/med/ - Medicine General

[Anonymous No.10880724]

SMURD edition

old bred: >>10865979

We discuss research, offer advice (the best one is to see your family physician), make fun of premeds and shitpost.

Do not engage the schizoposter. It only fuels his delusions. See the pastebin for his dossier.
https://pastebin.com/VuLYa82S

Don't start discussing pro and anti vax shit because it degenerates and takes a lot of replies.

>What's the best spec for research?
Path, onc, anesthesia, etc.
>Best spec lifestyle wise?
Psych, optho, derm, rads

[Anonymous No.10880743]

Why haven't non life threatening and non emergency transport gotten bigger, it would cut transport costs a lot. No reason for a whole ambulance for a broken limb on an otherwise stable person.

[Anonymous No.10880780]

Pretty offended not to be included in the OP.

Awaiting the arrival of clampguy. This is gonna be a great thread.

t.herbalretard

[Anonymous No.10880804]

>>10880724
You should probably change the lifestyle spec list, replace rad with rad onc and include FM, GE/hep and ORL

[Anonymous No.10880813]

>>10880804
Will do in the next bred.

>>10880743
>implying I live in a country where you pay for those kind of things
MEGA KEK

[Anonymous No.10880966]

>>10880743
Because ambulances aren't really that expensive and it would introduce a lot of overhead and room for error in deciding who is stable enough to go by non-ambulance. Defending against the lawsuits would probably cost more than you would save. Many cities in the US do have a tiered system with basic life support and advanced life support ambulances though. Usually, an ALS ambulance will be sent to most or every call, but they can hand off to a BLS crew if the paramedic decides it's medically appropriate.

The obscene cost of an ambulance ride in the US has more to do with our completely broken payment model than with the inherent cost of running an EMS service. 50% of patients never pay their bill, so the other half have to pay for them. On top of that, most EMS services in the US are private for-profit and have exclusive contracts with cities, so there's essentially no competition and shareholder returns are their top priority. What competition does exist is for the cost to the city, not cost to patients, so many companies bid their services to the city at a loss and make up the difference by charging higher rates to patients. So in effect you have 50% of transported patients paying the full cost of running the EMS system plus shareholder profits, compared to a public EMS system in which most or all of the cost is spread across all taxpayers regardless of whether they ever use the service. The market is also highly consolidated. In many places there is literally no competition because AMR is either the sole provider or it owns all of the ambulance companies that might compete for a contract, so they can charge whatever they want secure in the knowledge that the cities have no choice but to renew the contracts.

[Anonymous No.10881178]

>>10880724
Any pediatricians in the house. Pediatricians of any subspecialty or specialty.
Have you ever had a case where some dumb fuck parents wouldn't let to perform a life saving procedure/treatment on their kid( cancer, terrible inflammatory disease, cardiac issue) who would obviously benefit it out of ignorance, fear, and just down right stubbornness? I know they say you can obtain a court order to override the parents but have any of you ever had to do that. What was the process like? How long did it take?
I'm just curious.

[Anonymous No.10881221]

can somebody give me a quick rundown on MRSA?

[Anonymous No.10881232]

>>10881221
What would you like to know? It's staph aureus that's resistant to a wide variety of antibiotics.

[Anonymous No.10881303]

>>10880724
In the US the umbilical cord is commonly clamped before the completion of placental transfusion. This causes hypoxic brain damage, and via lowered ferritin, leaves the infant more susceptible to free radical damage. One of ferritin's major roles is to manage free iron, and thus fenton reaction mediated autoxidation. H2O2 in the presence of free iron can rapidly become hydroxyl radical via this mechanism. Lowered ferritin is no small thing. There are few if any cases where this is NOT contraindicated. In any case where it's "necessary", it was only made such due to some other incorrect action taken during birth. All these problems are chained together.

https://www.ncbi.nlm.nih.gov/pubmed/30473033
https://www.ncbi.nlm.nih.gov/pubmed/30278462
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004074.pub3/references
https://www.ncbi.nlm.nih.gov/pubmed/30193752
https://www.ncbi.nlm.nih.gov/pubmed/30598672
https://www.ncbi.nlm.nih.gov/pubmed/29101631
https://www.ncbi.nlm.nih.gov/pubmed/30208504

https://www.ncbi.nlm.nih.gov/pubmed/27654493

https://www.ncbi.nlm.nih.gov/pubmed/30355293

This cannot continue to be ignored. You can try to say I'm trolling, spamming, or whatever, but all will know what's going on. And this isn't even the full extent of it.

And I want to be clear, I'm not trying to spread despair or hopelessness here. What's done is done, and I'm going to make damn sure everyone knows what this place is and has the means to see through its illusions when the time comes. There are so many stories of parents who went in expecting sanity, and had no idea the brutality of the average "hospital birth". They treat us like an animal on an assembly line. We are not their cattle.

Our belief in them and their lies is our consent. A man protects the children. A manchild puts his head in the sand and pretends everything is fine. Decide who you're going to be.

[Anonymous No.10881324]

Anyone have any good references for pharmacology? Is the brute force memorization the only way to remember all these drug names?

[Anonymous No.10881330]

>>10880780
I don't plan on participating much. People here literally think surgically removing chunks of intestine is a "treatment" or "cure" for chrohn's, or any autoimmune disorder. Even further they can't even be bothered to look into the pharmacology and pharmacokinetics of common supplements to see which are BS and which are legit, before making blanket statements. eg shittalking things like NAC, ALCAR, co-Q10, various herbs. (ref: >>10874244 )

There's not much to work with when you're up against belligerent arrogance and ignorance. Spend your time and energy wisely.

[Anonymous No.10881374]

>>10881330
Medical industry is guided by profit motive. They want you sick to profit off of your suffering.

If there were simple and free exercises you could do to stay healthy, that would only eat into their bottom line.

[Anonymous No.10881466]

>>10881324
It gets better when you first learn the disease and then the treatment rather than studying medication for days.

I just memorized it and when started clinical rotations, it was much easier to make connections.

[Anonymous No.10881507]

>>10881466
Guess I'll just memorize the -olols then. Thanks, anon.

[Anonymous No.10881848]

>>10881178
Not a pediatrician, but on peds rotation this was routine. Blood transfusions are refused regularly. A couple even refused to recover their baby's corpse.
>>10881324
>Is the brute force memorization the only way to remember all these drug names?
For me it was, dude. I just can't find some kind of relation. It's easier to study the different groups of medications first and then drug by drug. I'm still having problems with dosages btw. Like these fucking vary A LOT. I'm in my last year, but I suppose that when you pick a specialty and work with it's involved drugs you'll learn them. I doubt surgeons know b-blockers.

[Anonymous No.10881858]

>>10880724
Can someone tell me if I should avoid podiatry? It seems like a no brainer if someone can't make it into medical school.
>low GPA requirement
>six figure income (especially surgical podiatrists)
>doesn't seem so stressful

[Anonymous No.10881869]

>>10881303
Have you ever heard of Harriet Hall, an OBGYN and member of the skeptic movement who goes by the "Skeptical OB" online, and posts articles regularly on sciencebasedmedicine.org?
She's a fanatical supporter of male circumcision, and mocks its opponents as "foreskin fetishists." (She apparently never heard of circumfetishists: http://intactwiki.org/wiki/Circlist))
She hates midwives (I guess because they don't mutilate baby penises like her).
And I just checked now, and she supports umbilical cord clamping:
https://sciencebasedmedicine.org/lotus-birth-no-benefit-plenty-of-risk/

[Anonymous No.10881871]

starting at a T10 medical school in the fall

planning to go into neurosurg, what can I start doing in my first year to increase my chances of matching into top programs?

other than step scores/research

[Anonymous No.10881887]

>>10881871
If you have to ask on an anonymous image board, you're not going to make it.

[Anonymous No.10881952]

>>10881848
It's kind of reassuring to know that I'm not the only one struggling, lel.

[Anonymous No.10881982]

>>10880724
>>Best spec lifestyle wise?
If you're a psycho-sexual sadist, probably obstetrics:
>https://www.youtube.com/watch?v=uAskbJ7GB0k

[Anonymous No.10881988]

>>10880724

Isn't it kind of degrading to refer to people as schizos without giving them an official diagnosis, r/med? Seems pretty degrading to those actually suffering from schizophrenia, and if you are able to diagnose schizophrenia for free through an anonymous chat forum then why do you charge thousands of dollars in visits and lab fees to diagnosis something like, say lymes disease which gets worse the longer you wait to prescribe antibiotics as you know? Seems pretty shady /med/

[Anonymous No.10881998]

>>10880724
Can one change their own gender with current medicine?

[Anonymous No.10882004]

>>10880724
Seriously, how do you look at >>10881982
and not feel shame?
Is this why you get into medicine; to mutilate babies and make mothers weep with regret?

[Anonymous No.10882007]

>>10882004
Kind of simple, because I'm not from US and circumcision is made only in cases it's really necessary. (I'm not circumcised btw)

Why would I feel shame? It's not "life changing" as you might think, kek. Cope, senpai.

>>10881988
>triggered

[Anonymous No.10882016]

>>10882007
>(I'm not circumcised btw)
>It's not "life changing" as you might think
I'm not circumcised, and these two statements are incompatible.

[Anonymous No.10882032]

>>10882016
>He really thinks that if having or not foreskin is a big change in QoL
O-ok.

[Anonymous No.10882044]

>>10880724
>SMURD edition
M-medicinistul de pe /ro/?

[Anonymous No.10882085]

>>10882032
>>He really thinks that if having or not foreskin is a big change in QoL
It's a big change in quality of body image and quality of sex.

[Anonymous No.10882093]

>entire limbs constantly trembling and I always feel weak when walking around
What the fuck is wrong with me, I don't drink, do drugs or caffeine and I haven't cannibalised anyone as far as I know

[Anonymous No.10882099]

>>10882085
Some women prefer circumcised dicks, quality of sex depends entirely on the individual. Stop being and /x/ fag.

[Anonymous No.10882107]

>>10882093
Check for mechanical problems, like your spine. Forward head carriage, etc. If those are present, correct them.

Otherwise, like everyone else, you're full of aluminum and being microwave irradiated. Unfortunately the syndrome is too broad to describe.

[Anonymous No.10882109]

>>10882085
Actually, if you've ever actually read any statements from people who were circumcised, it's about the same or better. Sure, this is from the point of view of somebody who's obviously had trouble with their dick with slightly longer skin, but the point stands.

[Anonymous No.10882110]

>>10882032
Pretty much.

>>10882099
Women don't "prefer" much of anything. In general. They're not empty shapeshifters to eb trained, but I'd say they have a chameleon-like nature.

[Anonymous No.10882112]

>>10882109
I've read a number of them. In general, they don't make sense.

People circumcised as adults:
-Strongly wanted to be circumcised (and can contort themselves to enjoy simply because it's arousing)
-Are unwilling to admit they made a mistake (Y-Yeah dude, it's great!!)
-Had penis problems to begin with, like phimosis. Which they didn't need to be cut for, but whatever.

To my ears it's like saying I cut off my fingers and everything is better now.

[Anonymous No.10882129]

>>10882109
>https://www.motherjones.com/politics/2010/04/rocco-siffredi-penis-circumcision/
>Rocco Siffredi (nom de guerre: Italian Stallion) says he found that out the hard way when he was circumcised at 31 for hygiene reasons. Siffredi, who calls his decision “catastrophic,” says that with a foreskin, “you can feel much more fun.”
Nice try, Schlomo.

[Anonymous No.10882131]

>>10882129
inb4 someone tries to construe this as justification for cutting neonates, instead of just not cutting at all.

[Anonymous No.10882137]

We wouldn't need to discuss whether anyones experience was lessened or otherwise, if we could just make this shit illegal and be done with it. For Jews included, no religious exemption.

Fun facts, every successful attempt to get rid of just normal Jews who aren't into anything too nefarious, without killing them, involved making the covenant ritual illegal. Rome made it carry the same punishment as castrating someone, death. The Spanish inquisition is of course well documented, also torture and death. Greece saw Jews as emasculated and barred them from meaningfully participating in civic life. In all cases, genital cutting and Jews went away. In fact, it gave many Jews the opportunity they wanted to free themselves from their insular, barbaric, trauma programming heritage. This is why they started to remove the whole foreskin, the Rabbi became aware Roman Jews were restoring.

[Anonymous No.10882146]

>It's another we're talking about everything besides medicine episode

Can /pol/tards just fuck off?

>>10882137
This is off-topic.

[Anonymous No.10882154]

>>10882146
It is on topic.

[Anonymous No.10882158]

>>10881330
The ignorance is not limited to the medical field. There is this miasma of apathy which is taking over most peoples lives. Everybody gets brainwashed into shunning people who rock the boat. So nothing changes.

It is worse now than ever it seems. If only more people had the foresight to question, experiment and adapt their practises. Everybody is raised to be mediocre.

[Anonymous No.10882159]

>>10882146
Fucking jannies are slacking off.

[Anonymous No.10882160]

>>10882159
Cope.

[Anonymous No.10882161]

>testicles are swollen and hurt like shit
>go to physician
>massages my balls a bit, says nothing's wrong, prescribes over the counter painkillers
>asks for blood and urine tests anyway
>results arrive on Monday
Will I be fine?

[Anonymous No.10882165]

>>10882159
Sadly yes...

I'd just ignore these retards for the time being and just report them instead.

>>10882161
Blood and urine test to make sure it's not an infection but it probably is. Epydidimitis, orchitis, etc. You'll be fine with some ibuprofen and ABs if necessary.

[Anonymous No.10882166]

What are the rarest or just plain weird cases that you've personally seen?

While doing pedia, I handled a newborn named Vodka. She took her mother's surname and didn't have a middle name so the baby daddy was presumably out of the picture.

[Anonymous No.10882170]

>>10882093
You're heart might a splode :DDDXDDD

[Anonymous No.10882176]

>>10882165
It makes me kind of sad since these threads weren't that bad before. There used to be actual clinical greentexts and other fun shit and not just misconstrued tinfoil conspiracies.

Where did the slutty nurse who posted her tits in the old threads even go? :(

[Anonymous No.10882186]

>>10882176
>Why can't everything just be good
>Why do I have to do anything
>Why can't I just be trained, do what I was told, and have it all great?
Maybe if you fix your hackjob profession, titties will return. Beyond that, more and more people are going to be angry with and moving away from "mainstream" medicine. You people never ask WHY anyone is resorting to this other (sometimes genuinely) crazy shit to fix their problems. It's because of your failures.

[Anonymous No.10882195]

>>10882186
You're hurting my feelings so much, anon ;___; How has medicine failed you?

[Anonymous No.10882203]

>>10882195
You don't have feelings, empathy, or even basic theory of mind. You're trying to sucker me in so you can try to harm me in some way later. That's all you brainwashed fuckers know how to do.

[Anonymous No.10882205]

>>10882166
Hmm, what do you mean by weird? 1 in a million cases? Funny cases?

>>10882176
I don't know but I miss the nurse that feels weak in doctor's presence. These threads attracted fucking retard brainlets that post literally /x/ tier shit and try to cope.

>>10882186
>hackjob profession
Kek, don't go to a doctor anymore, then. No need to post in here if you're assblasted about medicine. Just treat yourself, no one gives a fuck, you're here just to shit up the threads. Now fuck off you pompous little shit.

>>10882203
Niggerest post I've seen in a while...

[Anonymous No.10882211]

>>10882186
Just cases that stood out to you, ones that you can't forget be they emotionally traumatizing, disgusting, or whatevs.

Is this Romania, btw?

[Anonymous No.10882215]

>>10882211
Here I am >>10882205

Well, I don't think I have that many left, I've told you guys most of my interesting stories.

[Anonymous No.10882217]

>>10882205
>Kek, don't go to a doctor anymore, then.
Yes, that's what I do. The only thing I'd use a doctor for are stitches/staples or setting a broken bone. Anything else and they'll screw you over if you don't really take em by the reins, and know what's what.

[Anonymous No.10882220]

>tfw qt nursey didn't show up in the thread anymore

I miss her, lads...

[Anonymous No.10882221]

>>10882215
Fucking nice. I've gotten pretty good at ID-ing you. I think it's your usage of kek, profanities, and just the way you structure your posts.

[Anonymous No.10882224]

>>10882221
Pretty easy, huh? The worst thing is that I sometimes use kek and these kind of profanities irl which is embarrassing and I wish I could stop but it's already there.

[Anonymous No.10882228]

I've never seen a thread get trimmed down that fast. :)))))

[Anonymous No.10882229]

>>10882228
:^)

[Anonymous No.10882230]

>this guy slaps your medschool gf's ass with the diaphragm of a stethoscope
what do?

[Anonymous No.10882231]

What is happening?

>>10882230
I'll just sit and watch.

[Anonymous No.10882233]

>>10882229
<3 u jannies i take it all back

[Anonymous No.10882236]

>>10882230
Watch and change the sheets afterwards.

[Anonymous No.10882248]

Thank you based janny

[Anonymous No.10882264]

>>10882166
I forgot about this. Did I tell you lads about the hot chick that came in the ER?

>be me
>ER packed
>police comes in with a very very hot chick
>she looks drunk
>"We fished her from the middle of the road, she was conducting the traffic"
>look at her
>bloodshot eyes, heavy breathing
>"You're cute, how much money do you make?"
>attending sees this and lets me do the anamnesis
>"I'll tell you after you answer me some questions"
>do ecg, she doesn't want us to draw blood and admits to consuming cocaine and alcohol
>ecg is fine
>"so, anon, now tell me"
>zero, I'm a student
>"No fucking way" and gets mad at me
>it was winter, I had scrubs, a polar vest on and a stethoscope
>"You do look like a professional but did I just get consulted by a STUDENT?"
>time goes by, time to take her to radiology
>she's high as fuck and keeps slapping my back or just caressing my cheek
>tell her to stop (I liked it but everybody was focused on her and couldn't let that go on)
>get to rads, tech tells her to take off her blouse (had some metal thingies on it)
>SHE TAKES OFF HER BRA TOO
>biggest tits I've seen in my life
>tech gets mad and kicks her out after one x ray
>"Do you think she didn't like my tits?"
>everybody in the ER looks I'm shock at me when I come back with her and she's topless with her blouse and bra in her hands despite me telling her to put them back on
>she was chill for the rest of the night, police decided to leave her alone in the end

That's the last one weird case I can think about.

[Anonymous No.10882421]

>>10881330
>People here literally think surgically removing chunks of intestine is a "treatment" or "cure" for chrohn's
Do they? Not sure what they teach at their schools, but in mine it's clearly pointed out that it's simply a thing to treat complications (occlusions and megacolon and such) after the medical containing tp failed.
If you know the definition of "treatment", then you shouldn't be surprised that it's called like that.
If you remove colon you will """cure""" ulcerative colitis (as you would cure pneumonia by removing the lungs) but that's only because it's an organ that can be removed and still stay alive. The quality of life is heavily involved in the decisional process and no one would do that as the first approach.

[Anonymous No.10882466]

>>10882421
>Do not engage the schizoposter. It only fuels his delusions. See the pastebin for his dossier.

[Anonymous No.10882468]

Husbands/bfs of what specialty do you usually see female surgeons going for?

[Anonymous No.10882471]

>>10882468
OB/GYN, ENT, Optho, plastics. These are the ones I can see a female in there, senpai.

[Anonymous No.10882475]

>>10882471
No, I mean if you were a female surgeon, would you shoot for a specific speciality for your husband given you'd need someone who understands and accepts your hours/work availability ethics?

[Anonymous No.10882476]

>>10882475
Depends on the individual. if you're more career focused, then choose whatever the fuck you like, if not, then I'd go for the specific spec.

[Anonymous No.10882490]

>>10882476
Well, fuck. Surgical intern here. Married to the hospital. I can't see anyone unwilling to give up their anal integrity ever agreeing to the sheer effort I need to invest into my studies/work. Suggestions welcome.

[Anonymous No.10882513]

>>10882490
Get a househusbando.

[Anonymous No.10882817]

>>10882490
Marry another surgeon, make a shitton of money you won't be able to enjoy, and then have kids you'll both neglect.

Guaranteed pathway to happiness.

[Anonymous No.10882872]

>>10882513
>>10882817
How and where does one find a husbando with enough self-esteem to never care I make more money than him and who wouldn't leave me due to insecurities?

[Anonymous No.10882876]

>>10882872
Here I am. 5th year medstud.

[Anonymous No.10882896]

>>10880724
Are certified anesthesiologist assistant programs scams?

[Anonymous No.10882903]

>>10882896
AAs >>>> CRNAs

[Anonymous No.10882928]

>>10882872
Try for firefighters. They spend a lot of time cooking and cleaning the firehouse and working out when they have downtime.
I've been trying to figure out how to marry a doctor who wouldn't resent my lack of career ambition and just wants someone to hold down the house and take care of kids.

[Anonymous No.10882941]

>>10882928
>I've been trying to figure out how to marry a doctor who wouldn't resent my lack of career ambition and just wants someone to hold down the house and take care of kids.
Why specifically a doctor? What do you do now?

[Anonymous No.10882958]

>>10882872
The /soc/ Adopt-a-NEET threads, kek.

[Anonymous No.10882966]

I'm studying medicine in a shithole country at a bad medical school. Is my life ruined?

[Anonymous No.10882979]

>>10882966
>Tfw I'm Romanian
You can't go lower than me, so no.

[Anonymous No.10882981]

>>10882941
Intelligence, a sense of service, proven dedication to accomplishing a goal, life-long learning implies curiosity- all of which is very attractive.
I work at a winery doing sales and hospitality. I've been getting pretty bored with it though so I'm taking EMT classes with the idea of becoming a medic and eventually a PA.

[Anonymous No.10883003]

>>10882896
No, I believe they actually have more training than a CRNA, at least in actually doing anaesthesiology. There was a anesthesiologist a few threads back that said both routes are viable but I think it also depends if you're into the medical or nursing model and where you would like to live as not all states recognize AA's.

[Anonymous No.10883016]

>>10882979
How do you cope with it? I'm not in Romania but I'm ashamed of my country. The academic pressure is too much when you know how pointless it is

[Anonymous No.10883022]

>>10883016
I don't give a fuck, tbqh with you. Just want an average life as a decent family physician and that's it.

[Anonymous No.10883023]

>>10883016
Not Rom-Anonn but is there any reason you can't be a part of the solution to improve it?

[Anonymous No.10883030]

>>10883016
Also, to add to my response. There are a lot of chances to get out of there if you're determined. A friend of mine that finishes this year was already added to a very prestigious research team and they visited most of the world. (He finished chemistry before going into med and does a shitload of anaesthesia research and is successful from this POV)

But I'm not that passionate about medicine as my friends are for example. They want to solve hard cases and want a lot of attention. I'm more content and lazy and rarely like something. (Unironically love chronic diseases because they were easy)

[Anonymous No.10883033]

Why hasn't there been a push for anything like a pharmacy practitioner that has more diagnostic or prescriptive ability? Nurse pracs and PAs have more responsibility, and it could help with oversaturation

[Anonymous No.10883197]

>>10882466
My bad, been away for a while.

[Anonymous No.10883201]

>>10882872
Men don't care how much money a woman makes. That's the kind of shit women care about. Now if you try to lord your pay over your husband and use it to control him, that might convince him to leave you, and rightfully so.

[Anonymous No.10883203]

>>10883033
Because there's no need for it. We need more real doctors and fewer "midlevel providers".

[Anonymous No.10883221]

>>10883201
A man that earns a really basic pay or has a noticeable social gap might care tho. If you are a well paid professional it doesnt really matter if wife makes triple that, but if you sell manure and barely can pay the bills with the incomings it might trigger something.

[Anonymous No.10883274]

>>10883203
MDs are such a protected profession that it's easier to give more authority and education to other health professions than to increase the number of doctors. The issue isn't even just numbers but distributions, doesn't matter if there are tons of doctors of they're concentrated on specific urban areas. I would also argue some specialties like psychiatry could split into their own degree program like dentistry or optometry.

[Anonymous No.10883284]

>>10882903
>>10883003
I'm cynical and retarded, so I don't understand why a very high paying profession only requires a 28 month masters degree and a middling mcat score.

[Anonymous No.10883287]

>>10881858
If you have a low GPA, why not.

[Anonymous No.10883389]

>>10883284
You'd most likely be practicing in a rural area that lacks anesthesiologists and has a dire need for them, not to mention you have a limited geography to work with, hence the pay.
As for the education you still need a bachelor's and appropriate preparation to take the MCAT as well, then graduate from the program itself. Computer programmers make the same if not more money than them and that could technically be from just a regular bachelor's so I'm not sure I understand what you mean by that.

[Anonymous No.10883457]

I just had a turbinoplasty + exoplasty. How much longer will I be with the nose covered because eating and breathing by the mouth is fucking scary

[Anonymous No.10883468]

>>10883457
Sorry septoplasty

[Anonymous No.10883529]

>>10883221
Possibly, but how many female doctors are going to want to marry a guy who sells manure? Women almost universally rate social status and income as major factors in partner selection. Men generally don't care as long as the woman is reasonably attractive and not too much of a pain in the ass.

[Anonymous No.10883537]

>>10882264
based attending

[Anonymous No.10883584]

>>10883537
Not based in that way. The attending let me take the history because it was impossible to talk to her and she started talking to me..

[Anonymous No.10883910]

Is this true? >>/lgbt/13113000

[Anonymous No.10883914]

Is this true? >>>/lgbt/13113000

[Anonymous No.10883927]

>>10883287
Well yeah, I am planning to go to medical school with podiatry being a back up. I was hoping if any podiatrists could "warn" me about anything I should watch out for. I'm not sure why podiatry isn't more popular. The pay is good and the hours aren't bad. Pic related

[Anonymous No.10884037]

>>10883914
Sort of. A person's biological sex is what matters, but hormone therapy can modify risk factors a bit. Basically they end up with the risks of both genders, but the benefits of neither. Someone's perceived gender identity has no effect on their gender-related health risks, lab reference values, etc.

>>10883927
Because most people go into medicine because they want to be doctors, not because they want good pay and good hours. There are lots of careers that pay well and offer much better lifestyle than medicine and are far easier to get into.

[Anonymous No.10884050]

>>10884037
>Because most people go into medicine because they want to be doctors, not because they want good pay and good hours
Yeah I understand this but it would be nice to not get too overworked. I know that doctors are expected to kinda work a lot. As for the pay, it's important to me so I can pay off graduate school. Beyond that, I'll always live like a poorfag. I don't know if it's a meme or not but I heard that a lot of physicians don't pay their graduate school debt fast?
>There are lots of careers that pay well and offer much better lifestyle than medicine and are far easier to get into.
Really? I thought that medicine was pretty much the king of pay. The only thing I can think of is finance. As for better lifestyle I can only think of specialized nurses such as CRNAs.

[Anonymous No.10884054]

Failed to get into Medical imaging, so went to Nuclear medicine

Is nuc med the most cucked science career? apart from pathology science cuck of course
Like you are literally being irradiated for chump change.

Wish I did finance and corporate

[Anonymous No.10884057]

>>10884037
>>10884050
There is no career that consistently and on average pays as much as medicine.
There are some careers that can pay much more, like finance, but on average, the salaries remain lower. Most people in finance are in middle office making 90k after a few years.

[Anonymous No.10884066]

>>10884050
It's not just about the amount on your paycheck. Medicine has very high pay, but also very high cost of entry and very high opportunity cost for the years spent in school and residency. An attending may make $250k-350k per year, but they graduated with $300k in student loans that will grow to $400k by from interest by the time they finish residency, and spent at least 12 years with net negative income. A software engineer who started making $100k/year after a four year degree will have paid off any student loan debt and had at least eight years to save money, invest, and buy property before the doctor even sees his first paycheck. It will take a long time for the doctor to catch up in terms of net worth. And there really aren't many non-medical jobs with worse lifestyles than most medical specialties.

[Anonymous No.10884069]

>>10884066
This is US-specific, in a lot of countries doctors are not in debt yet they have very high incomes as well.

[Anonymous No.10884070]

>>10884069
Who cares what happens outside the US?

[Anonymous No.10884073]

>>10884070
Anyone who isn't American.

[Anonymous No.10884083]

>>10884073
In other words people who are irrelevant.

[Anonymous No.10884086]

>>10884083
Sure thing. Call me when you're not in massive debt anymore lmao

[Anonymous No.10884090]

>>10884066
Thanks for the input friend. I'm aiming for something surgery related (with podiatry being a backup since it's kinda like surgery I guess). What do you practice and how did decide to do that? I've been shadowing some doctors and I've noticed a trend that most change their paths/specialties while in medical school.

[Anonymous No.10884198]

>>10883529
While true on average there are plenty of exceptions. A great person might still have a shitty job depending on his starting point. Not all can be lucky. Rare. Exceptions. But wouldnt be surprised at all to meet some that had those problems.

[Anonymous No.10884245]

>>10884083
>other countries besides US
>irrelevant
J U S T
U
S
T

[Anonymous No.10884319]

>>10883927
>tfw looking at these salaries as a U.K. doctor

[Anonymous No.10884561]

question, does body temperature effect drug absorption? i sometimes take benadryl for sleep, and i notice the same amount doesnt seem to effect me one night, and zonk me out another. the times it knocks me out if when i take it with a soup or hot drink. does the tempurature speed up the digestion/absorption? i would think more heat = more reaction

[Anonymous No.10884595]

>>10884561
Temperature probably not. Your body temp doesn't vary enough to make a big difference in reaction kinetics (otherwise you would die). But taking it with food or drink will affect absorption. Usually taking medication with food reduces absorption because some of the drug gets bound to the food and passes through without being absorbed, but it also increases blood flow to the GI tract and slows movement through the intestine, both of which increase absorption. So the net result depends mostly on the amount of food and the drug's solubility in it.

[Anonymous No.10884597]

Redpill me on selective androgen receptor modulators

[Anonymous No.10884603]

>>10884595
im talking either: and ice cold bottle of water (my drink fridge is colder than normal kitchen fridges, or a bowl of instant ramen fresh out the microwave. i figured the stomachs tempurature can vary widely enough for long enough to effect pill breakdown or whatever

[Anonymous No.10884627]

>>10884603
Pills are either designed to break down in the stomach, in which case acid is the main factor, or they're designed to break down in the alkaline environment of the duodenum. In either case, the physical breakdown of the pill is pretty quick and is not a limiting factor in absorption except in extended release formulations. Most of the absorption happens in the duodenum and jejunum, and whatever you ate would be body temperature by the time it got there. I doubt the temp of your food makes much difference.

[Anonymous No.10884629]

>>10884319
>>10884319
>tfw scandinavian and get paid around 300€ an hour, no debt and tax planning means I pay flat 20% in taxes

[Anonymous No.10884661]

>be me
>want to be anesthesist
>ICU rotation finally comes up
>4 patients in the whole ICU
fml. still did some punctions tho

>>10881869
CLAMPED
>>10882016
I am, I got mine when I was 14. Actually feel better about myself since then. I still think americans are making a big fuzz around that. Why not make it a parents' choice? This way the burden is on the parents and not the medical profession.
>>10882161
Yup, sounds like USA.
>>10882966
How bad can it be?
>>10883914
Not sure if any research is done on how hormone treatment alters bloodwork. But I can see this as an arising problem. Not any time soon in the balkans and easter europpe, but western eu and usa.
>>10884054
I dunno bruh, they're well pain in my country, have good hours and good pension, because radiation and shit.

[Anonymous No.10884665]

>>10884661
>well pain
paid*

[Anonymous No.10884675]

>>10884661
Thanks for replying

>because radiation and shit.
Yeah I am not supported by a few of my friends for doing this, I couldn't get into radiography so I said fuck it but yea. I don't really fear the radiation actually. I just keep comparing it to Radiography which is comfy button pushing behind glass and a high turn over unlike Nuc Med. A dream job.

I tried to get into Med to be a Dr but even smart people struggle with the entrance exam hurdles, and its like 1000 students for 130 slots per uni.

They are paid wellish I guess, and there isn't much competition. In a month I get into the hospital to do my first practice. Then I will see if I wanna kys or just flip my career.

/rant end

[Anonymous No.10884678]

I'll be entering a PN course after two years of not being in school. What are some pathways i can take and is it possible to get into medical school from it?

[Anonymous No.10884718]

>>10884629
uro?

[Anonymous No.10884815]

>>10884629
wow that's high
what are u

[Anonymous No.10884816]

>>10884066
That's mostly true, especially the opportunity costs associated with delaying your career, however there are ways of making med school actually affordable, it just takes more effort and perhaps sacrifice than most people are willing to make.
NYU is a three year MD program followed by a 2 year residency for FM that's completely tuition free. Kaiser Permanente is opening a med school with the first five classes will get tuition covered. Cleveland Clinic students have their tuition fully paid for all five years including a year long research project at the end. There are more colleges trying to make primary care options more attractive without the burden of so much debt to dissuade people. Hell, California is offering up to 300k in tuition reimbursement for primary care specialties (FM, Pedes, Psych, and EM) who ensure 1/3 of their clients are Medi-Cal or medicaid for five years. Not to mention any scholarships or distinctions that come with money for medical school.
If you really want to make money go into management consulting or corporate finance, better hours and potentially much higher pay without all the hassles.

[Anonymous No.10884820]

>>10884816
>management consulting
>better hours
No offense but you don't know what you're talking about.
Not to mention the barrier to entry for MC is higher than medicine, you can't just "go into" those fields if you're not from a target school.
And corporate finance salaries aren't that high, not sure what you're on about

[Anonymous No.10884881]

>>10884820
This, MC is trading your youth for some quality CV padding in order to land an actually comfy and well paying job. Besides, plenty of people with MDs actually work in MC.

[Anonymous No.10884883]

>>10884820
None taken, it's mostly secondhand information I remember from college as much of my fraternity was shooting for Big 4 consulting or Elite 3 private equity (which is more what I meant by Corporate finance) and they loved talking salary potential.
I went to a target school where those firms like to recruit so my understanding how difficult it might be for others to break in is most likely skewed.
I know it's 80-100 hour weeks initially but I always thought the higher you get the less hours you spend working and it becomes more about managing clients than doing investment decks meaning you end up working less hours but do more entertaining.

[Anonymous No.10884911]

>>10884881
Basically, although staying in MC can be rewarding since as a managing director you'd actually start seeing worthwhile bonuses while also getting more convenient hours.
>plenty of people with MDs actually work in MC
True. I don't understand why anyone would do that, though, unless they don't actually enjoy medicine and want a way out.
>>10884883
>private equity
Oh, I didn't realize that's what you meant by corp finance. PE is definitely extremely well-paid, but it's a huge outlier in that it's extremely difficult to break into (people usually go the IB analyst route first hoping to land an associate job at Blackstone later)
Even if you're in a target school, getting a job in a good PE firm is very hard. But the reward (financially at least) is superior to IB on average, especially now. Prop shops/algo used to be really hot too but they're not doing so well now.
Honestly though, these are some extremely cutthroat environments, I haven't experienced them firsthand but several people who are close to me work or used to work in front office finance and they'd all say the same thing. Unless your only goal in life is to be raking in seven figures by your late forties, going into finance is not worth the effort.

[Anonymous No.10884923]

Well /med/, my reassignment surgery is scheduled to take place in a month, anything I should do to prepare? Beyond what the surgeon gave me.

[Anonymous No.10884934]

>>10880724
OK rate these potential doctors based on their ethnicity alone. Everyone comes from a mid-tier med-school in the US with the same grades and USMLE score.
>white
>Jew
>black
>hispanic/Latino
>asian
>Indian
>Arab
As a patient who would you want to treat you? As an employer which one would you hire(HR is not watching)? And in general, which one makes the best doctor?

[Anonymous No.10884936]

>>10884923
A strong rope. You're gonna need it in some years.

[Anonymous No.10884938]

>>10884629
Norwegian?

[Anonymous No.10884945]

>>10884938
I think he's the finn ER doc.

[Anonymous No.10884952]

>>10882230
Najeeb is fucking overrated

[Anonymous No.10884954]

>>10884945
Since when does EM pay well anywhere ever?

[Anonymous No.10884962]

>>10884945
Docs in Finland rarely earn more than 10k eur/month.

[Anonymous No.10884967]

>>10884936
They say they turn the penis inside out and that's the vagina, I'm still kind of scared, that sounds like it'll hurt a lot.

[Anonymous No.10884983]

>>10884938
>norway
>euros
>>10884945
nah, I like his frogs though
>>10884718
>>10884815
I have two, my combo is rare enough that I'll keep it a secret, don't want to dox myself.
The specialty is pretty irrelevant, only things that really matter spec wise is the ability to practice in private. The ability to do procedures is a plus.

The it's just a matter of creating enough demand that you can start charging a premium.

[Anonymous No.10884990]

>>10884967
God don't you have to dilate with varying sized inserts in order to prevent the hole from closing?
Have you considered the dangers of permanent incontinence post-surgery? I remember reading a reddit posted here a while back about someone's experience with their reassignment surgery and the aftermath was just horrific with what they had to deal with complication wise.
You do you obviously, but if you could help me understand why the genitals matter so much than say an outward appearance from just getting breast implants and wearing dresses, I would be interested in hearing your reasoning.

[Anonymous No.10884992]

>>10884983
neurology/psychiatry

[Anonymous No.10884993]

>>10884983
Where are you from that you can charge 300/h though? The only euro country where that seems plausible is Switzerland.
>>10884992
Neuropsych isn't a rare combination.

[Anonymous No.10885003]

>>10884967
Don't do this stupid shit. You are who you are, accept it. Mangling your body won't help.

[Anonymous No.10885013]

>>10884993
It's not where I am from, it's who I am that makes me able to charge my rates. Most people who come to private healthcare here don't pay with their own money anyway and the insurance doesn't really care.
>>10884992
Not mine, but still a good combo. Average for psychs in private practice here bill around 120€ for a 20 min med check.

[Anonymous No.10885015]

>>10884983
>>norway
>>euros
What is conversion?

[Anonymous No.10885021]

>>10885015
Fair point.

[Anonymous No.10885046]

>>10884911
>True. I don't understand why anyone would do that, though, unless they don't actually enjoy medicine and want a way out.
I knew a couple of BME majors that did that route, their focus was to invent/patent new medical devices and accomplish healthcare through tech.

>Oh, I didn't realize that's what you meant by corp finance. PE is definitely extremely well-paid, but it's a huge outlier in that it's extremely difficult to break into (people usually go the IB analyst route first hoping to land an associate job at Blackstone later)
Ah, that's why they all wanted the Goldman JP Stanley jobs so they could transition after a few years into something else.

>Honestly though, these are some extremely cutthroat environments, I haven't experienced them firsthand but several people who are...
The ones I remember were very competitive and fairly dickish-money and status were priority number one. Some of the funniest people and most charismatic people I've ever met though as well, but I wouldn't want to engage in a professional environment with them.
>Unless your only goal in life is to be raking in seven figures by your late forties, going into finance is not worth the effort.
Agreed, I'd say about half of my buddies that went in with that idea and are now in golden handcuffs and hate their lives. The ones that don't come from money or were actual finance geeks.

[Anonymous No.10885079]

>>10885046
>, their focus was to invent/patent new medical devices and accomplish healthcare through tech.
Why not join a BME startup instead of going for MC then? How are they doing now?
>they all wanted the Goldman JP Stanley jobs so they could transition after a few years
Some people actually want IB, but a lot indeed end up going through the "analyst program" then aiming for VC or PE
Allegedly being an M&A analyst is soul crushingly fucking boring + 80 hour weeks at a minimum for a measly 120k in NYC so I imagine a lot of them are burned out as well

[Anonymous No.10885145]

>>10885079
>Why not join a BME startup instead of going for MC then? How are they doing now?
No idea, they were acquaintances but they look pleased enough on social media. If you mean MD, and please bear with me as this is over five years ago, I think it was because they felt like they would understand more about physiology, healthcare operations, networking, authority, and resume padding.
Somewhat relatedn I do have a friend who did ME and found himself interested in Bioengineering and is currently getting his PhD in it. He runs a lab focused on growing/3d printing skin cells for burn victims, he couldn't be happier with his life

>Allegedly being an M&A analyst is soul crushingly fucking boring + 80 hour weeks at a minimum for a measly 120k in NYC so I imagine a lot of them are burned out as well
Kek, I did an M&A summer internship at a boutique IB that sold small to midsized companies and it completely turned me off finance. Reading financial documents and building private/public comparables, writing reports, excel sheets, and making powerpoints + due diligence nonsense is blisteringly boring. Only other intern there that seemed into it was an Asian dude who was trying to get into IB/PE so he could take care of his mom. Maybe a larger firm may have been more interesting but I don't see how it could be that different.

[Anonymous No.10885210]

>>10885013
>it's who I am that makes me able to charge my rates.
Do you have a lot of experience or something? Or is your spec so rare that it's just supply and demand?

[Anonymous No.10885366]

>>10885210
It's a combination of skill and branding. I am a fairly good doctor in general and very good at my subspecialty, this is mostly the result of accumulated experience, studying and research. The key here is the suffiently narrow subspecialty. It's very hard to be the best *insert specialist* or even the best at *insert subspeciality* but it's fairly easy to be the specialist/subspecialist best in conditions X / disease Y / operation Z etc.

After that it's just building a reputation. I get most of my patients through referrals from other docs, mostly outside of my specialties.

[Anonymous No.10885631]

UPDATED COPYPASTA
https://pastebin.com/aYNv0zFc
Most of the good stuff is towards the bottom. Most of the links are older threads from 2016 and november 2018-feburary 2019. Many of them expand on clampspammer's backstory

RIP his great grandma murdered by the flu vaccine at the young age of 102 nevar 5ghetti

[Anonymous No.10885660]

>>10885631
>good for keks in the rainy days
I'll keep'em for when I feel low, then.

[Anonymous No.10885686]

>>10885631
You should include the stuff he posts on /x/, /pol/, and /adv/.

[Anonymous No.10885696]

>>10885686
/x/ and /pol/ are designated shitting boards. Posting garbage on them is expected.

[Anonymous No.10885725]

>>10880724
You sound like a right cunt m8

[Anonymous No.10885737]

>>10885725
?

[Anonymous No.10886220]

>>10884816
That's all true, but realistically very few people get to choose where they go to med school. At best, you might get to choose between two offers. The odds that one of them will be one of the three schools in the country that don't charge tuition is astronomically small for most applicants. If it were as simple as choosing to go to a school that doesn't charge tuition, nobody would ever pay tuition. There are also virtually no scholarships that offer enough to make a dent in the cost of med school. The subsidy/loan forgiveness programs are usually the best bet, but word is that it's quite difficult to actually collect on them as the bureaucrats have designed them to be virtually impossible to completely meet all the requirements.

[Anonymous No.10886258]

Let's say a person is in hypovolemic shock due to arterial bleeding from a gunshot wound. A back alley doctor repairs the gsw, but no blood is available for transfusion.

What are the odds of the patient surviving?

[Anonymous No.10886420]

>>10886258
Impossible to answer. It depends on the degree of hypovolemia, the availability of volume expanders, the overall health of the patient, whether they develop DIC, ARDS, or infection, and infinite other factors.

[Anonymous No.10886422]

>>10885737
You heard the man. You sound like a cunt.

You're perceived as a cunt.

[Anonymous No.10886427]

>>10886422
Thanks for the insight, I think I got that from the first time, I was wondering why he had to point it out.

[Anonymous No.10886431]

>>10886422
Cunt

[Anonymous No.10886458]

4 times now I've talked to my primary care physician about chronic joint pain. Each time he's taken blood, had tests run, and declared that there's nothing wrong with me. Once he referred me to a rheumatologist who did the same thing. Does my doctor think I'm after drugs? I'm 25 and don't have any other unexplained health issues.

[Anonymous No.10886470]

>>10886458
Depends. If you live in a country where drug seekers are frequent, then he/she might think so, especially after the rheuma told you there's nothing wrong.

Do you exercise? Do you do any physical activity? Is the pain continuous or are there only periods of time when it appears? What triggers the pain?

[Anonymous No.10886506]

>>10886422
OP's cool though. Best med thread we've had in a while.

[Anonymous No.10886507]

>>10886506
t-thank you senpai.

[Anonymous No.10886513]

>>10886470
The pain is relatively consistent, and has been for about 8 years. It's primarily in my knees and lower back, with occasional pain in the ankles. It's a dull, deep pain that feels like it's in the connective tissue rather than the bone. It's a 3/10, and worsens with repetitive movement (ie multiple flights of stairs) or too much time in one position (ie a long flight). Generally it's gone when I wake up, back within the hour, and slowly worsens as the day goes on.
Currently, I'm very sedentary, but in highschool I was an athlete, and until recently I've been moderately active (light manual labor). The pain hasn't noticably changed with the change in activity

[Anonymous No.10886522]

>>10886506
That's just because I haven't been participating. :^)

Honestly I'd think you guys would want to hear about electromedicine, bioelectromagnetics, medical applications dating back to the 1920's. Cancer treatments as well.

Oh well.

[Anonymous No.10886531]

>>10886522
It's mostly because of the mass deletions yesterday. That was funny.

Tell me how bioelectromagnetics kills Plasmodium.

[Anonymous No.10886544]

>>10886531
The actual resonant frequency of viruses and various micro-organisms is in generally in the THz range, however biological systems have other features which can be exploited to destroy organisms. Rife in the 1930's reasoned that the results he was seeing were due to "coordinative resonance". Gosset of France, and Schereschewsky in the US (Harvard Public Health) both observed athermal destruction of tumors in plants and mice respectively.

Refer also to Novocure's "tumor treating fields" (a Rife machine which doesn't work well, but is FDA approved because it;s Israeli backed), and Henry Lai at WSU's magnetic field approach to destroying malaria. The mechanism at work varies. After a review of Soviet and Eastern European literature in the 1970's, the Defense Intelligence Agency included frequency specific destruction of certain cell types in the sub-AM region. Rife was also using this region.

Very long history. Can't tell you about plasmodiums broadly, but Lai, via magnetobiology, found a way to destroy malaria without harming the patient. A result that isn't anomalous when you look at the whole picture.

We were literally subverted and held back for the last 100 years. It continues. Cell phones are not progress, they're a symptom of the underlying disease.

[Anonymous No.10886551]

>>10886544
https://www.washington.edu/news/2000/03/30/magnetic-fields-may-hold-key-to-malaria-treatment-uw-researchers-find/

[Anonymous No.10886566]

>>10886420
What if we assume 25-35% of total blood volume is lost, no volume expanders are available, no DIC, no ARDS, no infection, the patient was in good health prior to being shot, and other than the artery the gsw only affected muscle tissue?

[Anonymous No.10886576]

>>10886544
So the magnets cause oxidative damage from heme residues in Plasmodium?

Maybe you should discuss this more with the clamp poster since he likes posting about reactive oxygen species :3

[Anonymous No.10886588]

>>10886576
He is the clamp poster

[Anonymous No.10886593]

>>10882007

Oh cool. A member of the medical establishment who mocks the schizophrenic, aka the medically impaired, and then says, "triggered, bro?" about it. You people are scum. You know it, and so do we

[Anonymous No.10886606]

>>10886588
What if you are the clamp poster?

[Anonymous No.10886625]

>>10886513
It sounds like pretty typical osteoarthritis. You're a little young, but it's not that uncommon especially if you had injuries as a kid or if you had any congenital bone or joint abnormalities. Nothing you've said makes it sound like an autoimmune disease or anything else that would raise eyebrows, and presumably the rheumatologist has ruled that out conclusively. It doesn't sound like the pain is particularly severe or limiting your activity, and the treatment options for osteoarthritis are very limited. The best thing for mild to moderate disease is low/moderate impact exercise, don't be overweight, and occasional analgesics when needed. Stronger drugs and surgery have significant risks and aren't appropriate unless symptoms are severe.

[Anonymous No.10886773]

>>10885631
He really likes bringing up his 102-year-old late great grandmother, huh.

[Anonymous No.10886781]

>>10885631
The character evolves. His version number is bumped.

[Anonymous No.10886832]

>>10885631
O B S S E S E D

[Anonymous No.10886854]

>>10886832
Not the guy who compiled the pastebin but how can you not be? He's been at it for years. He's fascinating.

[Anonymous No.10886870]

>>10884661
>Yup, sounds like USA.
Romania actually

[Anonymous No.10887031]

>Your upper breathing pattern is encouraging you to have an inward curve in your thoracic spine. The thoracic spine should have a kyphosis (curve outward). It should go inwards (lordosis) in the lumbar (lower spine).
t. physio
How do I fix this shit? Can it be fixed?

[Anonymous No.10887034]

>>10887031
Chiropractor competent to evaluate why your spine, how, and the degree of change possible. Look up exercises otherwise.

My mind just flashed back to the days when you didn't need captcha shit with 4chan. There was spam occasionally but eh, what the hell.
Fucking planet.

[Anonymous No.10887150]

>>10887034
>Chiropractor
>competent
Fixed you're post

[Anonymous No.10887160]

>>10887150
>Fixed you're post
>you're

[Anonymous No.10887169]

9 out of 10 agree
https://www.youtube.com/watch?v=DVQYdqi4UJs

[Anonymous No.10887170]

>>10887160
This image is ironic i cannot help but to think it was intended for the caption to say lim to 0 instead of inf. Yet its purpose is to display someone else's stupidity but this fact makes one question the intelligence of the image poster instead

[Anonymous No.10887174]

>>10887170
It serves its purpose regardless.

[Anonymous No.10887178]

>>10887170
Also, forgot to mention but it still does act that way.

[Anonymous No.10887222]

>>10887160
*Fixt ur'e poast

[Anonymous No.10887259]

>>10884952
>Najeeb is fucking overrated
t.Carlos

[Anonymous No.10887332]

>>10887034
>go to a chiropractor
This is one of the three big retards we have to protect this thread from.

[Anonymous No.10887333]

>>10887332
What if it's actually one triple big retard?

[Anonymous No.10887341]

>>10887333
I wouldn't be surprised, to be desu. Clamp + herbs + circumposting is a bit too bluepilled for me, but it's possible . nonetheless

[Anonymous No.10887372]

>>10884923
>>10884967
Well it is what it is. Hope you're happy with your vag.
>>10884952
For 6 years I haven't heard even 1 lecture.
>>10886870
Shet. How's them balls?

[Anonymous No.10887436]

>>10887259
The problem with Najeeb is that he uses fucking ages to explain shit that can be read and understood in a book within minutes.

[Anonymous No.10887495]

/med/ how to find gf while doing clinical rotations?

[Anonymous No.10887519]

what up /med/
who here US MD student
feels so good

[Anonymous No.10887588]

have you lads purchased ELISA kits from mybiosource?

[Anonymous No.10887663]

Hey y’all, question. Girl I’ve been dating tested positive for HSV 1 (oral herpes) but has not shown any symptoms in her life. We’ve been together for a few months and chances are I’ve got it too, I’ll be getting tested this weekend.

Does anyone have any experience living with HSV1? Do we continue on living our lives normally? Is there something we should change in our sex life? She’s freaking out about it, I’m sort of indifferent as.. well it’s probably too late for me so I may as well just live with it as best I can. Preventative measures for keeping a healthy immune system to keep potential symptoms at bay? Any help, advice, articles, etc are greatly appreciated.

[Anonymous No.10887665]

>>10887341
Clamped, vaccinated, circumcised.

[Anonymous No.10887724]

>>10887665
They do all of this and more, and yet he still believes. Just because someone said "medicine is really advanced!" "Doctors are here to help!" when he was a kid. Even if he were to become one of them, he would still push the glaring truth that it's all fraud and profiteering. It killed and buried all the legitimate medical advances that broke the Rockefeller paradigm, long ago.

He will never question what he's being fed, probably never consult the literature, and never question the organizational characteristics that led to such an overtly flawed system. Flawed to the point of evil.

If they taught you to do rituals beneath a towering Chemosh, you would do it. They and you are in no way apart.

[Anonymous No.10887733]

Daily reminder to those who don't read the OP to not engage the schizo!!!

[Anonymous No.10887739]

>>10887733
>Don't look!
>Plug your ears kids!

[Anonymous No.10887740]

>>10887733
t. Big Pharma

[Anonymous No.10887776]

>>10887740
-t. Big Schizo
I don't want your filters

[Anonymous No.10887871]

>>10887776
t. t.

[Anonymous No.10888388]

tex check one two $x^2=\frac{\lambda}{\nu}$, ... disregard

[Anonymous No.10888393]

>>10888388
let's try this again: [latex]x^2=\frac{\lambda}{\nu}[/latex], ... , [latex]x^2=\frac{\lambda}{\nu}[\latex], ... $$x^2=\frac{\lambda}{\nu}$$

[Anonymous No.10888403]

>>10888393
alright, next try: [math]x^2=\frac{\lambda}{\nu}[/math]

[Anonymous No.10888487]

>>10887663
Who the fuck gets tested for HSV-1? Like 70+% of the population has it.

If she hasn't had symptoms don't worry about it.

[Anonymous No.10888621]

>eat carb heavy meal
>prolonged sneezing fit within 30 minutes
>been like this for about six years
What the fuck is going on? Google has not been helpful.

[Anonymous No.10888674]

>>10887588
I have that, everyone is different though so take my anecdote with a grain of salt. Symptoms occasionally flare up (mouth sores, occasionally inside my nostril, that one sucks) and are somewhat uncomfortable. Flare ups usually occur when I'm really stressed out or getting sick.
If I have any symptom (it is like an itchy zit at first for me) I won't go down on her and generally avoid kissing and let my friends know to avoid eating or drinking anything I might have infected. I take acyclovir when I'm starting to feel something and it helps cut down on the time it's around. Happens maybe 3-4 times a year?

Otherwise it's not a big deal and I frequently forget I even have it.

[Anonymous No.10888919]

>>10880724
School just started, anyone else already feeling isolated? Seems like people have formed their cliques.

[Anonymous No.10889183]

>>10888919
It's probably the students who attended those welcome week parties to "network" and mingle.
I remember getting 3 1st time med students in the ER one night, all very intoxicated/high as a result of university-hosted drinking parties and bar hopping, one student was even assaulted. They acted like jerks in the exam rooms, going on about "imma med student, don't touch me i can treat myself"
I may sound like an old coot, but why do universities still host stuff like this? I wouldn't have any trust in partying students, much less future doctors.

[Anonymous No.10889196]

>>10889183
Like, just do what u want bro! Have fun!

Welcome to the era of decadence.

[Anonymous No.10889252]

Lads. I just got a diclofenac shot + ibuprofen pills. I consumed it and I feel no pain. I am gonna get killed ?

[Anonymous No.10889472]

Romanianon, how expensive is it for foreigners to study medicine in your country? How hard is it when you don't speak the language?
Is it the same kind of situation as graduates from the Caribbean in the USA, as in, the degree isn't valued much outside of Romania, or is there no discrimination in other Euro countries?

[Anonymous No.10889483]

>>10882872
Male nursing student here. I joke about bagging a doctor like the rest of my female colleagues aim to do but honestly if the female is qt enough and I'm not gonna get raped by HR I'd have a go maybe after a few drinks.

But you're in a spot where you need to have looks and loyalty.

[Anonymous No.10889544]

>>10889472
Foreigners pay 5k euros/year here. I don't know if it's that valued outside the country, but you can certainly work outside the country. I think that in EU, most doctors look for good individuals and don't care where you studied because I have family friends that work in France and Austria.

If you don't know Romanian, you should choose the english/French or German program instead but if you want Romanian, they offer courses for you to study it.

[Anonymous No.10889545]

>>10889544
Is entry selective or do universities not care as long as you pay them? Do foreign students usually do their residency in the country as well, or do they end up leaving?
Are all Romanian universities equivalent or are some preferable/better than others?
Also, what's the most frugal monthly budget you can survive with in Romania (just for a clean room, cheap food and internet)?
Sorry for all the questions, I'm just interested in knowing how it all works from someone who's actually there.

[Anonymous No.10889547]

>>10889545
Unis don't care. Entry is based on an admission exam AFAIK. They can opt to do their residency here or to get out and do it elsewhere.

The best med unis are in
1.Bucharest
2.Iasi
3.Cluj
4.Timisoara

You can go into a student "campus" like stuff with huge building where you pay something like 30 euros/month but you're going to have like 5 more roomates. An apartment is usually 300-500 euros/month which is very cheap for foreigners. You can live with 1000Euros/month like a fucking king. 500 for rent and 500 for your needs is very good. I live with approx 400 euros/month and I'm doing very well considering that I have my own apartment and don't have to pay rent.

[Anonymous No.10889550]

>>10889547
Alright, thanks for the info anon.

[Anonymous No.10889552]

>>10889550
No problem.

[Anonymous No.10889553]

>>10889483
Look for the late 20s, early 30s doctors and mention how much you love children and just want to be a good dad. One of them is probably looking for a house husband.

How has your experience been with your colleagues? Are you satisfied with education/training? I'm still considering what route to go so any opinions would be helpful.

[Anonymous No.10889554]

Does anyone know anything about EMS Physicians? Would like to hear US and international experiences and opinions.

[Anonymous No.10889560]

>>10887372
>How's them balls?
Better now actually, and all I did was take some painkillers. I think I'll be fine.
Also
>went to the pharmacy to get some meds for my father
>many people there so I had to wait in line for a while
>this decrepit old hag starts arguing with the pharmacist over how many pills her husband should take
>asks how many milligrams of whatever the pills have, says that's "too little"
>pharmacist tells her it's fine
>lady starts rambling about how she had already consulted with "her doctor friend" about the meds
>only gives in after arguing some more
Why are they like this?

[Anonymous No.10889562]

>>10889554
From my experience they're pretty chill but most of them told me that it's a spec for the young. Here, to make more money, they take some ambulance or SMURD shifts, ambulance or helicopter depending on preference. Most of them were in their 30s or 40s, the older physicians were looking kind of burnt out. Whenever a polytrauma accident happens that involves many victims they get a call in the middle of the night, have to be present there and stay there for the next 6 to 8 hours. I don't know how is it in the US, but most of them looked pretty tired of this shit to me.

Also, the occasional hobo that comes in and starts ranting loudly or screaming, etc. makes it even harder for them but they don't show it because I think they don't give a fuck anymore and just want to go home to their wives/husbands.

[Anonymous No.10889564]

>>10889553
From 30, half have dropped out of the LPN course and many still don't show up to class half the time. Our class is probably still one of the better ones. Most of the girls lack confidence, it must be one of the reasons why all 3 guys including me got into grad programs but that might also be because all 3 of us are aiming for work experience rather than going on for RN studies immediately. The remaining girls are pretty nice though.

Education will vary by country and institution. During clinicals I've done ok but the classes are done at an inefficient pace and the prevailing attitude seen a lot is 'you don't need to know about this' in regards to anything beyond basic tier theory. But that might be just how LPNs are. In any case extra learning on your own is never a bad idea and is what I do.

>being a house husband
I think most male nurses still compensate by treating nursing as any other career and by that I mean trying to be really competent or gun for manager roles. I like kids but yeah.. It's not being insecure it's just an innate desire to excel in work. But damn there are some qt med interns and students.

[Anonymous No.10889587]

>>10889562
Do EMS MD's in your country also do administrative tasks or primarily field care?
I only know from googlefu that US EMS has more administrative tasks as other countries don't have quite the same EMS system with EMT's/Paramedics. How does your system work?

[Anonymous No.10889588]

>>10889587
We do have EMTs and Paramedics too, but they do field work because it pays well for an MD and they usually want that extra money.

[Anonymous No.10889591]

>>10889554
There's no such thing as an EMS physician in the US. We don't have a prehospital emergency medicine specialty and I've never heard of any EMS system in the US that routinely staffs doctors as anything other than medical control.

[Anonymous No.10889601]

>>10889550
Do note, however, that there are a lot of things lacking in education here. Universities in Romania, many times are horribly mismanaged, have absurd policies and may have terrible teachers.

Also, there were previous scandals of fraud and professors asking for money, especially from foreigners.

You can learn really well here, but expect to self study mostly. That's how it is in engineering at least, medicine may be different.

Btw: Foreign language departments in medicine are usually full of arabs, blacks, Jews and maybe Italians.

[Anonymous No.10889608]

>>10889564
Jesus, sounds like it's fairly easy to be succeed even if you show up and try. I recently talked to a nurse recruiter and she mentioned that men tend to take the nursing career far more seriously and tend to rise to higher levels in management.
I don't consider being a house husband a sign of insecurity, rather just different priorities and interests. Personally I'm not interested in being the care team manager and like variety + patient contact- however I'd like a financially stable partner to help ensure our kids have enough opportunities for success + I'm just attracted to that type of person.
Besides an extra six months of education, what are the differences between LPN and RN (throw in BSN if you're familiar)?
What are your eventual goals in nursing? Why did you pick nursing over more medical model focused field?

[Anonymous No.10889618]

>>10889601
>professors asking for money, especially from foreigners
That's not a common thing though, is it?

[Anonymous No.10889620]

>>10889588
What country out of curiosity?

>>10889591
We actually do, it's a subspecialty of EM through a 1-2 year fellowship program focused mostly on distaster medicine, management, but also field work. It's very much in its infancy and was only created some odd 7 years ago I believe. The idea is to have EM doctors more involved in the field to assist paramedics and take a more active role in field care.
See the NAEMSA, community paramedic program in Alameda, mobile integrated health in Mass, and the MD-1 program in New Jersey-theres an industry magazine online called EMS1 that can provide more info. Alameda and Mass are more what you're describing but I believe from what I read there is more physician involvement than just online medical control. The MD-1 program has EMS MD's in emergency responder vehicles that carry more advanced forms of medication and tools than an ALS crew.
>>10880743
Anon, if you're still around this might be relevant to your question. ET3 is a new billing system being tested to allow EMS system to bill for field treatment and transfer to urgent care or other non-ER locations.
I know a bit about it from reading online but was hopeful someone knew something anecdotally.

[Anonymous No.10889621]

>>10889564
Does it feel frustrating knowing that a doctor will never stick with you because she’ll outearn you? And that any nurse you might date will feel she’s had to settle for a nurse rather than a doctor?

[Anonymous No.10889623]

>>10889620
Romania. And I did not know you were talking about PURE ems physicians because those don't exist. Yes some of the EM physicians like to only work on ambulance only but before doing that, they must work a certain number of hours in the ER for some years.

[Anonymous No.10889634]

>>10889621
Not him but I would imagine how the husband reacts to that reality and his confidence would play a decent role in that decision by the wife. Additionally, if she comes from money already (not terrifically uncommon) than it would be lower on the priority list.
Of course this varies from individual to individual but with the current state of affairs (at least in the US) or see fem-anon surgical intern above (please weigh in if you feel compelled) money isn't everything to everyone.
Maybe it's just wishful thinking, but I think money in a relationship is more important to men as it makes them feel more secure in their partners attractiveness to them as a provider whereas women most often just want a man who doesn't treat them like a total dickhead.

[Anonymous No.10889637]

>>10887663
Why the fuck would you test yourself for HSV1, get a life anon. You probably already have it, it doesn't affect your life beyond a sore in your mouth once every three years, grow up.

[Anonymous No.10889642]

>>10887663
>well it’s probably too late for me so I may as well just live with it as best I can.
This nigga thinks he got HSV1 and is talking about it like he contracted the bubonic plague lmao

>>10887519
If that's your attitude, you haven't been a med student for long enough

[Anonymous No.10889643]

>>10888919

Yep, feel pretty isolated. My school had a pretty shitty orientation week that just kick started class instead of holding any real social activities and now the cliques are formed I'm basically alone all day every day besides mandatory class.

[Anonymous No.10889670]

>>10889618
Nowadays, it's very rare and the number of such cases has gone down to a few every couple of years. Although, there are probably more cases, where students want to pay so they can pass harder exams.

Honestly, I'd advise against studying here. It's just bad and the lower price of living doesn't justify it.

[Anonymous No.10889672]

>>10889670
>I'd advise against studying here
Sure, but what if I didn't manage to get into med school in my home country?

[Anonymous No.10889673]

>>10889608
It'll be interesting to see how demographics in nursing change. If nothing else it's still an untapped paradise and men getting in now are, dare I say it, looked upon more favorably. But that comes with having to live up to being what people expect you to be.

I don't think it's bad being a dad who spends more time with their kids than the mom to properly raise them, and if the wife wants to throw around her doctor salary then well darling there's this fancy restaurant I've heard about, why don't we have a night out.. but it'll take both an unorthodox guy and girl to make it work and at least personally, a guy still needs something traditionally masculine to even things out and that might have to be giving up patient contact for managerial roles or going into some really high paid nurse specialty.

Where I live all RNs require a bachelors. There's very little practical difference, there is a requirement for LPN care to be under direct or indirect RN supervision, and certain medication access policies. Of course RNs learn a lot more theory and have far more ability to move up or sideways in nursing.

To work in ED, by then I'll have a better idea, more experience. From there, perhaps a high care or dependency unit, maaaybe flight nurse but I've also considered going into medicine, if I consider myself to have what it takes at that point.

Why not medicine from the start? I was in a horrible shitty dumb part of life and nursing was a way out. Medicine was not logistically possible. Since I spent a good part of my life listening to and being concerned for others, nursing turned out to be one of those careers I also had a knack for. I have since considered medicine if I've reached working in ED, given nursing a good try and discovered it wasn't for me, but med is still a goal I would need to really prepare for and make sure I'm serious about pursuing.

[Anonymous No.10889677]

>>10889621
>a doctor having to wife the used goods of a chad nurse

hehehe

Well it certainly is an insecurity I could be insecure about. But it would do me no good to wreck my own confidence, especially when I swear to god male nurses are specifically hired for their confidence (and physical ability) and if worst comes to worst I date laterally to allied health or God forbid outside a hospital.

[Anonymous No.10889682]

Can the clamper come back instead of the RN authoring his autobiography on here?

[Anonymous No.10889687]

>>10889672
You should reconsider then.Are you sure that you want to be a doctor?

Romania can make you one but it really depends on you how good you're going to be. Don't expect very much when you come here, the romanian educational system and health infrastructure is unbelievably deteriorated.

Honestly, I was exactly in the same spot and for me it worked out incredible well that I could come to Romania, but it took a lot of self-learning in order to succeed in my field.

[Anonymous No.10889690]

>>10889687
>You should reconsider then
Why? I'm sure of my choice.
I'm good at self-learning, too. Having some kind of structure is more convenient, but I can learn by myself just fine.

[Anonymous No.10889702]

>>10889690
Just don't mind the other romanon, dude. Medschool is fine as long as you know how to learn by yourself. Some profs will help you out during clinical rotations but I advise against going to lectures because they're just a waste of time.

[Anonymous No.10889744]

>>10889702
And you don't mind shitty infrastructure, incompetence, the government and hospitals that haven't been renovated for like 30 years.

Come on, we can look at it both ways but don't pretend that our education system is fine, compared to European standard.

>>10889690
Because, unless there is a valid reason for not getting in your country, you're kinda supposed to think about why you failed.

Anyway, in any case, consider Hungary or Croatia. The difference in the medical field between Romania and those countries, can be night and day.

[Anonymous No.10889806]

>>10889744
I didn't say anything about our education system being fine, but professors (in medicine at least) are doing their job just fine. Yes, our hospitals are shit and that's why I prefer private > public sector but it isn't as bad as people think it is.

[Anonymous No.10889822]

>>10889806
Alright, I'll take your word for it. I'm curious which city you think is best in terms of Medschool?

[Anonymous No.10889824]

>>10889822
Iasi or Bucharest. These are the two big ones. Cluj and Timisoara are meh tier (I'm from one of them)

Went to Iasi as an exchange student there and was really surprised how big of a difference it was. Profs were more strict and did ask a shit ton of questions to make sure we're on the same subject and not behind.

[Anonymous No.10889827]

>>10889824
I'm from Timisoara personally and I agree that it's pretty meh tier. I heard that cluj is better, but I didn't know Iasi had anything going on.

Do you know if it's better in Iasi for other professions (e.g software)?

[Anonymous No.10889829]

>>10889827
Kek, I'm from Timisoara too. Cluj is full of zoomers and so.y people, I kind of hate that city but in terms of medschool, it's great.

Sadly, I don't know anything else about Iasi, I was there for two weeks and was focused more on giving a good impression and study harder than visit or ask about other fields.

[Anonymous No.10889919]

>>10880724
/Results/ fag here.
I got way better results than I was expecting to from my exams, essentially the equivalent of A*A*A at A level.
I'm contractually bound to undertake a Biomedical degree in september, but since my results were higher than expected, my lecturers have encouraged me to think about a transfer to a medical degree after finishing my first biomed year.
I'm torn, on the one hand if I had a medical degree, application to the STP program would be easier than it would with Biomedical.
However, I know transfers are extremely competitive and that medical degree's tend to be more intense.
Any advice ?

[Anonymous No.10890046]

>>10889919
You seem to shoot higher than you can tbqh. I've seen this behavior in a lot of now doctors that got a good grade in residency and chose some spec very much out of their comfort zone. (I had a friend that was mediocre - from what he told me - in uni and got a good grade in residency exam and chose neurosurgery, now he's unhappy and wants to retake his residency exam)

Don't make such a radical change based on some grades unless you're 100% sure you want to treat, listen to people's ramblings and have a constant feeling of burn out / tiredness in your career.

[Anonymous No.10890064]

>>10889623
Heya Rom-Anon, love your posts. Thanks for the response. To clarify, they aren't pure EMS either, it's just one facet of EM they take on as a part of their overall ED duties. Hope your mom is doing well.

>>10889682
Don't be a dick, I asked and he gave a thoughtful response and contributed. It takes longer to respond than to just scroll past.

[Anonymous No.10890067]

>>10890064
Well, here is combined. The usual shift is 12 hrs then they get a break for 3 days and in those 3 days they want to work another 12. Sometimes it's advised against it because they might be on call, but who cares, the money is good for that kind of work (for this shithole).

Mom is doing fine, btw, thanks for asking.

[Anonymous No.10890080]

>>10889560
Duning-Kruger

[Anonymous No.10890101]

>>10889673
>looked upon more favorably.
Actually a huge draw for me to go into nursing. Feels like I might actually get an advantage there being a man.

>I don't think it's bad being a dad who spends more time with their kids than the mom to properly raise them... a guy still needs something traditionally masculine to even things out...
I've heard of some firefighters getting their nursing degrees and doing part time at both, sounds like a a nice balance. I understand what you mean though, still need to show so sort of growth/ambition.
>Where I live all RNs require a bachelors...
That should be standard, I know CA at least has an associate's nursing degree giving then full RN privileges-interestingly enough Kaiser and other hospitals have begun hiring them as a cheaper alternative to BSN's because the nursing unions have priced themselves so highly.
>To work in ED, by then I'll have a better idea, more experience. From there, perhaps a high care or dependency unit, maaaybe flight nurse
Flight nurse sounds pretty fun, I've got a few people in my EMT class considering it.

>Why not medicine from the start? I was in a horrible shitty dumb part of life and nursing was a way out. Medicine was not logistically possible. Since I spent a good part of my life listening to and being concerned for others, nursing turned out to be one of those careers I also had a knack for. I have since considered medicine if I've reached working in ED, given nursing a good try and discovered it wasn't for me, but med is still a goal I would need to really prepare for and make sure I'm serious about pursuing.
Glad youre getting yourself out, and that's awesome anon, I wish you the best of luck. One thing about ED I've heard is it's definitely for the younger crowds and burnout is pretty high, but getting two years experience and doing travel nursing sounds pretty sweet.

[Anonymous No.10890204]

Fuck electric scooters

[Anonymous No.10890230]

>>10890204
based art desu

[Anonymous No.10890237]

>>10890204
here is a low effort one

[Anonymous No.10890301]

>>10890204
The damn scooters were just introduced to my city this week, so far no effect on my emergency room. Still can't wait to see all the idiots coming in with injuries but blaming cars for their stupidity.

[Anonymous No.10890341]

>>10890046
I'm not shooting higher than I can, I didn't really put any effort into revising and I still got a great grade, I was surprised is all.
I wanted to do medical but I didn't believe I could get the grades I needed.
The degree I'm currently set to do has tonnes of crossover with medicine, BUT taking medicine gives me a way better chance at being accepted into the STP program after I finish my degree.
I'm very much interested as serving as a doctor, since it was my plan to specialize with biomedical anyway.
But if I took medicine as my base I'd be far better off later after finishing university.

[Anonymous No.10890454]

>>10890237
>>10890204
Are there really 25 of these pictures? I have like 10 saved because I think they are hilarious but I didn't think there were that many of them

[Anonymous No.10890563]

>>10890454
Discounting variants with different texts and ones for purely finnish consumption, there are 20 in total.

Here is another low effort one, the surgeon (and scooters really drained me)

[Anonymous No.10890569]

>>10890563
Please never stop making these.

[Anonymous No.10890570]

>>10890563
That's pretty unethical tbq desu with you.

[Anonymous No.10890571]

>>10890563
Nice, thanks for the drawings!

[Anonymous No.10890613]

>>10890563
>20 in total

Scratch that, 21.

[Anonymous No.10890637]

>>10890563
>ones for purely finnish consumption

[Anonymous No.10890638]

How many hours of extra study per week does it take for family physicians to keep up with their field?

[Anonymous No.10890671]

>>10890613
If only the ER computers would have something better than paint

[Anonymous No.10890678]

>up till the 1980s surgeries were routinely performed on infants without anesthesia other than muscle relaxants to prevent them from moving under the belief the they cannot feel pain.

Why would the medical community at the time reach a general consensus that infants don't feel pain? Would surgically-induced nociceptive sensory overload while pharmaparalyzed leave a lasting imprint on development like becoming autistic or gay/gender-disturbed person later in life?

[Anonymous No.10890682]

>>10890671
>go to the ER for whatever reason
>take a glance over at the computer when the doctor's out of the examination room
>paint is open with a half-finished apu drawing
I don't know how I would react.

[Anonymous No.10890764]

>>10890682
I've never had any problems with patients, but sometimes the chief materializes behind my back and asks me what the fuck am I doing.

[Anonymous No.10890781]

>>10890682
>>10890764

fucking kek

[Anonymous No.10890802]

>>10890764
Kek'd.

[Anonymous No.10890810]

Guys. I'm playing theme hospital and I swear it's the funniest shit I've ever came across. Patients with severe cases of "Uncommon Cold" and "Tongue Slacking" remind me of ER weirdos.

[Anonymous No.10891024]

>>10890678
Medicine is anti-common sense. They train it out of them, and in its place, fill in beliefs which support their agendas.

How convenient, you can just amputate parts of an infant. Just cause. Can't safely give it general. Local nerve block damages the nerve root. Oh, I know. They can't feel pain. They won't remember it! There we go, solved.

Medical hackery.

[Anonymous No.10891210]

>>10891024
How should we go about for delivering healthcare and training medical professionals? Just interested in what reforms you think the system needs.

[Anonymous No.10891216]

>>10891210
Make medical school a 20 year program and don't require a degree to be accepted.

[Anonymous No.10891232]

>>10891216
holy shit

[Anonymous No.10891248]

>>10891216
How would you go about designing a 20-year curriculum? When would doctors be allowed to practice?

I'm probably biting the bait here but I'm just really curious to know what you think.

[Anonymous No.10891254]

should I go through with the sexual reassignment surgery?

[Anonymous No.10891272]

>>10880724
Hey /med/
Can I take Methylphenidate and Armodafinil together?

[Anonymous No.10891301]

ortho, derm, optho, or rad?

[Anonymous No.10891629]

>>10891301
What's up with them? All competitive and must suck a dick to match into one of them.

[Anonymous No.10891891]

>>10890678
Anesthesia on babies is risky as fuck. Sure it will hurt like hell but it's not like they'll remember it.

[Anonymous No.10891900]

>>10890678
>>10891891
Anesthesia on children under 3 can cause brain damage.

[Anonymous No.10891921]

I am a practicing anesthesiologist and I can answer some of these questions

>>10890678
>>10891891
This is a fascinating and disturbing question that cannot be answered without a look into the history of medicine and anesthesia

In short, anesthesia was a relatively new, dangerous, experimental and untested field in the 50s-70s. The things that make anesthesia safe in the present time did not exist back then, but were developed throughout the 70s-80s e.g. - pulse oximeters, end-tidal CO2, non-arrythmiogenic volatile agents . The safety of opioids was also considered unknown. There was also no evidence that neonates would be able to recall surgical events or that these events would have an impact on their growth and development (we know now that this is not true).

AT THE TIME, it probably seemed like the least harmful way to proceed would be simply paralytics, to avoid exposure to all these other potentially harmful agents.

In the 80s, there were major improvements in equipment and medications safety, as well as the discovery that there were long-term effects of early exposure to painful stimuli - which revolutionized the entire field of neonatal anesthesia

Please see this excellent essay for more:

https://www.mcgill.ca/library/files/library/wei_sunny_2016.pdf

>>10891900
While we might be suspicious of this, there is no hard evidence of this to date. The biggest trial on this was the GAS study (General anaesthesia and Awake-regional anaesthesia in infancy).

> Slightly less than 1 h of general anaesthesia in early infancy does not alter neurodevelopmental outcome at age 5 years compared with awake-regional anaesthesia in a predominantly male study population.

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)32485-1/fulltext

In summary, if at all possible we try to delay or avoid surgery in children, especially < 1 yrs old. However, I am comfortable telling parents that there a single exposure to anesthetic is very likely safe.

[Anonymous No.10892307]

I feel like I put in maximal effort just to get mediocre results. Should I quit now?

[Anonymous No.10892313]

>>10892307
You realize most people are mediocre, right? That's the definition of mediocre.

[Anonymous No.10892446]

>>10892307
Reminds me of myself. I'm lazy and get mediocre results, I'm content with being average, I'll leave research and stuff like that to people that are competent and I'll focus on treating people. Results aren't that important as your practice, you can be a good doctor without stellar grades.

[Anonymous No.10892459]

https://www.nytimes.com/interactive/2019/08/14/magazine/racial-differences-doctors.html
Stop being bigots.

[Anonymous No.10892498]

>>10891921
Didn’t read

[Anonymous No.10892518]

>>10892459
Clamped.

[Anonymous No.10892525]

what does /med/ think of medical error being the third leading cause of death for amerilards?

[Anonymous No.10892536]

>>10892525
They clamp.
They vaccinate.
The circumcise.

[Anonymous No.10892537]

>>10892525
Study? I'd like to know if MDs or solo NPs fucked up.

Generally, making mistakes is something that occurs sometimes even in the best physicians. We're only human.

[Anonymous No.10892546]

>>10892537
Look it up, you guys should know this for fuck’s sake.

[Anonymous No.10892551]

>>10892546
>look it up
There are plenty of studies on this. Do I go to read a random one or do you have a specific one? You know, I can't just fucking guess the right study you might've read, you dimwit.

[Anonymous No.10892565]

When are you guys going to cure cancer? I don't want to become a YouTube channel where people post R.I.P. a million times in the comments

[Anonymous No.10892570]

>>10892551
you’re an idiot

[Anonymous No.10892572]

>>10890682
desu I would quickly draw an apu patient

[Anonymous No.10892581]

>>10892570
What a fucking deluded snowflake you are. Please get the fuck out of /med/, you mutt.

[Anonymous No.10892835]

>>10890764
And whats your response?

[Anonymous No.10893002]

>>10890764
based, i would promote you

[Anonymous No.10893227]

Is "metabolic age" legit or just yet another broscience jargon?

[Anonymous No.10893320]

>>10893227
It's relatively clamped.

[Anonymous No.10894730]

bump

[Anonymous No.10894803]

I'm burned out. Final year in medschool and applying for jobs but can't get shit.

[Anonymous No.10894901]

>be surgical rotation anon
>ICU rotation
>13 year old kid with a complicated case (will elaborate if there's interest)
>had an infiltration near the ankle so a surgeon incised and drained it
>ICU team called an orthopedic surgeon to rule out bacterial arthritis
>kid desaturates in the meantime
>me, nurse and a doctor take action
>ortho walks in like a boss
>I MUST SEE FOOT
>kid is at 65%
>I SEE FOOT NOW
>dude just completely ignores what is happening and starts removing dressing
>FOOT IS FINE
>writes consultation and walks out

Why are they like this?

[Anonymous No.10895048]

>>10894901
Because orthos are selected based on their tiny brains and massive egos. He probably didn't even notice that anyone else was in the room.

[Anonymous No.10895252]

>>10894901
Just ortho things, man. They're super chill and don't give a fuck. If they have a consult, they do it no matter what.

[Anonymous No.10895315]

>>10894803
We're gonna make it, bro.

[Anonymous No.10895843]

Sleeping thread. Comfy.

[Anonymous No.10896111]

Does anyone have an idea why swiss GEs are the second best paid specialty in the country, including surgeons? Curious since GE is usually just slightly above average in other countries

[Anonymous No.10896391]

>>10894901
You were visited by Chad

[Anonymous No.10897388]

>>10884675
>>10884054
Radiography most certainly isn't 'comfy button pushing behind glass' anon. From the little time I spent in nuc med it was quite the opposite, and the nuc med techs had it pretty comfy. They were all female though, so I can imagine that may be a problem for a 4chan autist. Sure would be for me.

In actual radiography you spend the entire day being rushed and stressed about not getting backed up with patients. Your department will be chronically understaffed because of the unpredictable workload and so your boss will be strict. When you're in a hurry you're going to have to wait for some frail old person who has abused their bodies for half a century take 20 minutes to get themselves changed into a gown, and then complain endlessly about how brutally hard it is to lie on their side for a couple of minutes. Or the chronic smokers who take 5 tries to get a chest x-ray on because they can't take a sufficient inspiration, and also can't stay on their feet for more than 20 seconds.

If you're lucky to end up doing theatre or cath lab stuff then it's mainly just mind numbing tedium, especially if you get a surgeon with a stick up his ass (usually Indian) who can't hold polite conversation. CT and MR require a lot of dick sucking to get into, and getting a position where you ONLY do those is quite rare.

[Anonymous No.10897447]

Any tips on how to succeed in anatomy? Also our final is an NBME exam, any tips on that as well?

[Anonymous No.10897455]

>go to school for 8 years
>work at twice minimum wage for 3 years
>pay off your debt for 10 years
why do public medical schools even cost money in the USA you'd think with all the money they pump into hospitals they could make medical school free

[Anonymous No.10897874]

>>10897455
Aren't hospital and university financation separate? My uni is rich af, but the university hospital has 10 mil debt.

[Anonymous No.10897891]

How the fuck do i get into a Japanese medschool?

[Anonymous No.10897892]

>>10897891
By speaking/reading/writing the language fluently and passing the entry exam, I think. But why would you want that?

[Anonymous No.10897893]

>>10897892
Because i heard ita almost impossible to get a license if youre a foreigner

[Anonymous No.10897901]

>>10897893
If you completed med school in another country I think you have to retake some exam to prove you're competent and can then practice in Japan, but you still have to know the language very well. Just google it, there are some extensive resources and they're easy to find.
It just seems like a lot of trouble to learn japanese and study for their exam, and then maybe even spend two or three years working for a low salary in a public hospital just so you can live in Japan. Go there on holidays or something. Doctors in Japan are not very well paid and you'd be putting yourself through a lot of inconvenience.

[Anonymous No.10897945]

>>10897943
>>10897943
>>10897943


New one guys. Get in.

[Anonymous No.10898033]

>>10884054
>Like you are literally being irradiated for chump change.

if you get irradiated, you are a candidate for the Darwin award. You get the stuff from the techs in a syringe in a lead box, how can you spill it?

And do you know how low the radioactivity is compared to interventional cardiologist/ orthos who need to x-ray more or less the whole time?
And do you know this little rings on both hands of nucs and the little thing in their pocket? well, it is for meassuring the amount of radiation you get. If it gets to high, you stop working till you are good again. Radiation is not only about the amount of energy, but also exposure time.

We could talk about deterministic and stochastic radiation damage, but you have no clue it seems, so it has no value.

I am also currently in nuc medicine in Germany, since it is really laid back and future proof for now. It makes also huge steps in therapy, PRRT and PSMA are not the end for sure.
if I want i can also get the radiologist training, both together would be 8 years then here insteads of the 5 years you usually need. Will think about it when I decided if I want my own clinc or aim to become a leading doc.