No schizoposting editionOld thread died.>>10790892We discuss research, offer advice (the best one is to see your family physician), make fun of premeds and shitpost. Please keep vaccination/clamping/vitamin K out of this thread and start your own because it takes a lot of space.>What's the best spec for research?Path, onc, anesthesia, etc.>Best spec lifestyle wise?Psych, optho, derm, rads
>first year student>clown on nursecucks all year long>mandatory internship during summer>nurse lackey for 3 straight weekswtf bros how could that happen to me...
>>10798189Sahme gon kms
>surgery seminar>33 year old patient with thorax pain and breathlessness>suspected pneumothorax>slides say you should do a clinical examination followed by an ECG and chest x-ray>get asked why would we do an ECG>first thing that pops on my mind, to rule out a heart attack>guy looks at me like i'm retarded, asks why would i do want to rule out a heart attack in a 33 year old>just smile and say cocaine>he laughs >goes on to admit he doesn't know what an r-spike representsdo all surgeons have subhuman iq?
>>10798673>be surgeon>never has to interact with patients cuz anesthesiaseems pretty genius to me desu[spoiler]that's not why I study medicine and hope for I swear[/spoiler]
>>10798726>never has to interact with patients cuz anesthesiaIf only this were the case.
>>10798856That’s not that bad.What about anesthetists?
>>10798852Actual surgery is a very minor part of a surgeon's time. First you meet with the patient and try to figure out if surgical procedures are needed and what kind. Afterwards you have to assess the effectiveness of the treatment and determine if you there is a need for further surgical intervention.
>>10798113Any IMG's here? Where are you studying? Debating on Aussie and UK med schools if I can't get into one in Canada.
>>10798863You realize that most surgeons spend more time on consults and follow-up than in the operating room, right?
>>10799059This 100%And trying to get out of telling a hysterical family why their drunk 19 y/o honor student son speeding at 140mph hit a tree and died instantly.
Set to start med school in August, already feel like I don’t belong. I googled some of my classmates and so many of them have accomplishments like scholarship recipients, leadership positions, high gpa, double majors, research/pubs, defending thesis, interesting hobbies like photography, drawing. While I have a bottom 10% gpa for admitted students, average mcat for matriculates, no leadership roles, minimal volunteering, no hobbies aside from being /fit/ and browsing 4chinz and plebbit, no research. I feel like I don’t deserve my acceptance.
>>10799402It doesn't matter how much you fucking loved Lacrosse in middle school and how Obama changed your worldview when someone's guts are open.
>>10799402Someone on here once said, "as a rule of thumb, always assume that your classmates are retarded unless proven otherwise."Don't compare yourself to your classmates. Do things at your own pace.
>go outside>use public transport>spend day at uni>surrounded with niggers>public transport on way back>return home>headache and fatigue unless I napthis shit happens all the time. is it stress, too much noise, exposure to overwhelming stimuli or something else?
>>10799402The fact that you got accepted should speak for itself, you obviously demonstrated enough worth/talent/whatever the fuck in interviews. Which is likely more substantial and speaks to your character, better than that fag who climbed mountains on every continent or whatever other pointless shit they did.
I'm seeing more and more med schools making the interview/s and extracuriculars being more important than MCAT score and GPA as an admission requirement. All of this MCAT scores "don't outweigh other components of the application and there are no cutoffs for MCAT scores or entrance GPA." stuff. Will the health care sector regret this down the road, or is this to help the perceived shortage of doctors?
>>10799797Makes it to where there are less autistic docs and more docs with interpersonal skills
pls fix tinnitus
>>10799797It's an excuse so they can accept more dum-dums.
>>10799797Nebulous subjective criteria make it easy for them to discriminate against Asians, whites, and Jews without openly admitting to breaking the law. It will probably work out badly in the long run, but out of all the terrible social projects currently underway this is far from the worst.
>>10799690>surrounded with niggers
Going to start learning for a career in Clinical Speech Pathology.any good introductory resources from any audiology fags out there?
>>10799797It will help by broadening the scope of who can apply to medical school. The MCAT is not a very good predictor of medical school performance anyway and in my country the main component most schools care about is critical analysis and reasoning skills. Some school are also implementing another test called CASPer (basically an autist filter test). These things will ensure that the people getting into medical school have people skills (medicine is a humanistic profession afterall).
Please stop bullying premeds
>>10798922UK u will be a slave as an IMG , go for Canada or USA lol
>>10799797Where are you seeing this? Last time I had access to the MSAR (last year) average MCAT scores were the highest they've ever been, and no average GPA for a school I was applying to had decreased. When everyone is above the national 90th percentile you gotta figure out some criteria that's more substantially different than a 518 vs 519 MCAT or 3.91 vs 3.92 GPA I agree with >>10799948 That autist screens for 525/4.0 automatons without social skills and with delusions of grandeur are useful. From what I've heard GPA is the most predictive element of USMLE Step 1 scores, but even that number doesn't reflect the same amount of effort or achievement for every graduate from every university. And even then the link between Steps and clinical performance outcomes is tenuous at best.
>>10799948>critical analysis and reasoningnot well defined things and what you’re referencing is just intelligence which is easily assessed with MCAT scores and GPA.
>Pre triage, patient says it has been going on for 24 hours>Triage it has been going on for a week>When referred they say it has been going on for a monthWhy the fuck are patients like this
>>10800250Sometimes patients forget and then remember the timeline of their illness as they talk through it, but most often it's because doctors and triage nurses ask bad questions and don't listen carefully to answers.
>>10800391I've seen people change how long they've had something multiple times in the same day. I think in their head they think 'if I say it's been going on longer that means it's more serious which means they'll treat me better'.
Would any of you be interested in a /med/cord or anything of the sort
>>10800175>easily assessed with MCAT scores and GPA.Not that tight a correlation. Oh, and he's referencing a section of the MCAT (abbreviated CARS) so take your issues with the definition with the test makers you're defending
Frens, I intubated my second patient successfully yesterday :3 The day before that I witnessed two difficult Carlens tube intubations. In one of them the patient desaturated to 45. >>10798673You never know. He might have congenital problems he doesn't know about, WPW syndrome, fibrilation. It's a lot of shit. Many surgeons are retarded af. >>10799402Dude, fuck the others. If you learn to think clinically and do your job good, none of that shit matters.>>10800250This shit happens way too often. Or this:>from when are you in pain?>well it all started with an injury in 1965>he'll blabber about irrelevant stuff unless you interrupt him
>>10798113>last year med student>hate clinics and doctoring in general>going to pursue phd and academic and research career in the future
>>10800152>Where are you seeing this?I've seen it on a number of websites for med school admissions, including some IVY league ones.I also agree with >>10799948, heck my university's med school admission already has the CASPer and is now considering implementing the multiple mini interview system on top of the 2 interviews with admissions and medical department staff. In the summer, the med students attend lessons on interview skills, and then practice with random faculty and public volunteers who act out being diagnosed with cancer, hearing about a dead family member, etc. These sessions are filmed and reviewed.The way I see it is that the students will learn interview and interpersonal skills over time, build up what they already have. But admissions wants the perfect talker first shot.
>>10799151A surgeon would never do anything like that.
>>10800541Pro tip:Don't do anything where you have to deal with Westerns. Or any other kind of blotting for that matter. Fuck all gels too.
>24>Been in Medschool since 2014 (this is how my countrie's educational system works)>Fucking tired of Medicine, still get good grades in exams but I hate every moment of study.>Turns out I'm a mysanthrope and also tired of humanity.>Haven't touched a women in 3 years, turns out I'm a mysoginist (in my country 75% of medical graduates are women, I don't know how could I handle working with them)>By this time next year I'll be an MD.>If I let my career go I have two choices: killing myself or going into an Orthodox Monastery (have been really thinking about this one and people only give me weird looks when I half jokingly mention it).Sorry for the blogpost, I need to vent
>>10800782>>10799948>>10800152I looked it up (https://takecasper.com/test-prep/) and the test itself is autistic.1. Really in what world I am in a better position to make that decision than himself?2. Sure. She has no life outside when you see her, so if she behaves differently, it must be a mental health issue and not something else that happens in her life.3. I don't know, why don't you talk with your friend and ask him to explain the photos? Then you can report him if he has no good answer.
>>10801371No it isn't lol.
>>10801211You should work in primary care.
>>10800175You realize I was talking about a sectiin of the MCAT right? It assesses deductive reasoning ability.
>>10800782The last thing I want to do is defend any aspect of the med school admissions process, but I wonder if part of the reason is the increasing mental fragility of young people. The rates of anxiety and depression among undergrads has shot up in the last few years, and it makes sense for med schools to want to exclude students who are going to require full-time pastoral care to make it through and will still have time adapting to a high-stress profession. I'm a med student in my mid-30s, and it's incredible how many of the students who came straight out of undergrad are either total nutjobs or so sheltered an insecurely narcissistic that they're completely incapable of interacting with patients like normal people.
>be me>class president wants to share Google calendar so people know class schedules >decides to make new Google account>shares email and password to 160 people in the class>there's at least 40 devices connected to the account now>I know where they live>I can wipe their phones>all this because an idiot didn't know how to make a shareable linkMed students are fucking retarded. I fucking hate most of my classmates. Maybe the reason why most of them use Apple devices is because they're idiot-proof.
Is there any reason why I squeeze type-5 turds despite eating more balanced than ever? I mean I had surgery but it was almost 2 weeks ago already.
>>10798113So I am doing this for fun: i close my mouth and blow gently but forcibly through my nose. And I can hear a sound of air coming out of my ear. Not much just a little bit of a hiss. Is this normal or I have supernatural powers? Can you ask your prof next time you are in class next week?
>>10802209i mean close both mouth and nose and blow through the closed nose.
>>10802205Type 5's suggest a lack of fiber, try adding some peas, broccoli, pears, bananas, etc to your dietOr start taking fiber supplements
>>10799402Lol welcome to the rest of your medical career. There is always someone better than you. Just need to focus yourself on your shit and be proud of what you're doing. By getting into med school you're already quite above average.>>10799797GPA and MCAT are still the prime components of any application. You have to prove you can handle the academic rigor of medical training and standardized exams. Theres essentially yearly high stakes national standardized testing from start of med school to end of residency no matter what field you go into.
>>10799402nigga who cares, at the end of it you will all be MDsmost undergrad research is beyond ultra pleb, and they just do what a prof tells them to
>>10802293This FUCK undergrad research, bunch of fucking shit.
>>10800152>delusions of grandeurWhat does this look like
>>10802190People like you are why there should be better screening of med applicants.
>>10802205Take epsom salt. It work on pigs.
>>10802840I'm not the class president nor did I fuck with people's phones. I just ended up telling everyone what a dumb idea it was.
>>10802769Average med in that pic
>>10802217I eat bananas almost daily, and a fair share of vegetables, but it didn't change anything.
>>10801211Become a GP and join the monastery after you finish residency, that way you can be useful as doctor within the monastery.
>>10803156>I eat bananas almost daily, and a fair share of vegetables>I still eat lots of shit but ate some broccoli once this weekeat more fucking vegetables
>>10803189lol best post on /sci/
What's some nice resources on walking gait cycles?
>>10802044Yes it is. You're basically telling barely adult people to give other people advice about their career, parenthood etc. There is nothing abnormal about not being able to give good answers at that age.
>iso vocabulary does not have translation to my native languagewell i guess its time to pull words from my ass
Had a bit too much to drink three weeks ago, and I woke up with my toe hurting. Hurt for a few days and could run and whatnot on it, but it doesn’t hurt anymore. Is there anything I should or shouldn’t be doing? Also, how do you tell schools you’re stupid and put the wrong hours for something on your primary AMCAS? I severely underestimated my research hours, and I’m worried that’ll affect me when applying to research-focused schools.
>>10803497If it doesn't hurt anymore just let it be and it will probably heal. No way there's a fracture or the sort because there's no bruising on the finger itself, just the nail. If it starts hurting again, try some diclofenac gel and you're good to go senpai.
It has been a rough few weeks, my father suffered a cardiac arrest and long story short he barely made it in the house to call 911. He survived with minimal heart damage and has an ICD already implanted.He was put on Sotalol, a non selective beta blocker with potassium blocker attributes. From what I have gathered it is a pretty heavy drug and causes severe side effects which my dad is currently having. My dads family has zero history of heart rhythm abnormalities and the doctor told us that they have no clue why he went into ventricular fib after they did some tests. We are currently looking into this drug, and it doesn't feel like the correct choice since they have not clue why he had the arrhythmia. Of course he is still taking it and I urged him to see another doctor if the side effects become too much. Any aspiring cardiologists have any input on this? My dad told me the side effects are getting to a point that he would rather take the chances of having another attack than take the drug he is on.
>>10798113I'm becoming more interesting with natural factors that affect growth in people. Honestly, the idea of superhumans fascinates me.I want to know any potential pathways to explore this stuff, such as myostatin inhibitors and gene knockdown.I want to be a human guinea pig and try out crazy stuff. What else can I explore?
>>10803535>myostatin inhibitorsIf pic related is your idea of a super human then continue your path. I would say, start looking into synthetic muscle development. I see synthetic suits being made before genome editing.
>tfw ppl don't want FM
>>10803546what a DYEL
>>10803555>not wanting an uninteresting spec is redditSour grapes or just retarded?
>>10803635>FM>uninterestingKek, have you heard about derm? That's boring and uninteresting.
>>10803646FM is not as interesting as other specialties unless you particularly enjoy dealing with people.>what I don't like is redditMy point still stands, dumb premed
>>10803650>premed>?????Okay, senpai. It was just a joke but apparently, niggers can't take them. Stay mad premed failure.
>>10803655>no u>I was merely pretending to be retardedHow pathetic can you get?
>>10803657This is why I hate idiots like you, senpai. You're taking it waaaaaaaay to far. It was just a joke you assblasted premed. How is it to sit with a D in chem 2?
>>10803663>I'm not a premed you are!>projecting this fucking hardJesus christ this is embarrassing
>>10803668>greentexting like a weeb nigger Stay mad premed.
>>10803671Get the fuck back to where you came from you underage faggot.
These two don't represent most of us premeds I promise
>>10803673>being this assblastedPremeds these days...
>>10803671>stop greentexting>on 4chan
>>10803682S-senpai, pls stop.
>>10803684I'd love to kick you in the head. Just take a few steps run up then catch you with the full force of my steel capped toe under your chin, send you flying through the air.As you lie on the floor, coughing and wheezing and chocking on your own blood, your jaw a mangled mess of bones detached from the rest of your skull, I stand over you and laugh wickedly. You look up at me in fear and pain, your eyes searching, begging me for mercy. You find none. I raise my boot then stomp down, splitting your skull like a melon and finally ending your pathetic life.
>>10803686Shut the fuck up, nigger.
>>10803690How I would love to lock this anoninto a lead-lined chamber with a lump of uranium-238 inside for an hour or so. I would get someone to drag him out and watch as he starts puking and stumbling over his pathetic legs dizzily, finally losing consciousness. I would then take him to a comfortable bed and impersonate a doctor - putting him to rest, pretending to look after him and ensuring him that he would get better. As the days pass, the disgusting little goblin will get worse and worse, vomiting, shitting piping-hot bloody diarrhea and generally screaming in pain from his now burned and necrotic flesh, his internal organs failing and his chromosomes melting. But I would still lie to this festering imp and tell him it gets worse before it gets better. As he gets to his final stages of acute radiation poisoning, I will reveal that i lied to him the whole time and that he is going to die. The demonic pipsqueak starts bawling his beady eyes out as I let out a hearty laugh. He begs to be put out of his mercy, but I ignore his pathetic whines and start peeling his bubbling mottled skin from his tiny arms. The screams get louder and louder as I peel and peel, and I finally get some peace when I stuff the sticky, squelching flesh into his mouth. I get a bucket of his own bloody diarrhoea and rub it into his raw, exposed flesh, and finally close the curtain, turn off the lights and exit the medical room forever - leaving this satanic little munchkin to expire.
>>10803698Stay mad :^)
>>10803697He wouldn’t get radiation sick, idiot.
>>10803724>not recognizing the warwick copypasta
>spec you want now>spec you'll probably get>spec you wanted when entered medschoolFMFMFM
>>10802190literally samething happened in my class group80 idiots used the same google account- saw their porn searches- some girls had problems with STDs- some girl had pains after getting an abortion
>>10798113Why can't I build muscle?I hate myself
>>10804499I thought it was just third world idiots, but I guess that's not the case.
>>10798113Should a NEET who hates people and life go into med?
>>10798113>No schizoposting editionWhat did he mean by this?
>>10805029If you can't take care of yourself anon...why would you take care of others?
>>10805045Shush, no. He might start posting if you mention it.
>>10805029No. You're going to hate your classmates and colleagues.
>>10798113How can one determine whether they would enjoy practicing medicine as a physician or if they would dislike it instead? It seems like a lot of the doctors I know are miserable and hate their profession. Many of them seemingly went into it for the wrong reasons and turned out bitter and spiteful.
>>10805029That's what I'm doing my man. I'm just interested in medicine, we'll see how it turns out. Do it if there's nothing else you feel drawn to.
>>10805260It's a tough decision to make, going into medicine. My first interest in it was because I found it biologically interesting, back in middle school. In med school I found out dealing with patients and their diseases to be very rewarding. I was led into surgery (in fact urology) by a relative; I even underwent a period in general surgery residency, but quit for a multitude of reasons. Right now I'm working as a GP and trying out psychiatry (sorta like an intern, I guess). The plan is going with that. I'm absolutelly fascinated with psychodamics.This general frustration among colleagues is frequently because they probably frequently go into it for the wrong reaons - mainly, fiancial. Don't do medicine because of cash. Really, really don't. It's a very important aspect, surely, but it can't be the leading reason, You'll become bitter and spiteful thereby. It's consuming - and specially so if you don't particularly like itTL;dr: do you like studying how the human body works? Second: would you like dealing with illness as your routine?How far into your education are you right now?
>>10805260Work in and/or shadow people in healthcare for a bit. It's not perfect but it gives you the general idea.
>>10805176>You're going to hate your classmateslmao who doesn't
>>10802058It's always been shit. The only difference is now people are at least acknowledging that it's shitty.
>>10802058>The last thing I want to do is defend any aspect of the med school admissions process, but I wonder if part of the reason is the increasing mental fragility of young people.It's a huge dilemma. Don't select for resilient people: get students who won't apply themselves enough. Select resilient people and make them struggle for the post: select competitive and obsessive students. There's a reason physicians (and post-first-year med students) lead as suicide victims and in sucide-ideation. There are several adaptive features that select us, but they can (and often do) turn out as maladaptive traits.In short, this >>10805526
Why are Nuclear Medicine and Therapeutic Radiology (aka Radiation Oncology) separate residencies?
>>10805520An older doctor told me he once made legitimate bingo cards out of gunners who would raise their hand all the time in class. He sold the cards to other students.
>>10803646Yeah but they earn three times as much, money can make even something as painfully boring as derm interesting.
>>10805584How is derm boring?
>>10805587There are only three things a dermatologist will ever do. Steroid cream, skin biopsy, or "observation" (nothing). Spin the wheel to decide what you do because 99% of skin conditions are purely cosmetic and unimportant.
>>10805584Sadly, they do more money and it's understandable considering the fact that they have to deal with venereal diseases (not most of the time, but they have cases). >>10805595Also this is true. I never understood why people take derm besides the spec paying good money. FM seems thousands times more interesting and can do fellowships for subspecs far more interesting than derm will ever be.
>>10805611Because some people get tired of working long hours and just want an easy life with good pay and low risk. Derm provides this to an extent most specialties can't compete with, aside from ophto, but the latter being a surgical residency can be offputting.
>>10805615>FM>long working hoursOh, forgot you guys are mostly from US. How is the lifestyle of a senpai physician that works in a private clinic?
>>10805611If you have the good scores and you like the FM kind of practice (clinic, tons of patient interaction), you do derm for the permanent pay raise. The money is worth it to people even if they lose the variety in cases.
>>10805620FM has long working hours in some euro countries as well. Romania is not representative of how things are in the whole of EuropeMy FM doc easily breaks 70h/wk, he used to keep taking patients until 10PM
>>10805620In the US you work as many or as few hours as you want once you finish residency. The difference between FM and other specialties is that there are few urgent/emergent situations that require you to work overnight as opposed to surgery, ICU etc. In any case, I'm sure whoever you were responding to was comparing derm to more rigorous fields than FM. You choose derm over FM for the MONEY.
>>10805642Are you retarded? That's a lot for a clinical specialty in private practice.
>>10805615FM isn't long hours unless you want it to be. Most are in private or small group practices and set their own hours.
>>10805677>good payFM also doesn't fit this criteria.
>>10805670That's why I'm laughing at it. It's huge. My mom works 45 hrs /week (5days/week, 8 hours) and lets the office open overnight for minor emergencies (there are nights when no one comes)
>>10805722Which is why I said there's no European benchmark for FM hours. In my country, you can definitely choose to work 45h/wk, but your income will be very low by physician standards. My doc probably makes more than the average card or derm but he works like a fucking slave. FM here is not a lifestyle specialty at all.
>>10805595Really? Dermatologists here do a lot of procedures, mostly cosmetic jobs for aging women with rich husbands who are desperately trying to maintain their looks, but also fun tropical skin diseases.
>>10805682Not as good as derm, but still quite good compared to pretty much any non-physician job you could have.
>>10805729Here she gets paid approx 25k euros/year which is pretty darn good for Romanian standards. Middle-upper class easily.
>HEY GUYS! I JUST FINISHED 6TH GRADE N I WANT TO BE A DOTOR IN THE FUTR , XDDDD. WHAT DOTOR SHOUL I BEEE IF I'M EXTROVERT AND VERY SMARD HEHE XD? IM INTERESTED IN SURGICAL EPIDEMIOLOGY HEH BUD REGOMEDATIONS WHALECUM
>>10805808Stop making fun of pre-premeds
>>10805813I'm just making fun of the faggot that said he just finished HS and he wants to become an orthopod, kek. Doing this because he made fun of me because I want FM =( *tear down my cheek*
Can someone explain to me the new ECFMG law?>IMG trying to become a US doc
>>10805821So give him advise and don't sound like a sour faggot? What's your problem anyway?
>>10805885Kek, what advice can you give a high schooler about orthopaedics? I'm genuinely curious.
I was originally planning to take the MCAT in January but I was studying a little bit over the past few months and now I’m not sure.I tried a TPR FL around a month ago and got a 504 rushing through it in three hours.. I hear it’s pretty deflated.Do you think it’s possible to get in the 515-520s if I study until September and take then? I’m planning to take the first AAMC FL in August
>>10805887Share your experience ( give you even study med) about the branch. For sure their interests are likely to change along the way if they go into med, but no reason be a dick about it.
I saw this bullshit on /fit/ are they right or as retarded as I think they are?
>>10805965I'd say most of the supplements are just downright bs. You get enough protein from a healthy diet, so no need to be gulping down all those protein shakes, just eat a banana, sandwich or something after workout.
>>10805929The TRP tests tend to score a bit low, but going from slightly above average to well over 90th percentile is a huge jump. Doing that in two months would be impressive. The odds are heavily stacked against you, but if you have a high general test-taking aptitude and can study intensively and effectively for the entire time, you might be able to do it.If you want to be successful at medicine, you need to stop fucking around and get serious about studying now. You cannot just show up and do things half-assed. If you can't do that, you'll never make it through med school even if you manage to get in.
>>10805965Most animals can synthesize all the amino acids they need to build proteins. Humans can't, so we do need to get them from dietary sources. But >>10805973 is right, supplements are mostly bullshit. A healthy diet is adequate.
>>10805965it's bullshit. I'm muscular and lean (not ripped but have a 6 pack) and I've been eating a vegan whole foods plant based diet for 3 years. Quality whole foods are way more important than some magic ratio of macronutrients.My protein is about 10-20% of calories and I've had no trouble with gains. It's a myth. Moderate and excess protein is bad for your kidneys among other things.
>>10801168Nah, i don't plan on doing that. Neuroscience is my thing.
>>10805977Truthfully I think it was more that the TPR test focused more on stuff that I was weak on.It was the same when I was doing the Kaplan FLs — I would mostly get 128-129s but occasionally I would just have an off section and get 123-125 on it.If I were to take the exam in September.. I was focusing mostly on P/S over the summer, but I think I’d switch to focusing more on general stuff and trying to fill any gaps in content that I have.Thank for for your advice though, I appreciate you being honest, I know so many places they just always encourage people without being realistic.
>>10805985Do crystallization instead so you can waste a month’s worth of work on nothing
>>10805982No animal can synthesize amino acids.
>>10806100Is this bait? The name is a misnomer but nonessential amino acids can be synthesized by animals.
>>10805945Had ortho, was cool but not something that I'd see myself practice. I just hate the fact that the surgeons had to wear those lead costumes. The good thing is that precision is not as high as in other specs so if you want to hammer some nails in, be my guest, hit them as hard as you want, they will barely move anyway. Bone diseases were fine, fractures were boring. That sums up my whole ortho experience, nigger.
>>10806100??? Even humans synthesise non essential amino acids you fucking mongrel. The rest of them you acquire by eating stuff with protein.
hey guys i bumped my leg last night being silly on ket, do you think it might be fractured? there's a fair lump there and it hurts a bit, pretty sensitive to touch etc but i can walk on it
>>10806100Humans synthesize most of the amino acids m8. The ones we don’t are dietary protein.
>>10806127>>10806179From other amino acitd, though.
>>10806199You are fine, even if there is a small fracture you have two lower leg bones, so as long as you're gentle with it for a couple weeks it will heal back stronger. Most likely though you don't have a fracture at all.
>>10802773read my twisted world
>>10799948Thank fuck we don't have that bullshit here and it's just a difficult exam. Makes it easier for autists like me.
>>10806307Based non US bro.
Is nobody in these threads interested in a surgical spe?
>>10806404We have that guy that was on uro ward but he wants anesthesia. The others who want to practice a surgical spec are premeds.
>>10806422Why? It's not like all surg spes are NS tier.
Dr InternetI'm tired all the time, my muscles feel weak. All my blood tests came back normal except that my SHBG is 110 nmol/L and my testosterone is 48 nmol/L. My GP says this is unusual but because both are high they cancel each other out. I feel like complete shit. What is wrong with me?
>>10806274You can make proteins from intermediates of the glycolysis and the TCA cycle. Check the image I attached, you dipshit.
>>10806310I mean if you really want you can specialize into cosmetics or mohs, but for the average derm doctor clinic day you're not lasering moles. What you do is what family med does, which is talk with tons of people, like 20-30 people every day and tell them to stop scratching their ass or to put sunscreen on.
>>10798113what is your specialty?Or what are you applying for?
>>10806452If you took he tests in the morning, testosterone is fine because it's normal for it to be higher in the morning.
>>10805792Seriously, people who bitch about FM pay have never worked minimum wage before. Sub-urban FM docs in my state work 9-5 and make on average like 220K a year. The rural guys make like surgeon money doing the same.
>>10806639>tfw even romanian surgeons say that FM is a shit spec and they don't know shit but mom earns as much as a gen surg working full time isWell, now that's what I call living in Romania. (And the fact that sometimes I get robbed)
>>10806508The amine part still needs to come from somewhere, i.e another amino acid.
>>10806652Senpai, it's ANIME you dyslexic fuck.
>Why yes, I'm an Orthopedic Surgeon, how could you tell?Where my /ortho/chads at?
>>10806665Definitely not here famalam senpaialam
What's up with the /med/ inferiority complex towards surgeonCHADs?
>>10806676Surgeons are useless. I wanted to be a surgeon until my third year clerkship. If anything happened pre or post op the patient got sent to medicine without fail. "Oh that means the surgeons were trying to not waste their time"Bullshit. They spend most of their time outside of theatre in the lounge bitching about their lives watching ESPN. They sent everything to medicine cause they had no fucking idea about what was going on and couldn't be bothered to figure out.
>>10806708Based surgeons leaving the boring work to clinical
>>10806718Yes, because standing for minimum 45 minutes like 4 or 5 times/day doing the same 2 procedures is very entertaining.
>>10806738If surgery's so bad, why isn't there a shortage of surgeons?
>>10806788It's only outrageously well paid in America. Surgeons in Europe, except plastic and orthopods, are more often than not paid less than their medical counterparts.Derm is also not a surgical specialty, nor are rad and card, and they're all very well paid
Went to a doctor with severe lower back pain, he said "yep that's a bulging disc but do an MRI anyway", I did and MRI doctor wrote that there are no pathological changes or bulging discs. I still do feel pain though, it's bad when I bend over, worse when I bend back, the worst when I transition from bent over to bent back position, pain is sharp as if every time I change position I pinch a nerve. I'll go to my doctor with in a few days, but in the meantime maybe someone want to check my scan and tell me if there is bulging disc or anything wrong?
>>10806823because you dont have a disc problem. you have axial back pain friend. Likely facet or SIJ mediated. Do some core strengthening and lose some weight.
>>10806851I'm actually recovering from malnutrition, so that makes sense. In addition to mentioned symptom my femurs hurt quite a bit when I stress them by walking or jumping on one leg so that really might be some connective tissue and joints failing.I'm drinking collagen, calcium and other bone-supporting stuff like a champ, can degenerative changes be reversed with it and regular physical excersizes?
>>10798113Here in the US, they clamp our umbilical cords before the completion of placental transfusion.https://www.ncbi.nlm.nih.gov/pubmed/30473033https://www.ncbi.nlm.nih.gov/pubmed/30278462https://www.ncbi.nlm.nih.gov/pubmed/30193752https://www.ncbi.nlm.nih.gov/pubmed/30598672https://www.ncbi.nlm.nih.gov/pubmed/29101631https://www.ncbi.nlm.nih.gov/pubmed/30208504https://www.ncbi.nlm.nih.gov/pubmed/27654493https://www.ncbi.nlm.nih.gov/pubmed/30355293
>>10806452youre depressed get of the internet and get a life or take some prozac
>>10806917Prozac is poison.Vaguest advice I can give is get some raw cacao, or chocolate liquor. Very different in content and activity, but both'll be a net benefit. Add some indian sarsaparilla (hemidesmus indicus) and bacopa monierri. Throw some guarana seed in. Dandelion root and leaf, burdock root, for liver health. You'll be good to go superficially and on your way otherwise. As far as fixing your underlying issues, which are probably both biological and psychological.Get away from wireless devices of course. Studies going all the way back to the early 60's showing you could induce depression and hopelessness with microwave irradiation. The modern summation of which is honestly incontrovertible.
>>10806452Magnesium deficiency doesn't show on blood tests.
Is piss stored in the balls?
>>10803497subungal hematoma. you probably missed the chance to evacuate the hematoma, but will still probably feel some relief from the pressure if it is removed. You can go to an urgent care and they can trephinate it for you, or if you cowboy up, grab a needle and make your own burr holes.
>>10807045Yep, you got it. That's the way it works.
My whole dick is blue doc. What the fuck?
>>10807410You're going to need be more specific.(If this is legit go to an ER. The blood supply is cut off)
so i've been doing some research into neurotransmitters dopamine/ serotonin and such.My question is, essentially the only reason people do anything is because of reward systems in the brain? like if we where to severely deplete those chemicals would people basically lie down and die of thirst? or is human existence/will/motivation more complex than that?
>>10807535to my incredibly limited knowledge the reptillian brain is mostly just cholinergic, GABA, and glutamate.
>>10807535That's basically the serotonin theory of depression.
>>10803404You my friend may be on the spectrum.
>>10800133What about Aus?
How do I deal with most staff hating me on sight when I do my rotations? I don't know whether it's because I'm tall, or male, or have a resting bitch face, or don't have the knowledge to do free labor or whatever, but it's like I've just been the roastie's personal punching bag so far.
>>10807884Take off all your clothes and chase them through the wards.
>>10798113I don't fear anything that's not me. Ignorance, is the ultimate key.
If one could take a drug that reduced muscle damage due to exercise, would that promote or prevent hypertrophy?I'm looking into sulforaphane for personal use and want to know if it would actually be detrimental. If the muscle is being damaged less potentially hypertrophy may be less correct?For a very particular example:ttps://www.physiology.org/doi/full/10.1152/japplphysiol.00293.2009
>>10802058and it makes sense for med schools to want to exclude students who are going to require full-time pastoral care It really is this. You see, medicine is owner and operated the Church. Dont worry, we, the Church are totallt wholesome and clean, trust us.But... well, you see, when someone steps out of line, well we label them a schizo and kil... I mean drug them... anyway we make it impossoble for anyone not of our flock to reproduce. This is humane. We call it bloodless genocide within the flock, since it happens intergenerationally that we exterminate the undesirables to our religion, which is wholesome and pure.Now some, learn of this and have a problem with it, and so they require pastoral watch until we can be sure they do not require intergenerational extermination.Its all very good and wholesome do you not agree?
Exactly. There are many against our wholesome and pure Roman Church medicine religion. Some, like Trump (who is a racist) think we need "transparent pricing" whatever that means, but no one complains about the Roman Churches medical pricing!!! And if anyone complains then they are a Schizo and we exterminate their bloodline! Everyone knows this! It is a good and wholesome system of intergeneration extermination and fraud. Everyone love it!
>>10806912It's literally in the World Health Organization guidelines from 2012 to delay cord clamping unless the neonate requires ventilation. The American College of Obstetricians and Gynecologists recommends DCC and was endorsed by the American Academy of Pediatrics.
>>10808055Can someone translate this gibberish for me?
>>10808129https://www.ncbi.nlm.nih.gov/pubmed/30473033>Clinical trial>2018It's not yet universal practice. It's been common for a very long time. People who had children a year ago, from all over, will tell you that they clamped the umbilical cord before it was done. In some cases near immediately.
>>10808131It's schizophrenic ramblings
>>10808136Weird. The Philippines has been practicing the Essential Intrapartum Newborn Care since 2007 and widely adopted in 2009. This was just adopted from an even older WHO obstetrics module.(1) immediate and thorough drying of the baby, (2) early-skin-to-skin contact between the mother and the newborn, (3) properly-timed cord clamping, and (4) non-separation of the mother and baby for early breastfeeding initiation
>>10808150This is the US. The only reasonable conclusion looking at the whole constellation of incompetence, is that at the highest levels they maim us deliberately.Also, there is no "timing" of cord clamping. Period. You leave it and let it do its thing, help it along in rare cases, and you do whatever you'll do when it's done. It tells you when it's done, not a stopwatch. They've trained the brains right out of us.
Doctor doctor, help! I'm immortal and bored!>T.DEATHBYCDIFF!
>>10798113what med schools are you guys in? I need a buddy
>>10808159Properly timed just means when pulsations subside ¯\_(ツ)_/¯What is your end goal with posting in these threads over and over again?
>>10808189You have to be an idiot to admit you post on 4chan if you're a student at a US MD school. That's going to get everyone in your year dragged into another damn mandatory professionalism presentation.
>>10808207What the fuck is the USA's problem lmaoYou can publicly shitpost in my school and nobody gives a shit, and I'm not even a third worlder
>>10808195Truth and justice. I shall speak the truth until they know the truth.Like most all behaviors the end goal is relief and or an ultimate return to a ground state. If they all know the truth, speak the truth, act the truth, then it was all worthwhile.
>>10800133In the US IMGs are the bottom of the heap. Hell, even FMGs and DOs get treated better.Unless you got prodigy level scores, publications, and research and/or the PD owes your family a huge fucking favor. You've got no chance at any competitive residency/location.You may get a spot eventually in a primary care residency in an undesirable location but trust me they will treat you like dirt and will fire you for anything that a US senior wouldn't even get a stern lecture by the attending for.
>>10808217Out of all the platforms on the internet, you chose to post in a slow thread on a slow board on 4chan. Why don't you write an editorial piece or do a meta-analysis of the papers you keep citing?
>>10798189This is the only time they'll ever get to dunk on you. Don't let it bother you. In a couple years you'll be an attending and they'll still be stuck doing whatever the fuck they're doing. I did a clerkship under a guy who did his MD at my school. He went away for residency and came back for his fellowship for cardio-thoracic surgery at our home program. He treats the nurses and techs like shit because karma is a bitch.
How do you deal with the fact that there is no completely foolproof way of ensuring that a clinical study wasn't tampered with in one way or another for lobbyist reasons?
>>10808247One study means nothing. Look at the results from multiple independent groups. More importantly look at what rival groups are putting out and try and find failed results.
>>10808159Iron in large doses is toxic to the brain. Calcium causes magnesium depletion, which in turn causes all the "lifestyle" disorders as well as some part of "disorders associated with aging".
>>10808247>>10808253also compare lit reviews if there are any on the subject
>>10808263https://en.wikipedia.org/wiki/FerritinWeakening the organism.
How far away is medical research from being able to correct spinal alignment and replace/regrow a badly fractured L1? t. somebody with picrelated at age 21
>>10808282>https://en.wikipedia.org/wiki/FerritinNo idea why you're telling me that.>Weakening the organism.What is weakening the organism?
>>10808226I-i-s he right ?
>>10808410Not really. On average IMGs do perform extremely poorly in the match compared to domestic students, but that's because the vast majority of IMGs are from poor quality Caribbean schools that accept poor quality students. IMGs who are graduates of reputable schools in developed countries tend to perform similar to lower-tier MD and high-tier DO grads. There is certainly a disadvantage to being an IMG, but it's not that extreme.
Idk why some ppl like to study kidneys, it's the most boring organ to learn from a physiological stand point. Blood goes in, pee comes out, that's all I remember from physiology about kidneys, I forgot what and where in the glomerular tube should be absorbed or secreted.
>>10808517Iktf, anon. What's so fun about telling people to get hooked up to dialysis machines?
>>10808526The only and acceptable nephro is transplant nephro which seems interesting. Normal nephro on ward having patients with kidney failures and...only kidney failures must be horrible and I'd rather kill myself than to practice it.
>>10808528Nephro is overpaid as fuck in my country, literally among the top specs, I wonder why. It's not like everyone does transplant.
>>10808565I think it's paid well everywhere. I don't know how much they earn here but I'm pretty sure they get a good amount of money considering the fact that they work inhuman hours and their happiness is abysmall.
>>10808669Below average pay in the US from what I can gather.>inhuman hours and their happiness is abysmalYeah that's weird since it's always in the top 5 most competitive specialties, everyone wants it.
>>10808565Your country has a lot of diabetics.
>>10808688Probably not as many as the US, yet nephros are paid more (proportionally speaking)
>>10808344The dirty secret of neural-regeneration is that even if you figure out a way to do it, it will still take ages to work. Those axons took your entire adolescence to grow to that size.
>>10808410There is a grain of truth to it. Obviously, no one chooses to go DO or the Caribbean if they can get a seat at a US MD school.
Got that first attending paycheck :)
>>10807535Look into the effects of antipsychotics, most are dopamine antagonists and some serotonine antagonists as well.
>>10808807nicewhat specialty?how much?which state?
>>10806452exercise, eat, sleep.
>>10807951I'd wager it prevents hypertrophy.
>>10808247For every one of those there are propably a hundred that were tampered for prestige/grant reasons and a thousand that are wrong because the people conducting are idiots or the methdology is bunk. Why worry about something so marginal.
>>10808918But the point still stands, with so many shit studies floating around, can you still trust anything?
MBBS aren't real doctors
>>10808923Not him but you should look after the author, if it has a good conclusion on not some "Altough x does y, we can't say for sure that x affects z" and if, of course it has an interesting title. I won't read shit that has, for example some uninteresting cell bio or biochem shit that I can't understand.
>>10805965Man, I am envious af of that baby. Which will lead into sadness in 2 minutes flat.Truly>tfw no gf
>eat taco bell for dinner>take a nasty shit in the staff washroom >attending walks in to take a piss>"anon... have you ever been tested for c. diff?“
>>10808818>>10808884EM in an urban trauma center in the midwest$260k for ~1300 clinical hours a year. I can also moonlight
>>10809048the fuck is moonlighting?
>>10809054brewing liqour on the side for extra cash
>>10809054>>10809058Basically. I can pick up extra shifts for overtime pay.
>>10808923slowly shit gets weeded out as people die
>>10809044>c.diffpffft that's nothing try EHEC for a change
>>10809064Got any interesting cases or just the usual? (MI, GSW, drugseekers)
>>10806274>glucose>amino acidTake your meds.
>>10806942Jesus wept, support your points or hang yourself from the podium of infinite knowledge you like to put yourself on.Maybe if you actually listened to your psychiatrist you wouldn’t be so full of shit?
>>10808217Go to >>>/x/You belong there, friend.
>>10809429Professing themselves wise they became as fools. He cannot even ask for data without making claims, qualifiers, and accusations. So great was their fear.You can't even express interest without being afraid. You can't even conduct yourself and your mind with any legitimacy. Pitiful.I owe you nothing, you will get nothing. Change your tone and we'll see.
>>10809438I got a (you) lolMy point still stands, kys or gtfo
>>10809446Looks like you didn't read.Stay dumb, kiddo.
>>10809438It's >Professing themselves to be wise, they became foolsApply yourself.
Surgical rotation bro reporting in>patient I saw on my first week with acute pancreatitis is admitted again>acute pancreatitis again>he drank 3 glasses of wine>elevated amilase,CRP,leukocytes,LDHWhy do they fucking do this?>>10803515>My dad told me the side effects are getting to a point that he would rather take the chances of having another attack than take the drug he is on.Yeah at this point you should contact his doctor or another one. The drug might be keeping him alive at the moment, but there is no need to worsen his quality of life this much.>>10805260You decide during your medschool years. People that don't like clinical work choose more scientific specialties.>>10805579They're not in my country. >>10806665Let me speak in your native tongue>OOGA OOGAA OOOG>>10806942https://aeon.co/essays/why-the-constant-trashing-of-antidepressants-is-absurd?fbclid=IwAR2OJKj20W65xsukI7kK710hQbVGesADpqnMLtefKhZu2aemT_hYNdpNmbgAll of the anti-SSRI faggots read this.>>10807045Yes.>>10807535These are neutransmitters in other neurological circuits. You'd be dead before you die of lack of will.>>10808247That's the trick. In my mind good doctors know which study is good and which isn't and combine this knowledge with their personal experience to reach the largest benefit for the patient. I think this is something we all should strive for.>>10808517Dude, kideny physiology is very complex and interesting. What the hell are you talking about?>>10808807Congrats, anon.
>>10809048Nice, I plan on doing some IM specialty so I'm going to get ATLS certified 4th year so I can moonlight.
>>10809562Nephro is indeed very complex but it's fucking boring both from a physiological AND pathophysiological stand point.
Anybody doing cardiology or heme/onc? I definitely, want to do some kind of medical specialty but I'm torn.Ideally I want to stay in academics and heme/onc is both fascinating to me and is perfect for an academic career. But I also like cardiology the physiology is pretty cool and there's still a lot of work to be done in the field.
>>10809584I did rotations on cards, the only interesting thing that I found there was electrophysiology. The rest of the procedures, meds, etc were kind of basic.
Who are these tripfags? The only identifiable regulars I know of are the clamper and the Romanian.
Does going to a state school mean you'll get a shitty speciality?
>>10809660What about the schizophrenic who hates medicine because he thinks it's a conspiracy?
>>10809748There's more than one schizophrenic?
>>10809754I don't know I just recognize the one guys blog posts about how medicine is bad
>>10809748Clamped, vaccinated, circumcised. Silver nitrate RIGHT IN THE EYES. Vitamin K. Fluoridated water. Pesticide and heavy metal laden foods. Pitocin. Denial of the colostrum and denial of the breast.
>>10809770Don't forget iron and calcium!
>>10809781You mean ferritin, which is what the infant needs.
>>10809785I thought we were listing down things that are bad for the neonate and yet are being pushed by the Roman Church of medicine.
>>10809770Some of these are good things and nobody is claiming that medicine is perfect it's always evolving
>>10809790Indeed, we are. The lack of ferritin causes the neonate to suffer the toxicities of free iron and fenton reaction mediated autoxidation, further stunting its growth and neurological development.Near as I can tell our current "medicine" is a mechanism of control from the central bankers, with Rockefeller as one prominent front. The real basis lies in the medical-chemical complex, its thinktanks and media affiliates, and its control of funding and the research apparatus. Naturally the educational institutions would be captured in short order, and they have. You see this in everything from economics, to medicine, even to chiropractic.
>>10809802So, you're literally denying vaccines work then?>>>/x/
>>10809802If it was actually going anywhere it would be there by now.
>>10809802There's no point engaging him, anon. He's been at this for several months already.
*yawn*You fuckers are reading what is that autistic child typing? *slurp* AHHHHHHHHHHH, now that's what I call a good beer. Stop embarrassing yourselves and ignore him.
>>10809807Refer to section 13 of every vaccine insert:"[Vaccine] has not been tested for mutagenic potential, carcinogenic potential, or impairment of fertility."Never tested against a placebo of any kind.Every attempt made to narrow the window of time under which a reaction can be recorded.Recent Harvard someone or other concluded that less than 1% of cases are reported to VAERS.Often suppress the immune system and don't even work. In many of these outbreaks it's mostly vaccinated people who contract the disease. They also shed and spread it to others.Is a scientific fact that antibody levels drop to useless levels ~7 years after vaccination. That's why you receive boosters, they wear off.Vaccines are simple fraud. I would call them a scam, but it's far worse than that.
>>10809825¯\_(ツ)_/¯ Why doesn't he stick to facebook mom groups instead? Someone dump the Apu drawings the ER doc made.
>>10809857So why do they clamp?
>>10809898To stop the influx of excess iron in the newborn. You don't want those reactive oxygen species to cause oxidative damage.
>>10809944And yet the child's IQ is lowered, and its brain myelination reduced. It has also been subjected to hypoxic damage.
>>10809857Stuck in cycles is my guess
>>10799402>scholarship recipients, leadership positions, high gpa, double majors, research/pubs, defending thesis, interesting hobbies like photography, drawingAll vanities.You are better without them because it makes you less prideful. This is a good thing.
>>10809584Cardiologist here. It is the best speciality.>Widest spectrum of practice>Chronic disease management>Critical care of cardiac patients>Procedure heavy (intervention, EP, devices)>Options for specialisation within Cardiac Imaging>Cutting edge areas like Cardiology-Oncology, Obstetric Cardiology>Great academic prospects>Nobody else fucking understands the heart>Always be respected by non-Cardiology colleagues>Excellent patient outcomesI love what I do every day
>>10809562>>My dad told me the side effects are getting to a point that he would rather take the chances of having another attack than take the drug he is on.>Yeah at this point you should contact his doctor or another one. The drug might be keeping him alive at the moment, but there is no need to worsen his quality of life this much.>Surgical trainee trying to advise on the Rx of ventricular arrhythmiasGoddam, that's some bad advice.This anon's Dad should NOT stop taking his antiarrhythmics. Yeah, the side effects might be pretty shitty but the alternative is that he gets more shocks from his device. Shocks fucking hurt and they drain the battery. Generator changes carry a 5% chance of infection so you need to be fucking careful to preserve the ICD. The risk/benefit/QoL exchange you propose is not nearly so straightforwardsIf the side effects are bad then one can consider a change to something like amiodarone. Beta blockers or calcium channel blockers can also be used to try to suppress the ventricular arrhythmias.I presume the anon's father had a cardiac MRI and a coronary angiogram. There is the possibility of an underlying channelopathy but the likelihood of this depends somewhat on one's age.
>>10810027>Oncology>Cutting edgeCancer treatment is a cruel joke.
Is it bad for your health to eat only two meals a day in order to cut down on caloric intake?
>>10810636No. Data supports eating two meals per day. I only really eat one, and feel fine.
>>10810654Ok. I got told it could be bad for blood pressure so that's not true then?
>>10809857>ER docAlso Jordan if I'm not mistaken, whom I hold nothing against given my current knowledge
>>10809781There is plenty of evidence they are bad (iron directly, calcium by causing magnesium depletion) You should read the mental gymnastics when a longitudal study shows strong correlation between high calcium intake and osteoporosis, and the researcher feels the need to explain why it proves that so much calcium is actually good for your bones.>>10809562>>10810052His dad should take magnesium. It causes the calcium chanel malfuntion and it cannot be measured in blood tests because blood levels are kept stable regardless of bodily reserves.
>>10810722Exposure to pulsed microwave fields is responsible for the calcium channel malfunction as well. Elevated magnesium blocks calcium influx.
So is coffee good or bad for you?
>>10809048that is one sweet deal, my guyI could never do nights that often but damn tat sounds tempting
>>10809048how tough is EM residency?