/sci/ - Science & Math

>>12569897
First for fuck hospital administrators

>>12569897
>fuck patients
>fuck being on call
>fuck working at nights
>fuck masks in non patient roles
>fuck irregular schedules
>fuck the shitty break rooms
>fuck the beepers
>fuck emergencies

>>12569897
>tfw getting paid full while doing research for phd in clinical lab field so I can specialize in it later

Who else being ultra-comfy.

>>12569923
wholesome

Why doesn't China contribute anything to medical research? Why don't they invent cures for anything if they are such a world power

>>12569942
>tfw 50/50 research and clinical lab position

>>12569944
>>12569941

>>12569942
>tfw have to do outpatient tomorrow
>tfw have to listen to patients complain about not getting refills even though they were explained how to get it
>tfw have to explain the same screening and health guidelines over and over again but they won't listen
>tfw insurance companies deny everything

>>12569950
>this but a few evenings of gp work in your own practice on top

>>12569897
>>12569923
>>12569942
>>12569950
>>12569968
We are reaching some serious comfy levels here

>>12569944
but they do?

what even happens on an internal medicine rotation for a med student? I start one in a few weeks and am wondering what is going to happen and what I can do to get the most out of it. How is different to shadowing a doctor, just following them around?

>>12569942
>>12569950
How do you get into research after getting your med degree bros? My dream is literally >>12569950 combined with >>12569968

>>12570039
Depends on the doc.
I saw patients by myself, gave case presentations to the attending, gave plans which the attending then critiqued and gave updates for, wrote notes, ordered labs and meds for patients with supervision, and found a research opportunity.
Only thing you can expect is a lot of PIMPing.

>>12570039
It isn't that much. You participate to morning meetings, follow the morning rounds in the ward. Then depending on where you are in med school you might get to write texts for patients leaving the ward. Also you can usually do daily examinations/interview on patients since they can't really run away either.

>>12570055
Its usually easy here since often no one really wants to do this because everyone in med school hates data analysis. Just go ask a relevant professor for a possibility.

>>12570059
damn that's pretty cool, hope that translates to australian hospitals too

>>12570024
>but they do?
Are there any examples of interesting research coming from China right now?

>>12570083
Idk. I was in a university hospital in the US.

>>12570078
>easy here
what cunt?

>>12570070
how receptive are patients to getting practiced on for history and physical exam? are they annoyed by it?

>>12570122
NTA, but from my experience if you're humble and courteous and explain to them that you're a student and want to learn from them, and that you will present your findings to the attending, I always get a yes.
Even was able to do a few breast and pelvic exams and a pap smear.

>>12570130
cool, ill keep this in mind

>>12569627
Guess how small my singular daily meal is, Satan. It's one small cup of instant soup. That's it. How is this not fasting? I feel the pain for one. Or are you confusing starvation with fasting? Should I only drink water for it to count?

>>12570122
Depends a bit on the ward but generally they are pretty receptive, and honestly I was afraid of them being annoyed but the first time it actually happened and a patient started to berate me it just washed off me. It's your job.

>>12570055
literally talk to profs and express interest in doing research, unless they suck they have always more money and tasks than people

>>12570172
This is obvious but it didn't cross my mind. Thank you fren

>>12570114
Nordic countries in general.

>>12569968
damn that sounds nice

>>12570039
ask a lot

>>12570160
Other Anon is wrong, fasting can be a lot of things. You could eat your full caloric load in a day and still be fasting if you only eat after sunset for example (i.e. the traditional religious fasts of Abrahamic religions). That's what lent used to be before it was casualised.

hypothetically if someone had gotten these cigarette burns a couple days ago and they havent changed so far, what would you recommend they do? Would they heal completely eventually?

>>12569923
>fuck being on call
If I'm a night owl, would I like or hate being in med school or being the night resident on call? I usually wake up at 11:00AM, Go to bed at 4:00AM.

>>12570853
Depends if your med school has mandatory attendance. If not, for the first two years/basic science program then it's fine.
But during clinical rotations, your sleep schedule is dictated by the attending preceptor and school. If the preceptor tells you they're doing nights next week, you're doing nights.
If the preceptor tells you morning report is tomorrow at 6:30 and you should come in before then to see patients, you have to be their early.
>being the night resident on call?
You won't always be the guy on nights. It's only for certain weeks/days of the months depending on your hospital/team schedule.

>>12570820
Excuse me, what came first, fasting or Abrahamic religions?

>>12570860
Thanks for the info anon. Guess I'll have to train my brain to do shit it doesn't like doing for day shifts.

>>12570881
>train my brain to do shit it doesn't like doing
That pretty much sums up the major challenge of med school and residency lol
Best of luck man.
I recommend getting some shut eye in whenever you can, exercising, eating healthy, and avoiding caffeine (yes unlike other med students don't drink cups and cups of coffee to stay awake). It's difficult but worthwhile.

How do I stop hiccupping?

>>12568479
>>12568515
At the very least, the second degree is accelerated, 5(6)+3 if you're going from Med to Dent and 5(6)+4 if you're doing Dent to Med. The pathway is a bit more streamline since your second degree is effectively a job interview instead.

Still not really worth it unless you want a few more years as a piss up and to fuck 18-year-old freshers.

>>12570039
You can get involved, ask to take a few histories, perform a few examinations, try to come up with the diagnosis based on what you've just done and then check the notes or a senior afterwards.

>>12570122
Most people are bored as fuck sat in their beds all day, a chat to someone young will fill their time and if you're lucky, you might find out something useful that the rest of the MDT missed out on. It's the most time you'll ever get to spend with patients, so use the extra time you have to fuck up.

And if all else fails, practice a few things for exams in the morning and go home for the rest of the day instead of being one of those twats that does a full 9-5 every day for no reason other than to wank themselves off about how special they are.

>>12571001
Hold your nose and swallow a few times

>>12571306
alright will do, I was thinking I should stay as long as possible on the wards because I want to immerse myself in medicine as much as I could but I don't want to come across as a wanker. I guess I can make sure I find useful stuff to do while I'm there.

>>12569897
Please, give me some doctors pepes. I really need them to show off in front of my friends.

Recovering from an eating disorder, bloods were fine except Bilirubin which was 23, any cause for concern?

>>12571919
please discuss this with your doctor because it is impossible to definitely tell you yes or no without knowing your full medical history, physical examination and what "bloods" were ordered

>>12571923
Ok anon, they want a follow up in 4 weeks anyway

>>12571923
That's a cool Pepe! I think I will take it.

>>12571001
Spoonful of sugar. Chew it and swallow.

>>12571840
>>12571931
>”pepe”

How to fix bow legs without surgery?

>>12572143
I guess you, folk, call him apu. Gimme more apu

>>12572212
Here's the link to Finnbro's drop.
https://mega.nz/folder/8JdEDTIA#gMxtWrsVgEAc5m38_73yyg

>tfw no comfy lab spec gf

>>12570820
Thank you. Today is oddly a bit better. This is still madness though. Can't wait to eat my fill the day it's over. And of course normally from there so I don't end up going through this for nothing.

>>12570093
They created sinovac which is a traditional vaccine unlike the experimental mRNA ones

>>12569897
>>12569923

>AND FUCK NURSOIDS

>no fuck nurses
My doctor-helper alarms are beeping. Go check those call bells you glorified french maid slut. Also don't you ever wear your stethoscope around your neck, ever. Slime.

>>12572931
He probably just works with lab techs instead of nurses.

>>12572710
I was once had a lab spec gf. She was very comfy and goofy. Kinda shame it didn't work out.

Accidentally took 25mg of Zoloft twice in a day on my 3rd day of medication.
It was nice knowing you guys.

>>12573136

>>12571919
What were you doing during the eating binge, and after, in respect to anything out of the ordinary (whole foods)

>>12570160
>It's one small cup of instant soup.

Those are all sodium-laden widow-makers For some reason my overweight lab manager was addicted, he ate 1 bowl of "Souper Meal"a day, later I discovered it in the trash food aisle, it contains a buttload of sodium. After years of this abuse he developed pericarditis

Why can't they just invent magic pills that make you so strong that you don't have to exercise

>>12573554
they have though

Why are psychiatric treatments so useless? Mentally ill patients are basically treated with tranquilisers and detention like in ye olde asylums. Do psychiatrists just get a kick out of playing God?

>>12573759
When your brain is in overdrive mode some dampening effect is warranted.

>>12573759
because psychiatric conditions arise from shitty brains that can't be fixed

>>12569897
I got a job as a junior doctor bros

>>12573897
Congrats bro!

>>12573897
remember to respect the tiktok nursoids, they know more than you because of their long life experience!

>>12569897
Lads I've been drinking home-distilled water for about a year now, and I gotta say, it feels nice, it tasted great and is incredibly soft so I find it far easier to fill my daily quota. Cleaning the still is a bit of a pain in the ass, but it out-prizes most glass-bottled brands and plastic bottles are shit for obvious reasons. I can only recommend it

>>12574122
>the absolute state of /sci/

my med school has a mentoring program
what are the chances that I get one of you faggots?

>>12574103
lol
NO

Should I become a doctor?

>>12575085
Shadow some docs to see if you like it.

>>12569897
https://www.youtube.com/watch?v=81Vo4c5c7ag
Best play I've ever seen.
Basically the story of medicine and what being a doctor truly is like.

>>12575093
Are you a doctor/med student? If so, do you genuinely like it and why did you become one?

>>12575103
Yeah I'm a doctor in training, which is called "residency".
I genuinely like it for the most part. There is a lot of bureaucratic bs, dealing with certain patients especially in the outpatient setting and gomers (get out of my er types), lots of bs paperwork, insurance companies being a bitch.
But I love it for the relation between the pathophysiology, the pharmacology, the diagnosis, the management and then you see the real effects in a patient and when they (or well most of them anyway) genuinely thank you for helping them.
I became interested in medicine because I loved human physiology and anatomy and it made the most sense to me based on my interests. I spent time with some interesting doctors who I shadowed and they let me know the bs I could see (ofc nowhere near what I actually experienced and currently experience) but seeing how they could help someone through application of a subject material I was in love with to a truly autistic extent solidified my resolve.
I don't regret it but I know people who do. I know people who should've never gone into medicine. Know people who killed themselves because they hated medicine and hated what they did what their lives.
But I know people who found their purpose in life and honest passion in this profession.
Can only hope I'm the latter in the end.

My dad has covid. He was able to isolate for a week but he is here and coofing up the place.
What are the chances I will get it?

>>12575300
https://pubmed.ncbi.nlm.nih.gov/33349714/

>>12572471
Thank you!

>>12575131
What residency program are you in?

Also... I hope you’ll keep that attitude throughout residency and in practice.

Every hospital I’ve worked for has very similar...demoralizing... dynamics.
Keeping a level head while being spam consulted by the ED or some other service, pager constantly going off regarding your patients on the floor, informatics requesting you fill forms out a different way or requesting you fill out paper forms despite doing them electronically or Vice versa , pharmacy delays and outpatient pharm issues (especially Walgreens), log onto the EMR to 200+ request for signature or other pop up BS, email follow ups, random meetings that occur during suboptimal times.
Anyways, I’ll step off the soap box. Maintain that attitude my dude.

Just got a TB test for school, can I still go to the gym tomorrow or will profuse sweating/strain interfere with the test?

I'm 27, and just started studying for a degree as radiology technician
is there some way i can improve my position after?

>>12574946
non-zero
t. mentor

>>12569897
Hi guys, I'm starting my specialization in emergency medicine in a couple of weeks; what are the best books/online resources on the matter I should buy/download?

>>12571522
>I was thinking I should stay as long as possible on the wards because I want to immerse myself in medicine as much as I could but I don't want to come across as a wanker. I
It's low yield to do that. If you're having a good time, absolutely stay on the wards. But if your time would be better spent doing some exercise to decompress, catch up on some notes, or whatever, do that instead. Don't hang on because you feel obliged to. Medicine is a marthon, not a sprint, you'll burn out sooner rather than later if you're spending every waking hour devoted to it, unnecessarily

>>12575849
>What residency program are you in?
I'm in Internal Medicine.
>rest of the post
Yeah I know that bs. Just the other day had a patient come in with hypertensive emergency because their pharmacy somehow didn't have norvasc so they didn't pick up their meds.
>Maintain that attitude my dude
Will try my best.

>>12576011
No issues.
>>12576325
Just git gud at doing ultrasounds and please do things on time. Don't be a lazy person who's the reason patient care is delayed.
>>12576540
https://litfl.com/
https://www.aliem.com/starters-roadmap-to-em-resources-books-websites-apps/

What would /med/ say?
>>>/out/1982386

>>12576998
>fasting condition determined an increased availability of circulatory resources compared to the breakfast status.
https://pubmed.ncbi.nlm.nih.gov/27247543/
Overall performance changes not significantly significant except in static conditions.
As long as performed in safe conditions with supervision and source of nutrition in case of a metabolic collapse then it's fine. If someone is diabetic, has nutritional or absorptive issues, or cannot tolerate fasting, then I would discourage it.

>be me
>British ambulance paramedic
>national guidelines to wear IIR & plastic apron to every call
>FFP3 and body cover for AGPs only
>follow guidelines, go into confirmed plague house with IIR on
>take patient to hospital
>directed to red area
>"you can't come in unless you wear an FFP3"
>mfw

>>12577035
If I'm on day 5 of a planned week long fast, does that mean I can tolerate fasting?

>friend send me a meme about medtubers/fluencers
I chuckled, even if it's reddit tier shit, because there are literally a dozen in my cohort.

>>12576675
Oxford Handbook of [Speciality] always works for me.

>>12577307
Dive and find out. If you die, you die.

>mfw shitposting on /pol/ about how covid isn't real and vaccinations don't work in the hope that some will not care and go around spreading corona so they kill off others of their ilk or learn a tough lesson if a loved one gets hit hard

>>12576540
just learn your fundamentals well

>>12577313
>>friend send me a meme about medtubers/fluencers
Whats up with that? Does everybody want to be famous? Or do they just want to get out of medicine through youtube topkek

>>12577135
>dumb patient outside
>good luck m8te
>confirm job done

>>12577360
I think it's a bit of both. They do it because a lot of them are inherently narcissists, but then they realise YouTube money is way better than medicine, so they end up trying to use medicine as their 'niche' to break into the mainstream and earn good amounts of money. For most that take it seriously, I doubt they'll stay in medicine, why would you if you're earning 6 figures every month.

>>12577324
>but what about your oath of hippopotamus anon

>>12577385
>YouTube money is way better than medicine

>>12577324
>>12577415
Problem is they're going to end up in the ICU and you have to spend weeks taking care of someone just bc the family refuses to dnr

>>12577313
Yeah ok, I think I'll pass. I consider myself a safe diver.

>>12577385
It's like that one meme where American and British kids mostly want to be youtubers while Chinese kids want to be astronauts or doctors.
Our societies are pushing people towards thinking less comprehensively and thinking more shallowly and quickly. People are being molded into seeing life as a total performance rather than a journey or a struggle.

>walked in on the nursing students making another Tik Tok

>>12577437
Worth it in the long run. Hopefully they won't pass on their dipshittery to the next generation.

>>12577415
>mfw they find out that we don't have a sworn duty and never took any oath

>>12577466
Lol. All the nurses here do is gossip and complain. I think they're too old for zoomer apps

Are fibromyalgia patients misdiagnosed? Is Fibromyalgia a doctor word for "I see that you're in pain but we don't know why" ?

>>12577530
No

>>12577385
t. Dr. Mike

>>12577516
ALL nurses gossip and complain and then KNEEL when the doctorchads come I hate it.

>>12577596
>t. Ali Abdaal

>>12577530

The number of doctors who don't believe in chronic fatigue syndrome, fibromyalgia and other diseases that tend to get a lot of love on Tumblr & Pinterest is interesting.

I've actually seen this cause massive fucking problems for patients who have that in their history because it means people don't believe them about other problems.

>if the overweight middle aged lady with a history of fibromyalgia presents with lower back pain and bilateral lower limb paraesthesia it's probably not a good idea to discharge her without even doing an MRI

>>12577700
>when your psych patient becomes manic and falls in love with you

>>12577629
MRI on the whole body? Would any doctor be ok with that?

>>12577770
Good luck finding anyone willing to pay for full-body MRI for every fibromyalgia. And even if you do what would you do with the findings? MRI's are good enough that they will detect minor defects that have no presentable outcome for patient health. Are the patients happy that they can say their body has this small blib right here and that's why they have fibromyalgia, and should we just do things so that patients are happy.

>>12577629

>>12577770
>>12577808

I should have made this clearer. I'm referring to a patient who presented with clear neurologic compromise and was discharged without an MRI because they thought she was a drug seeker. She spent the next two days unable to get off the floor of her house and now is permanently disabled.

I appreciate MRI'ing everyone because they have fibromyalgia is the act of an insane person/Hollywood consultant.

>>12577828
MRI wouldn't have been that helpful on 2 days of notice, not at least here due to poor availability. On call CT of brain though would have been the right choice if neurological symptoms were presented in the patient. Sounds more like issue with resident not bothering with basic neurological examination because of pre-existing misconception of a drug seeking patient. Or those findings were minor enough to not raise concern.

>>12577860
This.
I find it extremely hard to believe the ED wouldn’t order at least a head CT for any neurological symptom.
Half the time they’re literally documenting embellishments to justify ordering one.
Unless the patient had a clear history and thorough consults that gave explanation, an exam with clear neurological derangements without the above will not leave the ED without imaging

weird q, but..
With the alert about phenylalanine sources in chewing gum possibly 'causing laxative effects', how much is it real shit? I tend to chew quite a bit and may be seeing a correlation, but not sure.

>>12577530
I know this sounds like sjw shit but those kinds of conditions are better characterized under a bio-psycho-social model, especially with chronic pain and fatigue syndromes. For example just because there might not be a way to pinpoint a mechanical cause for a patient's low back pain doesn't mean they don't really feel it, nor does it really mean that it's all in their head, or even that there might not be something going on at the tissue level. An approach to these conditions need to involve addressing all three dimensions to their pain and this cannot be done by an emergency physician by themselves. The family medicine physician is in the ideal position to deal with it but often patients feel as though the doctor is accusing them of psychologizing their pain and they feel dismissed.

Are IV clinics pumping people full of B vitamins and saline a license to print money? Can't believe people will pay $250+ for a litre of 0.9% and some vitamins

>>12578778
https://vividness.live/buddhist-ethics-is-advertising

>>12578778
They’ve turned medicine into a business and people nowadays are anti intellectual ignoramuses. I long for the past when medicine was like a priesthood, a hospital a convenient, the words of a physician sacred

>>12578848
*Convent

>>12578839
>>12578778
Specifically the part on Smart Water.

Geoffrey Miller’s Spent: Sex, Evolution, and Consumer Behavior gave me considerable insight into contemporary Buddhism. Mostly we buy and do things, he writes, not for their inherent qualities, but for what they say about us.

Miller’s first example—now a bit dated—is Glacéau™ SmartWater™. Drinking it signals healthiness, hipness, and sexiness. But it’s just distilled water with tiny amounts of three common minerals added. There’s nothing about the contents of the bottle that is healthy, hip, or sexual. The steep price tag is justified by branding. Branding is what associates a product with the particular personal qualities it signals.

[skipped]

Why? Because it’s expensive, and because everyone knows that everyone else knows that it signals healthiness, hipness, and sexiness. So everyone knows what it is meant to signal, and that it is a costly signal of that. And how does everyone know that?

Advertising. The point of most advertising is not to convince you a product is functionally superior. It is to inform you which unrelated, personal qualities the product signals.

Anyone can buy SmartWater™, even diabetic, clueless, ugly people. So even if we all know it’s meant to signal healthiness, hipness, and sexiness, why would anyone think you are healthy, hip, and sexy if they see you drinking it?

And, of course, SmartWater™ is not your only signal. It works only as part of a lifestyle: a comprehensive package of healthiness-hipness-sexiness signals. Taken as a whole, a lifestyle is extremely expensive, and therefore a credible signal.

*eats apple*
Nothin personnel doc

>>12578848
the moment women entered medicine en masse was the beginning of the end

Hey guys sometimes as I'm falling alseep I feel a drop of water land on my brain and run down all sides and it will repeat over and over about once per second. It is physically painful and I can sometimes stop it by focusing very hard. If I cant stop it I will have a seizure about 30% of the time but while conscious and I go blind, during the seizure I experience auditory hallucinations. I was tested for epilepsy with an EEG and the results were normal and I have no tumors I'm 27 fit and eat healthy.

What could be causing this?

>>12578897
Did they do a 24 ambulatory EEG?
wdym by water dropping on your brain? Literally or as a sensation. By brain do you mean your forehead, your skull or inside your skull?

>>12569897
https://www.nejm.org/doi/full/10.1056/NEJMoa2031893?query=featured_home
Passive immunotherapy for COVID. Great study.

https://www.nejm.org/doi/full/10.1056/NEJMoa2034201?query=featured_home
J&J vaccine interim results released today

any dentistry/oral fags here?
what do I do if my hands are literally too big to floss anything after my canines?
my hands are about 9.5 inches long and the opening to my mouth is quite small

https://iro2.net/med/mjc2hd6r/

>>12579379
Floss picks. By the way they can be reused indefinitely as long as you soak the used ones in hydrogen peroxide, and you will re-use them, this isn't a barbarian country where we act like poor people, and our plastic waste ends up in the ocean, hmmm-kay?

>>12578897
>what could be causing this?

I’ll bite.
1) you have epilepsy and it’d be great if you seized during your EEG
2) withdrawal from something you have stopped taking
3) you have some lesion that wasn’t captured on imaging / wasn’t obvious, like you mentioned: tumor or injury
4) narcolepsy with cataplexy
5) migraine with panic disorder
6) and the Hail Mary, acute intermittent porphyria

Predictors of early seizure recurrence in patients admitted for seizures in the Emergency Department. Eur J Emerg Med 2008; 15:261

>>12579669
You missed PNES

>>12579620
Post here for quality medicine discussion

>>12579679
>run down all sides and it will repeat over and over about once per second.

Sounds like complications of hypnogogic induction. He's indicating a problem with control which might be amenable to psychiatric treatment with biofeedback devices

Ok so here’s my problem, if I move my arms in a circle really fast then all the blood rushes to my hands and it really hurts, is there any way to fix this?
>inb4 don’t move your arms in a circle really fast
no

>>12580004
wear compression gloves and sleeves

How much nic gum is too much a day? My stim prescription is out till may, so I've been using it to cope, too much I'm afraid.

>>12575093
How do you shadow docs? Literally just find the contact info of one and ask if you can follow them around?
I'd be surprised if they would be receptive to that.
I'm interested in anatomy, physiology, pathology diagnosis and pharmacology but based on my impression of what doctors do it's not something I'd be interested in. I really just want to do one unit at a time part-time (I already have a stable research career) but the unis wont let you enrol in any of the units unless you're a med student and you have to be full-time for that.

>>12579663
Not that Anon. I've tried floss picks once but they got shredded in my teeth. By the time I was finished they were frayed as hell.

>>12580090
nic-gum release time will hardly poison you seriously before you would feel the effects of mild nicotine poisoning, don't know if swallowing them would be an issue, but I'm sure you're not doing that

>>12580114
>nic-gum release time will hardly poison you seriously before you would feel the effects of mild nicotine poisoning
In theory, but I've been going through 20+ mg daily, at which point I would've definitely felt at least mildly nauseous in the past. dunno if my mouth mucosa is just so fucked up, the absorption is down the shitter.

>>12569897
Why is parfum/Fragnance allowed(The States)
Fragrance causes headaches and negatively affects the brain. (source)
Fragrance irritates the skin. (source)
Fragrance causes allergies, asthma and respiratory distress. (source)
Fragrance harms the reproductive system. (source)
Fragrance causes cancer. (source)

will ADD medication make me smarter? i know some people that flipped their education life 180 degrees, literally went from the equivalent of D to A+. i am asking here because i can't go to my doctor and tell him that i want ritalin because i want to be smarter

>>12580418
Ritalin can get you to focus more effectively, I experimented with it for studying but it only had a mild effect, though it might have been due to the low dosage. If you actually have an ADD just get checked out for it, it could help you a lot. You don't have to come of as a drug seeker, just go and tell him that you suspect you might have an undiagnosed ADD and would like it checked out

>>12574258
distilled water isn't actually toxic

To what degree do you suspect taking a round of Amoxicillin would compromise an otherwise healthy person's immune system in terms of fighting off COVID?

I got curious and did some googling and found an article from 2019 that said because antibiotics kill off flora living in the lungs, which act as protection against airborne viruses like the flu, participants who had recently taken antibiotics and were infected with the flu experienced more intense flu symptoms on average than the control group.

https://www.sciencedaily.com/releases/2019/07/190702112834.htm

I did a bunch of googling when it came to COVID and antibiotics but I could only find articles stating the obvious mass produced normie guidance on antibiotics: i.e. antibiotics cannot fight viruses, and if you are prescribed antibiotics then you should take the whole dose even if you feel better earlier.

If antibiotics can give people more intense flu symptoms; it stands to reason the same can happen for COVID symptoms. Yet I cannot find a single article that talks about this. I can only form two conclusions.
One, COVID is a nothingburger and the role flora in your lungs plays in regards to COVID symptoms/infection is marginal. Two, antibiotics significantly impact COVID symptoms/infection however this information cannot be disseminated to the unwashed masses because it might lead to people not taking their antibiotics.

Thoughts?

What are some surgeries the average person could be expected to perform well enough should you grab one off the streets and put them into a operating room? Removing the appendix sounds easy enough, since that one doctor even removed his own appendix once.

OH NONONONO

THIS CAN'T BE HAPPENING COOF BROS

THE JAB WAS SUPPOSED TO SAVE US!!

>>12576675
>Just git gud at doing ultrasounds and please do things on time. Don't be a lazy person who's the reason patient care is delayed.
Thanks anon

>>12580628
Appendix removal is probably the easiest and most common too, cholecystectomy might be another though you need to avoid liver there but again its one they teach surgery juniors early on and its common too.

>tfw you'll never be able to master all of medicine

>>12581273
Why would you even want to. Just find your niche and master that.

>just finished three years of med school
>about to go on the wards
>don't remember a thing
I'm gonna be a shit doctor lol

>BioNTech, firm behind Pfizer's COVID-19 jab, develops potential vaccine for multiple sclerosis

https://uk.finance.yahoo.com/news/biontech-pfizer-covid-19-vaccine-multiple-sclerosis-160017529.html

Is this another "cure for cancer" or is it actually something to get excited about?

Where would you rank the residencies by comfiness?

>>12581459
But that's a good thing because you don't have to forget everything you learned in your studies in order to actually learn the craft.

>>12581691
It could help in some cases I'm sure since its not far-fetched to think a viral disease and immuno-response to it might have a strong effect on the forming of MS. Not sure how it will benefit current patients though.

>>12581797
S: Clin lab
A: Radiology, psychiatry(private practice), occupational health(in countries it applies for gp's specialized in occupt.), pathology, forensic medicine
B:internal medicine(especially the more comfy stuff like rheumatology), urology/gynecology(private)
C:thoracic/heart surgery, very specialized orthepedic surgery, oncological surgery, rest of internal medicine
D:general surgery, oncology
F:ER, anesthesiology

>>12581691
Buckle up and hug your loved ones. So much bio/med advancements coming this year. Alott will be like this one. Made with nano particle accelerators. So much love coming. I'm sincerely excited for this tech and what it will do for us.

>>12581992
>psychiatry
>comfy
How

>>12581459
Are you in a 5 year program? How did you manage to not learn anything lol?
Best thing you can do is subspecialize in something and just focus hard on that
Then you can forget all the bs like female reproduction
>>12581953
Post moar dr. apus :)

>>12582103
Yeah we're at the beginnings of real gene therapy.
Makes sense to manipulate RNA first then DNA like evolutionary.

>>12581992
>IM B
Nah bro IM can be fucking hell. Specializations are different. IM is fucked. That's why Neuro residents always hate doing their IM stint. lol
>EM, Anesthesiology F
EM and Anesthesiology aren't that bad man. Not worse than surgery. What country are you from?
>>12582113
Psych is very comfy in the US. It's actually getting lots of applicants now because of how cozy it is. Ofc dealing with some psych patients is shit but I guess some people can tolerate it enough because outpatient psych is easy peasy.

>>12581273
know that feel breh

>>12581436
I like everything

>>12582235
>>12582240
Just be a rural GP and take care of deliveries, kids, women, men. Be a doc cradle to grave.

>>12582248
would be nice but would be hard to move away from family and hard to find a woman willing to come with you

Seriously, what the fuck is the problem with nurses?
>sanctimonious
>whores (literal porn/onlyfans whores)
>lazy
>noticeably lower IQ (too dumb/lazy to get into medical school)
>Bossy
>Always have some retarded side hustle related to nursing (youtube, tiktok, porn, facebook page)

How are they all so much alike? Do nursing schools specifically look for traits these people have? I'm terrified of going to my hospital placement because you fuckers have primed me to call them "nursoids".

>>12582270
marry some village broad
like a teacher in some schoolhouse
feel like rural medicine is the closest to what the spirit of medicine was like in the olden days

speaking of nursoids, how would you solve this thought problem?

>>12582333
>"they're filling a tiktok down the hall"

>>12582367
then you'd have to talk to her though

>>12582375
Was that a part of the instructions?

>>12582305
>Always have some retarded side hustle related to nursing (youtube, tiktok, porn, facebook page)
>side hustle related to nursing
>porn

>>12582333
the problem does not prohibit killing the nursoid

>>12582384
I mean if you can talk to nursoids then you're not prevented from doing so.
But you may as well have said "I turn invisible". Realism is implied.

>>12582424
>realism is implied
>talking to the nursoid isn't allowed
This is confusing.

>>12582476
>he talks to nurses
?????????????????????????????

>>12582484
I went on dates with 2 different nursesit was mediocre

>>12582495
I can't use spoilers correctly

>>12582495
>>12582476
>He doesn't just put orders in the computers and ignore all nursing pages.

>>12582476
It's prob a med student who got yelled at by a scrub nurse

>>12582520
The joke is that he is too shy to talk to a cute nurse.

>>12582527
nurses aren't cute
they're just annoying

>>12582542
People can be cute and annoying.

Only men should be nurses.

>>12582565
Male nurses are usually just as bad because they are gay.

>>12581459
I wouldn't worry about it. I'm 3 years into a 4 year programme and don't know a fucking thing. I'm a fucking retard.

Anyone know any good study resources?

>>12582596
That is even worse.

>>12583101
study resources for what

>>12583235
Just in general, but I guess
>anatomy
>most common clinical presentations
>clinical exams

>>12583240
Anki decks in general
>anatomy
Netter's Atlas
>most common clinical presentations
CMDT
>clinical exams
Watch on YT. Look up MacLeod, Bates, and Stanford 25

>>12569897
Do any of you guys have a twitter to follow clinical researchers, physician scientists, or knowledgeable physicians? Who do you recommend?

Starting my first semester of undergrad at 24

will my brain stop working before I apply to medschools

Will I have to abuse ADD medications to keep up with younger peers.

Do you know anyone who has done this and been admitted into an allopathic shchool? Being an older applicant will my chances of matching into medschool or residency be effected

I'm want to rush through undergrad with as close to a 4.0 as I can even if it kills me. Including taking summer classes etc. I'm scared that my brain doesn't have many highspeed years left.

I just want to help fix broken hearts bros...

>>12583901
no, no and no
just don't fuck it up

>Doing residency anesthesiology
>greet new student nurse in the department
>same age as me, 26
>she meets with the dep. head etc.
>nurses show her around the department
>20 minutes later she's doing a tiktok in the break room while I'm having my coffee
Does it ever end? Is this what I can expect?

>>12584051
play along and smash some prime nursoid pussy

>>12583901
Listen grandpa, you can do it, the most competent med-student I've ever seen was 30 years old in his last semester, hell there was a 56 year old guy in my first semester and even he didn't do so bad until he dropped out. Just git gud and be disciplined, in the end it's all about making the effort to keep up with a profession that requires life long learning

Alright explain me this, how do nursoids in your hospital have their own phones on them to do tiktok or even have time for it. Nursoids like all women have to be kept busy doing pointless menial tasks or they get bored and aggregate into hen groups.

>>12583901
Not a medfag but computer engineer. Never took anything to help me focus besides coffee as an undergrad. I enrolled as a 22 year old freshman. By the time I was a senior in my late 20s, I noticed staying up for over 24 hours was a lot more draining for me than it was when I was a teenager. I still crammed a lot before exams but I would invert my sleep schedule to do this, so like, waking up at midnight and sleeping at 4pm. I also took summer classes.

My memory is pretty much as good as its ever been. The only thing that really deterriorates from teens to 20s is reaction time and maybe energy levels. You can still learn.

>>12582160

how the fuck do I learn clinical examination

>>12584324
Just by doing it.

>>12584051
Just let them do it. Alternatively, assign them tasks all the time so they don't have time for their social media shit. Sending them to refill the sevo/desflurane after every single surgery is my personal favourite.
Also get friendly with the young ones so you can get some.

>>12584401
>Also get friendly with the young ones so you can get some.
How common is this bros?

>>12584051
I was working a job once and a female joined. Within a week, during lunch break, she was showing us facebook profiles of guys she slept with, like it was cute and endearing. I just do not understand roastoids.

>>12584414
what do you think, high status men with not terrible social skills

>>12584447
>not terrible social skills
So that counts out anesthesiologists.

>>12584401
Based waster of inhalation anesthetics.
>send them to refill
Don't you have to sign for every single container they take out of the medicine room?

>>12584470
Add radiologists to the list

A question fren doctors. How do you deal without having this magnum opus in your pocket when you work on call. And what are some similar books in your country.

https://verkkokauppa.duodecim.fi/6512.html

>>12584516
>How do you deal without having this magnum opus in your pocket

Easy. I don't know Finnish.

so in your opinion what are the top illnesses plaguing humanity and why do you think we have not solved them

>>12584516
https://oxfordmedicine.com

>>12569897
>use AMBOSS to go through old national exam question
>includes an option to get a hint for the question, the hint is presented with some shitty doctor illustration next to it
>the illustration has various ethnicities
>black man, white women, asian women, indian women, indian man, black women
>notice there is no white male doctor, check a tons of questions to see if there is
>there's non
Really felt like a shizo noticing this, it's an unremarkable thing, but they go through the "effort" of putting a shitty illustration next to a hint an then make it everything from an old indian man to a chinese women but don't include a generic white man. Combined with them putting up a notice about refraining from using "gendered speech" in their articles, it just reminded me how everything has these retards sitting in some position of influence

>>12584587
1.Homosexuality
2.Gender Dysphoria
3.Autism
4.High melanin in skin
5.Depression

>>12584324
If you get a dull sound while doing percussion it means everything's fine, but if you get a dull sound while doing percussion it means your patient is dying.

Hope that helps.

Why don't americans seek health care abroad? It's so expensive in USA?

>>12584587
Since Cancer and HIV are already getting so much attention from the medical community, I would say:

1. Autoimmune diseases
2. Chronic Pain
3. Lyme and other tick-borne infections

I don't think we have the knowledge to treat diseases involving the brain. And bacterial diseases are almost impossible to treat since there are so many different kind of them. And we don't even know if Lyme can be chronic or not.

>>12584516
Phones have access to UpToDate
Otherwise Pocket Medicine

>>12583440
Bump

>>12569897
>Patient who I hate tells me they have the option to get the COVID jab
>Expresses doubts about the vaccine and keeps on saying "how did they do it so fats"
>Instead of arguing say "your concerns are valid. If you don't want the jab don't get it."
>Patient decides not to get it
>Hoping they die of covid so I never have to see their hypochondriac fatass again

>Patient who I hate tells me they have the option to get the COVID jab
>Expresses doubts about the vaccine and keeps on saying "how did they do it so fats"
>Instead of arguing say "your concerns are valid. If you don't want the jab don't get it."
>Patient decides not to get it
>Hoping they die of covid so I never have to see their hypochondriac fatass again
Who here killing off their gomers?

what are the best indoor shoes, /fa/-shits need not to apply

>>12585103
Ecco

>>12585115
what model?

>>12584870
>Why don't americans seek health care abroad? It's so expensive in USA?
Healthcare in the USA is fine. What's more common is Canadians seeking treatment in America rather than visa versa.
American healthcare costs are often exaggerated for political gain in local elections. I'm sure you've herd about $1000 insulin in America, right? In reality, insulin costs 34 cents per unit for the uninsured, on average.

>>12584991
Part of the reason I could never be a GP or a ER doctor is because I'd hate having to deal with hypochondriacs and drug seekers all the time. Let me work in a specialty so I know every patient who walks through my door has been referred to me by a doctor who knows they have a problem.

>>12585119
Helsinki slip on

any people graduated medicine from Italy? I'm curious as to how acceptable a degree from there is (the qualification I have does not allow me ti practice in certain countries, so I'm curious if Italy faces the same issue). Also is humanitas a meme?

>>12585251
In euro area its automatically accepted throughout. Though you might need to pass language tests locally.

>>12585251
What country did you get your qualification from?

Guys

I want to donate my money to serious research on cures for aging. Where should I send my money?

Why the fuck are you doctors doing this?

>>12585771
Gerovital.

>>12584587
Alzheimer's disease: we don't really know what actually causes it. The predominant theory regarding accumulation of beta-amyloid plaque was elegant since it had pathological correlation, but drugs that target the formation of beta-amyloid plaque had just recently been found to not be very effective in reducing disease which shows that beta-amyloid is probably not even close to the full story.

>>12576540
Bible.

>>12585771
>cures for aging
May as well fucking burn it for all the good it would do. Hell burning it would do MORE good since you'd be helping to control inflation.
Or you can send it to me. I'm a doctor, I might cure aging one day.

>>12585814
You can sort this one out.
>Perfume and hygiene causes infertility.
>White people have good hygiene, niggers don't.
>White people have impaired fertility, niggers don't.
White genocide.

The surgeons who did this need to have their license to practice medicine revoked for crimes against humanity.

>>12586568
I don't know who this is and I don't care. Talk about your e-celeb on reddit where it belongs.

>>12586568
This has to be a lie. Please be a lie! Not the milkers!

>>12586568
I hate surgeons.

>>12586568
Nooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo

Mommy milkies

>>12585771
Send it to me.

>>12586586
Faggot

any other fat fucks here?
it's embarassing as shit being a fat fuck medical student when they want us to do abdominal exams on each other. how's the embarrassment when you're a fat doctor?

gonna try a 24 hour water fast tomorrow, let's see how it goes.

COVID test Anon here.
>trying to leave on-time for once in my life
>VIP patient comes in wanting a rapid PCR one minute before my shift ends
>now I have to wait at work an extra half an hour to run the PCR
>the results come back fucking incomprehensible
>I know how I fucked it up, too; I put too much fluid in the frigging cassette again and basically just shat all over the results
>at least I didn't throw that vial away, run it again pipetting with neurotic precision this time
>have to wait a full extra hour after closing now just to one run test
>can't even put the machine on walkaway mode for this shit; have to send the results manually so can't even shut down the computer
>take off my PPE and chain smoke alone outside the clinic for an hour just staring at the clock

>>12587029
I gained a lot of weight in med school because of stress eating.
Get /fit/
It's super important to at least look like you embody some semblance of health as a doctor
Selfesteem and embarrassment goes down the shitter when you're telling some fat fuck to lose weight for their hypertension or diabetes but you're a prediabetic fag yourself

>>12587029
Lift weights, I was with an old boomer surgeon once, he looked pretty stubby and fat but he had huge beefy forearms and a formidable neck and frame, he looked a lot more impressive than the other metrosexual stick docs I've seen. Pulling it off probably works better if you are a boomer but point is its better to be chubby (~20% bf) but jacked instead of a thin stick.
Also the future of physical fitness is resistance training so you better learn how to do it if you're gonna prescribe exercise to patients.

>>12587349
>that pic
damn

>>12586568
She got a cyst removed

>>12587349
This. Scrubs make your arms look great if you have some muscle

>The residents told me to go home early because it's a Friday afternoon.
Based.

>>12587202
>>the results come back fucking incomprehensible
Say it's positive and go home at that point

>>12587393
>no symptoms
>just tell him he's sick when he might not be

>>12587383
Lucky ducky.

>tfw got an e-mail from the university that said I got an appointment tomorrow for the vaccine

Feels good bros.

>>12587508
>getting the vaccine next week
I'm honestly a bit spooked, Anons. The amount of shit in the media makes it impossible not to be at least a little sketched out about it.

>>12587513
I'm already fed up with the whole pandemic thingy, I just want to get it done and get back to normal asap.

>>12587508
>university is now mandating the vaccine for students
>they don't have enough balls yet to mandate it for the teaching staff, but things might change

I don't want to get jabbed I already had the sniffles

>>12587513
>listening to the media
lol
just read the journal articles and talk to your colleagues who have gotten it

>>12587513
You just have to trust the companies making them have done everything they can to ensure it's safe.
It's basically pure self interest, they would get destroyed and their stock price would plummet if it's bad

>>12587528
also the fda and the third party scientists who reviewed the data before it was sent to the fda, after it was sent to the fda, and when it was published in nejm

>>12587525
>for the teaching staff
I'm pretty sure they got jabbed already senpai, most of them have work to do besides teaching.

>>12587536
I haven't received any notice until now mandating it for me

>>12587528
>>12587532
so basically trust the science!

Can a patient refuse treatment of someone of a different race?

>>12587597
You mean a patient refuses treatment from let's say a black doctor? I guess you can.

>>12587508
>tfw students will not get vaccine any faster than the normal population

>>12587597
You can refuse pretty much anything offered to you.

>>12587383
>>12587433
I always tell my med students to go to their "lectures" at midday

>>12587508
>tfw getting vaccine earliest at the end of summer

>>12587597
Patients can always refuse treatment for any reason just by walking out but they're not getting someone else to do it.

hehe

I'm wondering about how the making of vaccines work
As we know, there are a lot of side-effects of the covid-vaccine. Is it possible they can simply tweak the makeup slightly even now, or do they have to start over for every single time they want to change the vaccine?

>>12587811
My mnemonic in med school was Wernicke CAN become Korsakoff.
Confusion
Ataxia
Nystagmus

>>12588195
Never been much of mnemonic user myself, but my personal favorite was memorizing the movement directions of kinesin and dynein as "kikes make money (+), dykes go broke (-)"

>>12587811
Oh
Oh
Oh
To
Touch
And
Feel
Virgin
Girls
Vagina
And
Hymen

Going to a doc in some days but
Pulsing eye pain
And white circular glitches in vision at night and only at night
Any ideas? How fucked am I?

>>12588453
I had a patient who had that. He died.

>>12588453
A starting Horton's neuralgia maybe? Good luck with that, try not to suicide.

Tired vision and random dull ache, blurry episodes
>>12588500
Look, pain and migraine I can take, now blindness is another thing.

>>12588453
See a doctor ASAP. Possibly aacg which is ocular emergency

>>12588453
What is your natural, uncorrected vision?

>>12587202
oof

>>12584991
why don't u fucking tell him he is a mentaly ill psychotic and get him on abilify

>hand slips while I'm cutting a peach with my deer knife
>huge, heavy full-tang hunting knife slips through the fruit and into my left index finger
>sickening *THUNK!* as the knife cuts into me
>no pain yet
>silence
>not 100% sure I still have 10 fingers
>suddenly tons of pain and blood
>the white of my bone is exposed
>the fingertip is hanging on by a thread and looks like a partially-severed hot dog
>unbelievable levels of blood loss
>dash over to my friend's room and begin immediately demanding superglue (he builds model cars and planes)
>he wakes up annoyed and bleary-eyed and sees me bleeding out in front of him
>gives me a bottle of superglue
>pop a hydrocodone I have left over from a previous hospital stay from my trauma kit
>go to the sink, carefully reattach the fingertip, which is wiggling all over the place, with the superglue and a q tip
>somehow manage to do this while trembling with pain
>fuck it up and have to peel back the fingertip again to try again
>eventually get it as good as I can get it, the wound is shut and the fingertip is almost fully reattached
>there is a tremendous trail of blood all throughout the hallway and big pools of blood in the sink, at my friend's door, and on my desk
>wrap the finger in gauze and bind it for the next few hours
>have to keep doing additional wound cleaning, dabs of superglue, adjustments, and re-bindings for the next few hours as I keep unwrapping it to let blood flow through and then re-binding it for hemostasis
>left hand is pale as fuck, especially the left index finger
>go to Denny's with my friend, use a lot of their napkins just absorbing blood
>get home
>bleeding has mostly stopped
>pop another painkiller, wrap the wounded finger less-tightly, lie with it elevated for an hour or so, hand fucking throbbing with pain, and pass out
>wake up still in pain
>that's good, at least the finger didn't die
>crazy fucking mix of pallor and inflamation on the finger
(CONT)

>sensation does not fully return to my left index finger for over a year
>somehow retain full use of the finger
>no infection, no loss of function

>>12584991
Based

>>12589360
>>12589441
Based frontier anon not relying on city-slicker medicine

>>12589360
>>12589441
had a patient that did something similar, he died of sepsis though

>>12589360
>>12589441
You deserve to lose your finger for being too stupid to go to the hospital.
>Fuck I cut my finger off, what's the solution for this
>I know, superglue and denny's!

>>12588440
kek thank you gyno chad

>>12588440
Her
Cunt
To
Tight
So
Lubricate
The
Pussy

For carpal bones

Which one of you is the anesthesiology autist that got sexually assaulted?

>>12590124
>Anesthesiology being lazy
Typical lol
But God would I wish for something like that to happen to me

>>12589577
>>12589602
I thought I did a good job. In hindsight I definitely should have gone to the hospital, but I was able to fix a partial amputation with superglue and dressings at 2 AM in the middle of Bumfuck, New Mexico and it actually worked. And I thought it was pretty smart to keep loosening and re-doing the binding to alternately provide hemostasis and reperfuse the finger while the glue and the clotting set.
I had this hard lump of superglue in my finger for like a year too, and that felt weird, but I think my body absorbed it because it went away.
Actually, no, in hindsight this was beyond dumb and I'm amazed I didn't lose a digit.

>>12590483
Goes to show you how interesting the healing process and our physiology really is

>>12590489
Exactly. I'm telling tbe story because I'm continually astonished that it actually worked and that the body can fully heal from such a grievous injury even with such shitty intervention.

Sometimes if I drink too much my balls tingle. Why is this?

Can you guys redpill me on boxing and/or MMA? I'm a biochemistry student and want to protect my brain but want to fight too. Is fighting incompatible with a STEM lifestyle?

>>12590332
Same, I lift like a psychopath for the nurses

got the jab today senpais.

sigh, why do dr's treat me (nursing student) like dirt and why do i find it so hot?

>>12592016
Because you are a woman and it reminds you of your ancestral place in the society.

>>12591818
Doing it in the amateur level wont do any major brain damage. Try it its worth it.
>>12591620
You are just horny, go to sleep.

>>12592016
Because nurses are retarded. Generally speaking.

>>12590124
Based anesthesia chad

>>12590124
God I wish that were me

>>12592210
Sorry, forgot to mention. The girl. I wish I was the nurse.

Does everyone see the world as I see it or not? Normal or not?
Highlights in things, they feel red and green, static superimposed all the time, if I look at dark things it becomes more noticeable.

I think I might have undiagnosed ADHD, how do I bring this up with my doctor without sounding like I'm just another drug seeking college freshman

>>12588927
Can't, can get to one tomorrow but not now definitely not now
>>12589174
Don't know, don't remember

new
>>12592668
>>12592668
>>12592668