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/sci/ - Science & Math


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14972730 No.14972730 [Reply] [Original]

Bispectral index edition

Previous: >>14957445

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

>> No.14972916

Did prev thread sink?

>> No.14972946

Why are all doctors so arrogant?

>> No.14972964

80 hour weeks in a rotation i don't want to go into should be illegal

>> No.14972969

>>14972964
K zoomer fgt

>> No.14972978

>>14972969
i don't understand you med people who get a boner for being in the hospital a zillion hours per week. do you really enjoy having no life outside of work?

>> No.14972986

>>14972978
Ain't one of them people you talking about. Thing is that hospitals ain't your university's safe space.
You either learn to eat shit without grinning or quit. Nobody is necessary and nobody's work is vital.
Family medicine is itching for your application.

>> No.14972992

>>14972986
and prescribe statins to 30 patients a day at 15 minute intervals? no thanks. i will eat the shit but i hold dear my right to complain about it ad nauseum in the comfort of my home

>> No.14973009
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14973009

>anon comes in with an acute kidney injury
>give him a lethal dose of morphine

>> No.14973030

>>14972964
24 hour shifts in rotations where you don't do anything should be illegal.

>> No.14973033

>>14972986
Senpai med is the most based specialty there is. I love how retards and gunners will forever shit talk it to make it accesible and without competition.

>> No.14973044

>>14973030
like 40% of all my rotations are just standing around

>> No.14973058
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14973058

>be socially awkward with patients
>absolute dogshit at consultation
>have multiple complaints filled by cuck clinic chiefs
>become anesthesia warlock so one day I am the last thing those midwit fuckers see before sleepy time
>mfw will intubate all of them while wide awake without IV inductor
I am not the only one. Right?

>> No.14973151

>>14972730
premed fag here
everyones telling me besides omm theres virtually zero difference between md and do but honestly is that even true? i feel like do doctors probably make way less money and get half the respect because no one knows what a do is compared to md
is do school worth it?

>> No.14973347

i'm 30 with a maths degree and am going to career switch into either med or data science/machine learning, which should i pick /med/

>> No.14973411

>>14972946
Cause this job fucking sucks, it's the same fucking shit all the time, the patients dont stop coming, the people are retarded and the only way to get things running is by yelling at others to do their job. At some point you can't help but abuse people for stupid understandable shit.

>> No.14973412

>>14973044
>>14973030
Things that only happen in america.

>> No.14973416

>>14973347
obviously data science. What the fuck do you expect to do in medicine? You do know the job is about interviewing people and remembering the algorithm for treatment, right?

>> No.14973437

>>14972730
I have to take the fucking MCAT again and I', dreading it. I was doing so well on my practice tests and then COVID happened and the test was shortened, didn't even come close to my practice scores. I'm working as a phlebotomist rn, and I like it, I'm good at my job and people like me, but I'd be lying if I said I wasn't internally seething that I haven't started medical school yet. I feel that I didn't even have that much fun at college, I spent it all studying or fucking off by myself, and what do I have to show for it. I know I'll get in eventually, I'm willing to do whatever it takes to make that happen, but goddamn, it's still so frustating. Not even asking for advice, I just wanted to bitch.

>> No.14973441

>>14973412
Are things just more relaxed where you're at? You do have to remember that America has one of the highest populations in the world. Most European countries don't even have as many people as California

>> No.14973443
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14973443

>>14972730
medstatsbro here, reminder to talk to your statsbros when you do your research, frens. you do good work but your science sometimes isnt good statswise. we are happy to help and always remeber: what makes your mom even more proud tha having a doctor son? having a doctor son that does good science

>> No.14973451

Any idea if non selective serotonin agonism, sigma 1 receptor agonism or nmda blockade is responsible for improved focus and motivation? I have adhd and ritalin doesn't help with those, but low dose (100-150mg) dxm does oddly enough
>>14973411
This. Don't need to be in med to know it's pain
>>14973009
Thanks doc

>> No.14973483

>>14973416
is it really that autistic that you're just drawing on shit you've memorised? i thought you'd be like thinking and figuring shit out... no?

>> No.14973513

>>14973441
Relaxed? I have to hold the whole fucking hospital together.

>> No.14973519

>>14973443
doctors don't do science, they see patients.

>>14973483
figuring out what? Making up treatments on the go? Just think about it, the whole idea of going to the doctor is having a problem and getting him to solve it. If he doesn't solve it, you die and you can sue. There's no room for error, so everything is done just as established. Your participation is limited to how accurate you can identify the problem and your ability to recall the solution.

>> No.14973529

>>14973519
>Your participation is limited to how accurate you can identify the problem
That's the thinking part, but you're right in that that part usually starts AFTER the initial course of action is proven to be wrong

>> No.14973601

>>14973443
I love you medstatsbro
Thank you for making my paper so good

>>14973519 is a faggot

>> No.14973679

>>14973601
Ntg but physicians are techs of chemists

>> No.14973689

>>14972992
Family medicine would be more appreciative of your application though. You would have a zillion geriatrics teetering through with constant complaints though.

>> No.14973695

>>14973679
More like field biologists.

>> No.14973715

>>14972992
Hospitals are crybaby’s filter. Don’t take it as an offense, not everyone is built to take this punishment.
You can always cope and post ebin memeys about how fulfilling family medicine is.

>> No.14973916

>>14972964
I have done 100 hour weeks in a grocery store so stop whining

>> No.14973957
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14973957

>>14973715
>>14972992
>>14973689
bunch of hospitalcels in this thread

>> No.14974725

>>14973483
I'm not there yet, but once you have decades of experience taking care of patients can become much more interesting thanks to your experience on both a pathological but also relational level
Spouting back the treatment algorithm ad verbatim every time is actually mediocre medicine

>> No.14974783

>>14973957
Paramedic here. Family physicians/GP's are legit 3IQ retards 90% of the time who can't spot a sick patient literally dying Infront of them.

>> No.14974868

>>14974783
Fucking based.
If some fag comes into my practice with acute chest pain instead of the ER, I will give him some aspirin and offload him to the hospital.
That's right I can choose what I treat in my practice and you are the cuckolds that have to deal with anything I don't want to deal with (btw. hope you enjoy the hemorrhoid's referrals)

>> No.14974984 [DELETED] 

>>14973916
>so stop whining
no

>> No.14974989 [DELETED] 

Do you guys make fun witty banter with the nurses or do they pretty much ignore you?

>> No.14975081 [DELETED] 

>>14973437
>I was doing so well on my practice tests and then COVID happened and the test was shortened, didn't even come close to my practice scores.
>I know I'll get in eventually
What makes you so certain of this?

>> No.14975083

>>14973437
>I was doing so well on my practice tests and then COVID happened and the test was shortened, didn't even come close to my practice scores.
What happened?
>I know I'll get in eventually
What makes you so certain of this?

>> No.14975127

>>14973437
premeds truly are pathetic

>> No.14975527

I'm in peds right now. We offer ear piercings to baby girls, lmao.

>> No.14975556

Provided anesthesia to a c sec. Intratecal monodose. All well and dandy except for the obnoxious bitch mother. As soon as baby was born I sedated her.
The peds resident is now trying to interrogate my half asleep pt lmao.

>> No.14975588

what's the definitive and final cure for lifetime insomnia?

>> No.14975609

>>14973437
My friend, I have just finished med school, deeply consider if it's what you want. It is more art than science, research is frustratingly vague and wholly insufficient in a lot of ways. A lot of the time you don't actually fix anyone, rather kick the can down the road, where in six months you'll see them again with the exact same problem just with an additional step wise deterioration in their overall function.

There is so much administration and bureaucratic negotiating getting in the way of the few actual enjoyable aspects of this profession.

Consider heavily if you want to jump into this honey trap.

>> No.14975621
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14975621

>>14974868
It's fine because we know you don't remember how to apply a 12 lead let alone interpret one. We know that you didn't do one, or establish IV access because "n-no the nurse isn't working today!".

It'd be funny and "based" if 9 times out of 10 when we showed up you weren't in panic mode running around flapping trying to get the sick patient out the door as fast as possible so you can continue your day prescribing meds you pulled out of your ass to people with minor ailments.

And you know that family member who brought their brother to the practice complaining of "feeling not right" who is GCS 12 sitting in a wheelchair unable to lift their feet? They don't have dehydration you faggot they're having a massive hemorrhagic stroke and ended up dead in the coffin an hour later but you called it in as "lethargy" despite the glaring clinical symptoms, excessive diaphoresis, bradycardia, periods of apnoea....the list goes on.

But you sat there twidling your tumbs like a faggot for 40 minutes and if you bothered to do a proper history you'd know the guy was mowing the lawn 3 hours previously.

Paramedics can lay eyes on a person and know whats wrong before even touching them but you faggots are afraid of anything that isn't hemorrhoids.
No I'm not mad.

>> No.14975711

>>14973601
Youre welcome, medbro. Its our paper now and we both did our best

>> No.14975824

>>14975621
>And you know that family member who brought their brother to the practice complaining of "feeling not right" who is GCS 12 sitting in a wheelchair unable to lift their feet? They don't have dehydration you faggot they're having a massive hemorrhagic stroke and ended up dead in the coffin an hour later but you called it in as "lethargy" despite the glaring clinical symptoms.

Hearty kek but somewhat true as in
>worked in primary care
>female patient, longtime smoker, developed hoarseness a month ago and never recovered, no symptoms of URI/sore throat in past few months
>some random GP: Here's some fizzy tablets, it'll sooth your throat
>"B-but my throat doesn't hurt, i just can't speak normall-"
>"Just take the tablets, it'll go away"
>comes to me a week later, no improvement, gets referral to ENT, gets diagnosed with cancer

Now being a hospitalcel i kinda miss this type of work where you just send them away and don't have to think if some hypodense lesion in insular cortex is old or something related to symptoms they're presenting rn.

>t. 1st year radiology resident

>> No.14975851

I think I'm giving myself brain damage.
I self-harm a lot. The form that takes is hitting myself in the forehead with the top part of my closed fist. Like, the part where your thumb forms a hole.

I know that people who get hit in the head alot develop CTE after a while. I don't want to end up like that. I need to stop.

>> No.14975879

>>14975851
t. Surgeon

>> No.14976003

take your meds

>> No.14976250

medbros, what's the easiest, highest paying technician job one can get in a clinic/hospital?

>> No.14976872

>>14976250
mortician

>> No.14976932
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14976932

Bros, im sick. Im literally sick with this fucking cold, and i'm sick of residency. I have to come to work sick and contaminate all the patients because these assholes don't have enough personel and taking the day off would mean dumping already excessive work on colleagues. My attendings are giving me pills and pumping steroids on me instead of giving me time to recover, just what the fuck am I supposed to say? I feel like a fucking nigger. Tomorrow I have to work the fucking saturday shift, i'll be leaving sunday at noon. I'm not learning anything, I haven't felt happy in months and there's two more years of this shit down the line. What the fuck do I do?

>> No.14977031

>>14975621
>It's fine because we know you don't remember how to apply a 12 lead let alone interpret one.
You do know that most FMs does EKG and Event Monitor?
>implying a FM can't diagnose a stroke
You probably are confusing NPs with FMs or have experience with some lead poisoned boomer doctor.
Any half intelligent Doctor with his own practice will always refer to rule out stroke because he is scared to his balls to get sued for missing something like this.
Always funny when a Paramedic thinks he knows more than a doctor just because he can do a basic EKG and then apply Nitrate when someone has chest pain.

>> No.14977051

>>14976932
>taking the day off would mean dumping already excessive work on colleagues
Why are Hospitalcels always such cucks? Or can people in America unironically not just go to a doctor and get a sick note for 3-5 days off?

>> No.14977090

>>14977051
What's your problem? You don't know all the shit they've been giving me since the last time i did just that. Besides, I'm not in america, i'm in a third world shithole.

>> No.14977168

>>14977051
No. You can lose your ability to get yearly raises for even taken provided paid time off days. If you take days off outside of provided paid time off or sick days (usually these two are a combined total of maybe 2 weeks for most wagies), you risk outright losing your job. Protestant work ethic combined with a Protestant dream that god gives you only what you can handle, and that your boss is god. You work through being sick here.

>> No.14977279

>>14976932
Been a resident for 18 months. In all this time I’ve never ever seen a single time someone was congratulated or even recognized for staying sick at the hospital.
Whenever I feel under the weather I take my days off, fuck them niggers and their patients. Most important person in my life is I, then comes me and at the end goes myself.

>> No.14977365

Sigma-1 antagonists potentiate thc and opioid analgesia.
Agonists, such as fluvoxamine protect against Alzheimer's, Parkinson's, multiple schlerosis, amyotrophic lateral schlerosis and depression.

>> No.14977522

>>14977168
Lmao that is unironically just hilarious to me. If I ever get sick I just take some days off without any considerations of my coworkers.
At least you get paid insanely well once you are attendings.

>> No.14977543

Do we have specialists in trans medicine here? I have question concerning my hormone treatment.

>> No.14977638

>>14977543
Sorry tranon, in most of the world euthanasia is not a medical spec.

>> No.14977651

>>14977543
You do know infectologists don't study hormones, right?

>> No.14977738

>>14975851
>read on CTE
>if genes, ADHD, substance use or environmental factors won't fuck me over then my tendency to ram my head by mistake into shit can end up with me being full on brain dead (if I'm not already)
Literal hell.
>>14977543
What is it? Not a tranny, but a man gotta keep his hair somehow

>> No.14977759

>>14977543
Post your issue so I can laugh at you.

>> No.14977903

hello, high pressure anon here again, it was 177/110 and im going to the hospital rn :) im scared and i dont feel well, please pray

>> No.14977990

i hate rotations i want to die ahem that is all

>> No.14977995

>>14977903
get well soon bro. avoid anything sharp, you are basically a high pressure balloon right now and could explode

>> No.14978060

I have an anesthesia fetish

>> No.14978105

>>14977903
the doctor checked me with a stethoscope or something and it seems that my heart is fine if I understood him correctly, the only problem is my obscene blood pressure so he gave me some meds, and now I have a question I forgot to ask him, one of those meds is to be taken at morning, and now is 4 am, so should I take it before going to sleep in a couple hours or when I wake up at like 2pm

>> No.14978118

>>14977543
>specialists in trans medicine
half of the internet apparently
half of the humanities departments in universities as well somehow
>>14978105
might as well take now, you'll feel less side effects (if any)

>> No.14978122

>>14978105
if you tell me the pill name i'll tell you when to take it

>> No.14978139

>>14978122
he gave ramilich and bisolich

>> No.14978478

>>14973151
DOs are not real doctors
The people who sweep floors in the ER know more than those faggy live laugh love morons

>> No.14978789

I've heard food can trigger epilepsy/fits what's the timeline on this? as in how long does it take?

>> No.14979601

>>14978478
>DOs are not real doctors
Yeah, MDs are better but you're acting like MD schools have access to 'forbidden knowledge' that only MD schools can offer.

>> No.14979628

Please someone give me advice.
Three years ago I contracted balanitis and a urologist said gave me a cream for it (clotrimazolum) and I've been buying and applying it ever since.
My dumb ass only recently noticed the leaflet saying one shouldn't use the cream longer than 3 WEEKS. How much did I fuck up? The balanitis seems to be chronic and just won't go away - plus latex condoms just revive it with strenght unseen.
Also, I can't infect a girl with it, right (inb4 assuming I get laid)?

>> No.14979720

>>14979628
If you don't respond to clotrimazole in a couple of days it isn't a fungal infection.
You shouldn't worry about having done any damage to your body, only a small % of topical clotrimazole gets absorbed.
Get a new doctor lmao.

>> No.14979768

>>14979720
Thank you sincerely!
I do respond, it goes away temporarily, the problem is just that it comes back eventually, especially if I use latex jonnies.

>> No.14979876

>>14979768
Get an HIV test
Get a latex allergy prick test or use non latex condoms to see if it stops happening.

>> No.14979978

>>14973151
>? i feel like do doctors probably make way less money and get half the respect because
sorta but not really. a do and an md that went to the same residency are pretty much equivalent at that point. I'm sure it happens but I have never seen a patient even mention a doc being a DO. an EM do and an EM MD at the same hospital will make the same money. the main difference is residency placement and prestige. MDs have a way easier time matching competitive residencies so if you want to be a neurosurgeon megachad you should go MD. If you got mediocre grades in college like I did and wanted to do something like EM anyway, DO is a great option.

>> No.14980398
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14980398

>>14979978
EM physicians are megachads too.

>> No.14980414

>>14972730
So interesting situation that happened with my family

I’m just a 3 year icu nurse but I cut my teeth on neuro and the covid pandemic in Texas on day shift, I am frankly fantastic at palliative discussions, getting the dnr and making family realize reality. Once had a moms son tell the doctor he was tired of talking to her and to put me on the phone and I convinced him to withdraw and he came in a much calmer mood and told me I had a gift

Well my uncle coded, my moms MPOA and a NICU RT. But immediately the words I heard made me go “anoxic brain injury, will be brain dead before long” 20 minute code. Happened when he was turning the corner and was excited to go to rehab. Likely a PE or MI. Somebody was on the phone with him and suddenly he choked and want breathing. Anyway I immediately recognized my mom hasn’t made him a DNR. I rushed up there, took one look at the guy, and just talked sense into her. She asked a million questions that I’ve heard a million times and I answered all like I had before. The CT won’t show anoxia necessarily. No you don’t need an MRI because we have the clinical exam. If you code him they will break his ribs, turn off sedation and make him suffer and the worst outcome will be that he survives the code. Well my mom has 7 siblings and it’s a classic power struggle “you’re mpoa but you can’t just make decisions” I told her to consult palliative and let them do the work but she needs to state she wants a DNR. It was beautiful, every retort family threw at my mom she simply regurgitated the answers I gave her. The CV intensivest came and word for word repeated what my mom said despite not knowing what she said and the siblings shut the fuck up, life support removed in the morning

I was so worried I overstepped my boundaries, I’m only 26, this isn’t a patient it’s family. My mom told me she would’ve never made him a DNR had I not talked to her and she’s so grateful I stopped her from making the worst mistake of her life

>> No.14980427

>>14980414
I was so worried because my moms side of the family dealt horribly with my grandmas death and fractured, this wasn’t my place, this isn’t a family that can just fire me for being blunt these are the people I’ll see again. I’m just so thankful my experience kicked in and I got her through it. She’s already told me I’m her MPOA the moment my dad (a 20 year level 1 county er trauma nurse) dies over my other 3 older brothers. But what was most odd is that like clockwork she asked the same questions everybody does. “Well he didn’t respond to the sternal run but his feet moved when the tickled it, that’s good right?” no mom that’s likely brain stem, unresponsive is the worst right under posturing.”well he’s sedated” no mom he’s a 300 pound alcoholic on 25 of fentanyl drip and barely and propofol.”well is there any hope” absolutely none the only possibility is prolonged suffering, if he gets better he’ll simply live the next year in a nursing home with a trach drowning in his secretions until he develops an ulcer, becomes septic and dies a year later. I am that blunt with family but it was terrifying doing it to my mom but instincts man, the least I could do was prevent my uncle from suffering. I even went home and found his will and got my moms MPOa paperwork so there would be no ambiguity. Im so thankful for being able to do this for her and him.

I hope any of you med students browsing this board understand that palliative discussions are just as important as saving lives, please don’t ever neglect them because y’all hold so much power with the knowledge y’all have drilled into your head. When doctors enter the room yall become the authority, don’t shirk from if like I’ve seen some do, it’s a team effort but I just hold the nail steady, y’all swing the hammer

>> No.14980867
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14980867

In my 3rd world shithole cunt people believe that ingesting the right amount of certain toxins and poisons (derived from plants) activates the liver and makes it cure itself from liver diseases. I have seen some people claim that they were dying from complete liver failure and were told by their doctors that it's over but after ingesting said specific poisons were healed.
is there any shred of truth in this?

pic unrelated

>> No.14980875
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14980875

>>14980867
also what are your thought on DOCTORS (of chiropractic) like DOCTOR berg?

>> No.14980893

>>14972730
I want to be drugged with propofol

>> No.14980896

>>14980414
>>14980427
Nobody gives a fuck about your blog, nursoid. Now go clean up the vomit.

>> No.14980903
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14980903

>>14980414
>>14980427
>"The family wants to discuss further treatment options? I'll consult palliative care right away. They're waiting at reception and refuse to leave? Don't worry, I'll call it in stat hahaha"

>> No.14981131

>>14973679
chemists are like techs, we (biochemists) need to target X protein, let's call the chemists.

>> No.14981584

>>14979978
>>14980398
I have a question. Why is it mainly spics and Niggers in the Emergency Department?

>> No.14981808

i felt a sudden, strong, but also vague sense of unwellness, and then after a few minutes i started having violent tremors, wat mean

>> No.14982181

I decided just recently I will go to med school after I finish my final classes here. Where is it the best to start of? Anatomy? What website/book should I use to study it?
Any help to push me more into the right direction is greatly appreciated

>> No.14982402

>unwitnessed cardiac arrest
>smash window
>fuckyeah.jpg
>start the pushy pushy
>20 minutes pass
>ok lets talk to family and call it
>tells family ur mom is dead
>walk back in
>faggot is pushing a final epi
>sinus rhythm
>do a 360
>tell family lol ur moms not dead
>transport corpse to ED
>good end tidal
>blowy blowy
>arrive at ED
>back to PEA
>doc calls it

Fuck epinephrine. useless dumb shit drug JUST LET THE PERSON DIE

>> No.14982435

>>14980867
>is there any shred of truth in this?
you probably already know the answer to that question
why bother ?
>>14980875
>also what are your thought on DOCTORS (of chiropractic) like DOCTOR berg?
mostly harmless and expensive scammers at best, will fuck up your joints and arteries at worst
>>14982181
focusing on a specific resource right now might do you more harm than good because it might differ quite a bit from what is actually expected of you to eventually get in
my advice to you is to simply watch a lot of simple, fun science stuff, cause you very likely might get evaluated on stuff like quantum chemistry or nuclear physics, it will help you get into the mood of things
if you're looking for more specifically medical stuff, osmosis videos are pretty good
there are also some fun medical channels that bring more of an entertainment value rather than education (chubbyemu, medlife crisis), but again, they're good to get you into the mindset
if you want to get into anatomy right now, my advice would actually be to start with the hard stuff like neuro anatomy, or circulatory anatomy, just so get acquainted now, and it will be easier to really learn it later on

>> No.14982949

>>14980414
>>14980427
Well done anon, what you've done is amazing.
Also don't listen to the other anon blog posts are always interesting

>> No.14983075

>>14982949
Don’t worry, I know others blog post are my favorite parts about this thread, thank you tho anon

>>14980903
Good meme but desu once I realized I got through to my mom I just told her to tell the nurse you want a palliative consult and family meeting tomorrow.

>> No.14983097

>>14980398
This EM is for beast of doctors for the most part. Idiots can hide in internal or family practice and while ED docs may make mistakes bc of the pace and grind of EM, they aren’t idiots or they’ll be exposed quick

As I say this I have worked with one absolute retard EM doc that got pushed out of her level 1 trauma center because she couldn’t hang

>> No.14983478

>it's a fybromialgia patient mails you a wall of text on a weekly basis episode
why are they like this

>> No.14983483

>>14981808
you should talk to your family physician and tell him to refer you to a cardiologist (no, not a neurologist)

>> No.14983537
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14983537

At what point does it stop being simply severe adhd and starts being neurodegeneraive disease?

>> No.14984030

what's an orthopedic physician's daily routine?

>> No.14984153
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14984153

I got the flu lads
>Day 1: coughing fits
>Day 2: Vomiting, fatigue, chills, fever, headache
>Day 3 (today): coughing, diarrhea (mild), headache, fatigue
How much longer until I'm less contagious? I'm teaching classes on Thursday and Friday. Also, does this give me any immunity so I don't get it again soon? I've never gotten the flu vaccine because of relatively low effectiveness, not really against it though.

>> No.14984225

>>14984030
I imagine clinic -> surgery time -> clinic/visit hospitalized ones -> get a bunch of time off while your partner comes in and takes over. Definitely depends though. A lot of the office orthopedics have a lot more leeway and their patients often just go home and come to clinic next day, lot more structure to your time. If your at a trauma center your dealing with on call and emergencies so it’s essentially the same as many surgeons “work everyday for a while and he prepared to always be willing to take a call even if your partners covering and then get a shit ton of days off.” You never know man, it’s common where you call a surgeon on their time off when they’re allowed to be drinking bc “hey sorry it is an emergency” If they haven’t started they’ll come up there bud if they’re drunk somebody on calls gonna have to handle it. Anything can happen

>> No.14984746

>>14983478
refer to psych lol

>> No.14985140

All male gynecologist are sexual deviants and you can't change my mind.

>> No.14985158

>>14985140
Sexual deviants as in homos? Yes.

>> No.14985392

>>14985140
>Your mother loses your little brother in birth
>decide you’ll do your best to prevent that for anyone else
>Sociopath

Sure bud

>> No.14985623

>>14972730
>Take l-lysine supplement for the first time in my life, 1500mg at once.
>Develop fucking pain in my hand and foot joints.
Did this shit give me gout? It's getting better, but holy shit anons.

>> No.14985822
File: 16 KB, 400x400, Fhdqz5SXoAAZwLM.jpg [View same] [iqdb] [saucenao] [google]
14985822

Did this born again twink ever explain why he avoids fried foods?

>> No.14985829

>>14980867
xenohormesis will not cure the liver, no. Damage to the liver is caused primarily by nutrition, not normal metabolic activity and is much more radical than the systemic damage normal cellular self-repair can meaningfully affect.

Heavy metal damage might be alleviated by letting liver expunge more of it via more fiber perhaps? I was never clear on that.

>> No.14986111

I'm a fucking IDIOT, IDIOT, IDIOT. I rejected a job in a resort doing occupational medicine that paid double this shitty residency which i hate is paying me, only because i was post-shift and I was too fucking tired to reason. I'm a fucking idiot, I could have gotten good money with a little bit of effort, maybe less effort than I already do but I was afraid of something new, I'm completely undecisive about leaving this garbage as well, I fucking hate it but at some point i do well enough to live another day so I never fucking leave . Fuck My life, Fuck me, holy shit, why am I so dumb and cowardly? I have never had a girlfriend for the same fucking reason, never asked one out, always thinking "will she be a good choice? Maybe not, i'll play it safe" FUCK ME ARGGHH.

>> No.14986120

>>14986111
Idiot call them back and ask if the position is still open it's not the first time someone reconsidered
Fucking moron

>> No.14986292

>>14986111
Call them back. If they need you just tell them you felt too loyal to your current employer but realize sometimes you have to make career moves.

Don’t beat yourself up. Everybody keeps shitty jobs bc they’re familiar with it and afraid of change sometimes. Oh and ask a girl out, worst you’ll get is rejected and if she’s not right you’ll discover such. You got room for character growth and that’s a good thing man

>> No.14986324

>>14985822
Frying foods creates acrylamides which are genotoxic probably

>> No.14986392

>>14985822
Acrylamides and perhaps more relevant advanced glycation end products (AGEs).

>> No.14986461
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14986461

>5'11 and 110 pounds male
If case a draft happens, I can just get myself diagnosed as anorexic right?

>> No.14986859

>>14986461
They’ll probably just put you somehwere with no physical labor

When I’m drafted I’m taking my experience straight to a military hospital and hope it doesn’t get nuked

>> No.14987080

>>14986461
We in healthcare have a better deal than the rest of the civilians. That as long as you have an useful spec like medical emergencies, anesthesia, intensive care, trauma or surgery.

>> No.14987516

>>14987080
This anyone can learn how to be a combat medic/ems, but you don’t teach ventilators and hospital work overnight. Even as a nurse there is nuances to ER and ICU that only experience teaches

>> No.14987522

>>14987516
No disrespect to EMs they’re amazing and should be paid more for what they do, especially paramedics

>> No.14987532

>>14987522
As an icu nurse I find it crazy I’m paid more than paramedics. I get that I can interpret the overall course of the case better but idk if it’s time to stabilize a patient under adverse conditions they’ll have me beat, we’re just two separate skill sets and education

I can stabilize with the best of them, but not as good as a paramedic and it’s that simple. I have every tool and resource I need, they don’t necessarily have that. They’re amazing

>> No.14987607
File: 247 KB, 1280x1280, 60000000042367__84228.jpg [View same] [iqdb] [saucenao] [google]
14987607

What is the safest/healthiest way to consume nicotine? I am a non-smoker, but I'm also a fine painter/draughtsman and my shaky hands are making it challenging to take accurate measurements. I've heard nicotine can steady a person out.

Ideally something with low dosage so I can take tiny amounts up to a minimum-effective dose. I don't want a 'buzz' or relaxation. I just want my hands to be goddamn steady for once.

How do surgeons ensure their hands are steady? Just be born with it?

>> No.14987615

>>14987516
>anyone can learn how to be a combat medic/ems,

Non-med here, unironically how do I do this? Already have a career, but would like to not be useless in emergencies.

>> No.14987658

>>14987607
see your doctor about your tremor. there are some better treatments than nicotine

>> No.14987999

>>14987658
Such as?

>> No.14990688

>>14987999
Don’t listen to that faggot. Start vaping. It’s cool, trendy and it’s not detected by the fire alarm so you can do it anywhere anytime.

>> No.14991177

>>14987615
>but would like to not be useless in emergencies
First aid training is all you can and should realistically do unless you're going to be autistic enough to carry an EMT bag with you. Just take a CPR-BLS course and they'll teach you the basic but important shit you can do if you're ever faced with an emergency situation. If you want to take it further from there you could get EMR, or if you really got the time even EMT, certification. In an emergency, your only job as a layman is trying to keep the patient from completely kicking the bucket before EMTs/Paramedics arrive, and basic life support and CPR are the most important tools to accomplish that.

>> No.14991497

>>14990688
No its bad for my lungs. I was just gonna use gum or pills if I can find em.

>> No.14991875
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14991875

In the opinion of you docs, is mental illness real?

And if it is, why don't they diagnose it with a brain scan? Surely if there's something wrong with your brain then they'd be able to see it, right?

>> No.14992037

>>14991875
>is mental illness real?
Yes, if you don't believe me try working in psychiatry.

>> No.14992043

>>14991875
>why don't they diagnose it with a brain scan
>surely if there's something wrong with your brain then they'd be able to see it, right?
No, then it becomes a neurological issue.

>> No.14992077

I'm making a patent for metrosneedazole, a drug which kills bacteria by a mechanism known as sneedosis

>> No.14992132

>>14992037
I've met mental patients. But still, it's hard to know whether people are just exhibiting difficult behaviour that they've learnt, or whether they genuinely have the symptoms they claim to have... e.g. do psychotic people really see things that aren't there? Perhaps they do, but it requires believing them, I guess.

>>14992043
But there must be a cause for, e.g., people seeing things that aren't there. Can we not see that on a brain scan when someone is experiencing hallucinations?

>> No.14992248
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14992248

>>14991875
>In the opinion of you docs, is mental illness real?

>> No.14992298

>>14992132
>But there must be a cause for, e.g., people seeing things that aren't there. Can we not see that on a brain scan when someone is experiencing hallucinations?
Functional vs. Structural problems, not everything picks up on imaging, and not everything that picks up on imagine actually correlates to functional issues. Appart from clinical testing, you can somewhat assess brain function through fMRIs and EEGs, but that shit is rather vague and not usefull for diagnostic purposes when it comes to mental illness, even if some neuroscience faggot will claim they can show a "symphony" to neuron acitivity that is somehow out of order in mentally ill people.

>> No.14992447

I've been farting and gassy for the past two days but I just felt some wetness in my underwear and I looked and it was some foul smelling yellow pussy thing
Am I meant to save some of this when I go to the doctor?

>> No.14992467

What's the edgy take on IBS?
Is it bullshit?
I pretty much fit all the symptoms but I think it's bullshit that whiny babies make up

>> No.14992485
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14992485

>>14972730
Why can you get metabolic acidosis from ibuprofen overdose but not from other acids with similar pKa values? Citric acid has two more carboxylic acids, one of which is even stronger than ibuprofens but you can still drink OJ till your hearts content. Is it just the citric acid doesn't even get into the blood stream and its all metabolized prior?

>> No.14992492

>>14992037
>if you don't believe me try working in psychiatry.
This. Its amazing how living with or around mentally insane people can ground you. People nowadays chalk up mental illness to being mopey or sad that your crush didnt talk to you. Actual mental illness is literally depressing and terrifying.

>> No.14992545

>>14992467
Its real and bullshit at the same time
Gastrointestinal issues are extremely common and rarely a sign of any definable disease nor anything dangerous. Patients however do not accept that their stomach pains are not due to cancer until they have another explanation. Enter IBS
Many think it's caused by dysregulation in the gut-brain axis but nobody knows for sure

>> No.14992553

>>14992467
It's real, but an exclusion diagnosis. Vaguely defined but manifest symptoms that you can't find a definitive cause for, so we just call it IBS so you can get Pills, and we can get paid. Nobody outside of researchers has the time or resources to get to the bottom of someones "my tummy hurts and I'm gassy!" problems when it's not progressing and your diagnostic tests give you nothing, so you get an IBS diagnosis and symptomatic treatment until the labcoats figure out something new. I think it's probably multiple conditions that lead to similiar symptoms, but we lack the diagnostic tools to eveluate them. Your best bet is probably tinkering with your diet, looking for effective ways to reduce your stress and keeping yourself as active and healthy as possible.

>> No.14992597

anyone here know anything about the h1n1 vaxx narcolepsy connection? are the pharmas lieing when they say the narcolepsy only happened with euro vaxxes and wasn't seen in america? from personal experience i think it definitely effected americans. also if the vaxx was causing narcolepsy the virus alone may have as well right? would there be differences in the severity and length of symptoms though between virus and vaxx?

>> No.14992617
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14992617

>>14992597

>> No.14992732

>think that maybe I shouldn't use opioids as main way to deal with pain and maybe I should give alternative a chance even if it didn't really ever work for me
>read on NSAID cardio, GI and stroke risks
Fuck it. Memory loss and being seen as drug seeker is a small price to pay for quick pain relief

>> No.14992909

>>14987999
depends on the cause of your tremor, which I would have to assess in person.

>> No.14993215

>>14985392
Imagine deciding that you will spend the rest of your life putting your fingers into vaginas of pregnant women. I'm happy that there are enough retards like you on earth so I can earn a good wage with the actually comfy specialties instead of being an overworked, sleepdeprived retard.

>> No.14993246

>>14992467
>What's the edgy take on IBS?
I think it's unironically just people with shit diet not changing their diet and then lying to the doctor that they did change their diet. When I eat certain foods I get gasy and then at work I can't just nuke the place with my farts so I hold them in and develop some belly pain. I could go to the doctor, tell them all of it but omit the part where I say it's caused by certain food, if I am annoying enough they will do a colonoscopy and Biopsy sooner or later which will then turn out completely normal, get diagnosed as IBS and prescribed pills all because I am a fucking retard that can't even do the simple association of eating beans = tummy issues.

>> No.14993287
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14993287

>2021-ish
>1 year after Wu-flu
>Worked as a field tech for the whole of covid, have yet to get sick *once* despite being near crowds of people / dirty ass environments.
>Decide to go get an antibody test at local Urgent Care
>Finger prick test. Takes blood sample and doctor analyzes it.
>I've got anti-bodies.
>Tell doctor I've never progressed past asymptomatic
>Doc was completely shocked -- begrudgingly told me to get the vaccine anyways. Said my natural immunity will "wear off". (It apparently never did)

Is there any reason to get the vaccines when my immune system can apparently kill off covid
where it can't progress pass asymptomatic? Is this at lot more common than thought?

>> No.14993307

>>14993287
no, you fought the virus that found you and that's the best course of action with the wuflu. are you really asking at the end of 22 whether you should get spiked?

>> No.14993319

>>14993307
>. are you really asking at the end of 22 whether you should get spiked?
I want to know how reliable that anit-body test was. Did I really fight off coivd that easily? I will continue to avoid the clotshot(s). I'm just curious if any /med/ anons have encountered cases of people getting full natural immunity through asymptomatic covid.

>> No.14993479

>>14993319
At this point I have personally gotten infected twice, Once with delta covid, now with the strain that is currently causing an epidemic. My father died of the shit and it really pisses me off how he got a real fucking severe presentation literally overnight. That said, If you have contacted and gotten through 6 waves of the garbage i would think its pointless to get vaccines.

Stay on alert though. The real issue is whether or not another killing strain like delta comes out of nowhere again, that thing they say about viruses mutating towards mild presentations is absolute bullshit. If a lethal strain proves successful, it will kill enough until it dies out, that's why people lost their shit over avian flu and swine flu.

>> No.14993857

>>14993479
>Stay on alert though. The real issue is whether or not another killing strain like delta comes out of nowhere again, that thing they say about viruses mutating towards mild presentations is absolute bullshit. If a lethal strain proves successful, it will kill enough until it dies out, that's why people lost their shit over avian flu and swine flu.
Avian and swine flue aren't comparable to covid at this stage, and while it's theoretically true that a virus could mutate to become significantly more virulent again after it already mutated to become less virulent but more infectious, I can't think of an example, and as things are with covid, I don't see it happening, as switching target proteins to infect the upper respiratory tract is already a very efficient trade in that won't likely be reversed

>> No.14994067

Sentinel has been real quiet lately. Wonder what he is up to…

>> No.14994137

>>14992298
Interesting. Maybe at some point in the future they'll be able to identify these things with imaging, if they really are brain differences.

>> No.14994162

>>14972730
Do I risk a magnesium deficiency if I take:
>2k IU D3?
I tried looking up how much magnesium D3 uses up, couldn't find shit. I don't want to become a supplement fag and take too much shit; am already taking 15mg zinc and K2 (mk7) with it. My sun intake is fucking low.
>t. Physicslet studying 24/7 in my hole.

>> No.14994455

Will the mrna vaccine give me cancer?

>> No.14995187

high blood pressure anon here, when i try to sleep i often feel a brief shortness of breath when i get deeper into almost sleeping, and occasionally i feel some weird quite disorieting sensation in the head, wat mean

>> No.14995218

>>14995187
i'd describe that weird sensation somewhat like my head being underwater, idk it's weird and i cant find words to decribe it properly
it also doesnt seem to be correlated with my blood pressure, i checked it right after and it was 130/85

>> No.14995249

>>14995187
>>14995218
probably sleep apnea; get a sleep study, you probably need a cpap.

>> No.14995378

>>14995187
how long have you had high blood pressure/how old are you?
does sleeping on more pillows help?
have you coughed up any red stuff?
most likely sleep apnea, but should exclude heart failure

>> No.14995383

>>14995378
for a couple years, i'm 19 now
no it doesnt
nope no coughs and no red stuff

>> No.14995386

>>14995383
however sleeping in a car with the seat halfway horizontal seems to help

>> No.14995476

>>14991875
>doesn't believe in mental illness
>posting on /sci/
lurk moar, faggot

>> No.14995480

>>14995386
>can only sleep in a car
you've evolved into a homeless

>> No.14995554

>>14995383
probably sleep apnea then

>> No.14996025

>>14985623
Should I go to the ER if this pain is still there but lessened, 2 days later?

>> No.14996035

>>14996025
Say it went from 100%(fucking burning in my pinky toes and fingers, but no pressing pain) to 10%. (still very very mild burning with pins and needles, but I can live life normally).

>> No.14996172

>>14992492
Tell me your stories anon. I've never interacted with many mentally ill people in my life, only know an autistic (not meme autism, real autism) guy.

>> No.14996179
File: 206 KB, 1200x1554, Dr._Hibbert.svg.png [View same] [iqdb] [saucenao] [google]
14996179

>>14973033
Redpill me on family med
t. Eurocuck if that matters

>> No.14996191

>>14996035
>but I can live life normally
Then it's not an Emergency you retard.
I bet you're a nigger or Spic.

>> No.14996195

I can't tell if hypochondriacs are worse than niggers/spics or vice versa.

>> No.14996254
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14996254

>>14996191
>>14996195
I confused ER with GP, English is my second language. Pls no bully doc, I am but a human in pain and scared. The pain debilitated my the first day and I didn't go. Don't like giving you fegs extra work either way.

>> No.14996300

>>14975609
I am currently in my first year of medschool and I'm curious as to what you mean when you say it's more "art than science"

>> No.14996494

>>14975609
I am in CS. I'm told CS is a honeytrap and that we should've gone into medicine because you guys make the real cash and always have work available.

Is every profession just bullshitting?

>> No.14996510

>>14996494
Grass is always greener at the other side of the fence.

>> No.14996630

>>14996494
I think it is a case by case situation
>if big brain and math oriented (autism is a plus) => CS
>if you like to talk to people and are interested by biology => med
Simple as

>> No.14996650

>>14996300
I really wonder what's the point of med school. This shit is a trade. You learn trades by doing shit. I would like to make a videogame about being a doctor so people get the experience of and fuck off.

You see, medicine is not science at all, it's "technology" in a way. You don't come up with ways to solve problems, you follow the guidelines. To some medicine is an art, some find it interesting and fulfilling to arrive to a diagnosis. To me it's about whether or not you miss the chance, you miss the hint, you either know or do not. It's a game of losing. Medicine is all about following the patterns of diseases, the pattern of people, the pattern of treatment.

>> No.14996680

>>14996650
What book/media/game would you recommend so I can get a good idea of what being a medfag is like?

>> No.14996692

>>14996680
Imagine being a cook, who plays guess who with the customers orders.

>> No.14996708

>>14996692
Huh, that's nicely put...kudos for coming up with that one. So the biggest chunk of being a doctor is the diagnosis, am I getting this right? What about surgeons though? Are they not required to think on their feet more so than say a GP ?

>> No.14996743

Redpill me on pathology.

I did a placement on microbiology and it wasn't really for me. How do forensic, chemical, and anatomical stack up?

>> No.14996764

>>14972986
Rads here. Lmaoing at your life, scalpel jockey.

>> No.14996790

Another day, another four hours of listening to the NP with a booger piercing at our clinic whisper-sing Taylor Swift.

>> No.14996805
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14996805

>>14996764
>Radditology

>> No.14996902

>>14996743
In a clinical setting it's mostly labmonkey shit, autopsies are becoming less and less common, so you'll spend most of your time cutting up tissue sampels and looking at slides. Medical jurisprudence stuff is a different alley, you'll have to deal with stuff like assault or rape victims and cause of death examinations if someone finds an old person who rotted away at their home.

>> No.14997186

Memorizing useless ligaments is so fucking boring... Why is this part of med studies wtf

>> No.14997235

>>14997186
90% of medical school is too specialized.
There should be a Medical school for Internal Medicine and a medical school for surgery and then you subspecialize.

>> No.14997244

>>14997186
As most things in med school it's a humiliation ritual so you can proof yourself capable of convincingly craming banal information into your mind only to regurgitate it during an exam and forget it afterwards. Get used to it, the practice of medicine is a prolonged humiliation ritual

>> No.14997389
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14997389

>>14972730
>Do NOT offer advice
Yeah yeah, I know, I read it

You fucks know about ehlers danlos? I'm just trying to figure out what flavor of doctor I need to see to get diagnosed. If it's hypermobile type and that's it, it's a journey to 3 months of physical therapy before getting a rheumatologist referral, if it's anything else, I have to fight 5 levels of doctor hell to sniff the air of the room a geneticist has been in, so here's my symptoms, I just need to know which one.

>Elastic skin
>9/9 on hypermobility test
>Spots on skin that pop up worse in the winter and go away in summer (literally eczema but not diagnosed and I hate self diagnosis)
>Easy bruising
>Frequent headaches/migraines
>(So far) minor dislocations/subluxations
>Frequent pain in joints across spine, shoulders, elbows, wrists, mid hands, fingers, hips, knees, ankles, and toes
>Slow healing wounds
>Low blood pressure problems (incl. Passing out, shaking, dimming of vision, etc.)
>Translucent skin (can see veins clearly at all times)
>IBS
>Food complications (difficulty swallowing, difficulty eating normal sized meals, difficulty eating at a non slow pace, difficulty digesting food)
>Never gained significant weight but covered in stretch marks

So, does this sound like hypermobile type or one of the ones a doctor's going to say "there's no point in testing you because there's no cure anyway, and the treatment involves painkillers, so we won't even refer you to a geneticist because you have a family history of drug abuse, lol, just kill yourself if you're in pain"

>> No.14997400

>>14997186
Just fucking memorize them faggot, they're not even that hard, the name always goes "Bonepart-bonepart ligament". You DO need to learn the name of every little recess in the bone because people come with the most dumb fractures and such.

>> No.14997520
File: 2.38 MB, 2439x3300, IMG_20221118_181457.jpg [View same] [iqdb] [saucenao] [google]
14997520

>woman in labor goes to backwater hospital
>They do fetal monitoring, sinusoidal pattern, dipping to 80
>Be first year ped resident in other backwater hospital, no attending pediatrician
>Prepare for emergency C-section
>Everyone losing their shit
>Kid comes out, flaccid and doesn't breathe
>80bpm
>start PPV 15seconds
>not rising
>Take laringoscope, never had successfully intubated anything before
>it's all mushy and tube bents all wrong when inserted
>anesthesio technician helps and intubates successfully
>Do the rest of the shit, place umbilical catheter
>take about 20 minutes suturing the stuff, somehow do it right.
>Xray comes in, pic related
>"oh gee, the picture is rotated, we'll need a new one"
>next one comes in, same shit
>"damn baby keeps moving, we'll need a new one"
>third xray attempt. Kid extubates
>"Ah Shit."
>Anesthesio dude places new tube quickly and successfully
>Third Xray same fucking image
>It's a fucking pneumothorax
>up until this point kid was oxygenating well enough, ~88%
>never punctured a pneumothorax before
>call all the pediatricians sleeping until someone picks the fuck up
>"Yeah, pop it and pull the tube 1cm outwards"
>Pierce 2nd intercostal at midclavicular line with #18G catheter connected to the stopcock and 20ml syringe
>Fucking nothing comes out
>Suddenly Oxygen saturation goes down to 66%
>"What the fuck did I do wrong?"
>Pull tube as told, saturation fixes itself
>send the kid to tertiary care center like that
>By the grace of providence the kid doesn't complicate further and arrives safely
>they give me shit for not puncturing the pneumothorax
>they put thoracostomy tube and all gets fixed
>Kid gets better and is discharged in a week.

>> No.14997590

>>14997389
Ehlers Danlos is a meme diagnosis unless you have the vascular subtype (you probably don't).
What do you want a Rheum or Geneticist to even do?
You probably have Ehlers Danlos from the first part of your green text, the shit you posted later isn't caused by Ehlers Danlos and you should get it checked out without trying to convince the doc about Ehlers Danlos.

>> No.14997617
File: 3.85 MB, 3464x3464, Picsart_22-11-18_20-54-58-626.jpg [View same] [iqdb] [saucenao] [google]
14997617

>>14997590
.... Do you think I pulled symptoms out of my ass to label as ehlers danlos?

>Meme diagnosis
Yeah, I suppose it is a meme to have your joints pop out of their sockets for years on end while you gradually become more and more in pain with worse and worse dislocations to the point of tendon rippage requiring surgery and eventually landing permanently in a wheelchair from it.

>> No.14997648

>>14997617
maybe be born with better genetics collagenlet

>> No.14997666

>>14997648
GIVE ME FUCKING GABAPENTIN AND VALIUM YOU NIGDOCTORS REEEE

I can't even lay down and play a video game without my wrist and foot playing the pain Olympics and doctors still say "sorry, we can't do anything and we have no suggestions lmao here's your 5k bill for asking for testing that we didn't give you"

>> No.14997673
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14997673

>>14997666
I forgot my image

Anyway, I've decided to go the physical therapist route because at least they will be able to confirm the physical issues for an easier route to pain management and help prevent further damage

>> No.14997707

>>14972730
Has anyone here gone into Medical Physics and become a Medical Physicist? Looks like a great mix of medicine, hard science, and industry relevance + high prestige wrapped into one.

>> No.14997721

>>14997617
Meme diagnosis because there's a whole community of instathots who fake having EDS

>> No.14997756
File: 962 KB, 2275x3464, Picsart_22-11-18_21-53-53-293~2.jpg [View same] [iqdb] [saucenao] [google]
14997756

>>14997721
You see, I'm different than the instathots because I have a 5 inch shlong between my legs instead of a screaming bloody hole begging for attention, which is why I'm posting pictures of myself in the sci med general

>> No.14997844

>>14997673
>>14997617
This isn't Ehlers Danlos hypermobile type you schizo.
Ehlers Danlos Hypermobile is unironically a meme diagnosis that is unironically "lmao you are elastic, atrophic scars and have some chronic joint/muscle pain"
If you really suffer from all of these symptoms and have ruled out more common causes, then docs should consider some of the other subtypes of Ehlers Danlos, which actually have some more severe symptoms.
Or just pay and get the genetic tests done privately.
But then again, why do you need a Rheum or geneticist? They won't do anything, unironically the only thing you can do (if you have EDS) is just some Physical therapy.

>> No.14998003

>>14997520
>ANESTHESIA-SAMA TASUKETE KUDASAAAAAAAI

>> No.14998056
File: 101 KB, 746x717, 1649935717675.png [View same] [iqdb] [saucenao] [google]
14998056

I tested positive for Covid a week ago, recovered last Sunday. Not a medfag
I didn't have the outlying symptoms after recovery, like loss of smell and taste, shortness of breath, etc. I became perfectly healthy. Until today.
I have a productive cough with the feeling of mucus, I wheeze if I try hard enough to get "it out". I want to know how long these symptoms take to go away. I might also just be delusional and paranoid, I binged House MD recently and might have the opposite of a placebo
I'm 18 going on 19 if that matters

>> No.14998081

>>14998056
So what?

>> No.14998084

>>14998081
>I want to know how long these symptoms take to go away
Also why the symptoms would resurface so long after recovery, I didn't have this cough two to three days ago

>> No.14998212

>>14972946
are they I m dr fag and not an ass hole
also pts hate you gov hates you and most of all other dr hate u as they are competeting for jobs

>> No.14998226

>>14972978
ok I hate being in the hospital but
I also love it
Its *the* only show in town
by that i mean everything is real. Netflix or drama x does not compare, becuase its all made up

Ina big tertiary hospital you see *it all* and it gets kinda addicitve, powerchart is the most interesting thing to read.

also you actually do things that count sometimes (75% is groan(

when your not in the hospital you feel your sharp edge dullining, its only on the front line when your kept sharp

like the guy said in the opening of apocalypse now.

Just last night I get a call,

Nurse to me

Dr. Dr lower half of person swollen in last few hours come and fix

And i mean all lower half.

You have to some how fix this with 5 comobidities 2 - 3 other specilaties on file doing stuff, pt on a trial, and your pager going off for 2 other clinical reviews at the same time plus 10 other smaller jobs.

And you have to present 3 Pt's at handover in 15 mins and not look like a total dick.

Keeps you sharp. its actual living. You feel alive.

>> No.14998231

>>14977903
BMI????
except for renal arter stenosis or some such like a pheo


low BMI can cure a lot of stuff and fasting

>> No.14998234

>>14980893
go to be Micheal

>> No.14998239

>>14992248
some extreme schitz yes
iq low yes
depression most no
BPD female yes

the japs figured out how to deal with it they made KMS a way to regain honour
based

helps the neuroatyps and whole society win win

>> No.14998242

>>14998231
>>14998226
>>14998212
ty for post sir

>> No.14998517

>>14986324
>>14986392
but that's just for starches? He doesn't fry meat I think. That's the big sticking point.

Another question: how much difference does starch (let's say rice) vs sucrose vs fructose have for the gut biome? I get that starch will take time to break down, but won't adding fiber make glucose act similar? Also what's the difference of sucrose vs straight fructose? I see some people trying to simp for fruit all the time because it's "natural". Is it all just the fiber?

>> No.14998659

>>14998084
All the coughs go away in a month. Take Beclometasone 250mcg inhaler once or twice a day, though i dont really think it does shit. Something about allergies, whatever man.

>> No.14998706

>>14996630
Honestly, I'm in CS to earn a paycheck and self-study other disciplines for fun. Always found the topics in medicine interesting, flirted with the idea of pursuing it after my master's, but I know from you guys that the work is shittier than people let on.

I'm nearing my 30s though, can't waste time and it's probably this >>14996510.

>> No.14998796

>>14998706
Personally I wish i was in CS instead, I feel like im wasting my brain and letting it rot not using math here. The field is surrounded by so many bullshit papers, grant baits and graduation requisites, and it's awful not being able to tell them apart as I know almost nothing of statistics. The long hours don't let me study even my own field, it's always ,12 hour shifts, 30 hour night shifts and a free weekend every two weeks. The pay is shit if you dont live in the US.

You can always work in the medical industry doing CS, the only job a doctor does is talking with the patient.

>> No.14998829
File: 3.06 MB, 640x640, 1664068375101766.gif [View same] [iqdb] [saucenao] [google]
14998829

>>14997844
>Why do you need a rheum/geneticist
Access to treatment (pain management, braces to help prevent/stop slippages), possibly being part of studies to further treatment and prevention of ehlers danlos, and, of course, quick road to getting on disability when things get worse.

Why do doctors view every diagnosis as if it's nothing more than words on paper. If a person with a lump on their neck walks in and says "hey I want chemo", you'd say no, if a patient with cancer on their sheet says "I want chemo" you say "as soon as fucking possible". That's what getting it diagnosed does.

>> No.14998885

>>14996494
Medicine is way harder but it has much better job security. CS is easier but it has less job security.
You pick your poison. ultimately all of them lead to the same place. another cog in the system slightly better than a wagie working third of his life to earn money and buy things you don't truly want or need

>> No.14998926

>>14998226
started OMFS in september and this is very accurate
hate the pressure and responsibility but it is also very exciting

>> No.14998964

>>14998829
Medicine is a service regulated by law, which thanks to popular culture there's idiots who think every doctor shits turds of solid gold. The goal of the service is to relieve you of the ailment. If you have no ailment no one fucking cares. You should know physicians are not researchers, if you want to be involved in research go seek the appropriate institution.

If a patient has a lump in their neck and says they want chemo it comes off to anybody as a midwit, the most problematic kind of patient since he thinks he's special, he thinks he can diagnose himself without knowing shit and thinks he knows what's best for him, and more importantly he doesn't know what's the service of medicine about. The most common cause for a lump in your neck is an abscess, management is take antibiotics, get a sonograph, see if it's big enough to drain, if it happens to be solid take it out and send it to biopsy, if only then it say's it's cancer you can take chemo. Chemo is literal poison, quite literally and everyone in the field will tell you the same. The goal of treatment is to poison your body just enough to get a susceptible cancer to die before the rest of you dies. If it's not susceptible you're fucked and nothing can be done.

If you want to kill yourself based on your own beliefs you're free to do it on your own, just don't go dragging others into it and don't expect to get a service that is not offered.

>> No.14999024

>>14996708
surgeons are even more like a trade imo because they receive cases based on referrals from other practitioners who have suggested a diagnosis. if the surgeons agree with said diagnosis they perform a hands-on procedure which is more or less similar to every other "job" they've had before

>> No.14999045

>>14996708
>surgeon
>think

>> No.14999232
File: 438 KB, 1080x2400, Screenshot_20221119-132751.png [View same] [iqdb] [saucenao] [google]
14999232

>>14998964
>If you want treatment for something you suspect you have but doctors don't want to bother diagnosing it, you are an idiot

This is the story so far
>Hey doc, I'm suspiciously bendy
>"It's nothing, you're just young"
>Hey doc, my joints hurt
>"No they don't, youre 15, you have growing pains"
>Hey doc, my fucking hip keeps sliding out of its socket
>"Well there's no damage and you're walking fine (lmfao), here's your exam bill"
>My skin is easily tearing and bruising
>"You're just clumsy, you're doing too much physical activity"
>Hey, I just found out about hypermobility disorder
>"Oh that's just natural, you stretch a lot"
>Hey I really think it's hypermobility disorder, my bones are slipping out of their sockets
>"Well, you're missing this one symptom/well you have these other problems so no"
>Hey, I just learned about ehlers danlos and I would like more information on it, can you also refer me to a doctor who could help test it?
>"You're just looking for attention, I'm not giving you more info on it because you'll use it to pretend to have it"
>Hey, I have some medical issues that I'd rather not talk about, I'm wondering if you could refer me to a rheumatologist
>"Well, why would I do that when I have no reason or explanation to refer you to one"
>Hello doctor rheumatologist, I'm wondering if I could get an appointment at *rheumatology office*
>"Well, you have more extreme symptoms than what my office caters to and I usually require a doctor's referral, so consider calling ***"
>Hey physical therapist, do you help with hypermobility?
>"Not usually, do you have tight ligaments and muscles or an injury? No? Try calling ***, or get a referral through your GP"

What the fuck do you want me to do? I try to get any diagnosis about what is wrong, I get ignored, I self diagnose like a Tumblr attention whore and get no help. I slip a joint and tear a tendon and the doctors yell at me for "over exercising" and slap a cast on it

>> No.14999292

If someone studied human biology at a master's level (which included dissection of cadavers), boarded a plane that currently flies over Antarctica, and had to operate emergency on someone on that flight, how well would he perform? Assume he has all the basic tools available.
How about if he only studied general mammalian or vertebrate biology?
Seems like an untapped plot for a novel or even movie.

>> No.14999331

I fucking hate how the only decent otc pain killer (codeine) is behind several layers of bullshit so I can't simply order it and then pay and pick it up at pharmacy

>> No.14999335

>>14999232
I suggest you to go the psychiatrist, he'll help you stop worrying about irrelevant shit.

>> No.14999337

>>14999292
>emergency surgery
Lmao, like what? That's right, you don't jackshit about what you're talking about. Want to talk about novels? fuck off to /lit/.

>> No.14999400
File: 52 KB, 1000x584, schizo meds.jpg [View same] [iqdb] [saucenao] [google]
14999400

>>14972730
i did it boys i got accepted to med school. i still feel empty inside and only more anxiety

>> No.14999425
File: 67 KB, 764x459, IMG_20221119_135602.jpg [View same] [iqdb] [saucenao] [google]
14999425

>>14999400
You did it, you dumb motherfucker. You ruined your fucking life. We tried to warn you and you still went a did it.

>> No.14999429

>>14999335
>Casts and braces
>Permanent wheelchair usage as disorder worsens
>Frequent crutch usage as disorder worsens
>Constant or frequent severe pain
Drop out of med school, sociopaths don't make good doctors.

>> No.14999444

>>14999425
do you think i'll be able to bang qt pre-drs. i am gl and hate my girlfriend rn

>> No.14999709

In my country people that do "msm" aren't allowed to donate blood. what counts as msm? is giving your bro a tuggie or brojob or sword fight "msm"?

>> No.14999738

>>14999709
taking big poz loads into your gaping boipucci

>> No.14999815

I got bit by a dog and think i might need a stitch or 2. How bad should i feel about wasting urgent cares time?

>> No.14999857

>>14999815
not wasting time at all dude, you need not only antibiotics but also a course of amoxicillin.

>> No.14999863

>>14999857
*not only stitches

>> No.14999873

>>14999429
>>Casts and braces
>>Permanent wheelchair usage as disorder worsens
>>Frequent crutch usage as disorder worsens
>>Constant or frequent severe pain
This unironically isn't part of Ehlers Danlos though.
You are describing a degenerative disease, which Ehlers Danlos isn't. People with EDS have the same life expectancy and expected lifestyle than the normal population, unless you have the vascular subtype (which you probably don't since it is extremely rare).
If you really suffer these things maybe go to a new GP and tell him about it in a normal fashion instead of being a schizo that comes to the office with "I have EDS now send me to a rheum". EDS isn't even an autoimmune or inflammatory disease, so a rheum would unironically do nothing.
And then again, your expectation that you can just easily get referred to a Doctor specialized in Genetics is childlike. There are only a handful of doctors specialized in Genetics in every country and these people usually work at University Hospitals and only see patients that get referred to them by hospital subspecialists. They don't give a fuck about a schizo with EDS unless they are currently doing a paper on it.
EDS gets managed by your Family Doctor. You will get some physical therapy and that's it, it sucks but you'll have to deal with the pain and be careful with your daily activities to prevent luxations. What pain management do you even expect, a lifetime of opioids?

>> No.14999929

>>14999863
>>14999857
They put some bandages on it and gave me a course of augmentin. I figured it wasnt anything to bad but i just wanted to be sure.
Still feel a bit bad, i know urgent cares are always packed with people and im sure people need more help than i did.

>> No.15000143

>>14999429
Is that according to people who actually have it or instaspoonies who try to appear as disabled as possible?

>> No.15000207

>>15000143
People with genuine diagnoses plus a few personal experiences

https://youtu.be/UnW6Qf69WkM
https://youtu.be/DHvacYxaeMQ
https://youtu.be/GXq0yl31f_s

>> No.15000208
File: 94 KB, 1093x276, insulin spike.png [View same] [iqdb] [saucenao] [google]
15000208

metabolic syndrome?

>> No.15000405

Is hospital medicine really that bad? Being a nocturnist in a rural area seems kinda comfy but every rotation I've been in so far the docs shit on hospitalists and say they would kill themselves if they had to do it

>> No.15000416

>>15000208
no you're just addicted to sugar. practice self control

>> No.15000508

>>15000405
>be ruralist because hate being in hospital
>anon on rotation asks about hospitalists
>tell him I hate hospitals
>anon doesn't ask hospitalists why they work in hospitals
many such sample biases

>> No.15000617
File: 148 KB, 236x260, meds.gif [View same] [iqdb] [saucenao] [google]
15000617

>>14999337
Schizo, you forgot this

>> No.15001105
File: 87 KB, 1280x720, 1667138957039405.jpg [View same] [iqdb] [saucenao] [google]
15001105

>patient reports difficulty initiating tasks
>prescribe 15mg dextroamphetamine sr

>> No.15001159

>>14999400
Why are you posting quetiapine? Do you take quetiapine?

>> No.15001168

Is being a sort of freelance radiologist a possibility in the future. For example, writing up reports while travelling around the world. I think pretty much every other specialty binds you to the hospital.

>> No.15001510

>>14997756
Wtf, how do you eat?

>> No.15001529

>>14998796
In all seriousness most CS grads use less math than the clerks at 7-11. There are some projects that require interesting math, but it’s not typical and usually doesn’t form a large part of the work (figuring out APIs, making specifications, grinding out yet another widget, troubleshooting, looking at logs, server and service admin, meetings…)

>> No.15001536

>>14998885
>CS
>low job security
Even when the global economy is in a recession, SEs still get raises and everyone is desperate to hire them. As budgets get tighter automation only becomes more important.

>> No.15001537

>>14999425
Jesus christ doctors are such cry babies. Medicine is one of the best fields to get into. Just stop being a cuck and actually work a 40 hour work week when youre an attending instead of being a workaholic.

>> No.15001541

>>15001168
Radiologists will be replaced by pajeets + AI

>> No.15001544

>>14999232
You seem to know better than a large number of doctors, so you should just treat yourself :^)

>> No.15001547

>>14999709
Where’s Dr. Shipman?

>> No.15001661

>>15001105
based

>> No.15002127
File: 2.50 MB, 4000x2252, 20221120_170746.jpg [View same] [iqdb] [saucenao] [google]
15002127

So, here's my story. I started transitioning in fall of 2019 and I have been taking these [pic rel] consistently. But I haven't notice any growth of my breasts and my hips have not widened significantly. Are there more potent pills, I need help, please.

>> No.15002129

Any advice for an anon who has a medical school interview in 2 months? It is entirely virtual, so feeling a little uneasy about it. It is 1/2 MMI and 1/2 an actual live interview

>> No.15002136

why are all patients in the /med/ general transgender?

>> No.15002171

>>15000416
it's ONLY after meals, not small ones either

>> No.15002261

>>15001168
Unlike what the other anon said, something that will probably still be available is the ability to do teleradiology with a smaller private group. However, this does tend to limit the scope of your practice. Radiologists who work from home end up being pigeonholed into one subspecialty, which leaves you vulnerable to the real threat to good radiology--other specialties stealing your reads.

>> No.15002269

>>14992732

I can’t take even fucking ibuprofen without getting ass cramps and mild tachycardia.

I tried naproxen once and got the worst headache of my life and even worse gastrointestinal issues.

I looked up user reviews for it and it’s like doctors are prescribing torture to people that have it, so many bad descriptions. Why the fuck can’t we just have stuff that works instead of some chemical amalgamation of umpteenth generation of symptom reliever that just causes a whole bunch of side effects instead of something that has even slight recreational value

>> No.15002283

>>15002127

Take the black pill. You just have autogyniphilia and a lack female contact in your life had led to you pulling your hair and beating your meat in the mirror

>> No.15002471

So, anyone has experience with polio blades and howland locks? Considering buying each of those aldoe I don't know if they may be actually more helpful tan a McCoy blade.

>> No.15002658

>>14972730
>be me
>had hodkins lymphoma some 12 years ago
>go through treatment
>everything goes great
>recover without any issues
fast-forward to a couple of days ago:
>feel lump and some pain under armpit
>lump keeps groing, it's ~1.5 inches long now
this shit got me nervous af and kinda scared.
got an order for exams from a friend doc (anesthesiologist). I'll get a 2nd opinion nonetheless.

>> No.15002681
File: 228 KB, 750x731, 1668939653871521.jpg [View same] [iqdb] [saucenao] [google]
15002681

>>15002269
Idk why they do this, but I'm in grave pain and with each passing day getting trusted "friend" seems like superior option even if meds are heavily contaminated
>>15002127
No. Estrogen won't induce these changes past puberty (14-18 for most)
t.been jabbing myself for year to keep hair
>>15001105
>tfw live in such immense shithole that even with fucking up several times, being non responsive to other forms of treatment and having childood diagnosis (based off fucking EEG) I still might not get it, because "nooooo we can't sell actual stims with legit prescription locally here nooooooo, you have to hope that doc you pay for each fucking session is competent and cares enough to import that shit for you since actual system involvong some specific papers doesn't work ;^)"

>> No.15002899

>>14999425
>You ruined your fucking life. We tried to warn you and you still went a did it.
You can't really complain about being a doctor when you're guaranteed at least a 250k income.

>> No.15002909

>>15002899
Forgot to add, but my point is that I know that being a doctor can be frustrating at times but you're paid well accordingly.

>> No.15002910

Practical question/curious/thought experiment assuming this thread isn't still just retarded med students and schizos

TLDR: if a beta blocker reduces max HR by 30%, keeping exercise intensity at let's say 80% of max HR, adjusting for a beta blocker's reduction are the benefits still equal or lowered by approximately 30% (not even getting into whether there's logarithmic bullshit going on here)

>Someone's max heart rate is 200bpm
>Sympatholytic reduces this by 30%
>Person exercises at 80% max heart rate (160 BPM)
>On the medicine this would be 112 BPM
Overall would we be looking at a gross reduction of benefits from exercise to 70%, only cardiovascular aspects, or specifics regarding
>β-endorphin, PEA, BDNF, various catecholamines, cortisol, anadamide, dynorphin etc.
Directly tachycardia-related or not, you do obviously hit a limit way earlier in intensity regardless.

Propanolol being fucking stupid in psychiatry aside (as is eschewing endocrinology aspects which are heavily intertwined in almost any disorder), been trying to figure out a not-highly lipophilic beta blocker noted for anxiolytic effects that fucks with exercise the least.

Anecdotally I have noticed non-ISA agents would even cause me to pass out whereas ISAs wouldn't, so trying to avoid those for fatties and exercise above all else is most important for mental health so I'm not being a dumb shit putting anyone on something that prevents it.

The other problem is cokinetics, idiots say pindolol needs to be dosed tid; meanwhile in studies 24h later exercise induced tachycardia was still lowered by about 30% so I need to review some papers on this aspect regardless.

(Every field is fucking retarded but psychs can easily do the most damage given the complexity of disorders/meds/pathophysiologies, I got into the field even initially to correct as much bullshit as I can from prior ridiculous amounts of research)

>> No.15002923

>>15002269
From researching pharmacology/pathophysiologies etc. across several disciplines thousands of hours

1. People go on user reviews just to bitch, and when not outright lying it's nonsense like "DOCTOR HAD ME ON XANAX FOR 30 YEARS CLEARLY THIS WAS GOOD FOR ME WTF FUCKING ASSHOLE TAPERED ME OFF IT AND IT WASN'T EASY"
2. Nocebos, morons will have always had a symptom and not think about until it it's put into their head, usually generic things like mood, energy, cognition etc.- I explicitly will phrase side effects as like I'm asking about the disorder's symptoms to avoid this
3. Like leddit karma, there's always going to be momentum, negative reviews start and that automatically influences further ones (see #2)
4. "I read webmd side effects" - you did not get serotonin syndrome because you had some anxiety within a week of taking 2g l-tryptophan nor did you have a hypertensive crisis from 100mg caffeine because your head kind of hurt. The diet thing and 99% of interactions are complete bullshit but I digress
5. "Everyone is different" - depending on existing symptoms, genetics, neurochemistry, hormones etc. intensity and occurrence of effects from A KNOWN POOL may vary, but you totally got tardive dyskinisia from tylenol my dude
6. >waaahhh just make good med - tons of schedule 1 drugs have a myriad of beneficial effects despite the literal definition of scheduling while lacking any considerable harm (weed is complicated and not getting into that, let's just say terpenes/other cannabinoids are most important and low THC is the best way to approach that)

Continuing 6, the FDA, normies, lobbying etc. also gets in the way of everything along with publication bias and retarded criteria for clinical trials, but do you think it's just that easy to make a miracle pill? And by the way alcohol is some of the worst shit you can use period, aside from the obvious stuff I'd really recommend Huberman's podcast on this if interested in that specifically.

Am bored.

>> No.15002938

>>>14972964
Reminder
>John Hopkins dude slept 4-5 hours a night because coke addict
>Expected same of residents
>Somehow became the standard**
>Treated with morphine in rehab
>Walked out with a coke and opiate addiction

**Med school totally providing doctors with useful knowledge and not exploiting the shit out of cheap labor and ridiculous expenses since the only route to being an MD - shit the only knowledgeable psychs I dealt with were fucking APNs. Ironically residencies and the workload pointless aside ruining their physical and mental health

Hell have some anecdotes since I'm the bored faggot rambling
>Psych 1: prone to akathisia? Bro use haloperidol as an AD adjunct. Oh, let's just throw cogentin on top to attentuate that so you can be blind, retarded and have brain go to shit too!
>Same one: nooo you can't use low dose remeron and parnate together (putting aside it's basically an antihistamine at that dose) thinks a2 antagonism = hypertensive crisis, tried to quiz me on the pharmacology to make me look like an idiot and failed
>Same one: NOOOO can't use amphetamines with MAOIs (had them all my life) - literal book sitting on his desk which I actually read even recommends it, and have been doing so since I switched
>Same one: NOOO LYRICA BAD, btw [prn] klonipin fine (it is but)
>Psych 2: buspar gud, trintellix gud, mao-b-is gud, nothing working? idfk but fuck you despite history of non abuse and ptsd badly fucking with finals week can't do a week of kpin

Just gonna stop here and switch disciplines
>Neurologist 1: gets pissed off and drops me because got pissed off trying to switch from adderall to dexedrine (latter lacks shitty tweaky levoamphetamine ring) in general didn't know shit about anything
>Neurologist 2: diagnosed epilepsy based on misreading an EEG; symptoms made no sense, also thought a small addy dose was a panic attack. Gave me a year of lyrica at least. Huge asshole. Apparently has a reputation for being a cock and over-reading

one more

>> No.15002955

>>15002910
>>15002923
>>15002938
Been meaning to get tldrs of this stuff down to compile and flesh out later, hopefully this is worth reading for anyone and if not this thread is all blogs anyway

Prefacing nightmare part; I've had nightmares all my life, I know the fucking difference. This is salvia trip tier. I did ECT and not supposed to remember propofol going brrr up until unconscious and yet-
>Endo 1: nope can't ever remember night terrors, cold turkey off effexor (long story) totally wouldn't do that lol. Nope PTSD can't cause labile blood sugar, elevated triglycerides, cholesterol, generally fucking up metabolism, peripheral acrocyanosis etc.
>Endo 2: same as above + nope blood sugar crashing can't result in night terrors. Tachycardia and strong palpitations after eating at night? Can't be insulin going full retard, crashing blood pressure and skyrocketing epinephrine lol
>Endo 3: wut I don't deal with this (endocrinology apparently)
>Endo 4: nope cortisol[...]
>Endo 5: nope mg2+/zinc etc. deficiencies can't become cyclical with chronic stress or anything not testing for that shit lol (cue further arguments about dhea/acth) - if it's not TSH/T3/T4 they have no idea

Skipping opthamologist and ignorance of the ECS/ANS affecting vision for the best one

>Ivy league (nepotism) orthopedist doing lidocaine injections for chronic severe myofascial/muscular tension
>Hits blood vessel (could happen to anyone)
>Immediately can't move, speak, diplopia etc.
>Ignorant of what happened or not, doesn't call hospital (2 min away) or emergency contact, leaves me sitting around hours. Doesn't even consider what else this could be from an injection (embolism)
>Conscious seizure at one point - gg C5/C6 hernia; confirmed via severe unilateral pain and recent prior MRIs not showing this
>Later found out he had no idea what happened nor did he during a follow up
>Took me two seconds on google
>Oops 2/3rds concentration of lidocaine toxicity to asystole, 3/4 to coma

>> No.15002956

>>15002955
Also shipped me off with nsaids with the followup, still not knowing what happened. Idk patient had severe neurological complications following injections, probably fine it's not like I bothered reading complications of a procedure. And no it wasn't allergy related. Been calling lawyers but nobody really wants to bother (contingent on proving reasonable care would've prevented the hernia in time) - seeing if I can get paid to keep quiet should statue of limitations run out which is soon.

Enjoy my diary faggots, do your own research on things, don't be the faggot patient who thinks they know better because they read some reddit posts either. Admittedly should have just put this in a docs

>> No.15002975

>>15002909
>Forgot to add, but my point is that I know that being a doctor can be frustrating at times but you're paid well accordingly.
lel see my blogs above. Only ones who should be paid shit are the ones who do independent research and keep up on things rather than basing prescribing on glancing at hippocrates at best or just doing what they've been for 50 years without ever thinking something else might work better.

I really should be doing other stuff right now but you have to know WHY someone is a fucking retard and be able to defend it before you really see the state of the industry.

>fatfuck hypertensive patient? uh here's some propranolol and norvasc; no mention of diet, exercise, stress reduction etc.
>patient had 20% improvement on zoloft? Well clearly nothing is better so just use this for 50 years (anyone want another essay on why SSRIs are trash) - also no mention of above
>beetus? lol metformin, see above
>herniated disc? if you can't commit to 38 hours of PT a day nothing I can do

They're being paid to read webmd and do paperwork, going full autopilot in a paid to think career that can save or ruin lives. Christ I went the APN route for a ton of reasons but at least for psych realized they knew a lot better than MDs and can explain why if someone wants but not flooding further. Non-psych NPs vary a lot more.Still it's also insurance, lobbying, the FDA, politics etc. fucking everything up too.

On a side note, going for a PHD for publication reasons but the idea of being a doctor, not an MD, and everyone already thinks I am due to my job making physicians seethe is fucking hilarious. Go see how much redditors bitch rent free and then check post histories to see how competent they really are.

>> No.15003147

>>15002127
Your hips aren't going to widen because your pelvis is that of a man's and hormones won't change that. Increasing your concentration of estrogen won't have the effect you want, as breast size is genetic. You never see real women taking estrogen to increase the size of their breasts, do you? Instead increasing estrogen is more likely to cause strokes and heart attacks as estrogen is thrombophilic.

You will never be a real woman. You have no womb, you have no ovaries, you have no eggs. You are a homosexual man twisted by drugs and surgery into a crude mockery of nature’s perfection.

All the “validation” you get is two-faced and half-hearted. Behind your back people mock you. Your parents are disgusted and ashamed of you, your “friends” laugh at your ghoulish appearance behind closed doors.

Men are utterly repulsed by you. Thousands of years of evolution have allowed men to sniff out frauds with incredible efficiency. Even trannies who “pass” look uncanny and unnatural to a man. Your bone structure is a dead giveaway. And even if you manage to get a drunk guy home with you, he’ll turn tail and bolt the second he gets a whiff of your diseased, infected axe wound.

>> No.15003405
File: 153 KB, 514x676, 68254_POZ-Cover-December-2004_a2f9bee2-e28a-4c4e-a689-d01a4bdb6958_x2.jpg [View same] [iqdb] [saucenao] [google]
15003405

Scientifically speaking, how do I maximize my chances of being POZZED?
I assume giving myself cuts on the rectum mucus membrane is a given, so is picking a massive BBC rough fucker to really ruin my bussy
Should the bvll do any prep? Obviously stop taking pharmapoison to get his viral count up to get a truly virulent poz load to impregnate me with, but what else?

>> No.15003505

why do patientoids think they can post in this general?

>> No.15003792

WHERE THE FUCK ARE THE HOT NURSES?

One week into my first job as a respiratory therapist. Every nurse I’ve interacted with at this hospital and during my clinicals is an old, worn out white woman or a fat ghetto black woman. Where are these tik tok nurse roasties you promised me????

>> No.15003897
File: 281 KB, 1920x1080, Dr.Cahill.jpg [View same] [iqdb] [saucenao] [google]
15003897

Can somebody redpill me on internal medicine?

>> No.15003943

>>15003897
Slinging pills for never ending sickness caused by your pt’s unhealthy life choices. No end-game in site. Extremely boring and unrewarding unless you go with heme-onc

>> No.15004095

>>15003897
Why?

>> No.15004248

>>15003943
Ty lad :)
>>15004095
It seems to be the only specialty allowed for foreigners in the US

>> No.15004332

>>15003792
>WHERE THE FUCK ARE THE HOT NURSES?
>he fell for the meme
All nurses are old and ugly. Most tiktokers probably arent even nurses and just put on some scrubs.

>> No.15004425

How to safely remove my cheeks? Just one would be enough for now. It should last enough as a sacrifice.

>> No.15004447

>>15001168
the problem is the workstation setup can be a real nuisance to move around, and having robust internet set up can be impossible while traveling everywhere. That being said, I've seen plenty of 7 on 7 off gigs; or 7 on 14 off gigs for remote reads only. Which is plenty of time to travel in-between work shifts. I've also seen job listings for 450k (9-5 gigs)starting with 12-14 weeks vacation (tied to hospital); and any myriad of schedules between that.

>>15001541
CMS already makes it illegal to bill for final reads if the radiologist is not on US soil. Also, AI is a meme, software companies in the business of making software, not in the business of getting sued. Oversight by radiologist is still going to be key. AI will just increase reporting efficiency, allowing radiologists to bill for more RVU's.

>>15002261
Unlikely; the volume of training would make it very difficult for them to be accredited for those reads. The only exception so far has been cardiology and vascular; both of which use it as a referral base for their own procedural RVU generation.

>> No.15004529
File: 136 KB, 1000x1500, KharmaMedic.jpg [View same] [iqdb] [saucenao] [google]
15004529

Who's your favourite /med/tuber?
For me it's Kharma medic

>> No.15004538

>>14995476
The only faggot here is you, faggot

>> No.15004546

>>15004529
Met him, he's a good bloke

>> No.15004646

>>15004529
soulless bug eyes
unsurprising for a medtuber

>> No.15004661

>>14972730
Any idea on this CoA?

Batch Number HS181223

Not googlable

https://cdn.webshopapp.com/shops/3630/files/313604551/coa-of-oxiracetam.pdf

Does not dissolve in water, dissolves in fat, as described in Wikipedia. Subjectively it is a nootropic, but how can I prove it is not Red Bull or something like that?

>> No.15004778

>>15004248
IM is depression. Would rather stay in my shithole country than doing Infernal Medicine.
>>15004529
What in the fuck is a medtuber? This zoomer faggots I swear.

>> No.15004952

Being an autist in med is hard. I should've gone into tech, fuck.

>> No.15005021

>>15004952
Still a student?

>> No.15005127

>>15004538
I'm devastated by your cutting wit. Please have mercy.

>> No.15005162

>study neuroscience
>constantly reminded that we're basically just bio-machines and lose myself in these thoughts constantly
Why does this upset me so much now despite knowing it (in some sense) since I was a kid? Has anyone else

>> No.15005180

>>15005162
Please explain how a collection of neurons can form consciousness. Also what is the significance of subjective experience?

>> No.15005530

I'm in clinical rotations for my nursing degree bros, should I apply for med school once I get my BSN or should I settle for travel nursing. Before you ask: yes, I have fucked half of my graduating class.

>> No.15005535

>>15005530
>Before you ask: yes, I have fucked half of my graduating class.
being a homosexual male doesn't count

>> No.15005551

im becoming an optometrist :)

>> No.15005603

>>15005551
Based beyond belief

>> No.15005670

>>15005021
Nope. I graduated three months ago so I have to do mandatory slavery for a year. Turns out I don't getting yelled at by attendings and patients.

I want an 8-5 bullshit email job.

>> No.15005675

>>15005670
>I want an 8-5 bullshit email job.
Lmao, no you don't. Speaking from experience

>> No.15005679

>>15005551
underrated job. thank you optometrist bro for helping my childhood development by fixing my poor eye sight :)

>> No.15005680

>>15004332
I'm literally banging a hot nurse RIGHT NOW
*but tbf she's a med student only working as a nurse part-time
Your assessment is correct for anyone permanently stuck on the nurse level

>> No.15005683
File: 1.06 MB, 852x1075, 1648901931041.png [View same] [iqdb] [saucenao] [google]
15005683

I would like to approach a team of scientists from Israel some time within the next couple years about the possibility of volunteering for a Autologous Pancreatic islet transplant into my spinal cord or in the subarachinoid space in my brain to promote my cognition.
The procedure has been done in mice with a consistent record of success.
> Intracranial Transplantation of Pancreatic Islets Attenuates Cognitive and Peripheral Metabolic Dysfunctions in a Rat Model of Sporadic Alzheimer's Disease
https://pubmed.ncbi.nlm.nih.gov/30175977/

I would also like to approach a team of doctors in Columbia which would be able to transplant fetal/ umbilical cord stem cells into the subarachinoid space in my brain and ask them to inject the stem cells alongside a hydrogel modified YIGSR/IKVAV peptide to support ~30 fold increased survival of the transplanted stem cells. I would be supplying the peptides myself.

How would I ask for this without sounding insane or without any ethics board scrutinizing the ideas.

>> No.15005684

>>15004952
Your only options are pathology, radiology or anesthesiology, brother

>> No.15005690

>>15005162
>Why does this upset me so much
Well, why?
If anything, it's liberating; but I guess it depends on your personal worldview and whether you need fairytales about muh soul muh afterlife to cope with life

>> No.15005691

>>15005683
>tripfag
>abhorrent dreams with no possibility of attaining them
checks out

>> No.15005704

>>15005127
Keep coping faggot

>> No.15005705
File: 75 KB, 1024x683, shutterstock_259297667-min-1024x683.jpg [View same] [iqdb] [saucenao] [google]
15005705

>>15005551
Always had the impression that being an optomestrist is a comfy job...felt very cozy everytime I visited

>> No.15005712
File: 275 KB, 475x749, sub-buzz-77-1578941451-1.png [View same] [iqdb] [saucenao] [google]
15005712

>>15005680
I got accepted to medschool as a 28 yo, I pray to god I get to fuck some dumb bimbo nurses as it's my last chance to have some fun before I get old...one last hoorah

>> No.15005769

>>15005675
I think I'd be ok with it. I like charting and typing stuff down.

>>15005684
During OR, the OBGYN attendings would make small talk and ask me what I want to specialize in. The residents would answer patho or radio for me. I'm never gonna make it.

Patho seems stinky, though. Is radiology a good choice in terms of lifestyle and shekels?

>> No.15005772

>>15005769
Eh an office job is ok for about 6 months, it gets very boring very fast after that
Though on another note, your shyness will get cured with age, that's what happened to me at least

>> No.15005773

>>15005769
>Patho seems stinky, though.
Why? Most of it is doing histology samples, not actual autopsies
>radiology
idk, seems comfy to just stare and screens and only being responsible for interpretation, not actual patient outcome

I'm an anaesthfag though

>> No.15005774

>>15005773
Formaldehyde stinky. Did you like pharmacology and physiology in med school?

>> No.15005803

>>15005774
Pharmacology no, physiology and pathophysiology yes, my faves
I'm far more into mechanisms and processes, rather than structure(anatomy)

>> No.15005888

>>15005773
>>15005774
Some of you guys talk about pathology like it's one discipline, but it's not.
In the same way a orthopaedic surgeon isn't about to do an appendicectomy even though they're both "surgery", a histopathologist isn't gonna do an autopsy even though they are both "pathology".

There's very distinct boundaries between different pathology specialties, so distinct that residents don't even rotate among the different specialties. Once you're in one, you're locked into it. Forensic pathology, histopathology, microbiology(+virology), chemical pathology, etc. are all very distinct from one another. At least that's the way it works in my country.

>> No.15005889

>>15005888
>At least that's the way it works in my country.
ok but who asked?

>> No.15005890

>>15005889
Because I'm pretty sure it's exactly the same in your country, retard.

>> No.15005898

>>15005890
No one in this conversation is talking about forensic medicine or microbiology(which isn't even a medical spec) dumbfuck

>> No.15005916

>>15005898
Oh wow you're exposing how little you actually know about pathology. Are you a premed?
>No one in this conversation is talking about forensic medicine
Forensic pathologists are the people who do autopsies, retard. https://en.wikipedia.org/wiki/Forensic_pathology
>microbiology(which isn't even a medical spec)
LOOOOL
https://www.aamc.org/cim/explore-options/specialty-profiles/medical-microbiology-pathology

Get the fuck out of here, retard.

>> No.15005936

>suturing up some tatoo'd gentleman that got stabbed in the ear
>resident was getting annoyed I was taking too long and I went to pick up the needle by hand like a mega retard
>felt the pressure of the needle on my glove but it didn't break the skin, could tell something sharp touched me but zero blood came out when I milked the site hard
What are the chances I die of super aids in the next year bros?

>> No.15005980

>>15005916
>Forensic pathologists are the people who do autopsies
So I guess clinical pathologists don't do autopsies in hospital morgues, right, cretin?
Tell me which country it is that graduates dumbfuck doctors like you

>> No.15006039

>>15005980
My guy, you thought microbiology wasn't a subspecialty of pathology and you're coming at me? Learn to give it up.
What do you think a "clinical" pathologist is? Are you just describing forensic pathologists again? Do you think histopathologists are performing autopsies?

>> No.15006065

>>15005980
America

>> No.15006073

>>15006065
Literally every first world country does it this way. I dunno if they even have pathologists in Zimbabwe or whatever third world shithole he's from.
Reality is he's probably just a pre-med talking out his ass.

>> No.15006135

>>15005679
thats the dream. helping people maintain/achieve (at least) 20/20 so they can live their life to the fullest :)

>>15005705
thats one of the reasons i chose optometry. i have family members that are optometrists, and it's pretty comfy. while they teach a decent amount on systemic diseases/neurology/etc, you just refer it out (since it's not within scope of practice to diagnose/treat in most places anyway) and someone else gets to deal with the overall management while you mainly deal with ocular complications/patient education: telling patients to take their medicine/exercise/etc or else their diabetic retinopathy will get worse.

>> No.15006169

>>15006039
>microbiology wasn't a subspecialty of pathology
It isn't, but keep coping

>> No.15006197

>>15006169
What's this then, retard?
https://www.pathology.med.umich.edu/microbiology
https://medicine.uiowa.edu/pathology/clinical-services/medical-microbiology
https://en.wikipedia.org/wiki/Medical_microbiology

Notice how you can't answer any of my questions? You're clearly out of your depth, stop giving false information to actual medical students interested in a career in pathology.

The guy who doesn't like autopsies? There are plenty of pathology subdisciplines, including micro, where he wont have to touch a corpse.

>> No.15006430

>>15005888
Pathology in my country is divided into anatomic and clinical but you still do the same shit for the early years of residency.

This is like whining about how internal medicine is ACkSHuALlY divided into specialties.

>>15006197
>academic qualification as a clinical/Medical Microbiologist in a hospital or medical research centre generally requires a Masters in Microbiology along with Ph.D. in any of the life-sciences (Biochem, Micro, Biotech, Genetics, etc.)
>Medical microbiologists often serve as consultants for physicians

Did you even read the article?