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10485829 No.10485829 [Reply] [Original]

Family medicine edition

Last one reached bump limit : old >>10474772

4th year med student from EU here, ask me anything.

This is a thread dedicated to med student, dentistry student and pharma students. We discuss research, procedures, speciality choices but we're mostly shitposting.

>> No.10485839
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10485839

>shitposting
Can do

>> No.10485841
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10485841

will i have problems getting accepted into residency if i havent volunteered as a nurse? im on last year of uni

>> No.10485846

>>10485839
kek

>>10485841
You shouldn't have a problem being accepted into residency. It shouldn't really matter, to be honest. All the best, anon.

>> No.10485857
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10485857

>>10485839

>> No.10485865
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10485865

>>10485846
I heard some people get turned down during interview and also all my peers do it im afraid all my studies will be vain if i cant be accepted for that stupid reason

>> No.10485870

>>10485865
>im afraid all my studies will be in vain
Why? You study to be a doctor, it you haven't practice as a nurse it shouldn't matter because both have extremely different roles. It's like blaming the brain for not beating like a heart. Imo, you shouldn't stress this out. What speciality do you want to go in?

>> No.10485880

>studying cross sectional anatomy
>every book and picture online makes it look different

Fuck this gay shit.

>> No.10485886

>>10485829
What country?

>> No.10485887

>>10485870
homeopathy

>> No.10485890

>>10485880
>anatomy
Thank god I finished with that shit.

>> No.10485893

>>10485886
Romania.

>>10485887
Is this bait? You're a med student, right?

>> No.10485895

>>10485870
Yes you are right logically, but who knows.
I am thinking between several paths which i will probably decide in last minute, it will be either:
Neurology
Oncology
Hematology
Or infectious diseases
I also sometimes play with thoughts of abdominal or neurosurgeries but not untill ill have near 100% knowledge.
What about you anon?

>> No.10485898

>>10485880
>boomer lecturer taught us sectional using a set of low quality cadaver pics that she didn't even label outside of pointing at them briefly during the lecture
I'm still fucking fuming about how probably THE most important unit of the degree was left to an incompetent cow.

>> No.10485902

>>10485893
That was not me its some baka

>> No.10485903

>>10485893
nah brah, im an ND

>> No.10485908

>>10485890
The tricky thing is that you will never be finished with anatomy.

>> No.10485914

>>10485893
Are you Romanian?

>> No.10485926

>>10485895
You really have some nice options, if you ask me. Onc related to hem and neruo related to id.

>what about you?

Family medicine all the way, bro. Primary care is my favourite practice and I would also like to make something to help poor people and give them treatment for free (Since here in Romania, a family doctor gets free meds and bandages and so on from the insurance company)

>>10485914
I just stated that I'm from Romania. Yes, I'm Romanian. What's up.

>>10485902
AHO!

>> No.10485938

>>10485926
>Yes, I'm Romanian
Just making sure.
Isn't there a lot of foreign med students in Romania?

>> No.10485953
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10485953

>>10485926
Nice man, wherever family medicine is strong that makes entire system function properly. Most of problems should be and can be dealt at that level, probably one of the most important chains of public health. Good luck to you man.

>> No.10485996

>>10485938
>Isn't there a lot of foreign med students in Romania?

French, german, different arab countries, koreans and there was this one dude from Jamaica that I used to play football with. So yeah, it's pretty diverse but they are all at either english or french programs while I'm ofc in the romanian program.

>>10485953
Good luck to you too, anon. I want to have a private practice like my mom, she won't give her place to me because she's nowhere near retirement, but there are a lot of patients without insurance that I would really like to help and check them out. FM here is practiced only in private, not in hospitals like in US.


Hope you'll get into one of the residencies you mentioned and do your best. That's the only acceptable level of practicing medicine.

>> No.10486016

>>10485953
homeopathy is unironically the solution to this...MDs are controlled by big pharma and the AAMC cartel

>> No.10486021

>>10486016
literally /x/ tier post.

>> No.10486025

>>10486021
cope

>> No.10486027

>>10486025
>t. brainlet cope

>> No.10486041

>>10486027
>t. seething capitalist's cope

>> No.10486043

>>10486041
kek'd. Go back to /x/, bro. Your conspiracy theories are not good enough for /med/.

>> No.10486059

lately I've been having what seems like pimples on the inside of my nose and it's fucking painful. what do? where does it even come from? I've gotten like four in two weeks even though I never had that before.

>> No.10486065

>>10485829
From last thread, thoughts on pathology? Other anons also said epidemiology is a meme/boring. What would someone major/focus/specialize in if they wanted to mostly work with diseases and infections (left vague on purpose)

>> No.10486075

>>10486059
Go to an ENT to check them out. Could be because of ingrown hairs, folliculitis and so on.

>>10486065
>What would someone major/focus/specialize in if they wanted to mostly work with diseases and infections (left vague on purpose)


Definitely not pathology then. Infectious disease is a good one, nephrology, rheumatology, mostly internal medicine subspecialities.

>> No.10486078
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10486078

Lets suppose a person has malignant cancer, and undergoes no treatment at all, what would be the cause of death? I understand different locations and types could lead to different complication but im not asking that im asking why does cancer kill at all?

>> No.10486081

>>10486059
No matter what dont pop them with force,go to doctor.

>> No.10486120

>>10486078
>Lets suppose a person has malignant cancer, and undergoes no treatment at all, what would be the cause of death?
Organ failure, usually.

>I understand different locations and types could lead to different complication but im not asking that im asking why does cancer kill at all?
"Cancer" means cells have started reproducing incorrectly, so left unchecked, at some point it will start to compromise your body's functionality, leading to a cascading effect.

>> No.10486125

>>10486075
>Definitely not pathology
Why do people usually go into pathology? Like I don't really get the appeal (aside from the lack of patient contact but that's not sufficient as an incentive, especially since there are other specialties like that)

>> No.10486130

>>10486125
Pathology is the best field for research in medicine.

>> No.10486133

>>10486130
Yeah but not everyone who does pathology wants to go into research.

>> No.10486134

>>10486120
Your answer is not right for my question, i know that which you said, i even mentioned it.

>> No.10486171

>>10486133
Well, that's true. Some do it because they like autopsies and reading slides, otherwise you have zero patient interaction.

>> No.10486207
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10486207

>>10485829
Is nursing worth it? I've volunteered countless hours and through my time at different facilities I have grown a hatred for nurses. They're all vapid condescending cunts.

>> No.10486223

>>10485898
Anatomy isnt even the most important unit of 1st year. Wtf are u talkin about

>> No.10486469

>>10486207
Nursing school? If you like to take care of patients in a way that physicians don't, sure, go for it. Most nurses act like cunts because:

1.They wanted to be doctors
2.They think they're better than doctors and forget their place
3.There are good nurses that are cunts but they're specifically cunts to make you a better doctor. Let me give you an example on this one. I was volunteering at an emergency department, the head nurse was the no.1 kind on this list, but there was another nurse that was on the shift with us. Huge, muscular female, we nicknamed her "Olga". She was the strictest, most respected and best nurse I've ever practiced with in my entire life. She was the kind of nurse that made you feel like shit when you made a mistake but it also showed you how it's done. When you did good, she showed her gratitude, she always thanked us whenever we helped her with anything, basically her presence was screaming strictness but there was not only strictness, there was a shade of respect in there too. She was respected by us, but she respected us too. Idk how to describe the feeling she gave me, it was something different from any nurse I've came accross, tbqh. If you want to do nursing school, then become the kind of nurse she is. That's the most reliable and most loyal to the team type. As long as you love what are you doing, I encourage you anon.

>>10486223
Holy shit, pls don't remind me of chem. Barely passed it.

>> No.10486490

>>10486469
Funny because I'm getting my BSN to apply to med school.
I love working with patients. Dealing with nurses is the painful part.

>> No.10486498

>>10486490
>dealing with nurses is the painful part
Sometimes yes, but let me give you a tip: befriend them. I did this when I had surgery rotations and they did let me assist at some surgeries that weren't performed by my prof.

>> No.10486505

>>10486078
It substitutes the working stuff with not working stuff
After a while theres not enough stuff working left

>> No.10486507

>>10486498
Thanks for the info bud.

>> No.10486538

>>10486507
All the best anon, you'll be a fine doc.

>>10486505
Not him, but I wanted to ask about cancer treatment. If let's say a patient has liver cancer, the cancer has not spread yet and the patient already shows signs of liver failure that becomes complicated and creates a congestive heart failure too. If we do chemo and rad therapy, do we treat the organ failures too? Or we just keep going with chemo and rads?

>> No.10486553

>>10486538
To show signs of liver failure it means that most of times is advanced. There can be exceptions, like a cancer that develops at the exit of biliar ducts that will induce a fast failure, but otherwise the clinical breakdown is very late and it means the illness is diffused.
Chemo and radio are usually used with a palliative intention in this context. They won't treat the illness but reduce the global mass of it, allowing the organs to recover their function, reduce simptoms and possibly prolong survival. But even asimptomatic survival is fine even if you don't gain a single day.
A tumor to be eradicable needs to be small, but the problem is that most of times it won't give away any sign of itself unless it's big.
There are also conditions indirectly linked to the presence of cancer (paraneoplastic syndromes) that may need specific treatment.

>> No.10486586

>>10486553
Thanks for the reply. I studied paraneoplastic syndrome when I had pathology classes but never spoke about treatment. Gen surg told us that the treatment should be surgical followed by chemo sessions to make sure it won't come back if the tumour was in early stages. I know that stage 3-4 cancer is treated with chemo , rads + a palliative care doc/team as the chances of survival are low.

Haven't had oncology yet, I definitely don't want to practice it even though it seems kind of interesting so thanks again for clearing this up for me, anon.

>> No.10486597

>>10486586
No prob. Hematology aside, which has specific terapies, in general all tumors are: we can cut it? Then let's cut it. We can't? reduce it with chemo or rad so that we can cut it. They didn't work enough to cut it? Let's see if we can irradiate it enough to kill it. We failed? Whatever works to keep the guy standing, we will use.
Absolutely abhorrent post scientifically, every cancer has its specific treatment, but you got the generic idea. M1 bad T1 good, everything in the middle stays in the middle.

>> No.10486604
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10486604

>>10485829
I'm a bit interested in medical shit, what should I read to figure out if I like studying it? All that I have is a copy of this:
https://www.goodreads.com/book/show/45839.Principles_of_Anatomy_and_Physiology
I haven't done anything related since I took an A&P course in highschool, I can't remember any of it.

>> No.10486743

>>10486604
Start with the basics. Anatomy and physiology are a must if you want basic medical knowledge and to know how the body functions. Then, if you want to get into more stupid shit, biochemistry is the next one (which I don't recommend, never enjoyed it), pathophysiology - how is your body affected by diseases and pharmacology - how meds work.

That's enough knowledge to be on par with a 3rd year med student in EU.

>> No.10486783

One of the best and most detailed case reports I've ever read in a while. Chinese athlete that had abnormal electrocardiograms for 8 years, discovered with hypertrophic cardiomyopathy and mild ischemia of the left ventricle and reduced ejection fraction of the left ventricle. electrocardiogram showed inversed T waves and aggravated abnormal Q waves.

Do you guys think that from the chest X-Ray in the article, the doctors were able to find out that the left atrium and ventricle were enlarged?

>> No.10486793

>>10486783
Wtf, can't post link, system thinks it's spam.

https://jmedicalcasereports.biomedcentral.com

Go here and look for Continuous electrocardiogram changes preceding phenotypic expression for 8years in an athlete with hypertrophic cardiomyopathy: a case report

>> No.10487188

What are the best fields for aspie aside from pathology?

>> No.10487194

>>10486604
That picture is really sad man

>> No.10487197

>>10487188
rice fields

>> No.10487215
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10487215

>>10485829

Hello folks, non /med/ person here. I just have some general anatomy questions/curiosity about the human skeletal system, and its nomenclature.

-does each bone in normal morphology (from birth to adulthood) have its own proper, unambiguous name (take pic related, for example). "Name the extreme pinky bone in the left hand." Is this "the fifth distal phalange of the left hand" or something more concise, etc. I appreciate that different countries may use different systems but I'm interested in standards for skeletal nomenclature.

-generally, how does pediatric fusing of bones (ossification?) proceed? A few years ago I tried asking some of this stuff to my aunt who's been a nurse for 30 years and she started suggesting some stuff which contradicted what I'd been reading on wiki at the time (particularly how there are many more bones at birth, I don't recall details). I'm pretty sure she was wrong (whatever the exact point of contention was, I forget honestly) but she's very nice, I love her and it wasn't worth having an argument over, so I let it drop. Also she's the one in the biz and I'm not, hence this thread.

-Pulled my meme copy of Gray's off the shelf for this, this is where I got the "ossification" word from. also extreme phalanges are described (it seems) as "ungual" phalanges, if I read that right.

>> No.10487392

Why are surgeons so shit? So some researchers in the EU were doing a study to figure out what materials don't degrade in the body so that they can make electrodes for picking up nerve signals to make deus ex real. So what this entailed was implanting electrodes in healthy applicants for a month or two. Needless to say, the IRB process to get this approved was quite lengthy. So they get everything set up, implant them in these brave volunteers, wait a month while monitoring them, and extracted them. So they take them to the lab and very carefully put them under the microscope to look for signs of damage. They notice strange marks and scratches that aren't to be expected with most biological degradation processes. Some are ripped up. And then it hits them, many of the marks appear to be due to the surgeon fucking them up when they removed them. Turns out surgeons don't give a fuck about objects they remove from the body. This made all of their results worthless. The money was pissed down the drain, the time getting approval wasted, and the subjects suffered for nothing. All this for a result that was basically 'strongly encourage your surgeons to be careful when removing this shit from the body." And that's not the worst part, there were even some indications that the electrodes got damaged during the implantation process by the surgeon. So next time someone asks why we don't have deus ex, blame surgeons.

>> No.10487671

>>10487215
You could either say "distal phalange" or "ungeal phalange". Every bone has its own name and every bone has probably 5-10 (probably more for complex bones like the ones in your head) "landmarks" of importance (except maybe the smaller ones), those also have their very own unique name. The only bones that don't get their own unique name are the ones that repeat a lot (ribs, vertebrae, metacarpals, metatarsals etc). The name of the bones are pretty standardized across the literature but some of the "landmarks" you find on bones can be named 3 different things.

>generally, how does pediatric fusing of bones (ossification?) proceed?
from what I understood bones are "divided" in a lot of segments when you're born, and the segments fuse together progressively as you grow up.

>> No.10487677

>>10487392
Not the surgeons fault if they weren't warned of the fragility of the electrodes. Can't blame the moving guys for breaking your dishes if you didn't put the "fragile" label on the box can you?

>> No.10487823

Aussie MDY1 here
Fuck anatomy and fuck Telstra for trying to block /med/

>> No.10487867

>>10487188
Radiology, most surgery, med bio

>> No.10487888

>>10487188
I'm so sick of seeing pathology alternatives questions...Radiology.

>> No.10487896
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10487896

what's the best specialty for being involved in space-related and Mars-related medicine in the future? Just aerospace medicine or will there be roles for other specialists in the Mars colony/treating space-tourists?

>> No.10487918

My non-med-school long-distance girlfriend just told me she doesn't want to leave her established job to move to wherever I get a residency, as we had been planning when I first left for school 3 years ago.

Can't blame her, but still, fuck.

>> No.10487921

>>10487896
Oncology and hematology, because anyone going to mars is gonna get a fuckload of radiation and destroy their DNA by the time they arrive.

>> No.10487940

>>10487918
That's shit. Which one of you will earn more when you get into residency?

>> No.10487943

>>10487921
Thank you. How is oncology otherwise as a field? Desirable? Good lifestyle? I vaguely remember recalling there is some part of oncology that is depressing and full of burnout, maybe it was pediatric or maybe it was the whole thing.

>> No.10487953

>>10487943
All of onc is sad for the most part. Patients die, your only satisfaction is when one of them actually survives. Lifestyle wise it's fine. You get a lot of money but if you're the kind of person that isn't comfortable with patients dying, you'll bring those problems home and will alter your lifestyle

>> No.10488108

>>10487940
She'd be making significantly more. She worked a fair number of miserable jobs to get to where she is now, so I understand not wanting to start over in a possibly strange city. Just a sucky situation all around.
Hell yeah, love sacrificing most of my 20s and a very strong relationship to pursue my dream career, which I'm becoming more jaded with by the day.

>> No.10488115

>>10487896
Aerospace medicine is a subspeciality of family medicine. I guess that you know what it consists of, you do check ups on pilots periodically, on new pilots you have to perform some tests if they're able to practice their profession and the list goes on. I find it interesting, but it's a limited field. Aerospace med is the way to go if you want that, or as the anon said, onc is another speciality but you surely won't practice it on pilots.


>>10488108
Sometimes sacrifices have to be made, anon. I bet she sacrificed a lot of things to be where she is now. After you finish residency and pay off your debt, you can come back to her and stay with her for good, maybe open a private practice and live a happy life. What speciality will you practice?

>> No.10488233

>>10487188
>What are the best fields for aspie aside from pathology?

Clinical lab, literally the aspie field.

>> No.10488335

Redpill me on fibromyalgia.

>> No.10488460

>>10488335
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3503476/

this explains it better than any of us.

>> No.10488463

>>10487677
Then they would damage stuff in the body. The surgeons were told to be careful, they just didn't give a fuck.

>> No.10488477

>>10488463
Not him but I agree with you, is there a way to punish those surgeons? I mean, they put a lot of money down the drain with that shit.

>> No.10488831

>>10487896
Listen to the last anon, clinical lab is the way to go. Microbiology, blood tests, research, absolute zero patient interaction.

>> No.10488858

>>10488335
It blows.

>> No.10488931

Is there anything med related I can do with a degree in physiology and anatomy (but with shit grades?)
I had untreated chronic fatigue doing my bachelors (my grades were around 80-90%, but I submitted everything 4 days late and lost 40%, or didn't study properly and barely passed exams).

I'm just wondering if I'm perma-fucked for the rest of time.
If I got a loan could I pay my way into medicine?

>> No.10488992

>>10488931
I'm not from US. Please explain this. Are you a med student or something?

>> No.10489021

>>10488992
No, not a med student. In straya studying medicine was turned into a scam, for around 8 years a bachelors of medicine and surgery was discontinued (some places are only now starting to offer it again), but the main way into med is postgrad here.

I've got a bachelors, but I haven't got the grades for the traditional entrance into post-grad medicine. I haven't tried sitting the entrance exam yet, I'm confident I would do well in that, but I'm pretty sure other applicants would be picked over me because of my grades. I think there might be some institutions that offer post-grad medicine and are less picky as long as you 'pay your way' in and don't rely on government assistance, but I'm not entirely sure about what their prerequisites are (very limited information about it on their websites)

>> No.10489048

>>10489021
Why would the grades count if you still have to take an exam? I'm from Romania , after we finish high school and want to get into medschool we have to take an admission exam. Top 300 people enter medschool and top 80 do it for free. The grades don't matter, as long as you scored in top 300. I think you should at least try and see how it goes. I don't think they won't accept you if you do well on your admission exam.

>> No.10489081

>>10489048
That's probably how it should be, but in straya the entrance exam is more of an IQ test. They look at your history more than how well you score. I'll still give it a shot, though.

>> No.10489084

>>10489081
In that case, I wish you all the best, anon. If you really want to practice this noble profession from your heart, then you will become a doctor.

>> No.10489090

2nd year EU medstudent, Pathology is coming up this semester.
What's the best way to memorize all of the pharmacological information?
Pathology and pathphysiology are a lot but manageable but with pharmacology I read over it and have forgotten it by the next page.

>> No.10489114

>>10489090
Wtf? I had pharma/pathophysiology/path in the 3rd year (we do 6 here). Isn't that kind of early?

To answer your question, there's no easy way to memorize pharmacology. Yeah, it's boring and shitty with all the med interactions, adverse reactions, indications, contraindications, pharmacokinetics and so on. I charted them. Basically, I took a med let's say Alprazolam and started to make a chart. Indications: Anxiety, panic disorder , depression (Not documented)
Contraindications: Benzo hypersensitivity, bipolar disorder, seizures, etc.
Adverse effects: drowsiness, insomnia, etc.

So I had a notebook full of charts and studied it until the exam came. If you find something that's easier, go for it and also post it here to see how much of an idiot I was to write them all up in my notebook.

>> No.10489124

>want to go to pharmacy school
>ummm yeah bro, we don't require the PCAT anymore but now you need to go back to undergrad for a year and take all these useless prereqs that you already know! By the way since we are in bed with the whole educational industry, we don't accept clep tests that would save you a year. I don't care if you read volumes of books and are smart about them bro, ya got to pay the money and waste a year so our Jewish pals get rich!

>> No.10489128

>>10489124
Sadly, that's the way it is nowadays, anon. You have to waste an entire year to be accepted. It's total bullshit but you have to swallow it in order to get into pharma.

>> No.10489135

>>10489114
Yeah, we go it in 6 years as well, no idea why we got it earlier then.

Also, fugg.
I got a halfway organized list from one of the higher years. I'll use that since it seems like something I would make myself.

Is it normal that the first time going through everything, I feel like absolutely fucking nothing sticks?

>> No.10489316

>>10489135
In the 2nd year we did more physio, histology and more in depth neuroanatomy plus the lovely microbiology and parasitology (which I disliked). Got no idea either, seems a bit much to make a 2nd year jump into pathologies like that.

>Is it normal that the first time going through everything, I feel like absolutely fucking nothing sticks?

Definitely yes. When I started pharmacology, I had to review the basics like 5 or 6 times when studying for the exam because I kept forgetting basic stuff. Meds were even worse but after deciding to stop reading the materials, I just created a chart and studied while writing in down. Pharmacology will help you a lot in your future years, pathophysiology will too but in a smaller manner because you learn about common and rare diseases. Forget the rare diseases part, it will only help you get a higher grade at your exam, apart from that, it's just info that you will probably never use in practice.

>> No.10489428

>>10489316
Oh lel, I wish we would have had more time for neuroanatomy. We had that over the span of one month at the end of our first year.
We've also had all the physiology and histology modules as well as microbiology at this point.
Why the fuck are they comparatively rushing our shit like this.

Alright, yeah I was planning to really focus on the basics. However, Pathology 1 is mainly cardiovascular pulmonary Path/PathPhys/Pharm. so I feel like pretty much all of this could be considered "basics" because of how common everything regarding those systems is.

>> No.10489465

lmao imagine being a pharmacuck
fucking kill me already

>> No.10489506

>>10489428
Wtf, you already had so many in a span of 2 years? Kek, I don't want to know how much stress an exam session like that goes on. Good luck to you, anon. Have you thought on what speciality are you going to choose?

>>10489465
>fucking kill me already
Why anon? Don't you like studying meds and doing research? (I honestly despise reasearch)

>> No.10489516

>>10489506
>Why anon? Don't you like studying meds and doing research? (I honestly despise reasearch)
pharmacist not pharmacology

>> No.10489531

>>10489506
Yeh my uni has a raging hard-on for their anatomy department so the last 2 semesters have been anatomy with all other exams sprinkled inbetween.
Probably Emergency Medicine or Intensive Care/Anesthesia. Used to do voluntary shifts for the Red Cross so I know that that really interests me but I guess a lot could change in 4 years.

What are you going for?

>> No.10489543

>>10489516
Then what's so bad about your profession?

>>10489531
I'm OP, I want Family Med. Used to volunteer at the ER of our town, I liked the teamwork but the hours are exhausting. Anaesthesia or IC is pretty cool, when a patient collapsed in the IM ward, the first thing to do was chest compressions followed by a call to the ICU. When they came, they moved so swiftly, it was really cool to watch them in action but I still don't consider it an option since I can't open my private practice.

>> No.10489560

>>10485829
Do PAs work the insane hours (55+ a week) like Doctors do? My interest is mainly rural and I've seen it said that in rural areas the PA will sometimes be the "daily" practitioner (I assume in family practice) with the Doctor only coming in for a couple days a week.

>> No.10489580

>>10489560
honestly, I have no idea. I'm from Romania, mom has her private practice as a family physician and sees every patient that comes in. (She's in a suburban setting)

We don't have such thing as a physician assistaint or a nurse practitioner.

>PA will sometimes be the "daily" practitioner

If the pt comes in for something minor or a daily injection , etc I guess a PA could do it just fine, but the physician should still be present because he/she can observe some irregularities regarding the patient's condition that PA's are not trained for, therefore they might ignore it.

Also yes, in rural setting it's usually family med.

>> No.10489583

Hello, drop me some abridgment of esc guidelines please, in exchange i will clarify any of your doubts what to neurology, neuroradiology and clinical neurophisiology.

>> No.10489603

2nd year pharm here, it's bretty cool working with med bros in clinic and actually feeling useful when they need help with prescription recommendations and drug info. Too bad only .01% of pharm jobs actually work like that but I'm busting my ass to be competitive for them

>> No.10489608

>>10486078

Usually it's due to metastases, but it also may come from local invasion or rarely from some paraneoplastic syndromes.
Most common causes are organ failure (liver, kidney, lungs, heart), infections, intestinal obstruction or cns involvement. One of these may be the specific cause af death, which superimpose over general inanition from not well defined causes.

>> No.10489610

>>10489603
Glad you like it, we need people like you when we have some doubts, bro.

>> No.10489901

I can't take it anymore guys, these "I'm not anti-vax, just vaccine-hestiant, I want to use an alternative, homeopathic schedule I saw on facebook" parents are going to drive me up the wall. Luckily there has been no outbreak here, but I fear it's gonna happen soon.
I tell parents that their spawn have a bigger immune system shock by crawling on the floor and putting their toys, feet, hands, etc. in their mouths, but they still go on about how it's just too much for little Johnny poked 3 times in a year. Their source? "Imma mom i am as good as a doctor" type blogs.
Any tips before I lose it in front of a parent? I try explaining the science in lay terms but it seems to go in one ear, out the other; they just don't get it.

>> No.10489904

>>10489901
Stop being a do gooder.

>> No.10489914

>>10489901
Just a week ago we had a nun go into the service because of respiratory problems and the attending told her she should get vaccinated. The nun went apeshit and refused to even think about the idea and the attending just said nothing and ordered some tests and gave her an NSAID in the meantime. After the nun left he told us that while its our job as doctors to educate the patient, we can never go against their will. We have a moral obligation to give our patients the best treatment but if the patient refuses then we stop being liable for any trouble they might run into later.

>> No.10490011

>>10489904
I can't. Saw a preemie die of congenital varicella syndrome a couple years back. Mother wasn't vaccinated. Kid was born and immediately put into palliative care.

>>10489914
>we stop being liable for any trouble they might run into later.
You're right, I just have to get this into my mindset. They refused and will face any possible consequences.

>> No.10490145

any experiences with patients with stage 3 breast cancer?

>> No.10490250

>>10490011
>they refused and will face possible consequences

While I agree with vaccination, I don't think you have to be this edgy. It's their right to refuse. Just like people that refuse treatment, you make them sign a paper which states that they refused treatment and life goes on. We won't get in trouble by any means.

>> No.10490308

Is it me or has the antivax movement been getting bigger as we defend vaccines more and more? Essentially having the opposite effect.

>> No.10490355
File: 254 KB, 1400x1000, 837.jpg [View same] [iqdb] [saucenao] [google]
10490355

>>10490308
I'm more worried about pic related. I heard that there's a vaccine for it in testing, I hope that they can roll it out soon.
Honestly who gives a fuck if people vaccinate? It's obvious that an organized campaign to promote vaccinations was kickstarted earlier in the winter, every 10th post on r*ddit is about vaccinations, how do people who are in no way involved with medicine get tricked into giving a fuck? People are thinking that there will be some sort of crisis, worst case scenario is a bit of natural selection taking place and then the majority of them decide to vaccinate anyway.

t. roving /pol/fag

>> No.10490356

>>10490250
My uni went so far it put out notice that said everyone who wouldnt show document that that did mmr vaccine would be thrown out of it

>> No.10490396
File: 141 KB, 600x765, 1553185114980.jpg [View same] [iqdb] [saucenao] [google]
10490396

>>10490355
The efficacy of bacterial vaccination is limited and requires periodic reintroduction. The body isn't a computer. This might help it fight the infection better but it shouldn't be viewed as a true prophylactic, especially considering the immune system isn't particularly good at dealing with spirochete bacteria even if it does know how to respond.
I'm also dubious for a borreliosis vaccination in particular because I've seen repeat infections following subsequent tick bites in patients. If having the active infection was to no avail in conferring immunity, even as a short a span as a few months, then what good would the vaccine do.

>> No.10490398

What's it like to specialize in internal medicine?

>> No.10490416

>>10490356
Fair enough. It's the best option, imo. Mandatory vaccines should be a thing, but because it isn't worldwide, we just have to stay calm and let people choose for themselves, even if it's a super dumb decision to refuse treatment / vaccines.

>> No.10490422

>>10490398
Can go into:
Fellowship and practice nephro, rheumatology and such
Or just go into primary care (which is the coolest imo)

>>10490355
People with zero medical knowledge are attracted to this anti-vaxx movement because they heard about a friend of a friend's daughter that after a vaccine, the kid couldn't say "Mama, poo poo" anymore and therefore the child is considered "autistic". Most of them have this sheep mentality, yes, vaccines do have adverse reactions which are extremely rare, but even if the rate is 1:1000000 children moms say "But what if it's my child that will have these adverse effects?". Bitch, I'd rather treat your child for those adverse reactions than smallpox or pertussis.

>> No.10490423

>>10489021
Only Bond university does that (150-250k/year in fees). Most universities require a baseline GPA of around 5.5-6, and a GAMSAT average score of at least 70% (10th percentile), these are aggregated with your interview score to determine your entry or not. There are thousands of students who sit the GAMSAT each year and never score high enough for an interview offer.

>> No.10490429

I'm a final year medical student, intern applications coming up soon. I'm rotating through ICU, onc, neuro, aged care, ED and gen surg this year - looking forward to it.

Unsure of what to specialize in, most aspects of medicine I enjoy so it just comes down to financial incentives and lifestyle I guess. I'm interested in gen surg, radiology, dermatology and rural GP and anesthetics.

>> No.10490443

>>10490429
>rural GP

My man. We need more primary care physicians. Lifestyle is great, money is decent, well respected by patients. If you also have any ideas like me to help the uninsured poor people for free, you'll get even more respect. You will still be a doctor, don't let anyone tell you it's a meme. Imo family medicine is the purest speciality out there.

t. OP obsessed with family med.

>> No.10490516

Which doctors have the deepest knowledge of human anatomy?

>> No.10490575

>>10490516
General surgery.

>> No.10490613

Who here /westerner/ studying in EE?

>> No.10490616

>>10490613
Wat

>> No.10490639

>>10486078
Shock, thanks to the hormones secreted by the tumor(s) leading to depressed respiratory rate of the mitochondria, of course, unlike what the authoritarians ITT will tell you, this is actually very manageable as long as you avoid conventional treatments.

>> No.10490646

>>10490639
>very manageable

Until it produces metastasis that will do multiple organ failure. Then it becomes not so manageable.

>> No.10490684

>>10490639
>Shock, thanks to the hormones secreted by the tumor(s) leading to depressed respiratory rate of the mitochondria
Where can i read up on this in detail? I don’t know how to search it on the internet properly, all i get is simple cancer info for non-meds.

>> No.10490688

>>10490684
Not him but I found this https://www.ncbi.nlm.nih.gov/m/pubmed/1056415/

>> No.10490729

Explain to me why AI wont destroy the profession. I'm only in my third year, but I'm starting to get really worried. Could computers diagnose disease as well as doctors? Why not? If they eventually do then there is no need for us.
And don't give me the "AI can't give empathetic care", nurses can handle that task.

>> No.10490761

>>10490729
Because it will never happen in clinical specialities. Rads will probably be taken over by AI, but there's a small chance to it. An AI won't observe details like an experienced physician would. There haven't been developed any AI's or at least decent ones that could do at least 10% of a physician's work. Traditional medicine , and by that I don't mean treating the patient with concoctions of herbs or something like that, but I'm talking about primary care when the doctor had to go a long way to see a patient, you can't replace that with an AI. Diagnosis wise too, a small rash could change entirely the diagnosis, and AI's simply won't be good enough, at least for the next centuries.

>> No.10490828

>>10490729
Rest assured youll be long gone before that happens

>> No.10490843
File: 127 KB, 1300x866, 11889073-long-empty-metal-shelf-in-storage-room.jpg [View same] [iqdb] [saucenao] [google]
10490843

>>10485857
"Happy EMS week lol"

>> No.10490855

>>10490516
Rads

>> No.10490861

>it's a 'here's a bunch of shit to study despite still having two weeks of vacation left, also you need this shit to pass the 1st day pracs' episode
I'm still in undergrad for fuck's sake

>> No.10490876

>>10490861
Kek. This happens to me every year. They really want to make us specialists, no, ultra specialists. Imagine this: First class of radiology (literally first class, we have zero to none knowledge about the field) and the prof puts up a PP with CT scans (We barely did any x-rays , at pulmonology the prof was stunned because we had no idea about x ray angles and anatomical locations) with FUCKING THYMOMAS!!!!!! Thymomas, not some common shit. Apparently he started with the deepest part of rads but his expectations are: Your practical exam will consist of a chest X-ray and you will have to interpret it. What. The. Fuck.

>> No.10490886

>>10490876
I blame the gunners desu. If all students get very high grades they're just going to make classes harder and harder until only the most manic, anxious students who study 16 hours a day and take massive amounts of drugs end up passing. I full expect to come back next year and already be behind because I didn't plow through the entire semester's reading list on my vacation.

>> No.10490902

>>10490886
Me neither. Gunners are gunners, they are research, onc and neurosurgery tier. Just gimme my decent grade so I can become a family physician already.

I honestly hope that the level won't go up, a medical world with gunners will be a shit one because most gunners are narcissistic af.

>> No.10490907

>>10487197
Top kek

Thanks anon, this somehow made me feel better about my med school interview

>> No.10491004

1. What speciality do you want to practice?
2. Why?
3. Are you /fa/?

I'll start:

1. Family medicine
2. Because primary care is cool, patients are nice and friendly (otherwise they'd go for another physician) , lifestyle is great, no cons from my pov.
3. Yes, most of the clothes and shirts are wear were done by a tailor, I changed my style recently and it makes a much better impact when I get in contact with the patients. (Suits, vests, shirts)

>> No.10491005

Tell me about multidrug-resistant organisms, /medg/. I'm a rad-tech in Canada, please don't bully.

Whenever I have to go up to a unit for a portable Xray I see isolation rooms for MRSA, VRE and ESBL/CPE and those isolation patients waltzing around the unit as they please as long as they wear a gown. The docs and nurses don't even put on the precaution gown and gloves to see an isolation patient.
Even when we get someone from the ER for a CT/MRI, they didn't get any swabs done yet to see if they're carrying anything. Community walk-in clinics don't isolate potential infected people to sit away from non-carriers.

So is there any point to some contact precautions in hospitals? I understand their use for c. diff, TB, and some others. I specifically see no point for contact precautions for MRSA and VRE.
I had found this recently that got me thinking
https://cha.com/wp-content/uploads/2018/03/AJIC-Mar-2018-DCing-CP-for-MDROs_A-systematic-literature-review-and-meta-analysis.pdf
But I'm just a rad-tech with 2 classes of A&P and no knowledge of micro/immunology. What do you guys think?

>> No.10491006

>>10485829
> medicine
not science or math

>> No.10491013

>>10491006
agreed, but if engineers can have a thread we also get one
applied math and applied science

>> No.10491024

>>10491005
Good question. Appropriate use of antibiotics, hand hygiene, and decontamination of the environment and equipment are recognized steps to reduce the spread of resistant organisms, so if the patient is on ABs, that should drastically reduce the risk of spreading the infection. I agree, they have to be isolated either in private rooms or in a room with patients carrying the same bacteria. MRSA and VRE are spread trough direct contact, so if the staff doesn't wear equipment but after visiting the patient, they wash their hands , it should be fine.

>>10491006
So what? There is no /med/ board for us, this is the closest board to home. Cope with it.

>> No.10491050

>>10485829

What are some stellar extracirriculars?

>> No.10491053

>>10485829

I'm at an impass. I am switching from BME as my GPA is a bit low. I am improving my GPA over time (term 2)

These are my majors that I am interested in in order.

>Chemistry
>Neuroscience/Neurobiology
>Microbiology
>Biochemistry

CHem seems the most interesting, and a family friend who's in a IM residency suggested Neurobiology.

WHAT DO YOU GUYS THINK???

>> No.10491081

>>10491053
Both are great. Go for neuroscience if you're not a nerd. Chem is nerd tier.

>> No.10491191

>>10491004
>I changed my style recently and it makes a much better impact when I get in contact with the patients
how do you measure this impact or what makes you think that?

>> No.10491203

>>10490729
AI cannot distinguish between what is real and bullshit on history and exam. That's because patients are unreliable, and may both under-report and over-exaggerate their symptoms.

37 y/o female presents with acute on chronic abdominal pain, "oh yeah it's definitely the worst pain of my life". History of known Crohn's disease s/p partial resection, high anxiety, recent methamphetamine use, and going through a divorce. The triage RN says abdomen feels "I think really tender to exam, all over".

Would you:

A. Reassurance and pain control
B. CT scan
C. Admit for observation
D. Emergent Ex-lap
E. Trust an AI to make the decision for you based on that vignette

F. Obviously you clearly cannot make this decision with just the information above, because you know that A-D could be correct answers.

But you need a more reliable history and physical...

...taken by a human being...

...who has years of training on determining what is real and what is bullshit.

>> No.10491214

>>10491191
Easy question. When I had my first classes that required patient contact, I didn't give a shit with what was I wearing (jeans and t shirt) , as each one of us was assigned to a patient, I was alone with the patient. Most of the times, when I start a conversation, the patient pays more attention and complies when I have to palpate or auscultate. (Remember that even if it's a teaching hospital, patients do not have the obligation to let me examine them, and this happened quite some times when I didn't dress properly, I rememver this guy that legit walked out to eat while I was questioning him). It's not much of a change but I feel more confident dressing like this.

>> No.10491223

>>10490398
"In the ideal medical system most patients would fall under the last category and we would actually use our medicine colleagues for their diagnostic acumen. Instead, the medicine service is the dumping ground of the hospital system. The trash comes in through the ER front door and leaves through the back door which is the Medicine service. It is one continuous assembly line of processed shit, fueled by unrealistic consumer expectation and malpractice attorney cupidity. It's why i'm forced to admit that 85 year old with chest pain because god forbid that one 85 year old dies comfortably in her bed while sleeping from a massive STEMI. Instead we must send her to the assembly line for the million dollar workup only to die 6 months later from metastatic cancer after suffering 4 horrible months on chemo."

For the rest, google: Why is IM always at the bottom for career satisfaction?

Bookmark this page, come back to it when you're in your PGY-3 year of medicine, and make sure to share it with the next generation of medical students

>> No.10491231

>>10485996
>but there are a lot of patients without insurance
You gonna get burned. People who don't bother to get insurance have paranoia or other severe issues.

>> No.10491235

>>10491223
Not him, are you an IM resident?

>> No.10491282
File: 186 KB, 1843x873, 502.jpg [View same] [iqdb] [saucenao] [google]
10491282

What the fuck is going on with these average wages? (USD)

PA - $93k/yr or about $50/hr
CRNA - $140k or about $75/hr
NP - $93k/yr or about $50/hr

Isn't the PA pipeline way more similar to an MD's than the NP pipeline is? How are NPs competing against the PAs when PA education>NP education and why the fuck do CRNAs make so much money?

>> No.10491299

>>10491282
I think all of them make money than they should, to be honest. Most PA's think they're better than first assist, and should really know their place. It's a good and respectable profession, but some people that practice it are just too arrogant for it. (Either couldn't afford med school/wasn't smart enough for it)

But my opinions aside, CRNA's should earn that much, anaesthesia is a hell of a field when PA's practice it solo in a rural setting or under a physician's supervision, NP's the same. I agree with PA = NP pay is bullshit, but apparently, that's the way it is.


I'm not from US, it's just stuff that I read about, so if I'm mistaken, please point it out.

>> No.10491302

>>10491299
>all of them make MORE money than they should

FML, forgot a word.

>> No.10491309

>>10491302
faef

>> No.10491365

>>10491309
Wtf does that mean?

>> No.10491534

>>10491231
>you gonna get burned
You mean money wise? Here, in Romania, most patients with insurance are the elderly. The poor patients that my mom has, most of them are uninsured and pays their consultations out of her pocket. Compared to US, Romania is cheap as fuck (and that goes to quality too, our hospitals are shit) so a full check up is like 20 dollars (without ecography) or 30 dollars (with ecography). Blood tests are free since she recieves funds for them + she visits patients that are in no condition to come see her (The hour doesn't matter, the office is open 24h everyday , she has two more docs that work with her, another family med and a ped - at night time, kids are the usual patients).


So, considering the amount of money she makes (which is good to top tier in Romania) it really doesn't hurt her to see approx 20 uninsured patients/month. That would be a sum between 400-600 bucks.


I agree that some people don't get insurance for a certain reason other than being poor. Most of mom's poor patients don't have a stable job, for fucks sake, one of them is a shepard and he makes money by selling cheese and stuff.

>> No.10491561

>>10491282
Same pay for same work, basically. It's not necessarily about competency, it's about what the hospital can bill patients for, which is basically all the same for NPs/PAs.

Anyway, this screencap is really misleading.
1) The gap in years of education isn't this large, it takes at least 4 years to get a BSN and 1-2 years to get an NP, so the difference is at most 1 year (compared to 6 years total postsecondary education for a PA). I guess in theory someone with a non-healthcare related BS could do a 2 year BS-BSN bridge, then a 1 year NP, but then they still would have 7 total years of post-secondary education.

Online NP license mills are a problem, but in my experience good NPs can come from reputable institutions (e.g., Michigan, Hopkins, Case).

2) The gap in clinical hours is because the nurse probably did in excess of 1000 clinical hours during her RN, and usually NPs have years of working experience before entering grad school, unlike PAs who usually only have a few hundred clinical hours.

3) All people can be stupid dicks. There are no letters that you can have after your name that make you immune from being daft.

>> No.10491780

>>10485893
>Romania
If you're going to make up a country don't take an ancient civilization name and add some sounds on the end.
t. Sumerianoan

>> No.10491838

>>10491780
Great bait, fren.

>> No.10491911

is pathology a meme residency, it looks cool af

>> No.10491924

>>10491911
Holy shit, another pathology residency question...

If you don't want to do research, don't go into it. Path will evolve a lot in the future, it's great if you like doing autopsies and sitting in a dark room reading slides. If you're not in a busy hospital, you'll probably read a slide every week or even more.

It's not a meme residency and there is no such thing as meme residencies. If you really like a speciality, go for it, don't listen to stranger on a anime website.

>> No.10491933

>>10491780
kek from Norwegia

>> No.10492279

>>10491024
>if the staff doesn't wear equipment but after visiting the patient, they wash their hands , it should be fine.
OK. But should more be done to prevent known carriers from potentially spreading disease when they can just walk around the hospital with a simple isolation gown on? I saw a couple in a kitchenette that all patients have access to, leaning on clean stretchers in the hallways, going to other areas in the hospital with no other protection but that yellow gown. No gloves on either. What's the risk to other patients, visitors, and staff in those cases?

Am I just overthinking this and worrying myself?

>> No.10492371
File: 177 KB, 652x893, FD68C958-D0FE-4EC6-80C3-D8B859E0DA5D.jpg [View same] [iqdb] [saucenao] [google]
10492371

I know this is really bad illustration but has anyone seen anything like this? Does this look like anything to you?

>> No.10492671

>>10490729
When you have an AI that doesn’t need a doctor to oversee it and sign off on its work, there wont be any other jobs left either.

>> No.10492679

>>10492671
yeah, gotta have someone to sue, and one humans is easier than a corporation big enough to build an AI

>> No.10492744

>>10492279
>What's the risk to other patients, visitors, and staff in those cases?
In that case, if the infected patients use the same kitchenette or lean on clean stretchers, there is a pretty big risk. Wearing a gown to stop spreading the infection, isn't that effective because it's cancelled out by not wearing gloves. You shouldn't worry that much, tbqh. As I said, direct contact is the most common way that the pathogen enters the body. MRSA can be spread easily, for example, the pathogen can spread to the clean stretcher you mentioned, walls, kitchen utensils (although if you wash the utensils with warm water and a ton of soap, the pathogen will die easily).

So, there should be done more to prevent the infection from spreading, more strictness towards infected patients such as making the wearing of gowns and gloves mandatory when they leave the isolation room, proper hygiene and decontamination of the environment (the isolation room and the rooms that the infected patients used)

>> No.10492798

>>10490355
You guys are really having problems with Lyme, damn. Aren't pest control campaigns effective enough?
>>10490443
I would be so good at general practice, but I find it extremely boring, so it's kinda sad :/
>>10490729
AI will be a huge help for doctors, but will never replace them.
>>10491004
1.Intesive care
2.Because this is the only field in my country where you aren't limited by finance and is also very interesting to me.
3. Not really, but I'd like to be. I like nice stylish clothes, but don't have the budget for them yet.
>>10491911
Path is fucking cool. Fun fact for my country. Pathologists are one of the most deficient specialists here, but departments can't finance residents so they don't take any. So they get more and more deficient.
>>10492371
What the hell is that?

>> No.10492808
File: 67 KB, 720x960, 54519261_2218923751507556_1199964225565360128_n.jpg [View same] [iqdb] [saucenao] [google]
10492808

big yikes

>> No.10492827

>>10492808
Holy fucking shit, that's a massive STEMI. How's the patient doing?

>>10492798
OP here, if you find family med boring, then don't go into it because it's simply not worth doing something that you dislike. Personally I find it the most interesting and broad field of all medicine. Different conditions, you get to be a part of the patient's life, if you're good and diagnose properly, specialists will think high of you because nowadays, family docs are shat on. I always wanted a controversial speciality that people think it's a piece of cake to practice but it's actually otherwise, there are other specialities that are far more easier than FM.

>> No.10492865

>>10492808
Wait a bit. I'm >>10492827 now that I look at it more, it looks mare like hyperkalemia. Help.

>> No.10492873

>>10492865
Kek, third reply. It's STEMI in the end. I'm blind. >>10492808

>> No.10492990

Lads, what do you do when someone tells you about the speciality you like and that it's not worth financially, and barely make it trough the month and also makes you feel bad about yourself?

>> No.10493059

Can brushing your tongue too often be harmful?
I think I have some kind of throat infection or some shit (going to the ENT later this week) and I've been brushing my tongue hard three times a day for two years, never to the point of bleeding though.
Internet sources are conflicting on this, some say you should brush your tongue, others say it's self-cleaning and that brusing it can kill beneficial bacteria. Which is it?

>> No.10493138

>>10493059
I honestly have no idea. Haven't had ENT classes yet but I remember some microbiology. The tongue has some beneficial bacteria on it that fights against harmful pathogens and stops them from going further. If you brush your tongue, the beneficial bacteria dies and lets the pathogens go by, anchoring themselves in the larynx. You should stop brushing your tongue that often and do it once a day.

>> No.10493247

>>10492990
Ignore them and go on.

>> No.10493282

>>10493247
I know I should've done that but it really affected me since the person who told me this is very special to me. I'm a bit better now, still haven't changed my idea, money importance is nearly zero to the passion I will put in the field I love.

>> No.10493293

Sorry for the medical advice but maybe I'm an interesting case. Is my frenulum still meant to be attached to the head of my (uncut) dick? It makes it nigh impossible to retract the foreskin past it when I'm hard, and very uncomfortable when I'm soft. I have heard of some mental illness anons cutting the frenulum themselves but I'm guessing that's not ideal.

>> No.10493307

If i don't (and i very likely won't) get accepted into med school this year, but get accepted into pharmacy school, should i just go or try applying for med school next year? I'll be going to the army this summer (mandatory in my country), so idk if i will have enough time to study. I'm interested in both, but when it comes to pharma school (salary isn't that big of a deal), I'm afraid that automatisation is going to hit the job market really bad and working in industry would require me to get a PhD in pharmacology or something similar if i want any real chance to find work and moving out of my country as the pharma industry here is quite weak and if you have a masters in pharmacy they'll hire you mostly for marketing jobs and such (something that i would really like to avoid). Idk what i should do, any advice is welcome, preferably from European pharmacy students or graduates.

>> No.10493314

>>10493293
Yes yours is just short

>> No.10493318

>>10493314
Is there any point getting it looked at? It makes it slightly hard to clean under the skin and handjobs are slightly painful if I'm only rocking a semi but aside from that it's fine I guess. I assume a doc would just recommend stretching or the dreaded circumcision and I'm not falling for that jewish trick.

>> No.10493344

>>10493318
You can try to see an urologist if you want to, but if yiur quality of life isn't that much affected, it's not worth it.

>>10493307
Hi, OP here. If you want to become a physician, give the admission exam a try, pharmacy and med school are obviously very different. From my point of view, I consider pharmacy an excellent field if you want to do research. Other than that, it's not worth it because you basically do uni to sell aspirin.

>> No.10493379

>>10493344
>you basically do uni to sell aspirin
Yeah, i really don't want to work as a pharmacy salesman for the rest of my life. If i get into pharma school my only option is to study really hard and specialize in pharmacology while doing my masters degree so i have some kind of chance to land a PhD position. And yeah, I'll be giving both admission exams a try, but as the med school exam is some 35% physics and they'll likely be asking more about ecology in this year's exam, I'm really nervous that I'm going to fuck it up completely.

>> No.10493406

>>10493379
Sure, give them both a try, even if you don't get into medschool, you can try again. Here in Romania, pharmacy "residency" is split in two. Clinical pharmacology and dermato-cosmetic, both of them have very low amounts of places, last year there were 100 places with 1.3k candidates. So if you get in top 100 and land a job in any of those, you're set for life. Good luck, anon.

>> No.10493445

do TNF inhibitor drug therapy increase risk of cancers?

>> No.10493532

>>10493445
"Similar to the basic science suggesting that TNFi may increase or decrease the risk of cancer, randomized controlled trials do not provide definitive evidence about this relationship."

Here you go https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3241884/

>> No.10493614

>>10492990
What specialty?

>> No.10493619

>>10493293
Go to a doctor, your frenulum sounds too short.

>> No.10493637

>>10493614
Family med. It's the speciality I like the most, I've also got more pumped when I saw OP talking about it but now I'm discouraged.

>> No.10493645

>>10493532
Thanks anon

>> No.10493664
File: 19 KB, 280x320, ECG-changes.jpg [View same] [iqdb] [saucenao] [google]
10493664

>>10492808
Nice example of comically large hyperacute T waves in the anterioseptal leads with reciprocal ST depressions in the inferior leads.

Would probably develop into the classic ST elevation pattern shortly.

>> No.10493680

>>10493664
What about V2, it shows stemi signs already.

>> No.10493696

>considered becoming doctor
>almost incapable of learning from books, very manual, hands on learning style

>>"Hey buddy, mind if I take a look inside you? I'm trying to figure out what these 'spleen' things are all about"

>> No.10493707

>>10493680
Indeed it does. It's an ECG that is consistent with immediately evolving coronary arterial occlusion. Repeat ECGs will develop into a full blown STEMI pattern within minutes.

http://www.emdocs.net/ecg-pointers-hyperacute-t-waves/

>> No.10493730

>26 year old chemE engineer
>3.1 gpa
Debated about going to pharm/dental school when I was a bright eyed freshmen but gave up on that early on. Anything's possible but how probable would it be to go back?

>> No.10493749
File: 374 KB, 1676x1584, 6qyze63scjez.png [View same] [iqdb] [saucenao] [google]
10493749

>>10493730
I don't know anything about pharmacy school, but for US MD/DO:

You'll be considered a "non-traditional" with a low GPA.

You'll need to do some time in a post-bacc program for GPA repair.

You still have a chance but it'll be extremely painful and you really have to be passionate about wanting it more than anything else in the world.

Don't go to the Caribbean.

>> No.10493778

>>10493749
I haven't even put in the time to really sit down and research all this. How do schools view a post-bacc program? I already took all the prereqs for dental and pharm (bio all the way up to micro and all of ochem obviously) but I didn't get a good gpa in them. How would schools view this if I retook the preq classes?

>> No.10493809

>>10493778
They view it as you trying to prove that you can get a higher GPA the second time around.

They will see separate GPAs
- undergraduate GPA
- science (BCPM) GPA
- post-bacc or graduate GPA

If you demonstrate improvement in your most recent coursework then the admissions committee will take that into consideration. But you'll still be at a disadvantage compared to someone who is 3.6+ the first time around.

Fair? Not at all. But that's how it is.

>> No.10493833

>>10493809
I'd argue that is fair though. I decided to party and play vidya in college instead of going to class. Its fair that the person who has 3.6+ first time around has a better shot than me.

How much of a disadvantage is it? Your chart says that someone who gets a 3.6 with a 510 has roughly a 60% acceptance rate. How much lower you think that'd be for someone with a postbacc, 40%? 30?

>> No.10493863

>>10493707
Thanks. You learn something everyday, had no idea about "hyperacute" T wave.

>> No.10494066

>>10492744
>So, there should be done more to prevent the infection from spreading, more strictness towards infected patients such as making the wearing of gowns and gloves mandatory when they leave the isolation room, proper hygiene and decontamination of the environment
Thanks for the reassurance anon.
This is becoming more interesting now, and I hope I can motivate my hospital in the future to make some changes.
I was just accepted to a health science program where I can specialize in health policy. I wonder if I can look into this subject.
Decontamination is obviously gonna be a big hurdle since I already see how lax it is in my hospital. I can't imagine having to do it to a large area.

>> No.10494102

>>10493749
>tfw the med school closest to me doesn't require the MCAT
Does this mean its a shit school, or acceptance requirements are gonna be held to stricter standards?
It just suggests a GPA above 3.6, CASPer and good interview.

>> No.10494104

>>10494066
Anytime, bro.

Sudden changes in a place that has been doing the same for years are going to be very hard to accept. Not by the board, but by the staff, let's say the janitors/cleaning staff, they just won't clean the ward/rooms if the mess is not visible, or wash a stretcher with a wet cloath and soap if it looks in perfect condition even if the infected patients touched it. Gowns and gloves should be the main focus for now, in my opinion. It's unsanitary for the other patients and especially for you guys. Best of luck, anon. I hope you'll make it.

>> No.10494356

Is it in any way weird that I feel a strong pumping slightly left of the center of my brain when I do fast physical activity?

>> No.10494426

>>10494356
>Fast physical activity
For how long/session?

>> No.10494431

>>10494426
Sprinting out for 30 seconds into the cold to get the trash out.

>> No.10494481

>>10494431
Is this the first time you experienced this? If so, don't worry.

>> No.10494516

>>10494481
Nope, I have had that actually for quite a while already.

>> No.10494523

>>10494516
Feels like something minor, pay a visit to your family physician if you want a consult + opinion. That's the best advice I can give you. It might be nothing, and it activates because your go from a warm room out in the cold.

>> No.10494724

>>10494102
The MCAT is a USA thing, so if you're in a different country the med school application process is going to be different. But if it is in the US, look really closely into it because that's pretty sketchy. Make sure that you know that the match rates, for profit status, tuition, and accrediting is all okay before accepting anything from them.

>> No.10494774

>>10493730
Is dental school even really a smart investment at that age? You'd end up paying about 500,000 to be getting into that, that late. Unless you end up successful and own your own practice it doesn't seem like you'd have that much for retirement compared to other careers.

>> No.10494837

What do you guys think of epidemiology, is it advanced pathology like I think or am I wrong?

>> No.10494843

>>10485829
Are piractem or modafinil any good? will they make me study harder?

>> No.10494858

premeds fucking gassed when?

>> No.10494868

>>10485893
homeopathy is still a thing in germany by the way. Some hospitals actually ask you have an open mind to it if you're going to apply to any position in that hospital

>> No.10494882

>>10494858
>Premed student type 1: The robot who is dead serious all the the time and likely wouldn't know what the definition of fun is.
>Premed student type 2: The kind who won't ever, ever shut the fuck up about being a premed student and refer to themselves like they are already a doctor.
Do type 2's just kill themselves after they've gone and been denied by every med school in the country? What happens to them?

>> No.10495202

>>10494882
I know exactly the types you are talking about and I wanted to kill each and every one of them during my undergraduate years.

During the first days of med school orientation, I do remember feeling a little bit weird being surrounded so many ex-premeds, but without ANY of the usual garbage conversation that occurs when premeds gather together (MCATs, GPA, ECs).

We talked awkwardly about hometowns, colleges, medical specialties, TV shows, gunners, anatomy lab, restaurants. It was actually quite refreshing. Most people tried to be humble and not make a bad impression or piss off all your future colleges. Not everyone, of course.

So I assume there were probably a lot of "type 2s" there as well. I think those who made it in started to mature once they realize there's nobody to prove themselves to anymore.

>> No.10495362

>>10495202
They have to learn humility at some point. Besides narcissistic gunners, those are the worst med students.

>> No.10495382

>>10494882
>>Do type 2's just kill themselves after they've gone and been denied by every med school in the country? What happens to them?

They become the obnoxious know-it-all RT/RN/EMS twats with a permanent chip on their shoulder

>> No.10495405

>>10494868
>homeopathy is a thing in Germany
It's a thing here too, but it's not a speciality. Family physicians can do a fellowship in homeopathy but that's just shit, tbqh. I'd better go into palliative care or sexology

>> No.10495486

This morning i had a older female patient with diffused yellow spot above their upper right first premolar.
You know how a bruise turns yellow after a certain period,this looks pretty much like it.
No other issue on other teeth or prosthesis or w/e.
This is going on for the past 3-4 months.
He had some oral surgery in Austria but she couldn't tell me what work they had done to her,but there is some exostosis looking spike behind her first molar in the maxilla on the same side.
There is more than 6 months total from that moment.
I have never seen something like this neither the colleague of mine with much more experience than me.

Sent her to a specialist.
Any guesses of what could it be?

>> No.10495490

>>10494837
You are wrong.
Its statistics through and through.
t.my uncle is epidemiologist.

>> No.10495519

>>10495486
Medstud here, I have no knowledge about dental stuff, but yellow spots on gums reminds me of mouth candida. Maybe maxfax wasn't too cautious and it degenerated to an infection, I can't think of anything else and also, I don't think there's a link between the yellow spot and the exostosis-like spike.

>> No.10495523

How hard is it for an EU pharmacist to relocate to the USA or Canada? Is it as hard as it is for doctors or is it as easy as other professions?

>> No.10495534

>>10495523
>Is it as hard as it is for doctors
Why would it be hard for docs to relocate? Especially family physicians and other non-competitive specialities can easily find a place to work.

It also depends for you, do you sell aspirin at carrefour or you do research on meds and stuff? (Clinical pharmacology)

>> No.10495554

>>10495534
Well i mean it's hard for doctors, from what i know many doctors have had to wait for years to get all their examination and accreditation done before they can get a residency spot.

>> No.10495556

>>10495519
Its not elevated,its not removable its bellow surface level,doesn't have symptoms of an abscess.
Its limited to the gingival mucosa,and she mentioned she used to have burning sensation but it went away so now she feels nothing.
The tooth itself where this thing is located is in order.
Very strange.

>> No.10495618

>>10487918
Should have thought about that before dating someone who wants to be wedded to their career instead of you. Take a page from the based boomers and date some hot nurse with no student loan debt, then turn that bitch into a baby factory when you leave residency.

Seriously though, your career is probably going to end up being more demanding than hers. Do you really want to be with someone who you basically never see because you're BOTH busting your asses off constantly?

>> No.10495620

>>10492798
I live in lyme ground zero and I honestly don't get it. I do the following:
>Spray homemade citronella bug repellent on myself before going /out/
>check myself for ticks when I get home
That's all you have to do.

>> No.10495621

>>10495618
This. Find a hot nurse or another doc. (Preferably in the same speciality)

>> No.10495622

>>10495486
>>10495519
Dentalfag here, it could be a lot of things. Exostoses on the cheek-facing side of the alveolar ridge are very normal, lots of people have them. Only becomes a problem if they need dentures.

Tell me more about the yellow lesion. Is it raised at all or is it just a pure plaque that is indistinguishable from the surrounding mucosa based on feel?

>> No.10495672

>>10495622
it looks like its embedded in the gingiva.
no plaque in surrounding area or on it.
i will post pone further posting on this subject i scheduled to see her again later today.

>> No.10495706

>>10488463
stop being so butthurt that a surgeon ruined your shitty research project

>> No.10495709

>>10495618
would she be loyal? a woman like that sounds like she'd be golddigging and shallow

>> No.10495721

>>10495709
More loyal than the current gf is, she can't seem to decide between anon and making shlomo a few thousand more bucks a year. Honestly if you are going into medicine and aren't leveraging your above average income into having a housewife what are you even doing at this point? If your wife wants to be wedded to the job instead of you, you're getting cucked and should probably consider divorce. Most women I go to school with are either certified wine aunts in their 20s or are so fucking desperate to do anything else but what they are dedicating their lives to because they can feel their ovaries drying up by the day.

>> No.10495757

>>10495706
>t. PA
>>10495721
Not him but this is so wrong. Let the gf do whatever she wants. You don't need a housewife, let her make her choices the way she wants to. Me and my fiancée are both in medschool, will have totally different specialities (family med and psych), she wants to teach, I don't. If this is how you think, I feel bad for you, anon because if she wants a career instead of sitting on her ass all day and becoming a "woke" mom that is anti-vaxx or anti pharma, that's her choice. You don't have to look for another woman. I know the anon is upset with her choice but that's how life goes, if you're not ready to do sacrifices, then you're not ready to have a serious relationship.


Also, when shit like this comes up in this thread, please go to /adv/. We don't want to discuss relationships.

>> No.10495802

>>10495757
>allowing your wife to have retarded opinions
>paying some Mexican 15$ an hour to take care of your kids instead of their biological mother
Yikes

>> No.10495810

>>10495802
>yikes
It's his opinion, I agree with him. Have you thought about that maybe they don't want kids? Jesus, degenerates like you are all over the place these days.

>> No.10495815

>10495802

Here's...no, no (You). >>>/adv/ and don't come back.

>> No.10495821

>>10495810
If he doesnt want a family why be upset about the gf leaving? Why even have a gf at all? Dude is about to be a doctor, he can land basically any woman he wants including dozens of his female classmates that are certifiably desperate for any male attention?
Also, just lol at
>people who want a family are degenerates
Not even going to dignify that with a response

>> No.10495848

>>10495821
I was talking about the guy above you. And I said that degenerates like you exist because
>allowing your wife to had retarded opinions
Reading comprehension is hard with this one.

>> No.10495850

>>10495848
Have*

Shit, now I have to neck myself.

>> No.10495921

>>10495757
>she wants to teach, I don't.
haha your fiancee just so happens to want to go into a field which will allow her to take paid family leave without having to worry about abandoning patients what a surprise!

>> No.10495934

>>10495921
>what a surprise
Again, talking shit without knowing anything about me and my life. The usual dumb premed or some insecure student, I assume.

>haha your fiancee just so happens to want to go into a field which will allow her to take paid family leave

Correct, that's what she wants to do, to teach and practice psychiatry. The patients won't be abandoned, since there are other doctors at hospitals too, you little dumbfuck so PFL doesn't really matter tbqh. Now stop clinging to details and let's end this shit. It's not even remotely related to /med/.

>> No.10495954

>>10495934
Who you marry and how you conduct your life is actually pretty important in a field that will leave most people still in school until their early 30s, especially if you want to do anything with your life besides go on endless vacations to Thailand and then die without leaving a legacy.

>> No.10495980

>>10495954
I agree, she's younger than me so I will be pgy-3 when she will become a resident. It's just plans we made, nothing is determined 100% but this is what we want. I want to continue my parents' private practice (I was raised by docs one fm and peds and one peds, so primary care is what I would love to do). We both want to practice medicine correctly, as anyone would like to, we're not gunners and overconfident people, we're average, we know our place and keep it simple.

>> No.10496150

WHy does deep vein thrombosis moslty happen in legs?

>> No.10496183

>>10496150
DVT can occur at the arms too but they're harmless compared to the legs. It mostly occurs in legs because let's say after a surgery you have to stay in bed and basically you don't move your legs. Inactivity = plaque which evolves into a thrombus which at his turn evolves into an embolus and goes to the lungs producing PE.

>> No.10496305

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4183904/

Thoughts?

>> No.10496343

>>10496305
Most likely metaplasia, desu. It is weird, bloodwork seems okay and doesn't help with anything. As the article states, the cause is unknown and can't really link it with hep C or the consecutive cirrhosis. The cyst had old blood in it with muscle cells, so probably the bladder was damaged during the inguinal hernia surgery. Don't take it for granted, it's just speculation.

>> No.10496390

Am I considered heartless and callous if the sole reason I want to study/practice in the USA is to see all the GSWs, stabbings and other trauma that you wouldn't be able to see up in Canadaland?

>> No.10496409

>>10496390
Commonwealth folks are cucks,stay in USA make it great again.

>> No.10496428

>>10496390
Don't go into medschool if you want to see that. EMT is enough and you see all the GSWs you want.

>> No.10496477

>>10496343
Am i wrong for thinking this is very weird? Doesn’t this radically change what we know about cancer too?
If endometrial cells can be developed out of nowhere in males, maybe similar stuff can happen in other cells too, for example pancreatic or liver cancer cells manifesting themselves in lung without metastasis from these organs. I am thinking if for example they got into existence after mutation. Anyway if you think about this those cells have same dna. why cant mutations allow different kind of cells to get created in different tissue?

>> No.10496515

>>10496477
It is indeed very weird. But it's a very rare case. In medicine very rare = very weird. It does change what we know about cancer but it's not a tumour, it's a cyst. As I said, during surgery the bladder got damaged and there are two big things that could happen.

1.It could create a fistula between the bladder and the colon, which didn't happen.
2.It could heal per secundam intentionem, without restoring it completely thus creating a cystic formation in which the physicians found endometrial cells. I don't know from which sell they derived from, either blood (which is unlikely) or muscular cells from the bladder (which is more likely). Either way, it's a very interesting case, but if the cause of that "metaplasia" (I just assume it's metaplasia) is unknown, we can only speculate. It's fun to have cases like this on here, keep up the good work, anon.

>> No.10496630

>>10496515
>>10496477
If I had to wager I would bet it was coelemic metaplasia. The theory is explained in the discussion part of the study. Idk it just sounds like the more plausible explanation.

>> No.10496666

>>10494843
Modafinil is okay, I would avoid piracetam. First fix your sleep, exercise and eat properly.

>> No.10496678

>>10496390
Nah nigga, I'm currently in Africa just for the trauma.

>> No.10496718

>tfw cardiology practical exam is in 3 days
>only studied heart failures
>450 more pages to go
>prof clearly said that he wants us to memorize the meds and dosages

I'm fucked, anons. Guess I'll study the most common conditions and go with that. Procrastinated too much, just wasn't in the mood to study this shit.

>> No.10496719
File: 1.92 MB, 285x150, 73 - TUaJuo0.gif [View same] [iqdb] [saucenao] [google]
10496719

>>10496718
forgot gif

>> No.10496731

>>10496718
bless your heart anon, you're all of us

>> No.10496807

>>10496718
>tfw dissection exam tomorrow
>too tired to study
>too scared to sleep

>> No.10496825

>>10496731
Thanks for confirmation

>>10496807
I went trough this when I had biochem exam the next day. Because of that fucking exam, I was a heavy smoker for a good year. (Quit 2 years ago)

>> No.10496938

>https://www.researchgate.net/publication/331649535_A_47-year-old_woman_with_nuclear_protein_in_testis_midline_carcinoma_masquerading_as_a_sinus_infection_A_case_report_and_review_of_the_literature
Sorry for the long link, it's the only one 4chan didn't think was spam.
Its' about nuclear protein in testis midline carcinoma. It brings up interesting discussion about which tumor is actually the primary tumor or if its just a met. One of the scarier cancers I've read about so far.

>> No.10496965

>>10496938
Oh, man. All those genes make me vomit. I don't really enjoy cancer case reports, tbqh. This is a rare one for sure but still boring. Misdiagnosed twice, once for sinusitis then for melanoma, so basically if they find that nuclear protein in your body, aggressive systemic therapy is indicated. That's all I could read, too lazy for the rest.

>> No.10497054

>>10496678
How do you get into that? I got out of the military a while ago but I'm still slightly unhinged and feel the itch of being in the shit.

>> No.10497078

I'm beginning my 8th semester of med school and I still feel like a useless retard that just read a few books without much substance. Will this feeling ever go away?

>> No.10497101

>>10497078
you are, med school is just a 4 year hazing ritual, training begins during residency

>> No.10497184

>>10497078
No, not really.

>> No.10497650

>>10496938
>midline carcinoma
>survival is 6 to 9 months
god DAMn

>> No.10497651

>>10497650
>>10496938
>n the summer of 1999, a 12 year old girl, who was to become the first American patient with NUT midline carcinoma, developed a sore throat and difficulty swallowing, and eventually developed a muffled voice. There was no response to antibiotics, and a month later was seen by an otolaryngologist. Upon examination, an ulcerating mass was found to have replaced her epiglottis. The biopsy pathology resembled that of a nasopharyngeal carcinoma. She was treated accordingly, at Children’s Hospital, Boston, and enjoyed an initial shrinkage of her tumor, but the tumor came back and she died a horrible death, strangled by the tumor which closed off her airway. The clinicians would not forget this tumor, but the abrupt end to her life marked the discovery of a new type of cancer.
This is some diabolical shit straight out of a creepypasta. I could never be an oncologist, cancer creeps me the FUCK out

>> No.10497654

>>10497651
euthanasia would have been kind here

>> No.10497886

>day 2
>cardiology in 2 days
>still 450 pages to go

Kek, I went to my tailor to try out a suit, ate like a god, now I have literally nothing else to do. Motivate me anons.

>> No.10497905

>>10497886
Learn now or you wont have food as nice when youll be in prison for killing patient

>> No.10497930

>>10497905
Kek. I'm done with arterial hypertension. 400 to go. I'm just reading them because I'm too far behind to actually memorise shit.

>> No.10498230

>get left testicle pain
>go to urologist
>varicocele diagnosis

That doesn't matter that much but the doc that examined me was the prof that taught me urology. (Which I dislike very much and I made myself clear when he asked us why we don't want to become urologists. This all happened 3 months ago) Looks like he took it out on me a bit and when he palpated my testicles, it felt like my balls were anti stress balls and it hurt even more. Then he examined my testicles via ecography, again, the transducer was implanted my balls. I hate this guy, but I got seriously karma'd.

>> No.10498383
File: 35 KB, 600x600, 20934857023.jpg [View same] [iqdb] [saucenao] [google]
10498383

>>10498230
and I thought my prof had me by the balls

>> No.10498385
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10498385

>>10498383
Kek, he even wanted to schedule me for surgery but then he told me that I can live with it. Sperm count may decrease. After getting my balls squeezed and a transducer pushing against them, no thank you. Who knows, that surgery might turn into castration. No thank you, doc, I hope that from now on, you will have old male patient with smelly and baggy scrotums that hang down to the knees, you fucking bastard.

>> No.10498402

What is the deal with dextromethorphan?

If i take a normal dose every day, i might accidentally cure a mental disorder? wtf, how.

>> No.10498448

>>10498402
>i might accidentally cure a mental disorder?

It's mostly used as an antitussive. Basically cold syrup/tablets/whatever floats your boat. Why would it cure a mental disorder, are you fucked in the head?

>> No.10498561

Anyone here a non traditional student that had to go get a post baccalaureate?

Working on my post-bacc right now and I can never seem to find a clear answer on how hard my chances are. Some have said that as long as I do well on the mcat and get a good gpa I'll be fine. Others have said that I'll need to get a 3.8 and a 510 on the mcat to have any chance in hell.

>> No.10498806

>>10498561
You won't find an answer until you try, I guess. Don't listen to random speculation.

>> No.10498953

>the speciality you want
>the speciality you hate
>Why do you hate it?


I'll go.
Family med
Cards - I hate it because it's boring, bland and uninteresting, ECGs are cool but the rest is rubbish.

>> No.10499083
File: 328 KB, 1923x943, ice170012f1.png [View same] [iqdb] [saucenao] [google]
10499083

How do I into ECG? Should I just memorize abnormal ECG patterns, or should I actually try to understand the underlying mechanism of the abnormality?

>> No.10499093

>>10485880
I used this book for regional.
https://www.amazon.co.uk/Regional-Anatomy-Rastislav-Paperback-NEGOTIABLE/dp/8072628798
Also, remember to draw simple schemes in sectional and regional anatomy.

>> No.10499099

>>10486078
depends on the type of cancer. But usually, it is organ failure or cachexia.

>> No.10499101

>>10499083
>Should I just memorize abnormal ECG patterns, or should I actually try to understand the underlying mechanism of the abnormality?

Memorize the abnormal ECG pattern. Fuck the mechanism, it's useless. When you see ST elevation is STEMI, when you see T waves that are large it's hyperkalemia, when you see pointy P waves it's called mitral P, so enlargement of the left ventricle, when you have P waves that are > 2,5mm it's pulmonary P and the list goes on.

>>10499099
organ failure leads to cachexia, wtf?

>> No.10499106
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10499106

Engineering Student interested in radiology here,,,

I got an interview for my state medschool in a week. Any tips??? I've only interviewed for minimum wage jobs b4.

>> No.10499108

>>10499106
So...you want to get into medschool?

>> No.10499115

>>10487215
>standards for skeletal nomenclature.
standard nomenclature in anatomy is Latin. so the "fifth distal phalange of the left hand" would be something like "os quintum distales manus sinistrae". Some countries even write entire anamnesis in Latin.

>> No.10499117

Premed student here. Anyone thought about military to pay for dental: https://www.adea.org/GoDental/Dental_Blogs/Tips_From_Current_D_D_S__and_Dental_Hygiene_Students/Worried_About_Dental_School_Debt__A_Military_Scholarship_Could_Be_Your_Answer.aspx


It seems too good to be true. Like something that only 1% of people applying for would actually get.

>> No.10499120

>>10488335
A real thing, but often used as an excuse by fat people and Jews for being human garbage.

>> No.10499121

>>10499117
>premed
>goes into dental

nuff said.

>> No.10499124
File: 2 KB, 74x125, 570e1a6d314378313e211d5908b50b1f2ad565c1648ac89ec2cfd44bcc3d517e.jpg [View same] [iqdb] [saucenao] [google]
10499124

>>10499120
Kek

>> No.10499128

>>10489090
which EU country? And why aren't pharma and patho two different subjects?

>> No.10499142

>>10499101
>organ failure leads to cachexia, wtf?
Nope, the tumor's increased metabolic demand leads to cachexia. Throw in decreased appetite, nausea, chronic anxiety, chemo etc and you have cancer cachexia.

>> No.10499143
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10499143

>>10499128
Not him, but

>Why aren't pharma and path two different subject

They probably are, I think he was talking about pathophysiology instead of pathology since you don't study any meds in pathology classes. It would be just stupid to teach them meds, when they have pharmacology, it's like assuming they know meds before even studying them.

>> No.10499145

>>10499101
Thanks bro. Can you recommend any literature,?

>> No.10499146
File: 636 KB, 752x680, Screen Shot 2019-01-22 at 2.47.26 PM.png [View same] [iqdb] [saucenao] [google]
10499146

>>10499108
yes.

>> No.10499147
File: 180 KB, 356x400, 291 - qbV5TA3.png [View same] [iqdb] [saucenao] [google]
10499147

>>10499142
But cachexia is a multi organ syndrome, senpai. I guess cancer cachexia and the cachexia I studied are different. Thanks for info, though.

>>10499145
ECG in 10 days by I forgot his name MD (I'm in bed, too lazy to go downstairs) is the easiest and should be a starting point.

>> No.10499149

Is studying medicine in eastern Europe a trap if you're an EU citizen?

>> No.10499157

>>10499149
>eastern Europe
>a trap

Depends. I'm from Romania which is non-slav so we have our benefits, I guess. But to answer your question, it's not a trap. The studying program is good, solid profs (most of them), cheap compared to other countries, most of our docs become expats because compared to other countries, a physician's salary is kinda low, but they're replaced with Indians and Kenyans. (Seen many Indians in our hospital, especially nurses and Kenyans especially surgeons).

>> No.10499199

I'm at a loss. Stuck at a speciality I detest for the next few years, just graduated, EUshit. Do I follow my heart and go for something entirely different and a lot harder or spend the rest of my days miserable and with a moderate amount of free time/money for the sake of peace? No family and not interested right now. I know I sound like a dipshit, but spending a month at one place until I realised it made me hate all my patients is taking its toll on my fragile psyche.

>> No.10499205
File: 728 KB, 705x473, b96df5e21564a65a4f8a23e6d558341ced68ed53.png [View same] [iqdb] [saucenao] [google]
10499205

>we wuz malaria n shit

>> No.10499217

>>10499199
What speciality are we talking about here?

>> No.10499226
File: 68 KB, 600x782, h34A851A6.jpg [View same] [iqdb] [saucenao] [google]
10499226

>>10499205
>wat up cuz?

>> No.10499299

>>10499217
Neurology currently while I'm gravitating towards the surgeries. Former seemed much more exciting during med school, but it lacks procedures and the quality of patients in my region leans towards certain psychiatric disorders I'm not comfortable with working.

>> No.10499312

>>10499299
Well shit. You had no idea that as a neurologist as long as you don't see a CAT scan or MRI you can't do shit? I feel bad for you anon, you should really do what you want. If you want to pursue a surgical speciality, go for it. You have 1 (one) chance at this life, you can't waste it by doing something you don't like.

>> No.10499349

>>10499312
Don't mind the diagnostics, it's the looming helplessness afterwards that bothers me. You don't really help patients or if you do, it's over such a fucklong period of time that it doesn't feel fulfilling at all to me. Thanks though, I should gather up the courage to relocate.

>> No.10499365

>>10499349
>You don't really help patients or if you do, it's over such a fucklong period of time

That's what most clinical specialities do. If you want to fix a patient fast, go for surgery, especially ortho.

>> No.10499369

>>10499367
>>10499367
>>10499367
>>10499367
>>10499367

NEW THREAD

>> No.10500722

>>10499145

Bit late but ECG Made Easy is pretty good as well