/med/icine general

[Anonymous No.15512316]

19th century Siberian midwifery edition

Previous: >>15475353

We discuss research, DO NOT offer advice (just fucking go see your doctor), make fun of premeds and shitpost.
Keep vaccination/clamping/vitamin K/soliciting advice out of this thread and start your own because it takes a lot of space.

[Anonymous No.15512326]

>tfw you will never hold as much respect and sway over a Siberian village like a Moscow-trained doctor in the late 1800s

[Anonymous No.15512340]

why are only weirdos in the geriatric field?

[Anonymous No.15512361]

>>15512340
if you stare into the delirium and dementia, they stare back at you

[Anonymous No.15512573]

>>15512316
thoughts on concierge medicine?

[Anonymous No.15513163]

>>15512573
Fuck is that?

[Anonymous No.15513459]

another mind numbing ER shift tomorrow
i hate them, it's so braindead. I learn next to nothing from it

[Anonymous No.15513480]

>>15512326
just be the only doctor of a certain specialty in a rural county, and you'll have infinite respect and sway.

[Anonymous No.15513513]

quick and dirty on ABGs? I think I get it, but still have a difficult time interpreting Davenport diagrams when it's mixed disorders.

[Anonymous No.15513528]

>>15513513
>but still have a difficult time interpreting Davenport diagrams when it's mixed disorders.
that nerdy shit has been worthless to me, i've never used it
basics like O2, CO2, electrolytes, lactate, glucose, hgb has been enough in my experience
also you know what it is from the history usually or the PMH, ABG is rarely diagnostic in itself unless it's one of the above basic stuff.
Monitoring is good, but usually they have arteriel caths and that;s in the ICU
ICU nerds can have fun with that
>MUH NUMBERS GO UP AND DOWN LMAOO
ICU nerds treating monitors and labs will never not amuse me

[Anonymous No.15513580]

Any idea (diagnostics) how to tell if it's ibd or ass cancer? I've been shitting blood (visible and confirmed by stool sample I've given for giardasis) with stool for like 2 weeks already, have bouts of insane nausea (with occasional vomiting with blood), low grade fever and attacks of crippling fatigue that make it hard to even hold a phone or stand/sit still

[Anonymous No.15513735]

>>15513580
go to an ass doctor

[Anonymous No.15513764]

>>15513735
Great idea, asshole

[Anonymous No.15513991]

>>15513528
lmao
thanks doc

[Anonymous No.15514389]

>>15513580
colonoscopy

[Anonymous No.15514409]

>>15514389
Thanks

[Anonymous No.15514661]

will taking antihistamines while sick slow my recovery? I've got no headache but I have super bad snot, coughing from post nasal drip, throat pain from coughing and I can't sleep for more than 3 hours at a time. What can I take to make myself not want to die? I literally went into my local doctor and he was a chink that couldn't speak english, was coughing and offered meds that barely alleviated the symptoms. Is everything that can make me feel better illegal because people abused it? ibuprofen, panadol, pseudoephedrine, durotuss, some gay antihistamine - it does fucking nothing man, I hate this and want to sleep

[Anonymous No.15514754]

>>15514661
Have you tried asking your physician?

[Anonymous No.15515245]

>>15514754
he is a chink who gave me hayfever meds
he is beyond useless
I don't have access to basic healthcare and I wake up at 3 am every night coughing up green shit unable to open one eye.

He prescribed me fexofenadine because my eyes look red.

[Anonymous No.15515298]

>>15515245
Don’t care anyway lol

[Anonymous No.15515322]

Im a dental student studying for the CBSE right now. Im doing this as part of the application process to Oral & Maxillofacial surgery, which is highly competitive so I need to get a good score.

I take the exam in February. Is this enough time considering I'm just starting now?

Any tips from medfags that have taken Step 1? Right now doing BaB with the lightyear anki deck and annotating first aid along the way.

[Anonymous No.15515349]

>>15515322
That's more than enough time. It might be wise to set aside the month or two before the exam to full-time studying if you can pull it.

[Anonymous No.15515750]

>>15514661
do you work for free

[Anonymous No.15516128]

>>15514661
>doesnt practice lid hygiene
shiggy diggy.

[Anonymous No.15516753]

I'm a bored nerd who stumbled upon the Wikipedia page about gene enhancers and I can't understand how they achieve their purpose
I understand the process and steps, but I don't understand why bending the DNA strand to bring the enhancer close to a promoter makes it more likely for RNA polymerase to attach to the promoter. I don't see how that changes anything in terms of transcription likelihood. Can anyone here explain?

[Anonymous No.15516908]

Does the appearance of a ulcus durum signify that serological tests (primarily TPHA) will start being positive now during primary syphillis? Or is a PCR/microscopy of the chancre fluid still necessary until secondary syphillis?

[Anonymous No.15517952]

>>15516753
Enhancer attracts RNA polymerase/TF. Enhancer close to promotor -> RNA polymerase goes to promotor. Transscription.

[Anonymous No.15518032]

>>15517952
So the RNA polymerase just detaches off the enhancer and sometimes ends up on the promoter through sheer chance, basically forming an increased gradient around the promoter? That seems incredibly ineffective to me, why not just find a way to bridge the gap and make the RNA polymerase go over it directly?
I want to go deeper down this rabbit hole, because several things in this process are still puzzling me. Do you know of any source that explores this in depth?

[Anonymous No.15518177]

Favorite medical instrument?

[Anonymous No.15518206]

Anyone doing a PhD while working? How are you managing it?

[Anonymous No.15518611]

>>15518032
explores how enhancers work? look into something called liquid-liquid phase separation. nucleic acid binding proteins and NAs assemble into transient structures that are constantly changing. one enhancer can act on several promoters in a network. it is epigenetic level regulation that is relatively poorly understood. But to answer, why you need enhancers, TFs bind very specific sequences and sequences for different transcription factors can be adjacent to each other, how a specific TF/which ones get loaded to a promoter probably involves enhancers.

in other news, i got accepted to med school today, any tips?

[Anonymous No.15518726]

does anyone here have an answer for >>15515770
Why do doctors murder so many babies?
Do they enjoy it?

[Anonymous No.15519523]

Can someone explain to me why reducing afterload worsens hocm? I've been having trouble understanding

[Anonymous No.15519540]

>>15515322
>application process to Oral & Maxillofacial surgery
hotdamn nigga, good luck to you
how long is that whole degree going to take you?

[Anonymous No.15519550]

>>15518177
Langenbeck, i always play with it like the skeleton knife in csgo when i get bored during a surgery

[Anonymous No.15519583]

>>15515322
>lightyear anki deck

no one uses this anymore. its all anking now

NBME exams 25-31 are same format as the CBSE (4 blocks of 50 questions, short stems), you should take a few. the topics tend to repeat. you can buy them off the step 1 website or just do an offine pdf though you'll have to subtract a couple points off your score

[Anonymous No.15519703]

>>15519523
Sufficient afterload "stabilizes" the left ventircular outflow tract during systole, like a "counter pressure" to the increased LV pressure that keeps it from collapsing/obstructing itself, reduce the afterload and the LV contracts against a lower resistance and is more likely to collapse during systole

[Anonymous No.15519864]

>>15519703
thanks

[Anonymous No.15519942]

>>15519864
Specific physiology can be hard to come by when search engines are just oversaturated with a million results that don't go in depth at all, check out deranged physiology if you run into dead ends, it's a bit jumbeld but it usually covers the basic physiology pretty well

[Anonymous No.15520062]

>>15519583
lightyear is supposedly directly made off of BaB though that’s why I was considering it. Anking that much better? And wdym subtract points off my score if I use a pdf. Why?

[Anonymous No.15520068]

>>15519540
Thanks man. It’s
>4 year dental school
>6 year med school/residency integrated
>1-2 years optional fellowship
As of now I want to do head and neck cancer surgery so that would imply a fellowship but who knows how I will feel years from now about doing that

[Anonymous No.15520342]

>>15518177
phoropter though slit lamp comes in a close 2nd.

[Anonymous No.15520648]

>>15520062
>Anking that much better?

its significantly more updated. latest version also runs on the cloud, so real-time updates and fixes are made. it's also tagged to multiple resources including BnB, as well as Sketchy, First Aid, Bootcamp, etc. the Step 2 deck in Anking also includes a lot of step 1 vignette style diagnosis cards that are very helpful

the online ($60) nmbes give a slightly scaled score based on difficulty of the form. even just a few questions out of 200 makes a big difference

one thing thats big now on step/cbse thats not really in anki is "communications" questions. that requires practice, which uworld is good for

[Anonymous No.15520856]

Ascites or fat?

[Anonymous No.15520873]

I want to poison myself but I only want to use mild poisons
Any suggestions?
One thing I'd like to poison myself with is Saponins

[Anonymous No.15520874]

>>15520873
Btw by poison I mean I want to experience unpleasant and unusual symptoms due to poisoning but inflict no lasting damage to myself besides perhaps increasing my susceptibility to certain poisons or having bio-accumulation in my body
Basically I want to feel things I've never felt before

[Anonymous No.15520877]

>>15520873
22lr into the chest and work up to 50bmg. it'll hurt but you'll live.

[Anonymous No.15520879]

>>15520877
What?
These are bullets not poisons

[Anonymous No.15521096]

>>15520879
bullets are made out of lead which is a poison. just trust me, bro.

[Anonymous No.15521114]

>>15520873
Start by a good caffeine overdose

[Anonymous No.15521241]

>>15520068
>head and neck cancer surgery
I've assisted in some neck dissections, very interesting but damn does that departement schedule long OR times

[Anonymous No.15521520]

why is it that I can punch walls and hard stuff in general with my right hand without feeling much pain but when I do it with my left it's 100 times worse and I get easily bruised? Do I just need to keep doing it to get calluses on my knucles or is there something wrong with my hand? (right handed btw)

[Anonymous No.15521633]

>>15520648
Thanks bro. Appreciate the advice. Will use anking.
>>15521241
That’s awesome. Was it in a med school rotation?

[Anonymous No.15521799]

>>15521520
Non dominant hand being weaker ig
>>15520856
So? It's flat when laying on back and standing
>>15521241
Speaking of cancer surgeries, are there any that can relapse? I'm opposed to chemo, but fine with getting cut and might have one

[Anonymous No.15522162]

>>15518611
I'm a second year moving onto 3rd year. For preclinicals, I imagine a lot of people will be recommending anki with the anking deck and 3rd party resources like boards and beyond, pathoma, and sketchy. This seems to work for most people, but I wasn't a fan of spending a bunch of money for gay micro cartoons. I got through preclinicals and step 1 by reading robbins and cotran and various physiology books my school provided. I would also use wiki a ton for quick facts and even some help with physiology. My point is, use the first block of med school to see what works for you. People will criticize you for deviating from the norm, but it doesn't matter if it works.

[Anonymous No.15522191]

>>15512340
The geri attendings and fellows during my rotation were great.

[Anonymous No.15522268]

>decide to trim my toe nails
>squat down and trim my toe nails in a squatting position for ~1minute
>go to stand back up
>sudden shooting back in my lower back
>stop, wonder wtf, then go back to moving into an upright posture
>literally cant straighten up a bent-over posture without sudden bursts intense lower back pain
>brace myself against a nearby post
>gradually force myself to stand upright by leaning and pushing against the post
>feel like i'm about to pass out, not sure if head rush from being bent over or the intense pain
>stagger over to my bed and lay down
>only feel vague pain laying down as long as i dont move
>one of my thighs feels warm
>with slight movements i feel pain again

im skinny and in my 20s wtf did i just do to my body. my entire lower back feels like its in an 'oh shit' mode

[Anonymous No.15522282]

>>15522268
You need to go to a chiropractor. They'll set things straight.

[Anonymous No.15522289]

>>15522282

[Anonymous No.15522926]

>>15522268
nerve pinched in lumbar/sacral region. it's over.

[Anonymous No.15523014]

Twisted my big toe performing limbo while wearing flip flops. Big hematoma and can't walk on it.
Should I get an X ray or give it a couple days?

[Anonymous No.15523304]

>>15513528
Fucking wrong, abg is an excellent modality in the "why the fuck is this comatose patient comatose" patient.

[Anonymous No.15523306]

>>15516908
Haha, your dick is infected.

[Anonymous No.15523309]

>>15518177
Portable US, of course

[Anonymous No.15523315]

>>15520873
You should kill yourself for real, instead of wasting physicians time with your attention whoring. I prescribe a shotgun blast to the head.

[Anonymous No.15523317]

>>15522268
Muscle spasm causing lower back pain. Don't go to a fucking doctor for this, take paracetamol and ibuprofen, move regularly and get on with your fucking life.

[Anonymous No.15523318]

>>15523014
Don't ask for medic advice here, fucktard.

[Anonymous No.15523501]

How do hormones relate to body/blood pH?
Particularly related to the menstrual cycle and the luteul phase?

What are ways in which body pH can be altered?
Is the pH body theory bullshit?

[Anonymous No.15523510]

>>15523501
Prehaps I should rephrase, how does it relate to vaginal PH?
What are the mechanisms that causes the changes in vaginal PH?

[Anonymous No.15523522]

how do you find papers/books besides sci-hub and libgen? my uni has shitty access to most journals

[Anonymous No.15523772]

>>15523317
thanks doc
does this happen because i need to have a stronger core? or more flexibility? im tall and have tight hamstrings, cant touch my toes etc

[Anonymous No.15525489]

Is this infected or healing normally?

[Anonymous No.15525598]

>>15525489
You gonna die boy

[Anonymous No.15525611]

>>15525489
Its fine. Wash it off and try to let it breath and dry off for awhile if you can.

[Anonymous No.15526107]

Does only cancer cause severe physical weakness/fatigue that isn't relieved/entirely relived by rest and immense pain that get worse at night?

[Anonymous No.15526624]

>>15525489
Get sterile compresses and saline from a pharmacy, twice a day, rinse the wound with saline and dab it with the compresses to remove debris and puss. The wound isn't badly infected or anything but keeping it clean and removing the debris will help with the healing process.

>>15523772
If you're tall and skinny, it's likely your joint dynamics aren't ideal to begin with, if you want to prevent compounding aches and pains you should get on a small strength training and stretching routine to improve your back and core strength as well as your overall mobility, 20-30 minutes 3-5 times a week would serve you well in the long run, just look up something on youtube, bodyweight stuff is perfectly fine for that purpose.

[Anonymous No.15526643]

>>15525489
Rub some dirt in there and go to sleep, you'll be fine.

[Anonymous No.15528022]

>>15526624
What if I did deadlifts but with baby weight? Like the bar plus 10-25 pounds on each side? Is that good for this purpose? And what bodyweight exercises even work the lumbar muscles? Roman chair?

[Anonymous No.15528305]

how do you do, fellow researches? I was looking around the ski- Dermatology database and from what I found is that skin is held in one piece thanks to collagen fibers which are only 300nm long. thus the mystery: would applying a collagen rich gen be enough to heal a cut? just pour that shit into a wound, squeeze both sides together and voila! skin glue! does this exist and why if not. for practical reasons let's ignore the epidermis and focus on dermis and Fat.

[Anonymous No.15528985]

>>15528022
You can just do bodyweight exercises like lying back extensions, bodyweight squats, lying legraises, if you want to do weight training that's fine too but you have to adapt your form to your height/proportions and put an extra focus on keeping it correct, just Deadlifts will probably not be enough, you should also do something to specifically exercise your spinal erectors like good mornings as well as squats and stretches. In general, chances are your postural habits aren't ideal and since you're the tall skinny type you might get to notice the results of that earlier than others, so best get on an exercise regiment to compensate for that and try to keep your posture in check (not slouching over on a desk, not looking down on your phone etc.)

[Anonymous No.15530030]

How do I work up motivation to study? I think about all the stuff I need to study for the next couple of tests, national tests, and then I don't study at all instead. Should I just get a meth prescription?

[Anonymous No.15530622]

>>15530030
You summon a demon to take over your body for a few hours so you can do all the studying you need to do.

And yeah the invocation ritual is snorting amphetamine salts.

[Anonymous No.15530670]

If acetaminophen is a COX blocker, why doesn't it cause peptic ulcer like the other NSAIDs?

[Anonymous No.15530750]

>>15530670
it is a weak inhibitor compared to others

[Anonymous No.15530901]

affirmative action just ended. what does this mean for the medical field?

captcha: dtgaay

[Anonymous No.15530905]

>>15530901
Would anything really change? Can't admissions just say they like a nigger's 'personality' more from their personal statement and interview?

[Anonymous No.15530918]

>>15530905
They can, but people inside would get wind of that, and if that ever makes it into an email or a slack message, you are legally speaking down bad
You'll always have people using their personal bias to decide which candidate they like, but making it not official policy will eliminate most of it

[Anonymous No.15530933]

>>15530918
i hope asians sue the shit out of ivy league universities now
get your bags

[Anonymous No.15530935]

>>15530670
it's already a weak cox blocker, and it preferentially blocks cox-2, which is not associated with gastric mucosa

[Anonymous No.15530975]

>>15530901
Not much, general healthcare is way too important to ignore across the board. Covid basically reminded the country of that. So you will still have programs related to it. But it might put a noticeable chill on female admission rates.

Coming off the heels of the student debt crisis for college though, it's clear that there are interest in de-emphasizing college or reforming it to prevent the $1.7 trillion debt from growing. Plus with continued A.I. integration in medical field and other areas none of this may not fundamentally matter.

Still believe the whole controversy with AA in the medical field is more or less a grift. We all know it's about money and not merit. There are more academically rigorous medical programs in Europe and East Asia but neither pay their graduating doctors as well as the US. Which is key here.

[Anonymous No.15530987]

Med student who wants to be a heart surgeon. Any thoughts? Am I going to regret it?

[Anonymous No.15531014]

>>15530933
are you asian?

[Anonymous No.15531161]

>>15530670
it is a weak cox-2 blocker wich is asociated with ulcers(look up celecoxib wich is a selective cox2 blocker) don't know what the other fag was talking about; paracetamol doesn t cause ulcers or reye's disease for that matter because it's action is at the cns/brain level and very very very little at the perifery that s why it s a shit antiinflamatory drug; in fact it's not even clasified as an AINS annymore for that reason; but it is a great antipyretic and analgezic but nit antiinflamatory
Read lippincott niggers but 5th edition at most don't buy the latest one since it has a trillion pages; best book on planet earth and I've memorised it like an absolut sperg worth it.

[Anonymous No.15531358]

any recommendation for a good handbook of psychology for a noob when it comes to psychology?
>EMT in the making but would need some expertise in psychology

[Anonymous No.15531362]

>>15531358
p.s. i have separet psychiatry book for the pathologies

[Anonymous No.15531380]

>>15531358
Psychology is a lot of woo. Just let people talk, avoid getting into arguments, and a secret third thing to have a solid sentence with three big items
Trust me on this. I'm bigly an expert

[Anonymous No.15531541]

neuro here i have a question
why cant you take a proper history

[Anonymous No.15531554]

>hello is it neuro, uuughhh the patient is dizzy
>dizzy how? how's the BP, is it vertigo or unsteadiness or lightheadedness? did you check electrolytes
>yes

>hello neuro uuggghh the patient is altered lmao
>are they delirious? is it aphasia? can you be more specific. what's their GCS
>sneed

[Anonymous No.15531573]

>>15531541
unreliable historians

[Anonymous No.15531588]

>>15531573
in my experience as a neuro resident only we are consistently good at obtaining a proper detailed chronological history

everyone else is winging it and just looking at labs

[Anonymous No.15531668]

>M3
>still not sure what I want to do
>mfw my preceptors ask me what my future plans are

[Anonymous No.15531716]

>>15518177
Speculum

[Anonymous No.15531746]

What specialisation do I need for an GF like this?

[Anonymous No.15531874]

>>15531746
Urology.

[Anonymous No.15531877]

Am I experiencing testicular torsion? What do I do?!
>Had quick pain in my right nut earlier today but it wasn't too bad and went away instantly.
>Just sitting at computer just now
>All of a sudden right nut hurts REALLY fucking bad
>Hurts so bad I feel like I'm really going to throw up
>Lasts on a couple seconds
>Am okay at the moment
My right nut does feel a little bit more swollen than my left but not by a lot, and as said it doesn't hurt anymore.
It's 9PM. Do I wait and see if it does it again or what? I don't want to go to the emergency room if it isn't really a thing.
My nuts are on the line and everybody's asleep, please forgive me if this is off-topic.

[Anonymous No.15531934]

>>15531746
Plastic surgery

[Anonymous No.15532135]

>>15512316
Still haven't submitted AMCAS and probably won't until July 1. Am I fucked medbros? Gunning for top MSTPs/MD-PhD programs with a 3.8/521 but weird/meh ECs and a military discharge. Also what would happen if I drink Trizol?

[Anonymous No.15532154]

>>15531746
endocringeology with fellowship in tranny medicine

[Anonymous No.15532179]

So since affirmative action based on race is out of the picture, how will universities keep their medical cohorts "diverse"?

I, for one, suggest more autists in medicine.

[Anonymous No.15532226]

>>15532179
>I, for one, suggest more autists in medicine.
How would someone check for this? Someone doing poorly in their interviews lol?

[Anonymous No.15532255]

>>15531668
>>15531746
ophthalmology

[Anonymous No.15532271]

>>15532226
See normies can fake shit interviews. It needs to be something bullet proof.

I suggest a social media and chan audit. A complex equation favouring pepes, wojaks and /pol/ buzzwords and disfavouring selfies, large number of events attended (esp. normie parties) and online virtue signaling.

Also since women can't be autistic, they'd be excluded from admissions.

[Anonymous No.15532743]

>Oopsie, couldn't breast feed you when you were a 2 week old newborn, because reasons!/mother
What fucking reasons could there even be??? Lemme guess fucking postpartum? Fucking women.

[Anonymous No.15532843]

>>15531380
>>15531358
my mistake asked in the wrong place thanks for the advice anyway

[Anonymous No.15532871]

>>15512316
after beating cancer i have been inspired to become a doctor
problem is i am in my mid twenties
is it too late for me to pursue a career?

[Anonymous No.15533228]

>>15532871
>>15532135 is me and I'm 30 lolers. Never too late. Do you want to be 45 and not be a doctor?

[Anonymous No.15533240]

>>15533228
yknow, that helped me make my decision
Thank you.

[Anonymous No.15533298]

>>15532135
>3.8/521
I would KILL for these stats. Good job, anon. Don't know why you're being neurotic about being 'fucked'.

[Anonymous No.15533794]

>>15532135
>>15532135
You aren't fucked with those stats, i'm this anon >>15518611, over 30, finished phd, goin md. Drinking Trizol will fuck you up, think about what happens to cells when you throw it on. I know someone who lost an eye from phenol..

>>15533228 It ain't too late

[Anonymous No.15533820]

Gib Potassium competitive acid blockers (PCABs) NOW!
Wonder if these are preferable to PPI's...for those of us who have these issues.

[Anonymous No.15534216]

>>15533298
>>15533794
Ty frens, was mostly concerned about the late submission date. No more self-sabotage and finishing this shit today inshallah.

Also if they didn't want me to drink Trizol why did they make it look like pink lemonade?

[Anonymous No.15534223]

>>15534216
It's endearing that u think of pink lemonade, i think of sizzurp. I wanna put that trizol in my sprite

[Anonymous No.15534351]

say, are nasal swabs mandatory for detecting staphylococcus aureus? I may or may not need a mandatory one for a job offer that I would rather skip because I sure as hell don't trust politicians when they say that swabs can't serve as vaccines, especially since my mother is dying from terminal cancer 2 years after "le jaberino I did the thingerino yass!". and then there's the whole glass fibers breaking off and getting stuck in order to provide eternal itchiness and pain.

[Anonymous No.15534543]

Fucking baby murdering freaks. Fuck all of you

[Anonymous No.15534547]

>>15534543
If you ask for consent first, sweetheart

[Anonymous No.15535050]

>>15534543
i have a vehemently pro-life, hard-right christian classmate who secretly got an abortion after she was dumped, lol

[Anonymous No.15535064]

>>15515298
But your oath?

[Anonymous No.15535123]

>>15521241
are there any good video series on neck dissection technique?
Doesn't matter if old or new. (As a side note, the Tegos tapes in neurosurgery were interesting and informative on operative technique despite being crazy old)

t. differentfag

[Anonymous No.15535315]

Does this make sense?
https://www.youtube.com/watch?v=fDWEVXhaydc

[Anonymous No.15535359]

>>15535315
Most retarded thing I've seen today. And I'm definitely not watching the whole thing.

The body has the opposite problem, and it's a major cause of death. We evolved in an environment where cholesterol was very valuable, and relatively scarce. So your body does a great job of conserving it and keeping it in circulation, but there's not that many mechanisms for getting read of excess cholesterol.

And the two leading causes of death happen to be heart disease and stroke.
If you want to live longer, do exercise and eat healthy instead of watching crackpot TED talks. Only thing that works, and people just won't do it no matter how many times it's said. There's no secret.

[Anonymous No.15535405]

>>15535359
Cheers.

[Anonymous No.15536369]

>>15535064
charity is not in the declaration of geneva

[Anonymous No.15536816]

i have been on the primal diet for a week now and haven't felt any stool moves, am i dangerously constipated?

[Anonymous No.15536848]

>>15536816
Drink water eat fiber you'll be fine.

[Anonymous No.15536952]

>>15535359
>exercise and eat healthy
This is awful advice because it's so vague. Everyone can see the basic trends but the specifics for optimizing long-term health evade us.

[Anonymous No.15536981]

>>15536952
The specifics turn out to not matter much. The single most effective intervention far above all is any form of exercise several times a week, and a balanced diet.
If you need more details, see a nutritionist

[Anonymous No.15538345]

When is bloody stool indicative of cancer?

[Anonymous No.15538524]

>>15512316
Hi anons, I'm here looking for advice (sorry).
>Anxiety prone, 23yo, underweight
>10mg of Adderall today
>10mg propranolol three days ago (I've read something about unopposed alpha agonism, but unlikely since the half-life is short and that was for overdose cocaine patients in a ER setting)
>Short (less than one second) sharp pain on the chest, center but slightly left biased
>Started during the comedown
>Seemed to be triggered/lessened by posture but can't tell because of their short duration
>Could be malnourished (end of semester, I rarely cook decent meals)
Is it muscular? Something to do with bronquiodilation? Posture (I studied the whole 4 hours sitting on my bed)? Electrolytes?

[Anonymous No.15538527]

>>15538524
Happened around 6-7 times in the span of an hour or so btw

[Anonymous No.15538568]

>>15538524
stop taking drugs, drink water when thirsty, and eat when hungry. take a multivitamin if you want.

[Anonymous No.15538576]

>>15538568
But it was a /med/ical doctor the one who prescribed me the Adderall and the propranolol in the first place. If I start complaining about chest pains he might get scared and just cease the prescription.

[Anonymous No.15538648]

>>15538576
What's the purpose of the beta blocker?

[Anonymous No.15538982]

>>15538648
Physical anxiety/panic attacks, but that I used to have a script for years ago. In fact it was the first time using them since 2020 or so (had an important presentation). I was always scared of them so never really took them as prescribed.

[Anonymous No.15539014]

What the fuck just happened today. I'm a peds resident, 2nd year. I'm on peds neuro rotation and the attending I am with cares soooooo fucking much about the papers it's unbelievable. Other residents called me today telling me I didn't give the patient some god know what the fuck document to sign and I couldn't hold it in any longer. I told them why didn't they do it then instead of me and why do they complain about such shitty things, especially when the document that needed signing had to be given when the patient is leaving the hospital. I told them to not call me anymore for such things. Fuck them, fuck neuro peds, fuck all the kiss ass residents.

Imagine this. They had some accreditation stuff to do and the people that came to verify the hospital were coming and the attending made us look through all the older charts (starting from 2022 and fix them). Suddenly, the cared about their fucking papers.

[Anonymous No.15539331]

I once stumbled upon an official/government US website wlth information on specific poisoning treatment - there were pdfs available with a fuckton of studies on toxicity of - for example - copper as well as pdfs with clinical guidelines for treatment of CO poisoning with a ready-to-print sheet for patient
does anyone know that website?

[Anonymous No.15539334]

ok got it
https://wwwn.cdc.gov/Tsp/index.aspx

[Anonymous No.15539392]

>>15539331
I'd like to know about this one too. All I know about regarding toxicology is Toxbase but it's paid and costs a fuckton.

[Anonymous No.15539527]

>>15538524
I'm not a doctor, so I feel qualified to answer.
It sounds like it could be the precordial catch meme. If it lasts less than a second, you don't have any other symptom, and it's not triggered by anything in particular like exercise or anxiety, by exclusion that's probably just a small glitch.

If you feel the classic radiating chest pain that extends to your arms/back/legs/whatever and it lasts more than a single second, that would be when you reach for your phone.

[Anonymous No.15539554]

>Activation of the second messenger pathway leads to increased levels of CaMKII and PKAII
>[...] these signals recruit additional receptors into the post-synaptic membrane

Here's a stupid question: Can't we directly target the second messengers to get rid of GABA_a tolerance effects?
What if I magically throw Targeted Protein Degraders at CaMKII, is it that simple to block/reverse EtOH, BZD tolerance?

There must be some reason that we always target receptors instead of messenger proteins, but I don't get it.
We have the tools, why don't we poke at internal pathways?
(Derek Lowe says it's totally real and protein degraders should be practical any time now)

[Anonymous No.15540193]

Why do I pace around my room, bite or click my nails and rock back and forth?

[Anonymous No.15540196]

>>15539554
Drug development slow and tedious. They do touch upon pre and post synaptic receptors and alike (no idea about centers of tolerance tho) as seen with aripiprazole (shit, but still) and future schizo drugs, but really as of now I doubt it will be as easy as target receptor to block de/senitization without it causing some horrid shit or finding specific bit responsible for process
>>15538345
Anyone? Blood varied from dark, maroon to bright red; abdominal pain prior, during and after trip to toilet

[Anonymous No.15540197]

>>15540193
Adhd if boredom, autismo if you can't into emotions and do it as anxiety relief

[Anonymous No.15540202]

>>15540197
Allow me to answer without pathologising

>>15540193
Its a habit youve tought yourself.

[Anonymous No.15540208]

>>15525489
Both!

You know the body has an army to fight infection right?

Apply antibiotic cream. Normal strength. Normal amount.

[Anonymous No.15540215]

>>15528305
Small chance of the collagen protein transporting infection bacteria etc into the wound and proving source of food.

Best case scenario its a small enough wound so you havent just basically poured beef skin powder into your own wound to fill it like a sandbag. Then your body just noms the protien instead of treating it as a foreign body. Which it might just do due to the proteins on the outside of the cellstructure being from a different animal.

[Anonymous No.15540511]

>>15539014
>neuro
>peds
I feel sorry for you.

[Anonymous No.15540795]

>>15540511
Shit ton of distrophies/ALS and the rest are traumas and epileptics. Not a bad spec but I can't wait to go back to general peds.

[Anonymous No.15541085]

>the new resident brings this with him to morning rounds
what are your immediate thoughts?

[Anonymous No.15541143]

>be assisting on surgery
>prepare patient, call for surgeon
>he comes in drunk as hell per usual
>quickly performs a top notch sectoral mastectomy
>runs away leaves patient to be closed up by me
>nurse goes: "he's so drunk how is he going to get home safely driving under influence"
>mfw no face

[Anonymous No.15541154]

>>15541085
high five and try to be friends with the coolest fellow in kindergarten

[Anonymous No.15541254]

>>15541085
"Borrow" a pen. I was working with a junior resident once that had a ton of those amazing G2 pilot pens with 0.5 tip diameter. Amazing pens. Still won't dish out cash on them, I'll stick to my shitty BICs that nobody will steal.

[Anonymous No.15541653]

Why do doctors turn their noses up at foot surgeons but not hand surgeons?

[Anonymous No.15542063]

>>15541143
the nurse and him are fucking.

[Anonymous No.15542195]

>>15542063
nah that nurse is pushing high 60s he fucks other nurses

[Anonymous No.15542426]

Has anyone here gone into a family medicine or primary care-focused internal medicine residency? What are the things I should consider about it, good and bad? When I started med school I had the delusion that I wanted to do cardiothoracic surgery, but over the past few months I've been thinking that I'd just like to become a rural doctor.

[Anonymous No.15542948]

>>15542426
>rural doctor
I'm a rural doctor and I regret it because most of my patients are racist to me. Don't do it unless you're huwhite.

[Anonymous No.15543161]

Peds resident here. I have a pretty cool case to share.

This is in neuropeds. Patient F, 9 y/o comes with her dad. 2 days ago she said she can't see colors very well with her left eye and when she covers the right eye and a subject (her dad) is in front of her, she can only see the lower half of it. Everything else, including basic labs are unremarkable.

From here on, the diagnosis is easy so I'll leave it up to you. If you're unsure, here's another tip: she has 3 cats at home.

[Anonymous No.15543202]

>>15543161
toxoplasmosis?

[Anonymous No.15543204]

>>15543202
correct!

Haven't seen a case yet in my entire residency years. Optho said she had chorioretinitis and after additional labs she had positive IgM.

[Anonymous No.15543392]

>>15543204
i have only seen once, calcifications in brain on ultrasound.

[Anonymous No.15544525]

Being a nurse does not look fun. This scene in this movie had me laughing out loud.

https://youtu.be/hXjQCjNZeME?t=4245

[Anonymous No.15544532]

>>15544525
Enable subtitles.

[Anonymous No.15544884]

>>15543161
did you do mri of the brain
i doubt an lp was done

[Anonymous No.15544891]

>>15543161
I've always been surprised that the dangers of toxo as a human parasite are so hushed up. There's a whole litany of behavioral and physical problems that it causes but it's barely ever discussed and there isn't a widespread program for treating people or cats to get rid of the risk.

[Anonymous No.15545171]

>>15532135
For the date, my gut says no. My undergrad didn't submit my letter until August and I'm at a T15 MSTP and interviewed at two T5s. Could I have gotten into those T5s if they were earlier? Idk but desu it's a completely stochastic process.

The bigger question is what your research experience is like. Having quality research is 90% of the MSTP application

[Anonymous No.15545344]

>>15512316
anki is becoming boring and is starting to becoming a huge chore again
how do you deal with this mates ?

[Anonymous No.15545435]

>>15545344
take a break, make your anki decks due to next week or something.

[Anonymous No.15545476]

>>15545344
do questions instead

[Anonymous No.15545543]

>>15512316
how tf do you even study for the gamsat? every result is some overpriced 'tutoring' service

[Anonymous No.15545608]

>>15542948
kek. are you black or something? most rural people are fine if you're the correct type of asian.

[Anonymous No.15545819]

just took USMLE STEP 2 CK holy crap long test, thought it was easier than Step 1. A third of my class failed it last year cause they were dumbasses and didn't take it seriously cause the switch to P/F. Quiz me to see if I actually know shit. My mind was in a trance and loopy after that long 9 hr test

[Anonymous No.15545823]

>>15541085
get a pair of heelies and be the coolest kid on rounds AMOG him anon pls

[Anonymous No.15545846]

>>15545819
30yo man presents with altered mental status, hearing loss, ringing in the ears, claims Asuka is best girl, and has trouble in ADL due to difficulty swallowing, which is crucial to his sex life

[Anonymous No.15545981]

>>15545608
>kek. are you black or something?
I'm actually Asian.
>most rural people are fine if you're the correct type of asian.
What do you mean? I don't think most huwhite people can tell the difference between Asians. Unless you're talking how a huwhite person would call a Pakistani dude a terrorist or some shit. I'm East Asian by the way (not Chinese but it's not like they would know anyways). I just wanted to chill in the countryside alone but instead, I barraged by huwhite people being racist to me. :(

[Anonymous No.15546137]

i swear i remember there being some kind of great surgical atlas by lippincott, maybe called illustrated atlas of surgery by lippincott like they have for pharmacology, biochemistry etc but i can't find it anymore like it never existed. does anyone have a clue?

[Anonymous No.15546393]

>>15545981
Probably depends on the state. Where I've been in Oregon seems to be fine for most gooks/japs/chinks as long as English is your first language. They only really start to care if you're a brown asian/poo in loo with really shitty English/very thick accent.

[Anonymous No.15546424]

>>15546137
>i swear i remember there being some kind of great surgical atlas by lippincott, maybe called illustrated atlas of surgery by lippincott like they have for pharmacology, biochemistry etc but i can't find it anymore like it never existed. does anyone have a clue?


As of my knowledge cutoff in September 2021, there was no specific surgical atlas titled "Illustrated Atlas of Surgery by Lippincott" published by Lippincott Williams & Wilkins (LWW). Lippincott Williams & Wilkins is a prominent publisher of medical textbooks and resources, but I don't have access to information about all their publications beyond 2021. It's possible that the title you mentioned may have been released after my knowledge cutoff or could be a lesser-known or regional publication. I recommend checking with medical libraries, bookstores, or online resources for the most up-to-date information on surgical atlases.

There are several well-known surgical atlases available from various publishers. Some of the popular surgical atlases include:

"Atlas of Surgical Operations" by Richard M. Bell and Merril T. Dayton (Lippincott Williams & Wilkins)
"Surgical Atlas of the Musculoskeletal System" by Emil H. Schemitsch (Thieme)
"Operative Techniques in Surgery" series by Michael W. Mulholland et al. (Elsevier)
"Atlas of Surgical Anatomy" by Jürgen Fischer (Springer)
"Atlas of General Surgical Techniques" by Courtney M. Townsend Jr. et al. (Wolters Kluwer)

[Anonymous No.15546579]

>>15545981
Sounds kinda fake and gay. Surely, you would have done a little rural placement before you did the residency? You would have seen people being "racist" and chose another specialty.

[Anonymous No.15546586]

>>15546393
>Probably depends on the state.
I'm in the South.
>Where I've been in Oregon seems to be fine for most gooks/japs/chinks as long as English is your first language.
Yes, I speak English natively.
>They only really start to care if you're a brown asian/poo in loo
My skin is actually whiter than most of the patients I see.

>>15546579
I started before COVID and was I fine with the occasional remark but now I regularly have people blame me for COVID.

[Anonymous No.15547339]

>>15546424
thanks but why does this read like its written by AI?

[Anonymous No.15547473]

>>15546586
What type of Asian?

[Anonymous No.15547486]

>>15547339
Because it is.