo?

Talking about breast cancer

>>11071012
The joint on the right side of my jaw has been hurting for three days and now the ear above it keeps feeling like it’s clogged and I can’t hear out of it. What do?

>>11087044

hot shower
decongestant
antihistamine
macrolide


all of that is for entertainment value. this is not medical advice. go see a PCP and have a nice day.

>>11086156
>and I don't want to be a nurse.

uh


>Urgent Care/Family Practice PA's in large cities cucked?

Market is saturated with mediocre sell-outs accepting sub 6-figure offers


>I want to practice independently.

You do know the A in PA means assistant right? I mean the education is stellar and prepares you similiarly to an NP but without you know, years of clinical experience an RN has before becoming an APRN, and without the full practice autonomy you're seeking. just get your shit together and you'll be fine.

>>11086223

Yes. You're dying. The rate to which you are doing so is the bigger question.

>>11087040
Breast cancer is easy to treat if detected early (just like most types of cancer). If detected early, surgery is best followed by some radiation and chemo sessions to ensure it stays tumor free. It's better to remove the other breast too because there is a slight chance it will get malignant. (Slim, but it's still there, I'd rather have 0 chances of getting breast cancer than any chance).

I don't know what you mean by that question, what type of tumor? I honestly have no idea, depends on the stage you get it detected, the efficacy of chemo and radiation, patient compliance, it's not that easy to treat cancer, certainly not the same as a disease you usually see on the internal medicine ward.

>>11077186

Don't work private services or weak county entities likely to be eaten by encroaching growing municipalities. Don't get fat and bitter like some posters. Be strong, fit, strong back, healthy, and get on with a major city fire department-based EMS. grow within the organization and have fun in your front row seat of one of the best jobs in the world.

>>11087102
That was the process my fiancee endured, yet she passed away a year ago. It still puzzles me that despite all that she didn't make it.

Doctors ended it all by giving her an injection of something (what it was? I don't know) after diagnosing her with kidney failure, more than a week after her last chemo.

>>11085054
>How do I get good study discipline?

Honest answer? Close your laptop. Do NOT come back here or online unless it's for productive work and even then, limit it to an hour at a time. Turn off the drip and your cravings will dry up over time.

>>11085256

The answer is YES

>>11087127
To what question?

>>11087117
It's always different from patient to patient. My dad (RIP) was 47 when he was diagnosed with Hodgkin's lymphoma, detected early, docs gave him 80% chances of survival at 5 years but the tumor didn't respond to anything, although it was sensible to radiation. In 2 years he was dead.

The problem with cancer is that the signs are non specific and it can manifest in a lot of ways leading the patient to think that they just have a cough, a persistent one but not something serious and it turns out they're full of metastasis.

I assume that injection was not only a one time thing and your fiancee was in palliative care at that moment, maybe something to soothe her pain and make her end of life a bit better. Multiple organ failure is usually the cause of death in cancer patients, a pretty shitty way to go out because it's a fucking torture, the only way to improve quality of life is to give the patients medication such as morphine, noradrenaline and such.

>>11087132

the $300,000 leg

>>11087136
What are you trying to say?

>>11087133
Yes, she was taking methadone for months before the final moment. The night of her passing, they gave her morphine, hydromorphone, more morphine and something else which I don't know.

>>11087137

the potassium, it may be inferior. as for the clot, but still.

>>11087157

more hydromorphone?

>>11087175
So you're saying it has a higher chance of being low potassium than the actually having a clot? I've read that having a clot doesn't always show symptoms so that's why I'm a little worried. Maybe I'm in a panic.

>>11087191

i'm saying i have no fucking idea what you're talking about or what your complaint is and i'm about to have security throw your ass outta triage

>>11077945
I am also a dentist and I concurr

>>11087217
>>11087217

you must be the one motherfucker in the five that does not recommend sugarless gum.

>>11087223
Not him but all gum these days is with artificial sweeteners like aspartame or xylitol.
Like many food additives of these chemicals are not properly tested to humans and may cause bigger problems than tooth decay.

>>11082176
holy shit this is retarded, I mean the pills thing
>>11083713
Depends on the type, how patients react to the treatment. Some live a long life with supportive medication and lots of remissions. A buddy of mine got diagnosed a few months ago with an agressive type of AML and he's been doing good so far. He's gonna get a bone marrow transplant. What I'm trying to say is that oncohematology has made a lot of progress and they are treating on the molecular level so to us just a lymphoma means nothing.

>>11087100
Am i dying at such a rate i should be drastically concerned? A few times lately when I've been at the gym I've felt so faint i thought i would blackout and had to leave.

But im not diabetic, no extra urinating, no family history and as said when i shovelled sugar in my BS only went to the upper normal range. Something is definitely wrong with me, i feel like hell all the time despite a healthy lifestyle.

>>11087366
Do not insult xylitol. Glorious Finnish invention natural from the berries and birches, will cause no problem and destroy mouth bacteria.

Aspartame is the devils poison. Will cause migraines and cancer and bacteria eat it like candy.

>>11087133
My dad made it to 50. Lung cancer. He lived 4 years with it? The chemo and radiation killed him. He was weak from a street addict life. Could a fought thru if he was /fit/.

Hello anon. How could I make my internal organs unfit for transplantation? I only know that HIV and hepatitis carrier's organ transplantation is strictly prohibited and it's pretty easy to get HIV infection. Is there any other simple, but more ethic solution?

>>11087902
Die in a way that there is nothing usable left.

>>11088092
Can't do that, I am pussy.

Who /burning out/ here

Anyone got the meme of <100 IQ pepe shaking hands with >140 IQ pepe

>>11073704
The lumbar region is not designed to flex much, with forward (fold at waist) bends being particularly risky. At the same time there are lots of nerves running through the spine and sacrum. Basically, stop slouching. To get the musculature back in balance, stop squats and deadlifts, and stretch legs, quads, glutes, etc. for 2-4 weeks until things are loose again and then you can continue with focus on abdominal core work for 2-4 weeks and then maybe squat again with laser focus on perfect form, but don't rush into it. Its imperative to strengthen the core to support the spine, this is where people fuck up because core is boring and strenuous and they think they can skip it.

If it is a herniated disc, increasing the intervertebral distance and relieving pressure will help healing process. That means unloading the spine, stretching, massage

To ease the pain lie on back, bring knees to chest to flatten the lumbar region.

>>11077869
Most people don't realize the enormous amount of of force that clenched teeth can impart on the enamel, enough to break it. Get the mouth guard

>family medicine
>sent to some village for two weeks to a fucking chiropractor homeopath that doesn't believe in actual medicine
>actual exam requires specific internal medicine and pharmacology knowledge
what a shitshow, also i would rather kill myself than become a gp

>>11088213
Pretty shitty description desu.

>>11088213
Lol dumb premed

>>11087177
Honestly, I don't know. After they informed us about the extensive kidney failure (they had her to endure an excruciating blood sampling and to stand up for a x-ray imaging of her back) they decided to give her something and informed us that she wouldn't be resuscitated if there was a cardiorrespiratory arrest episode.

I hope it was something that calmed her pain and her fears.

>>11088152

>>11088216
I was sent to a random general practitioner for two weeks so I could document patients for my exam. Doctor turned out to be a complete nut, said she didn't believe in school medicine, had no idea what secondary hyperparathyroidism was, sent a NYHA 4 guy with liver and kidney failure with blood oxygen at 83 percent home. Didn't learn shit, now I have to read internal medicine for an oral exam.

>>11088217
projecting phoneposter

The sheer level of competition is insane. Everybody in my classes was the smartest kid in their high school. Everybody is at least as much if a science nerd as I am, and they're better at it. Everybody has their shit together, and everybody is assumed to have their shit together. No mercy, right out the gate. Weed-out courses. Class averages on exams are C's and D's. Tons of homework and no hand-holding.
Every class is a math class. Every class assumes competency in so many other areas. There are 1100 of you and they'll totally fail all of you. You're just a statistic. Being smart ain't shit. B students are average fuckups in here, and you're gonna study your ass of for that B. You're gonna bomb an exam and spend the rest of the semester clawing your average back towards the mid 80's. Do the math in your head constantly and realize that you're gonna have to suck the professor's dick for a grade in the low 90's
You're just average here, and average sucks. C's are practically F's, and you will be repeating that course if you get a C. Your TA is disappointed in you but also he doesn't care.
You will not sleep. You will learn to manage your time. You will go to office hours and get tutored personally, you will develop an addiction to caffeine or some other stimulant, and you will pay in days for hours you dicked off. No weekends. Check your email constantly and neurotically. Develop an anxiety disorder and then learn to achieve nirvana through constant exertion and dread.
You will be humbled. Any pretenses of being able to do any of this shit without trying will wear off immediately. You will fuck up somehow, and that will somehow come out of your loans. You will take out a lot of loans. You will study and study for the easy classes. You will take classes this summer. You will do internships and extracurricular, and you won't even be able to find time to do them until you're good enough at this shit to be getting A's all the time.
You will...

>>11082176
Cope harder
Caffeine is a nickel

>>11085256
You have absolutely no clue what you're talking about. Go to the doctor.

>>11085595
That chart is a joke...

>>11086156
>I want to practice independently. I don't want to go to medical school
Then suck a dick

What are your guys thoughts on medical lab scientists

>>11087902
Take your psych meds

>>11088139
3rd year on rotations I don't care about BLOWS

>>11088885
Ngro wtheck r u on about

>>11088977
Should be replaced by robots

>>11087095
Most PAs have ~1500 Hours of clinical experience before even applying to PA school

>>11089191

so essentially 8 months of "shadowing" and "scribing" versus the average 2500 hour per year work schedule of an RN many of whom have been in their careers over four years... now granted there's a bell curve in every field and brilliance and dogshit alike, however:

1,500 v. 10,000

>>11089314
Well, CASPA differentiaties between healthcare experience, shadowing, and actual patient care (EMT, MA, etc) but I get your point. I've heard that NP's are less desirable to work with from an MD standpoint though.

>>11088969
>>I want to practice independently. I don't want to go to medical school
>Then suck a dick

solid advice. many must seek out your counsel.

>>11087095
>>11086371
I should have used "Autonomy" I'm okay with not being the top of the ladder, but I do want to be able to take some cases and handle them on my own.

>>11089318

because the AMA hates the nursing profession and NPs eating into the bloated corpse of shit medical providers whom won't kiss their ass to get sponsorship or a position as unfortunately, many PAs have to endure. take a seasoned ED/ICU RN whom graduated top of the class and give him/her a few years of experience and you're close to the abilities of FM under a holistic approach. inb4 premeds attempt to kiss ass for letters of rec and impugn this fact of modern healthcare.

>>11089323

either way you can't go wrong. it just depends on what you ultimately want to do and how you want to approach the pt

>>11089323
>>11089325
If we are in discussions on autonomy. NPs have full practice authority in half the states, and will eventually have them all since they gained it on the Federal Level (Any Federal VA NP is full practice regardless of state). Since they are independently licensed, their powers are derived from Nursing Practice Acts. NPs have full privileges in my local hospital.

The only deal with NPs is that due to the lower training time than physicians, you have to specialize more. Adult only or Ped only NPs, Acute vs. Primary Care, etc. Granted there are some lifespan NPs (FNP/PMHNP/ENP).

>>11089339

Excellent post. FNPs recognize the generalist role in the community whereas specialization certification affords more inpatient opportunities. No different than residency assignments and ultimately I do think the barrier to entry will be DNP although presently much of the post-master's level education is in research and educational theory utterly useless in clinical practice.

>>11088969
Pretty much this. The only way midlevels can help physicians by practicing independently is to go rural.

Romanon here. This is aimed at US students. Why do you guys hate midlevels?

From what I've searched on Google, yes, they do have a fraction of a training of a doctor, but you don't need to go to medschool to treat pharyngitis, a NP can do it just as good.

Speaking about them practicing independently, it's kind of a double edged sword from my POV. It's okay to let them do it to treat minor stuff and monitor patients with chronic diseases, but when it comes to diseases that manifest in a non-specific way such as cancer in early stages or the debut of a chronic disease and they just shake it off, it's kind of a disaster.

All in all, I wish my shithole had these roles to help out physicians, but I don't understand the hatred towards them. What makes you despise them as much as the internet shows? I've seen some heated discussions on different forums and they just bash the midlevels like there's no tomorrow.

>Why yes I do work in a private hospital! How could you tell?

>>11088885
you are being dramatic

>>11088885
Holy shit I can picture the panicked girl with a personality disorder who wears glasses just to look smart just from this post.

Looks like I'm not gonna make it bros

>>11088977
Good job for a w*oman

Finishing med school in months and still have no idea what spec to choose. Tried everything. No hope.

>>11089875
>>11089875
>>11089875
>>11089875
>>11089875

Hi medfags, 2nd year undergrad student here.
Have some pain in levator scapulae worsened by extending arms against resistance, been there for about 3 weeks now, muscle tone is noticeably stiff and there's some slight winging.
Physiotherapy is a 4 month waiting list... Anything I can do to work out the spasm in the meantime? Currently just taking NSAIDs and trying to correct my posture.
Thanks.

>>11090400
Push through the pain