/sci/ - Science & Math

>>12392123
reminder

>>12392113
Everybody is always wasted

>>12392135
if only

>>12392143
I-is this our homework, dr. apu-san?

>>12392113

A few times, especially during my early med school years when I went out drinking a lot. Also been many times to the hospital "high" on prescription medication if that counts.

Was having the worst comedown in a colorectal cancer clinic once, the combined drug-induced low mood/tearfulness and many episodes of breaking bad news were tough desu. The consultant just thought I was very emotional and I must have personal experience with cancer lol

>>12392129
add niggers to that list

>>12392179
no

How does a good general surgeon should be? Well rounded on types of surgery or he should just do the bread and butter and be an expert in those such as cholecystectomy and appendicectomy? (inb4, general surgeons are not experts)

>>12392214
With the coming of the subspec era jack of all trades surgeons will come out of fashion.

>>12392222
Well shit, quads of truth i guess.

>>12392225
To further illustrate my opinion I want to point the fact that in my shithole, 80% of my residents did a subspec/high-spec training. Endoscopic surgery, bariatric, hepatic and gallbladder and so on.
The only one who did not get into subspec stayed a whole year unemployed because he didn't have the network to even work.

>>12392214
They just do the shit that's left over from other specialties, it's pretty much a dead spec

>>12392123
How much does the Neurosurgery chief of staff earn in your country?

>>12392278
That's $7.57 an hour working 4 hours a day. How is this shit acceptable?

>>12392222
Hopefully all subspecs of all areas become separate schools like dentistry did.

>>12392294
>Hello, my name is anon anonescu and I'm a pediatric diagnostic neuroradiology student

>>12392298
>trains you in 3 years
Heh, nothing personel, medcuck.

>>12392326
Holy shit this actually makes sense.

>>12392294
>hopefully all treatment would happen only in giant hospitals
what did he mean by this

>>12392278
less than a sentinel

>>12392123
i suffered from kidney stones from 2012 to 2019, in which started to get worse in 2015 when i started urinating blood then i went through constant pain almost every day, and i experience pyelonephritis one time.

then i was diagnosed with hyperparathyroidism in 2018 and received surgery in 2019 and now i don't suffer from the disease anymore.

i only feel discomfort in my kidneys if i become dehydrated.

as of right now, what is the best anki deck for medical school? anking, zanki, other? Also when do yall reccomend starting anki, i start med school in august is it too early right now?

>>12392419
just read textbooks nigga

>>12392419
You're starting med school in august and you haven't already matured AnKing? Enjoy family medicine in Dakota my dude

>>12392381
Dude, you can learn general practice in 2 years.

>>12392419
Imagine worrying about fucking medschool.

>>12392502
Fuck you too pal.
>>12392278
¿El salario en dólares? Una puta mierda, suprema puta mierda si consideramos que también habrías de vivir en El Salvador.

>>12392502
>t. mid-level practicioner brainlet

a fm/gp starts to be decent around five years after residency

>>12392559
>practice makes perfect
No shit, retard?

19 year old skinny guy here

I have all Fibromyalgia symptoms, but is Fibromyalgia a real diagnosis? Or could my symptoms by due to something else?

>>12392575
>2 years of education is enough for something that you need maybe 10 years of experience after MD
based retard

>>12392605
>but is Fibromyalgia a real diagnosis?
no

>>12392620
What else could it be?

>>12392123
Do not clamp early.
Do not vaccinate.
Do not circumcise.

>>12392699
>Do not vaccinate.
but why though

that's so retarded

>>12392721
Keep moving, don't engage the clamp poster. He is beyond salvation.

>tfw been making a ppt remotely with a qt pie for the last 6 hours

>>12392435
>>12392436
>>12392508
epitome of 4chan. love you guys haha

>>12392809
>t.

>>12392802
>tfw conference call is just a two hour asmr session

>>12392802
>>12392827
ZOOMers need to be eliminated

>>12392159
seems like the average pbl assignment

>>12392831
>mfw I realize the fact that some borderline retarded zoomed could be my treating physician when I'm old

>>12392607
You don't learn shit in "Med school" you fucking dumbass mutt. Your doctors are all shit. You do nothing but train to pass a fucking test. 10 years of justifying debt only to pass a fucking test and you still get scared shitless doubting for weeks if you should leave ciprofloxacin for a fucking UTI.

>>12392902
>not figuring out that I'm not a mutt based on the filenames alone
based retard

>>12392902
seethe nursoid

I'm doubling in physics and biochemistry BS's with a 3.9 GPA, good references, and a lot of research and EMS experience. Haven't taken the MCAT yet. What else can I do to increase my chances of getting in and joining you medchads? I don't want to end up working triage in the ER with Karen and the other roasties.

>>12392721
Vaccines are poison.

>>12393013
start larping the optimal personality

>>12392902
>t. Shaniqua Sandoval, FNP, DNP, CNA-XTV, DVD, LAPD, LCD, DEA

>>12392123
Hey fegs. I've got tummy issues/pains every time I "flare up" on some food, and a skin issue going with it.

Went to my doc yesterday and he instantly said; allergy. He prescribed me cetrizine for a week, and offered me a lactoce intolerance/allergy test(not sure which one he said specifically, I know there's a difference).

Anyways; I've had had multiple blood tests done, sent in my shit, did a swab test to see if I had harmful bacteria/fungi, had a patch test, and every single time, the results were negative.

Mind you, my diet isn't composed of shit, and I take zinc/d3. Watch my food like a hawk. How reliable are allergy tests? How reliable would a colonoscopy be, when I send in some of my gut tissue to a lab(this worked for a friend).

>>12393520
you can have positive allergy tests and still not be allergic
you can have negative allergy tests and still be allergic
it's a clinical diagnosis
you should ask your doctor these questions friend, seems he's taking good care of you with all these tests

my doctor fucking hates me and i have to suck his dick for him to offer me any kinds of testing

Why do they do this?

>>12393520
Allergy tests are decent, colonoscopy is usually pretty reliable, depends on the condition that they are seeking though. Lactose intolerance is tested genetically in non-shitholes and is very reliable.

>>12393580
She's not wrong, all those intubated patients aren't gonna wipe their own asses.

>>12393592
We can dual purpose the porters. Abandon all nurses.

>>12393580
>when hospitals are overwhelmed, the amount of nurses available does not matter. A nurse is nothing a but a machine that turns money and food into gossip and complaints when there are not enough beds with the required equipment to provide care for the patients waiting to be admitted.

>A nurse is a number, a bed is invaluable.

>>12393592
They won't need to wipe their ass if you intubate their rear as well

>>12393592
Based

>>12393541
Thanks for the advice anon. I'll ask him in january again. This condition is making my lose my fucking mind, I've had it for years at this point.
>>12393585
Are there genetic tests for gluten issues aswell? I have a fear of it turning out negative again. I think I'll have to suck my doctor's dick like the other anon to get a colonoscopy, and simply test for all range of issues.

>>12393644
Gluten is a bit weird, there are antibody tests, genetic tests and the traditional gold standard: colon biopsy. Gene tests work in only exluding people if they are negative, positive results provide no additional diagnostic information. The antibody battery is usually enough to discern that stuff but if is inconclusive a biopsy can be done.

>>12392278
Holy shit you are better off working for a maquila in Mexico.

>>12393676
I appreciate your advice anon. Thanks.

>>12393580
>that bane-sized mask

>>12393592
>nurses wiping asses ever
Not a chance. If there are no CNAs available they claim hostile work environment or pretend to be sick and call off. Nurses think they're too good for wiping asses and bathing.

right lads I return
I'm the no seeing guy from last thread
catheter's are fucking horrible turns out my prostate was so enlarged it was clamping down on my urinal track thankfully no tumors
never do nofap lads you'll never pee again

>>12394114
*nopee

>>12393605
You laugh now, but decreased nurses means increased wait on the most basic of assistance, which results in lower QOL, higher rates of depression, slower recovery, longer stays, decreased hygiene which leads to decreased infection control, then the cycle repeats.

>>12394137
That retard doesn't know that when there are not enough nurses in a hospital it's fucking doctors who have to do all the shit jobs of running around, taking useless vitals, sounding, taking samples, managing the dialysis bellypiss, etc. This is done in shitholes like >>12392278 where all the money is stolen and nobody gets hired.

>>12392875
Should I invest in a early death? Preferably in my 50s.

>>12394137
>>12394182
I have to agree with these anons. Nurses are important because they do all the tasks that doctors don't have time to do.

>>12394114
Good to hear you finally took a piss anon.

>>12394209
*an

Are all doctors destined to be betabux cuckolds?

>>12394182
>fucking doctors who have to do all the shit jobs
What do doctors do when they aren't writing prescriptions based off 2 minute examinations? Like I genuinely wonder what my doctor does after he haphazardly sees me for a couple minutes and runs off while the nurse does everything else. Even when the doctor's office is fucking dead quiet he can't be fucked to see me more than a few minutes after making me wait half an hour.

Only doctor's I've had that seemed to care were orthopedic or my pediatrician.

Stop looking down on us you smug pieces of shit

>>12394276
They go finger blast their nurses or teenaged assistants, they don't have time for your shit.

>>12394305
What the fuck am I paying him for then?

>>12392419
dont start studying until orientation lol
memorize pathoma and sketchy

>>12394363
To finger blast his nurses and assistants. Fuck dude can't you read?

>>12394363
Holocaust reparations

>>12394363
His 2nd ex wife alimony gibs.

>asshole always dry and itchy
>looks like a baboons ass

should I be concerned, I already got fingered by my gp and told to use some cream but it's still a bit dodge

>>12394367
>>12394406

>>12394216
the pain was immediately gone thank you all for the advice

Why the fuck do people become EMTs?
>EMT
>1 year of school
>$15/hr pay
>no room for advancement other than EMT advanced or fire department

>LPN Nursoid
>1 year of school
>$20/hr starting
>often times paid as much as $30 with experience
>significantly better benefits
>near infinite room for advancement from LPN -> RN -> BSN-RN -> NP, and literally many dozens of fields to choose from down these paths

>>12394533
I got my EMT in 6 weeks and just did it to have patient care experience for applications. EMT work is more fun than nursing too imo

>>12394533
EMT's are adrenaline junkies. They can become paramedics, I know some that have gone to PA school.
The real question is why anyone would be a LPN

Can I be a good neurologist as a midwit? Or should I just go into FM

>osteopathic medicine

>>12394276
Where I live, the place where the Neurosurgery chief gets 650 a month, Interns take vitals, do all the paperwork (no electronic records), manage the peritoneal dialysis of 10 people at the same time, run around looking for one of the 3 staff in the entire hospital to sign antibiotics/opioid orders, take the patients to xrays and shit, write the follow up notes nobody reads, ambu bag all day because no money to buy ventilators, and can't go home until every task of the day is fulfilled. Residents prescribe during the morning visit, then they get classes all day, show up to shout at interns and sign all the paperwork, do special procedures like installing CVCs, installing the peritoneal dyalisis, taking CSF and Bone marrow samples, etc. They get shouted at for nothing and go home at 10pm.

Staff only stay for 4 hours, they take a cup of coffee, gossip and fuck off to another job.

Nurses draw blood, clean shit and gossip.

legit question, no bully. I am 37 and graduated with a bachelor's in environmental chemistry 11 years ago. I have no volunteering experience and no experience in a clinical setting. Is it literally impossible for me to be a doctor someday? I am tired of working in the oil industry

>>12392278
>blurs names
>leaves hospital name
wut

>>12394726
Not impossible at all. There's always 1-3 boomers in every class. You'll probably have to spend 2 years preparing yourself as an applicant. So you'll be ~40 years old when you start. 44 years old when you start residency. And you'll start earning a physician's salary around 47-50. Financially it's not a very smart move, but if it's something you really want to do for yourself it's doable.

>>12394742
what would be my first step then, taking the MCAT? can I try to get in with my ancient bachelor's degree or do you think I would need to take more courses to boost my chances

>>12394547
>PA
Might as well be an NP.

>>12394726
Why would you want to do that? The road is long, takes about a decade or two, you'll be doing it fulltime, to get employed you're really not more valuable than others, the work is boring and stressful. If you want to know stuff read the books, if you want to treat family, even us are disparaged from doing that, otherwise use over the counter shit from what therapeutics books say.
I really dont see why you would do that instead of say, teaching your children the ways of the world

>>12394752
I'm not certain that environmental chemistry would fulfill all of the pre requisites. You need to have a certain number of credits in specific coursework. So if you have to take classes, I would wait to take the MCAT until you fulfill those requirements.

Also if you had a shitty GPA you're going to have to do something to correct that. <3.6 is not good for MD. DO schools are more forgiving and you could enter with a 3.2ish if you have other good stats

>>12394752
>>12394764
Or really, a better question would be why are you leaving environmental chemistry. Otherwise, your field has nothing to do with medicine, and a little to do with public health. Why not try a masters in something like that?

>>12394770
to have the title of doctor so people can respect me and treat me kindly

>>12393592
Holy kek, saved.

>>12394774
If that's your reason you will be sorely disappointed

>>12394762
Same shit, different acronym.

>>12393013
Premeds get the rope

>>12394774
If you want respect, why don't you become a business owner and greet people at your store? People respect rich people. Nobody respects the doctor because his job is telling people to do things they don't want to do, and they only see him at times they don't want to see a single person. They expect the doctor to pull life out of thin air and inject it on them, when things don't go to their expectations they'll blame him for every disgrace that happens to them, and their families will continue to do so after that person's death.

The only good reasons to become a doctor are: 1. For the money
2. Because you're an autistic fuck
3. Because you're too retarded to do any other profession

>>12394883
Sounds about right for the majority but I encountered doctors that were well respected by the patients, especially in peds, surgery and neonatology, but the thank you came from the parents/family of the patient.

>be in OR
>surgical sentinel doesn't give me the scalpel
>keeps saying "Tempt not the blade"

I just want to operate, wat do?

>>12394973
>>surgical sentinel doesn't give me the scalpel
>>keeps saying "Tempt not the blade"
based

Teehee im a DO. I just treat a bunch of numbers. I make them go up and down with medicine. teehee.

>>12394979
what is the equivalent of DO's in europe
i don't think we have such a thing here

what do they even do, where to they work? are they doctors? if so, why not just be an MD?

>>12394989
>i don't think we have such a thing here
No, we don't have it here.

>are they doctors?
AFAIK, yes.

>>12394989
Hi I'm a DO. 5% of us use osteopathic manipulation. 95% of us function the same as MDs in mostly primary care, but there are DOs in all specialties. Most of us didn't get into MD schools because we were retarded in some way or another. For me, I fucked around in undergrad and got a dogshit GPA but a decent MCAT. I still wanted to be a doctor so I swallowed my pride and went DO.

>>12394979
>>12394671
Based

>>12395002
Cringe

>>12395008
>>12394979
>>12394989
>>12394671
The DO bullying stops NOW

>>12395022
those veneers are irritating his gumline kek

>>12395002
interesting

A DO made me go get an expensive troponin test because his EKG machine said i was having an STEMI. im 24. i feel like an MD would have known how to read an EKG and said "yes it is elevated but there are a large subset of men who naturally have a slight raised ST on their readings and its NORMAL.

>>12395040
Lol an MD and probably that DO thought that but then asked themselves why the fuck would they risk not sending the patient for a troponin with evidence of ST elevation, especially when it's the patient, not them paying the bill?

Do you think any doctor would take the risk of seeing ST elevation on ECG and not send for troops? That's how you lose your license

>>12395064
>Do you think any doctor would take the risk of seeing ST elevation on ECG and not send for troops? That's how you lose your license
if he didn't have any symptoms or relevant history of course I'm not going to take troponin

the ECG machine answers are extremely extremely conservative and consider even a minor elevation an acute infarction

you are approaching 'let's just take troponin as a screening tool' territory which is absolutely insane and retarded

>>12395072
Okay mate. You can practice this way but when there actually is a hypothetical young patient with STEMI and no/odd symptoms and you don't do trops when the coroner investigates they will say. "The patient had ST elevation on their ECG, this can be a sign of cardiac ischaemia, do you agree? If so, why did you not further investigate further with troops?" And you say "This can be normal in young men" do you think that will offer a reasonable excuse? That will open the argument up and you will get fucked hard by a good malpractice lawyer.

I'm not arguing the clinical utility of ordering the troops, I agree it is retarded but you should do it to protect your self as a doctor and that is why the DO will have done it.

>>12395040
If you were having chest pain or they had reason to suspect an MI, that's fine. The alternative is way more expensive for you, the healthcare system and the doctor, i.e. you end up needing treatment for an diagnosed MI later on.

>>12395072
I agree with you about the machine interpretations, those things are almost never accurate. Knowing how to interpret an ECG is an essential skill.

Following on from what >>12395093
said, you'd be foolish not to order troponins after seeing an elevated ST segment. Just look at the specificity of the test mate.

>>12395093
>You can practice this way but when there actually is a hypothetical young patient with STEMI and no/odd symptoms and you don't do trops
no symptoms is one thing
odd symptoms is another, so let's assume he had no symptoms in this case and the only indication of a possible AMI was the machine reporting some elevation somewhere

a chimp or a nurse can blindly request all kinds of bloodwork, that's why we are doctors so that we can act rationally
>That will open the argument up and you will get fucked hard by a good malpractice lawyer.
this is why healthcare in america is so trash, you guys are so overly cautious and conservative and you end up bankrupting patients
>>12395110
>said, you'd be foolish not to order troponins after seeing an elevated ST segment.
he didn't actually see it though, the ECG machine reported it
and the ECG machines tend to report all kinds of weird shit, because they are constructed in a way not to ever miss anything resulting in reporting normal findings as pathological

>>12395127
>troponin bankrupts patient

OH NO NO NO NO NO

>>12395132
>oh you have a headache
>here have this MRI
ameriniggers do be like that

The Covid epidemic brought this truth to light:

Medicine is a science, but physicians are not scientists.

>>12395138
Well, there are plenty of researchers with an MD in specs that beg you to do research (immunology, infectious diseases) so I don't see your point.

>>12395127
>healthcare in america is so trash, you guys are so overly cautious
I work in the UK

You can act rationally with decisions that carry less risk. However, every dumb student and nurse and doctor has the association of:

ST Elevation on ECG=MI=Deadly emergency

If you want to ignore that and use "clinical judgement" fair enough you are a braver man than me. But what do you really gain? trops are fairly noninvasive and in the vast scheme of things not that costly. I will be the first bloke to pat you on the back saying great work doc. You saved the patient a few quid and made the right call, I will seek ECG teaching from you.

But what do you risk? You risk missing an MI in a patient with proven ST elevation on an ECG that you have seen and decided not to investigate. You think anyone will give a shit about all the times you didn't investigate and it was the right decision? Just be careful mate, all the risk shifts to you for what? saving the patient some money? I bet you would want trops if you had symptomless ST elevation, I know I would

>>12395158
>You risk missing an MI in a patient with proven ST elevation on an ECG
just because the machine says there's ST elevation doesn't mean there is ST elevation you thick thick cunt

that's something you have to decide with your own eyes

>>12395170
Yes pal I am a thick cunt. I appreciate your clinical wisdom and I'm sure you are correct in your diagnosis but all the other thick cunts and I (see: everyone) are still gonna send a trop as the DO did in the original post to cover ourselves.

Let me know when you actually have to put your license on the line and make actual decisions as a doctor rather than just getting the correct answers on question banks as a student.

>>12395188
>are still gonna send a trop as the DO did in the original post to cover ourselves.

Idk why you guys are arguing about this in the first place. Ofc everyone will order a tropo if they see an elevated ST.

How does anon know that the DO didn't look at the ECG in the first place?

>>12395188
maybe it's different in the UK
but in denmark we get taught not to be wasteful
troponin is considered pretty expensive too so noone will take it SOLELY based on the ECG machine suggesting a possible ST elevation (which it does extremely often for no good reason). I still don't understand why you are ignoring that simple point

here if you are wasteful, your colleagues look at you like you are a moron and noone respects you, a large part of the job is counting pennies and not requesting useless tests

also I'd be interested to see how often ECG's of completely healthy patients get labelled as possible ST elevation by the machine, seems quite frequent in my experience, maybe our machines are trash
>Let me know when you actually have to put your license on the line
6 months and yes, i intend to be very conservative but not conservative enough to trust a retarded machine that's wrong way too often

>>12395225
>money>health
Shouldn't you just explain the possible implications of elevated ST readings and let the patient make an informed decision for himself?

>>12395245
nah
If we are unsure, usually they'd rather have us transfer the responsibility to someone else and have a cardio remotely look at the ECG for 10 seconds rather than us ordering a 100$ dollar troponin test that might actually have to be repeated anyways
so asking someone to help you out is the preferred way to cover your ass, it's just cheaper
then you say "normal clinical findings, normal ecg, in colaboration with X specialist"

also, with our 60% taxes, i'm literally paying for the test so

don't forget to take your daily dose of vitamin c anons.

https://www.youtube.com/watch?v=YmN9oHa3ZIQ

>>12394137
>he works in hospitals
lmao

>>12394182
Not in a functional state. We'll just declare a state of emergency and force every ex-nursoid to wipe butts at gunpoint if needed.

>>12392605
>Fibromyalgia
Fibromyalgia is a variant of auto immune disorder. It causes internal inflammations. Look at your diet. Check this out it might change your life:
https://youtu.be/PF_7688Zk6s

>>12395022
the tank is not connected

>>12395138
It actually brought the truth to light the fact that the researchers in the field are complete fucking retards.

>>12395245
no?
the patient is not paying for jack shit, the best they get to do is refuse stuff offered to them

>>12395284
>not the D
weak

>>12395346
I mean, out here they pay for shit.

I want to take mesterolone to trannymax. What are the consequences?

>>12395525
Fuck off dumb tranny.

>>12395542
No, I want to know if killing SHBG level off has a unintended side effect.

i was learning about the large intestine and i was wondering how the fuck do people that do extreme penetration do it? where do the large objects they shove even go? i guess that they can store the smaller stuff like balls,eggs,food in the descending colon and push them out one after one but how tf do they put a 20 inch silicon phallus in there???

>>12395431
>*their insurance pays for shit
but yeah, in that case just bill anything you can conjure up

>>12395560
ask your mom ;)

>>12395582
they need to bend and somehow relax the sigmoid colon

there's silicone dildo that is adjustable so it can bend

t. >>12395525

>>12395592
My gfs dad just got hit by a guy driving 80mph on the wrong side of the road drunk and only barely survived. How many years she going to jail

>>12395758
he***

>>12395758
any where on 4 chan that would answer this question

>>12395560
It either bends along the sigmoid or the sigmoid itself movers. Its intraperitoneal so it can maneuver quite a bit

>>12394737
It's a public hospital. It's pretty much "The" Hospital. You can try to find the names if you want, they're public figures. Not that you'd bother to do it, and people seeing their name on the internet makes them edgy.

>>12394976
>>12394973
What's a "sentinel" supposed to be?

>>12396141
Lurk moar newfag.

>>12396144
Nigger, this is a circlejerk in the most reddit board of this chinese cartoon shithole, how the fuck am I supposed to keep up with every meme? Look them up on Know your meme?

>>12396149
>>12396144

>>12396149
nobody expects you to, just don't expect anyone to spoonfeed you

>>12396149
>literally two minutes in warosu
fucking redditors

>tfw didn't get in the neutrosurgery residency

>say you're a med student or md
>people instantly fucking butthurt and jelly
fucking hell why are people like this
it's not 1985, it's not impressive anymore

we're literally just the unlucky nurse that gets to make the decision and bear the responsibility - especially internal med fags, they are borderline useless

>>12395002
retard

>>12395574
I personally cannot find insurance with a copay below $4,500 without paying >$300/m, so no, I'm likely paying for everything I actually get seen for.

>>12396567
>poor in america
sucks to be you

>>12394397
Made me kek hard

>>12392278
Bro what the, Neurosurgery chief staff earns 3000$ + in peru

>>12395316
>he settled for working in a clinic
Not everyone has what it takes.

>>12396741
Not him but...

>he didn't settle for a comfy FM office
Seems more relaxed. Depends on your interests.

>>12396749
>FM
Might as well be an NP if you're going to do family medicine. That's basically where doctors who can't make it settle. Why would anyone bust ass through med school just to be mediocre afterwards?

>>12394671
>MFW I am an osteopathic resident who matched at a highly respected site in a competitive field which sends residents to prestigious fellowships.

Also, I enjoyed doing OMM and it was my fallback. It's actually pretty fun to fix people.

>>12396760
>mfw I entered medschool with FM focus
rude :(

>>12395110
>>12395040
>>12395093

This argument is retarded. If you don't know anything about a patient and you get an EKG consistent with a STEMI (that is, elevation in MULTIPLE leads of a vascular territory) and you don't get a troponin, you are utterly retarded. The EKG was the screening tool, you screened in for an MI and you got a troponin to confirm/deny that it was an MI. This is how basic medicine teaches students, how boards test students, and how every real physician practices.

When you establish that the ST elevation is a normal variant then you say "well, you are asymptomatic and it looks exactly like it did before so we are going to ignore it."

>>12396775
>and you got a troponin to confirm/deny that it was an MI.
that's inaccurate
you have to repeat the troponin a few hours later because it can be normal in the initial stages (up to 8 hours actually). you have to take troponin 3 times actually to be 100% sure

that's going to cost a days worth of hospitalization, 3x troponins and all kinds of other costs

i am shocked people here are unaware the built in ECG automatic interpretations aren't all that reliable since they are extremely conservative (high recall, low precision)

>>12396820
That is a different scenario. That is a patient who has a complaint related to MI or a complaint that is considered an MI equivalent (in elderly, women, and diabetics). Also, the exact timing is up to the facility and ranges from 6-12 hours. The likelihood of having an MI without an elevated troponin at 6 hours is very low so many places will only observe for up to 6 hours because they want to free up beds.

Of course, technically, you could follow the science strictly and say that if the patient had symptoms for over 6 hours and the EKG and first troponin are negative, you are safe to discharge because the recommendation is to get a troponin 6 hours after symptoms started. But that's rare because nobody trusts patients to pay attention to that stuff.

We know the automatic interpretations are inaccurate, but that's why I stated in multiple leads following a specific vascular territory. The reason to do that one troponin is to make sure there isn't another underlying issue causing some type of heart strain.

Just came by to say my neck pain has become too much and I am going to drink myself to death.

My liver hurts when I drink but the neck pain is worse it took me 2 hours to dress myself this morning.

I've cursed God for making me and the day I die will be a relief.

>>12396855
the og poster mentions nothing of symptoms
just that "the machine said stemi"
see >>12395040

>>12396860
Yes, that's what I am saying. He was asymptomatic, the automatic interpretation said STEMI (I am assuming that the physician actually looked at it and confirmed the multiple leads in a specific vascular territory were involved) so he was sent for a troponin and rightfully so. AFAIK, there isn't science behind screening with troponins in someone who is asymptomatic, so the general recommendation is to check a troponin. The odds of catching a STEMI in someone who is asymptomatic is low, but if you add in the troponin being negative you can effectively say it isn't happening.

Of course, if that poster thought it was such a stupid idea he could have easily refused getting it done.

>>12396741
>not running you own clinic
maybe it's public healthcare thing, the best are definitely not in hospitals here

>>12396873
>I am assuming that the physician actually looked at it and confirmed the multiple leads in a specific vascular territory were involved
what i gather from this is exactly opposite, either the guy didn't actually look at the ekg or wasn't confident enough with his skills to dismiss the interptration of the machine, or decided to order troponin just to be sure/ with a profit motive

I have been jumping/skipping rope quite a lot and my calves hurt like fuck.
Should i man-up and ignore the pain and continue training calves?
massage the area?

>>12397125
sounds like shin splints

>>12397135
no,the pain is on the opposite side(not on the shins,but specifically located on the back calves)
today i took a day off,ill see what happens tomorrow

>>12395764
double retard

hey medfags, am I going to die? I take Adderall and I was dehydrated and fucked my wife. Suddenly got tension headache and had to stop fucking. Text a minute, went back at it, blew my load and got another headache. My Apple Watch showed I had a 175bpm heartbeat so I took an ECG.

>>12397154
if ur shit hurts take a break man.
t. pushed it too far quite often and always end up with a fucked up knee or ankle or what have you for a week or two. Not worth it.

>>12394580
Don't go into neurology. None of your patients get any better. You basically just tell them what's wrong with them, and then they slowly die anyway. Depressing specialty that doesn't really provide much value beyond intellectual curiosity of the practitioner.

>>12397259
go to emergency, no need to call an ambulance

>>12394883
>>12394931
my dad has been a long term GP for a large number of people and he has regularly received gifts from patients, if you work in a soulless hospitalist position where you see heaps of junkies then I can imagine you won't get much respect

The leaks were wrong folks, I didn't make it into anesthesiology.
Lowest score was 61.3 and I got a 61.1.

>>12398116
damn that's rough my dude. almost

I keep hearing CRNA's and anasthesiologists do the same job. How true is this?

>>12398209
Not entirely true, and even moreso, anesthesiologists make like 2x the pay.

>>12398243
If it's even mostly true I can't imagine that bodes well for the futre of gas salary though. Why pay someone 2x when someone else does mostly the same job for much less money?

>>12398209
Not true at all, only the extremely simple cases (ones that could be performed by any medical intern once they complete a rotation) are given to CRNAs.

>>12398291
See
>>12398336

>>12398116
Rotten luck, anon. What are you going to do, now? Wait or choose another spec?

Guys, I'm a bit worried and would like some reassurance. I weighted 77kg like 10months-1 year ago and now I'm at 69kg with no intention of losing weight. The thing is that in that period, I was constantly eating fast food and stopped in December last year. I didn't diet, I just ate homecooked meals, chicken, pork, fires, mashed potatoes, etc. I also smoked weed from August to the end of September, but when I smoke weed I don't eat even if I'm craving for munchies because I usually vomit them right up.

Is it normal to lose the weight or not? I was at 69kg as well before starting the fast food galore which lasted for like 2-3 months.

>>12398539
>stopped eating fast food
>lost weight
>is it normal
???

what is better for stpd- amisulpiride or quetiapine or abilify?
and in what daily dose?

>>12398550
I know it sounds stupid but I have some sort of huge phobia about getting cancer and I get stressed easily about it. No changes in appetite, i breathe normally, no difficulties, basically I'm the same before eating fast food. Sorry for wasting replies, I'm fucked in the head.

>>12398603
stop doing drugs habibi

>>12394276
>What do doctors do when they aren't writing prescriptions based off 2 minute examinations?
Placing central lines, intubating and setting up ventilation parameters that your dumb ass doesn't understand

>>12398665
none of that shit is impressive if you've done it a thousand times and that's all you do all day
med students probably know the human anatomy better than anesthesiologists
not to mention 99% of the work is done by anesthesiology nurses anyway, they are perfectly capable of intubating, literally just put the pipe in the pipe and that's that
there's like 10 drugs you need to remember

anesthesiologists are so cringe

>>12398678
low iq and coping

>>12398703
anesthesiologists know about 100 things, but they know them very well
>muh emergencies and action packed medicine
yeah it's action-y but it's actually quite simple and doesn't require too much thought to do
anesthesiologists don't even speak to patients, or if they do it's extremely rare

an internal med guy having to deal with an 85 yo geriatric patient with 10 different diseases and 20 different drugs is way way more difficult, intellectually speaking

>>12398640
I smoke from time to time. Like August to September and before that in 2015...i mean, it happens when I'm extremely bored.

>>12398715
>imagine being this deluded
Kek

>>12398665
>>12398678
>>12398715
Quit samefagging so hard. I can tell it's you because you never finish a sentence with a fucking period.

>>12398751
only the ones without capital letters are mine

also I'd like to add that i've noticed anesthesiologists enjoy way less decision making
they just follow algorithms

Is Peeiatric medicine a worthwhile specialty to pursue?

>>12398755
Not sure about where you practice but here in the UK anaesthetists can have a lot of freedom in how they manage patients. You can choose whatever induction agents, analgesia, pressure setting, airways and induction adjuncts you want as long as you take responsibility for your decision.

I know one consultant that did all his operations opioid-free and loved IV Lidocaine and just gives labetalol when the pts HR and BP spike due to surgical stimulus. Another one only ever does TIVA and titrates to BIS. Another loves regional stuff so does lots of local blocks with a little systemic opioid.

They all have different bits they like to do for specific pts as well e.g obese/paeds/geriatrics

I agree in emergency settings they follow algorithms.

Is Adolescent medicine a worthwhile specialty to pursue?

>>12397259
how does a apple watch produce a ecg !?

>>12398860
you have to touch the side of the watch with you other hand, this way they get two 'electrodes' and a Lead I out of it.

>>12398715
>what are time constraints

>>12398834
General peds is better imo as you cover everything including adolescent.

>>12398878
Bretty good

>>12398353
This was my 2nd time. I stayed unemployed the whole year at home studying and attending online courses and shit. I took all the shit my parents and friends gave me for being a jobless deadbeat because I thought that by zoning out from the world and dedicating 24/7 into it I could make it.
I finished my career 18 months ago but due to bureaucracy and chinkflu I haven't gotten my practice licence yet, not even my professional title.
I did not have a plan B because I thoughts that this time I would make it in.
There is a slim chance that the committee will dump a couple of the accepted applicants because of their paperwork status and I'll get the 2nd round draft call, but I don't want to live on false hope and I don't feel like being accepted into a subpar institution.
Also, I don't want to back down on anesthesia. I feel like it's my call.

>>12392419
This>>12392436
I've been using Anki since middle school son, get your shit together

>>12398116
>>12399165

Unlucky mate, do you get another go? Also lol at the family medicine score

>>12399165
At least you're persistent, I certainly wouldn't be able to give it another shot. It must be very draining.

You guys have some specs we don't have here (Romania) like "Quality of clinical attention" or "Clinical Pathology" like...can you explain what physicians in those specs do? (Roughly translated, spanish seems really close to romanian)

>>12399217
You get to do as many goes as you want. The family medicine score has gotten nationwide shit and normie memes lol.
>>12399235
Idk mate I don't even want to make plans at this point. My mom and dad work in one of the public healthcare institutions and I feel like every time I fail I shame them both with their colleagues.
Clinical pathology is basically lab work and healthcare quality attention is like spec for aspiring hospital/clinic subdirector and director.

>>12399292
We have those specs but under different name. Understandable. "Healthcare quality attention" sounds like public health spec here and clin path is Laboratory Medicine for us.

You'll eventually get your spot in anaesthesiology, I believe in you mexibro!!!

>>12399165
>I stayed unemployed the whole year at home studying and attending online courses and shit. I took all the shit my parents and friends gave me for being a jobless deadbeat because I thought that by zoning out from the world and dedicating 24/7 into it I could make it.
Damn, sounds like intense studying. Are you low IQ or something?

>>12399165
my mexbrotha.
You sound pretty retarded like>>12399337 said
Where did you studied?

>>12399337
>>12399401
While on university my IQ was measured by a psychologist at a 115-120 range. I'm not retarded at all, it just happens that I was neglected at childhood.
Both my parents worked so my only caretaker was a rural-bred cousin (f) that belittled and isolated me daily and didn't notice/cared about my intelligence.
By the time my parents noticed my (barely) above average intelligence I already begrudged them so I went full adolescent crysis and gave them the finger by underperforming.
Suffice to say I never developed or cared about a studying routine/dinamic suited for my predominant intelligence so I winged university by tryharding on the contents that interested me (algology, reumathology, oncology, pharmacology) and totally neglecting the ones I didn't like (cardio, pneumo, ID).
When I reflect on my upbringing I feel like the whole game was rigged from the start and all I do is row against the waves. The state of this country doesn't make things easier since any given day I or my parents can be shanked by a feral redskin or kidnapped by the cartel.
This year I not only grinded my brains against the textbook but also was revealing cause I got the help I needed in order to have discipline and a learning methodology suited for my dominant intelligence.
Last year I got a 53 on an exam developed to measure the best general practitioner, this year a 61 on a test that changed its content to measure the suitability of the spec candidate (a lot of trauma and life support algorithms). I don't give up because contraire to 1st world doctors here becoming specialist is a matter of actual survival and not an ego trip.
Sorry for the blospot.

>>12399598
>kidnapped by the cartel

So you're in a pretty rough part of Mexico, I assume? Are Los Zetas still active?

>>12399624
All Mexico is a rough part of Mexico.

>>12399598
put the blame on you clown, not your parents

>>12399678
I thought they have some nice locations like Baja California, Yucatan, Oaxaca and so on.

Speaking of broken kidneys. I had a short case about someone with HYALINE casts, proteinuria 350mg/dL and low Sr Albumin. I thought Nephrotic syndrome so would've guessed that.... but aren't Hyaline casts only for infections and chronic Glomerulonephritis? or can saline casts occur in Nephrotic synd?

>>12399685
Learn to read, actual retard.

>>12399685
Literally zero reading comprehension.

>>12399598
>I don't give up
That's admirable. Are you going to try again, then? I'm rooting for you anon.

>tfw all the deadlines converge

>>12399829
>>12399923
tell me if I'm wrong
>anon has an "above-average IQ"
>he doesn't think he's retarded, it's just that his parents never gave him the care he needed (because both had to work)
>then he blames his cousin a.k.a "prima" because she isolated him (Idk from what)
>then he had a rebellious phase when he was 14-18, so his smart ass decided that underperforming would hurt his parents and not him
>then his lazy ass never developed a study habit for his """"predominant"""" intelligence so he just paid attention to the things he liked.
>then he complains at the system, muh everything is rigged
Also, Mexico is not NEARLY as bad as that dude said.
Just don't do stupid shit and that's it

>>12400096
Stop anon you killed him!

>>12400096
>don't do stupid shit
genuinely curious, what does stupid shit mean in Mexico?

>>12400164
the same as in other countries
>don't brag about how rich you are
>don't show valuable things in public(Ipad/expensive phone)
>don't go out at night alone
>don't go to clandestine bars or shady places
>don't act like you are a badass
>don't take substances that strangers might offer
>don't hire hookers/escorts that don't have proof

ta-dah, now that you know this you can enjoy Mexico.
9/10 deaths you see are people that were directly involved in organized crime.

>>12400116
>>12400096
Shame on ur samefaggotry, amerinegro.

My IQ was measured by a professional and not by your fb quizzmaker. That's a fact. Don't care/know whatever animosity you have against me. Your quoting was not only selective to your agenda but also ill intentioned and outproportioned.
IQ is not only determined by a neurologic baseline but also developed/hurt by the upbringing of an individual. The fact that most nobel prizes and top scientific journals disproportionally come from developed countries proves this fact.
Biologic intelligence traits also play a role on the game, specially if we take into account the fact that pedagogy doesn't play a role on the school system and even developed countries have been stuck in the c.XX french dogma of public teaching; which doesn't take into account the wide variety of intelligence types observed by behavioral/developmental psychologists.
In my last post I also stated the fact that last year I worked into this, read a lot of pedagogy and psychology and actually developed a studying plan suited to get the most of my learning time so there is obviously a lot of accountability, which started in the self reflection of my state and ended on targeted actions.
Explaining and dissecting every sentence of my post actually made me feel idiotic, as if I was talking to a 7 year old. If this was your goal then congratulations you absolute autistic manchild.

I have a lot of free time so if you ever feel like showing more bark than bite consider getting into a cock measuring contents and compare yourself with me on an online quizz. Whatever spec whatever time. I'll even give you the luxury of handicapping myself by answering in my non-native language. MGE me 1v1, flappy tittied bitch.

>>12400222
Lmao nigger, aren't you supposed to be a doctor? You already know IQ tests are only a tool to measure literal retardation, don't you? I mean, weren't you taught this on psychiatry? It's a fucking pattern recognition test, that isn't worth shit in this field.

>nobel prizes
Most nobel prizes aren't medics in the first place, if they are, they are the chief of the research department and are given the honor because you know how the hierarchal medical subculture works. Then again, those people have extensive background on statistics, not medicine.

Just the amount of importance you place on psychiatric pseudoscience tells us you deserve your mediocrity. You can't even figure out how to learn efficiently for the sake of learning.

>>12400211
>9/10 deaths you see are people that were directly involved in organized crime

I've heard that some cartels kill innocent people too, just to induce terror. I really wish I could come and visit Mexico one day, tourist or invited to some conference or stuff like that, just wanted to know what precautions to take.

>>12400222
checked
You are right, IQ is determined by a mix of things, that's why it isn't a reliable way of measuring intelligence, and taking it seriously is dumb as fuck.
Most Research comes from developed countries because guess what? they have more money to pay for smart people from all over the world to do science stuff for them, not because their system is miles ahead of us.

>Ademas
Enserio crees que eres una victima mas de "OHHH el sistema"?
Si tu inteligencia es tan alta por que no simplemente aprendiste las cosas que enseña el modelo educativo por tu cuenta?
Tienes que dejar gastar aqui el tiempo libre que presumes y ponte a estudiar para pasar el pichurriento ENARM keke

>>12400222
>MGE me 1v1
No sabía que los niños rata tambien plagaban la medicina.

>>12400332
I'm not from Mexico, but my experience in a central american shithole tells me the point of organized crime isn't to "cause terror" or whatever, it's just to make an independent feudal state. El Salvador is as much of a savage shithole and the same rules apply, don't be a retard. I almost get killed from getting asleep in the bus, gangs ID checked me, asked me questions to confirm i'm from the neighborhood and drove me home, then confirmed I was home and haven't heard of them since. If you antagonize them they will see you as a threat so of course you'll get killed, that's part of what not being a retard means. You have to be careful with where and what you say, but really, most of the people killed are directly involved with them.

>>12400351
Sorry dude, I'm the romanian anon. Besides getting pickpocketed by a gypsy, there's not much gang stuff you can experience. That's why i was asking about this stuff in the first place, the chance of getting killed there is pretty fucking high compared to my shithole and it baffles me you have sicarios asking for ID.

>>12400211
>ay nigga lemme tell you about ur country esse loco
https://www.youtube.com/watch?v=TkmwVk_cYDQ
https://www.youtube.com/watch?v=8HjOctfm4vw
https://www.youtube.com/watch?v=BN_huw4_psI
https://www.youtube.com/watch?v=vzkUq-HF7yg
https://www.youtube.com/watch?v=xjX8h0w0egs
https://www.youtube.com/watch?v=trd4bdNDUi0
All of this crimes were done in less than 7 days, fact of the matter this were selected ones that were spread since most crimes go unnoticed/unreported because of fear from criminals coming back at you.

Also:
>>don't brag about how rich you are
Ok, sensible enough.
>>don't show valuable things in public(Ipad/expensive phone)
Sorry but that is not normal living. Any non-shithole country you could carry whatever.
>>don't go out at night alone
Sorry but that is not normal living. Any non-shithole country you could go out whenever.
>>don't go to clandestine bars or shady places
>>don't take substances that strangers might offer
>>don't hire hookers/escorts that don't have proof
bruh
>>don't act like you are a badass
Don't even makes sense fucking ESL poo.

Mexico had 36k registered murders last year, this year predictions will be >40k but please I insist tell me how easy, how good and how much of a not-shithole this place is. You can easily double the digits if taken into account the people on "missing" status. To put things in perspective Syria, which is a declared warzone, had 6k casualties.
Go fuck yourself.

>>12400378
The worst thing of all is, can you get rid of gypsies? Of course not, they're an ethnicity now, likewise gangs are an ethnicity now, and i have no doubt in mexico cartels are the same. Whole towns affiliate to a gang because they don't want to work, they have no education, creativity or aspirations, so they steal from the ones who do. There isn't enough employement and the pays are shit anyways so they justify themselves, we have the background of the civil war so they unironically see themselves as revolutionaries and pretend they are in an actual war against other gangs, so they justify extortion as a literal tax a government would demand. They are little kingdoms now and nothing can be done about it since politicians are stealing for themselves. You just have to learn to live with it for your own.

>>12400417
I'd like to see all those hotstuff 1st world pampered MSs do as well. Fuck. Doubt they'd even make it alive at their current age.

>>12400400
>All of this crimes were done in less than 7 days
Lmao nigger, this is fucking nothing. Some businessmen and foreigners get killed, who gives a shit, this is daily bread here. Don't be a target, fucktard.

>Any non-shithole country you could carry whatever.
Where the fuck do you think you are living? Keep blaming "The system", nothing will change and you can only do so much about it. If you insist on being an absolute retard and pretend society works the way you think, don't whine when shit comes at you.

>Don't even makes sense fucking ESL poo.
Lmao, where the fuck are you from since you can't understand a common idiom? I figure you're not from anywhere in latin america in the first place, why are you trying to get in Mexico if you hate it so much?

>>12397259
rabbit ears indicate a bundle branch block, you should go to the ED

>>12400417
>you have to learn to live with it for your own
tbqh, I'll never complain about my shithole ever again after reading your replies and mexicano's posts.

Is it possible to reverse pain that is spreading in the body?

>>12397259
Lmao nigger, do you expect us to read that shit without labels? What if I told you that your heart is all twisted? What a shit EKG.

>Lead 1
>iOS
Absolutely retarded. Go get a proper EKG, NIGGER.

>>12400477
what

>>12400474
As long as you can pirate, anywhere is paradise, my friend.

>>12400428
I'd like to see you guys running a functional state.

>>12400509
And I'd like to see you guys look like your IQ is not below 80.

>>12400453
Written as:
>Don't be a target, fucktard.
Read as:
Ay bro just be a nobody lmao
Just kys already. No need for you to further living.

>>12400545
Says the dead man walking.

>>12400570
Post the quizz link already I'll fuck you up real good.

>>12400534
Anon... you are not actually talking to retarded cartoon frog. It's just an image.

>>12400477
no, it's possible to spread reversing pain though

Goddamn online classes are fucking killing me.
I've got just a couple weeks left in a semester that very well could be the most important semester of my life, and my motivation is approaching nonexistent.

I just took a test hungover and I'm making hiking plans for this week instead of studying for finals. I literally cannot take online classes seriously, wtf is wrong with me.

>>12394276
>Only doctor's I've had that seemed to care were orthopedic
orthopaedic surgeons are the biggest ass holes and do not care about their patients, please fuck off

>>12401165
Reminder that orthopedicians are caveman-tier.

https://www.youtube.com/watch?v=LCgWpsn86ZY

>>12392123
is dentistry based or cringe?

>>12401842
based.

>>12401846
what makes you say that

>>12401881
They have the highest money/effort ratio.

>>12401601
So this is why hospitals need a certain quota of niggers

>>12392123
I got a call at the pharmacy today asking for the pharmacists' NPI and name. The guy was indian with a heavy accent. So I hung up on him.

>>12402462
dangerously based.

>>12401842
>>12401846
Other anon here. How do you guys see the future of dentistry? Are the wages gonn be keep steady? Is it a good investment to study it?

Ok, so a few months ago, the romanian committee decided to change the bibliography for the residency exam.

>Kumar & Clark's
>Lawrence for surgery
>USMLE STEP 2 CK Ganti

The translated books are not out yet and I'm surfing through the originals and I've got to say that 'muricans really know how to write a fucking textbook properly. We don't have to study the full books and they'll translate only the chapters of interest and make books based on those. We have 853 pages in total to study, the exam is next year and the first book will appear at the beginning of december (most likely tomorrow from the editor's hints)

It feels good brothers, the old books were shit and had plenty of useless info like history of the disease (when it was discovered, by who, in what years, etc kek)

There is hope.

>>12402462
Based and redpilled

>>12402626
I am serioualy thinking of studying medicine in Romania. Would you recommend it? Should I do the french or english course? ( i know both very well)
Also what are the options for reaidency after finishing the degree?
Lastly, I read somewhere that Iasi and Cluj are the 2 best unis for medicine in Romania, is it true?

>>12402964
The thing is that if you want to do residency in romania, you must know romanian. There are free (AFAIK) courses of romanian that the uni offers for foreign student. I have arabs and punjeets in my year (romanian program, not engl or french) and they're doing pretty well.

Iasi and Cluj are powerhouses but imo, Bucharest is also up there. I'm in Timisoara but do not recommend it one bit, I personally dislike it and wish I was in Cluj or Bucharest.

The residency options are pic related, plenty of field, no need to go IM-> subspec anymore, you can pick for example Cardiology and the fellowship is included in the residency.

why do some people think you can study medicine in a foreign country effectively without speaking the local language

how are you going to learn to speak to patients if you can't speak their language

>>12402626
Wait so you guys have a bibliography? In Mexico all this is kept secret but we use the mexican practice guidelines as defacto bibliography. That'd be ok if not for the fact that the exam asks diseases not contemplated by the guidelines so we have to basically fucking guess a lot of answers.

>>12403030
Well, we have the 853 pages to study, they'll make 200 questions out of those pages and we get 4 hours to answer them all (multiple choice questions)

The questions are of course secret and the officials know which ones are at the same time we find out because they make like 10 variants and pick one blindly before the exam starts. Idk, feels normal to give you the books from which you should study. We had 2 books before this massive change, written by romanian physicians, but the info was dated and they had to make this happen. (Dated means 2016)

>>12402989
Thank you for taking the time to answer anon!
>I'm in Timisoara but do not recommend it one bit
Is it the uni or the city that you dislike?
>wish I was in Cluj or Bucharest
I would guess those two cities are more fun than Iasi?

>>12402998
Personally I picked Romania because it ia a romance language. I know english and italian so I guess I could learn Romanian on the go since its quite close to the second one. Other than that you re right, it is a more immersive experience if you speak your mother tongue

>>12403147
I'm from Timișoara. Went here because it's...home? The uni itself is kind of bad, that's all.

Iași is good, but the city is the one I dislike. Btw, romanian is extremely easy to learn if you have italian or spanish background.

>>12403173
>Went here because it's...home
Oh man I feel you. I stayed home to do my undergrad and I felt like I was experiencing half the uni experience other students lived. Living with my parents really stunted my maturing. Thank god I moved away for work
>Iași is good, but the city is the one I dislike
What is it that you dont like about the city? (Sorry for bombarding you with questions but I finally get the chance to get a real perspective)

>>12403228
The thing is that I want to practice here, I'm comfortable with everything that's going on, I know the suburbs and close rural areas inside out and there seems to be a shortage of physicians in these areas, could easily land a FM office or open my practice there.

I disliked Iași solely on the vibe it gave me, idk, the city itself was unlikeable but at least the people are fun to hang around, heavy drinkers, moldavians with strong accent, friendly and helpful. It's just my opinion on the city, that's all, people are fine tho.

>>12392123
I'm not delusional enough to think there's only benefits to a plant based (vegan) diet so what negatives should I be aware of and what kind of blood markers should I get tested/how often?

>>12403324
B12 deficiency is the main one afaik
Possibly other deficiencies eg iron
Lots of people are vit d deficient regardless of diet

>>12403285
>heavy drinkers, moldavians
Damn I should have guessed that, kek. All jokes aside thank you for the laying down the info anin, I now have a better idea of where to apply

>>12403343
Anytime, fren.

G-guys, I think that the surgical sentinel was not happy when I insisted on giving me the scalpel.

When will it be viable for us to start using metal or stem cell grown replacements for smaller things like individual vertebrae? Spinal cord itself is obviously a long way off due to nerve complexity but I feel like vertebra replacement would be a more attainable goal for people with fucked spines rather than basically welding a few together

>>12404941
The idea is not bad, just not popular yet. I just want to see people able to grow teeth back with stem cells first (which I think happened in a study), the we can talk about more complex stuff like vertebrae.

>>12404941
Metal for vertebrae is a retarded idea. Not because I feel like calling you a retard but because metal isn't biomechanically compatible with the rest of tissues.
Allow me to explain further. There isn't a single metal that can mimick the compression and bending point of bones, that why rods and bolts and whenever break/bend too easily or even worse, they don't do it at all and end up injuring the rest of nearby tissue.

Hey why did taking adderall and aging reduce my homosexual urges? I still have a high sex drive but now gay porn disgusts me.

>>12405148
what a garbage post
laymen are so brainless I swear

>>12405148
lower test. gay is high test, look at the trials trying to heal gays by giving them test, instead made them super gay

>>12405201
>super gay

Docs I need help, I have severe constipation troubles (chronic IBS-C) and I've used a few enemas over Thanksgiving week along with some mag citrate and a list of other fucking laxatives. I have another bottle of mag citrate, should I use it tomorrow in an attempt to get it all out or should I use my main meds of amitiza and linzess once again.

I just couldn't use the main meds cuz they weren't working very well.. I'm worried I may have gone overboard with laxatives too.

Oh, /med/.. Please help. This really sucks. My dad's a doctor too (and my doctor) but we don't really see each other anymore.

Docs..!

AAAAAAAAAAAAAAAAAAAAAAAAA!!

>>12404941
Most of the time the problem is not the fucked spinal vertebrae, but the things holding it together, in the right places. The bone itself is incredibly adaptable. Cell grown replacements for all tissue types will probably come about one day.

>>12405066
>Metal for vertebrae is a retarded idea.

So is riding a motorcycle

>>12405766
If that's the case how do most people end up managing spinal vertebra damage without invasive surgery?

diagnose this syndrome only using medical words. Longest one wins

>>12406008
Dam how much do you have to hate yourself to do so? That's as much sad as disgusting.

>>12406008
Body dysmorphia.

>>12397687
>>12394580
Chronic migraine patient here. I pity my neurologist because I will always be in pain no matter what she does and all the meds available have terribad side effects

>>12406209
That's hard to read as I think I'm slowly creeping into the same diagnosis. All loud noises make me mad, all perfumes give me horrible headache and eating cinnamon/chocolate is a guaranteed incapacitating pain in the late afternoon.

>>12406008
Sexual dysphoria, autism.

>>12406209
How long have you had those for and how bad do they get? Is there anything that might be triggering them?

>MS teams lecture
>teacher reads directly from the PowerPoint with no input.

>>12406008
Pseudo-body dysmorphia with narcissistic personality disorder.
Prognosis: 40% chance eof survival

>>12405604
Talk to an expert

>>12405066
>what is hip replacement surgery....

>>12406851
As always

>>12402626
>'muricans really know how to write a fucking textbook properly
Try reading goljans pathology. Best medicine book out there.

>>12406868
anki is better

new new new
>>12406877
>>12406877
>>12406877

>>12406869
anki is a tool, you should read goljans pathology and use anki to memorise relevant bits

>>12406177
>>12406190
>>12406218
>>12406855

how do we help them? I think SSRIs won't put a dent in this problem.

>>12407278
These people were born with a high mutational load. They probably wouldn't have survived birth or childhood 200 years ago. The fact is that we just have to let the natural selection process do its work here and that goes for many psychological diseases.