/sci/ - Science & Math

>>12487972
Based Avicenna poster

*ahem*

>fuck nurses
>fuck the inferior american medical system with it's mid-level practioners, DO scum and pre-meds
>fuck the corona
>fuck the elderly
>fuck the masks
>fuck the vaccine if we can't go back normal after it

>>12487989
based

so which of you've been jabbed and what brand did you get

>>12488001
pfizer for me

>>12488001
obviously the superior mRNA stuff

>>12488002
>>12488013
based

>>12487989
mask shit continues here even tho you’ve been vaccinated, how is it elsewhere?

>>12488035
same shit here, starting to really grind my gears

t. no patient contact anyways

>>12488023
is that the anaphylaxis rate?

>>12488039
a man can dream

>>12488042
>chad gordon
kek

>>12487989
You dumb fucking cunt.

Every thread, you have nothing to express but poison and stupidity. You're a piece of shit

>>12488055
>being angry at "people" on the internet

>>12487989
Please step into my office young man. We need to talk about getting you a promotion.

>>12487972
Clamped.

>>12488157
Unclamp.

>>12487972
So what is it about vitamin K that is so nice and good?

>>12488055
eternal beta. Seethe

>>12488259
it makes blood go solid or smth

>>12488157
>>12488162
transcend the dichotomy

>>12488001
>tfw bumped to front of vaccine line since I work in an at risk unit
>due to get it next week
>someone from staff health suddenly remembers I carry an epipen for food allergies
>staff health looks in my medical record to see both my mother and father have drug allergies
>public health calls me to say I will now be one of the last to receive the vaccine until the anaphylaxis confusion with the jab is figured out.
Only good thing about this is that I'm being moved to a place with less patient contact now.

>>12488366
lol

Why is there no cure for neuropathy

Finally, the based thread. Thank you anon chan.

>>12487989
Anon, based department called, they want to speak to you.

>>12488055
Seethe, braindead inferior nursoid.

FYI:
I've never been to med school
I only have a bachelors degree
I'll never stop posting in this thread
I will talk about clamping
I will give advice
I will talk about vitamin K
and I'm here to stay
get *CLAP* used *CLAP* to *CLAP* it *CLAP*

>>12488852
It's okay, every general has its retard, we already got used to your stupidity.

Give me the top 3 european countries to study medicine in (UK counts)

>>12488900
You have the premed thread for that.

>>12488900
uk, sweden, germany

>>12488642
that's like asking why there is no cure for cancer or the flu

>>12488001
>Sinovac

>>12489041
???

So do acetylcholinesterase inhibitors (e.g. Huperzine A) mitigate anticholinergic (notably mydriasis/blurred vision and general retardation.) from relatively mild anticholinergic meds such as desipramine? Furthermore would the desipramine/whatever inhibit effects from the AChEI and would the AChEI reduce the efficacy of a medication provided the usefulness presumably wasn't derived from the anticholinergic effects

Why do tricyclics love smashing up muscaniric receptors anyway. Been wondering about this for a while

>>>12482550
The funniest part is PMHNPs in general replace psychiatrists with overall better patient outcomes. I'm in school and still trying to figure out how to describe my work/school without using the word nurse though, I think the worst part of the job is the word "nurse" and my dad who does the same thing agrees. Could get a doctorate to make people call me doctor but that's ridiculous

Even before I started my program I studied medicine for my own fucked up brain reasons and can't believe how little psychiatrists know about anything. The stigma against MAOIs especially upsets me, really shows nobody bothers reading any semi modern literature.

In all fairness, NP jobs are basically a glorified GP/pediatrist and compared to psych APNs the quality of life and pay are lower, the remaining jobs are kind of memey. In general most medical fields should have a mid level practitioner (NP renamed) but I digress. Still it looks like NPs are catching on and physicians are becoming deprecated, especially given European countries, notably, NL, Norway and Denmark are getting on board

End of blog

>>12489915
Non PMHNP NP jobs* GPs/pediatrician*

Autocorrect I fucking swear

>>12488900
Netherlands, Germany, Denmark/Sweden. Mostly the first two, Netherlands is also by far your best shot for not needing to speak the native language. Dutch isn't too difficult but it's phonetically retarded

Also can someone spoonfeed me on the vitamin K meme

>tfw not a doctor so I can't prescribe cute adult twinks and femboys estrogen
It's unfair.

>>12490147
Why don't you prescribe yourself a bullet to the head pedophile

>>12487989
>>fuck the vaccine if we can't go back normal after it
This. Absolutely proves that this was all a scam from the beginning to restructure the world economy and probably keep young people from meeting and starting romantic relationships.

>>12490545
Shut the fuck up normalfag.

>>12490560
>normalfag
Yes I want things to go back to normal once everyone gets the vaccine. I’m not one of those lockdown ghouls like you who relishes in lockdowns and the death of the economy.

>le clamp'd maymay
Someone inject this retard with KCl

>>12489898
>Do acetylcholinesterase inhibitors mitigate anticholinergic (notably mydriasis/blurred vision and general retardation) from relatively mild anticholinergic meds such as desipramine?
Unknown. Mechanistically it would make sense, but there's a lot of variables and not a lot of evidence.

>Why do tricyclics love smashing up muscaniric receptors anyway?
Take pharmacology 100.

>>12490007
UK?

stop ordering useless labs

>>12491705
no

t. just ordered a useless blood smear

>>12491714

>>12491715

>>12491714
based

>>12487972
Guys. I need an advice. My government is asking medical students to work shifts with COVID patients. Should I do it? I feel like an solider who goes to war.

>>12491850
why though?

>>12491853
Because my small country lacks medical workers.
I have never worked in shifts before and I don't really know whether I should work now.

>>12491853
I'm scared and my family will not aprove this. But at the same time I kinda want to help. So I need an advise from you.

>>12491858
>>12491867
do it, you can later tell about your experiences in the 'rona front line. Or don't, nobody will care either way.

>gee bill your mom let's you have two /med/s

Is this an EBM-friendly /med/ thread?

>>12491858
maybe leave that shithole
>>12491964
yes, primum non nocere

>>12491971
Every country in the world lacks medical workers, cmon

>>12491977
In what sense?

>>12491986
Nurses and medical assistants are getting sick with covid or transported to covid branches in hospitals. So there are less and less of them. Remaining ones are working additional shifts at the expense of their health.

>>12491698
They're not really recognized for their standard of health care or education, economy also just being a fucking mess. Quality of the country in general is also drastically lower than the aforementioned

>>12490775
Regarding pharmacology, just been studying that myself but not "formally", figured it was just some necessity for the development of the drugs, especially as SSRIs replaced them

>>12492143
>one Google later
>derived from synthetic antihistamines
Okay fair enough I'm retarded

>>12492147
Antihistaminic apparently. Going to stop quoting myself

>>12491997
>less than 300 people in the hospital
>under 30 in the ICU
> a nurse last caught it from work somwhere in may
not every country

>>12492147
based

>>12490223
How can he be a pedo when he said adult? You can only get hormones when you are 18 or over here anyways, so if anything he's a pervert.

>>12491858
Why are you even studying medicine?

>>12492425
probably not to become a nurse

>>12491705
what are the most useless labs anon?

>>12487989
>hates nurses

fuck you little bitch

>>12492642
seethe

99% chance I'll fail my exam tomorrow. Going out as an hero.

>>12492642
braindead cuckold nursoid, go kys.

>>12491850
Same shit here. Don't do it, it's simply not worth the risk. I chose to stay at home and write my thesis and play on my ps. Imo, much better than to sweat in protective gear.

>>12491850
so you can larp and pretend you were just like the guys killing waves of feral russians? You will never be a soldier

Fuck rona panoockers.

>>12492615
the ones you order without any thought, just hoping that a diagnosis will fall into your lap

>>12493348
pretty much this. if you have no clue what you're looking for, it's not a shame to ask someone more competent.

bros....got a couple hours to play.... Skaven campaign... gonna play bros..

>>12493156
/med/ thesis? What's it about?

>>12493539
Idk how to translate it but it's about children's lifestyle changes during the pandemic. I'm focusing on exercise, sleep, diet, stress, electronics usage and school performance. I'm still making the general part, but there's a shit ton of info I have to read before I'm satisfied with it.

>>12492883
How did it go?

Not asking for advice just wondering something. Since I got on finasteride my penile girth and length have increased and I get erections much easier, to the point just seeing a sexy image can get me hard. I thought low DHT was supposed to do the opposite?

>>12494492
You are gay now

>>12494492
maybe you run on testosterone? you have more of it since it doesn't transform into dht

bros, it's difficult to pee and I have urges to shit 24/7.
It's not what I think it is, right?
I'm only 18 bros...

>>12494625
wut do u mean dildo

>>12494629
I feel that my bladder has urine in it, but I can't pee, also, IF I get to pee I have to wait like 40 seconds for a shitty low pressure piss.
It might be the hypochondria but I think I have prostate cancer lol.

>>12494640
O _ O Wtf so if you have to poo multiple times a day and have to pee but cant that's cancer?

>>12490545
>its the shadowy global cabal thats to blame for my virginity!

this is some serious cope right here

>>12491850
don't worry, according to most of 4channel, the rona is a globalist scam so you have nothing to be worried about

How does everyone approach the personal statement? Any tips on people who got top choices of residency?

So, I do like preventive medicine and I like the fact that it comes with FM spec. Not per se, but considering the fact that you see the same old patients for years and years, it's great.

Lifestyle medicine, just started reading through it and I like it a lot. Is it worth pursuing? I know that most of the info in the book is common sense but the average person thinks it's not.

Medbros please help

My stupid cunt gf performed oral sex on my penis but made extreme vacuum with her mouth cause she read in some retarded article it would feel good (she's a fucking retard and I've since broken up with her). I felt a discomfort and sting in my penis after like 5 seconds and asked her to stop and when I looked at my penis I had a bright red bruise just by my urethra (bruise was a quite large oblong shape around 2x0.2cm). I was panicked but after a couple of hours the blood seemed to have drained and the remainder of the bruise was turning brown. I figured it would just heal on it's own from that

However, whenever I get an erection the bruise sort of begins anew, it becomes bright red and fills with blood. Problem is, my morning erections rips that thing open every morning and it doesn't seem to heal properly. It hurts and I always wake up with a blood under my glans' skin.

What can I do? It doesn't heal and I don't know what to do except wait.

>>12494640
association between urges to poo and piss and prostate cancer. That seems a stretch to me.

>>12495177
So...your ex gave you a hickey on your dick, lmao. Wait it out. If you're really concerned, see a doc.

>>12495440
It keeps bleeding internally, it's more than a hickey. I'm gonna call the urologist tomorrow, but I doubt they can do anything

>>12494625
time to dre

>>12495177
wtf.. Jesus anon

>>12487989
>fuck the inferior american medical system with it's mid-level practioners
>came across some PA students recently
>desperate to prove that they know as much as medics and can be just as good, how hard they work, how intense their course is, etc.
>doing 9+ hour days on placement while I do clerk one patient, perform one examination, and fuck off home to go to the gym, shitpost, and sleep for the rest of the day

>>12495629
Seems that you're pretty based desu.

>>12495177
Shoulda grabbed her by the throat and choked her till she stopped the moment you felt any pain

>>12487989
Based

At what point is not caring about other people a mental illness? I don't really care about other people, their feelings or even my friends or families. I am not abusive though.

>>12496156
what

>>12494491
I managed to finished. A miracle 2bh.

Just wondering, does mydriasis from anticholinergic dissipate over time (presumably from upregulation of mAChR)
>>12496156
When it becomes problematic enough to interfere with your life/causes prolonged, inappropriate stress. Google depersonalization disorder and see if that applies, very likely if you've experienced semi recent trauma and/or prolonged stress/anxiety. Far more likely than something like sociopathy/psychopathy. Aside from that it can be flat affect from depression and/or SSRIs/tricyclics etc. used to treat it

I don't expect a right answer since there's too many schizos on board but I got a question

Do medical students and doctors end up working with engineers? I'm talking more like software and electrical engineers. If so, is it more when you do research, and end up hiring someone to process signals or something?

>>12496258
>mydriasis from anticholinergic dissipate over time
Yes and the duration and onset depends on the anticholinergic. Which one are you asking about atropine, cyclopentolate?

>>12496732
Mostly in research and development of prosthetics.

>>12495177
bahahahahaa

>>12496753
Nothing specific for anticholinergics but if I had to name some, desipramine and clomipramine. I meant a drug consistently taken during the course of its use, not like using atropine for an eye procedure once or whatever

>>12496984
Also amitryptaline while I'm listing tricyclics since it's the most anticholinergic

>>12495177
Not reading this reddit blog

>>12496984
>>12496994
If you're talking TCAs, it will depend on their dosage and specifics of the patient's cholinesterase activity and receptor sensitivity and neurochemical makeup. Nobody can state what's the duration of side effects for these drugs and the dose response because of how cardiotoxic and fatal TCAs can be. But yes, they should dissipate over time unless you have some sympathetic dysfunction, are taking another drug with anticholinergic effects, or have myasthenia gravis.

>>12497043

>>12496984
>>12496994
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2014871/#:~:text=About%20one%2Dthird%20to%20one,nortriptyline%20%5B4%2C%205%5D.
This might be helpful somewhat.

>>12487972

Premeds are idiots. Just go to a doctor.

>>12497157
what did the author mean by this?

>>12497043
I'm not taking TCAs anymore (if anything I'm planning on resuming tranylcypromine and throwing mirtazapine in the mix, maybe amisulpride if I can bullshit an indication). I'm also the one who was asking about AChEIs if you read that post

Speaking generally, I have pretty bad ptsd so my sns is always overactive and will spike over nothing, and due to a cormbid disorder I'm pretty sure my psns is also floored causing all sorts of god damn problems. Not sure I noticed any autonomic differences with TCAs. Regarding cardiotoxicity, isn't it only a problem if you're retarded and chugging a whole bottle or already have QT interval problems? I probably should be more concerned about occasional benzofuran use to 5ht2b agonism allegedly leading to valve problems but I digress

While this question was relevant before, I'm just really interested in the subject.
>>12497053
Will read later when I'm not sleep deprived

Anyway thanks for the replies

>>12497666
>Regarding cardiotoxicity, isn't it only a problem if you're retarded and chugging a whole bottle or already have QT interval problems
Many individuals may have underlying cardiac issues like LQTS as you mentioned that have been masked or unidentified before (or sometimes unfortunately at) the time of treatment.

>>12497666
And sorry didn't read all your posts just was visiting /sci/ because sort of bored and remembered using it a couple years ago. Stay safe anon.

>>12497157
A large portion of doctors are also idiots. They often don't even try to sometimes read modern literature letalone do any research, they're interested in doing their job which is diagnosing, doing whatever the FDA/Stahl says and getting patients out as quickly as possible

There's obviously exceptions but jesus my current psychiatrist pisses me off. Hates MAOIs (but advocates ECT because no side effects with that lol), doesn't understand what an off label indication is and I basically ended up self prescribing [unless it's off label or controlled (I have gabapentin and wanted to switch to Lyrica, argued 5 times then just got it from a (good)orthopedist instead no problem)] because he quickly ran out of ideas

My dad who's a psych APN (also what I'm school for (still learned everything from my own research)) pretty much agrees with all of the above. I've had this problem with neurologists too but even outside of mental health and peripheral fields it's easy to tell when they have no idea what they're doing

Unfortunately research isn't part of the job description, and apparently 500k of debt and 2-4 years of hell doesn't make you a better health care professional. End of essay

>>12489915

Why didn't you do Med school?
Your take on psychiatrists reek of cope.

>>12497682
Many individuals are sedentary hypertensive fatasses and of course these factors will be far more common in depression so it might be skewed a bit, still haven't read up on the frequency of problems letalone in relation to lifestyle and am just speculating.
>>12497685
Nah you're good, just was mentioning in case you did read it. This is the only thread on /sci/ I bother with anymore since a certain board ruined every other one

>>12497689
>2-4 years of hell
Who tf is becoming a doctor only after 2-4 years
It's taking me nearly 11 or 12 and I'm probably going to specialize so I'll be done in maybe 15 or so years total

They're probably worried about giving you MAOIs because they're worried about potential lawsuits. Even if you explain to patients how to avoid a tyramine-induced hypertensive crisis, they always end up chugging wine. Possibly dealt with a patient prior and don't want to deal with the consequences.

ECT's side effects are vastly overstated in popular media and most early literature. Much better process now. Seen it work well in many elderly patients and those with psychotic episodes. Of course don't recommended except in a few situations.

I agree that research should be part of the training to become a doctor. Like a clinical research year in residency. Many of the best docs I have ever spoken to and learned from however always read research articles and keep updated even if they never personally did research. Unfortunately there are a bunch of brainlets in medicine who just want to make money and will just use basic algorithms that have some utility but will often cloud their judgment because of not understanding the basics of physiology.

>>12494754

you not gonna get answers from premeds, just start and send to a bunch of people to get tips.

>>12497666
How long have you felt that way, and do you think it's a lack of empathy, or is it more of an apathetic view of other people's opinions regarding your behaviour? Lots of intracacies in the mind so helpful to clarify HOW you feel exactly.

>>12497689
you'll never be a doctor. stay seething.

>>12494754
Start of with an anecdote about your life and then tie it to some characteristic that will make you a good doctor not about a patient. Fucking hate it when people start talking about a patient encounter. It's so cliche.

>>12497693
I don't hate psychiatrists and I highly respect doctors that actually give a shit and research things, I however loathe any doctor that makes their patient worse off because they're retarded and/or have a superiority complex. My previous psychiatrist, while having some issues, wasn't retarded and my current neurologist/his NP aren't either.

I'm not doing med school because psych APNs still make a ton of money, have a far better work life balance, only takes 4 years of school (I have an MSc in another field and made a career switch but it's still only like 5 otherwise), demand is extremely high and so on. Given the scope of practice I'll still be a de facto psychiatrist but in general mid level practioners are really displacing physicians.

Plus regarding residencies, I already have enough disorders from chronic stress as it is. You can however thank a coke addict who slept 5 hours a night and expected his non coke addict employees to keep up with him for residencies existing in the first place


>>12497721
2-4 years of residency, I wasn't counting med school and isn't it more like 8 total, though?

It's not about lawsuits, it's MAOIs had a lot of completely, factually incorrect hysteria and while you could have seen through the bullshit if you cared earlier, modern literature is overwhelmingly debunking all of it. MAOIs (parnate and to a lesser extent nardil) are both the most efficacious and tolerated class of ADs.

In the real world aside from shit like yeast extracts, cloudy beer and such, it's rare to have anything more than transient discomfort from tyramine consumption, and extremely fucking rare to have a hypertensive crisis. The wine thing is also limited to specific types.
Interactions are mostly limited to serotonergic antidepressants, psychedelics and such. Furthermore, although retard sites absolutely forbid doing this, concomitant amphetamine/methylphenidate use is not only safe but often recommended as an adjunct.

Continued next post

>>12497721
>>12497760
I know ECT has an unfair reputation due to media depictions, however what I'm referring to is at best you'll be in a retarded stupor during the course of treatment, reasonably commonly you'll lose all memory of the treatment course and if you're unlucky, permanently lose months or even years of memory from before. People report persistent cognitive deficits but I'm not too sure about that one, I'm also not sure how much of this was from unilateral UBP vs bilateral BP. I still can't get much information on how common all of this shit is, though.

I agree entirely with your last paragraph, med school in general seems to be more of a legacied thing full of more busywork than anything and while you could say that about uni, med school is an extreme extrapolation (that and by the time you get to a MSc level all you do is research shit)

>>12497746
I'm fine with not trading my life for a title and as I said I have nothing against doctors inherently. You're clearly one of the retards this guy >>12497721 pointed out though. I can also get a doctorate if I cared, you never said MD.

>>12497765
>you never said md
C O P E
O
P
E

>>12497733
Not entirely sure what you're getting at. Chronic DPDR is the real disorder that ruined my life which is relevant to what you're asking anyway. Although I'm emotionally numb and can't connect to people properly, I do have empathy and if anything due to my overactive as fuck DLPFC I'm way too concerned about what others think both in an insecure way and also I go out of my way to be a good person and not make others worse off- this got pathological to the point of not considering my own happiness or stress. The ironic part is [most of] these people would never want me to suffer the way I did. I'm not impulsive or explosive but I do not at all tolerate random people being shitty, the blog below is an example.

Back to the DLPFC thing, I am overaware of my own behavior. I have the ability to ruminate and obsess but consequences of actions have no weight due to my existence feeling like a shitty dream. I'll obsess about doing something slightly embarrassing years ago other people didn't even think about, but I can also yell profanities at someone on a plane who was being a cunt and be proud of it years later because again, consequences of my actions are whatever. Once again there's a tradeoff, I have no ability to make decisions, will obsess over having to do anything and am extremely avoidant etc

(re: plane, someone was basically pretending to be a flight attendant, saying uncalled for shit about my dad not following made-up rules at a low but intended for us to hear volume. I decided to play the victim and LOUDLY call them out for talking shit, picking fights etc. in a way that the entire plane was glaring at them while they sunk in their seat never expecting someone to not out up with their shit)

Phoneposting on the toilet hence the low quality of my thread contributions

>>12497768
That part was obviously a joke. I know you're shitposting but I'll reply seriously anyway.

Following a long career crisis, and during this period developing interest in mental health, I realized what I wanted but it took longer to figure out I can actually accomplish it. So the boxes checked are
>doing something I actually care about
>using my knowledge to directly help people instead of just making a company money (was formerly marketing and later CIS)
>make a comfy living (salary is way above comfy even if not doctor)
>work setting not being open office bullshit where I can hear every noise every employee in the office makes with nosy shitheads spying on me all day
>not be constantly stressed out due to the above bullshit plus unreasonable deadlines which I have varying levels of control over. Death marches being a worse version of this
>extremely high demand and job security
And so on

Being a physician checked all of this (NPs still aren't nearly as busy) but at 27 I'm not just going to go spend hundreds of thousands of dollars, be in school until my late 30s and ruin my mental health even further via nonstop studying followed by thousands of hours of 20-30~ hour shifts/80-100 hour work weeks with garbage pay for years.

While I for years regret not going into medicine, I remember even if I could turn back time, the entire process of becoming an MD is extremely inhumane and it baffles me this is accepted letalone legal. So instead I'll just become an RN, do a MSc and be a de facto psychiatrist without the MD title.

>>12497840
>While I for years regret not going into medicine, I remember even if I could turn back time, the entire process of becoming an MD is extremely inhumane and it baffles me this is accepted letalone legal. So instead I'll just become an RN, do a MSc and be a de facto psychiatrist without the MD title.
I'm fine with Nurse Practitioners being a thing especially in rural practices where docs need more help. Just think it's irresponsible and dangerous when they practice beyond their scope.
The reason it's legal is because we accept it. If there are enough people willing to go through this hell and make all those elite fat liars in administration and heading our institutions their money then they'll put us through it. But it's the only way to ensure we don't kill as much people as we already do. First do no harm, right? Gotta make sure you learn enough to do no harm to begin with. If you don't, you're no better than a quack or some crazy shaman. You have to know what's normal and what's abnormal before doing anything to change the abnormal. Because you don't want to fuck with the normal. When you fuck with the normal the patient suffers. And nobody wants that. Not you, not your wallet, not the patient or their family, and definitely not those bastards pulling the strings behind the scene.
I'm rambling but yeah just disappointed with the state of medicine. If anything we need an overhaul of the whole system, training and practicing wise. I see you posted a bunch above but sorry doing other stuff. Just checking back into this thread every now and again.

This thread is really cringe rn. Not gonna read any of it cuz all the paragraphs are too long

>>12497864
At least for psych, NPs overall have similar-better patient outcomes. Other forms of NP aren't really as educated or disciplined and can easily tread outside their scope, for PMHNPs it's virtually the same scope of practice, the specialization is also unpopular because it's more "serious" than the other ones

I do understand your point and while I appreciate the apology, I just wrote it off as 4chan shitposting and didn't look much into it. The thing is you are mostly right even if the details were muddied, the two main problems of medicine are barbaric, legacies systems that torture premeds while not making them better doctors, and then irresponsible idiots.

It's not so much scope of practice but irresponsible idiots, whether doctors or NPs, having no idea what they're doing. In more innocuous cases it's using the FDA or related as a Bible and diagnosing/prescribing witnout understanding any of the reasoning- it's like a chef who can more or less follow a recipe but doesn't actually know how to cook. It's just mindlessly following steps. Then there's the over-confident retards who know better than literally everyone else while still not really understanding anything and this is what you're criticizing but both physicians and NPs are guilty of this

There's another problem I touched on, there's a blurry line between psychiatrists and psych APNs when you consider knowledge, scope of practice and patient outcomes. The specialization is unpopular because unlike the other ones, you're specializing in something very specific and have to learn a lot about the field. The other NPs like pediatric and GPs don't get deep into any subject, and even though GPs specifically tend to be retarded, they had to go medical school whereas a GP NP didn't have to go to med school OR have to seriously read up on a specific subject

Because of this I feel it's unfair to even hold PHMNPs equal to other NPs

>>12497898
>nooo I'm not reading paragraphs
God I hope you're not a premed. Nobody asked you to read anything, especially when the essays are a couple people replying to each other anyway

Retard

>>12497157
I saw a premed thread the other day, I lol'd at how tryhard they are because I barely know anything and am cruising through my 3rd year of med school without ever having to have busted my balls in the hope of getting in like they are. It's funnier knowing most of them won't even make the cut.

>>12497953
The reason you're cruising is because COVID has dropped patient load and you probably have had some completely or partially virtual rotations, right?
Man intern year is gonna be a wake up call for your batch.

>>12497963
Full rotations still, I don't really study, but I always make it in for clinicals. That's the one part of medicine I enjoy and the part I do well in. Still doesn't change like I feel like I know fucking nothing and am cruising.

>>12497974
Well at least you're seeing some patients. I know some med students that basically had weeks off and it still counted as part of their rotation.
How is non-UI/COVID patient load at your hospital?

>>12497974
Oh and feeling like you don't know anything never changes
Medicine is the abyss Nietzsche was talking
Stare into it and you become a soulless monster
But if you don't everyone dies
So what the hell
Just keep reading, keep seeing patients
And eventually you'll stop killing them
Maybe even save a few if you're lucky

>>12497989
Sorry if this is a bit depressing lol
Just seeing shit everyday gets to me

>>12497982
>How is non-UI/COVID patient load at your hospital?
There are a fair few wards with non-critical covid patients, and the ICU is getting close to capacity from what I've heard recently. Not enough to take us out though, my school insists on keeping us in for as long as they can and as long as we are willing, because this is the world we're going to be working in and we can't hide away from it.

>>12497989
>Oh and feeling like you don't know anything never changes
This is good to know.

>>12497994
Not at all. If anything, it's comforting knowing this, because some people seem superhuman with their knowledge base and that definitely isn't me.

>>12497999
>There are a fair few wards with non-critical covid patients, and the ICU is getting close to capacity from what I've heard recently. Not enough to take us out though, my school insists on keeping us in for as long as they can and as long as we are willing, because this is the world we're going to be working in and we can't hide away from it.
Ah alright that's good. In my hospital non-UI/COVID patient load is way down compared to years prior. Outpatient isn't a thing anymore basically. Family med and pediatrics struggling hard.

>Not at all. If anything, it's comforting knowing this, because some people seem superhuman with their knowledge base and that definitely isn't me.
Yeah there are some people that have a good memory. That's important. But what's necessary is a good clinical acumen. To sift through all the bullshit the patient says in their history, all the shit in the labs and imaging, and come to a good differential. Focus on that in your clinical years. It will help a lot. Read a little bit along the way to know what you're talking about though. And for steps ofc.
And it's probably too late to say this but having a good understanding of physiology saves you as a doc. It really does. Makes you understand the pathology and treatment so well. Makes you make less mistakes. Separates you from the quacks and the bad docs who throw everything at a patient to see what works while they're suffering.

>>12495177

i'm a doctor, ever heard of petechia? it's a small blood vessel burst, wait for it to heal.

>>12487989
Can someone redpill me on DOs? Are they really inferior doctors when compared to MDs?

>>12498057
If they go through an ACGME-accredited MD residency, which is what it is now for all incoming trainees, then I won't make blanket statements about DOs vs MDs.
Just because they didn't do well in undergrad for whatever reason doesn't mean they couldn't be effective in med school and especially residency.
There's probably some deficiencies in their research capabilities though compared to MDs on average just because MD institutions have better opportunities.

Is American tap water safe to drink?

>>12497924
dumbass

>>12498108
Depends on your area but most places follow the EPA standards
But I'd go on the safe side and use a filter regardless of where you live

>>12498111
Meh you got trips so I'll let you have this one

>>12498108
Depends where you are, unless you're somewhere third world (the south) it's more likely to be hard, ie a shitton of minerals and it'll taste like iron, than unsafe. Still it's a case by case thing

>>12497898
based. I also tl;dr'd this guy's blogposting.

>psych NPs
Literally the worst types of NPs and least competent out of all NP "specs"

>>12498046
Ok thank you

>>12498057
it's just a stupid thing to have two systems, all you need to do is to toss out the ostheopathy faggotry and convert them into MD programs

>>12497689
cope

>>12499066
Leave him be dude. Deluded as he is, he'll eventually get put in his place. Psych nps are notorious for being shit and always following a shitty algorithm. Literally zero, fucking abysmal clinical judgement.

>>12497689
>the neurotic mess wants to work in psychiatry
Like pottery.

>>12498108
Not in flint Michigan

>>12498114
>Depends on your area but most places follow the EPA standards
Honestly can't imagine living in a country where I'd worry about the quality of tap water.

>>12498850
What about Neurology PAs that insist they know as much as a neurologist. Get fucked, PAtards.

>>12499356
Midlevels in general are shit. Idk how they got into europe. Why do europeans like to suck amerimutt cock so much when it comes to roles in medicine? Their jobs were literally invented not even 100 years ago ffs and they want muh authority. Any form of midlevel deserve the rope.

Unemployed doctor here. Some of you may already know who am I.
I need some advice folks. After being BTFO on the spec admission entrance I think I've fallen into depression. I don't feel like studying anymore, I talk less than 50 words a day and spend my time between lifting, strolling with my dogs and playing TF2.
University held all paperwork because Kobe again, so my degree will be delayed even more.
My parents are telling me to get a GP job ASA I get my degree but I'm afraid I won't be able to deal with the 30+ appointments a day workload or even worse, I'll get used to it and never make it into a spec.
My heart tells me to follow the spec while my head tells me it's time to pay my education back to my parent's.
What do?

>>12499373
>Idk how they got into europe. Why do europeans like to suck amerimutt cock so much when it comes to roles in medicine?
Because you get some American shills selling the idea.

Even though the American health system is different, and their goals are naturally different (more midlevels, save costs, make more money, who gives a fuck about patient safety), tout how it's actually good for patients using shitty studies that are naturally biased and supported by lobbyists.

That's enough to convince EU healthcare providers that it's a good idea because these 'studies' show how good and helpful they are. But what you end up with is reject doctors that are both bad for patient outcomes and offer nothing in return but wasting everyone's time.

>>12499383
Take some time out, shitpost on 4chan full time for a year or two and then get back into it. I don't know about the training pathways where you are, but there's a lot of room to manoeuvre in a lot of countries so that people can take time out and such.

>>12499383
are you the anaesthesia-hopeful?

>>12499383
Fuck your parents
A GP role is still a much better job than like 99% of jobs out there.
Better than construction work.

>>12499383
No point in going GP route if you'll end up hating it, imo. If you like seeing the same old patients every single day and do some consults from time to time and micromanage medication, I guess it's fine. Appts shouldn't take more than 20 mins anyways. Home consults are also pretty fun and you get to be a part of the community but if you just don't see yourself doing it, idk man...you just shouldn't do it and wait a bit more. Rough situation you are in. I wish you the best, anon.

>>12499411
>>12499396
>>12499383
Remember

>>12499421
Holy based. Rural gp is extremely comfy.

>>12499388
>there's a lot of room to manoeuvre in a lot of countries so that people can take time out and such
I live in shitxico my man. Here the only people that can get gibs are indians. There is no such things as security web or even a state of law.
>>12499395
Yes.
>>12499396
Not here. GP jobs here are devaluated because of the public healthcare and going into the public service is a world of pain since your only expectations are being exploited and worn down for 750USD on a city or going the rural route and being kidnapped by cartel or lynched by semi-civilized indians.

>>12499487
>Mexico
Time to join a cartel instead, my man.

Pic related but you use a horse cock for a scaffold and seed it with human cells and then attach it to a human. Thoughts on the feasibility of this?
t. /d/bro

>>12499421
This is 100% true.
When I'm done training just want to escape to some rural town and become the town doc.
It is so fucked working at a hospital for these kikes.
The administrators at my hospital got the fucking vaccine first. Over senior docs. Over nurses. Over the people who actually see COVID patients all the fucking time.
Fucking hell man.
Rural life is the best life.

And when I said I want to practice rural FM, everybody in here shat on my neck. Fuck you guys.

>>12499504
Seems SciFi to me for now, tbqh.

>>12499533
That's because us chads can smell the virgin on you and don't want you to hang with us. Stay in your hospital, or we'll shit on your neck IRL too.

>>12499533
>And when I said I want to practice rural FM, everybody in here shat on my neck. Fuck you guys.
Not me. It's based. As long as you force women to carry to full term and never suggest abortions.

>>12499492
This. become a cartel medic

>>12499540
Nigga, since I started medschool I wanted rural FM. Very rude.

>>12499554
Why waste your life for some cartel
You'll always be a disposable at risk asset to them
If you want status and money and safety then be a doc for some rich family
If you want a similar situation for a cartel doc but want to do some honest good work then become a volunteer doc in war torn countries
But all of these are stupid

My knees crack/pops when i straighten them. This has been the case for me the last 2 months.

Why is that? Is it some kind of cartilage damage or a sign of RA?

Should I ask for an MRI-scan?

>>12499659
How old are you and what's your sex? What's your BMI or if you don't know your height and weight? Have you engaged in any unusual or rigorous physical activity lately? Do you exercise? Any trauma?
Any recent cold or fever/chills or cough? Even from a few weeks ago.

Any warmth or redness around your joints?

MRI isn't first step. Might just be an XR depending on your answers.

>>12499676
>imagine working for free

>>12499676
Male, 28 years, 188 cm, BMI = 21. Weight = 74 kg.

I have been a bit inactive between april until now (thanks to corona). Went back to the gym 2 weeks ago Started to feel the sensations in early november. The knees are a bit warmer than other areas of the body, but I can't say that my joints are swollen from what I can see.

>>12499676
>>12499709

Also, have had chills sometimes the last 2 months, and problems with fatigue and insomnia.

>>12499700
eh I'm bored and might as well

>>12499709
>>12499714
There's no pain right? You probably don't have to worry. Just watch it over a week and if you see any changes see a doc.

>>12499777
Pain occurs sometimes in knees but not often. I have bigger problems with one of my ankles, where I have felt pain for 2 years.

>>12499790
Then definitely see a doc. Right now just take a tylenol or motrin or whatever NSAID you have laying around when you feel pain. You might need an XR.

>>12499659
>My knees crack/pops when i straighten them. This has been the case for me the last 2 months.
Unless it hurts, not a big deal. I've had creps and pops in my right knee for 8 years since I did some really shitty squatting with extremely out-turned feet. They also maltrack and pop a lot. No real issues almost a decade later.

>>12499188
Wow it's almost like somebody interested in mental health who researches it might end up doing it as a career, woooaaaahhhhh. Because MDs in general have perfect mental health, because my own problems have anything to do with my competency, because MDs aren't often complete fatfucks who neglect their own health

You're not getting your student loans back by taking it out on me

What is all the meat in our hands if not muscle?

>12499895
yes ofc, because doing research in a field = clinical judgement

also
>competency
>minimum 500 hours required in psych
kek, what a fucking joke you are, dude. keep deluding yourself, not even (You) worthy.

>>12499939
What are you saying? There are muscles, ligaments, tendons

>12499940
Either you have the reading comprehension of an autistic toddler or are way too desperate to shitpost

>>12499940
>>12500044
Please get a room (you) two.

>>12499373
Wait, there is actually some european country with mid-level shits?

>>12500315
UK, Neds and Germs have PAs but not NPs. Probably stricter regulations and they're actually supervised.

>>12499939
meat

>>12500315
>Wait, there is actually some european country with mid-level shits?
They're becoming more of a thing in the UK. As of next year, they will be given the power to prescribe and expanding training posts at universities for them.

>>12500328
NPs are a thing here. Though they only run clinics in GP surgeries, if anything; rarely anything much more than that. They tend to know their limits and stick within their lanes. PAs are a bigger issue because they insist they are doctors and keep demanding more.

>>12500328
the absolute state of germanics

>>12500350
At the very least though, we don't have asinine trash like "Doctor of Nursing Medicine" or other snakeoil level shite that you see in America.

>>12500350
So it's sort of the opposite of the US. Here the PAs seem to know their place but the NPs are clamoring for more

>>12500350
don't you guys have unions or something that could shut that shit down

>>12500369
We have the BMA, but they're largely ineffectual and PAs aren't so prolific that they're causing swathes of issues, yet. But it's going to happen eventually as they become more and more popular.

Press S to spit on a midlevel.

S

>>12500350
Let me guess, they back up their claims of
being "doctors" with biased research towards patient outcome in a PA team vs MBBS team?

>>12500356
I was surprised myself when I found out.

>>12500382
>Let me guess, they back up their claims of being "doctors" with biased research towards patient outcome in a PA team vs MBBS team?
Anon, don't forget the midlevels' preferred tactic of determining patient outcome: patient satisfaction surveys.

>>12500382
S

>>12500388
Anon, tbqh, I wouldn't know because we don't have those kinds of titles over here. After doing a bit of digging, I simply think they're unnecessary or at best they should be supervised, like on a leash, since it's the doctor's diploma and right of practice on the line if they fuck up which I find staggering.

>>12500382
>>12500388
Pretty much.

>>12500404
Exactly. They shouldn't exist or at the very least be scaled down because it's so bloated now and they should always be kept under supervision.
Too many docs though acquiesce to administration demands and want the extra cash in exchange for their dignity and long-term success.

>>12496732
Just start your own business after working for a couple years. You can work with whoever you can afford to hire. Honestly don’t know why more of you aren’t independent practitioners.

>>12500425
Because residency and fellowship makes us stay in a hospital for years on end
Develop relationships there and get used to the environment of working under a kike administrator
And since most docs are clueless with business and many are risk-averse they feel scared to go out on there own

When will late stage lyme/post treatment lyme be treatable?

>>12500442
I’m an LPC and I charge $175/h cash or card only because I didn’t want to deal with DHS or insurance billing.
I get by. Could get IRB approval from my alma mater if I wanted to do research. Make good money, don’t work more than 20 hours a week and only have to fill out minimal paperwork because I only accept private payment. It’s not hard, doctors could surely handle it.

>>12500462
Now it's Lyme's disease? Lol, get a job and take your meds ataxiacunt.

>>12500382
S

>>12499526
The rural GP still has to deal with incompetent administration, big patient load, and nurses. It's not as bad as an inpatient setting though, and the nurses often bring homemade food for the docs to eat on breaks/to bring home. Docs here are at the top of the list for vaccinations in about 2 weeks time.
t. just did a 10 week residency at a rural clinic.

>>12499421
QFT, GP workday is simply leisure. I have never once stayed up at night to work since I finished training.
Money and status dont make you happy. Family, community, belonging, rewarding hobbies, love, and health do.
My mellenial med school friends routinely post on faceberg about how they're falling apart at the seams smdh

>>12500575
based schizo

Diary entry for the 0 people who care
>psychiatrist got tired of losing arguments and is trying to push me on to someone else now (medical literature among other psychiatrists agree 100% with me); said other psychs were even criticizing his judgment and logic privately with me. I knew in the back of my head they were right but feel guilty for even thinking he's an idiot. For conflict of interest reasons I can't be their patients however
For the record I was and always have been overly polite; I'm hyperaware of how I come off and go out of my way to not sound like a know it all or like I'm criticizing them. Back to today
>got extremely personal and shitty during this appointment, using random bullshit as a way to call me an idiot, for instance allegedly restarting medications without telling him, in other words taking a medication I have been as prescribed by a previous psychiatrist at the same clinic which he lost the records of or something. Pretty sure he knew I was on it and forgot
>and stopping a problematic (non essential) medication without waiting weeks to call him, and again I have other professionals aware of what I'm doing
>irresponsible because titrating medications on a schedule he agreed on then forgot about
>tried to pop quiz me on pharmacology/neurochemistry to demonstrate I didn't understand interactions, then was confused when I answered him correctly
>in general keeps going on about how I'm irresponsible and whatever every time I reference literature or pharmacology to avoid the subject. Would bring up examples like how I ordered an otc/legal antidepressant online; he both had no idea how it worked and it never mattered until now, and also it's just a nootropic larping as an an AD. Basically a pharmaceutical version of lions mane
>previously, before all of this salt, admit he had no idea what to do and asked me what I wanted to do

Diary continued next post

Epic diary continued

All of this because I wanted to restart an MAOI prescribed by my previous psychiatrist after failing 50 other ones. I did figure two things out
1. Going back to him having no idea what to do, I have a relatively severe, treatment resistant form of ptsd and a million comorbid disorders and he clearly didn't want to be responsible for handling this anymore
2. He was getting buttflustered as fuck that a patient knew better than him, hence why he kept bringing up all sorts of shit that never mattered before just to discredit me

While I am upset at the incident it's not because I didn't get my maoi, I'm upset because people entrust their mental health to these professionals and because they themselves aren't involved in mental health, aren't able to tell when someone is phoning it in or worse prescribing in a logically but not officially contraindicative way in relation to symptoms. He was fresh out of med school yet his knowledge was basically out of the 70s while my previous 65-70 year old psych was up to date, didn't just parrot prescriber handbooks. The current one's brain would also just go offline at the idea of an off label indication

I have no real point and needed to vent

>>12501438
"said other psychs" being aforementioned psychiatrists, not that he was saying anything about them. Bad wording

>>12501438
>be me
>psychiatrist in residency
>see pt census for the day
>eh shit it's this guy again
>what shitty paper off of pubmed is he going to cite today
>can already envision his smug ass face
>enter office
>it's even smugger than I can imagine
>he starts talking about his medications again
>ask about what he's actually taking and making sure he's taking things correctly
>he's taking aback and scoffs at me wondering how I could have forgotten
>wtf.gif
>tell him to follow the schedule we talked about before
>he tries to quiz me on the schedule we made and idk remember because why the fuck should I
>explain to him some side effects and mechanisms behind the medications
>he thinks it's because I think he's stupid and gets offended when I'm just making sure he doesn't fucking kill himself changing meds and experimenting with his neurochemistry like a retard
>ask him if he's being responsible with his meds and I can already see his ego shattering
>remind him he brought up weird stuff before that I looked into as having no clinical significance and could have detrimental effects
>idk whether to stay worried about his safety or what
>read his previous psychiatrists notes for some advice
>"let this nigga do whatever he's gonna suicide anyway lmao"
>mfw

>>12501443
>MAOIs
This meme needs to be put to rest.

For example the shitty normie sites say combining it with amphetamines is fatal and should never be done ever while the books such as Stahl not only say it's okay but even recommend them as an adjunct unless I'm thinking of methylphenidate but I know comparable sources okayed/recommended amphetamines. Someone needs to seriously oversee this shit because the FDA clearly isn't bothering to.

As a rule of thumb, NO medical literature would recommend a combination if safety was up in the air letalone dangerous for safety and more importantly litigation reasons. Not "we're not sure if this is safe" up in the air, but when the reasons for the concern are understood, in this case noradrenergic substances used concomitantly with MAOIs.

Even better, the real dangers of MAOIs are interactions with serotonergic substances. All these people taking SJW and psychedelics could easily get killed doing these on an MAOI yet nobody bothers asking if they're taking those.

>>12501460
Tbh I unironcially appreciate the shitpost but I'm still replying earnestly.

>never asked me for my sources once and one of them was a book that he had sitting on his fucking desk
>never asked me what I'm taking, at best will refer to what he most recently prescribed and even then I have to remind him
>would provide my reasoning and sources before he argues specifically so it didn't seem like I'm talking back
>didn't "quiz him on schedules", he got legitimately upset when I told him what dose I was on after he asked because he didn't remember
>never once acted like I was offended and was even a respectful little bitch to the end
>he never looked into what I brought up and yet continued to prescribe things afterwards with no mention of it until today
>admit towards the end it was more because he wasn't comfortable with handling it
I forgot to mention before, but he's been extremely anti MAOI from the start and is the one that pulled me off of it. I wasn't aware that was the reason until someone else told me that he fell for the hysteria and misinformation

>>12501460
>>12501484
Also I just lump med school and residency together mentally as "MD education" which was my bad, he wasn't doing a residency.

>>12501460
topkek

why do GPs even exist

>>12487989
It's one thing to be a schizo but everything about that second line is completely wrong. Mid level practioners, premeds etc. are sort of also a thing in Europe except the quality of Healthcare is worse, it just doesn't have insurance companies fucking everything up so people have access although have fun waiting weeks to months for a doctor who's not willing to prescribe anything more psychoactive than Tylenol

Back to burgers, everyone bitches about universal Healthcare on a basis of muh niggers abusing the system yet are perfectly fine with giving half of their taxes to the military instead. Does the south have an ETA yet for secession or what

>>12501657
Also assuming Europe because [germanic+binnish] Europe is the only region that's even allowed to comment on our healthcare

>>12487972
>green piss indicates extreme combustion
Well that was true for Starship SN8 for a few seconds.

>>12501657
Which European country has medicine as graduate degree, ie. pre-meds?

Do doctors ever use herbal medicine instead of (((prescribing)))?

>>12502029
Ask your local shaman for concoctions.

>>12502029
Medical cannabis and cbd, sure.

>>12502029
You want me to call the nuthouse now or wait till you meltdown?

>>12502416
kek

Medbros, this probably isn't the right place to ask but I don't know where else to turn to. How do I get over the fear of dropping dead because I fucked up and ignored something I'm feeling. I went to the doctor earlier this year because blood kept rushing to my head and sometimes I'd feel insanely weak, but then they did some ECGs and blood tests on me, found nothing and told me I was probably having anxiety issues. It ended up never happening again after they told me I was in the clear as if I was just straight up imagining the symptoms. Then I had insanely painful chronic headaches, some annoying back and shoulder pain, and muscle spasms the past few months and I panicked and thought I might be dying from a brain tumor or had some neurological problem like a retard until I finally got a cervical and cranial MRI and the neurologist told me the inside of me was fine outside of some desiccated neck discs and that it was probably chronic migraines. Now I ended up noticing painless swelling in my lymphs around one of my pits and one side of the neck / jaw and some wheezing and I keep thinking it might be something serious, even if I already fucking know lymph nodes can sometimes just do that on their own from minor infections and I already had an MRI of my brain a few months ago. How do I stop being a presumptuous retard

Anybody working?

>>12499504
Not very feasible currently, ips cells are still a relatively new field and you have to compete for resources with actual useful research like hearts and shit. I'd say give it 5 or 10 more years for your horse cock meme

>>12487972
>DO NOT offer advice
May I ask why? All other flavors of academia on here do. Why not return the favor?

>>12502910
Not me since graduated.

Of course the "mask shit" continues wtf you're thinking a vaccine does?

Are you fucking idiots STILL after almost a year into this shitshow unaware that masks are not supposed to protect the wearer, but others FROM the wearer?
Do you think taking a vaccine makes others immune? Do you think you can't spread diseases just because you're immune?

What a fucking LARP thread.

>>12502970
Did you post in the wrong thread

>>12502965
Why not anon?
>>12502910
Today? No I'm off finally.

>>12487972
Could melatonin possibly cause next-day depression?
I've been taking it for a week and have been feeling unusually low, not sure if it's related. It does help me sleep better but I'm not liking the low mood.

Going to try sleeping without it tonight and see how I feel tomorrow.

>>12501460
This is gold
Schizos btfo

>>12503134
University not giving a shit.

>>12502855
You probably have illness anxiety disorder
See a therapist

>>12503140
Which country are you from?
Are you applying to any training programs?

>>12501460
Serves you right for being a glorified drug dealer

>>12503146
Shitxico. I did my 2nd spec entrance exam and got btfo by 0.2 pts. Slim chance I'll get a call for the 2nd or 3rs round but don't have any hopes up.
To put things into perspective I had already finished my social service when I did my 1st spec entrance exam and was already in the bureaucratic hell of getting my degree and license.
At this point I'm seriously considering getting a medslave job, save as much as I can and try my luck in eastern europe.

>>12503170
wtf. Are all european doctors like this?
>prove they're wholly inadequate for the profession
>try luck elsewhere, whoever will take them

>>12503175
>wholly inadequate under arbitrary measurements for an specific branch of the profession*
ftfy

>>12503170
Fucking sucks man
What's the medslave job? Low level GP in some shitty area?
At least you aren't like the unlucky bastards in the US with shitty steps and basically have a useless degree now.

>>12503121
No, see first replies ITT

>>12503197
>Low level GP in some shitty area?
Pretty much. Shitty and overcrowded*.

>>12503136
How much are you taking

>>12503233
Yeah I'd say save up at the shit job and try your hand at some overseas exams to see if you can move

>>12503235
2mg prolonged-release

>>12503227
Oh
Yeah I think the majority of posters in this thread have no clue about medicine or are premed/M1 scum so they spout their bs here all the time

>>12503244
Switch to 1mg
If it's a tablet cut in half
Try it for a week or so

If you can develop better sleep hygiene habits
If you don't know what they are here's a decent guide
https://www.cdc.gov/sleep/about_sleep/sleep_hygiene.html
If you follow these habits long enough might not need melatonin
Usually use it when traveling and crossing time zones
Hope it helps

>>12503251
Thanks mate, will try that. I've heard that less is more with melatonin.

>>12503143
I see. Thank you anon.

>>12503379
Yeah. Issue is when people take too much and they wake up drowsy and then they're unable to sleep the night after. Seen it a bunch.
Sweet dreams anon

>>12503392
Oops meant this for >>12503279
>>12503379
Hope a therapist can help you anon.

Hey /sci/ faggots brainlet here. Where the fuck are your coronavirus congress shits or whatever the fuck are they called? Shouldn't you have teams of experts discussing this shit? Where is your fucking input stem fuckers????

What type of dentistry tool do I use to scrape away tartar? I found out that I can easily spot where I have tartar by iluminating my teeth from behind with a small LED flashlight. Turns out I have some tartar in places where I have gingivitis, and it's in spots that are impossible to reach by flossing, so I went and scraped away the tartar from 2 teeth with a knife. Risky business, right? Which is why I'm looking for the correct aparatus. How long after removing the tartar can I expect my gingivitis to heal away? I'm also switching to an even softer tooth brush since I believe that my brush is being too harsh on my gums.

>>12503251
>tfw have to take 5-10 mg of melatonin and 30mg of Benadryl to sleep

The burst blood vessel in my glans won't heal and keeps leaking blood internally whenever I get an erection (I can see bright red blood pooling there when that happens).

It looks somewhat like this:

https://www.google.com/search?q=burst+blood+vessel+glans&tbm=isch&ved=2ahUKEwjbm8-zo-ftAhVWvSoKHSy1AmwQ2-cCegQIABAA&oq=burst+blood+vessel+glans&gs_lcp=CgNpbWcQAzIGCAAQCBAeOggIABCxAxCDAToFCAAQsQM6AggAOgQIABBDOgQIABAeOgQIABATOggIABAIEB4QE1D1jQNYoagDYLOpA2gAcAB4AIABe4gB4QqSAQQyMi4xmAEAoAEBqgELZ3dzLXdpei1pbWfAAQE&sclient=img&ei=zeHkX5uBBtb6qgGs6orgBg&bih=939&biw=1680#imgrc=VgO-YZ8LJQhTYM

Can I do anything except wait? Will there be scar tissue formation ni my penis? I'm thinking of seeing a urologist but can he really prescribe me something to make it heal better? I'm really scared of permanently losing function in my penis, please help.

>>12503591
Is there any pain when flaccid or erect?
Have you peed any blood?
Have you masturbated at all recently and noticed any blood in your semen? Was it painful or uncomfortable to masturbate?

I'd just go see a doc

>>12503601
There is no blood when I pee or ejaculate. There is pain if touch or squeeze the area gently, it feels like a bruise and stings a little bit too. I havent masturbated with it yet but it feels bad when I get morning wood.

I have this fear that it will heal with scar tissue and rip open every time I get an erection since the scar tissue can't expand like healthy tissue. Do you think this could happen?

>>12503645
Also, no blood in my pee.

>>12487972
>please keep all actual useful info out

>>12487989
>if we can't go back normal after it
Attending hospitalist confirmed.
Will literally do anything to avoid work or make his day easier.

>>12498057
DOs are taught that if you eat McDs every day this has an effect on your health.
MDs are taught that it makes no difference.

They both go through same residency and get spit out the same though.

>>12503591
It might take weeks. I burst a blood vessel in my penis last year and I was ejaculating bloody, chunky semen for a month.

>>12503677
"Go to the doctor" is pretty useful info.

>>12503645
>>12503650
Fibrosis and scarring will take some time. You won't get peyronie's disease overnight anon.

It's better to just go to a doc whenever you can.

>>12503707
not when 99% of doctors are mindless sheep

>>12503703
Did it heal up properly? You didn't get any long lasting issues as a result of that right?

>>12487972
Daily Reminder

>>12503746
scientists: uh hurr durr covid has some funny genes let's call it a new variant
philosophers: uh hurr durr what's the ethics of lockdowns and mask wearing?
mathematicians: uh hurr durr let's try modeling the spread of covid
engineers: uh hurr durr pi=3
doctors: Let's cure COVID.

>>12503759
Doctors: Let's make incredible money on a scam
ftfy

>>12503707
>>12503707
most family doctors do little more than push pill and take a brief look at you before sending you off to a more than likely unnecessary expensive test/scan/exam etc. if you have ever had to deal with the medical system for more than a broken leg or bad cold than you should know how lazy they can be.

>>12503796
Also doctors: You should take your meds pal.

>>12503727
Yes. No

>>12503796
>>Doctors: Let's make incredible money

>>12503746
>>12503759
>>12503853
This
>help people in a field that isn't bs
>make lots of cash

>>12503746

Is there some disease that is below/less severe than depression or bipolar disorder? Because I get depressed/down for like 3-5 days before a period of normalcy? No manic phases nor is it anything like a bipolar person would be because I know one and they are more extreme in their phases.

>>12487972
I got my EMT cert and started working as a COVID tester recently. In a year I want to use the money to pay for the rest of my prereqs and apply to med school.
Is that worth including on an application as an extracurricular? I don't have any volunteering or research or shadowing or any of that. I sort of feel like a fraud thinking of using something like this. I don't know if it's sufficiently medical or if admissions would see right through it. Working in a lab setting really isn't like running calls or having real patients.

>>12504939
cyclothymia/dysthymia
bipolar II has hypomanic phases which are less severe than manic phases
you might just have nonclinical depression

>>12505028
Are you American?
Put whatever BS on your application
All that really matters is your MCAT and GPA

>>12497749
See but its cliche for a reason - inoffensive seems to be the name of the game cause PDs range from near normal to wildly specific, and you dont wanna alienate a school.
I want to blur the line on being genuine and straight forward (lots of experience to mine from) but not be arrogant or bland. im not even anxious on average but this is a big moment.

Your advice is solid for sure though thank you merry christmas

>>12497760
So this argument about time and incremental gain is fair. But then you cant be going around acting like an expert in a field of medicine.
It's THAT intangible level of education that's the real difference, and lots of people who want to talk health online didnt go into the field that lets you speak confidently.

>>12505141
> All that really matters is your MCAT and GPA
And your race and ethnicity

>>12505202
Yeah but you can't change that

>>12487972
fark me all this forced vaccine shit coming and I struggle to get my Ativan script filled FML

>>12487972
dont discuss biology or health
because you work for the subverters of america
hows it feel to know you will hang with them one day?
DOTR is coming

Anyone ever have to take part in a "slow code"? It sucks, yet I can't help but feel the patient is better off now.

>>12505453
Oh man I would hate to do that. My hospital doesn't allow it.

>>12505453
Could you describe a bit about the case?

>>12505504
My hospital actually has no rules about slow codes, and it's entirely up to the physician to decide if one is called or not. No overhead code is called, and only floor staff will me made aware its going on.
>>12505505
I wont put in too much, but it was a 90+ year old frequent flyer who came to our unit for the past two years or so with the same recurring issue. He often spent 2+ months here before he was stable to return to his LTC home
>major dementia from a stroke to the point that he's unable to speak, move the left side of the body, needs full on care
>other past medical is COPD, chronic kidney disease, anemia
>in for another case of hemoglobin in the 70s, aspiration pneumonia
>son of the patient calls for full level 1 care
>IV antibiotics, oxygen, start IV venofer as we don't want to waste PRBCs on this known difficult patient
>constant battle of the pt pulling off O2 and desaturating
>pt always finds way to pull out IVs whenever we place them
>pt refusing to eat and spitting everywhere
>son refuses sedatives and PICC
>MD on rounds decides that when the patient gets to the point where he's going downhill, start the slow code
Well, he took a turn for the worse today. I wasn't the nurse under his care, but we all had to do the act that we were trying our best with suctioning, checking in every 5 minutes or so, even putting him on telemetry. We kinda knew this guy just wanted to end it all, but I still feel like shit for having to be in the code.

>>12503175
>mexico
>europe
Burger education?

>>12502970
You do understand that the mask regulations are completely arbitrary, with no relation to actual to any ”danger” the potential user might face? Common sense is haram to bureucrats.

>>12502958
Because the whole thread would be swamped by people with obscure complaints that are very hard if not impossible to figure out remotely. It would just take space and in the end we’d still tell you to go see your doctor.

>>12503170
No pasar el ENARM es un signo inequivoco de que eres un idiota mediocre que no estudia y debes suicidarte.

>>12503170
Y deja de culpar al país por tu mediocridad, apuesto a que eres un gordo asqueroso que estudio en el IPN u otra escuela mediocre.
>t. Especialista con doctorado

>>12487972
What would it take for me to completely turn my emotions off

>>12505758
>You do understand that the mask regulations are completely arbitrary
They're not.
>with no relation to actual to any ”danger” the potential user might face?
Which are?
Just look at Asian countries. No detriments from heavy mask use, except fewer sick people who pay the doctor. Hmmmmmm

>>12505770
Ah okay, that makes sense. I thought there was some ethical reason or so behind that decision.
Guess that means creating specific threads for help are okay.

>>12504939
>Because I get depressed/down for like 3-5 days before a period of normalcy?
How often? Once a month or every couple weeks is considered normal.

Hi /med/ merry christmas <3

>>12487972
do they have a tiktok class on medical faculty?

>>12488001
>>12488023
>taking experimental sterilizing drugs
just have a vasectomy anon

does Magnesium Glycinate really literally cure everything?

>>12506181
No
>>12505582
That fucking sucks man. We need to learn to just let some patients go. And families need to realize when things are far gone. It's strange he wasn't put in hospice care.

>>12505863
Mmmhhhhhmmmmmm a ver tu hoja de puntaje y selección.

>>12490545
I have not had so much sex in my life as being bored in lockdown. I've had more sex this year than I jerked off in puberty.

what are the best lifestyle changes to medically maximize fertility?

NEW
>>12506892

>>12505582
What country?