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/sci/ - Science & Math


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9770846 No.9770846 [Reply] [Original]

/MG/ Medicine General
>"The doctor is in" Edition

I know the popular idea on this board that medicine is not a "pure" form of science but I find it lacking there's no thread like this.

This is the general where we med students and doctors (but even nurses and health professionals) can talk/discuss about our professions, give suggestions and asking questions and generally wind off a bad day.

Personally, I'm a med student currently studying/struggling for my pathology exam and wondering if this hell will ever end.
If you have suggestions about this subject and how to study it, I gladly accept it.

Here a list of resources:
>free textbooks (for the broke student, just like me)
http://www.medicosrepublic.com/category/free-medical-books-download/

http://www.pdfmedbook.info/?m=1

>Web resources
https://www.msdmanuals.com/professional

>Youtube channels (first one I found particularly useful)
https://www.youtube.com/channel/UCNI0qOojpkhsUtaQ4_2NUhQ

https://www.youtube.com/playlist?list=PLOO4UXX1Ux84S5nwzTaH06rBidJWnTYXZ

https://www.youtube.com/user/DocOssareh


(This copypasta I just made is not intended to be complete or omni-comprehensive as it is: feel welcome to suggest new material and/or resources for possible future editions)

>> No.9770849
File: 88 KB, 600x529, piercetherealworld.jpg [View same] [iqdb] [saucenao] [google]
9770849

>>9770846
What rules us now is a soft-headed, mushy, egalitarian, feminine sort of altruism, where we are more inclined to feed the starving picaninnies of Africa than to take account of the fact that every picaninny who doesn’t starve to death now will grow up to breed more picaninnies. We feel sorry for the disease-ridden Blacks and Browns of the world, and instead of keeping them and their diseases strictly confined to their part of the world, we bring them into our part of the world so that we can share their diseases — as in the case of New York’s current outbreak of West Nile encephalitis imported from Africa.

What we need is a hard-headed, masculine sort of altruism, which makes us as concerned for the preservation of our own racial quality as for the stamping out of the fur trade, the sort of altruism which leads us to sterilize our own defectives rather than permitting them to breed a White welfare class, just as it leads us to thin out the two-legged population of Africa rather than permitting it to continue encroaching on the four-legged populations.

And you know, whenever I say something like that I can hear the screams of protest in the background. I can hear the softheaded altruists screaming that I am advocating genocide, and oh, isn’t that awful. But as a matter of fact, it is their policies which are leading to a far more terrible genocide, with our race as the victim.

When one has a world overcrowded with races competing for a limited living area and limited resources, there will be genocide. The feminine altruists cannot face that hard fact, and their activities simply guarantee a bloodier and more destructive genocide in the end. The masculine altruists, on the other hand, should be capable of imposing a necessary discipline in order to preserve the health of a beleaguered planet and permit its most valuable life forms to continue developing, instead of being dragged down by the least valuable.

>> No.9770850

>>9770846
>medicine is not a "pure" form of science

That idera could be popular only among degenerates.

>> No.9770851
File: 2.95 MB, 780x388, worldpopulation.gif [View same] [iqdb] [saucenao] [google]
9770851

>>9770846
Daily reminder that all foreign aid workers to Africa deserve death

>> No.9770855

Pediatrics resident here

Also I have been working a year as family doctor/general practitioner

Don't worry, the university hell will soon end

>> No.9770862

>>9770850
Sadly, the impression I got is that on this board it is not considered as such...

>> No.9770867

>>9770855
I can only hope, anon: I can only hope

>> No.9770884

>>9770862
As a doc, you should expect how many idi... "patients" here.

>> No.9770890

Starting medical school in Canada in August - Is it fine that I have almost no idea/inclination towards a certain speciality?

I guess my question is, how well does medical school (especially Canadian medical school) expose you to the different specialities so you pursue one that is right for you?

>> No.9770925

>>9770890
I'm italian so no idea about canadian med schools but I can say that there is no hurry deciding what specialty is your favourite. Take your time, it will be hard but you will have to study everything so you will have a general idea of each

>> No.9770927

Don't worry, I had not a clear idea until 2 days before actually choosing.

You will study and be exposed to a lot of things, so no haste or pressure

>> No.9770964 [DELETED] 

>>9770846
>This is the general where we med students and doctors (but even nurses and health professionals)
>nurses and health professionals
Hahahahahah

>> No.9771081

>>9770964
?

>> No.9771150

>>9770846
How do I study neuroanatomy? What textbooks or resources should I use?

>> No.9771257
File: 2.83 MB, 4320x2432, IMG_20160227_140238454.jpg [View same] [iqdb] [saucenao] [google]
9771257

>>9771150
I'll second this question. The basics are easy to find but I haven't found a good source for detailed neuroanatomy information that connects everything together.

>> No.9771267

>>9771257

is that a normal-sized brain?

>> No.9771274

>>9771150
It's a difficult subject. I used notes found on the internet and these:

https://www.youtube.com/playlist?list=PLO2O9UjkQxLcziD2izdpcI-YtdRIPqXdc

>> No.9771284

>>9771267
Not for an adult. I'm no expert in brain preservation but most likely it was shrunk from the dehydration phase in the preservation process.

>> No.9771676

The AMA should be abolished. It's a cartel whose goal is to inflate prices instead of improve care.

>> No.9771680

>>9770862
Don't buy into the shitposts.

>> No.9771857

>>9771257
Rouviere

>> No.9772685

>>9770846
Hi, I'm glad you are all participating in the /sci/ community.
/mg/ is the name of math general already. Please call your thread /medg/ or something similar so that the catalog search filter works properly.

Best of luck,
a mathematcian.

>> No.9772688
File: 503 KB, 960x540, 1526499411575.png [View same] [iqdb] [saucenao] [google]
9772688

>>9770846
/mg/ has been used for a long time as math(s) general

use something else

>> No.9772736
File: 311 KB, 578x1200, 1518097355875.jpg [View same] [iqdb] [saucenao] [google]
9772736

This is what happens when you let engineerinfags stay

Next we'll have a cooking general too, they'll probably use /ourguy/ NileRed's "edible chem" videos as a cover.

>> No.9772866

>>9770855
Was it scarry at first? Were you a good student? I've been shitting my pants lately since I'm fifth year and soon i'll be graduating and out in the fighting grounds and I feel so fucking unprepared.

>>9770846
>studying/struggling for my pathology exam

I'm procrastinating studying for my epidemiology exam right now. Why is everything related to comunity medicine so boring?

>>9772685
>>9772688
Not OP, but I offer our apologies.

>> No.9773544

Anyone know anything about adult onset atonic seizures?

>> No.9773582

how often do you guys use MRI scans and how much do you know about them?

>> No.9773583

My course has a lot of med school rejects and holy fuck they're a bunch of arrogant little shits. Like the lecturer would ask a question, someone would offer a wrong but still plausible response, and these other chinks would loudly snicker to each other. And then there's the other ones that just talk over the lecturers for entire classes and giggle loudly at every opportunity. I never had to deal with this shit when I was doing 'dumb' classes because everyone there acted like normal adults.

>> No.9773588

>>9770846
>Personally, I'm a med student currently studying/struggling for my pathology exam and wondering if this hell will ever end.
>If you have suggestions about this subject and how to study it, I gladly accept it.

i never felt as stupid as when i downloaded the 2nd year pathology flashcards from anki and went through them

HOW THE FUCK DO YOU GUYS REMEMBER SO MUCH CONTENT

>> No.9773613

>seminar case
>woman takes a shitload of aspirin because of headaches
>aspirin leads to high blood pressure and kidney failure
>high blood pressure could cause headaches
>so why was she chugging aspirin at first?
>oh sometimes taking painkillers can paradoxically lead to continuing headaches
>but how did it come to a point where she was constantly having to chug aspirin?
>...

fucking asspull cases i swear

>> No.9773883

>>9773588
That's my secret, Anon.
I don't.

>> No.9774000

anybody got lists of USMLE questions?

>> No.9774025

who else prescribes testosterone instead of anti-deppressants as a psychiatrist?

my male patients really like this

>> No.9774143

>only diagnostic test we have for meningitis is an LP

wtf, are you telling me you can't image the inflammation on an MRI?

>> No.9774349

I watch House MD can I come in?
>t. Physicist

>> No.9774430

>>9770846
yo just dropping in to say I'm taking Step 1 Friday. Looking forward to finally getting out on the wards!

>> No.9774563

>>9774349
No.

>> No.9774594

>>9771676
Facts. Plus, it's a progressive institution who wants to push its agenda to a younger generation rather than make healthcare easier.

>> No.9774603

>>9770846
What would happen if someone with a dissociative disorder took a dissociative drug?

>> No.9774609

>>9774563
You get out faggot.

Can injecting air with a syringe directly into your vein/artery cause a fatal air embolism?

>> No.9774649

>>9774025
No one, because no one does this and you're not a psychiatrist.

>> No.9774925

>>9773613
Maybe she had hypertension in the first place and started with the aspirin thing. Her untreated hypertension got worse and aspirin didn't work for the headaches, but she just kept chugging it. There are legit people and even some "doctors" that think aspirin and paracetamol are the cure for everything.
>>9774143
Nope. But if clinical symptoms are severe enough you can diagnose it on the spot. LP is to differentiate what type it is and maybe isolate a microbe.
>>9774609
Yes, but at huge quantities. That's not an excuse to inject patients with air, but a little air bubble won't do shit.

>> No.9775276

>>9770846
>Personally, I'm a med student currently studying/struggling for my pathology exam and wondering if this hell will ever end.
Read Robbins's book and look up some videos by Pathoma.

>> No.9775282

>>9774925
>clinical symptoms
>diagnosis

the only true diagnosis is via medical imaging or testing.

>> No.9775375

>>9775276
Ugh I'll try: Robbins is really a lot of stuff to look through...
Is pathoma really that good?

>> No.9775382

>>9775375
I study Pathology from Robbins (The Pathologic basis of disease) it is not as heavy as it seems if you have a good schedule, my class notes and the videos. Regarding those they are useful in pointing out key aspects and explaining them thoroughly and it also helps me order the presentation of the subject in my head since here the exams are oral (I've heard this is not as common in America).

>> No.9775429

>>9775382
I'm actually italian so I only have oral exams too.
Problem is, I'm terrible at getting notes so maybe that's what crippling me in this regard...thanks for the information, anyway. I'll try with Robbins and the videos

>> No.9776850

How in the FUCK do I write a good personal statement?

>> No.9776862

>>9774609
No

>> No.9776897

just finished my cycle got into a t-20 school anyone about to enter the cycle have any questions?

>> No.9776902

>>9776850
post an email and ill send you an list of essays that got into stanford med. You want to provide a narrative through experiences.

You want to be careful not to come off as if you are just listing your resume in essay form

>> No.9776905

>>9776850
post an email and ill send you a list of essays that got into Stanford med. You want to provide a narrative through experiences.

You want to be careful not to come off as if you are just listing your resume in essay form

>> No.9776914

>>9776905
latinikon@cock.li
I've also been told that I can write a "theme" paper, wherein the essay is divided into three "themes" concerning my aptitude for medical school.

>> No.9776992

>>9776914
>latinikon@cock.li
I just sent it.

And I'm sure that could play well. Look through the essays honestly I looked through a lot of these and kinda morphed some frankstein thing together and then just edited it to death

>> No.9777000

>>9776992
Thanks for the help/ I suppose I could build a narrative from something attention grabbing or unconventional and then segue into individual character traits. I was thinking about reflections at a young age about having a large head evolving into an analytical interest in human anatomy.

>> No.9777005

>>9777000
that could be good it really depends on how you execute it. When editing just think I'm i hitting the two points I need that 1. I want to help people 2. I like science

also don't be fucking retarded once you finish your ps pre-write secondaries

>> No.9777021

Hello Everyone...

What is the best method to study anatomy?

>> No.9777043

>>9777021
studying anatomy

>> No.9777054

>>9777021
picture + repetition
say the names out loud

>> No.9777064

>>9777021
Not sure what's the best, but having an atlas open while reading has helped me alot. Also cadaver practice. If your uni allows you to go after classes to look at cadavers that also worked great for me.

>> No.9777077

>>9777064
>>9777054

Thank you, both of you.

>> No.9777760

>>9773583
>t. buttblasted monash student
is it really that bad

>> No.9777841

I've been on antipsychotics on and off since I was a teenager for early onset schizoaffective disorder and I'm 27 now realistically how fucked am I? I basically feel like I'm lobotomized and I'm just waiting to die. my psychiatrists over the years tell me im not that bad and that I should still be able to get a job but I think they're full of shit senpai

>> No.9778710

>>9775282
>medical imaging
Try another blanket term

>> No.9778734

>>9770849
This is totally not related to anything at all

>> No.9779304

>>9770846
Any Ausfags here that have done the gamsat? What was it like? Any advice?

>> No.9779342

>>9774349
yes

>> No.9779536

>>9773613
>>seminar case
>>woman takes a shitload of aspirin because of headaches
>>aspirin leads to high blood pressure and kidney failure
>>high blood pressure could cause headaches
>>so why was she chugging aspirin at first?
>>oh sometimes taking painkillers can paradoxically lead to continuing headaches
>>but how did it come to a point where she was constantly having to chug aspirin?
>>...
>fucking asspull cases i swear

Isn't medicine one of the very few disciplines where almost all the cases are based on true events?

>> No.9779549

>>9770846
how to live long and prevent disease docs

>> No.9779572

>>9770846
I'm a nurse. Am I allowed here?

>> No.9779593

>>9779572
>This is the general where we med students and doctors (but even nurses and health professionals) can talk/discuss about our professions, give suggestions and asking questions and generally wind off a bad day.
from OP
>>9772685
> Please call your thread /medg/ or something similar
seconding this

>> No.9779928

>>9777077
dem 7s
>>9777841
Stay on your meds. People off them are far worse. At least they keep your positive symptoms at bay.
>>9779549
Excercise - a jog every once in a while. Keep your weight in reasonable boundraries. Have a varied diet. Notice I'm saying varied and not eat like a fucking goat. And keep good hygene. That way you can dodge most of the most widespread conditions and infections. Ofcourse that doesn't guarantee anything, but you tilt the odds in your favor.

A question to other medfags, how do you remember drug doses and reference intervals? I suck at memorising numbers and this is giving me a hard time. Did you know them when you graduated, or you just learned them when you started working?

>> No.9779957

>>9779572
Male nurses are not allowed fuck off.
If girl post picture of you in uniform.

>> No.9779959

>>9777021
cadavers.
second best is a good detailed anatomy textbook and and paper copy of netter.

>> No.9779968

>>9771274
This.
The guy is fucking great if you can get past the pajet accent.

>> No.9779972
File: 97 KB, 720x654, IQ1TSRu.jpg [View same] [iqdb] [saucenao] [google]
9779972

What do you guys think about vyvanse as a long term solution to adhd? I'm afraid of becoming dependent on it and having to taper off when my tolerance is too high to use to it anymore. Anyone have any experience with long term use of this or any medication who can help me out here?

>> No.9779985

>>9779972
You should actually re-check if you have ADHD… it's vastly overdiagnosed by psychiatrist whose job seems to be medicating people just because and for the money, really disgusting.

>> No.9780045

>>9779985
Ive done the same 5 things in a cycle, over intervals of 5 minutes each, since I woke up because they dont hold my attention.

>> No.9780690

how to be doctor

>> No.9781371

>>9780045
Yeah, but do you have a diagnosis from a doctor or you just can't finish shit you've taken up? I second this anon >>9779985

>> No.9781383

>>9779957
I'm a man. But I'm cute so...

>> No.9781387

Any vet medicine students here? I'm on my second year

>> No.9781478 [DELETED] 

>>9781387
>Any vet medicine students here? I'm on my second year
Yeah, I'm a second year vet student too. Where you at?

>> No.9782161

tfw struggling in first year post grad. The work isn't too hard at this stage, but its been hard to look out for my own well being when I get home and study for college exams.

>> No.9782456

>>9770846
I took three years off med school to get a phd and am graduating a year early, so will be getting it in two years. What the fuck do I do for this extra year? Did I shoot myself in the foot by graduating early? Published the work in JCI, some may recognize me. I’m currently fucked without a stipend or job.

>> No.9782551

How do I get into endocrinology?

>> No.9783254

>>9777760
Why do you think Monash? Every university in the country is overrun by chinks.

>> No.9783356

>>9770846
Fellas is being a Doctor worth it?
This Autumn i'll be switching from studying Anthropology part time to studying Biology full time and I want to try to get into med school.

>> No.9783370

>>9783356
Isn't anthropology kick ass?

>> No.9783393

>>9772685
>>9772688
How about just /med/? I'm a scientist, but I for one welcome the medicinefag general.

>> No.9783410

>>9782551
major in women's studies/trans rights.

>> No.9783632

stop posting pepes

>> No.9783685
File: 2.61 MB, 200x155, thinkin.gif [View same] [iqdb] [saucenao] [google]
9783685

Starting medschool in July. Few questions

1. In some more normie med forums I shall not name, I was told studying ahead is useless. Is there anything I can do that is constructive to "landing on my own two feet" when school starts?

2. How to approach research? I lucked into a very research oriented school but my research background is pretty weak, entirely clinical (no wet lab) and done outside of school. My uni has a good immunology/allergy/rheumatology department and, for personal reasons, I like the field and would like to become involved there. Given my lack of lab experience, how if at all could I approach faculty people and get me a research position?

3. How often has the integrity of your urine been tested? I asked an MS1 who told me as long as I don't shadow in X hospital it should be fine for MS1 but I am extremely paranoid, and I would much like to not forgo the occasional bowl to calm the nerves after a bad day without jeopardizing my career.

Thanks in advance

>> No.9783800

>>9783685
IDK answer to your qs, but where I live a good portion of medstudents smoked pot like maniacs.

>> No.9784061

>>9783254
Just sounds like Monash, but you're correct in saying that every uni is overrun by the chinks. I was able to pick out an Australian poster so there's that

>> No.9784132
File: 311 KB, 383x374, Capture.png [View same] [iqdb] [saucenao] [google]
9784132

Writing helps me organize my thoughts, plz dont send me to /adv/. Sorry if I get in the way of real discussion.
I'm very interested in the idea of working in the medical field because it's highly economic, which is important to me because I want to have a big family one day, and it would mean a relatively early retirement.

My super-simplistic view of business/finance is working a less than highly-economic job or starting my own business (financially risky), which likely means sacrificing my well-being for a substantial period of time. I also already plan on, and am, relying/utilizing investments, and fuck being a lawyer. I am animated about science and philosophy.

In my mind, medicine seems similar to being an engineer. You have a grueling time in school but a phenomenal payoff. The obvious difference is that in medicine you go through (much) more 'training' (school/residency) for a larger payoff. What's the key point I'm missing or not fully appreciating here?
I've also heard that compared to engineering or grad-level hard sciences, med school isn't necessarily extremely difficult, just extremely time consuming, much more memorization, much less pure math and science.1: How true is that? And just how time-intensive is the school and work life of a physician? I like to make art and I like to socialize, is it just a matter of managing your study time and using your free time the most wisely? Has anyone simply been crushed emotionally by the lack of life outside of the practice? (would being an engineer or having at least a masters in a natural science be any better though is the question.)

Also for pre-med, I don't often hear about chemistry being the major of choice, is it completely reasonable?
If anyone wanted to chime in that would be very much appreciated. Whatever I do it will

>> No.9784148

>>9770849
so strict order of trying to keep a race that's closer to it's extinction.
look the white caucasion race is trying it's best to ascend into space and away from this planet but as we all know their being held back for the wrong cause of civilization.
the whites have done horrible atrocities and their paying for it by playing kings of the world and having a god complex.
Acention into space is the only true answer of survival.
this planet is as we know it being rapped from it's reasource's and making other races pay for it from natural disasters that are obviuosly caused from our consumption.
So truth is it's time to move to another planet and correct the mistakes that we made on this planet, even though planets and everything that was created is meant for life to survive but life needs to learn to quit being greedy and quit trying to be better than the others.
We humans need to live and learn to correct the old mistakes that we have made.

>> No.9784190

The medical institutions of this world are owned by corperations that restrict medical engineers from natural practices.
These medical institutions provide nothing but synthetic aid than real herbal aid.
there are hardly herbologists out in the world that are trying to find new plants to treat medical conditions.
I may have some here that disagree but if you think about it...you'll realize that I'm right.
synthetic drugs donothing but cause addictions and cause other problems in the human body.
I'm slowly researching herbology and there are better solutions of curing eye sight, birth, disease and cancer.
There is a rare fruit in australia that can cure cancer but it's still in a researching process for human testing, there have been a few humans that received treatment from this fruit and it indeed did cure it. The fruits juices is siphond from the fruit and is treated by another ingredient that's disclosed and bom, with in a week to a month the patient was cured.
look it up folks...i'll post a link to it.

https://therenegadepharmacist.com/ebc-46-the-truth-about-the-australian-miracle-berry-extract-that-cures-cancer/

>> No.9784306

>>9783685
man I'm in aus and half the students I worked with smoked pot. We had one guy the grade above me who was addicted to meth to study by

>> No.9785777

>>9783685
1. Don't study ahead. Start school, see how the workload is, how is your timetable and start from there. Personally 1-2 hours a day has worked fine for me. Just study the next week material about a subject. This way you remember some things and when the semester ends you're kind of prepared and don't have to study the whole textbook from scratch. I hope i'm making sense here.

2.Can't help you here, bud. My school is very shit at research. We have maybe only one department that has decent results.

3. My uni doesn't even test for these. Half my class would have to be expelled. And a lot of them already are for failing exams.

>>9784132
Going into medicine for economical reasons is a bad idea. You'll never do what's best for the patient, but what's best for your wallet.

>>9784190
Herbs are hard to work with since they're hard to find and in order to isolate an active compound they have to go through a lot of processing. And you don't even know if the new drug will work at all. It has to go through clinical trials. Which is a painful procedure. It's more lucrative for big pharma to synthesize new molecules rather than extract them from plants. If there's someone to invest in herbology research there's stuff to be discovered probably.

>> No.9785815

how do i get the highest mark on the mcat

>> No.9785839

Most of modern medicine is a complete sham. Doctors don't know what the fuck they're talking about, often prescribing harmful substances such as steroids, methotrexate and anti inflammatories to treat conditions they don't understand. The only treatments they are willing to prescribe are drugs pushed by big pharmo companies because funding makes the world go round. The Hippocratic oath doctors take to not make things worse is consistently broken with every patient and no doctor will ever step outside of standard procedure for fear of reprimand. Medicine is basically a flawed system and full of hacks as they pretend to know what causes stuff like rheumatoid arthritis but in reality have no fucking clue and are too afraid to be actual scientists because their could fuck up their chances at being an overpaid wagecuck.

>> No.9785849

>>9777841
I could solve all of your problems but I don't think these young hacks itt deserve to have the semblance of a chance at a nobel prize or very least highly paid job. Basically, come off the fucking drugs and eat well, exercise. By eat well, fresh vegetables and lean meat. Let food be thy medficine. Who the fuck said that? Hippocrates. Do doctors follow this advice? Hell no, they are required to push big pharma to pay their salaries. It's a complete joke and why I can't take doctors seriously any more.

>> No.9785860

>>9770846
Not a medfag, but just asking in general. Did you guys work part time while you guys were doing your undergrad work ? Also,how challenging was it to get into med school ?

>> No.9786898

>>9782551
Just like you would any other topic. Begin with recent reviews of the literature. Get used to molecular terminology and take a biochemistry course or something.

>> No.9786912
File: 50 KB, 620x387, IMG_1750.jpg [View same] [iqdb] [saucenao] [google]
9786912

>>9770846
Some medfag help me out. Long story short I am entirely certain I've been infected with a tapeworm, for months now. I live in USA so I need a prescription to get Praziquantel. I don't wanna go to a doctor so I've just bought the tablets for pets, which are OTC. It's the same exact active substance as the ones for humans, so it should be safe for me to use, right?

>> No.9786917

>>9784132
>High payoff and early retirement.

Lol think again. The idealistic portrait of a physician of the 20th century should be behind you. As medicine becomes increasingly less capitalized, being a wealthy "doctor" becomes more difficult to pull off. Look at China: physicians are looked at as just another job. The pedestal on which doctors are placed in America is silly. The cost of uni and medical school are generally far too great for doctors to be comfortably living a luxurious lifestyle, so most of them live outside their means since they don't have much free time to enjoy at all and would rather live as they thought prior to getting into their career. Your best shot at becoming a wealthy, happy doctor is to move to Nowheresville, America and open up your own practice.

Or you could instead do the smart thing and get involved in business of the medical industry. An MD is one path to this that leads to inescapable debt, or you could get paid to do a biomedical PhD instead. Or you can try to get lucky and work your way in from an MBA. Either way--with your current mindset--your job opportunities here will probably take you much further and be more enjoyable and worthile than as a standard physician.

>> No.9786971

hey bitches. nice seeing this thread here :)
Im having my final exam tomorrow, it's IM. Hilariously difficult but dgaf, just want to pass

>> No.9786985

>>9783685
1. of course study ahead. whoever says, especially irl, 'man just chill don't study yet it's ok it's not a dificult subject' is LYING. you should give everything you have in it. just study smart, eg. don;t study lehninger's biochem (2000p+), instead study lecture notes
2. in my eu uni, I approached professors and volunteered. noone offered me a chance to work in the lab but i like epidemiology more anyway. I guess just work up the courage go and ask
3. can't answer this, in my country more than half med students have smoked pot

>> No.9787072

is being 23 years old too late to start studying medicine? in my country MD program last 6 years and then 4 years of residency

>> No.9787091

>>9787072
Nah I had old farts in my classes.
You will be the butt of the joke though.

>> No.9787106

Whenever I see a person with bleeding wounds or big bleeding gashes like when you fall and slide on concrete that exposes that red layer under the skin the back of my thighs start burning and I get a little wobbly. Am I gonna make it?

>> No.9787115

>>9770851
These projections are retarded. By 2100 Africa will be developed and their birth rates will plummet just like every other developed country. Its already been happening for the past few decades in the handful of successful African countries like Botswana where birth rates are dropping each year.

>> No.9787307

>>9775282
This is how I know you're premed or a first year med student. Have fun waiting for your "imaging" while your patient dies from a tension pneumothorax because you're too stupid to give a diagnosis based on clinical symptoms.

>> No.9787310

>>9776905
>>9776902
If you're still here can you help a brother out and send those essays to the email in the name field?
Thanks in advance

>> No.9787372

where and how can I go about selling my nuts?

>> No.9787391

>>9787106
Two things to say about that. First, squeamishness is part of a fight or flight response. It will probably go away after repeated exposure. Second, when you're in a situation like a major trauma where you have to make decisions, weigh risks, constantly reassess your patient and keep potential complications and ways your patient could deteriorate in mind, you will find that all of that subjective internal stuff just washes away and you focus on your task and what you've been trained to do. I find that only afterward I really feel the emotional effect of a call, if at all.
t. paramedic, soon to be med student

>> No.9787452

>all this identitarian culture

wew lad

>> No.9787726

This general has been a spectacular failure, with too many cunts begging for advice and crackpots out the wazoo. Can't you people get sick and die from your retarded treatments already?

>> No.9787904

Submitted my primary yesterday. Shit is starting to feel real, lads.

>> No.9788082

>>9787106
You'll probably get used to it. If you really want to be sure, try to intentionally desensitize yourself by viewing gory pictures and watching death/injury videos. Practice thinking about what injuries you might expect and what you would do for the patient. I know it sounds edgy but I unironically believe that method helped me.

t. EMT who worked for a few years before going back to school

>> No.9788138
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9788138

>>9787115
>Africa will be developed

>> No.9788194
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9788194

>>9788138
>>9770851
It's slow but they will eventually get there. Also Africa is huge, even a modest population density is going to result in a massive population relative to the rest of the world

>> No.9788209

>>9788194
You're nuts.

>> No.9788233
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9788233

>>9788194
No argument, you're adorable. Remember that China was once regarded as the laughing stock of the world and was so weak that a country 1/30 their size managed to basically walk over it. And look where they are today. This things take time.

>> No.9788239

>>9770846
>finishing meme master
>3 months prior to finishing it I was looking for a job, no luck
>finish it
>instantly 3 notbad/10 job offers pop
wew sorry for doubting you lads

>> No.9788245

>>9788233
Meant for this >>9788209

>> No.9788272

>>9788233
I refuse to engage an imbecile.

>> No.9788316

>>9785839
gr8 b8 m8

>>9786912
>so it should be safe for me to use, right?
Not sure bout that m8. Pharmacokinetical and pharrmaceutical properties might be different from the human form. Antiparasitic drugs are very toxic as well. I woudln't recommend doing this.
>>9786971
Surgeon chad?
>>9787072
Go ahead dude.
>>9787106
Probably yeah, but maybe you'll be better off in internal medicine.

>> No.9788329

>>9787091
Im 27 in Canada about to start

>> No.9788387

>>9787072
Britfag starting at 29. Four year graduate entry course beginning in August and I'm basically finishing a decade later than if I'd pulled my finger out of my asshole at school. But I'm sorted now, so whatever.

>>9783685
>1. In some more normie med forums I shall not name, I was told studying ahead is useless. Is there anything I can do that is constructive to "landing on my own two feet" when school starts?
I'm getting stuff for productivity sorted out. Books (like Gray's for students) looking at anki decks that might be useful, deciding whether or not to get a Surface/iPad for notes in lectures and at GP surgeries, etc. There isn't too much point in studying, IMO, because it depends on the curriculum of your med school. But planning ahead and thinking about ways to get the most out of your study is food for thought.

>> No.9788410
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9788410

>> No.9788488

Urologist here. As someone said before, the study hell will end.

I recommend urology to everyone with ideas to go for surgery. Same thrill, less shit, nice little procedures for private practice. Lots of laparoscopy, and the nightshifts are much calmer than elsewhere.

>> No.9788493

One time I might have took molly (MDMA) and the day after I felt really, really good but the effect had withdrawn

what mean? I heard MDMA reduces serotonin and dopamine levels, and I believe that I might have an abundance of such which causes certain issues.

>> No.9788502

>>9770846
hi can anyone guide me to palliative measures/reduction of deterioration for wet AMD please?

>> No.9788732

>>9787115
sure....
i smell a JEW here

>> No.9788738

>>9770851
agreed

>> No.9789277

>tfw genomics scientist and the MDs are too slow to practically trust our target predictions for precision oncology

>> No.9789285

I recently read about that the reason of the increase of men that looks like a basedboy and girls going through puberty earlier is the plastic, cause it produces a molecule that is similar to estrogen. There's something true about that?

>> No.9789300

>>9789285
Only a big deal if your test is so insignificant and low that you become a bitch.

>> No.9789310

>>9771150
Neuroanatomy: An Atlas of Structures, Sections, and Systems. Duane E. Haines.
This book is god

>> No.9789323

>>9770846
I used to memorize by brute force "Pathology Outlines" descriptions, they are quite useful!:
http://www.pathologyoutlines.com
I was the big boss of histopathology of my class in this way.

>> No.9789326

>>9770850
but chemistry is a pure form of medicine

>> No.9789411

Okay medfags, you have 4 minutes to reply to this post with justification of the indiscriminate circumcision of infants.

>> No.9789425

I'm a premed (biochem/pharmacology) with a 3.9. Will I regret not applying for med school? What I'm studying now genuinely interests me but docs make mad $$$

>> No.9789433

>>9789277
clinicians will always lag scientists, its the nature of the beast

>> No.9789479

>>9789425
do you think university is free? this is not a freaking charity, the money you earn as a physician is wasted in your university debts (which will be giant) and insurance companies (which will be also giant).
Yet at the end of the day, medicine is the best career because it is. In my personal case is not because of the money (which is a myth) or the proud (which there is non) but for the "thank you doctor!", it is quite satisfying. Also proving your peers wrong in a certain diagnosis, that one is the best.

>> No.9789491

>>9789425
It is a long path. Only do it if you really want to do it. You will be in debt until you're 50, and the work hours are unrelenting. Also studying for the MCAT is literally ass.

>> No.9789506
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9789506

>>9789411
>No replies

>> No.9789534

>>9789411
no one cares

>> No.9789536

>>9788410
kek

>> No.9789539

>>9789534
>primum non nocere
>"who fuckin cares bro lol"

>> No.9789541

Whatever happened to that one guy who likely killed a patient because he gave her the wrong treatment and bypassed his coworker's input.

>> No.9789548

>>9789541
lol i remember that. he gave it a heroic effort and she died. the family likely got a malpractice payout and he is still working

>> No.9789576

>>9789539
bro stfu no one actually cares

>> No.9789625

>>9775375
Pathoma is lifesaving. This and Sketchy for 2nd year are musts, unless you want to do shitloads of reading you don't have time for. Robbins is good for clearing up path you feel you don't get a great grasp on from pathoma.

>> No.9789631

>>9777021
Cadavers and the Acland video atlas. Netter's for book studying.

>> No.9789641

>>9775375
DO NOT study only with Robbins, you'll never finish, for a normal human being that is, physiologically speaking, too much. (unless you dominate the topics already or at least you are familiarized with them)

>> No.9789663

>>9783685
1.Enjoy your summer. Seriously. By 3rd year, vacation time is scarce. First year is pretty low-impact anyway; you'll have enough time to study materials. If you want to collect resources to have and start adding to so you have one super study set by Step, collect a copy of First Aid for Step 1, and the Anki Step deck or firecracker if flashcards are your thing. DO NOT purchase pathoma, sketchy, or the Uworld bank until 2nd year.
2. I got my doctorate before med school and worked in a wet lab. If you're doing meaningful research at the bench and not just piggybacking off the last 2 months of some grad student's project, you'll be hard-pressed to get a publication out in time before you get smacked in the face with preparing for Step/Clerkships; a good bench project takes a few YEARS of daily work before final manuscript is published. Either find a bench project that needs only minimal help and take your 7th author, or get research that is more chart/patient data driven that you can actually contribute enough time to and take a higher authorship. A lot depends on the labs and where you ultimately want to end up, but keep in mind that aside from 1st year and the summer between 1st and 2nd, you'll have very little time if you want to crush Step and rotations.
3. Only one hospital we're affiliated with drug tests the students. We do not have a choice of which hospital of our several we do rotations in for most courses, so we're expected to be clean in case we get assigned to that hospital, since we usually only get about 2 weeks or less to give UDS before starting there.

>> No.9789664

>>9777021
If cadavers in your class are not enough then do as I did.
> Go to a highway
> Look for death animals, anything that isn't a bird will do
> If still warm then fuck
> JK
> Get an anatomy atlas (Netter, Sobotta, Prometheus, Lockhart if you are hardcore)
> Become the next Latarjet

>> No.9789676

>>9785860
I did work part time in undergrad, approx. 32 hours every Fri-Sun. These days, it's getting insanely challenging to get into med school. My class MCAT average on the old scale was 34.5; average GPA was 3.8. You need insane amounts of leadership positions and volunteer hours to show you are well-rounded. Each school is different in what they like, but I know people with 4.0s, first-author publications, and years of volunteer work that still ended up with way fewer interviews than you might think. Thing is, each school gets like, 6000 applicants for 100-200 spots; they can afford to be REALLY picky.

>> No.9789700

>>9789676
This is sadly true. Being completely honest I don't think I would make it into med-school if I'd be applying today. Back when I applied it was easier but not easy, it was still tough but out of a sudden applications fired up lately, so universities are getting more picky indeed.

>> No.9789773

Is it healthy to be vegan?

>> No.9789778
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9789778

>been walking around with blood clot in my neck for months
it dissipated couple nights ago and I had stroke like symptoms

what med should I have been taking? anticoagulant?

>> No.9789809

>>9789778
Medicine called go to the doctor. It's probably still there and you would best prescription level meds

>> No.9789827

>>9789773
It decreases the risk of cardiovascular events a 20% in comparison with normal diet, it increases considerably the risk of wernicke-korsakoff syndrome if you get intoxicated with alcohol due to a basal decrease in vitamin B12. Or more commonly, megaloblastic anemia for the same reason. If you are into a diet due to health concerns then try a pescetarian diet. Decreases the risk of cardiovascular events a 35% and has no deficiencies, if you are concerned of mercury levels then buy fish only from fish hatcheries.

>>9789778
Treatment of ischemic strokes is decided patient by patient, it is not like a heart ischemia where you just give a bunch of thrombolytics and whoa lah! If you do treat an ischemic stroke like a heart attack then you'll cause an hemorrhagic stroke on the brain so now you are dealing with 2 totally different problems where if you treat one then the other will get worse. Go to a goddamn doctor anon. Besides, treatment for ischemic strokes are generally complex and you do need specialised equipment or specific treatments.

>> No.9789843

>>9789827
>vitamin B12
Thiamine sorry, fucked up a little bit there... and about 10% of vegans have vitamin B12 deficiency and are at risk of megaloblastic anemia.

>> No.9790089

>>9788488
I've always considered urologists superior surgeons than general surgeons.
>>9789411
That's a thing only in america and muslim countries.
>>9789773
No.

>> No.9790112

>>9788316
it's not even b8, you're just all too young and hopeful for getting a highly paid and 'respected' job that you disregard any criticism about your field

that doesn't change the fact that most doctors are completely worthless. treatment relies on letting the body heal itself and in cases other than surgery and non chronic conditions, medications prescribed more often harm the body as it uses inflammation to defend itself. no doctor will ever step outside of standard protocol for fear of being labelled 'malpractice', even if they know deep down that something is wrong with modern medicine.

Enjoy being young, one day you will realize I was right.

>> No.9790244

>>9789300
margins, you buttburger. There are a few physical and psychological health markers that separates poor based fellows from the idea of a healthy individual. It's not like every normal guy is a gorilla. I'm willing to bet you don't know what to look for. Besides I'm convinced that these negative or positive effects could end up reinforcing its own effect further. If you join a sports team you get to enjoy boosting effects somewhat regularly, but when you end up in a knitting club, well it's only going to get worse.

>> No.9790486

disappointed at shit slinging rather than discussing things like wet AMD. oh well.

>>9789843
>about 10% of vegans have vitamin B12 deficiency and are at risk of megaloblastic anemia.
i had this, as a vegetarian not as a vegan. cutting meat out without thinking about the consequences too much, when i was young. felt like shit!

>> No.9790626

>>9790244
smcd

>> No.9790642

Did anyone attend ASCO this year? Were there interesting things about new complement inhibitors?

>> No.9790652

>>9789663
Thanks a lot for the response on number 2, you sound like you know your shit pretty well
If I cannot get good authorship (i.e. not 7th name) or piggyback, then how much would, in your opinion, be expected of me if I do want to eventually gear my career towards doing that once my education is over? I'm not in a personal hurry to start chugging out research but know that there are people in my cohort who already have and don't wanna fall behind and be less selective.

>> No.9791119

Just got my MCAT back, 512 (128/126/128/130) let's hope I get in. My GPA at UCLA is 3.847.

>> No.9791144

I'm interested in going into Respiratory Therapy. Anyone here have any experiences with that? How is it like?

>> No.9791427
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9791427

Hey anons, /g/fag here,

I've been thinking of becoming a doctor for the past few years because expendable income is awesome (mostly money and status: I'm into computers, not born to be a doctor), but I have two main concerns:

Am I going to an hero because of the stress?
(Few weeks ago I looked up if medicine school was stressful because of this and I read that doctors are just a bit more likely to commit suicide, but I want to hear you guys' thoughts.)

Am I going to have *some* free time?
Mostly because I've always wanted to do charity work on the side and play vidya. Is it reasonable or am I being stupid for thinking that?

Thanks in advance.

>> No.9791454

>>9791427
You're better off starting some shitty tech start-up or going into banking

>> No.9791681

>>9791427
it's academic hazing and physician status is mostly a hierarchy thing. if you have a knack for taking bullshit from patients and superiors with a shit eating grin on your face you can stand it. not to mention know it all cutthroat classmates who will backstab you. i think one of you math/compsci people ran the numbers and worked out that it wasn't the best financial decision. as someone getting both a phd and an md if you have a knack in science with an abiilty to learn and innovate you should go for a phd from a good institution

>> No.9791710

>>9791427
> I've been thinking of becoming a doctor because expendable income
Anyone who gets into medicine for that reason end up or killing themselves, regretting ever getting into medicine or just quitting medicine eventually.
> doctors are more likely to commit suicide
In studies about the risk of suicide in medical students the scales used to quantify the risk had to be modify because they were scoring too high, not because we want to kill ourselves all day but rather because the life style of the average doctor is funnily enough similar to various symptoms of depression (this doesn't mean that we are all depressed, it's just a funny fact but in theory we are at a higher risk for depressive disorders though I can only recall 1 serious case of depression from my class)
But yeah is stressful as fuck and not everyone is able to stand such stress... Doctors professors are dickheads, some of your classmates are dickheads, patients are sometimes dickheads, and people from other careers are dickheads some times as well.
> Am I going to have *some* free time?
first 3 years? sure, little but you'll have some, after that slavery begins.
> play vidya
only on weekends just a few hours, if you are ok with that then yeah! Eventually and depending on what path you want to follow after graduation then you can get more free time, but it is like 10 years of slavery or so that you'll have to stand.

>> No.9791736

Does anyone knows a way to remember all the arrhythmic patterns on the EKG? or reading EKG in general... properly ?

>> No.9792036

>>9790486
I would like to talk with you, but I don't know shit about ophtalmology.
>>9791144
Disgustingly underpaid in my country. If you're in the USA, you'll be fine.
>>9791427
> I'm into computers, not born to be a doctor
Rentgenology is your field brotha. But I'll say this again if you're only after money and status that's a bad idea.
>>9791736
Pretty sure there should be textbooks specially for this. We have these, but in my native language. Generallly speaking you have to have a systematic approach and don't start from wherever you feel like. Some patterns are fairly easy to remember though. Atrial fibrilation, ventricular tachycardia, ventricular undulation,fibrilation, STEMI etc. You'll be able to guess these only with a glance.

On a side note. Anyone attending the Euroanesthesia congress? If yes do you have anything interesting to share? There's a livestream, but I have to study for an exam and can't watch it. Also anyone want to discuss aneshtesia and intensive care medicine?

>> No.9792053

I'm in my mid twenties, but I'm pretty poorly adjusted and still learning how to be socially competent. I want to get all my mistakes out of the way at a relatively young age.

If I started medical school at age 30, would I be able to have a normal career as a non-specialist physician by age 38-40?

>> No.9792138
File: 6 KB, 207x243, download.png [View same] [iqdb] [saucenao] [google]
9792138

>tfw still trying to link amyloid beta plaque deposition in Alzheimer's to increased cerebral neovascularization yet all i can observe is that APP is expressed more heavily on the surface of endothelial cells in the presense of thrombin but not as a direct result of angiogenesis

just fuck my shit up

>> No.9792184

Just simple memorization and regurgitation.
Doctor's aren't needed anymore. AI can diagnose better.

>> No.9792286

Is there some kind of unified starting textbook that first year medical students use that assumes no prior knowledge, or do they separate things into separate subjects right from the start?

Or maybe a pre-med textbook that acts as an introduction?

>> No.9793199

>>9792138
>All I can observe
Consult RNAseq friend ;^)

>> No.9793210

>>9771150
Holy shit you are so fucked. Imagine being tossed a ball of yarn and being told to sort that shit out

>> No.9793290
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9793290

>>9792138
> tmw you fail linking an inflammation of the media to an hypoxic response and as a consequence direct activation of the good old HIF-1a and activation of neovascularization pathways because you are not even able to detect simple inflammation on the first place

>> No.9793304

>>9792053
Sure, I've known of even older people getting into medschool and finishing successfully

>> No.9793693

>>9770890
This is the smart way of doing it- unless you are one of those people who were born to do X specialty, you need to get hands on experience across them to actually figure out which one you will be able to do for the rest of your life without hating yourself

>> No.9793698

>>9774143
Negative, the meninges are membranes and won't enlarge much when inflamed. Additionally, we can try and culture the organism from the LP, as well as analyze protein content, immune system cells etc for a clue to if it's bacterial or viral. Meningitis can go downhill real fast (esp. for kids) so we don't really want to sit around for an MRI (hours of waiting for a 45 minute scan.)

>> No.9793700

>>9775282
A diagnosis is an idea, diagnoses can change-in practice there's no distinction between "true diagnosis" and, uh... false diagnosis (other than oops should've got it right the first time?) Diagnosis based on clinical Sx is legit esp. if it's obvious. And this doesn't even get into psych, where you have no imaging and no tests lol

>> No.9793706

>>9777021
Try them all. Personally find cadavers to be the best followed by good COLOUR textbooks and flashcards

>> No.9793707

>>9793693
thanks, this is reassuring to hear. I know a couple of people who will be in my class and they are deadset on anesthesiology, psychiatry, etc. I have no idea, just that I think I'd like to be a clinician/scientist.

>> No.9793710

>>9783356
Only you can answer this Q... you have to take a real deep look inside yourself because this job has a lot of absolute shit but also a lot of uplifting moments. The question is does the uplifting balance out the shit?

>> No.9793711

>>9783685
>Studying ahead
Please don't do this. Enjoy your holiday.

>> No.9793717

>>9787072
I had a 35yo dad in my class. It's not too late but you just have to plan your life very carefully since you have more real life things to deal with than the 18yo undergrad

>> No.9793719

>>9787106
Not every specialty has gore anyways, you'll be fine

>> No.9793725

>>9788502
Fix comorbidities
Intravitreal anti-VEGF injections
Sign patient up for stuff that helps their lifestyle, e.g visually impaired registration

>> No.9793726

>>9789425
Money is a bad reason for doing med because most of it will be paid into your uni loan debts for a long ass time. And it will not soften you hating yourself for pulling unsafe hours in a job you have no real interest in

>> No.9793729

>>9790112
>inflammation to defend itself in non-surgical and non-chronic situation
>anaphylaxis, sepsis
>systemic inflammation leading to airway compromise/shock and death if untreated

>> No.9793731
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9793731

Guys, how do I fix the unending smegma build up in my dick? Washing it isn't working. Does it have anything to do with my diet?

>> No.9793742

>>9793707
If you mean pure science for your scientist side, consider genetics, metabolic medicine, or radiology+medical physics. There is also clinical chemistry and pathology which are of course mostly lab jobs. Otherwise all specialties can conduct research.

And don't worry about your classmates. In the UK 50% of med students will become GPs regardless of what they said they wanted to do. Such is life. Throughout high school I said I wanted to be a plastic surgeon, then I switched to IM after watching too much House, then I thought I wanted to go into emergency medicine because of some good documentaries, Dec 2017 I was deadset on general surgery after a really good rotation with a really nice resident, then I briefly considered Psych because I enjoy talking to patients w/ schizophrenia and the MSE, now I'm thinking gastro. That's life. The more hands on experience you get the more crystallized your choice will become.

>> No.9793745

>>9793731
You need it since it functions as a natural moisturizer and lubricant. Dw about it, just don't go overboard with washing it off. All you need to do is keep it under control so it doesn't impair movement, doesn't become an infection risk and doesn't smell awful. Nothing to do with diet

>> No.9793748

>>9775282
you are not a very good doctor if you actually need imaging or testing to diagnose obvious pathologies just by pure clinic. Also for most diseases the real clues to the diagnosis are in the history. The real good doctor is the good semiologist not the one who asks for the better exams

>> No.9793760

>>9793742
This can't be more truer, I went from ophthalmology to psychiatry to neurology back to psychiatry to infectious diseases and now I'm thinking of IM to cardiology... it's a goddamn roller coaster

>> No.9793762

>>9793745
Alright, thanks doc.

>> No.9793895

>>9792286
We started with biology, chemistry, anatomy, medical physics and biophysics. Separate textbooks, but still pretty acessable information, nothing too crazy. You revise the stuff from highschool and build upon it.
>>9793742
>>9793760
Yeah same shit with me. 2nd year I wanted to be a surgeon cuz muh operations. Then 3rd year when I saw that surgery isn't that big of a deal and surgeons with long year practice almost don't feel like doctors (the way they talk, the way they think and treat people). So I wanted to be a pathologist, because my tutor was hella awesome. 4th year I was thorn between IM, pathology and anesthesiology and now 5th year I'm certain I want to be an anesthesist. Who knows what I'm gonna be in the end.

>> No.9793988

GO TO HELL

>> No.9793990

>>9793304
Would I be considered employable as a newly qualified doctor at 40, though?

>> No.9794028

>>9793729
>conflating anti inflammatory as a term where the immune system is being hindered by drugs with a situation where it is useful
Yeah, this is the problem with not understanding the mechanisms involved in the illness you are trying to treat and why doctors cause most harm. Horses don't live long after being administered steroid injections, that's because you're making it even harder for the immune system to keep up. Instead, change their fucking diet and reduce stress. Yet, doctor's first line of recommendation is drugs to push the pharma directive. I remember reading somewhere that some doctors are heavily incentivized via money and benefits to shift as many drugs as they possibly can.

YOU CAN'T RECOMMEND ANYTHING RESPONSIBLY UNLESS YOU UNDERSTAND WHAT CAUSES THE ILLNESS. THIS SORT OF FALSE LOGIC IS COMPLETELY IRRESPONSIBLE. MOST ILLNESSES ARE CAUSE BY THE GUT MICROBIOME AND HOW IT INTERACTS WITH FOOD, HIPPOCRATES KNEW THIS BEFORE WE EVEN KNEW ABOUT BACTERIA, WHY ARE DOCTORS TODAY SO RETARDED HONESTLY IT'S LIKE WE'RE STILL IN THE MIDDLE AGES WITH LEECHES AND SHIT FUCK THIS GAY EARTH. OTHER FIELDS ARE NO BETTER EITHER QUANTUM MECHANICS IS SO MISINTERPETED IT'S COMICAL.

>> No.9794153

>>9793742
Great post m8. Maybe I should have prefaced my "I want to be a scientist too" bit with my research background, which is in pharmacology. I helped a PhD student with their breast cancer project and enjoyed that a lot more than my own thesis project (endocrinology).

It's why I was slightly inclining toward medical oncology.

In the end though I'll do as you suggested and play it by ear as I go through my rotations and such.

>> No.9794195

>>9793990
You certainly won’t be first pick for residency for highly desirable places but who really gives a shit; plenty of other medical professionals would argue that working underserved populations or remote areas is far more rewarding psychologically and beneficial for you to hone your intuition. You get to see a larger and more varied set of patients and can legally get to do more than the the average medical center MD.

>> No.9794232

>>9770846
What is medically the least painful and/or most effective method of suicide?

>> No.9794250

>>9794232
Either swiss euthanasia or shotgun to the head.
Don't do it, though, just go out for a walk or something, you'll feel better eventually.

>> No.9794316

>>9793990
Shouldn't be a problem esp. if you go to an underserved area. However your workload will not be reduced for your age-in my hospital there is a ~45yo medical registrar (resident) who has to keep up with the 25yo registrars.

>> No.9794319

>>9794028
But inflammation is useful in sepsis-the patient has the pathogen in their bloodstream so the body induces systemic inflammation. It just so happens that we need to beat down this inflammation because its side effects (vasodilation->blood pressure tanks->shock) are not good for organ function even though the inflammation is indeed fighting the infection.

>> No.9794328

>>9794028
Oh I actually just thought of a better example, rheumatic fever. Inflammation induced against own heart due to cross reactivity with strep antigens. Inflammation definitely not helping there even though the immune system is doing the standard response-just against a very similar but wrong target. Ah and also Dressler's syndrome which is pericarditis ~2 weeks after myocardial infarction (heart attack,) presumably due to some kind of erroneous autoimmune reaction against antigens released from damaged heart muscle. Also a situation where inflammation is "correct" but not helpful.

>> No.9794378
File: 148 KB, 356x589, hpv.png [View same] [iqdb] [saucenao] [google]
9794378

when u see it...

>> No.9794422

>>9794328
Scenario 1 seems applicable, but 2 may have been the result of toxins building up in the heart which caused the initial heart attack so that may be a case where it would be better to understand the underlying cause and treat that rather than prescribe anti inflammatories

>> No.9794449

Taking USMLE Step 1 in 5 days. May Dr.Sattar, and Dr.Ryan bless me with their knowledge.

>> No.9794501

>>9794422
Except heart attacks are caused by the sudden blockage of heart vessels by a new clot on top of long term progressive blockage by buildup of what are basically plaques made of fat and inflammatory cells (in response to the fat,) so we already know it doesn't involve toxins

>> No.9794505

>>9794449
Good luck, even if u don't do well just rmbr bad step 1 is not a death sentence, you will still become a doctor at the end of the day!

>> No.9794508

>>9794505
by "day" I mean 3 hard years lmao

>> No.9794550

>>9794501
you're lumping all heart attacks into a single category
this is a prime example of doctors using false logic to treat illness
I'd tell you the exact mechanism by which cellular damage occurs, but I don't think any of you hacks deserve the next nobel prize/ first class degree so figure it out yourselves

>> No.9794561

>>9794550
I mean, by definition they are caused by ischemia, though the exact cause of that ischemia can obviously vary-but the actual event comes down to the same final mechanism, whether it's PE raising the trops due to poor oxygenation or a STEMI/NSTEMI clot. Perhaps you are confusing cardiac arrest which does have a variety of interesting causes, and myocardial infarction?

>> No.9794567

What do you guys think about the Dr. Mike vs. Dr. Hope YouTube drama?

I think Mike's a dick.

>> No.9794578
File: 867 KB, 615x684, 22dnyo.png [View same] [iqdb] [saucenao] [google]
9794578

>>9794378
Jfc...

>> No.9794654

>>9794561
A heart attack is just an informal term for a myocardial infarction. I don't think "heart attack" has a precise medical definition. MI is simply any death of heart muscle caused by inadequate blood supply. The cause of MIs could be all kinds of things. CAD, vascular spasm, emboli, cardiac arrest, coronary hemorrhage, shock (cardiogenic or otherwise), bradycardia and other arrhythmia...

I don't have a horse in your argument, I just wanted to clarify the point.

>> No.9794703

Med/Surg nurse here.

You motherfucking PCPs need to visit your patients in the hospital. Don't fucking call me for an update and give you a 100% description of your patient when I am taking care of 6 other degenerates asking for dilaudid every 2 hours. Fuck you and drive your overpriced piece of shit car to the hospital and talk to the patient and their family yourself. Fuck you.

>> No.9794743

>>9794703
Communicating medical information to doctors and families is 80% of your job as a nurse. You must be a terrible RN.
Also:
>Primary care docs
>Owning nice cars
Lmao nice joke.

>> No.9794782

>>9794743

Don't worry, patients and the families love me.

For instance, yesterday this family wanted their 96 year old mother to get put on comfort care/hospice. We could not get a hold of the doctor. Nobody was on call for him. HOWEVER, he still writes notes as if he visited the patient in the hospital. The family and I do not know what is going on and I look like the idiot because I cannot continue the patients plan of care.

Im all for communicating, but shit like that and the laziness some of these fucks have is astounding.

Also we have a PCP that scrubs in for surgeries so he can get extra money for "participating" in the surgery. Greedy fuck.

I can go all day about the incompetence of some of these guys. This is a minority tho. Most are good people.

>> No.9794799

>>9794782

Here's another. This 21 year old has some congenital adrenal issue and his BPs have been in the 80/50s even when on IV fluids. He is supposed to be discharged today after having an tonsil abcess removed. I call the PCP about the low BPs and the mother being concerned. He tells me "Have him do a couple laps in the hallway, take his blood pressure, tell him to see me in 1 week."

Really man?

>> No.9794824

>>9794782
>>9794799
What's the skin color of these incompetent PCPs?

>> No.9794856

>>9794654
Fair point, I wanted to try and laymanise my explanation since this is 4chan and also I'm getting trolled, but hopefully some lurkers can learn something interesting and useful

>> No.9794868
File: 17 KB, 320x320, 1527355456596.jpg [View same] [iqdb] [saucenao] [google]
9794868

Do TNF inhibitors like adalimumab make any sense for antibody-mediated autoimmune disease?

>> No.9794870

>>9794703
>You motherfucking PCPs need to visit your patients in the hospital
That sounds like a massive waste of resources. Is this really a thing?

>>9794799
Don't you have docs on the ward?

>> No.9794876

>>9779972
Vyvanse and Adderal - things of that nature - will create new dopamine receptors in your brain, and the intial dose will stop working. CNS stims are shit. Ask for Modafinil, you won't regret that.

>> No.9794878

>>9794799
idk... If that's his baseline, negative orthostatic, normal urinary output, no obvious signs of shock, no significant tachycardia with walking, normal labs and hypotension is expected in his condition I don't see why you would want to keep him if his CC is resolved.

>> No.9794879

Given CPR isn't meant to resuscitate a person and we assume there's no heart starter nearby, would you recommend hammering a person's chest with your first in order to try and start the heart?

>> No.9794883

>>9794878
It could still be lupus.

>> No.9794891

>>9794868
TNF-⍺ is a cytokine, not an antibody, though it is of course involved in many many inflammatory pathways. Would just look up the guideline

>> No.9794901

>>9794879
If you saw the person go down you can give them the precordial thump, i.e. basically hitting them in the chest once and see if it works. You look like a hero if it works, an idiot if it doesn't. If it doesn't work you CPR them. Get that blood flowing to their brain and air moving in their lungs.

Also CPR (and a touch of adrenaline) is meant to resuscitate a person if the rhythm is non-shockable. It is in the name after all.

>> No.9794908

>>9794891
It's for an extremely rare condition without any treatment guidelines. Empirically, prednisone has had some effect, mycophenolate mofetil has had minimal effect, and methotrexate has had moderate effect but not enough to fully treat it.

>> No.9794909

>>9794879
They used to do that, it's called a precordial thump. It used to be in the ACLS protocols for witnessed cardiac arrest, but it is no longer recommended officially. I do believe that ROSC was achieved on a couple occasions with a thump, though. I think that the reason it's no longer recommended is that it can dislocate the sternum which complicates high-quality chest compressions. If you're any kind of licensed medical professional on or off shift, I highly recommend never performing a precordial thump because it would probably be grossly negligent. If you are a lay rescuer, on the other hand...

>> No.9794915

>>9794908
Ah one of those conditions. Sorry to hear that. Would err on the side of caution and only go with things that have evidence unless you can sign yourself up to a trial with a good background of basic science-be careful not to let desperation cloud your judgment. So many potential treatments that had basic science backing turned out to be complete disasters in practice.

>> No.9794933

>>9794915
I mean honestly what's the worst that could happen? The treatment is going to end up being some kind of immunosuppression regardless, but the question is what kind.

>> No.9794953

>>9794933
Fair point, some quick reading seems to show most of the nasty reactions reverse on stopping the mab. Ultimately it's your case and how much risk:benefit is acceptable to the patient depends on their personality, just make sure that the science shows it will be relevant to the pathology-discuss with doc, etc etc. No point trying something if there isn't even the justification that it might work

>> No.9795002

>>9788233
Do you even /his/? China had along history of inventing innovative shit, they just didn't know what to do with it. For the worst in the world at everything, just look to Africa.

>> No.9795034

>>9795002
Do YOU even /his/?
https://en.wikipedia.org/wiki/Century_of_humiliation

>> No.9795050

real talk.
diagnosis on smells?
smelling like maple syrup
burning?
maybe sorta of a very offputting smell that doesnt smell sour but maybe irony metallic or rusty?
what new diagnostic tests can i get?
that dont deal with xrays MRIs or cat scans.

how much of your work is really having the right supplies?
like stethoscopes, sterile environment, saline bags, that microscope light wand thing.

like what would i really need to be my own doctor? take my own samples, examine samples, diagnosis, treatment.

>> No.9795061
File: 39 KB, 1280x720, maxresdefault[1].jpg [View same] [iqdb] [saucenao] [google]
9795061

>>9795050
>like what would i really need to be my own doctor?
knowledge

>> No.9795071

>>9794876
what about atomoxetine? Im starting on that tomorrow. I thought you had to be narcoleptic to get modafinil

>> No.9795132 [DELETED] 

I need pictures of one of those Fridge boxes for transporting human donor organs ,can somebody help me?

In google I just find fake ones for beers and shit.

>> No.9795163

>>9795050
>right supplies

So you actually have a point there, in the "doctor on the plane" scenario we're not much better than a paramedic-somebody who's actually trained to operate in the resource low environment that is prehospital medicine

You can buy or own steth, just get a cheapo one from Alibaba since u won't have the experience to interpret your findings anyway

>what would I really need to be my own doctor
Even if the average layperson was given full access to all hospital resources, they would a) not have the background knowledge to choose the appropriate diagnostic tests and treatments, b) not able to interpret the results correctly, c) not have the experience to physically carry out the treatment and manage complications. Ultimately true "doctoring" (i.e. "the art of medicine") is shown when a patient comes in with ambiguous symptoms and an unusual course of disease. No guideline will help you then.

In fact we already see such evidence in the form of

a) laypeople demanding antibiotics for cold symptoms because they do not understand how to differentiate between a viral and bacterial infection, and don't have the science knowledge to understand why antibiotics do not improve viral symptoms

b) Attendance at EDs and urgent cares keep going up because access to care is improving but laypeople cannot differentiate a true emergency from a non-urgent benign condition

c) Rich patients going to concierge doctors/private doctors who will simply sign their scripts and order whatever tests they want. Such patients order many irrelevant blood tests, over-irradiate themselves with imaging, and of course chose suboptimal or irrelevant treatment for themselves because they do not actually understand the root cause of their symptoms.

>> No.9795178

>>9795050
>smells
Urinary tract infection urine smells pretty bad.
DKA breath smells like nail polish due to ketones. Problem is the ability to smell ketones is genetic.
Severe liver failure causes "fetor" which smells pretty bad.
Melena smells awful and travels through the ward so you can get that symptom without even seeing the patient. Efficient!

>> No.9795226

>>9795050
Taste your piss. If it's sweet it might be untreated diabetes

>> No.9795259

>>9770846
Hey docs,
Tomorrow I'll get a cystoscopy and I'm a scared bitch right now, because I don't want a camera inside my dick.
Does it hurt? I'm getting only local anesthesia and no sedation, btw, because public medicine is cheap.

>> No.9795299

>>9795034
China was the laughing stock of the world for a single century where they were unfortunate enough to be in the way of competitive European powers. Before and after that period they were extremely historically relevant, largely at the forefront of technology, and developed a sophisticated literary culture of their own. None of those things can be said about Africa, especially not sub-saharan.

>> No.9795347
File: 98 KB, 814x960, 1477752304982.jpg [View same] [iqdb] [saucenao] [google]
9795347

how do you guys think about nudity? I thought most medfags are super desensitized but is that really true? Especially if youre performing a physical exam of some sort on someone underaged/attractive I find it hard to believe you wouldn't feel at all weird.

Maybe it's because I'm an amerilard and nudity is super taboo here compared to europe.

>> No.9795369

>>9795347
You'll get over it when you stop being an underaged piece of shit raging on hormones

>> No.9795427

>>9795259
Don't worry too much. It's more unpleasant than painful.

>> No.9795449

>>9795347
That's so naive, Dylan. You don't think time will vaporize names like Einstein? Not even after a million years? Keep adding zeros until you realize death and time vaporizes all.

>> No.9795487

Any of you guys work in hospitals that do immuno-PET imaging? I work on synthesizing chelators for it but as far as I know it's kind of new/a recent development and the only hospital I've heard of so far in NY that does it is MSK, although I couldn't get a straight answer from the docs at Presbyterian if they had it

>> No.9795588

>>9795259
Did a 10wk urology rotation.

Firstly the local anaesthesia is probably Instilligel which is a combo anaesthesia+lube and will numb your whole urethra after a minute, not just the tip. Secondly, I can say that the panic of the experience varies widely between patients. It is obviously uncomfortable but how much that panics the patient depends on their personality. Some patients barely flinch. A few end up wailing especially if they misunderstood how invasive the procedure is (it's not) and misinterpreted how large the scope feels (it's very narrow)-tends to be patients who don't speak English as a first language or have poor educational background. Most patients experience initial discomfort during anesthetization and insertion but the rest of the procedure is fine. Mostly it is patients who went in with preconceived fears and expectations that panic the most. Patients who only found out they'd be getting a cystoscopy minutes-hour before don't say much during the procedure.

>local anaesthesia
This is SOP. Cystoscopy is not an invasive procedure and full anesthetization would be a pretty shit risk:benefit ratio for a 10 minute discomfort tops. For a normal cystoscopy, it can be even less time since the consultant will take pictures to review later anyway. Generally we reserve exam-under-anaesthesia only for patients with a genuine medical problem causing pain (e.g. previous urethra injury, abnormal anatomy) or psychological (e.g. childhood sexual trauma.)

You'll be fine. You're fear-hyping yourself up right now which is just going to make it worse for you tomorrow. It's 10 minutes of discomfort and you will be getting the gold standard investigation for your issue. Nothing beats taking pics and biopsy right there during the cystoscopy.

>> No.9795594

>>9795588
2/2

Go in with a clean slate, free your mind of fears and expectations. Let the actual procedure do the discomfort instead of imagining how bad it might be based on some text and some crappy videos and out of context pictures. Just follow the prep advice and that's all you have to do. It will be fine.

>> No.9795596

>>9787115
>It's already been happening
Dude, the fertility rate in Nigeria and Niger are EIGHT kids per woman.

>> No.9795692

if you are aware of the possibility of anesthesia awareness and it turns out to be real you will experience less suffering as it happens since you know you will forget the experience.

if you are not aware of the possibility of anesthesia awareness and it turns out to be real you will experience far more suffering as it happens since you do not know you will forget the experience.

logically therefore, doctors are required by their code of ethics (which necessitates the reduction of suffering) to inform all patients undergoing general anesthesia that it is a very real possibility.

can anyone here prove me wrong?

>> No.9795706

why do doctors pretend herbs are controversial and unsafe and ineffective

>> No.9795710

>>9795706
herbs don't give them financial kickbacks

never forget the evils that capitalism have inflicted upon the field of medicine

>> No.9795716
File: 59 KB, 680x680, 9d5.png [View same] [iqdb] [saucenao] [google]
9795716

if constipation and straining caused diverticulitis wouldn't we see higher rates in opiate users/addicts

feel free to study this one, it's not as good or as brilliant as the above

>> No.9795728

[spoiler]>>9787307
>>9793748
I'm a scientist in the the field of magnetic resonance imaging.

I understand and do not blame you for the horrific unobjective and unquantifiable properties of the field you openly profess to be a bastard child mixed-breed with art.

But seriously, when will medicine not be shit?

When will you quantify and capture all important data?

When will you have proper statistics?

When will you be Worthy of the Species?

>> No.9795738

>>9793700
>And this doesn't even get into psych, where you have no imaging and no tests lol
We will the instant you figure out how the human brain works.

>> No.9795739

>>9795706
Because a lot of medicine comes from herbs that have been synthesized to remove unnecessary and potentially dangerous compounds in order to extract working compounds with medically verifiable effects.

'Alternative medicine' is precisely named as such because if it has verifiable medical benefits it simply becomes 'medicine'.

>> No.9795746

>>9795739
Do not doubt the influence of corporations my bushy tailed medical student coposter

there is a reason /pol/ and to a lesser extent this website is obsessed with jews

money does indeed rule everything

gotta provide that shareholder value

often doctors do not know this because you live very sheltered and secluded lives completely outside the reality of the capitalist world in which we live

>> No.9795749

I often have this dull abdominal pain and when I go running I get a bloody taste in my mouth. What's wrong with me? The pain doesn't feel like it's from my digestive tract

>> No.9795756

>failure anon not curing cancer

>> No.9795764

>>9795710
Retarded communist logic: why dont drug companies spend billions of dollars to make me free drugs.

>> No.9795769

>>9789433
mirrors their iq

>> No.9795773

>>9795764
pretty sure the main reason pot is still illegal is because opiates were a big money maker for everyone for a long time

inb4 pothead, i think i've smoked 2 or 3 times, the last one 8 years ago

>> No.9795774

>>9795749
GERD. Or maybe cancer. Either one, it's a toss up.

>> No.9795779

>>9795692
Remembering anesthesia awareness depends on what anaesthetic was used since some, classically propofol, have stronger amnesiac effect.

In any case every patient already knows that it can happen from all the fearmongering articles. However it is extremely rare and ultimately not physically harmful compared to the more common complications.

>> No.9795789

>>9795706
They interact with the meds we prescribe (e.g. St John's Wart) which is kinda annoying. Additionally, we have exhausted most drug candidates from plants (most famous recent one is artemisinin) and turned them into "drugs" already. Ultimately if the herb is safe and effective big pharma has already turned it into a drug with predictable pharmacokinetics.

>> No.9795791

>>9795738
I hope so too. But that dream is still a ways away and in the meantime there are mentally ill people to be helped with our limited diagnostics and tools.

>> No.9795792

>>9795779
>However it is extremely rare
Hold on, it's proven to exist? I didn't research it because it's terrifying and the worst thing possible.

Perhaps I'll work on a variant of MR-OR where regular surgery is done while brain activity is measured in order to solve this problem.

>> No.9795798

>>9795791
>they have problems?
>drug 'em lol XD
t. america

why don't you hook up remote measurement devices like we give to criminals and only give them their addictive mind-fucking drugs if they stay sufficiently active and healthy

>> No.9795802

>>9795792
>brain activity is measured during anesthesia

Actually we finally have this in practice https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4823404/

just need to shell out the $$$ to buy it for the gasmen. Anaesthesia is pushing for its inclusion because "it's so nice to have." Finally don't have to rely on clinical findings to measure depth of anaesthesia

>> No.9795805

>>9795802
every patient who might have to go under should fight for this

also i know it's late but
>single author
wtf

>> No.9795806

>>9795798
You want to give the schizophrenic with mass surveillance delusion... a surveillance device??? If he didn't hate us before he will now

>> No.9795808

>>9795805
>>9795802
>gook journal
"research" discarded

call me when whites publish it in white journals thanks


>>9795806
>let's ignore the fact that 90%+ of patients have depression or adhd or something simple that basically just exists to make corporations profits or to give patients a chemical 'push' because they're lazy subhumans

lol and i thought your profession was about horses, here you go memeing about zebras

>> No.9795809

>>9795805
Ayy lmao there was a cochrane review further down http://www.cochrane.org/CD010135/ANAESTH_entropy-or-eeg-based-depth-anaesthesia-monitoring-adults-and-children-undergoing-general-anaesthesia

sorry my bad haha

>> No.9795811

>>9795809
thanks, sorry but if doctors get to say 'le history tells you the most ;^)' aka "i get to the result by stereotyping" (because it works) so do i about races

fucking thirdie countries just push out so much worthless made up trash it's disgusting

>> No.9795815

>>9795808
Ok well, antidepressants have proven efficacy for moderate and severe depression so there's that. Don't personally know much about ADHD tx as my psych rotation was mainly triage ward. Agree we need to do better but our psychotherapy and CBT resources are very limited. Too many patients not enough staff

>> No.9795825

>>9789411
If it was really harmful jews wouldn't do it to their own kind.

It's probably used because sex and women are an addiction which distract you from success (see buffets quote about 'liquor, ladies and leverage') and by attenuating the pleasure associated with carnal acts it makes you focus more on other activities which produce pleasure which are not attenuated

>> No.9795832

>>9789425
>i want to work insane hours and deal with annoying stupid sick people and jew hospital administrators / pharma companies / all the other profiteers ruining medicine

why tho

>> No.9795839

>>9795808
Oh I should add, on a population level there's tons of depressed patients but in terms of usage of psych resources, schizophrenia is a heavy user. In terms of the inpatient population it's basically schizophrenia>manic episode>everyone else. These patients will probably relapse no matter what we do, additionally, we have to be very careful with how we communicate with them because if we become part of their persecutory delusion, we've lost our rapport. So tx of schizophrenia is still very important even though the incidence is like 15/100000.

>> No.9795842

>>9795839
schizophrenics aren't human beings

>> No.9795848

>>9794232
helium mask with the following backups
>in case that fails : time delayed explosives in room --like the kind that blow you into 1000 chunks
>bonus ponits if it's setup so anyone who comes to rescue you is told they'll be killed so they all fuck off and let you die
>in case that fails : some kind of delayed posion that will kill you but won't make you suffer
>in case that fails : put out some hits on yourself
i gave this topic like 2 minutes of thought talking to a friend of mine, so there's probably a few more backups you can include, but this is how i would do it.

>> No.9795852

>>9795842
Mental illness is separate from personality man, you can't hate them just because when they're off their meds they ramble some completely delusional shit. Certainly I would be happy to chat with these patients in public as long as we didn't mention their delusions. Plus a surprising number of these patients held down solid jobs, uni degrees and family before they went full paranoia so I'm inclined to believe that underneath their schizophrenia they're actually decent people.

>> No.9795854

>>9790112
good post by a good poster

i see great potential in this general and i hope it continues.

literally gives me hope in this awful worthless shithole website

>> No.9795855

>>9795852
*Except for personality disorders of course, that's a whole 'nother can of worms

>> No.9795863

>>9795852
look that's a lot of words but i'm here to improve medicine and help The Species i can't be assed to care about lemon brains dude i know you're a shrink you gotta but i can't fucking redirect projects to treat this subgroup when i could treat diseases like depression which cause 100000000x more Harm since it impacts people who are or could be incredibly valuable whereas basically as schizos are completely shot. (inb4 nash, the one of like 10,000 mathematicians who developed it later in life after he did his good work)

it sounds cold but i am not a practicing clinician, i am a scientist and i have to look at the big picture

>> No.9795875

>>9795863
I think of it in the opposite way, if we leave schizophrenics on the wayside we are wasting a lot of potentially talented people (esp with several of the patients I saw on my rotation.) Schizophrenia tends to strike right at the start of college/uni years which is just real fukn unfortunate. If we can get them to a level where they can function normally in society we just reclaimed a bunch of STEM, architecture, artists etc from the curbside. Hell they can go on to have kids who may also be potentially talented. Also schizophrenic patients mostly use our inpatient+community mental health resources and drug budget while depressed patients use our outpatient psychotherapy/CBT* resources. Not much overlap between the two patient bases' resource consumption.

*CBT may be useful in schizophrenia as well but the 1st line tx is obviously antipsychotics. Gotta get them down to the same plane of reality before we can have a solid chat about how we're gonna treat them long term.

>> No.9795881
File: 36 KB, 663x579, c2d.jpg [View same] [iqdb] [saucenao] [google]
9795881

>>9795875
>letting mentally defective people have kids

sorry i had to

but i suppose you are right regarding resources. yours are different than mine in both nature of resource and output.

>> No.9795883

best way to learn anatomy is get high resolution MRI scans of your entire body and then label the segments and study them btw

poorfags can fuck off, are you telling me you don't own an imaging center?

>> No.9795884

>>9795881
Slippery slope my dude, there's some kind of genetic predisposition to depression so are we gonna ban some 4% of the global population from having kids too?

>> No.9795885

>>9795842
and you are not a very smart human tho, aberrant neuronal pruning resulting in cortical hyposecretion and basal hyperactivity of dopamine is not the schizophrenic's fault, it's like saying hemophiliacs are not humans because they were not born with antihemophilic factor. It is straight up idiocy.

>> No.9795886

>>9795884
2/2 they could be depressed STEM parents having STEM kids. /sci/ babies lmao

>> No.9795887

>>9795884
>schizophrenia is the same as depression
nope

>> No.9795890

>>9795885
I didn't blame them, I just don't consider them human. They're hardly the only group i consider subhuman though.

>> No.9795891

>>9795887
It's not but it could certainly be argued they are mentally defective (on bio psych and social level) no?

>> No.9795893

>>9795891
Except that it's far more common and far less debilitating and arguably isn't even real/

>> No.9795895

>>9795893
>far less debilitating

Would have to disagree esp. in practice, and also when considering the population of this godforsaken image board lmao

>> No.9795896

>>9795890
well personally I consider you a nazi and as such I think you worth less than a mentally ill individual, you chosen to be retarded they didn't choose to be mentally ill

>> No.9795897

>>9795895
>4chan's terrible and full of pathologic people
>except me lol
every time

>> No.9795898

>>9795896
>people with opinions i don't like are nazis >:(((
where do you think you are

>> No.9795899

>>9795897
I mean I only came back here yesterday. Haven't been on 4chan since I started seriously working towards med school. Then again I basically only did /b/ so yeah I was a complete retard back then lol

Jokes jokes jokes

>> No.9795901
File: 88 KB, 645x729, 1507937808504.jpg [View same] [iqdb] [saucenao] [google]
9795901

>>9795893
> Depression isn't real
> Doesn't even knows the difference between depression and major depressive disorder

>> No.9795902

>>9795898
To consider another human a subhuman is by definition nazi's ideology you idiot

>> No.9795904

>>9795899
we all started somewhere anon. i think i first was a /b/tard many years ago. but this general is pretty good.

as long as you're not a redditor you'll fit in fine

>>9795902
What does considering groups subhuman have to do with Socialism for an Ethnic Group (aka a Nation)?

>> No.9795909

>>9795710
There's a great amount of pleasure and control that comes from having someone use something of your own, and I think the monetary end can be a token of that.
>>9795739
>medically verifiable effects
So do herbs so I don't know why you say that.
>potentially dangerous compounds
Not many useful herbs have dangerous compounds so I don't know why that's so important.
>>9795789
There are a number of herbs I can't get a pharmaceutical form of though, and they do something different than in what they are used. Also, some can't be extracted, perhaps, but still work holistically.
>>9795863
Makes you wonder why society is composed of people acting on behalf of sub-groups when they could all be going right for the real problem.

>> No.9795910

>>9795901
American detected.

>> No.9795911

>>9795904
You are seriously retarded anon, you don't even know history properly! Nazis considered everyone that wasn't arian a subhuman, some kind of animals and so they treated them, among those where the mentally ill... so you do agree that at least schizophrenics are not humans despite the fact that the entire society agrees that they have the same rights and freedom than you when not psychotic, and yet you consider them subhumans and so you agree, or partially agree with nazi's ideology in that there are humans that should't be called humans, and so subhumans, animals. you are seriously fucking disgusting.

>> No.9795914

>>9795909
>There are a number of herbs I can't get a pharmaceutical form of though, and they do something different than in what they are used. Also, some can't be extracted, perhaps, but still work holistically.

If you mean the psychoactive stuff, that is a fair point and I have no answer to that other than regulations on such herbs for personal use should be relaxed. Blah blah right to modify own body etc etc

WRT actual clinical use, we really value predictable pharmacokinetics so we need that stuff extracted and turned into a drug with solid data. Have yet to meet a herb with a therapeutic benefit that could not have all of its active compounds extracted and tested. I mean they got clued in on artemisinin from a fukn ancient traditional chinese medicine textbook. Doesn't get any more alternative than that lmao

>> No.9795915
File: 24 KB, 600x647, 1523738469647.jpg [View same] [iqdb] [saucenao] [google]
9795915

>>9795910
Ignorant fuck detected

>> No.9795916

>>9795911
What's your ethnicity anon? Back through at least 3 generations.

>> No.9795917
File: 455 KB, 1760x1168, 123123123123.jpg [View same] [iqdb] [saucenao] [google]
9795917

wtf is this shit?

>> No.9795920

>>9795911
This website is not for you.

I would recommend that you try another website, like Reddit or SomethingAwful

This is sincere advice. You Don't Belong Here, And You Never Will.

If you get this triggered by a quick 4chanian quip you're not gonna enjoy your time here.

>> No.9795921

>>9795915
Diagnosis of amerifat confirmed.

I'll see if we can schedule you with the euthanologist next week

>> No.9795922

>>9795917
Source? Need context. Top layer of skin is peeling off on limbs as well. Seems like a complex injury

>> No.9795923

>>9795917
acute life rejection

>> No.9795924

>>9795922
2/2 my first thought was fasciotomies to make space for swelling but I've only seen them done on limbs. Need context

>> No.9795926

>>9795917
Escharotomy due to Burn induced compartment syndrome
le classic

>> No.9795928

>>9795926
Ah at least I was on the right track with fasciotomy... zzzz

>> No.9795929
File: 15 KB, 787x621, 18737261.png [View same] [iqdb] [saucenao] [google]
9795929

>>9795921
Can I have a second opinion tho? you don't seem to get your shit together doctor

>> No.9795932

>>9795929
All first world (read [even though it's hard for you] : Europeon) docs will agree on the diagnosis.

Sorry anon. It's terminal

>> No.9795936

Does anyone recommend a good medical show? I just finished the resident and was awesome, I don't get why they received so negative critics

>> No.9795940

>>9795936
House is good because

>Entertaining
>Technically accurate

pick one

>> No.9795943

>>9795936
Scrubs: most accurate to actual life as a doctor. Especially the first episode, eerily realistic.

House: yeah it's mostly unreal but the team meetings where they write on the whiteboard demonstrate how to formulate a differential diagnosis. Plus everybody loves a wacky diagnosis

The Knick: Historically accurate depictions of 1900s surgery

And of course, actual documentaries. Real life medicine is bizarre enough

>> No.9795945

>>9795932
You see doc? I don't get it! do I have Amerifat syndrome or Europeon disease? this is what happens when I agree on letting preUSMLE fags to help me

>> No.9795948

>>9795943
The Knick looks like my cup of tea, thanks anon

>> No.9795955
File: 858 KB, 400x225, 12312312312312.gif [View same] [iqdb] [saucenao] [google]
9795955

>>9795945
anon you do know how to read right?

>> No.9795956

>>9795948
Gore warning btw. But it is real. Ironically by going back to less advanced times it shows surgery in its full absurd/tragic/gorey/professional truth.

>> No.9795972
File: 883 KB, 547x753, 12341321.png [View same] [iqdb] [saucenao] [google]
9795972

Is your diagnosis acute N-wordnification syndrome?

>> No.9795976

>>9795972
Wowie that's pretty ischemic

DVT? What are the arrows for tho. Compartment syndrome?
Haven't done vascular/ortho surgery yet desu

>> No.9795988

>>9795976
you are on the right path, it's a quite rare syndrome but I've seen it at least 2 or 3 times before.

>> No.9796043

>>9795988
I wish non-whites were that rare where I'm from

>> No.9796055

>>9795988
I am certain that this is venous occlusion. Went on uptodate: phlegmasia cerulea dolens? The iliofemoral location of the DVT would be correct for the extent of the cyanosis in the pic

>> No.9796072

>>9796055
nice! it is phlegmasia cerulea dolens, an extreme presentation of DVT where the iliofemoral veins and it's collaterals get thrombosed. One of the cases I saw required amputation and the other two managed to get away with just postflebitic syndrome

>> No.9796079

>>9796072
Never heard of this until now haha. Always more interesting presentations to learn

>> No.9796114

>>9794232
Hanging. You lose conciousness quick and it happens pretty fast. I know this from forensic doctors.
>>9794703
>>9794799
lul surgeons in a nutshell
>>9794879
Suprisingly yes.
>>9795943
+1 for The Knick. So sad they canceled it.
>>9795972
phlegmasia coerulea dolens

>> No.9796123
File: 505 KB, 965x638, 12313142432.jpg [View same] [iqdb] [saucenao] [google]
9796123

Here is an easy one, is this a fulminant zombification disease or this guy worked in chernobyl maybe?
The guy had bipolar II disorder and was being treated for depression, everything started as some weird flu.

>> No.9796154

>>9795936
ER is the superior medical show. The first seasons are really good. ER uses medical lingo to boost the realism and it feels natural. In other shows they have to educate the audience and it's annoying af

>> No.9796163
File: 13 KB, 271x200, fucking_christ.jpg [View same] [iqdb] [saucenao] [google]
9796163

>>9795917
> ... jesus christ...

>> No.9796602

New thread?

>> No.9796628

>>9795706
Because the scientific method requires removal of confounding factors and the placebo effect. Effectiveness is difficult to test when you don't know what is doing what. Thus easily testable extracts like allicin are taken more seriously than garlic as a treatment.

Herbalists are also embarrassing people and doctors don't want to get made fun of for hanging out with them. That's an exaggeration, but people who automatically privilege herbs are doing it for sentimental reasons - if they were proponents of preventative dietary medicine, that would be different, but they are mostly hippies who don't like science.