/med/

[Anonymous No.10625995]

Physicians generic edition
Last thread reached bump limit
old: >>10612958

We discuss research, offer advice (Just see your family physician), make fun of premeds, discuss residency and different specialities but we mostly shitpost

If you want to discuss vaccines, please make your own thread because it takes a lot of replies and the discussion degenerates.

>What's the best speciality for research?
Path, clinical lab, onc, rad/onc, anaesthesia

>What's are the best specialities lifestyle wise?
Optho, derm, psych and rads

[Anonymous No.10626025]

Opinions on pharmacy (industry or hospital, not retail)? How difficult is it to move to another country with a doctorate in pharmacy compared to an MD?

[Anonymous No.10626029]

>>10626025
Depends on the country you want to move in, I guess. People are needed for reaserch everywhere.

[Anonymous No.10626045]

>>10626029
USA ideally but I just want to get out of Europe.
What is pharmaceutical research like? What are the hottest subfields?

[Anonymous No.10626056]

>>10626045
I'm Euro myself, I thought you were from US, maybe other anon can help you, sorry.

[Anonymous No.10626065]

Sup anons. Fellow Medanon here done with medschool(technically) and starting a year's internship. In Egypt to be specific. I'll put a tl;dr if this gets too long.
I sorely wanna get the fuck out of Egypt and practice medicine elsewhere.
The question I was hoping one of you anons can help me out with is the following: Where on this Earth do I have the best chance of landing a spot as a resident/GP. In an English speaking country since I only got that and Arabic.

For more detail I'm planning on taking the USMLE step 2 exam within the next 2 months, along with the first part of PLAB. My major issue is that getting a 2/3 month elective is gonna be difficult since the realization only came to me within the past year. So I'm basically relying on retardedly high grades as my only hope.

Tl;dr medanon finished medschool and wants to gtfo of Egypt. What do where go?

[Anonymous No.10626080]

>>10626065
You're in egypt? You study medicine? Are you that autistic poster who was called "Mona"?

[Anonymous No.10626091]

>>10626080
Nope, 1st post here

[Anonymous No.10626233]

What could cause my left eyelid and the surrounding skin to be dry and irritated for a month+? It doesn't look infected, just dry. Moisturizing doesn't help.
Inb4 see a doctor, I don't want to waste his time with such a minor issue.

[Anonymous No.10626242]

>>10626233
sounds like a fugal infection
but that's a tender place so you still need to see a doctor so he can give you the proper cream.

[Anonymous No.10626275]

For me its suffering

[Anonymous No.10626298]

2nd year in a rad tech program and ready to kill myself. AMA

[Anonymous No.10626301]

>>10626065
You can live like a king in egypt if you make the right moves.

t. doctor in pakistan

[Anonymous No.10626437]

>>10626301

you'll need an extra concentration of cations

[Anonymous No.10626884]

>>10626298
Why?

[Anonymous No.10626985]

Fix tinnitus.

[Anonymous No.10627077]

>>10626985
fuck off, who told you to experience loud noises

[Anonymous No.10627398]

What is the best and the mnemonic you used the most to recall complex systems/structures in preclinical theory exams?

[Anonymous No.10627414]

>>10627398
I had a deep understanding on how things work, how they interact in a systemic context and what their clinical significance was. Thus I was able to reconstruct any system that I didn't outright remember through logical inference.

Fuck off.

[Anonymous No.10627442]

Hey faggots screencap this
I'll be back in a few months or so, and I will be shilling my published paper of a new antitumoral protein i have discovered as an undergrad.
And when the time will come you faggots will bend over and admit that even a biology undergrad is smarter and a better researcher that a medfag will ever possibly be

[Anonymous No.10627453]

>>10627442
post AA sequence, otherwise weak bait

[Anonymous No.10627483]

>>10627453
You'll see when I'll link you the paper published on a first quartile journal

[Anonymous No.10627546]

>>10627483
How can I know that it was you, and you're not just taking credit for someone else's work?

>first quartile journal

Wow, now I'm really impressed.

[Anonymous No.10628396]

>>10627442
Ok

[Anonymous No.10628703]

>>10627442
"I can handle things. I'm not dumb. Christ, not like everyone says. I'm smart; and I want respect." - biology undergrad

[Anonymous No.10628844]

Remember anons: no matter how bad you may feel sometimes, remember that at least you'll never be as insecure as this guy >>10627442

[Anonymous No.10628850]

>>10628844
Nah, I get him. Most of people that wanted to get into medschool and didn't make it, will try to shill for the field they landed into. He just seems frustrated, so it's not worth it.

[Anonymous No.10628856]

Is Occupational Therapy a decent field or a meme?

I'd like to get into studying something medical and a doctor friend suggested it.

[Anonymous No.10628858]

>>10628703
top kek

[Anonymous No.10628866]

>>10627442
https://www.youtube.com/watch?v=1Bix44C1EzY

[Anonymous No.10628887]

>>10628856
>something medical
Occupational Medicine is fine as long as you finish medschool, I'm not sure how good occupational therapy is.

[Anonymous No.10628902]

>>10628703
>>10628844
>>10628866
Stay mad researchlets

[Anonymous No.10629117]

Shet, fellas I've been reading for my final IM exam and nephro is so interesting, but so fucking hard.

[Anonymous No.10629121]

>>10629117
Agreed. Nephro is very complicated. I didn't understand anything from pathophisiology regarding kidney diseases, next year I have to be prepared for this spec.

[Anonymous No.10629157]

Ouch.

[Anonymous No.10629186]

Ok guys, who's that pokemon?

tip: Newborn pt

[Anonymous No.10629300]

>>10627442
insecure incel

[Anonymous No.10629302]

>>10629157
did he died?

[Anonymous No.10629312]

>>10629302
Don't know. I googled x-ray trauma and this popped up in r*ddit. Apparently, from what I've read in the thread, he's in neurogenic shock. I doubt the patient will survive the ICU.

>>10629300
Checked.

Confirms it.

[Anonymous No.10629321]

fellow dentists, thoughts on this?

https://www.sciencedaily.com/releases/2019/04/190415113813.htm

tl;dr
>this article implies The face you see in the mirror is the result of millions of years of evolution and reflects the most distinctive features that we use to identify and recognize each other, molded by our need to eat, breath, see, and communicate.
>eVolUtiOn

[Anonymous No.10629333]

>>10629321
Why would this question be addressed to dentists only? Just because the "experts" assumed we "evolved", and it mainly changed the jaw, TEETH, brain and skull?

[Anonymous No.10629365]

Family med as an IMG or ortho surg in the UK?

[Anonymous No.10629388]

>>10629365
Very different specs. If you like ortho, then don't go into family medicine.

[Anonymous No.10629534]

>>10629388
What areas of ortho preclude someone from liking family med?

[Anonymous No.10629536]

>>10626065
What's your step 1 score?

Clinical rotation could be a good shout, nail it and get a LoR

[Anonymous No.10629537]

>>10625995
>>What's are the best specialities lifestyle wise?
>, psych
Cringe

[Anonymous No.10629547]

>>10629534
There are none. But if you like ortho which is surgical, and work with bones and like to work in an environment like that, there's no reason for you to pick FM.

[Anonymous No.10629550]

>>10629537
Why cringe? They work 9 to 5 and get a ton of money.

[Anonymous No.10629617]

>>10629550
Not him but it does require a very specific kind of mindset to be a psych, whereas other "lifestyle" specs don't.
Also you might want to add path to the list since it's 9-to-5, well paid, never on call.

[Anonymous No.10629623]

>>10629617
It has a different mindset since all they do is talking and prescribing meds. Lifestyle is great compared to a surgeon that is on call and works more hours, for example.

[Anonymous No.10629753]

>>10626045
Anyone?

[Anonymous No.10629779]

>>10629550
>and get a ton of money
people like you are the reason why people die. fuck you and fuck off. medicine require passion. not seeking behind money.
i'm legit pissed and my mood is shit now. fuck you today and fuck you always

[Anonymous No.10629781]

Any Doctors have any advice on undiagnosed testicle pain?

Have had many tests run, all normal. Think it’s nerve related , stretching seems to help some , maybe it’s muscle tightness . Anyone else have this and cured it without pain killers?

[Anonymous No.10629793]

>>10629781
Are you sure it's nerve related? Have you had a testicular echo? It might be varicocele. I'm a medfag and suffer from varicocele, had sharp pain when I didn't wear underwear at night or if the underwear was too loose for my testicles.

Varicocele is basically testicular varicos vein. Look it up on pubmed or at least make an appointment for it.

[Anonymous No.10629803]

>>10629793
Not that anon but why would no undies or tight undies cause pain? Shouldnt ones that compress it more cause more pain because they would shut off the blood flow?

[Anonymous No.10629806]

>>10629793

Had a testicular ultrasound and all came back normal but maybe I just had a shit lab tech.

Or is an echo a different test ?

[Anonymous No.10629808]

>>10629779
>wanting to earn money is wrong!
>seeking any kind of monetary gain after spending 12+ years of your life studying is immoral!
Shut the fuck up you self-righteous drama queen
Idealistic premeds are the worst

[Anonymous No.10629818]

>>10629793

I’m not 100% what it is , until they have a test that can scan your body like in Star Trek and identify the origins of all pain

Certain stretches seem to help

Maybe it’s from an injury from when I was little and forgot about

My best guess is my lumbar spine is compressing the ganglion root nerves that run from the spine to the genitals , next step to prove this is to have lumbar spine MRI and maybe some chiro work

Until then I just live with the 2-3 / 10 pain and use my anger from 7 years of useless doctors appointments to fuel my workouts until a cure is found . I won’t give up as I know other men have this issue

[Anonymous No.10629819]

>>10629803
Apparently it makes the pain go away. From what my prof told me (he examined my balls), because the testicles like it a bit colder compared to the body temp, they tend to go down, and because there's a varicous vein there, it stretches it out and provokes pain.

>>10629806
Echo = ultrasound. When does it hurt? Does it hurt when you wear underwear? It could be a lab tech mistake because the diagnosis it's not that common, but I'm pretty sure an ultrasound should show varicous-like veins in the affected testicle.

[Anonymous No.10629834]

>>10629819

It hurts when I’m sitting down usually or laying on my back . Also hurts when someone touches my balls, this used to feel good but not they’re so sensitive it was difficult to even have the ultrasound done

I’ll try using tighter underwear and see if that helps . Might need to pop a pain pill before the next ultrasound but even then The idea of someone touching me down there when it’s so sensitive , even when I can’t feel it , makes me uncomfortable

I know there are options for the pain that I haven’t pursued yet such as de-nerving & spinal nerve stimulation but I’m trying to try everything else before I have to use surgery .

I’ll never submit to using pain pills but might try gaba pentin as I’ve heard it can help

[Anonymous No.10629847]

>>10629834
Try the underwear and see if it works, if it doesn't, then it's most likely something else. I think we all have sensitive balls, I didn't like the idea of making my balls slimy with gel and a cold transducer on them, plus the prof palpated both of them and squeezed them like stress balls, so I guess I developed an anxiety for this kind of stuff and always clench my asscheeks whenever I have to visit uro.

Should get some pain pills too. If it's indeed varicocele, you will have to get surgery and remove the vein + it affects your sperm count. I wish you the best, anon. Update us whenever you can.

[Anonymous No.10629853]

>>10629819
>(he examined my balls)
Lmao are you that anon which talked about this few threads ago? I remember he was suppose to be angry at you or something right?

[Anonymous No.10629855]

>>10629853
Yes, it is indeed me. I'm the romanon, and I still hate my urology prof for being a piece of shit with my balls.

[Anonymous No.10629863]

>>10629855
>I'm the romanon
Huh I thought you were a girl

[Anonymous No.10629865]

>>10629863
Was it that obvious it's me? Damn, I don't know what makes it so obvious.

[Anonymous No.10630895]

Why aren't more people podiatrists /med/?

[Anonymous No.10631066]

Tips on recalling all the cycles structures and enzymes for biochem exams

[Anonymous No.10631069]

>>10629186

PTX

>>10630895
they do

[Anonymous No.10631076]

>>10627442
Looks like someone already beat you to it, phag.

https://www.sciencedaily.com/releases/2019/05/190509153427.htm

[Anonymous No.10631083]

Should I go through with the sexual reassignment surgery?

[Anonymous No.10631315]

>>10631069
>ptx
Incorrect.

[Anonymous No.10631349]

>>10625995

What should I focus on this summer? I wanted to learn some coding and volunteer + scribe jobs.

I also have a lower GPA freshman year (3.17~) in engineering. It's low and I need to improve. Is there hope for me? What can I do to improve my study habits?

[Anonymous No.10631382]

>>10631349
Borderline underage

[Anonymous No.10631386]

>>10631083
Most of 4chan already has.

[Anonymous No.10631485]

>>10631349
>>10631382

I am 18 fatty

[Anonymous No.10631489]

>>10631485
Jesus. Fucking post 2000 kids are 18 now. Still under the age of buying alcohol in the US, so fuck away now.

[Anonymous No.10631501]

>>10631076
Nice try bro, but mine is located in a fish.
And if someone really beats me to it I'm going to end it all

[Anonymous No.10631508]

>>10631489
i don't give a shit, you have a lack of empathy

[Anonymous No.10631518]

>>10631069
>they do
Really? I was wondering because the average GPA and MCAT score for podiatrists is low and the pay is high enough.

[Anonymous No.10631584]

>>10631485
>18
Anon, I...

I don't think you'll make it with that GPA. Even if you ace the MCAT.

[Anonymous No.10631656]

Why does my brain sometimes has the ability to focus really fucking hard like on 20mg of d-amphetamine and sometimes not?
>dry mouth
>increased heartbeat
>clenching teeth and stiff jaw
It's exactly like amphetamine tbqh

[Anonymous No.10631749]

>>10629157
big booboo
>>10629186
pneumothorax
>>10631066
Brute force memorisation, you won't need 99% of them anyway.
>>10631083
There were studies showing it actually worsens psychiatric symptoms. I'd very cautios. There are also shit surgeons that fuck things up, if you eventually decide to do it, research your doctor.

[Anonymous No.10631758]

>>10631749
It's not pneumothorax.

I mean, I should say the condition IMPLIES pneumothorax but not always. It's something that mostly neonates have.

[Anonymous No.10632004]

>>10631083
Stop this meme, please.

[Anonymous No.10632290]

Any tips on how to not act like the massive autist I am on rotations? I have a lot of difficulty displaying sympathy and making conversation with patients/staff. Like if an older lady casually mentions how she's full of fucking mets and it's really hurting, how do I respond sympathetically to that?

[Anonymous No.10632339]

>>10632290
I honestly don't know anon, I never had problems with this. I usually talk about whatever the patient wants (After medical history and examination ofc), for example, today I had this old lady that was admitted for 500mg/dl blood sugar, didn't go into a coma and was stable. We talked about the town she is from and home made pies. When she was in pain and complained to me about it, I just told her that I feel sorry about it and that the nurses and doctors will take good care of her, then I change the subject and talk about something else. You'd be amazed how many patients fake pain just to talk to somebody.

[Anonymous No.10632688]

>>10631069

close. look at the opacities.

>>10629186

neonate rds. needs more glue. science, bitch

[Anonymous No.10632709]

>>10632688
>rds
Nice job.

[Anonymous No.10632737]

Ok lads, one more.

Shit tip: I studied this in gen surgery and is kind of rare.

[Anonymous No.10632749]

>>10632737
Rib notching: coarctation of the aorta?

[Anonymous No.10632761]

>>10632749
Nope but very close but think about GEN SURGERY. What do they operate in the chest area? Can be seen on an x-ray.

[Anonymous No.10632785]

>>10632761
Could be left tracheal deviation due to a tumor. Perhaps hilar lymphadenopathy? Or am I seeing pulmonary hypertension? I do wish for patient information, but spot diagnoses are fun:)

[Anonymous No.10632788]

>>10632785
Right tracheal deviation I meant, oops.

[Anonymous No.10632810]

>>10632785
>>10632788
Still wrong. It's achalasia. Look for a large air-filled tubular sturcture which is the esophagus. Pic related is a bit better.

[Anonymous No.10632849]

>>10632810
Thank you for the information:)
It's been a long while since I've come across a case like this. And Radiopaedia is a great resource! That latter image is a lot easier to identify the esophagus. Superimposed over the heart, though, it's difficult to see. For some hiatal hernias, I had to really scrutinize the image.

[Anonymous No.10633884]

Studying for a neuro exam, is the Elisa Lam footage an example of athetosis?

[Anonymous No.10634356]

>>10632849
I don't like radiology that much, I'm posting these because I have my rads exam in one week. Haven't seen achalasia on an X-ray since my gen surg rotation, but apparently it's in the curriculum. Glad you liked it, anon.

[Anonymous No.10634433]

Can someone pls tell me why my job as a physician won't be taken by AI in the next 20 years?
>pro tip - you can't

[Anonymous No.10634436]

>>10634433
B8

[Anonymous No.10634462]

>>10634436
>meme reply
wow u sure showed me

[Anonymous No.10634520]

>>10634433
Low effort bait, my man. Try harder next time. I know you're jealous and frustrated, but please try not to take it out on us with shitty bait.

[Anonymous No.10634528]

I want to remove my own suture. The wound is healing well enough that I'm concerned the stitches will heal into the akin.; they've been in for about ten days, they were supposed to come out after seven.

Is this reckless, or is it fine if I'm careful about disinfecting and dressing it afterwards? It's often hard to know what you can take into your own hands where health is concerned, because doctors are (understandably) litigation-shy, and won't give any advice that any human ever could botch, for fear of being blamed for it.

[Anonymous No.10634530]

>>10634528
How long is the suture and where it is located? What kind of surgery did you have?

[Anonymous No.10634533]

>>10629779
if you wanted money, shouldve gone corporate

[Anonymous No.10634536]

>>10634433
i'm in medschool retard i'm looking for reasons to not to switch into data science

[Anonymous No.10634540]

>>10634536
lol meant to reply to >>10634520

[Anonymous No.10634542]

>>10634540
If you doubt that physicians will be replaced with AI , that's a good reason to get into your shitty data science.

[Anonymous No.10634547]

>>10634542
literally look at any guideline and tell me what part of it cannot be made into a program
radiology, derm, opthalm and pathology and any image based diagnostic specialities are fucked, AI will take over that first. the rest will follow swiftly

[Anonymous No.10634552]

>>10633884
No it is a case of drugging and ritualistic murder

[Anonymous No.10634558]

>>10634547
Yeah, it won't take over, at least not in the years I'll be alive. Derm has procedures, path works with bodies, optho had procedures, rads has a very wide range of diseases that an AI could easily miss or mistake it for something else. Idk why you have such a stupid way of thinking that some shitty machine can replace physicians. Do whatever you think it's best, anon.

[Anonymous No.10634563]

>>10634547
Guidelines arent rules you retard they are g u i d e l i n e s. If you think everything works by guidlines you havent set your foot into hospital.

[Anonymous No.10634569]

>>10634563
step into a hospital and the sht you find done outside guidelines is not evidence based and up to the whim of an antiquated consultant

[Anonymous No.10634574]

>>10634558
>machines that don't make mistakes and follow best practice vs shitty human error and inappropriate prescribing due to biases
i know which i would want in charge of my health

[Anonymous No.10634578]

>>10634569
Not him but guidelines = memes. If you had experience in a hospital, you'd understand

>>10634574
>machines that DON'T make mistakes

[Anonymous No.10634584]

>>10634578
https://jamanetwork.com/journals/jama/fullarticle/2588763
look at this study m8

[Anonymous No.10634587]

>>10634578
>guidelines = memes
great argument friend. what hospital experience do I need to make sure I can ignore evidence based practice to mindlessly prescribe my boss' favourite antibiotic for every patient so that I might get a spot on the program?

[Anonymous No.10634588]

>>10634530
It's actually a cut that required stitches. All the info I've found seems to be about surgical stitches, which are for neater wounds, so this is something that gives me pause.
It's on the forehead. I count ten blue silk stitches, each with a knot, and two endings per knot. The wound itself is nearly invisible.

[Anonymous No.10634589]

>>10634588
Length: maybe 5cm / 2nches, but curved.

[Anonymous No.10634592]

>>10634584
Yeah, like a machine would compare with an experienced ophthalmologist that can see diabetic retinopathy. It may be good for diagnosis if the physician is not sure, but I'm 100% confident that an AI won't take the physicians place. Also, it's a meme study, thank you very much for wasting my time.

>>10634587
>evidence based practice
Are you sure you're not a dumb premed or something? You can prescribe whatever makes you think that will do good for the patient, in this case you will prescribe the AB that is recommended. If the "boss'" favorite AB is other one, it's up to him to prescribe it. I'm saying that you don't have to be a fucking robot and always follow those shitty guidelines. You may have a preferred AB that works better than the one recommended.

>>10634588
You can do it bud, 7 days for that kind of wound is enough, you had it for 10 days. Just go to the pharmacy and get yourself a scalpel blade. The cut below the knot. It will hurt a bit but I'm sure it will be fine. I did something similar but on my neck, where the skin is a bit more thin and it went well, although the cut had 2cm length and superficial. If you're still not sure, then talk to your family physician and he/she might get it done for you. But make sure that after you removed the stitches, clean it with iodine and dress the wound for another day.

[Anonymous No.10634600]

>>10634592
did you read the study u absolute twat? it performed as well as experienced opthalmologists. why pay someone hundreds of thousands of dollars a year when you can pay for a program once to do it for you 24/7 365?

As for the AB thing, you're fking stupid. any AB that you or your boss prefers is due to anecdotal weak evidence or worse some bigpharma rep's spiel. the main reason why doctors constantly make biased decisions is cause they are prideful SOBs that think they know best based on their 'experience' ( = it's always how we've done things round here).

[Anonymous No.10634613]

>>10634600
>they know best based on their experience
Are you fucking stupid? A seasoned physician with tons of experience >>>> Some shitty guidelines. I don't give a fuck about your conspiracy theories, anon. You're just dumb, please drop out of medschool.

>Why pay someone hundreds of thousands of dollars a year when you can pay for a program once
I said earlier, you dumbfuck, that it doesn't matter that much if that machine can diagnose DR as long as the physician is the one solving the issue because if a patient comes in and says "Uh, doc I think I have DR, the AI said so, please fix it", of course the physician will have another look at it before treating. There's literally no point to it.

[Anonymous No.10634620]

>>10634613
>muh experience
holy sht ur right. who needs clinical trials and an evidence base when you can just pull a treatment decision out of your arse.

>it doesn't matter that AI can diagnose disease
>it doesn't matter that AI can literally do the primary job of a physician

u wot M9? why the fk would any hospital pay people to duplicate the results of computer program? Plus if you think robotics won't be able to treat DR you are have very little foresight.

[Anonymous No.10634627]

>>10634620
>trusting AI
>trusting AI in diagnosing and treating diseases
>trusting current or within 100 years in future AI

[Anonymous No.10634632]

>"""AI""" can't even properly drive a car or reliably translate text
>yet he thinks it'll be able to diagnose complex diseases in his lifetime
Imagine being this retarded and out of touch

[Anonymous No.10634634]

>>10634620
>when yo ucan just pull a treatment decision out of your ass
That's from experience, you don't pull it out of your ass you dumb premed.

>why the fk would any hospital pay people to duplicate the results of computer program?
Because AI can make mistakes sometimes and they would rather pay the physician than pay for lawsuits.

[Anonymous No.10634637]

>>10634592
Thanks again for the advice.

I managed to get them out with a pair ofalcohol soaked nail scissors and a pair of tweezers, though it took a little digging around to find the "roots." Painless. Everything turned out better than expected.

[Anonymous No.10634643]

>>10634634
what part of experience trumps an evidence base m8?

Also no point in checking an AI's work if the physician is as likely to make mistakes as the AI. Don't go into radiology bruh

[Anonymous No.10634652]

>>10634632
https://ai.googleblog.com/2018/12/improving-effectiveness-of-diabetic.html

they are already working in India u retard. if u aren't scared, u should be

[Anonymous No.10634656]

>>10634652
>India

[Anonymous No.10634658]

>>10634652
Yeah I'm sure fucking google's AI department has no stake in this at all and wouldn't publish a biased and overblown article
Do you have literally no idea of how silicon valley works you absolute retard?
>if u aren't scared, u should be
Stop writing like a special needs kid
No wonder someone like you would blindly buy into meaningless hype. Data science is right up your alley, you'll fit in perfectly

[Anonymous No.10634664]

>>10634637
No problem, glad you solved it. Make sure to disinfect it and dress it up for another day.

>>10634643
>if the physician is as likely to make mistakes as the AI
You're retarded beyond this world. You'd rely on a fucking AI diagnosis without checking the problem yourself? Please just drop out already you fucking retarded premed.

[Anonymous No.10634669]

>>10634658
https://www.nature.com/articles/nature21056?TB_iframe=true&width=914.4&height=921.6

k mate, just more evidence for u from the biggest scientific journal

[Anonymous No.10634674]

>>10634669
This nigga got scared from roko’s basilisk lmao

[Anonymous No.10634678]

>>10634664
>rely on a diagnosis made with the same level of accuracy and reliability as an expert physician
>be retarded

u can only pick one m9. don't worry, u won't have to worry about checking AI diagnoses because they won't eve need to be referred to u.

[Anonymous No.10634687]

>>10634669
>he thinks finding shitty papers about vastly different fields of medicine counts as proof of anything at all
>he thinks these papers demonstrate anything else than the fact that machine learning applied to medicine is currently in a testing phase
>he thinks this kind of technology is anywhere close to being scalable enough for hospitals to seriously consider adopting them
>he's so autistic that he actually believes patients won't see an issue with machines administering treatment with no human element in between
>he's SO autistic that he fails to grasp doctors might not want to let themselves be replaced and that lobbying is a thing
Protip: when "AI" becomes good enough to actually replace fucking doctors (and not just warrant clickbait articles and cheap hype), it'll be good enough to replace any other technical profession either way. And it won't happen in your lifetime.
Now fuck off dipshit

[Anonymous No.10634696]

>>10634678
>because they won't even need to be referred to u
And the patients will be referred to a machine? Kek, this is already bait tier posting. Also, please stop talking like a retarded autistic child.

[Anonymous No.10634703]

>>10634687

>replace any other technical profession
we can agree here

>patients and governments give a fk about the 'human element'
Why would any sane person want to be treated by a tired, forgetful person whose knowledge taught to them in medical school is mostly obsolete rather than an unwavering AI that delivers its everytime?

Also
>you need to be a doctor to provide a human element
ever heard of a nurse u retard? a lot more caring, cheaper and less autistic

>muh lobbying
pathetic. sure, lobby to keep doing a inferior job. u truly have the patient's health at heart.

[Anonymous No.10634705]

>>10634696
nope, a nurse/less skilled allied health worker will refer to specialised AI. don't need to be a doctor to talk to patients and do admin.

[Anonymous No.10634715]

>>10632737
why the fuck are you showing us an xray for a condition that you need manometry to diagnose? fk off useless kent

[Anonymous No.10634718]

>>10634703
Holy shit you are actually a goddamn retard, not in the meme sense, you're just that fucking dumb.
What is so hard to grasp in the fact that the experimental and testing phases for a product have nothing to do with its scalability and practicality?
> to be treated by a tired, forgetful person
Assuming you're not baiting and you're actually that much of a clueless faggot: non-autistic people, i.e. people who have no particular trouble connecting with others and using interpersonal skills, appreciate being treated by an individual they perceive as competent and caring, hence why bedside manner is so important in most specialties.
You seem clearly emotionally stunted though to be able to spout such stupid bullshit seriously, so you probably won't understand. Again, data science is a field much more suited to your lack of interpersonal skills, you should definitely do that
Also if you weren't a premed retard you would know that most knowledge taught in med school never gets obsolete and that you're required to regularly update your skillset when it comes to advances made in your particular specialty
>less autistic
L M A O
>pathetic
That's how the world works you clueless fuck. People don't want to get replaced by machines and this is not exclusive to physicians. Go gargle on SV magnate cum elsewhere and leave this thread alone

[Anonymous No.10634730]

>>10634705
>don't need to be a doctor to talk to patients and do admin
Kek, midlevels should not be allowed to practice by themselves. Physicians should do the diagnosis and procedure.

>>10634715
>muh manometry
It's not my fault you're a brainlet that can barely see the issue. Now fuck off you useless prick.

[Anonymous No.10634732]

>>10634715
>fk off useless kent

[Anonymous No.10634734]

>>10634718
>bedside manner
ever been on a gen surg WR m9? listen to urself.

What don't you understand? You don't have to break ur fkn back training to be a doctor to be a nice person to patients. AI will handle the Dx/Tx decisions --> caring can be outsourced to less skilled positions like nurses and other care workers.

>that's how the world works
way to justify being a selfish fuck. Ur right - we should suppress AI so that arrogant SOBs can continue to deliver suboptimal care because of 'muh humanity'.

[Anonymous No.10634739]

>>10634730
>should do this, should not do that
Great argument m9. Really shows good reasoning.

[Anonymous No.10634740]

>>10634734
>implying that AI will deliver optimal care
>implying that gen surgeons have no bedside manner
JUST

[Anonymous No.10634742]

>>10634734
>ever been on a gen surg WR
Yeah, but you haven't, so stop pretending. And jesus stop writing like a fucking retard, it's unintelligible and makes you even dumber than you already are.
>AI will handle the Dx/Tx decisions
Keep dreaming you clueless undergrad. You'll be dead before that happens.
You're not the first starry eyed faggot to buy into the "AI will solve everything and everything unconditionally and forever" pipedream. If you can tone down the autism a little you'll grow out of it eventually.
>suboptimal care
Keep using words you don't understand, I'm sure you're making a great point in your head.

Seriously though why don't you fuck off? You seem convinced that your shitty data science meme is a better option than med school (which for you, it definitely is), so you don't want nor need advice here. Why not sperg out in another thread?

[Anonymous No.10634751]

>>10634742
sure, i'll keep dreaming about AI today while radiologists and pathologists lose their jobs in the next 10 years. i plan to be around then.

stay mad while the doctor's role becomes like that of a pilot - twiddling their thumbs while machines do all the work.

why should I fuck off? u guys are supposed to be convincing me to stay. surely u can do better than this.

[Anonymous No.10634752]

>>10634751
> be convincing me to stay
This thread doesn't exist for your entertainment you braindead faggot. Spare us the autism and remove yourself.

[Anonymous No.10634754]

>>10634740
mate u obviously haven't been around gen surgeons. they're either pissed off because they're sleep deprived or obsequious around their bosses to the point of gagging.

[Anonymous No.10634756]

>>10634754
haha yeah I watched house MD too
fuck off

[Anonymous No.10634762]

>>10634751
>why should I fuck off? u guys are supposed to be convincing me to stay. surely u can do better than this.

Because you're delusional. There's no realistic way to make rads and path automated. Path doesn't look at slides all day, they do work with corpses and have to find the cause of death, rads is essential for diagnostic and there also is IR which won't be automated in our lifetimes or for the next few centuries.

>>10634754
I've been around plenty of them and while it is true that most of them are assholes to us, students, they actually are very empathetic and friendly when doing post op check-ups on their patients. You have no idea what are you talking about, my premed friend.

[Anonymous No.10634763]

>>10634752
if ur in medicine and don't want to think about AI, u need to control ur autism.

[Anonymous No.10634767]

>>10634763
That's even worse. You shouldn't think about AI that much, your primary focus should be helping out people or discovering new things. The subject of "AI taking over medicine" is a bad subject to discuss in the first place. Two reasons, because we don't have the technology to replace the physicians as a whole and second, because you're deluded as fuck and should reconsider your career.

[Anonymous No.10634783]

>>10634767
look, i agree that helping people and research is very important, but i can't help but want some job security. u must have gone this rabbit hole at some point - it's hard to look past.

[Anonymous No.10634793]

>>10634783
I haven't paid this subject any attention until you mentioned. There is no way that medicine will use AI this century or the next. It's a pretty dumb subject to talk about, imo.

[Anonymous No.10634804]

>>10634793
Do some research then m9.

[Anonymous No.10634812]

>>10634804
No thank you. I'd like to focus more on the patients and leave research for the ones capable to do it.

[Anonymous No.10634821]

>>10634763
>u need to control ur autism.
That's rich coming from the retarded sperg who's so socially stunted he doesn't manage to see why AI isn't an answer to every single problem on earth

[Anonymous No.10634839]

Which specs require the most knowledge of pharmacology aside from anesthesiology?

[Anonymous No.10634846]

>>10625995
>physician

[Anonymous No.10634916]

Thread has gone to shit with that AI nonsense.

>>10634839
IM I reckon. Anesthesists are somtimes called perioperative internists. Which reminds me how rusty my pharm knowledge is. I barely know more than 2-3 variations from drug groups let alone dosages and different trade names. Fuck.

[Anonymous No.10634931]

>>10634839
As the other anon said, IM but also FM has to know a lot of pharmacology too.

[Anonymous No.10634963]

>>10626301
is pakistan good for medicine

[Anonymous No.10634969]

>>10634751
>10 years
HAHAHAHHAHAAHAHAA IMAGINE BEING THIS ANON

[Anonymous No.10634973]

Why is urology one of the most sought-after surgical specs? Don't dicks and balls get old after a while?

[Anonymous No.10634989]

>>10634973
It's not that hard to practice it compared to gen surg or cardiothoracic. It's also paid very well, you don't have open surgeries anymore in uro (Unless shit hit the fan) and you can make even more money if you get into the kidney transplant surgery team. It's not always about dicks and balls, most of the diseases in uro are about prostate adenoma/adenocarcinoma and lithotripsies.

[Anonymous No.10635004]

>>10634989
>you don't have open surgeries anymore in uro
What about cancers?

[Anonymous No.10635013]

>>10635004
Not really. If the pt has bladder cancer, the surgeon can either
1.Take out his bladder and replace it with a part of the long intestine.
2.Use locally administered Doxorubicin (Trough cystsoscopy) and see how it goes

About kidney cancer, depends if the tumor is reachable trough laparoscopy or not. Prostate adenocarcinoma is usually laparoscopic surgery , sometimes open but it's not that popular anymore.

Or, non surgical, there is a way to stop the growth with some radio active seeds as far as I can remember, named brachytherapy.

[Anonymous No.10635017]

>>10635013
I see, thanks anon.

[Anonymous No.10635019]

>>10635017
No problem, anon. I hope you'll like uro and become a really good one!

[Anonymous No.10635040]

Lol at "i fucking love science" soibois who think AI will replace doctors in 5 years when hospitals are still running windows 95

[Anonymous No.10635052]

>>10635040
As you can see, these kind of premeds have increased in numbers and most people think of themselves as "special" and want to revolutionize something in a field. So they probably read a pop culture article and now they think that AI will take over medicine. It's not a laughing matter, this is bad.

[Anonymous No.10635135]

Extremely big ouch

[Anonymous No.10635342]

>when hoe asks for pinkie promise to trust you but you turn out to be extra loyal

[Anonymous No.10635717]

>speciality
>what should be the most important trait of the physician in that speciality
>why

Family medicine
Friendly
Because you see a lot of patients that you will probably keep seeing for a good 30-40 years and you do have to create a strong relationship with them or at least most of them.

[Anonymous No.10635723]

>>10635052
most premeds don't get in to med school

[Anonymous No.10635726]

>>10635723
Agreed, but some of them do and they go into it with the wrong mentality.

[Anonymous No.10635936]

>>10635717
>traumatology
>ability to read is unnecessary

[Anonymous No.10635988]

>>10635936

[Anonymous No.10636228]

>>10635936
The downside is that they have to do exhausting procedures and use hammers and stuff like that. They're medical carpenters for fucks sake.

[Anonymous No.10636377]

>>10635936
lol good luck finding work when self-driving cars come in dumbass

[Anonymous No.10636419]

>>10636377
Is this bait? It smells like one to me.

[Anonymous No.10637161]

Bump.

What happened guys? Where are you?

[Anonymous No.10637235]

>>10636419
Just woke up, even my dreams are medical now, for every five-six dream i see in a night three is medicine related. Starting from nonsensical diagnoses, to oncology researches and even surgical procedures. Just fuck my shit up

[Anonymous No.10637239]

>>10637235
Holy shit, this happens to me too. Last night I dreamed about being a family medicine resident and had to do full physical and ended up arguing with the attending because I heard carotid murmurs and he was positive it's not aortic stenosis even though I auscultated in the aortic region and heard crescendo-descrescendo sounds.

I also had a dream in which I was a PM&R attending and had do to research on patients with stroke and had no idea what the fuck should I do. Damn, I thought that only I had these kind of dreams.

[Anonymous No.10637248]

>>10637239
Guess they were right when they said, this job doesn’t end when you live workplace. I dreamed of doing whipple procedure being surgeon and assistents and anesthesiologist all at the same time

[Anonymous No.10637251]

>>10637248
Leave*

[Anonymous No.10637258]

>>10637248
Sadly, yes. Maybe these dreams will go away once we will become doctors. Never had a dream in which I was a surgeon and thank god for that, I don't want to do malpractice even in my dreams, kek.

[Anonymous No.10637349]

>>10637258
My infectious diseases prof was sixty yr old woman and one of the best doctors in my country, she said she dreams about her patients often. i guess it also depends how impressionable and obssesive one is, or when thinking about this stuff for entire day it gets in your sleep too.

[Anonymous No.10637355]

>>10637349
Never thought about it that way. I want to become a family physician, I think I'll be obsessed about my patients too (diabetics that I hope will lose weight and know how to properly take care of themselves, acute cases and so on) But I don't think she's the best because she dreams about her patients, I think it's just because that's the way she is. Maybe someone that "resonates" with certain patients and think about their condition and evolution more and more, they will certainly dream about them.

[Anonymous No.10637356]

>>10637349
>tfw ywn experience Lost for the first time ever again

[Anonymous No.10637378]

>>10637355
No i when i said she is best i didnt mean that related to dreams. Just mentioned it to say not only non experience worrying students do it but also highly experienced docs with good rep. Thats why i think it depends on personality and not much on experience.
>>10637356
>tfw surgery prof used to call you jack shephard as nickname in front of entire class but deep down youre john locke

[Anonymous No.10637387]

>>10637378
>surgery prof used to call you jack shephard
Is there a story behind that?

[Anonymous No.10637388]

I've got an L1 anterior wedge fracture, but why is it that the only real muscular soreness (when I try to sit up unsupported) and slight tingling (when I assume a fetal position) occurs roughly above and in front of my right hip?
To my knowledge the fractured vertebra hasn't impinged on the spinal cord at all so I've got no other guesses. I did spend most of the past year lying flat so it could be muscular atrophy in that particular area, but I'm uneducated about this sort of injury so I'm not sure if that's viable.
When the injury occurred in February last year as a result of gym trauma I was diagnosed with a paraspinal muscle spasm and spent a lot of time lying down as a result, but since I found out it was a fracture last month I've been trying to spend a lot of time sitting upright (supported) in chairs to retrain my muscles. I've also been doing planks to strengthen my core recently.
As said above, I only really have issues with one area of my lower back and I've got no idea why that's the case, does anyone have ideas? Picrelated is the medical diagnosis of a full spinal xray, following pic is the xray itself.
Thanks /med/

[Anonymous No.10637394]

>>10637388

[Anonymous No.10637406]

>>10637387
Not really, i was sitting somewhere in the back in hall full of people but without any reason he called me ‘hey cowboy’ and then ‘jack, jack shephard please come sit in front’ after that he used to call me that from time to time. Thing is we are not even from english speaking class and probably none of the other people understood the refference.

[Anonymous No.10637407]

>>10637406
Sounds like a cool dude.

[Anonymous No.10637411]

>>10637388
Which movement/exercise gave you the one way ticket to snap city?

[Anonymous No.10637433]

>>10637411
Went for a one rep max squat, failed on the way down and the reason it crunched so badly is because I partially leaned over instead of trying to roll the bar off my back

[Anonymous No.10637450]

>>10637433
Sorry for that anon, i might be wrong but i still think it is the compression issue when you get in those conditions, have you talked about this with your doctor? What does he think?

[Anonymous No.10637457]

>>10635717
Anymore faggots that would come up with some more specs?

[Anonymous No.10637472]

Opinions on IM? Is the lifestyle really that bad?

[Anonymous No.10637476]

>>10637472
There was my romanian bro in the other thread, he's an IM resident. If he comes in here, you'll probably get a better explanation but AFAIK, IM is pretty draining considering the wide range of diseases you have to put up with and constantly checking the pt's meds and bloodwork. I honestly have no idea if they're on call or not, but I doubt it. From what I've heard, lifestyle is pretty good after residency.

[Anonymous No.10637489]

>>10637450
GP said I majorly fucked my shit and shouldn't lift anything above 10kg, but a physiotherapist specialising in lower back sports injuries said I should be fine to go well past that as long as I have proper form, keep my torso fairly straight (not putting stress on the spine) and don't really do barbell deadlifts/squats. Haven't touched on the feeling in lower back with either of them but I did get diagnosed with hypermobility by the physio as he was making sure I could still move everything and I managed to turn about 90 degrees to each side with no difficulty as well as touching my toes. Definitely a compression fracture but I've got no idea how much this is gonna screw me over in later life as I'm only 21 right now.

[Anonymous No.10637539]

>>10637489
You should probably mention those symptoms to them too, rest, recover, good luck.

[Anonymous No.10637607]

I need a bit of help. Tomorrow, I have diabetes rotations and the prof told us to hand in our personal diets based on our ideal body weight.

I'm 183cm and 70kg.
According to the textbook, my ideal weight would be roughly 83kg, I'm sedentary so 30kcal then multiplied 83 x 30 = approx 2500 (2490 is exact) kcal.

Proteins 0,8 x 83 = 66g x 4kcal = 264 kcal/day
Lipids 25/100 x 2500 = 625 kcal then divided by 9 = 69g
Sugar => 2500 - 264 - 625 = 1611 kcal divided by 4 = 403g

Based on the daily intake of 2500kcal that would result in 2,5L of water / day.

The thing I need help with is the fucking diet. I have no idea how many sugars, proteins, fats do potatoes have and I don't have anything in the book. I just wrote stuff that I usually eat in a day (Beef, pasta, cereal, milk, tomato sauce, potatoes, salad, ice cream/chocolate). I have no idea how to approach this shit, should I just take each product and look up the nutritional value on the bags/wrappers/whatever? Some of them don't have it.

[Anonymous No.10637637]

>>10637607
Everybit of that info is readily avalaible, just search ‘specific food + nutritional value’ or something in this manner.

[Anonymous No.10637639]

>>10637607
>>10637637
Forgot to say it is avalaible for everything including fruites and veggies, theres info on quantities and everything

[Anonymous No.10637653]

>>10637637
>>10637639
Damn, I'm dumb. Thanks a lot!

Completed it and I have no idea if this is okay or not, I think I eat too much. In a day I usually eat.

Cereal (200g)
Milk (200g)
Pasta (200g)
Tomato sauce (50g)
Beef (200g)
Potatoes (200g)
Salad (100g)
Ice cream (100g)
Sunflower oil (30g)

The results are pretty bad, to be honest. approx 240g sugars
approx 100g protein
approx 110g fats.

All the values are not exact, some of them have 90 something grams and I went for 100g. I do eat a lot, but the intake, in the book, is smaller. Did I make a mistake or I just eat a lot?

[Anonymous No.10637751]

>>10637653
Add 4 scoops of protein powder

[Anonymous No.10637754]

>>10637751
Kek, thanks. But this is what I eat at 70kg. I would probably add 4 scoops if I wanted to get to 83kg.

[Anonymous No.10637755]

>>10636228
>medical carpenters

Non med fav here, fucking what

[Anonymous No.10637764]

>>10637755
orthopods are the equivalent of carpenters. So they're medical carpenters, they work with hammers, chisels, rulers, screws, nails and metal plates.

[Anonymous No.10637775]

>>10637755
Also, here's a webm of orthopaedic precision surgery.

[Anonymous No.10637791]

>>10637775
What about plastics?

[Anonymous No.10637793]

>>10637791
What's up with them?

[Anonymous No.10637795]

>>10637793
Well it's not as carpenter is it?

[Anonymous No.10637800]

>>10637795
Stupid question, my friend. Plastics are okay as long as you go into reconstruction and burnt patients. I don't consider them "surgeon" if they only do boob jobs and face lifts.

[Anonymous No.10637804]

>>10637800

I like reconstruction things like that boob jobs never turn out looking natural

[Anonymous No.10637805]

>>10637800
>I don't consider them "surgeon" if they only do boob jobs and face lifts.
What about cosmetic surgery that isn't boobjobs? Jaw/chin surgery, rhinoplasties, ophtho cosmetic surg, etc

[Anonymous No.10637808]

>>10637805
As long as it's necessary. If the pt suffered trauma and is deformed by it, sure. And this goes into reconstruction category.

[Anonymous No.10637810]

>>10637808
>If the pt suffered trauma and is deformed by it, sure
Why this unnecessary distinction? What's wrong with patients who just want to look better?

[Anonymous No.10637854]

>>10637810
Well they can do whatever, it is just no longer treating more cattering

[Anonymous No.10637862]

>>10637854
Yeah but that's fine, it's still medicine.
Derms only make so much money because of the cosmetic procedures, not because of the treatments, for example.

[Anonymous No.10637870]

>>10637810
I don't know honestly, I could never consider them patients in the first place. It's more like pretentious and obnoxious people that want to make changes to their body to look better and have too much money on their hand and choose this shit.

>>10637862
derm is so much more than cosmetic procedures.

[Anonymous No.10637876]

>>10635135
what the fuck happened to this dude? crash?

[Anonymous No.10637881]

>>10637870
>It's more like pretentious and obnoxious people that want to make changes to their body to look better and have too much money
That's a bold assumption to make. And it's not true.
>derm is so much more than cosmetic procedures.
Reread my post.

[Anonymous No.10637882]

>>10637876
It' a woman. She played bowling and this happened. Apparently, she's fine now and walks with crutches.

[Anonymous No.10637890]

>>10637882
Your story doesent fill the voids at all, i mean bowling its not even a violent sport...

[Anonymous No.10637894]

>>10637890
She suffered from NF1. NF1's complication is...? Oh yeah, spinal deformity. She went bowling, and that happened. It doesn't have to be violent, the fact that you have to swing a heavy ball and put a lot of pressure on your spine is enough.

[Anonymous No.10638187]

How da fuc you differentiate between phlegmona and abscess, both during visualisation or inspection?

[Anonymous No.10638273]

>>10638187
Abcess is very well delimited while phlegmoma is spread out.

[Anonymous No.10638608]

>tfw have an admission interview for my country's largest med program
What the fuck do I say during 45minutes? I've no preparation at all, I just think the human body is cool and I want to learn how all the parts work. I passed the cognitive test, but my autism is gonna fuck me over during this interview. What the fuck am I supposed to say, how do I sell myself?

[Anonymous No.10638684]

>>10638608
which country

[Anonymous No.10638689]

>>10638608
Present this vid
https://youtu.be/Kl3H4vMqYNo

[Anonymous No.10638693]

>>10638684
Sweden, I'm a social retard so I'm afraid I'll make the mood uncomfortable

[Anonymous No.10638714]

>>10638684
Sweden, but I'm very socially inept so I'm afraid I'll come across as a dummy

[Anonymous No.10638816]

>>10638714
just bbee urslef

[Anonymous No.10639557]

>>10635040
>>10635052
Well i bet you forgot the timeframe.
AI stuffs supposed to happen 9 years from now. 9 YEARS. That's a decade too early.
The fact they're here now imply bigger breakthrough bound to happen in years to come, exponentially.

[Anonymous No.10640112]

>>10639557
Based wizard boi

[Anonymous No.10640135]

>>10638608
Just talk about yourself and why do you like about medicine? It seems easy anon, also try to be as honest as possible when they ask questions and lie a bit when you think you have to.

[Anonymous No.10640149]

>pretty much only interested in medicine for research
Getting an MD seems like a necessity considering that it's required for supervising clinical research, but I'm honestly not very interested in administering care to patients. Will this be a problem during rotations and residency or are other students in the same situation?

[Anonymous No.10640156]

>>10640149
We definitely have some students in here that are in it for research mostly. If you want to do research only, then try to get into specs that have little to zero patient interaction. It won't be a big problem during rotations considering that you are up to talk with the patients and interact a lot with them until residency.

[Anonymous No.10640163]

>>10640156
>specs that have little to zero patient interaction
I know path and rad are memed a lot for this, but I'm not interested in radiology research, and I thought clinical trials usually required supervising physicians to have a clinical spec (which pathology isn't). I was actually thinking about onc, nephro or neuro.

[Anonymous No.10640170]

>>10640163
You can definitely do research in those, but you should have some clinical experience too since most research is done based on experience and seeing lots of diseases. (In those specialities)

[Anonymous No.10640175]

>>10640170
Is the experience acquired during residency not sufficient?

[Anonymous No.10640187]

>>10640175
I guess it is if you try very hard, but you can also do research in residency and see how it goes and if you like it.

[Anonymous No.10640189]

>>10640187
Alright, thank you.

[Anonymous No.10640409]

Who actually likes cutting up the dead what else do pathologists do?

[Anonymous No.10640423]

>>10640409
Reading slides in a dark room and do research, I guess...

[Anonymous No.10640498]

https://amp.theatlantic.com/amp/article/586039/?utm_source=quora&utm_medium=referral&fbclid=IwAR2j55ZBiwcIbdcf9tg6V_q5XUSxXTKag5mdQpvcRyb4W6F6rNaHiHjKWUE


Dental medanons explain yourselves.

[Anonymous No.10640520]

>>10640498
Dental fags BTFO

As a profession, dentistry has not yet applied the same level of self-scrutiny as medicine, or embraced as sweeping an emphasis on scientific evidence. “We are isolated from the larger health-care system. So when evidence-based policies are being made, dentistry is often left out of the equation,”

[Anonymous No.10640961]

Bump.

What happened?

[Anonymous No.10641089]

Internal medicine resident bro here

>29 T H I C C as fuck woman gets hospitalized in my section
>a month ago she woke up with sudden bilateral eye pain and blurred vision
>goes to ophta where she is first suspected for retinal tear, but then she is just given a lol eye spasm diagnosis
>pain does not stop, she gets red eyes that are interpreted as conjunctivitis and given topical antibiotics
>gets tramadol injections and NSAIDs to make things bearable
>5 days ago she develops pain the right abdominal quadrant that shoots up in the right shoulder so she is reffered ti my gastroenterology section where I work now lmao, eye pain is still present just as strong
>gead CT and MRI are normal, previous abdominal ultrasound is normal
>C-reactive protein is 77, fibrinogen is 650 when normal range is below 450, liver enzymes are normal, no other changes, EKG is normal, chest radiography is normal

at first I believed she was a nutcase but the 77 CRP really made me think. So far what I can think she has:
1. She has angle closure glaucoma, I saw her previous optha analysis and I didn’t see any IOP checks, angle closure glaucoma can gave an acute debut, but the bilateral pain is a red flag that it might not be it
2. She has some reumathological disease with iritis/uveitis, but why the fuck was her eye check up normal I’m not an ophtamologist why are those fucks so uselss
3. she is a nutcase and the elevated CRP is a wild goose chase


Also those fucking titties man holy shit I usually get only 60 year old mummies getting hospitalized where I work. She has really big and firm breasts, her heart auscultation was useless all I did was burry my stetoscope in those big round firm tits. She aslo complimented me a lot and seemed very happy when I came to do her examination. She has a kid.

[Anonymous No.10641111]

>>10641089
My romanibro! I had qts in the ER. The rest of them are grannies, as you said 60+ and almost obese.

Pretty fucking hard to diagnose to be desu. That CRP is trough the roof
What about urine work and uroculture?

[Anonymous No.10641123]

>>10641111
checked
>What about urine work and uroculture?
nothing abnormal in it, no uroculture because normal urine work
no fever these pasts weeks

[Anonymous No.10641139]

>>10641123
I haven't done optho yet. I have diabetes rotations now, so I have no idea about those diseases, kek.

OK, you got the high CRP, what about he fibrinogen, it's elevated too. Or it doesn't explain anything..?

[Anonymous No.10641161]

>>10641139
>what about he fibrinogen
it's elevated at 650 when the normal lab values is below 450, also white blood cells are 9.3k
she has/had an infection I think

[Anonymous No.10641166]

>>10641161
Probably has and the ABs made it "hidden". I have no idea how to approach this. What are you going to do next?

[Anonymous No.10641178]

>>10641166
she only took eye droplets with antibiotics, don't think oral antibiotics

I'll propose she gets her intraocullar eye pressure checked, so at least I know she doesn't get her eyes fucked up forever

for the abdominal pain that goes up the right shoulder blade it's either the colecyst or phrenic nerve iritation we guess

[Anonymous No.10641189]

>>10641178
Ok, thanks anon. Update us pls.

[Anonymous No.10641190]

>>10641089
sounds like a nutcase desu, the CRP was probably a fluke

[Anonymous No.10641198]

>>10641190
I'll repeat it tomorrow

[Anonymous No.10641446]

>tfw people keep referring patients with underlying somatic conditions to the psych ward

Jesus people do your jobs. I'm soon going to crawl over the phone lines and tear them a new asshole.

[Anonymous No.10641852]

>>10641446
I trully believe that in countries with socialized medicine like in romania, people like to waste the doctors time with useless crap
there is a big proportion of people that likes the sick label and enjoys fawning over the fact that they have a disease, they think it makes them special or noble

[Anonymous No.10641909]

How do I find a good doctor in the US? As in, someone who doesn’t rush you and actually gives you a good analysis on your condition.

[Anonymous No.10641912]

>>10627442
why are biology cucks so stupid lol

[Anonymous No.10641969]

>>10625995
I’m really interested in going into an MSTP (MD/PhD) program after graduating. Is it a bad idea? I’m fine with being in school for longer, and I’m *not* doing it to save money or anything. I think it would be really neat to do a PhD and still have an MD as well

[Anonymous No.10642034]

Any good textbooks to start studying ahead of time before I start M1?
Kinda anxious now that I have less than 3 months left until school starts. Feel like I'll be behind all my peers.

[Anonymous No.10642106]

>>10641089
>>10641089
>C-reactive protein is 77
>>10641089
>She aslo complimented me a lot and seemed very happy when I came to do her examination
>>10641089
>She has a kid.
>>10641089
>has a kid.

I'm assuming your hospitalist days SUCK but dude, run like the fucking plague from the tittybitch gravitational field and i mean run hard you fucking intern.

[Anonymous No.10642110]

>>10640409
>Who actually likes cutting up the dead what else do pathologists do?

speaking in english accents, discovering bizarre and extremely esoteric methods of homicide, and wearing strange clothes and saying witty things.

#justpathologythings

[Anonymous No.10642168]

>>10641852
This. But most Romanians don't go to a psychiatrist or a therapist because they don't want other people to think they're "crazy".

>inb4 romanian intellectuals

Most of them abuse the emergency units and come in with mild headaches or something that doesn't represent an emergency because they know they get fast care and don't have to pay anything. At least the emergency units have been changed a bit and they classify the patients from the waiting room on colors they designed. (Red: immediate treatment or critical patient, yellow, blue, green and white, so at least they make those abusing the system wait for a lot of hours)

[Anonymous No.10642181]

>>10640961
Angle closure can be easily diagnosed with flashlight, and why cant it be bilateral?
If she was diagnosed with spasm maybe retard optha gave her atropin drops before checking for angle closure and it gave glaucoma attack? Have no idea about other symptoms and if its related. Maybe nsaids irritated her stomach?

[Anonymous No.10642183]

>>10642181
This was ment for this anon>>10641089

[Anonymous No.10642225]

>>10642181
>Angle closure can be easily diagnosed with fleshlight

WTF. Also, tonometer. ACh is your fren

[Anonymous No.10642236]

Goosh darnit im having diseases associated with profession course rn and prof said we can only choose themes that we will not learn for presentation
Wanted to make one about astronauts, turns out some faggot made it years ago already reeeee i want it to be unusual and interesting what the fugg do i choose

[Anonymous No.10642435]

>>10642236
Plumbers. It's easy and they are exposed to literally a ton of shit.

[Anonymous No.10642439]

>>10638608
Be honest. Do not say that you would like to help people(that's a cliche), say that you want to learn and feel attracted to the art of medicine.

[Anonymous No.10642456]

>>10636228
>>10637800
Holy shit, your posts are fucking cancer. Please don't pretend to know what these surgical specialties actually do if you've never been to the OR.

[Anonymous No.10642464]

>>10642456
I've been in ORs, don't know what your problem is. Explain yourself, rather than telling me what my posts are like you fucking mongrel.

[Anonymous No.10642518]

>>10642439
yes, medicine is fa$cinating

[Anonymous No.10642554]

>>10642034
Moore, Boron etc.

[Anonymous No.10642736]

Would like some family med textbooks, there are so many. I'm going to pirate some and get them on my Kindle. Should I go for Rakel's Family Med?

[Anonymous No.10642766]

Started in the childrens hospital not too long along for my peds anesthesia rotations

Sick kids are depressing as hell. And also desaturate at lightning speed.

[Anonymous No.10642769]

>>10642766
I believe you considering that you're on anesthesia. PICU and NICU are more depressing than oncology, tbqh. How many of them actually recover and get out of there? 5/10?

[Anonymous No.10642917]

>>10641089
Fibrinogen is also elevated and it's an acute-phase protein so she might not be bulshitting. BTW trigeminal neuralgia? Or it's unilateral again?

>
Also those fucking titties man holy shit I usually get only 60 year old mummies getting hospitalized where I work. She has really big and firm breasts, her heart auscultation was useless all I did was burry my stetoscope in those big round firm tits. She aslo complimented me a lot and seemed very happy when I came to do her examination
that was hot
>>10642766
I want to resident in anesthesia and I'm shadowing a doc. Today he let me do 3 intubations. I failed all 3. FML. First 2 were actually hard and he had difficulties too, but the last one was ok, but I just couldn't get the fucking tube in. I'm so sad.
>>10642769
Did a rotation in PICU and onco patients were taken there when they deteriorate so they bumped up the death rate. Other cases were pretty successful really. Not like in the adult ICU.

[Anonymous No.10642929]

>>10642917
>Fibrinogen is also elevated and it's an acute-phase protein so she might not be bulshitting.
(cont.) Some infectious deseases manifest with eye pain, too.

[Anonymous No.10642990]

>>10641852
It's not that, it's doctors wasting my time sending people with fairly obvious and trivial underlying somatic conditions that are causing their "psychiatric" symptoms to the psych ward for evaluation.

Just had one today, delirious old lady who was compliant. Both her and her husband had noticed a weird smell in her urine, the receiving doctor had even written this down in the anamnesis. Had complained about back pain as well. She comes in here, I see that, get labs, CRP over a hundred, leucocytes and nitrite in the dip stick. Send her back to the hospital, turns out be pyelonephritis, symptoms completely disappear after a short while on antibiotics.

[Anonymous No.10643127]

>>10641446
>crawl over the phone lines and tear them a new asshole
Absolutely based. When I had pulmo rotations, we got a new patient that was sent from another hospital. The patient had severe abdominal pain (in all his abdomen, but mostly his right flank), definitely related to pulmo. They sent him because they have heard some crackles and the pt coughed up hemoptoic sputum. Pt was given fortral for pain, didn't help him that much so my attending called back to the hospital that sent him, asking if the pt had a consult from the gen surg because he clearly showed signs of acute abdomen and requested to be sent back. They refused. 2 days go by, the patient died.

My attending called them back and "teared them a new one", to use your words, and made a report of the doctor that refused the patient to be transported back from the pulmo hospital. (It's ID/Pulmo diseases hospital) I don't know what happened to that doctor, but I wouldn't want to be in his/her place.

[Anonymous No.10643173]

>>10643127
If that shitbag refused why didn’t they try to get consultation of another gen surgeon

[Anonymous No.10643182]

>>10643127
ever find out what happened? bowel perf, necrotizing pancreatitis?

[Anonymous No.10643185]

>>10643173
Hospital is ID and pulmo only. Kind of small one so no gen surg. When she called back the hospital that has sent the patient, they refused to take him back. He had a respiratory infection but the acute abdomen should've been the priority, my attending was fuming and couldn't understand why the fuck the doctor from the other hospital wouldn't want to accept him back. She did tell us that she was insulted (my attending) and that the doctor was an older attending and probably wanted to show "superiority"

[Anonymous No.10643199]

>>10643182
Ruptured appendix, when they conducted autopsy, they found out that his appendix was basically rotten. I don't know anything else.

[Anonymous No.10643202]

>>10643199
wow, what a ridiculous thing to miss

[Anonymous No.10643208]

>>10643202
Well..they were right about acute abdomen, but imagine the doc from the ER that missed it.

[Anonymous No.10643355]

Well guys, I'll be having my entrance exam tomorrow. I'm 99% sure that I'm going to fail, but well, there's always next year i guess...

[Anonymous No.10643446]

>>10643355

no. not next year. tomorrow. pass the motherfucker and get on with your life. NOW

[Anonymous No.10643716]

>>10643355
Huutista rejektille.

[Anonymous No.10644203]

>>10642464
You want to know why posts like yours are cancer?

Imagine yourself going up to a board certified plastic surgeon, who has then undergone additional cosmetic fellowship, and telling them "I don't consider you a 'surgeon' because you only do boob jobs and face lifts"

Or even better, going up to an orthopedic surgeon with five years of comprehensive training in surgical and non-surgical management of every bone and ligament in the body and saying "orthopedic surgeons are medical carpenters, because you use hammers for fucks sake."

Just think about it. Think about how much of an ignorant asshole you would sound like.

And then there's this:
>I could never consider them patients in the first place.

I'd also hope that a medical student or physician would NEVER say that about ANY type of patient.

>It's more like pretentious and obnoxious people that want to make changes to their body to look better and have too much money

Guess what? As a physician, no matter the specialty, you come across patients who are incidentally s/p breast augmentation or rhinoplasty. And you realize that most of them are just nice, normal humans, and you'd never have known about their surgery until you came across it on their problem list or exam.


Posts like yours are cancer because talking massive shit when your only experience is watching Nip&Tuck and seeing the orthopedic surgery hammering video. Actual honest premeds or non-meds >>10637755 are reading and being misled by your LARPing. That's why I am bothering to waste all this time calling you on your bullshit.

>I've been in ORs
Then explain yourself to us.

Explain exactly what you've learned during your OR experiences that would make you say this garbage.
>>10636228
>>10637800
>>10637870

We want specifics, like "I shadowed and stood in the corner" or "I did a surgery clerkship and spent 6 weeks peeking over the residents shoulder to get a view of the field"

Or just admit to being a pretentious and obnoxious premed

[Anonymous No.10644298]

>>10642917
Don't ever feel bad about failed intubations as a learner, anon.

If you succeeded on your very first try, it most likely wouldn't have been "your" success. It'd have meant your attending had positioned the patient and set you up perfectly behind the scenes. Being allowed to fail intubation is a gift - it means your attending is actually having YOU learn the technique behind intubation. It's actually way easier for an attending to set you up for success and pat you on the back, than to step back and allow you to make mistakes you need to really learn it.

It'll take about a dozen before you'll start to get the hang of it. Good luck, let us know how it goes.

>>10642766
Hopefully you'll get some healthy peds as well. Aside from the moments of true terror, peds anesthesia can have moments of real joy, especially if you like playing with the kiddos during induction.

or when you realize your patients aren't morbidly obese 80 year olds with rotten dentures.

[Anonymous No.10644351]

Real Vascular Neurosurgeon masterace here to answer premed or general questions by the way...
Just want to support the previous post against ignorant trolls who have never stepped on a real OR.
In my residency and fellowship years, I had the opportunity to work with orthopedic surgeons on complex spine cases (for those who don’t know, a spine surgeon must have had a neurosurgical or orthopedic surgery background), who were far from being “carpenters”, from their biophysical stability concepts, to their vast knowledge on disease-specific implants... even if I particularlily prefer the spine neurosurgeon as the optimum career pathway, calling an ortho a carpenter is just a sign of ignorance.
When I had to learn the concepts of microsurgery, a crucial component of any vascular or cranial-base neurosurgeon, to my surprise I had plastic surgeons as teachers !
For those who may not know (as I in my first Med school years), plastic surgeons need to be very comfortable with microsurgery when dealing with graft reconstructions. So again, disrespecting a guy who had to endure an extremely hard general surgery residency, following their subspecialty and several cadaveric training courses and fellowship just because some patients ask for “simple plastic procedures” is beyond stupidity.

Even though, as serious and rewarding ortho and plastic may be, those are not brain surgery ... ;)

[Anonymous No.10644409]

Besides from connections through friends/other physicians/family and programs that exchange X hours of shadowing in order for volunteering X hours at the hospital, whats a good way to get shadowing hours?

My BSMD program needs me to hit a quota but I do most of my shadowing at home during breaks. I'm at school (different state) for the summer and I have enough time to shadow but not an exorbitant amount of time (still have classes, sports, research, club office)

[Anonymous No.10644430]

guys i'm a pre med as a freshman what do I do when I'm overseas in Morocco in july

[Anonymous No.10644460]

>>10644430
>overseas in Morocco
Go to a place that's likely to get raided by Ansar Al-Sharia, survive and write about it on your essays.

[Anonymous No.10644750]

>>10644351
Orthos make jokes like that about themselves all the time why are you so buttmad? Every ortho joke ive heard was from my proff who was also a great surgeon, its not a problem if you relax and have fun about specs with your colleges even if they are just students.

[Anonymous No.10644754]

Imagine living in a country were you pay for residency haha that could be a nice prank haha certainly i dont live there

[Anonymous No.10644758]

>>10644754
You're the Georgian guy, right?

[Anonymous No.10644761]

>>10644750
I think it's bait, my friend.

[Anonymous No.10644825]

>>10644750
We already did the orthopod jokes a few threads back and we relaxed and had fun, and they were funny. Double blind study, put it in a coloring book, etc.

This isn't about ortho jokes though, that's changing the subject. This is about LARPers in this thread are talking out of their ass about things they know nothing about.

If you're fine with that type of faggotry, or can't even tell the difference, then what can I say, my friend?

[Anonymous No.10644904]

Daily reminder that orthopods are basically carpenters. If you think other wise you're retarded.

[Anonymous No.10644908]

>>10644904
and they cause significantly more suffering than bad carpenters too

[Anonymous No.10644911]

>>10644908
Holy shit based. Surgery fags BTFO

[Anonymous No.10644916]

>>10644904
i could not stay awake on my ortho rotation, just an assembly of line of knee implants while i hold some random stick in the surgical wound for hours

[Anonymous No.10644935]

>>10644904
>>10644908
>>10644911
>>this thread

[Anonymous No.10644983]

>>10644758
Yeh...

[Anonymous No.10644987]

>>10644203
Absolutely and utterly blown the fuck out. Based anon.

[Anonymous No.10644995]

>>10644754
>yes V E R Y good

[Anonymous No.10645055]

>>10644916
That's basic carpentry.

[Anonymous No.10645232]

>>10644298
Awww, thanks for the encouragement, anon. I was under the impression that this is the easiest shit ever and you're supposed to do it on the first try. Tomorrow I'm going to hang out in ORs so I might get a chance to practice again.
>>10644351
Based post. I have a question. Do you do trigeminal neuralgia operations? It was mentioned in the treatment plan when I read neuro. Something about ablation of a vessel close to the trigeminal ganglion.


Also I feel uneasy with all that ortho shit talk while my granny is in surgery atm for a knee prosthetic. :|

[Anonymous No.10645252]

>>10625995
>>10645251
>>10645251
>>10645251
>>10645251
Fresh new bread

[Anonymous No.10645295]

Trigeminal neuralgia can be treated initially with oral medications. Only on refractory cases surgical procedures are indicated. Usually each center have a particular treatment algorithm regarding how to proceed, but in general terms minimally invasive or non invasive options are nowadays preferred.
Among those are what we call percutaneous balloon microcompresion (my preferred first line treatment), in which we perform a small incision on the cheek and through a thin trocar we pierce the skull base dura to enter the trigeminal cave (where the trigeminal ganglion is located) and inflate a microballoon for a few seconds, thus generating a specific and localized nervous damage on the aberrant pain fibers causing the syndrome.
In the past NC used to introduce alcohol or other chemical substances to obtain the same effect.
Stereotactic radiosurgery can be a non invasive procedure where you shoot an specific amount of radiation to a localized intracranial target (the trigeminal ganglion), causing the same effect but with a delayed response.
Finally the classical open micro vascular decompression can be performed by an appropriate team of skull base NCs when an abnormal or enlarged vessel is confirmed by MRI. Basically you put some small piece of material like a sponge between the vessel and the ganglion (actually, the root entry zone proximal to the ganglion), eliminating the pulsating stimulus causing pain...

Hope this is helpful !

[Anonymous No.10646386]

>>10642236
You could do winemakers if you want something unique. Lots of sprays in vineyards, cleaning/sanitizing tanks, and machinery dangers.