/sci/ - Science & Math

First for doctors are faggots and retards

>>11151483
cope

>>11151480
Can anyone explain to me, a layman to medicine, why some diseases like schizophrenia or multiple sclerosis currently can't be cured, please?

>>11151502
Mainly it's the fact that we haven't figured out the exact mechanism of disease.

>>11151485
you know its true. cope

>>11151480

Premeds are fags and a lot of doctors are terrible people. This is a fact that most people in medical school will agree with

>>11151483
If doctors are such faggots, don't visit one the next time you have a serious medical condition and see how that goes.

>be studying nursing
>get mistaken for being a doctor yet again because I'm a tall, male, in my late 20s, wearing scrubs and stethscope
>remember post calling male nurses the final and ultimate cuck and laugh a little inside
>only a little though

I genuinely like the peace of making others feel better which I get to do a lot as a nurse but in between getting mistaken for a doctor and actually being really interested in the why, I feel like at some point I need to try for med school. But I have so much to work on first, the least of which is probably saving up money to live off. Apart from discipline and time management and not being a brainlet are there any other things to consider if one wanted to be a doc?

>>11151619
>>11151483
Med College >>>>> faggot IT computers and mathematical niggers.

>>11151480
imi sugi pula bozgoreeee.
I know you are romanian from timishoara...

>>11151483
first post best post

>>11151483
>faggots
No they grab a lot of ass, are generally bros.
>retards
undoubtably but so are most people

What does /med/ think of therapeutic hypothermia in post cardiac arrest patients? Has anyone actually seen it make a difference in outcome and if so how soon after ROSC was it initiated?

>>11152579
There's anecdote about people having better neurological outcomes when they had a hypoxic cardiac arrest from drowning in cold water (winter). Also, when found outside in a cold climate prior to starting resuscitation and then rewarmed while working an arrest showed a better neurological outcome. I haven't personally done any meta on the research but, from what I hear, it's something that is being looked into and practiced in some places.

At the end of the day, continuous and uninterrupted CPR is king for providing the best outcome.

Hey fags, what's the best way to get experience doing surgery without having to waste time and money on med school? I guess I could just buy 100 monkeys and practice on them...

i wish i was a doctor. you guys have great job security and pay. sucks to be priced out

>>11152739
Start stiching things together. That's like 90% of the job.

>>11151619
>you know its true

projecting

cope

>>11152741
>great job security
They're out of a job with everyone else by 2050 at the latest. Once we have algorithms that can diagnose patients with greater accuracy than a doctor and robosurgeons that can do surgery with greater success rate than surgeons we'll only need nurses at hospitals, and much less nurses than there are now.

>>11151927
Go for it. Nothing worse than older male nurses that feel like they could have been more.

>>11152773
>predicting techonological development 30 years into the future

Brainlet move. And if there is ai that replaces doctors, at that point no one else will have a job either. Nursoids will be replaced by robots too.

>>11152773
What you fail to realize is that after technological post-scarcity the only people that will be allowed to exist in the NWO will be the social and political elite. Doctors are the sort who can attain the sort of social prestige required to not be filtered out.

>>11152800
>>11152803
Doctors will just become glorified nurses and exist because humans enjoy social interaction and it'll make them feel better to interact with other humans when they're sick instead of being surrounded by robots.

>>11152813
>humans enjoy social interaction and it'll make them feel better to interact with other humans when they're sick instead of being surrounded by robots

You overestimate humans. They'll be satisfied with a glorified chat bot.

>>11152773
that will never happen dude AI isnt even cross to be able to replicate what a specialized doctor can do and there is plenty of money in the hands of lobbyists to make sure that never happens

>>11152800
By the time we have robots that can replace doctors and nurses, we will have the tech for sexbots.

how does an international student get into med school?

>>11153085
Go back to India, deal with the upcoming cholera outbreak.

>>11153165
No room! Out! Out! Out!

i burned my fingers because i instinctively grabbed hot metal lamp after it turned over. Holy shit it hurts

pharmacuck here.
How do I emotionally cope with being mogged by real doctors?

>>11151652
I‘m in medical school and I agree

Does anyone know any med related jobs that require no previous experience? I'm 19 and worked checkout for 3 years of my life and starting my first year of biomed science but I'm just over working in retail and working longer will not give me any more experience that could go towards anything except hospitality, which I wouldn't mind doing for a short period in my life, however, probs not the area I want to go into while studying. I live in Australia, Qld, if that is anymore help.

>>11153666

I don't know how health care works in australia, maybe something like an EMT or emergency room technician.

>>11153666
hospital janitor

>>11153442
okay i'm diagnosing you with low testosterone and high estrogen
i'm going to prescribe you anabolic steroids to be taken by injection in the ass twice daily
thanks that'll be $500

>>11151502
As of now we only know the absolute basics about immunology(MS) and neurology(schizophrenia).
Other shit we have just the most superficial understanding of is
>psychology and psychiatry
>genetics and genomics
>the microflora

>>11151652
True. I have this stereotypical looking kike in my med-school. He is super smart(gets straight As), but is bipolar, arrogant, rude and self-centered that everyone he develops a friendship with can't stand him for more than half a year.

>>11152739
Get a suturing kit from eBay or Amazon, watch some youtube videos on suturing, and start practicing on a kitchen sponge. After that move onto chicken legs.

>>11153085
Get your degree in Central-Europe. Only go for Hungary, the Czech Republic or somewhere in the Baltics. The rest of the European "pay to play" med-schools are just factories mass-producing subpar doctors.

>>11153666
I don't know about Australia, but in Europe, it is possible to work in pharmacies or become a nursing assistant.

So docs, is it possible to remove the part of the frontal lobe that has the emotions and keep the rest? I also would like to reset my temporal lobe but keep the functions, thanks.

>>11153826
Being an Emergency Room Tech is like the greatest job of all time. Hardly any responsibility, get to see all the action, and you have fuck all as far as charting goes. God I’m gonna miss it bros...

>>11154530
I’m sorry, seems that they got the entire frontal lobe already.

>>11152773
What you don't to understand about medicine is that not always the situation is so simple as "Mr. Williams has pathology X, take tablet Y". Sometimes there are difficult decisions to be takent. Imagine for example a person that has a metastatic cancer. Said person has pulmunary embolism (a condition that can be quickly lehtal) but you can save him with intensive care. Let say that for his disease he has a prognosis of 1 year, it is appropriate to "use" precious resources for this patient? Or should we consider him lost? If you work in the field you know that prognosis is a median, and there are people with stage 4 cancer that could go on for years, while some of them die soon.
You now have to take a difficult decision based on
1) Statistical evidence: stage 4 cancer has a median overall survival of 1 year
2) your clinical experience: but for this specific patient?

Ah, and you have to take legal and moral responsibility for your decisions. When an AI will be able to do that I doubt there will be any job left for humans.

>>11151480
>"TFW Essential hypertension"

>>11151927

if you're working at a real hospital, max out retirement and minimize your per-cost benefits. continue your education at whatever area you see within nursing and that does not necessarily mean NP- MBA, JD, etc. please don't get complacent and live paycheck to paycheck or just to get through a shift.

exactly this:
>>11152774

as i've known several that clearly look like they've lost track of time and have nowhere else to go. youth truly is wasted on the young.

>>11152579

it works. latest journalists just did a review.

>>11152733
>continuous and uninterrupted CPR is king for providing the best outcome.

really should be focusing on PETCO2

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4231274/

>>11154642

go disappear while "stocking urinals" for two hours utterly doing nothing all shift and then like a fucking fart in the wind appear on the helipad when a real trauma comes in

>>11155370
Nope that's an easy decision. You just check if his insurance can pay for it if it can't you laugh him into the grave, if it can you give him the best care possible no matter what. We live in a capitalist society, all that matters is money.

Medfags I need help. Could this be a sarcoma? It's quite squishy and basically invisible unless I flex my forearm upwards. I can barely even feel it when running my fingers across it and it doesn't feel like a ball of flesh under my skin. Just a very flat, slightly raised section of skin that's only a smidgen tougher than the rest of my skin. It's about 1.4 inches across, maybe a little less. I just found this today since it's so inconspicuous and on the back of my arm. I'm freaking out and of course I'll go to my doctor asap but what else could this possibly be?

>>11156369
>Huge solid disk under skin
>Second, smaller disk not too far up from it
Oh buddy

>>11156376
It isn't solid, it's very felxible and feels exactly like my skin. Guess I should've explained but that small "bump" above isn't a lump, just a small patch of discolored skin. That's why I circled the actual protrusion I found. Sorry for the shit quality picture.

>>11155791
You wouldn’t want patients pissing on the floor anon, would you? ;)
But in all seriousness I’m not a lazy piece of shit like some of my coworkers. People get jaded and then they get lazy working in the ED and I hope that never happens to me

>>11156369
you have lupus
you have 3 months to live

>tfw you have to write a 600 word essay by tomorrow

>>11156586
>You wouldn’t want patients pissing on the floor anon, would you? ;)

you know they're gonna anyway.....

Any gastroenterologists want to take a crack at this one?
My buddy had an "idiopathic" intussusception. 24-year-old male with a history of seizures, and his gut turned inside out like a balled sock on the x-rays. Barium enema did the trick and no surgery was needed to repair the bowel.
Apparently this is mainly a pediatric issue, because the form he got on discharge was for pediatric intussusception with "pediatric" scribbled out in pen and replaced with "idiopathic." They didn't even have one for adults.
My question is: What would cause this in a 24-year-old man if It's a condition almost exclusively affecting infants? Even the doc seemed surprised and spitballed something about stress and neurological problems to explain it.

What protections do I have against private individuals violating my privacy when it comes to my health issues? Like if someone reached out to my family and told them I had a condition that I was otherwise keeping from them, assuming I posed no danger to anyone. Do I have any sort of legal protections against this?

>>11156772
>600 word essay
that should take 3 minutes tops
t. master essay writer bullshitter who never gets lower than B or higher than B on essays

>work as an x-ray tech in a private hospital
>wake up at 6am for another glorious morning shift, not even tired despite working the late shift last night because the boss doesn't want us getting complacent
>arrive at the hospital staff carpark 40 minutes early, just enough time to walk to the actual hospital before my shift starts
>get into the department, only 17 radiographers off sick today
>must be a good day because we have a whole two staff to run x-ray, mobiles, CT, mammo, BMD and OPGs
>call in my first patient, a 17 year old girl for an abdomen x-ray
>take 10 specialized x-rays of her abdomen and bill her separately for each one
>send her away
>call in next patient
>he codes on his gurney before I bring him in
>bill him twice for wasting our time and call the porter
>pop my head around to see how my colleague is doing in CT
>our 12 year old scanner seems to be having difficulties but the boss won't let us have a new one
>go into his office and suck him off hoping that he'll get a repairman in to have a look at it
>no deal, he docks my paycheck for time stealing
>tell my colleague to just keep taking CTs on the broken scanner since it sort of half produces images still
>the detector row falls out and knocks the patient out
>call the porter and bill the patient for the time we lost
>skip my 8 minute lunch break because we're so behind
>x-ray 273 patients by the end of the day and only a few die
>cheekily billed a few of them two or three times over
>on the way out my boss insults my personality and looks via a 20 minute screaming lecture because I clocked off at 5:05 instead of 5:06
>tfw I am the best private hospital x-ray tech

>>11155861
USA is one of the few "developed" countries without some form of universal healthcare...

>>11153666
Same but canada

>>11156979
Ask your lawyer

>>11156839
Too many dicks, and too deep.

I study pharm. Do I belong here?

>>11157353
Yes, welcome.

>>11157360
Thanks friend. I am trying to build decent fundamentals so right now I'm studying moleculer cell biology, biochemistry. Gonna start studying organic chem. but I couldn't find a good cheap book. I want to specialize on the more neuroscientific side of pharm. Do you have any recommendations?

>>11157366
I literally want to practice family medicine, the only things I like are diabetes and free time, so I'm not the best person to answer your question.

>>11157369
Thanks, that is respectable. I wonder how long will my enthusiasm go on.

77 year old female, that's all you guys get.

>>11156979
>private individuals

Nope, you are fucked.

>>11157674
Thyroid tumor of some sort.

>>11157674
compensated Hashimoto's thyroiditis

>>11157795
Accounts for TgAb but TPO is sporadic at best.
>>11157823
Bingo, care to pontificate on the TSH, T3 and T4 levels?

>>11157833
TSH and T3/T4 can be normal in Hashimoto's disease for two reasons: the woman is already on Thyroxine therapy, in this way the hormons are fine but of course the drug cannot make the antibodies disappear.

Taking for granted that this is not the case the second reason is that she has a subclinical form of Hashimoto, in the sense that her thyroid has just started being destroyed by the auto-antibodies. In this case the TSH should start rising soon, like in two weeks time.

May I ask why were thyroid auto-antibodies tested in this patient? To my knowledge they are not usually a routine exam

>>11157863
Patient has a history of Hashimoto's, underwent thyroidectomy some years back on left thyroid. You are right on track with the timing and our suspicious were confirmed with the antibody count.

>cough up tons of phlegm and have tons of mucus in my nose every morning
>constantly wake up multiple times a night short of breath
>used to speak really fast when I was a bit younger because I kept running out of air
>can't really run or swim for more than a few seconds at a time before having to stop for air
>first kiss was completely ruined because of no lung capacity
>I use my prescribed medication morning and night
Is there any way to stop being such an asthmatic lunglet? I feel beaten down and insecure all the time because of shit like this

my neurologist and a few others claimed that it is beyond the capabilities of medicine to diagnose my disorder.Please tell me its not true!there must be a test which can uncover more information.

physical symptoms=
-POTS(cannot run whatsoever, shortness of breath)
-Heat intolerance(stay indoors when temperature is above 74 degrees)
-resting heart rate of 110bpm
-eyes very sensitive to sunlight, causes pain must wear sunglasses every day

cognitive symptoms
-Apathy
-difficulty with formulating speech(I have bad grammar and sometimes people cant understand me)
-memory problems
-cognitive disability(had to leave college because of trouble focusing)

testing done
-brain MRI with no findings(neurologist claimed I have increased brain volume)
-IQ testing found IQ of 130 2 years ago I am a member of MENSA

I have occasional issues falling asleep. Can anyone recommend an over the counter sleep aid besides diphenhydramine or melatonin? Neither seems to work as well as they used to, even with only occasional use.

>>11158858
forgot to add that I cannot sleep without taking belsomra, every night a take belsomra 20mg and melatonin 10mg.

over the summer for a period of 3 months I was unable to sleep more than 3-4 hours without waking up. It was a nightmare the only medication which worked was belsomra I imediately gained 6+ hours of sleep per night and I was able to recover I still take belsomra because I will not get tired or be able to sleep unless I take it sometimes I need to add ambein or other benzodiazepines but I try to avoid it.

>>11151480
I’m an MBBS student. Do I belong here?

>>11158991
Your first task in joining this thread is to say something nice to dementia schizo.
>>11158858

>>11158999
Based Schizo

>>11158109
is that asthma?
fuck I might have it lol

>>11158109
Have you notified your healthcare provider that your current treatment regime is not helping or is having reduced effect?

>>11157277
A country is not "developed" if it's socialist.

>>11158858
You are of course aware that your symotoms fit the diagnostic criteria for myalgic encephalomyelitis, right?

>>11159259
yeah I think I asked the doctor about it, but I was referred to neurogenetics, and diagnosed with pseudodementia the neurologist explained that I don't have the cognitive impairments typical of neurodegenerative disease, and thinks that I need to focus on finding psychiatric drugs to treat the apathy.

regardless of which disease I have it is very clear I am suffering from severe apathy and low motivation I have been losing hobbies and I have reduced social interaction.

Once my cognition deteriorates further in the coming months I may transition to a diagnosis of cognitive impairment, once they realize that there is no pseudo dementia caused by depression and that it wont be cured by psychiatric drugs.

>>11159011
Yes, but I'm already on the maximum dosage so there isn't much they can do

Why would I trust someone who made an oath to Apollo?

POTUS just did phase one of his physical.

What are the differences between a physician associate and a doctor?
From what I've read a physician associate does pretty much everything a doctor does

What are the most intellectually challenging fields in medicine?

>>11160251
Depends on what you mean. In high level neuro and psych you can't follow guidelines, in EM and other acute stuff you have to diagnose and follow guidelines under serious time pressure, and in high end IM, ID etc. you have to remember a million different guidelines and heuristics.

>>11160023
Nobody does the original oath schizo. We make abortions and perform surgery too, teachers get paid etc.

>>11160155
PA always works in conjunction with a doctor, they can't do surgery and can't prescribe in all states.

Redpill me on nicotine

>>11160614
Addictive, non-carcinogenic but will accelarate tumor growth that is already present. Shitty for your skin, in small amounts useful as a nootropic.

>>11160621
I twice getting withdrawal and one cold turkey but last time i stop consume it got weird irritation on leg and depression. Are gum safe rather than smoke/cloud ?

>>11160722
Gum is safer than smoke/cloud, yes. If you can get it in your country, nicotine salt pouches are a new and effective product. Patches are also an option available if the oral fixation doesn't bother you.

>>11157277
Also the only one with decent med salaries.
>t. Krautfag making 4x more in some god-awful third tier burger city than he was in Berlin

I have a question regarding brain trauma.

Can repeated light hits to the head cause brain injury? By light I mean hits that do NOT move the head at all. There is no movement or snapback just the vibration of the hit moving through the skull.

Will for example 30 minutes of repetitive hits that don't move the head at all cause any brain damage? What if the same event is repeated?

What I'm trying to understand is whether pain / headache from prolonged vibration / light taps & hits is the result of sensory problems and temporary inflammation or something more serious.

I have no medical background, and I'm willing to read anything you point me to, but I can't find proper studies / sources.

The only thing I found so far is a study on mice subjected to whole body vibration for 2-8 weeks. The vibrations were supposed to mimic the power of vibration that people in cars experience. The mice had worse and worse blood supply with every week and worse performance on cognitive tests.

I know it's a retarded question, so I'll post rare pepes as reward.

>>11151502
There are also little if any ways to test psychological drugs for efficacy in non-human models.

>>11151480
>being a doctor
isn't it better if we just let people die though

would you fags be ok with having a gf and paying for everything and then marrying her while she stays at home cleaning, cooking and taking care of the kids, asking for a friend haha

I'm on my way to becoming a psychiatrist and I really want to move to EU, most likely Netherlands, Germany or Switzerland, but I only know English. How difficult would it be for me to get employed in these countries knowing only English? I'm inevitably gonna have many patients who do not speak English and I won't know what to do in those cases.

Can I post a pic and you guys tell me if I should see the doctor ? :( I am scared

>>11161277
Learn German up to B2 level and try later

>>11160075
Imagine having the privilege of checking Donald Trump's prostate

>>11160802

As you said it's probably related to the blood supply. The light vibrations will disrupt the laminar flow of your smallest vessels into turbulent flow causing the blood to more likely coagulate and plug the capillaries in your brain.
Normally the blood has anti-coagulant factors that immediately dissolve those tiny bloodclots but I suppose this preventive measure is not enough if those vibrations are so persistent, given the experiment.

Just trying to rationalize the mice experiment's results. I'm always interested in frequency-related biological experiments.

>>11161379
I'm skeptical of whether just B2 will be enough to communicate effectively with a patient and anything over B2 probably isn't realistic for me to achieve. I wish medicine didn't suffer from the language barrier issue, when you're working in IT all you need is English and you can find a job almost anywhere in the world without having to know other languages.

>>11161551
Thanks, that's very interesting!
Here's the study, they used a 30hz frequency.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5664147/

In your opinion a lower frequency wouldn't have such bad results is that right?
Do you have any idea approximately how much time it would take the anti-coagulant factors to dissolve the tiny bloodclots?

Also if you point me to any decent sources regarding this (tiny blood clot formation & anti-coagulant factors in the brain, or anything that you think is relevant), I'd very much appreciate it.
Doesn't have to be online, I'm ok with books.

Let's say someone suffered a laceration to a finger, which included damage to either a ligament or vein, then just bandaged it up themselves without going to a hospital for further treatment.
What potential complications might they encounter?

>>11153481
You can beat a doctor in everything but diagnoses and tests

>>11157366
You literally use none of that in practice the only times I can find a practical use of molecules is when ur compounding and the bottles are labeled different things and you have to go back to the manufacturer insert to see if the molecule is the same as what you need ... even an idiot can do it (The techs who literally do everything in a compounding lab nowadays)

>>11160155
>physician associate

i think you meant assistant. too mant non-americans on this board.

>>11158109

Look at Step therapy. You need to start asking questions, Dave.

>>11157674

what she bleeding from and why haven't you posted the anemia panel. also why so many thyroid tests get a TSH with reflex, dx, shit, or get off the pot. replace/don't replace, get a thyroid US or fuck off

>>11157268

this, this is real. also, fuck you and your irridescent piss. you're always in the way in a trauma. fuck you and your plate positioning, just take the picture and GTFO the pt is dead anyway

>>11157268
>no deal, he docks my paycheck for time stealing
i like your boss
i don't like you candyass, die

If you don't get taught nutrition you are not a real doctor.

I noticed I was losing my memory 5 years ago in fall 2014, I was given IQ testing to assess for memory loss and the doctors explained that I would need an IQ bellow 78 to qualify for MCI which would indicate disease activity.
My IQ was 130 and I was accepted to MENSA after receiving the medical testing.

the neurologists said my IQ was too high to have any diseases, I don't even think its true though because i'm not even that smart of a guy and I know this.


I need to get any kind of help that I can in the coming months because I can see the dementia is coming right now and cognitive decline has accelerated to be faster than ever before just like it is written in the literature...

I need to use my people skills to convince my parents that I need to start preparing for dementia right? otherwise I will die from my inability to care for myself I will be unable to care for my illnesses and will just die.

thats my life it was really great before the disease started...

>>11162542
the neurologist said I should return to college and study "R" because she wants to hire me in her laboratory?

>>11161560
Nigga just apply yourself. Languages are easy.

>>11161277
Go in Ireland.

>>11161151
That's basically what my father did and it worked great. They're still married and have 3 doctors as children.

>>11151502

Psychfag here. As far as mental illnesses go, we hardly know shit. We can only really address symptoms, but not the actual underlying biological causes so we can't exactly cure people's illnesses. Psychodynamic therapy though focuses on addressing the underlying issues of people's anxiety/depression and other disorders but obviously it's not a cure in the biological sense. It can be pretty effective though, along with CBT. Sometimes just as much as psychotroopics (disclaimer, SSRI's are shit tier that are no better than placebo).

>>11160802
The human brain is very squishy and in bonus floats in 15cL of CSF which flows to the rest of the spine to absorb shocks and normalize pressure variation. It's well protected when it comes to absorb weak mechanical forces.

Generally mechanical vibrations are dangerous to high pressure points of the body (typically lower or proximal joints to the source) but still need to be rather powerful.

It's probably just muscle tension if you simply have a headache, if you have other symptoms maybe a vestibular migraine.

>>11162906
you're not a psychfag, you're a hobbyist popsci redditor with no real knowledge or understanding of psychiatry living under the illusion that what you know is right or meaningful just because you came across a dozen sheeps just as ignorant as you who happened to share your ignorant worldview

>>11162356
I'm sorry, what?

>patient comes with single side nose congested as LA traffic
>literally has difficulty breathing and makes strange noise during air intake
>round of antibiotics didn't do shit
>my gp told me to check it if its the tooth causing it
>all teeth in that quadrant either have root canal done ages ago or they are healthy
>no swelling no nothing
Trouble with sinuses,it must be a tooth.

>>11162906
Lol at your shit. Psychodynamic therapy is just psychoanalysis with all falsifiable components removed. CBT is good in a few specific conditions, otherwise just the same as all other therapy, which is to say not above placebo.

as for ssri's see >>11162950

>>11162940
>>11161551
I understand that a single hit will have next to no long term impact as the CSF absorbs the mechanical force, I want to understand why repeating the same hit affects the brain.

I'm probably going too far in researching this, but I spent 10 minutes hitting my chin with a spoon, I'd say 1 hit every 3 seconds. My head didn't move at all, I didn't even get a bruise on my chin but the hits were strong enough to feel a vibration through my skull.

The next morning I got this weird feeling inside the middle of my skull. I thought I was imagining this, because I know that the brain doesn't have pain receptors, but it wasn't pain it was just a weird discomfort coming from inside. Different from a migraine or headache, as it didn't last long - just the first 2-3 minutes after I woke up, and on 1-2 occasions before noon the same day. I wasn't disoriented, dizzy or nauseous. Sounds did not make it worse.

A week later I did the same thing and got the same result.

Is it possible that the repeated hits cause problems in blood circulation that still affect the brain the next morning (8-10h later)?

>>11163155
honestly sounds like you imagined it

>>11163265
that's why I did it twice tho, got the same feeling in the middle of my skull both times.

maybe you're right tho, it sucks that I can't find much literature on the subject

So far this & other papers by the same dude, has been my best source:
https://asmedigitalcollection.asme.org/biomechanical/article-abstract/139/5/051002/371302/The-Relationship-of-Three-Dimensional-Human-Skull?redirectedFrom=fulltext

I'm a combat medic and do a shit load of PHC. I've done loads of trauma stuff (as expected) and want to carry on doing medical stuff when I leave. Most people would suggest paramedic but I find trauma boring for the most part, I much prefer diagnosing and treating illness.
So far my options appear to be:
Physiotherapist
Physician associate
Doctor
And for a bit of a wildcard, I looked at dietician (don't like fat people and want less of them in the world).

My grades aren't great, not terrible, however I have an opportunity to do a distance degree in health sciences paid for by the army which would give me entry to the inconsistency any of the jobs listed above.
What would you guys recommend as a path to take?

>>11163490
*University course
I am a phone poster

>>11163490
>>11163490
If you hate fat people you shouldn't go anywhere near nutrition.

Physio is cool, you will work with a lot of different people and if you're good some pro athletes.
It's a lot less work and time than med school too (but less prestige and bucks in 15 years).

>>11163282
Only way to confirm it would be to do it to you without you knowing about it

>>11163490
just bee urself and beecoome a doctor

>>11163590
If I keep hitting my head I'll probably end up not knowing what's happening. Does that count for double blind?

h-how do you use the stethoscope without ears

>>11163633
just recruit someone to do it/ not do it while you sleep/are sedated

>h-how do you use the stethoscope without ears

works just fine

>>11163006

you don't know shit fucker stop posting medical records

>>11163592


https://www.youtube.com/watch?v=NTa6Xbzfq1U

>>11164829
Dude, are you okay? Get some help and please stay out of healthcare and healthcare related threads.

>>11164998

you don't even know what fucking anemia looks like. you're a poser. good luck with your premed bullshit, and please, don't go anywhere near a patient, like ever. you've already breached medical ethics and now you're just embarassing yourself. just change majors, like, now.

>>11152835
>Ai has advanced to the point where it can do everything humans can do but better
>implying there will be any humans left to talk to the chatbots
The universe will be too busy being broken down into resources to make paperclips.

>>11156614
It’s never lupus

>>11164998
>healthcare
you shouldn't call it that because I might want to kill you if you do

How do I treat this swelling? Is there a way to drain the excess fluid or whatever it is?

>>11153666
look into becoming a scribe for a doctor. sure you'll be a doctors bitch, but it beats being a nurses bitch believe me

>>11165346
Needs amputation

>>11165210
>anemia
Patient isn't anemic, Hb and hematocrit are well within normal levels for a geriatric. That being said, her O2 and BP are also fine, consistently. You wouldn't know that because you don't know the patient, and never will.
>ethics
You must be from some foreign country where the language of patient privacy isn't clear. In the US, we have HIPAA, and I operate well within the boundaries of their rules, always.
>embarrassing
I really wish you'd calm down. You came into the discussion almost 2 days after I had posted it and some other anon had already diagnosed correctly.

>>11165277
>healthcare
What do you call it where you're from?

How to increase cortical thickness?

After inhaled unknown irritating chemical/mixture of chemicals with unknown quantity, I have ingested them by trying to alleviate the symptoms by drinking waters. After about 30 hours, there are something that look like black ashes in my excrement, should I be concerned about it?

>>11158109
Buteyko breathing.

>>11166364
Look into chelation therapy.

>>11166442
>Heavy metals and minerals
Those doesn't seems like relevant
It is guessd that 2-Chlorobenzalmalononitrile could be a main chemical in the gas being inhaled but it could be something else instead and there could also be other byproducts or other additives

>>11165778
Exercise, sleep

I'm in psychiatry residency and I think all of it is bullshit. what do?

I have a terminal neurological illness and as the disease progresses people have begun to mock my speech and talk to me in condescending tones, is this very common among people with say brain cancer or dementia? I don’t see any other neurological patients.

>>11167043
So what is the actual diagnosed illness that is terminal? I don't think many neurologists would make a terminal Dx without an actual condition attached.

>>11167058
Autonomic dysfunction, I always feel like I am suffocating

>>11167080
Doctor told me there is no cure, and that I cannot be diagnosed with the cause because of lack of information

One paragraph on the best habits for health and longevity please.

I'm thinking plant based diet, little to no sugar salt and processed foods, ~8 hours of sleep a night, 1 hour of walking every day, 5 hours of high intensity exercise per week, max one alcoholic beverage per day.

Is this pretty good?

>>11167094
This can be good but you need to consume specific foods to make sure that you have absorbed nutrients that are rare in plant based foods.

>>11156369
Lipoma maybe. probably benign

>>11156839
The pressure from the barium injection can resolve it. Being completely serious, imagine yourself as a balloon. When you feel the urge to fart, hold it in (with your hand if necessary). Where did it go? The pressure went somewhere. Think about it.

>>11158109
Practice diaphragmatic breathing and start an aerobic exercise daily practice. Try to wean yourself off the inhaler. Asthma is autoimmune so consider experimenting with diet and non-medical treatments. Environmental factors especially relevant. Find out the AQI of the area you live. Consider moving toward cleaner air.

>>11158858
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3622279/

Air pollution is a public health crisis and the media and your government have conspired to keep silent about it

>>11158878
A strict regimen keeping to circadian rythyms focusing on controlling light, sound, and heartbeat, on an empty stomach, before sleep otherwise you are courting problems

>>11158904
In order to trigger natural sleep you are going to have to avoid coffee, tea, chocolate, smoking of any kind, and perform enough physical exercise to prompt physical rest. You should be getting at least 150 minutes of real physical activity a week, preferably 300.

>>11151483
True. Narcissistic reductionist idiots

>>11160722
The issue for people getting nicotine withdrawal symptoms like yours is the effects of long-term use on the dopamine receptors. It takes time for the receptors to clear up allowing you to feel a normal amount of pleasure from daily activities. This is why it helps to literally do anything to distract yourself, as anything pleasurable will help you fight back, as simple as sugar on the tongue or a smile on your lips, or scratching your leg.

>>11160802
Generally, as far as I understand, any hit to the head causes some brain damage.

>>11163155
>The next morning I got this weird feeling inside the middle of my skull

This is a case of your brain being creative. Mapping a memory of a sensation onto the proprioceptive system.

There are no pain nerves inside the brain, which is why patients can't tell when the brain is poked and prodded

>>11165346
RICE and don't drain it

>>11165778
Spending time with friends and healthy activities.

>>11167043
> as the disease progresses people have begun to mock my speech and talk to me in condescending tones

What you're experiencing is a phobia or the prejudice toward morbidity. Its very common. The feelings of others are not your responsibility and there is nothing you can do to compensate for the feelings of others except to understand their behaviors aren't necessarily rational. What they react to is their own feelings, fears, or beliefs.

>why yes I do work in a private hospital, how could you tell?

>>11167601
>Imagine working for the government

>>11167661
Did you post this on your two minute break or did you just get another severance package, cuck?

>>11151480
What's the time interval between the tetanus infection and the jawlock, and between the jawlock and the bend position that looks like demonic possession?

>>11167706
Depends. The average incubation period is 11-14 days but symptoms can appear in a shorter time too.

>>11167670
in denial

>>11167601
>Not having your private practice so you can work as many hours as you want and live a comfy life

Holy shit, what a cuck

>>11167709
The wound is just below the surface of the skin, not too deep. There was no bleeding. It's been 6 day since I stepped on a small nail, not rusty though. My last vaccine was 7-8 years ago. Should I be worried? I have a bit headache and a bit of sore jaw when I open my mouth. My brother also had jaw pain when he was eating, so I don't know if it is really tetanus, he didn't step on any nails, he works in an pharmaceutical deposit.

>>11167716
>>11167670
So which is it?
>Tfw Canada so either have to move to more radically left bigger cities (instead of just regular left smaller cities) if I wanted to open a private hospital and not have it fail

>>11160855
No

>>11166814
Figure out how to make the paradigm shift to less bullshit.

>>11151480
>tfw your med college has condom party today
What should I do lads? I dont even know whats that about. I dont really have a use for free condoms anyway h-h-haha. 2019 and still no cure for virginity

>>11167810
>Implying it's the same poster
???

>>11161468
Imagine having the privilege of getting checked by the best doctors.

>>11167868
Getting rich is the most efficient cure for virginity.

Was at a post-mortem today, third dead body I've seen and I'm starting to be convinced that there has to be a soul, because something has to have left this bundle of tissues, because it didn't look real to me at all, I wanted to beat the shit out of the corpse for having the audacity to look like a human being. Any literature for that feel?

inb4 dsm-5

>>11167911
>reading comprehension
You are gonna kill a patient with that IQ anon

>>11168058
Uncanny valley.

What am I meant to do when the person who is meant to be teaching me on clinicals is an insufferable cunt who isn't event that high up the ladder, but treats the whole thing like an opportunity to treat me like an autist and show off how smart she thinks she is?

>>11168374
I should also mention that there's already been an unfortunate air of hostility opened between us, when she refused to let my do a procedure I've already been recognized as competent in because she essentially didn't trust me. We basically ignore each other when we see each other which is obviously an issue because I'm meant to be fucking learning here, not involved in juvenile power displays.

>>11168379
I guess you just have to let her indulge in her power fantasies until she gains you trust

>>11167911
4chan is one person anon

>>11168500
>I guess you just have to let her indulge in her power fantasies until she gains you trust
He's already fucked that and it'll take awhile to be able to let Her indulge in it,
He could try going to the boss and ask if he could learn from someone else after explaining the situation

>>11162950

Nope I studied psych for 6 years in uni and am pursuing psychiatry after Med school. Everything I said is 100% verifiable and replicated. Let me know if you want me to link the studies and some meta analyses. It’s sad you’re such a hostile person. You should seek help.

>>11163126

See

>>11168989

If you want the links

>>11168374

At least you're not being bullied since day 1 of your residency program by the same nurse, who's barely few years older than you, and has no reason to do so apart from not liking your face.

the radiography program at my school has 300 applicants for a 28 person slot. im nervous.

>>11169001

10% chance. You're in if my post ends in 1.

Do you guys regret getting into medicine over other careers? If so, which and why?

>>11169047

No reason to do so unless you work in an emergency department.

>>11169053
Well, I'm considering getting into medicine but I feel like I'm gonna regret spending 10 years studying instead of just getting into CS. I think I can name many many advantages of getting into CS over medicine but it really feels like soulless field and dehumanizing work and I have this big dilemma.

>>11169071
cs is dead dude.

I have a very strange sinus infection, pls diagnose
symptoms:
>putrid smelling snot/breath
>face/tooth pain/pressure on left side of head
>left nostril completely blocked
>not much mucus

My mouth smells and tastes like a tonsil stone but I couldn't find one. I've been using ibuprofen, dayquil, saline flush, nasal spray, Sudafed, salt-water gargle

thanks dr anons

>>11169077
I think it's the furthest it could be from dead but I'm curious to see why you think so.

>>11169086
different anon, but even if it's not dead there's about 100million people learning CS in India and if you think all of the jobs won't be outsourced to a country where they can pay $1.20 an hour to do the same shit you're nuts.

>>11169105
From what I know on the subject, even though there's 100 million people in India outsourcing, the demand for CS is still growing faster than the supply and people from India don't tend to do any complicated or specialized work which is the most demanded.

>>11169071

It's not 10 years but an average of 7 years in most countries. I don't know cs but "soulless and dehumanizing work" is a perfect descriprion for what you're gonna experience as a MD. Nevertheless it's the most consistent way of achieving a high social status and a good standard of living.

I do a lot of drugs and mostly know if combining them will kill me. Am I a pharmacist?

>>11169085
Go see a doctor.

>>11169125
>It's not 10 years but an average of 7 years in most countries.
Lucky you, it's 11 where I live but at least it's free.
>I don't know cs but "soulless and dehumanizing work" is a perfect descriprion for what you're gonna experience as a MD.
Could you elaborate? I view it as a very noble work with a big opportunity to help many people as opposed to CS where 99% of employed people work for their corporate overlords helping them make hundreds of millions over tens of millions because their egos will never be satisfied, further leading to higher wealth inequality. It can't get more soulless and dehumanizing than that.

sup /med/
I've heard EDS is a meme. Are POTS and MCAS memes too? I've heard a lot of conflicting "info" about these three. I've been diagnosed MCAS by an allergist.

>>11153666
Work patient transport, you literally 'push' patients around the hospital and requires little to no brains but just self-awareness on how to prevent pissing off the wrong people aka patients and nosy staff. It doesn't require much and if the hospital isn't busy you may sit around the lounge shitposting on boards until they ring you for a new transport assignment. I started with a 19 yr old and have worked with people from a wide range of 20s-50s so age isn't a big thing unless you make it a career. It's a decent job for just physical work parttime while you're in college but it's also a job that attracts a lot of people.

/med/ please tell me if I'd be a bad doctor:

I'm not necessarily passionate about med - but it seems a good compromise. Humanitise (where my passion lies) would leave me with fuck all, I dislike engineering and CS more (and I don't fit in with the people there) and I don't believe getting into econ/biz/finance would make me whole knowing I'm not really contributing to society at all.
Do you guys think I don't have what it takes? I'd be fine getting into like research. I'm a bit squeamish (not extremely, I know guys who faint or vomit at the sight of blood - I just am repulsed by gore and corporal secretions in general) so maybe psych could be a way. I'm not a genius but I think I would be smart enough to pull it off.
Another problem is that I would start pretty old - I live in Italy, it takes 11 years to graduate and if I pass the test I would start as a 21 years old.

How is hospital life? Redpill me on the /med/ life in general.

>>11169116
>CS is still growing faster than the supply...
What? This is direct from the US Bureau of Labor Statistics. Not only is it getting outsourced, but most of the sector is contracting.

>>11169358
I think that's a misleading picture, computer programmers are one tiny subset of possible careers in CS, to name a few - software dev, software engineer, computer engineer, system analyst, web developer, database administrator, literally tons. You should be able to look them up in the same database and get a less biased outlook.

hey
hey, /med/
I haven't had a GP for like a decade. No check-ups nothing.
I'm 28 now and live in a different state. How should I find a good doctor to be my GP? do I search through my insurance or should I find a doctor and then ask them if they take my insurance?

basically, if you had to find a new GP as a random person with no leads or connections or anything, what sort of things would you prioritize in your search?
thanks :)

>>11152773
>>11153003
The real issue is actually the fine motor manipulation, like with delicate surgeries.
We used to think robots would suck at the really hard conceptual tasks, but they're actually great at those. Turns out, the cerebellum is a magical black box that robots consistently fail to replicate.
We can make an paint a picture more beautiful than any artist, but we can't make one that can pick up a pencil.

>>11157268
god tier troll, tech press button and pretend be doctor

> tfw md becoming a cuck job
> patients all hate doctors because they kNoW mOre
> midlevels all hate doctors because they kNoW mOrE
> paperwork doer

what's the point

med student going into radiology here

getting tired of people telling me AI is going to displace us. the less they know about radiology and medicine, the more arrogant they are.

tell me right now what medical school will teach me that wikipedia cannot

>>11160075

Trump's doctor is a fucking DO. My fucking sides.

>>11169558
this can be generalized to all schools across all fields which rely on only knowledge and no skills
I'd argue there are many areas of medicine which heavily rely on skills and I can't think of any that doesn't rely on skills at least a small amount

>>11169558
pain

>>11169550
bro, surg/cardiology can do interventional and AI/techs can do the rest. they're all better, cheaper solutions. just go optdermosthesia.

>>11169519
>We can make an paint a picture more beautiful than any artist
source?

>>11169586

I don't care. The only career that interests me in medicine is radiology. Clinical medicine doesn't interest me at all.

I considered anesthesia. Not really a fan, don't want to deal with CRNAs that think they can do the same job. Don't want to be directly responsible for someone's death if they code while under.

Radiology isn't going anywhere.

>>11169593
pathology? also yeah fuck CRNAs ahahaha

>>11169594

Don't want to deal with slides, taking biopsies, gross smells.

I like sitting at a comfy desk with big ass monitors, sipping on my coffee and utilizing my knowledge to diagnose. And telerads too, can have a reading room with a high power PC and work from home.

It's the perfect career/lifestyle for me. Fuck everything else.

>>11167431
Honestly that part was cool as fuck. I thought it was just for imaging but it wound up fixing the issue without him having to go under the knife.
Any idea what causes something like that, though? Is it just a freak accident?

>>11169598
Did you always know that or have M3/M4 just been rough? If 1 why medicine and not like CS/Law/Business

>>11169605
Some people think there's a seasonal pattern that makes them think there's a microbiological component. That's just in paeds though and relatively disproven I think.

>>11169607

I've more or less known that going in. I like medicine as a field, studying it academically and applying it. Clinical medicine is like 20% application/diagnosis, rest is bullshit consulting or dispoing patients or social work. Endless redundant rounding and charting. Not interested.

Radiology has the least BS imo and offers a somewhat normal lifestyle. I get to use knowledge of all organ systems and pathologies.

Fuck law
Business is meh, my skillset would reward me much greater in pursuing medicine
Don't like programming

If I stay on this path, in 6 years I will be more or less guaranteed a salary of 400k+ if not more. My friend's brother just graduated radiology residency and has offers up to 750k w 2-3 month vacation. Even if the salary changes, which it will, I doubt I will have many regrets.

>>11169618
gg, gg

>>11169615
Sometimes I wonder if It's possible for you to just peristalsis incorrectly once and die.

>>11169632
STEMI lel

>>11169590
aiportraits.com before it got DDoSed, and that's not even the peak of what we can do right now. In 10 years, fucking forget about it.
Meanwhile, the biggest robotics companies need thousands of trials to get even a single good recording of a robot arm moving a box.

>>11151502
>schizophrenia
>disease
I hope you are joking.

>>11151502
for schizophrenia, it's because the mechanisms that cause schizophrenia are very complex and multifaceted. you get schizophrenic symptoms from having too much dopamine or dopamine-activation in certain areas of the brain, and the cause of this excess dopamine (or excess consumption of dopamine) comes from an extremely complex interaction of genetics & environment.

In other words, we can't work out how, when, or what specifically causes a case of schizophrenia in the same way we can't work out what specifically causes any particular hurricane - like where it precisely originated from, at what points the specific conditions let it form, which systems are going to develop hurricanes, etc. All we can do is detect them early on and try to predicts parts of their progression, to varying degrees of accuracy.

This is why treatment for something like schizophrenia typically involves medications that globally (or regionally) lower the activation of dopamine-consuming neurons, but the problem with that is that there are many more parts of the brain/body that use dopamine that might be fine and healthy that will also be impacted (you have this same problem with depression and serotonin-based medicine).

The immune system is similarly complex, particularly the parts that dynamically create novel immunities (called the adaptive immune system). The immune system is very decentralized, and there's no real systemic way to make it forget specific targets.

I'm neither an immunologist nor a neurologist/neurochemist so don't take my word as gospel, but this an acceptable QRD afaik.

>>11169691
Lol what a joke no schizophrenia is not biological it is spiritual. Go back to your hospital.

>>11168989
>>11168995
Not >>11162950 but I want some links.

I'm dead inside writing this right now, I'm barely 20 and tired of spending 12 hours of my shift listening to a non-compliant and now dying kid my age ask me all day what I do outside of here, what my friends do, what games I play etc. Don't even realize how hard it hit me till I got on an anonymous chinese basket weaving forum.

Oh well I'll be back on the floor tomorrow so one of his "caregivers" can subtly threaten my nursing license.

>>11169767
Just remember that you're there for a job and not be stressed about what people will think of you just so long as you're not trespassing social norms aka acting like a idiot. Don't get sucked into work politics and carry on your job. The older you get, the more you realize that not giving a shit about all the problems in the world will make you a happier person.

>>11169519
this
we'll be lucky if we have robots that can tie your shoes before 2050

Will regenerative medicine happen in our lifetimes? I don't mean full scale like reversing aging, but will there be a better solution than skin grafts from other place on your body?

>>11169901
Yes, if nothing goes to complete shit in the next 30 years we'll be the first generation to never die of old age(atleast for a while)

>>11169999
quads of truth

>>11165719
>Patient isn't anemic, Hb and hematocrit are well within normal levels for a geriatric.

holy shit you are a fucking retard. there clearly is anemia - likely secondary CKD.

>>11165719
>>>11165277
>>healthcare
>What do you call it where you're from?

anything you don't. namely, evidence-based, unlike what ever medieval backwards shit education you're getting.

your english isn't right - i'm suspecting another eurotrash internist who gets hardly anytime on the wards and instead hangs out in the cadeaver lab way too much.

take some penicillin along with some aspirin, drink your vodka, crawl back into your cold mildewed cave and shut the fuck up.

>>11165778

prayer. mediation.

>>11166364
>have ingested them by trying to alleviate the symptoms by drinking waters. After about 30 hours, there are something that look like black ashes in my excrement, should I be concerned about it?

is good, check if jew is down the well and consult >>11165719
for fecal impaction he will pay you to do.

>>11169053

it's an emergency to them tho... a slow, progressive, deteriorating, 5000 calorie, sedintary one bite at a time, noncompliant, lack of insight, frequent flyer emergency at at time

>>11169085

get dat swab, nigga. see the doc and get that q-tib shoved down there deep before them doxys

>>11160000
ciation needed

>>11170098

>Loin's mane

DAS IT MANE

I just came while imagining a prepubescent girl sucking my dick and fingering herself. Why are my fantasies like this? Why does it arouse me so much? What is wrong with me, how do I fix it?

>be young medfag (26yo)
>sitting on my pc
>guy 10 year older than me walks in and I ask
>can I have your name sir
>this guy with a insulted tone in his voice responds
>Im xxx SIR!
>*scuffs*

Like what else do a say to a person you dont know that is obviously older.
I call people sir/mister to be polite not to insult them jesus

So if I want to learn about anatomy, as a non doctor or student, is "Guyton & Hall textbook of medical physiology" good enough?

>>11170466
>Anatomy
>Lists a physiology book

Just get the three volumes of sinelnikov's anatomy atlases. You have explanation of each bone, muscle, organ, nerves and vascular part in the body. 1 is made up of bones, muscles and joints, 2nd is made up of organs and the third of is made up of vascular and neuro + neuroanatomy (a bit more in depth)

>>11170076
>Secondary CKD
With what RET count? With what EPO? Just because MCV is normal, doesn't mean you get to guess normocytic anemia and thus CKD.
>evidence based
You are a hypocrite. You don't know the patient's history, medication or pre-existing conditions, yet you're willing to diagnose anemia and secondary CKD. Also, hypothetic patient in question had an Hb of 14.9 yesterday. Care to reevaluate?

>>11169335
>I just am repulsed by gore and corporal secretions in general

You'll get used to it so fast.

What do you guys think is the updated list on the best medical specialty lifestyle wise? I don't want to fucking suffer through nonestop medical practice forever, bros. I want to be able to fap in front of my high end gaming PC every once in a while.

>>11170618
>Updated list

It's the same motherfucker

>>11170549
>sinelnikov

What next, pajeet books?

>>11170722
Well, if you want something non-commie then go for Grey's...

>>11170613
Nice to know.
What about the rest? Do you think I'm looking at the wrong reasons?

>>11169999
>if nothing goes to complete shit in the next 30 years we'll be the first generation to never die of old age(atleast for a while)
I think that's just wishful thinking, there's no reasonable basis to this kind of speculation. It's the type of speculation that can vary by orders of magnitude, from 30 years to 30000 years.

>>11169335
Since you seem to want to help people and aren't that passionate about medicine, have you considered becoming a teacher or similar social type of work?

Hello kids, I used to browse /sci/ when I was in college 8-9 years ago?, now I have an MD.
Shit on me all you want, I'm making money and have a hot asian gf

I used to browse /sci/ 8-9 years ago when I was in college, now I'm a physician
Ask me anything

>>11170618
I'm in emergency medicine, you can work 3-4x 8 hour shifts a week and make like $300k+ depending on where you work

>>11170924
kill urself

>>11170892
Yeah.
As I said, that's what I'm concerned about: I'm favoring med over teaching for material reasons (salaries) and prestige alone, not because I like studying the human body over say, Plato.
And that's what I'm questioning: is it a reason of concern? Am I doing this for the wrong reasons?
I don't necessarily care about helping people; I mean, I do but my priority would be not to harm them. What I mean is, I couldn't work in the army.

>>11171027
I think you should first find the cause of your suffering and only then think about your career.

Can transgender/non-binary people be thought of as mentally insane?

>>11170549
Thanks anon
>1265 pages
Is that correct?

>>11171056
Sorry - what are you referring to exactly? I have mentioned no suffering...

>>11171069
Yes it is.

>>11169166
They exist, but EDS/POTS/MCAS is the trifecta of instathot spoonie illness, and there's a number of quacks who hand it out to people for no good reason because it gets them business from morons.

Got my exam on respiratory next week, what are some high yield facts?

Say med, I live in Italy, my ashma stars acting up during, well now, what kind of allergens might be turning up in this period in particular? Just some pollen more than other?

Here's a tricky question: Why does the penis stop growing? Anyone know the mechanism that stops penis growth at the end of puberty?

>>11170569

when follks be aging, GFR drops. you see, this effects kidney function, to the point where there is "disease" and various ways of categorizing same into "stages." a lot can be presumed once you get some clinical training. please remember my kind asshole debate partner, pts are not textbooks.

all the best and say hi to lugash for me.

>>11169550
Don't get comfy. Theres a reason why Google is moving in

>>11171742
I have some bad news for you. PM2.5 is a size exclusion protocol, meaning anything under 2.5 microns in thickness is the kind of air pollution associated with symptoms like yours.

Some things you might be breathing include

>radioactive isotopes
>proprietary chemicals
>micro plastics
>pathogenic bacteria or fungi

Investigate your environment. Count the number of point sources of pollution. For example, a person living next to a busy road in a town of moderate size might be affected by 1000-2000 cars driving by. Typical wintertime point sources include controlled fires, wood burning stoves and boilers. A change in air pressure and wind direction can have dramatic downstream effects. Examine a map. Identify industrial areas, chemical storage and refineries, especially near airports and harbors. Airplanes disperse toxic chemicals and airborne lead. Harbors typically host giant ships that burn high-sulfur bunker fuel and can produce as much pollution as 1 million cars per vessel, per day. Thus a large city with 1 million cars' worth of pollution can see pollution equivalents of 2-4 million cars if ship traffic alone is intensive enough. Appraise the area where you live. Due to accident of geography and location, there may be substantially greater suspension of particles in your environment. For example, the prevailing wind off a desert would include fungal spores and mineral clay dusts, while an urban environment might produce propriety chemicals, soot, or micro plastics.

And remember, the lack of symptoms doesn't mean air pollution isn't affecting you.

>>11171762
A signalling system inherent to cells which senses a quorum of neighboring cells, at the cell wall, regulates cell division, and the mechanism can cause cancer (uncontrolled growth) if the gene is disabled. Other examples of growth of this type include skin tags.

The far safer option is Viagra or Cialis which allows blood flow to inflate the existing meat.

>>11169767

Sorry you had to deal with that homie, I hope you have an easy/stress-free shift soon to help balance things out. Try to think of a couple positive parts of your shift everytime you're clocking out, at least that sometimes helps me after a shit day.

>>11170927
I'm genuinely surprised by this. Isn't emergency med one of the most toxic specializations out there?

>>11155791
How do you think you get a good PETCO2 in an arrest? I can tell you that if you dont keep pumping blood around enough to get oxygenated nothing is being transported. You make a good point on the PETCO2, but at the end of the day continuous uninterrupted CPR is gold standard treatment. Just go look up the information on Heart and Stroke.

Also another piece - a lot of clinicians end up fucking the patients over while theyre 1. looking for a tube placement and 2. stopping cpr to get a 'good view' because using a bougie is too fucking hard. So, again, blood movement is key - if thats done right everything else will go as well as it can.

Do pulmonary corticosteroids increase surfactant-production in adults or only in neonates?

>>11169335
Think carefully about your career choice. I know pretty well the Italian helthcare system, and while it is true that being a doctor will give you a 90% probability of getting a job after your graduation (and in Italy that is important) consider that the training can be really hard if you are not really interested in the subject. It is already difficult to memorize a 1200 pages book even if you actually like anatomy and physiology.
The training during the specialisation can be really hard sometimes: really long work hours and you are basically a slave for a few years. During this period you learn a lot, but I have seen even very passionate collegues with burnout.

On the other hand, if you are smart enough to get an high score in the national exam for the specialisations you can get into some of the more relaxed and remunerative ones: radiology, dermatology, ophtalmology...). There are also specialisations with minimal human interaction, like Pathology, that can be extremely interesting if you like research.

Do not worry about being squeamish, you will get used to blood and everything faster than you think. You are starting a bit late, but really, I know people who finished their trainings at 38-39 and have became important professionals.

For salary and prestige. If you are going to work in Italy patients do not respect doctors like in the past, and you will costantly fight against know-it-all that think that reading a wikipedia page makes them more expert than you in medicine (well, you are on /sci/, you should know). Salary is certainly better than the one of teachers, but you are going to work a lor more hours per day and having a lot of more pressure and responsibilities. Consider that during your residency you will earn around 1700 $ (taxes already considered) per month (Europoor, I know), and being a junior doctor something like 2600$ per month.

>>11169335

Hello, I'm into Italian first year residency program (specialization), thus I may give you some infos.

70% of med student graduate within 6/6.5 years, it's not really that hard once you're halway through. As a general medicine practicioner your wage is ~800 euros, as a junior resident you earn 1650 euros during first 2 years and 1750 during last 2 years (it's way above average 25-30 yo wage in italy). Keep in mind that you need to be smarter than 50% of your colleagues because there's only 8000 slots for residency programs and 18000 mds attempting it each year.

> I'd be fine getting into like research.

Getting into research is extremely hard and less remunerative than a more straightforward career.

>I'm a bit squeamish (not extremely, I know guys who faint or vomit at the sight of blood - I just am repulsed by gore and corporal secretions in general) so maybe psych could be a way.

No one likes gore, secretions and such, people just get used to it. You don't have necessarily to do surgery or clinical medicine, you could either do pathology/radiology or such.

>Another problem is that I would start pretty old - I live in Italy, it takes 11 years to graduate and if I pass the test I would start as a 21 years old.

You'd be a MD at the age of 28.

>>11172986

Fellow italianon.
Makes me wonder how people manage to complete their degree in six years, I'm on my "7th" and I've only finished a couple of 4th year exams.
My university's professors are utter shit, they keep asking questions that are not related to the course/what they taught for the sole reason they found the subject the day before the exam in their workplace. A lot of exams are like a lottery, you have to hope they ask you something that is close to what is found in your study books.
Maybe I'm blaming the professors over my own incompetence, I am a shit student. I'm struggling with continuing my studies, there's just no passion compared to how they teach you in the US for instance (been there for a couple internships).
Feels like I'm drowning with how far I am behind, and there's no way out.

I would like some help guys: >>11173447

Ok so I have questions about pre-med pre-den etc. I’m a finance major at a semi target university and I’m nervous about my future in finance. I have particularly fell in love with bio stocks. chemistry and anatomy were some of my favorite classes in highschool. I want to do something in medical as a back up. What would be easier to get into? I will eventually reach out to an advisor but I just want basic feedback from some students aswell

>>11173647
do the switch

>>11170466
Netter or die

>>11173977
Thanks for your encouragement. One of the things that is hindering me from doing the switch is that I'm currently 21, so I would start Medicine at 22 and I'd be looking at 10 solid years until I can finally begin my professional career. I am worried that I would be too old by that time. How true are these fears?

>>11174285
You would still have around 40 years to practice medicine.

>>11151927
I'm an M1 right now, it's fucking easy once you get here. I will say, however, that working in a hospital has made me realize that male nurses are ALWAYS better to work with than female nurses.

>>11173688
>I’m nervous about my future in finance.

You diagnosed yourself right here. You know what to do.

>>11167412
Lipoma balls

>>11169008
There's always next year if my post ends in a 1

>>11171062
As of this year WHO no longer classified them as mentally ill but most of them are if you watch then.

Just took my CBSE and I got a 175.

Good news: I have 4.5 months of dedicated and have lightyear anki 75% done, zanki 40% done, and have gon thru amboss 1x with 66% avg.

what should my plan be?

Not gonna sugar coat it: just want the best lifestyle to pay ratio. will do any type of medicine.

any help boys?

List of made up bullshit diseases
-Fibromyalgia
-POTS
-Chronic Lyme disease

What are some nice medical Fields to look into, I don't think I could live with myself of I went for an easier role in a position (assistant, nurse, technician) but I also don't want to slave away 40+ hour work weeks
So Far I'm gonna look into
>Veterinary positions
>Optometry
>Radiology
>Pathology
Any others I should look into as well?

Just graduated dental school (my mom forced me to). How do I cope with the fact that I'll never have a medical degree even though I'm a doctor

>>11177334
Dentists make good money with a better lifestyle than 90% of medicine. Dental specialties make excellent money. It might not be as fulfilling, but ask a surgeon how satisfied they are with their career after excavating a pilonidal cyst from someone's asscrack.

>>11177334
go to medical school and become a maxillofacial surgeon and mog literally every single medical speciality, I'd do it if I went to dental school

NEU!
>>>11177812

>>11177267
POTS has obvious changes in heart rate... I see it every day on my apple watch and it is measurable on an EKG... POTS is obviously real your just a brainlet

>>11173241

Former italianon replying back. No reason to give up, I ensure you it gets easier once you pass through the 4th year.

If you suck at studying, just pick a spec which doesn't imply a strong theorical background. Anesthesiology may be great because it's more about practice and no one cares if you have been a shit student.

>>11178807
Oh wow your heart rate changes, it must be a disease! lol