As per usual
>Do NOT give advice
>Do NOT feed the nursoids
>Do NOT engage with premeds
And most importantly
>Do NOT respond to psych patients
>Doctor, doctor I've got a problem
>What is it, can you describe the symptoms for me?
>Everytime I drink tea I get a stabbing pain in my eye
>How peculier, let me have a look at you, do you experience the same pain with any other beverages
>No sir, only tea.
>I think I see the problem, try taking the spoon out first.
I got one too
>peds salary
School is about to start and we're jumping right into doing prostate exams. Wish me luck, bros.
I hate my life so much.
>>16725012Dont be a wuss, they don't take all that long and usually the doc uses enough gel that it doesn't hurt.
>>16725015I'm the one who will be doing them, anon.
>>16725012Honestly the clinic ones are a little awkward but you'll do so many on trauma that it stops being weird. I always feel a little bad for the level 1 traumas, first their leg is broken and they've got a chest wall confusion and then an MS3 sticks a finger up their ass and shouts "NO BLOOD PER ASSHOLE ANUS RECTUM POOPER" so loud that the cafeteria workers can hear it.
At least I did.
>>16725016Where's the fun in that?
>>16725019I'm just wondering how this whole thing is going to go down. Are we just all in a line and we're all practicting on some dude? I hope the simulated patient is getting well paid.
>>16725021Yeah that's exactly it. They get paid pretty well for the prostate and pelvic exams.
>>16725018>MS3 sticks a finger up their ass and shouts "NO BLOOD PER ASSHOLE ANUS RECTUM POOPER">i did thatI kneel.
This is the only psych patient I want.
https://www.youtube.com/watch?v=uXwRgnZ990I
>>16725003soviet ass joke
>>16725021>Are we just all in a line and we're all practicting on some dude?kek that one dating meme with a queue of men came to mind
What entirely medically unnecessary supplements do you guys keep re-buying because they have enough of an apparent performance-enhancing effect to outweigh any scamminess?
>t. regular consoomer of beet powder and collagen pepetide-infused jello
None. I trust my diet, liver, and kidneys. The rest of the GI tract is on thin ice.
>>16725170>entirely medically unnecessary supplements>apparent performance-enhancing effectpick one
>>16725170Tobacco/nicotine. Alcohol, too.
>>16725170Tadalafil, not because I have ED but because I like turning my normie erection into thundercock 3000 erection
Any anon with a gf, I recommend you try it for the lulz(do keep in mind it's a peripheral vasodilator with all considerations attached)
>>16725170More than a supplement but Modafinil so I can have more time in the day to do my hobbies.
>>16725262Are you worried about priapism?
>>16724990 (OP)I got a question for you guys:
Should nursing standards be raised? I deal with a department that licenses nurses, and sadly it seems like 90% of them are too dumb to even shitpost on 4chan successfully.
>>16725270They should be lowered I think. No more bsn or bsc. Just a couple years in community college. I've only had attitude problems with degree nurses. Most hospital jobs don't need uni education.
>>16725263>priapismNever had anything close to that, but it can be problematic because while you're on it, even the slightest mental/physical stimulation gives you instant giga boner that is uncomfortable and hard to conceal in clothes
Which isn't too bad in jeans, but I've had days when I had a fuckmarathon on my day off, then the next day at work in surg scrubs I had to consider my sitting position very carefully
>>16725274Interesting. What do you think about this?
Should nursing work more like a traditional trade apprentice ship where you come in, meet certain standards (maybe an interview, a basic test to prove you aren't illiterate, and passing references), and then you work so many years as an apprentice before becoming a journeyman nurse?
I understand why we have classroom instruction for nurses but for the most part I think the current system where they study shit and then need anxiety accommodations for a test (when someone could be dying in front of them and there won't be any accommodations then) is not producing quality specimens.
>>16725276>Never had anything close to thatGlad for you, anon, but stay safe. One of the most memorable moments in my medical journey was seeing someone get treated for their priapism.
>>16725282The worst thing I've experienced with it was when I thought the whole 'don't mix it with lots of alcohol' thing was for unhealthy pussies, so after a quite a bit of uhh physical exertion and sympathetic-parasympathetic swings I almost got a syncope because my bp dropped to 80/52 mmhg
>>16725270In my experience any nursing issues are due to understaffing, when there's simply not enough nurses to give proper attention to each patient, or discipline, when they need to be whipped to get to work
>too dumbYou don't need to be particularly smart for nursing, not any smarter than a mid-tier tradie job; but they're very good at pretending to be dumb to avoid doing their job
>>16725270nursing no, nurse practitioner yes and by a lot. wont happen until someone importantdies by NP but everyone important has an MD.
>>16725292Okay. Wait, so I want you to clarify some stuff. Do you pretty much have an erection 24/7? I hate peeing with an erection. How long has this been going on?
Nursing problems are almost 100% due to understaffing. They have too much to do and they get paid a lot, plus the public jerks them off. That being said I dont want standards to fall. Nursing should be promoted more as a career.
NPs, on the other hand, need to be fixed. There are way too many fucking degree mills and the quality of a new NP is fuckawful. Social media fucks make the situation worse, and too many nurses are getting into it to fasttrack to a cushy life providing substandard care or opening their own """medspa""".
>>16725295So it's sold in 20/10/5 mg pills
5mg is supposed to be taken daily and it seems to be intended for old men with genuine ED and BPH
I've tried 20mg and it seems like way too fucking much, gives you flushed skin and congested nose(since it dilates arteries everywhere as I've said) and lasts for like 2.5-3 days
So I found 10mg to be the perfect amount, lasts like a day or two without the side effects. When I had a gf I would take it when we had a particularly free weekend planned or some trip, etc. I initially decided to experiment with it because i don't last as long as I'd like, which I compensate with going at it again and again, but as you know by your 3-4th cummies it's just not as strong, whereas on boner pills you can go 6-7 times as hard as the first one
>Do you pretty much have an erection 24/7? I hate peeing with an erectionAs I've said, it doesn't actually affect your arousal, only the direct physiological response; so yeah, if you're horny for whatever reason it's harder to quickly.lose the erection when you want to, but if you're psychologically distracted and not thinking about sex, or if you're already drained as much as you can be then it's not a problem
>>16725296How would you address the understaffing problem without increasing pay?
Aside from making it easier to get into the profession, I don't believe there's any real way to fix it: you're not going to make hospitals nicer or patients better.
Are Nurse Practitioners really big pieces of shit? I only know one.
I don't think there's a reasonable amount of pay that you can fix nurse shortages with
There's simply a hard limit of what % of the population is willing to work a job where you have to interact with piss, shit and vomit and deal with annoying retards while also being forced to act respectful to said annoying retards. And doctors at least get the workplace hierarchy and social respect of their job, whereas nurses are subservient bitches who gotta do what they're told
Can't imagine being a male nurse tbqh
>>16725298Thanks for taking the time to answer my questions, bro.
>>16725262Tadalafil's side effects were kinda brutal for me, even on lower doses. The stuffy sinuses, headache, low blood pressure dips, bleh. The one time I actually had sex on it instead of jerking off, I got fatigued in like 3 minutes.
Anyway, I was recently accepted into the Radiography Tech program and I'm doing some early textbook studying since I'm off school until September. It's been nice reading today.
>>16725279I don't really want to have a long form discussion. Its just what my experience and your question, together, have produced as an answer. Historically nuns were nurses and they didn't have a BSc or BSN. So why did we fuck with a good system? No idea. I don't like having harlot ex-cheerleader women. I'd rather have nuns. They're awesome people. Current nurses are a pain in my ass and weaponized midwits.
>>16725338>Why did we fuck with a good systemWe made half of the world that used to be able to stay home go to work in name of women's rights, so we couldn't just have a good system.
>>16725340Bro pls stop. It's too painful.
NP and PA shouldn't exist
>>16725347maybe the AMA shouldnt have asked the government to fuck with the doctor supply decades ago.
>>16725347To be fair, what's the point of a 'Doctor Lite' that is regulated by the Nurse Boards instead of the Medical Board?
And what's the point of someone who can prescribe only if a doctor is willing to take liability for them?
>>16725363Idk. Half MDs aren't the solution. I refuse to elaborate
>>16725364If the solution was so easy someone would have just invented it already and made a fuck ton of money off of it. The problem with bureaucracy is innovation is pretty hard.
>>16725367Anything ending in racy is gay and retarded
>>16724990 (OP)Man, failed a first sit exam and passed the second sit, I'll be a 2nd year clinical med student in a month. Still don't feel ready, I was in the lower half of the year group.
>>16725391I don't know what any of this means, but I wish you luck.
Yaknow what I realized recently? Anyone could figure out (roughly) how long it takes them (individually) to completely digest food by simply supplementing 65mg oral iron (barring any exceptional reason that might be unhealthy for the person) until they get their first very dark bowel movement (and noting how long from first dose till dark BM). The things you learn from having Crohns...
>>16725413I failed a first sit of my exams, we got a chance to resit 2 weeks after, found out recently that I passed meaning I get to progress onto the next year of training which is clinical. I'm happy but still not 100% in my knowledge as I was in the lower decile of the year
I should fall for the EM meme
>>16725456Go rural EM for some of your time. Go maximum rural, become friendly with local gun Schizos and then make Ruby Ridge 2.0
>>16725422To be fair, your performance in class, while important, matters little compared to the results you will achieve in the field.
Unironically how do I lose weight or find a relationship in med school
I stress eat and have barely enough time to keep myself honoring rotations
>>16725521Haha! Yeah!
>Lose weight>Stress eatingN I C O T I N E
>>16725012i have been on the receiving end of two prostate exams (we have a family history of prostate cancer)
it really isn't dignified for either participant so it's best to just lean into it and just get on and do it
just fucking warm your hands up a bit first
Failed a board exam. Thankfully in residency it doesn't hurt as much as if I was still in medical school but I still feel like a failure...
>>16725521Honestly I wish I did some type of Adderall or stimulant while in medical school I didn't cook and also stress ate and got fat. Even though I was working out I was eating garbage so I was staying fat!
I would even sometimes get cafeteria food from the local college just so I wouldn't have to cook if I was studying there.
>>16725419Interesting
I have my own method of drinking red wine then watching for a black-green stool
>>16725521>how do I lose weightjust stop eating nigga
alternatively, as a man, you have the option of continuing to eat but lifting so you grow muscle mass instead
>find a relationship>barely enough timeyour only option is to get lucky and get a gf out of one of your peers because she'll be in the same situation as you and you'll even have mutual shit to whine about to each other; a normie gf wouldn't understand why you gotta work/study retarded hours or why you're so stressed
>>16725554I am unironically thinking of doing caffeine pills tbqh, although I could probably get an rx for vyvanse if I actually had the bravery to go to the school psychiatrist
Benefit of caffeine pills is that I get migraines already which make me stress eat at night to be able to go to sleep
>>16725521>how do I lose weightEat less and move more. Former is order of magnitude more important, latter is supplementary.
>find a relationshipInteract with the opposite sex, or your sex if homo I guess.
>I stress eatFind a different way to manage stress.
>inb4 these aren't solutionsThey are. Notice how we never beat around the bush like this with other maladaptive behaviors. When addicts are trying to quit drugs, we don't come up with some roundabout solutions, they are to quit using the drug, sometimes through gradually taking smaller doses but the end goal is to not take the drug. It's the same with stuffing your face. Don't stuff your face. There's no hope for you until you realize it's that simple. Not easy, but simple.
On that topic I'm starting to think we're sending people to med school too early. You're basically overgrown kids that never knew any real problems in life and respond with unreasonable levels of stress to what is essentialy reading and put way too many fucks into meaningless competition. Then you graduate and the result is a pampered fucking baby that can't empathize with patients at all. There are people your age right now holding their guts in after getting shot or dying of terminal cancer and you're being a bitch about reading. Quit being a bitch. Quit being a fat bitch, too, it's unbecoming of a health professional to not care about their own health, you have no business being in charge of anyone's health if you can't even manage your own.
god i fucking hate PVCs
fuck you, you goddamn niggers, at least have the decency to have some actual organic cause but no you faggots just decide to appear on the monitor for no reason just to fuck with my head and gaslight me into having to pay attention but then you instantly hide again when i'm looking
>>16725666Someone got triggered by an 87yo AFiboid in the making at 2 in the morning lol
Someone's birth certificate now has my shittiest hand-trembling signature of all time
Holy fuck, I love med school
>>16725551yeah failing a board exam sucks, but hey, you get over it after you pass it the second time through.
>>16725551Are you an actual failure? Or is this just something where you get a retry?
Because you should consider these opportunities blessings: usually failures don't get redos.
>>16725521>Med school>relationshipDoctors have a high divorce rate. Med students have a low chance of getting married since they're useless.
Always ask your treating doctor how many patients they have killed. If they say zero, they are either lying or are a narcissistic arsehole, which are undesirable traits for somebody managing your most important asset (your health). Even if it is true, a doctor with a kill count represents lessons learnt, and you want the most experienced doctor managing your health. Choosing between a doctor with zero patients deaths vs a doctor who has killed even just one of their patients is basically the same as eating tacos: you'll get much better, authentic tacos from the undocumented grandma under the bridge who has been making them for fifty years, rather than some new, hip and trendy fast-casual restaurant that just opened up. Whether I have the flu, an ingrown toenail, or I need a major surgery, I want my treating doctor to have some fucking bodies under their belt. Why would I risk my life with a lying, narcissistic jackass who refuses to acknowledge and learn from their mistakes? Doctors kill people all the time, but only the good doctors own it.
>>16725628Don't go to the one at your school, get the diagnosis somewhere else and then just get the script filled by them. Usually some people are scared of making a diagnosis but won't care to fill a script
>>16725746Thank you
>>16725818You make an excellent point.
>>16725839>If they say zero, they are either lying or are a narcissistic arseholeSaying anything but zero is a legal career suicide. You have to be 18 to be on this website.
>>16725839Your deaths shouldn't be from mistakes, if you are in a proper training program your mistakes should be caught by your upper levels and attendings before the patient can die from them. Patients might die on your service but should never be because you fucked something up because it means your training is shit
>>16725842I already got a diagnosis from the school psychologist of ADHD-depression related to binge eating disorder. I was just terrified of going to the psychiatrist for actually getting treated, so stopped seeing the psychologist altogether
>>16725012Last time I went for a prostate exam, the doc had both hands on my shoulders. The head nurse walked in and the doc cried out "Look Ma, No hands!"
>>16725858Why don't you just ask for an ultrasound?
>>16725162it's clearly an eye joke not an ass joke
> be's low-yield bullshit in your path
>>16724990 (OP)>picwhat makes people think lack of exercise is even in the top 3 of reasons why people are obese and overweight today?
>>16726210It's a joke, anon
>>16726222it's not just a joke though, people say it genuinely all the time
>>167262101. eat too much
2. sit around too much
2b. don't exercise at all
3. it's all genetic bro. it isn't my fault im a fat faggot. i was bound to be this way. there's no way to fix it. now give me some ozempic.
>>16726236>1. eat too muchthey eat too much nutrient deficient slop, cicofags are retards
>2. sit around too muchwe are sedentary animals, not a problem with the right (natural) diet
>2b. don't exercise at allto exercise means to exert yourself physically, walking or just moving is not exercise
in fact, definitionally exercise doesn't occur in nature, no other animal except nu-humans do it
people often mistake activities with actual purpose to be exercise but they're not
for instance, people think our hunter-gatherer ancestors "exercised" because they hunted for food
they had to physically exert themselves to eat (and survive), if they had the option to not hunt and still be fed with the same food, they wouldn't bother exerting themselves (obviously), and most importantly they still wouldn't be fat or obese even if they sat on their asses
>3. it's all genetic bro. it isn't my fault im a fat faggot. i was bound to be this way. there's no way to fix it. now give me some ozempic.I've never heard anyone say this unironically, it's always a strawman parroted by cico- or gymfags, which are you?
I hate how people try to discourage steroid use by saying stuff like, "you're balls are going to shrink!" That's a good thing - that would make your penis look bigger.
>>16726261>bunch of ramblingwho cares? stop eating shit all day
>>16726268we agree then, have a good day.
>>16726267I forgot, you also get a free vasectomy.
>>16726210It's in the top 3.
If you exercise sufficiently, you won't get to more than 100 pounds overweight.
>>16726267Steroids fags are skipping the hard work to just die at thirty.
Stop fucking being a loser, work hard for your gains.
>>16726285>Steroids fags are skipping the hard work to just die at thirty.That's another misconception. You can safely use steroids under medical supervision.
>>16726288>You can safely use steroids under medical supervision.This isn't true if we're talking about anabolic steroids. TRT does have inherent risks even in a clinical setting as a treatment for genuinely low testosterone levels. 100โ200 mg/week of cypionate/enanthate may be a low dose by roider standards and it doesn't come from a shady lab so probably won't make you kick it at 30, but it isn't free of potential side effects and it does lower your life expectancy. Like with pretty much all pharmaceuticals, it's used because the benefits of treating low testosterone and its symptoms outweigh the risks. Saying TRT can be "safely used" is like saying chemo can be safely used. No, it can't, it fucking blows and it's bad for you. It's just that the alternative is even worse. There is no such trade-off if your test levels are fine, you're just exposing yourself to the side effects for no good reason.
>inb4 the reason is i wanna be bigWe have better, safer treatments for body dysmorphia, start with therapy. Better yet, use it as fuel for natty gains first, then get therapy when you start thinking about roids.
t. natty, 1/2/3/ don't care I don't chase weight on deadlifts it's retarded
>>16726210Anon it's in the top 2, top 1 being eating too much. That's literally all there is to obesity, too many calories in too few calories out.
>inb4 muh thyroid muh antidepressantsIt doesn't change shit. All various metabolic disorders just cause your body to cut on passive, maintenance bodily functions. You can still maintain the weight, just eat less. By all means get treated because an impaired metabolism is bad for you in a lot of different ways, but it's not an excuse to get fat.
Antidepressants on the other hand typically just increase appetite. Who cares? Just don't eat. Count your calories. Hunger is a primitive motivator that evolved in a food scarce environment. If you live in the 1st world, you're not in a food scarce environment, so hunger isn't the ideal tool to guide your eating habits.
I had a patient recently who during the preop talk told me that once she had anaphylaxis(accurately described the symptoms) but then got so stressed over what's gonna happen to her kids if she dies that it sort of just resolved itself
Sounds like women bullshit on the surface, but it got me thinking - could it actually be true? Can you have such a strong sympathetic nervous system activation that your adrenals release enough endogenous adrenaline that it fixes anaphylaxis before help can arrive?
>>16726554sounds like bullshit
describe the symptoms she had
>>16726558urticaria, quincke, bronchospasm and dizzyness
>middle aged woman has panic attack and post-hoc rationalises it as anaphylaxis
>give her a lethal dose of morphine
Panic attacks are the dumbest shit that only happens to the dumbest people
I've never met a panic attack sufferer who was otherwise in good control of their psyche
>>16726589i suffer from the panic attack. pic related.
>>16726589>bad mental states only happen to people in a bad mental stateYou're gonna kill it on the psych rotation
>>16726612how does good lead to bad then, genius?
>>16726612>bad mental statecope for people who lack the cognition for self-reflection and the will to fix themselves
>>16725012Get your gf/partner to do a prostate exam on you. That way you feel empathy for your patients.
That or you end up enjoying it...
>>16725521Resident here, most of the people that got married while in medical school are already divorced or have shit relationships. Either get a fwb, or if you actually have morals, just wait until you're an attending and then date a 21 year old hottie with your money
>>16725456I feel for it, don't do it. Do anesthesia if you have the grades for it since it's more chill and you make more money while shitposting on 4chan at work.
>>16725855Go to an online NP psychiatrist. If you have the diagnosis and just need the script they'll fill it easy. Plus it's not as difficult to do over phone as in person
>>16726753I'm actively falling for it, I'm trying to build an escape plan with an EMS fellowship or sports med. We'll see. I also have the option of staying military and never dealing with private equity, at the expense of like $130k/yr.
Long Covid has ruined my fucking life. I fell for the 4chan memes and didn't took the vaxx.
/pol/ has ruined my fucking life. Now government doctors don't listen to me, one even laughed on my face, gave me ONE benzo and told me to fuck off. He treated me like child by giving a candy. Fucking cunt.
>>16726476What about sarms?
>>16726843NTA but I've read that some of them have a hilarious chance of giving you cancer
>>16726844>someSo not all. Interesting.
>>16726284>If you exercise sufficientlyno need to if you eat a nutritionally complete diet (no slop)
>>16726477>Anon it's in the top 2no it's not
>That's literally all there is to obesity, too many calories in too few calories out.cico fag detected, opinion discarded
>>16726845Nah, some (I think, I'm not 100% sure) are even anti cancer drugs. And with further development I think eventually you're going to get an excellent product. I thought about using them since I'm a skinnyfat but ultimately decided to just stick with normal dieting and hoping for the best
>>16726753>it's more chillWho the fuck goes into EM to be chill, I thought everyone knows it's for borderline ADHD people who thrive in chaos
>>16726851>cico fag detected, opinion discardedAnon this is /sci/, we have a cague understanding of basic biology and math. I think you meant to post in a ketolard thread on /fit/.
>>16726476>We have better, safer treatments for body dysmorphia, start with therapy. Better yet, use it as fuel for natty gains first, then get therapy when you start thinking about roids.Anon, I appreciate the concern but the whole thing was a joke. You should have realized that. I don't even know where I would get my hands on steroids and I hate needles so I wouldn't want to inject myself anyways.
Anyways, let's keep on talking about the subject. I feel like old people should hop on TRT. Yeah, there are side effects but I think that it's better to have a higher quality of life. Also, for people that are on TRT, isn't it annoying to be essentially a patient for life?
>>16726843The honest answer is that it depends, they can vary quite a bit and aren't studied nearly as well. My take would be that they can have similiar side effects while having a much lower anabolic effect. It also doesn't help that sarms are typically taken orally, which is much worse for the liver. I wouldn't bother, might as well just run a basic bitch test cycle, but again just don't touch this shit period.
>>16726943>Also, for people that are on TRT, isn't it annoying to be essentially a patient for life?Continuing. And TRT seems expensive. If your financial situation changes and you can't afford another dose, are you just fucked?
>>16726936>we have a cague understanding of basic biology and mathI already knew you were a retard but thanks for confirming it
>I think you meant to post in a ketolard thread on /fit/>anyone who disagrees with me is a ketolardyou're also suffering from direction brain, not very surprising considering you're a cico fag thoughever
>>16726943>Anon, I appreciate the concern but the whole thing was a joke. You should have realized that.I've seen so many shit roid takes i just don't know anymore man.
>I feel like old people should hop on TRT.I mean old people aren't equal, Each old person is to a large degree a result of their lifestyle. If their test is consistently low and they have symptoms, yeah they should, but this is universal regardless of age.
>isn't it annoying to be essentially a patient for life?You're already a patient for life suffering from hunger and thirst. I never really considered having to take medication to be all that different. Just one more substance to maintain the body, who cares.
>>16726948>If your financial situation changes and you can't afford another dose, are you just fucked?Kinda, yeah.
>>16726950I didn't mention politics at all, I am jut making an educated guess given carni/ketolards are typically seen denying simple math and biology.
Are you now going to argue you can totally lose weight on 10k kcal/day worth of [insert food you like] but you will get fat if you eat 500 kcal/day of [insert food you dislike]? Or will you perform herculean mental gymnastics that boil down to cico in the end?
Anon, if you don't want to look like a sperg, demonstrate intellectual honesty and explain your issue with cico
>>16726958>I've seen so many shit roid takes i just don't know anymore man.Okay, but is my original hypothesis true? If someone wanted to get jacked and wanted a non-surgical way to get sterilized, steroids would be like hitting two birds with one stone, right?
>>16726969Anabolic steroids don't gurantee infertility it's just a side effect, may or may not happen. Dunno about you but if i wanted to shoot blanks I'd make sure i shoot only blanks, but if you insist on non-surgical then i guess it's an option. Stack with overheating the shit out of your balls and experimental immunocontraceptives not approved for human use. Go big.
>>16726973Got it. Thanks for entertaining my questions.
>>16726982
>>16726965>Anon, if you don't want to look like a sperg, demonstrate intellectual honesty and explain your issue with cico>>16726963>I didn't mention politics at allI'm talking about your inability to understand nuance and only seeing the world in a binary, retard
>Are you now going to argue you can totally lose weight on 10k kcal/day worth of [insert food you like] but you will get fat if you eat 500 kcal/day of [insert food you dislike]?no, I never said that
cico fags like you are insufferable because all you do is argue for basic thermodynamics, you are the quintessential midwit
>2+2 is 4 guys, you didn't know that? lol. you are dumb and i am smartit's wholly uninteresting
nobody cares that you can eat nothing but 1500kcal worth of chocolate everyday and lose weight because the experience of doing that is so torturous that nobody but a cico fag would want to do that just to prove a point that nobody disagrees with
the standard american diet (full of slop) isn't bad because its got a lot of calories, it's bad because its got no nutrients and it's filled with what can essentially be described as drugs
in the most basic of terms, people are eating the same way today as they have been for thousands of years before - they eat what is available to them and it has never been a problem until recently when food products were introduced.
this is a picture of new york in the early 1900s, how many of these people do you think were going to a gym? exercising? counting calories? reading fad diet books? avoiding certain foods? etc the average person didn't even have a fridge at home, boiling down the dietary differences between them and us as "they were just eating less calories bro" is why you are such a massive faggot
>>16725306pay for their schooling and you'd see alot more (and better) nurses
>>16727019in my experience, nurses in military hospitals are much nicer to work with in general than civilian hospitals. A lot of the time, their schooling was paid for. On top of that, there's a much stronger accountability, leadership, and personal excellence culture in the military that may contribute.
note: I do not mean the VA.
>>16725927See Ivan, there is no "I" in communism
>>16727014I see you went with the mental gymnastics that boil down to cico.
>it's wholly uninteresting Do you find yourself denying 2+2=4 because it's uninteresting often?
>nobody cares that you can eat nothing but 1500kcal worth of chocolate everyday and lose weight because the experience of doing that is so torturous that nobody but a cico fag would want to do that just to prove a point that nobody disagrees withYou disagreed with it though. The whole argument started with top causes of obesity. The number one cause is eating too much, period. You will lose weight on a 1500 kcal diet of exclusively chocolate. I don't care if it's torturous, unrealistic, nutritionally deficient and still unhealthy, we're discussing weight.
>the standard american diet (full of slop) isn't bad because its got a lot of calories, it's bad because its got no nutrients and it's filled with what can essentially be described as drugsFor someone so concerned with nuance you seem very resistant to it. A diet has many aspects, how it influenes weight is but one of them. You can be on a terrible diet that results in weight loss, as you already pointed out. You can be on a nutritionally complete diet and gain weight because you're still stuffing your fat fucking face. Different things completly.
>"they were just eating less calories bro" is why you are such a massive faggotBut they were eating less calories, bro. That the reasons behind them eating less calories has much to do with what foods they were eating is another story. Why do you feel the need to be such a contrarian? I don't think we even disagree in principle. Cico is still a good model for weight management, no one argues it's a complete model for nutrition as a whole.
>>16727032didn't read but see
>>16727014>cico fags like you are insufferable because all you do is argue for basic thermodynamics, you are the quintessential midwit
>>16727042I understand, it can't hurt your feelings if you don't read it.
https://pmc.ncbi.nlm.nih.gov/articles/PMC6082688/
Pretty short read about the insulin resistance model. Interested in seeing how this goes in the future. The reality is that the insulin resistance model does not disagree with the core principal of CICO, but proposes an alternate theory that may address some of the reasons CICO methods fail to actually get patients to lose weight.
Sounds like a fattie who lacks the discipline to cut on food and copes by blaming muh modern american food industry
>>16727053>https://pmc.ncbi.nlm.nih.gov/articles/PMC6082688/>conventional calorie-restricted diets continue to lack long-term efficacyCan you imagine if we treated literally anything in medicine like we do fat people not sticking to their diet?
>mr. attending my patient is in v-fib>did you follow the ACLS?>yes, of course>so you gave the patient epi?>well, no>what, why?>i didn't feel like it today i've been giving patients epi everyday for the last few years it's so unsustainable teehee>I see, carry on you're doing great I will be writing a paper on how ACLS is ineffective
>>16727014>they were just eating less calories broThey literally were though, food was more expensive then compared to salaries and a lot of people lived in thirdie tier poverty conditions with barely enough money to buy bread
>>16727073>They literally were thoughsee
>>16727014cico fags like you are insufferable because all you do is argue for basic thermodynamics, you are the quintessential midwit
Is it only more or trying to treat every single disorder of the human body with stem cells seems like a retarded idea. Whenever I read about some new trial for MS with iPSCs something dies in me. Why are we lying to ourselves that it's some type of panacea that will cure everything and everyone?
>>16727053>the reasons CICO methods fail to actually get patients to lose weight.Lying about their caloric intake to the tune of ~500kcal a day.
>>16726968No. How is this even a question?
Kike shit. Beats vaping, but that's it.
>>16727088>Why are we lying to ourselves$$$$
Why won't you fucks find a way to cure all URI's? Sadistic useless fucks. I need to sleep goddamnit
>>16727217Its almost like there are innumerable causes and no intervention that reliably reduces illness duration or long-term outcomes so symptomatic treatment is the gold standard
Or something
>>16725363>>16725364>>16725347Observe, anons who are hating on NPs and PAs but won't even be able to successfully larp as a hospital custodian
>>16727217>Why won't you fucks find a way to cure all URI'sbut we did
it's called paracetamol and nasal spray
>>16727088I guess the thinking there is that fundamentally a lot of diseases are problematic because the body can't repair damage fast enough, or because we can't simply nuke the problem(autoimmune or onco) and then let the rest regenerate; and if we could somehow harness fetus-tier tissue growth and differentiation we could do whatever we want
grrr
md5: 369dac813b21d806aa32ec78695aba77
๐
>>16727294>>16727389Don't give me that medical mumbo-jumbo!
>>16727519>Preeclamptic w/ SF wants to go to her baby shower instead of finishing mag despite the team telling her multiple times about the risk This is why I could never do OBGYN despite the residents being great people at my institution
I could never do obgyn because it seems like an annoying combo where you actually care about the ob patient too much but hate the gyn patient at the same time
>>16727621This lady came in with systolics >200 btw
And threw a tantrum the entire time we all tried to individually convince her to at least give us an accurate 24 urine
How do i become a necromancer?
>>16727624kek
love it every time when you get a fatass telling you 'yeah my bp is a bit high, gets to 150 sometimes', you get them into the op room and measure about a 190-210 and they go 'really? feels like my normal pressure huh'
>>16727626get into brain death declaration and deceased donor organ harvesting
>>16727628Gasbro, how do I match into anesthesia nowadays? I have a decent app for surgical subs but no anesthesia research. I am interested in basically all of medicine and have gotten stellar evals in every clerkship so far (except plastics, fuck them), I think I could get great evals on anesthesia too
What do I need to do to match, is it really as hard as people say to get into a big city brand name program
>>16727632Sorry, not american
>>16727626EM, getting people out of clinical death is as close to raising the dead as it get.
I tried googling this medical adjacent question but google just gives me diagnoses shit so here i am instead. Why is it my dry/raspy voice is significantly less noticeable to others or when i hear myself in a recording despite me sounding almost like a robot when actively speaking?
>>16727685Sound travelling through the air. vs through tissues and bone.
>>16727685Sounds like
โ
โโ
4chan poster discovers obscure medical phenomenon - search engines are helpless!
>why voice sound different to other people
>>16727685>Why is it my dry/raspy voice is significantly less noticeable to othersBecause nobody actually cares once you get older than 16, including yourself
I wonder what /med/fags do in their free time?
>>16728126game, read romcom manga, masturbate to various doujins, go shooting.
Took step 2 today i wanna shit
>>16728157do you think you did well
>>16728210I certainly passed, I have no idea how I did though. Amboss was estimating my score ~255 (245 - 265) and that seems about right. I don't have to do super well, I'm applying emergency medicine, but taking these exams always feels like shit. You always feel like you could have either done really well or bombed the whole thing.
>>16728126Draw, shitpost, watch shows like Malcolm in the Middle and King of the Hill.
>>16728149>masturbate to various doujinsWhat doujins do you like? I like nurse stuff, fittingly, I guess.
>>16728218Not that anon, but I read a good amount of NTR and gyaru. A consequence of growing up as a low self-esteem nerd I guess
>>16728222>A consequence of growing up as a low self-esteem nerd I guessIt's okay, anon. I like a lot of "mother" and "older sister" type stuff because I want to be comforted. Thanks for sharing.
>>16724990 (OP)>>16725521Genuinely, fat doctors (or any healthcare professional, but doctors in particular because youโre in a leadership role) are a disgrace to the profession. Med school should include nutrition lectures taught while you walk on a treadmill, residents should work hours that allow for exercise time, and licensed physicians should be subject to yearly PFTs like in the military. If youโre obese, your license is suspended until you lose the weight.
How can anybody trust a so-called health expert that canโt even be bothered to look after their own health?
>>16725456Good meme, Iโm hoping I enjoy it as much as I enjoyed EMS work when I get to clinicals
>>16728218a wide array of stuff depending on the day and what i'm finding on sadpanda or nhentai. incest, futa on female, loli, milf, hairy female, regular vanilla, impregnation, gyaru, yandere, etc etc.
a few categories that i'll never read are where the female cucks the male with the cuck POV(very rarely will read the reverse), black/dark skin male, beast/animal male, dilf/bbm, tentacles, beast on human female, male gay shit, or anything like that.
>>16728126lift weights, fuck prostitutes, play videogames, at night listen to sad prog metal and reflect upon tfw no gf
>>16728218How can you maintain a nurse fetish after working with them? The whole sexy nurse outfit thing is just funny to me now
>>16728248I feel like fat doctors are those who've never worked in-hospital because they've never had to deal with transporting fat fucks and don't know the things staff says about fattie patients when they're out of earshot
>>16728273im sure there are some qt3.14 med girls to date probably nerdy too right
intercostal neuralgia and hypochondriacs: name a more iconic duo
>>16728315people who claim to see just fine without their glasses and 20/40 vision
>>16724990 (OP)What a nursoid is? Why should we not feed them? What do they do?
>>16728325>What do they do?Sit on their phone all shift and make scamfluencer posts about their "life in medicine" while spoiling the barrel for female physicians
>>16728346>female physiciansyuck
Can someone explain why he has LE weakness, hyperreflexia, decreased vibratory sense,and babinski in this question?
I don't get how that is C8
I was gonna write out a response but google AI does a pretty good job.
such a cunty trick question
i would've guessed some kinda polyneuropathy without seeing the answers
>>16728453It's one of those things you'll have to learn - cervical stenosis and spondylosis are more common in older patients, and that patient has no other indicators for an autoimmune neuropathy (solid cancers, leukemia, RA, SLE etcetera)
>>16728453expanding further, a lot of questions seem like annoying trick questions until you get more used to see the pattern of what they're trying to show you for a specific etiology of a complaint. It's annoying, you'll get a lot of questions wrong and it'll seem like bullshit (test questions ARE bullshit, but that's not why) but you'll improve.
Test questions are bullshit because they'll give you like 4 lab values from what you know is normally ordered as a CMP, which would give you additional lab findings that would give you the answer. Which is how medicine works. Still, the whole point is to make sure you understand the pattern enough to predict the lab values you expect to see and infer from there.
Bullshit, but that's tests.
>>16728457nigga if irl a 72 year old man comes to you complaining of 'tingling in hands and difficulty walking' you're gonna assume neuropathy for hands and difficulty walking because he's fucking 72, check lower limb arteries if you're feeling generous because in 99% cases that's what it's gonna be, not an obscure neuro-spinal disorder
given the answer options, yeah, you just gotta exclude the ones that don't fit and you'll arrive to cervical stenosis; but irl what % of 72 year old male patients with given symptoms have that and not plenty of other more likely causes
>>16728471For sure, he'd get more workup. Its the nature of multiple choice questions.
For the anon who posted the question, what stage are you in your education? I want to hedge how bad to feel for you because this question isn't even close for the level of bullshit you might see sometimes.
>>16728467Why assume its two things instead of one? Does age-related postural instability due to deconditioning lead to hyperreflexia?
>>16728476>Does age-related postural instability due to deconditioning lead to hyperreflexiaYou're right, I didn't consider that with symptoms described he'd be directed to a neurologist who would then do a full neuro workup and find these inconsistencies
>Why assume its two things instead of one?In my ICU/ER experience, with elderly patients particularly, it's usually safer to assume multiple organ/systems failing rather than trying to figure out 1 diagnosis to fit all the different symptoms
But realistically it's pretty obviously a neuro question, so the test-taker should ignore the rest of medicine and work on identifying the neuro symptoms
dai
md5: 3a80462c7a8d60a1af0544e96d69c6e3
๐
>>16727519I actually found the cure, it was TIME. You dumbasses didn't think about that now did you? You're all just a bunch of Idiots with your fancy medical degrees.
50
md5: 68bfe651cdeb47e3930da447efa93a7d
๐
I'm kind of confused by this. I thought the red flags for further workup besides giving an NSAID are supposed to be progression of symptoms, and based on what they said in the history this guy is getting gradually worse.
Why doesn't that count, and what will the prompt sound like when there is actually progression?
There's no new neurological symptoms, his back just hurts after lifting a sofa
>>16728572Looks reasonable to me. Everything aside from nsaids seems overboard. Though, seeing a pt helps. I don't like the "use your imagination" training stuff. I don't think it is helpful compared to just having clinical experience. Virtual reality AI patients would be cool though. I think some schools use VR for anus exams and other small stuff.
>>16728572Another thing too. This dude probably just walked into the clinic/hospital for an assessment.
>>16728515You're right. I should have become an NP
>>16728572This guy came in for 2 days back pain after moving a sofa and you clearly know where exactly the pain is (right paraspinal musculature). He doesn't even have mechanical limitation of movement, it's just limited by pain at that point. Send him home with Tylenol/NSAID switcheroo for the twin analgesia and NSAID anti-inflammatory effects + give him stretching exercises. If he still has pain 2 weeks later, he can come back in for a further workup. No red flag signs or sx here, ordering meaningless imaging "just to be safe" is NP/AI stupidity
>>16728572Young guy, acute onset in the setting of overuse injury, no neurologic findings, no loss of bowel or bladder, no weakness, no fever or infectious signs = acute low back pain most likely lumbosacral strain at this time. In absence of concerning findings like loss of bladder tone, further imaging is unwarranted as it would be unlikely to change management and would waste Healthcare resources and the patient's money, plus then you might have to workup incidental nothingburgers that further drain Healthcare resources. At this time, as inflammation progresses in the muscles things are unlikely to get better before they hurt a little worse so worsening is expected. On top of all this, be has not yet tried NSAIDS, which is first line analgesic for MSK injuries.
Psychiatry is immoral because it drugs patients without their consent.
>>16728713It's true isn't it. It's mad that psychiatry still has all this power over patients, even after the scandals of lobotomies, insulin shock therapy, valproate causing birth defects, etc.
The real issue with lobotomy is that we didn't have time to lobotomize enough schizos
>>16728773Actually the issue is that we didn't lobotomise the doctors who carried out the procedure.
>>16728812you have to go back
>>16726747Try watching the 2007 Rob Schneider film "Big Stan"
>>167287735 bucks says i could diagonse you with schizoid personality disorder if i wanted to
Is having two wives contraindicated?
>>16728273You've got to stop fucking hookers man. Jesus.
I mean I did it too, but not anymore. It's kind of disgusting.
>>16728872Yeah, have one wife and one girlfriend (nursoid)
>Obstetric fistula is a devastating childbirth injury. It most commonly occurs in poor, rural areas in Africa and Asia where women have limited access to emergency obstetric care, such as a C-section. When a woman experiences a prolonged, obstructed labor under these conditions, the constant pressure of the babyโs head on the pelvis restricts blood flow to the soft tissue between the motherโs vagina and her bladder or rectum, leaving holes known as โfistulae.โ These holes cause incontinence.
>Unable to control her urine and/or feces, a woman can also suffer from chronic infections and painful sores. Whatโs more, with too little community understanding of fistula and its causes, a woman can be blamed for her condition and shunned by her neighbors and family.
>Fistula Foundation also treats severe perineal tearsโa childbirth injury similar to fistula that leaves a woman incontinent of feces.
>It is estimated that there are over a million young women that live with untreated obstetric fistula in Asia and sub-Saharan Africa.
>The average direct cost of fistula surgery, including pre- and post-operative care, is $633. The total cost for Fistula Foundation to deliver servicesโincluding all programmatic and administrative expensesโis $1,189 per woman treated. This includes the costs for the surgery, patient identification, transportation and reintegration, awareness raising activities, healthcare provider training, upgrading healthcare facilities, as well as program administration and fundraising activities.
you can spend 1800 on a gaming PC instead of just getting a 400 dollar PC and donating 1400 dollars to an effective charity like this to save one women from this fate
https://www.thelifeyoucansave.org/best-charities/fistula-foundation/
>>16728929man I'm glad clinton bombed your ass
>>16728812The people who need lobotomized are the people who closed the asylums just because of some quick fix pills that just lead to mental illness in adulthood.
>>16726210>>16726222>>16726236>>16726284>>16726477The OP meme was made by a midwit. Humans like all primates led sedentary lives for most of their existence as a species. Working for 8 hours straight and sleeping for only 8 hours is abnormal. Running is absence of danger is abnormal, entails risk, and seldom would have been practiced by any primate other than early life play.
Obesity has two correlates. Low intelligence and mental illness. Lower intelligence means the brain has reduced caloric demands. Small brains use considerably less energy. That's why obesity exclusively encompasses low intelligence people. The other element is mental illness which makes them snack on and gobble stuff up all the time which explains their response to GLP1s (ie, behavioral modification by slowing their digestion down so much they feel sick when they try to munch).
High IQ individuals (150 plus) cannot get obese even if they try. James Watson notriously would burn through two dozen donuts in a day, on top of three hearty meals, several cups of cappuccino daily. Not the least bit overweight. No running, no gym, not overweight and he's still alive and well nearing 100 years old.
It isn't all doom and gloom. I would wager obese people lead better relative to their betters and seem to be much more adept at doing stuff and basic functioning. More energy. Usually hobbies. They unironically can wage all day and enjoy focus intensive activities like gaming like nothing happened.
>>16729004>Running is absence of danger is abnormal, entails risk, and seldom would have been practiced by any primate other than early life play.In the absence of danger
What trade are you picking up when ai takes your stare at xrays job
>>16729014Carpentry.
It will always be cheaper to pay a guy to hang drywall than it will be to risk an AI powered robot potentially slipping off of a scaffolding and losing $1 million in investment.
>>16729004>Running is absence of danger is abnormalOur bodies are literally meant to be endurance jogging machines to tire out gazelles in the East African jungle and to climb trees to get their fruit. 8 hours of sitting is not work per the human body
>>16729033We're probably supposed to be either lying, walking, jogging, or swimming for most of our day. Sitting is an aberration.
>>16729014i'll be long dead by then.
>>16729035Tbh I think bipedalism was one of the biggest tragedies of evolutionary niche creation. Ideally, we should have continued quadrupedalism with two additional limbs from our back as our new upper extremities. This ranks second only to forcing all these bullshit adaptations to bring the ocean with us in a big meat bag just to live on land
>>16729043Sounds like increased complexity. I'm just a retard that struggles with Physics 101, but the more complicated a machine, the more points of failure we have to suffer through.
>>16725012i heard from a reputable source that performing prostate exams with your penis is the only way to do them with any sort of accuracy.
>>16729043>another fag who hates bipedsnothing stopping you from walking on all fours bro
>>16729061Yeah except for my freakishly long legs and short arms and limited posterior flexion in my neck
Fuck off, I was failed by evolution
>>16729033>>16729035Wrong. Man didn't run for 8 hours a day to hunt. Humans had quick sprints and beyond that sustained runs existed as a defense mechanism. Broken toes, broken legs, sprained ankles all could be the result of running like a retard and repeated frequently before shoes were invented would predispose the retards trying to outrun gazelles to a premature death and extinction. Humans invented simple tools like spears and strategically waited for their prey. Even before tools, it's doubtful running was ever a routine behavior. Chimpanzees, Gorillas, and Orangutans spend far more time sitting in a given day than anything else.
>>16729014Rent apartments to seething poor rentoids
Should I got to medical school or just become a surgical first assist? The only surgical specialty with residency+attending hours I could bear is ophthalmology, but it just came out that is the single most competitive specialty this cycle. I would probably just pursue psychiatry if I went MD, but I kinda want to start working ASAP.
Surgical first assist sounds fun, is employable in most states, and I wouldn't have to deal with any of the clinic grunt work PAs do.
Now that robots with machine vision can do stellar surgeries too, what are any of us going to do in the future crushed between an army of CRNAs and Skynet?
>>16729159Do you have a masochism kink? Serious question
>>16728841No I don't.
>>16728988I agree with you about pills being bad. But the asylums should have been closed. It is immoral to lock a person up for life just because they are temporarily distressed.
>pharma-funded researchers are endangering patient safety by minimising the incidence and severity of [antidepressant] withdrawal
https://www.madinamerica.com/2025/07/grossly-flawed-paper-denies-that-antidepressant-withdrawal-effects-are-clinically-meaningful/
Yet again the medical-industrial complex causes us to suffer.
>>16729069>posterior flexionIts called extension, non-med
>>16729004>Working for 8 hours straightWork is a meaningless term in an evolutinoary context. Your body doesn't differentiate between earning income and leisure time.
>sleeping for only 8 hoursYou can sleep as long as you want. 8 hours appears to have the best health outcomes for the average person. Sleep 12 if you wanna, it's not illegal.
>Running is absence of danger is abnormalBoth homo sapiens and erectus run as a part of hunting for hudreds of thousands of years, hunting isn't typically a dangerous situation. They also walked for hours to gather.
> Lower intelligence means the brain has reduced caloric demands.Provide studies, I see no conclusive research that shows a direct, consistent link between IQ and brain caloric intake. The brain burns around 300-450 kcal per day, even if you increased that 10 fold by being a 200 IQ genius analyzing the geometry of huge fucking anime tittties for 12 hours per day everyday, you could still be in a surplus if you wanted to.
>The other element is mental illness which makes them snack on and gobble stuff up all the timeWhich mentall illness is that exactly?
>High IQ individuals (150 plus)Source for that cut off?
>James Watson notriously would burn through two dozen donuts in a day, on top of three hearty meals, several cups of cappuccino daily.Source?
>>16729188>asylums locked people up for life because of temporary distressThis is patently false in the twentieth century.
People often think Asylums are the same thing that they were in the 1800s.
>>16729233It's still all inhumane bullshit. Were lobotomies humane? No. Was insulin shock therapy humane? No.
You ever read about JFK's sister, Rosemary Kennedy? She was given a lobotomy because she was a bit distressed, and the lobotomy left her disabled for life. She was in a care home for life. The family tried to cover it up.
Doctors (especially psychiatrists) seem to have a very gung-ho attitude towards "treatments". Because they don't have to suffer the consequences of the "treatments".
>>16729234i used to think lobotomies were inhumane, but you're making me reconsider it for your case.
>>16729004>Obesity has two correlates. Low intelligence and mental illness.Did you know that some mental health medications cause weight gain:
>Mirtazapine (antidepressant)>Olanzapine (antipsychotic)>Quetiapine (antipsychotic)These drugs can have very negative impacts on patients' lives. But doctors give them out anyway like they're candy, because politicians don't want to support real and effective assistance for distressed people. It's easier and cheaper to just lock people up and drug them, regardless of the negative health effects.
>>16729043>with two additional limbs from our backyou don't just add 2 whole new limbs to the same skeletal plan that every vertebrate uses
I hate doctors
Doctors save lives
Almost all the lives doctors save are meat eaters
Meat eaters shouldn't be saved.
Meat eaters should be left for dead
>>16729320By the same logic participation in a predominantly meat eater society means you are providing meat eaters with income they need to survive. Within this framework, the only ethically justfiable position is to leave society and lead a vegan life off-grid farming your own food, with no tools, seeds or even dietary supplements produced with modern infrastructure that involved meat eaters of course.
Now with that in mind the only question that remains is why you're here. I am guessing you're a hypocrite unwilling to let go of your quality of life and your supposed conviction is merely means to virtue signal and inflate your ego. Please prove me wrong by fucking off into the wilderness.
>>16729325>By the same logic participation in a predominantly meat eater society means you are providing meat eaters with income they need to survive. Within this framework, the only ethically justfiable position is to leave society and lead a vegan life off-grid farming your own food, with no tools, seeds or even dietary supplements produced with modern infrastructure that involved meat eaters of course.I mostly agree with this but not entirely. I think vegans shouldn't work at least not most jobs and they should do things like live off welfare, crime, gambling, etc however I draw a distinction between working as a doctor and merely just paying taxes because labor especially skilled labor like surgery is real and valuable and money is not as there's huge budget deficits and it's not backed by anything and trillions of new dollars are constantly printed.
>Now with that in mind the only question that remains is why you're here. I am guessing you're a hypocrite unwilling to let go of your quality of life and your supposed conviction is merely means to virtue signal and inflate your ego. Please prove me wrong by fucking off into the wilderness.Going into the wilderness is unnecessary. My quality of life is mediocre and I have had to make some sacrifices due to ethics. If it got bad enough my choices were do something horribly immoral and humiliating like work, starve in forest or die on streets like dog I'd play Minecraft PvP instead
>>16729338>>16729325>>16729320Warfield: Economic Complexity
Warfieldโs argument starts with the premise that the economy is so complex that causal
outcomes over long supply chains are unpredictable. Warfieldโs โphone bill argument,โ for
example, notes that the purchase of meat is similar to paying a phone bill (2015). When you
purchase a chicken, some small fraction of your money may support a factory farm that
inhumanely raises chickens. Similarly, when you pay your phone bill, if employees at the phone
company eat chicken, some small fraction of your money may support a factory farm. In short, he
argues that in a complex economy, it is impossible to avoid some economic connection to factory
farming. This argument depends on a very different kind of economic uncertainty than does
Budolfsonโs scenario, but the result of the critique for consequentialist arguments about consumer
action are similar. The response to both, moreover, depends on an โexpected impactโ argument,
since consumer omniscience is impossible.
The implication is that any argument against meat purchasing must be able to distinguish
between the causal connections that tie both the chicken purchase and the phone bill to the
industrial farm. Warfield notes that a consequentialist cannot differentiate between these events
by examining the intent of the agent, since the morality of the action needs to depend only on the
results. More broadly, Warfield calls for a broad consideration of possible impacts. He notes that
there could be feedback mechanisms in the economy, such that decreased consumption by one
person resulted in increased consumption by another. In particular as one group of people
consumes less meat, this could lower the price of meat, thereby encouraging others to consume
more (Warfield 2015, 159). The picture he paints is of an economy with so many connections that
>>16729339a devoted vegan or vegetarian could not avoid complicity in animal harm, no matter how strict
they were about avoiding animal products.
Warfield does not make any strong claims about the economy. His strategy, instead, is to
express a general lack of confidence in a personโs ability to present any simple causal story. He
argues that the complexity of economic interactions requires one of two responses. Either ethicists
give up on causal stories about how consumer actions impact production, or else we give reasons
why an action like buying meat has a particular set of consequences that are unique in quality or
magnitude.
Responding to Warfield requires that we first concede part of his argument: the economy
is extremely complex and most economic transactions could, therefore, be connected to animal
agriculture. Usually, however, these connections are trivial. Since most purchases result in income
for some other person, and most people consume at least some meat from factory farms, economic
purity is impossible. This is an important ethical observation. If oneโs ethical intuition is that a
person who buys chicken once a month and a person who buys chicken once each day are morally
similar, then Warfieldโs argument compellingly reminds us that in our economic system, even the
most devoted vegan could be in that once-a-month category.
For a consequentialist, however, the magnitude of the impact does matter, and Warfieldโs
argument does not prevent us from making important distinctions. There is good reason to believe,
for example, that purchasing a chicken has a much larger impact on the chicken industry than does
paying a phone bill. Moreover, paying a phone bill probably has a negligible effect on the chicken
industry, similar to that of a toothbrush purchase, or the purchase of any other unrelated good.
>>16729340If we choose to participate in a modern economy, in fact, this kind of second-order involvement with
animal agriculture is unavoidable. In light of this, we can rephrase the argument against meat buying in the following way: it is unethical to purchase meat because the expected impact of a
meat purchase on animal well-being is worse than any other comparable purchase.
This alternative phrasing of the argument requires making an empirical claim, but
importantly, many of the effects that Warfield thinks might be relevant are empirical in nature, and
can be measured using standard economic data. In order to respond to Warfieldโs skepticism,
however, we must make a distinction between what is observable on average, and what is
observable in a particular case. It is impossible to know, with certainty, whether one is materially
supporting an industrial farm when one pays a phone bill. However, we can tell whether, on
average, paying a phone bill results in more money for industrial farms. This unpredictability at
the individual level should not dissuade us from consequentialist reasoning, for two reasons. First,
noise at the level of an individual observation is perfectly consistent with strong causal effects
overall. Imagine trying to measure the height of water in a bucket before and after dipping a cup
in and removing some of the water. The ripples from the disturbance make any depth measurement
at a particular place and time highly uncertain, and the complexity of the wave patterns make each
measurement difficult to predict. However, the average outcome will still be easily predictable and
causally related to the amount of water removed. Second, the standard โexpected impactโ argument
for abstaining from meat requires only that the average impact is predictable. This means that
economic complexity, as long as it conforms to a broader predictable order, is not a challenge to
consequentialist moral reasoning.
>>16729342As a simple example, we will give some evidence that the effect of an unrelated purchase
(like a phone bill) is trivial compared to the actual purchase of a chicken. Let us assume that a
customer has $100 to use as they wish, and are interested in comparing the impact of two different
purchases on animal lives. If the money is spent paying a phone bill, about $75 will likely end upas wages for a worker.9 Moreover, in the United States, roughly 2% of new income is spent on
food,10 and for every 1% increase in food expenditures, the average household spends 0.04% more
money on meat and eggs (Alston and Okrent 2012, 20). Given aggregate food consumption
statistics,11 this means that, on average, $100 spent on a phone bill results in close to 1.6 cents
more money spent on meat and eggs.12 Spending that $100 on chicken will have a similar indirect
effect, but this effect is negligible. The point is, that even without figuring out the impact of
spending on actual production levels, we can estimate that the phone bill expense has a total impact
on factory farming that is four orders of magnitude smaller than the same expenditure on chicken.
The share of national income that goes to labor varies over time, between 70 and 85% (Bivens
2015).
10 Food consumption expenditures increase only a small amount as people become richer (Regmi
and Seale 2010, 11).
11 The average household income in the U.S. is around $50,000, and people in the U.S. spend close
to 11% of their income on food, on average, and 2.88% on meat and eggs. While these studies are
methodologically sound, they are not the most generous numbers in the literature.
>>16729345 Even if we
search for estimates most damaging to our argument, however, it is difficult to find estimates of
new meat spending from a $100 increase in income above $3.45, leading to the result that buying
$100 worth of chicken has an effect 28 times bigger than spending that money on other purchases.
12 The relevant calculations: !.!#ร{com}'
>>16729338>I mostly agree with this but not entirely.Of course not, agreeing copmletly would be too inconvenient.
>I think vegans shouldn't work at least not most jobs and they should do things like live off welfareWelfare is paid off from work of meat eaters. Using it directly enocurages continued meat eating.
>crime, gamblingThese could be somewhat justifiable as the former acts as a detriment to society while the latter is neutral, if you commit tax fraud, that is, as soon as you pay taxes on your gambiling you are once again supporting meat eaters. Are you a criminal/gambler?
>My quality of life is mediocre and I have had to make some sacrifices due to ethics.No, your quality of life is tolerable, that's the crux of it. You don't actually stay true to your convictions. You just found a sweet spot between qualify of life that you tolerate and cognitive dissonance resulting from being a hypocrite you can deny. Many such cases.
>>16729348>what is the placebo effect I want blood work of a vegan who was eating a proper diet then started eating meat.
If you want anecdotes of healthy vegans then Bryan Johnson is my example. He's 99% vegan other then collagen supplements I believe.
>>16729345>>16729350 Even if we
search for estimates most damaging to our argument, however, it is difficult to find estimates of
new meat spending from a $100 increase in income above $3.45, leading to the result that buying
$100 worth of chicken has an effect 28 times bigger than spending that money on other purchases.
12 The relevant calculations: !.!#ร{com}'
>>16729363https://stevenmcmullen.wordpress.com/wp-content/uploads/2017/08/against-inefficacy-objections-mcmullen-and-halteman.pdf
>>16729357He also consumes the blood of young people for reverse aging practices. He's literally a vampire.
>>16729348It's pretty well proven now that the average shitty omnivore diet consisting of processed foods is still better than a poorly done vegan diet because while the former has bad health outcomes long term, it doesn't have the risk of severe nutritional deficiencies the latter has, which are even more dangerous. This is how you end up with headlines about vegans dying from malnutrition.
Then there's vegans who can acrually track their macros and micros and these universally have better health outcomes than the average omnivore. But then at the very top we have pescetarians who have even better and overall best outcomes, so at the end it looks like this:
bad vegan diet < bad omnivore diet < good vegan diet < good omnivore diet
>>16729368He doesn't do blood transfusions anymore he concluded he didn't see any improvment in anything from them.
Why is this shit in my med general
>>16729372Either you're Bryan Johnson himself, telling us the truth, or you believe everything you hear.
>oy very I don't steal blood anymore!Lmao lol
>>16729375Would you like to stay more on topic and discuss psychiatry instead?
>>16729372https://pmc.ncbi.nlm.nih.gov/articles/PMC5836258/
Get a load of this retard
>>16729352>Welfare is paid off from work of meat eaters. Using it directly enocurages continued meat eating.That doesn't follow. Also I'd argue it's largely paid for by money printing and they pay for it through higher grocery prices / inflation.
>that is, as soon as you pay taxes on your gambiling you are once again supporting meat eatersShow me that an individual paying taxes leads to extra animals being bred into existence tortured and killed that would not have been bred had that individual not paid those taxes.
I can show you evidence that one individual purchasing meat at the supermarket for years will
likely lead to extra animals being bred and killed. I doubt you can do the same for a single individual paying taxes or not paying any taxes especially if they're not a millionaire.
Here's evidence of the individual purchasing meat causes more animals to die only the first five minutes are relevant https://m.youtube.com/watch?v=brKhhZlUoOc
>>16729376>you believe everything you hearWhy would he lie about it though? It's not like it was accidently found that he illegaly transfuses his son's blood, he literally admitted it himself unprompted and it's legal. He didn't have any issue with what anyone thought about it. Why would he lie about not doing it anymore? Can you recognize the difference between healthy scepticism and being a braindead retarded contrarian?
>>16729371Most meat eaters especially black ones are deficient in vitamin D.
Vegans are more likely to supplement vitamin D on average then meat eaters.
>>16729222>>16729249Took the ragebait
Thank God I still got it in me
>>16729382>do x>x doesn't have the desired effect on me>BUT THE MICE STUDY THOI hope you're not in anything related to medicine.
>>16729385>guy obsessed with basically the fountain of youth> this study >>16729382> <insert mental gymnastics>>he definitely stoppedOK, retard
>>16729371Vegans are only really deficient in B12, Vit D, and Ca. Most meat eating Americans are also vit d deficient
>>16729383>That doesn't follow.What doesn't follow? What do you think welfare is?
>Show me that an individual paying taxes leads to extra animals being bred into existence tortured and killed that would not have been bred had that individual not paid those taxes. If enough inidivduals didn't pay taxes, society would collapse and so would the modern meat industry. Participating in the system reinforces the system.
>I can show you evidence that one individual purchasing meat at the supermarket for years willlikely lead to extra animals being bred and killed.
If you want to be pedantic, and individual buying anything has literally zero bearing on policies and output of something as gargantuan as the meat industry. The steak you personally didn't but didn't resurrect and no one took note to kill one cow less next year because Mr. Anon isn't buying, your steak just went past the expiration date and got thrown out. This works much like the paradox of voting. Veganism is not a defensible position to take for an individual within a consequentialist framework, you sholud be preaching it to a large enough group to actually affect the industry instead.
>>16729389>Anon still doesn't comprehend that studies are irrelevant for the individual if the effect isn't replicated in the individual>Anon would unironically refuse to take the latex gloves off of a guy dying from anaphylaxis because studies have shown latex allergies are raredon't procreate
>>16729398Please take your haldol and go back inside please.
>>16729386>>16729392Vit D deficency is much less threatening than B12 deficency alone. The former just leads to weakened immune function, bone demineralization and mood issues, which are pretty bad but manageable and most importantly survivable. The latter leads to anemia and neurological damage that can be fatal.
This is exactly why the average, shitty diet omnivore can go their enitrely shitty life deficent in D, but it's imperative for vegans to supplement B12, and those that don't can often just straight up die very prematurely.
>>16729395>If enough inidivduals didn't pay taxes, society would collapse and so would the modern meat industry. Participating in the system reinforces the system.lol that's not what I asked and I was pretty clear about it. You are obviously either bad faith or retarded
If enough people didn't vote for Hitler he wouldn't have been elected and the Holocaust wouldn't have happened. Voting for Hitler reinforces that genocide. However one individual choosing to vote for Hitler or vote for Ernst Thรคlmann or just stay home and not vote at all would make zero difference.
Purchasing meat or not purchasing meat does make a difference like I said and linked in the study and YouTube video.
Show me an individual paying taxes or not paying taxes does the same thing or I don't care about it. There's no contradiction.
Yes individual boycott actually does make a difference.
>>16729407>Yes individual boycott actually does make a difference.No it doesn't. Show me the direct link between you personally not eating steak and less cows dying, then explain steaks that expired and got thrown out.
>>16729409I already posted two. It's called supply and demand and it's mostly applicable to smaller animals afaik
>>16729404Anon i think the only person that will be getting haldol is you after your lawyer claim insanity to save you from jail after that anaphylaxis guy dies.
>>16729414>It's called supply and demandYour indiivdual choice doesn't play into the supply and demand of the meat industry. You're not even within the margin of error of the margin of error. You're an invisible, statistically irrelevant speck of dust. Do you also believe your vote actually has the power to change the outcome of a presidential election?
>>16729417Like I said before bad faith or retarded
I already said individual voting makes zero difference
Individual boycott does.
Goodbye.
>>16729418>boss the stores we supply sold 20 million steaks this year compared to 18 average the last 5, we gotta up the cows we slaughter per year from 1 million to about 1.2>also, i totally noticed that Mr Anon doesn't eat any steak, make a note to slaughter like 5 lesswhatever makes you feel like you matter little guy
>>16729387>ragebait>no ragehuh
>>16729418>Individual boycott does.yeah but every time i see a vegan on the internet I eat double the meat that day to balance it out
>>16729033>Our bodies are literally meant to be endurance jogging machines to tire out gazelles in the East African jungle and to climb trees to get their fruit. 8 hours of sitting is not work per the human bodyyou've watched too many scripted (fake) nature documentaries, why do you think a human can outrun a gazelle? do you know how fast they are?
>inb4 perspiration
>>16729354no naturally occurring vitamins from animal products will kill you if you "overindulge", only synthetic ones
>>16729357>healthy vegans>Bryan Johnsonah yes, the faggot who can't into sunlight and eats pills, powders and oils like his life depends on it
also the same faggot who paints his nails and uses make up/filters/video editing to hide the condition of his skin
lastly, the same faggot who is on steroids, claims he isn't but also isn't willing to take a test to prove he isn't taking them because he's obviously taking them
on top of everything else he just looks sickly, retards think he's healthy though because he isn't overweight o algo
>>16729496>based retardlink me 1 confirmed case of hypervitaminosis of any kind that isn't from a supplement, you won't (because you can't)
I eat copious amount of beef mostly because it's quite tasty, and no /sci/ cuck is going to change that.
>>16729498https://nutritionhistory.org/wp-content/uploads/2015/01/NH-polar-bear-liver-toxicity.pdf
>>16729497I know this isn't /fit/ but post body.
>>16729505>it's probable>it's probable>suggests>might giveI specifically said confirmed case because this isn't
they also gave the rats liver oil, not whole liver
>>16729535>link me 1 confirmed case>here's plenty of confirmed cases of polar expeditions eating polar bear/seal liver and getting acute vitamin A hypervitaminosis>no not like that
how about you go eat a polar bear liver to prove to me it doesn't contain toxic amounts of vit A
>>16729542>link 1 confirmed case>*links unconfirmed cases*>I asked for confirmed cases>*now you're saying unconfirmed cases aren't proof enough? pfft*I presume you're up to date on your boosters?
>>16729544sure, fetch me one and I'll eat it, faggot
>>16729522>0 argumentsThank you for conceding immediately
>>16729548No seeing a body, scared the vegan mogs you?
>>16729577>0 arguments againI already accepted your concession but thanks again
>>16729497he's doing sunlight now and quit the steroids. based retard takes like half the NIH ITP drugs that work and is now adding metformin... which already failed.
>protip: NIH ITP itself is not even doing the most cutting-edge anti-aging research, it's the Yamanaka factor researchers.>>16729498Liver King and his liver habit.
>>16729596>this assblasted a vegan mogs himlol, don't worry little guy I'm sure oyu look great
>>16729621>third post with 0 argumentsYou're too kind but it's starting to feel like your brown-nosing me, thanks though
>vegan makes a post
>i order a steak
>>16729354>caring about what the World Health Organization saysYou guys do realize it's primarily controlled by China at this point, and thus will do things to undermine nations other than China, right?
>>16729628I fucking hate the UN and WHO and CDC, and etc.
>we own the sciencePuke
https://www.youtube.com/watch?v=yGZECHPriW0
I guess I'll just go fuck myself. First NPs and PAs and now this.
Give me 5 novel solutions to this problem @med
>>16729613>he's doing sunlight now and quit the steroidsunless he posted a test showing his LH/FSH levels I don't care if he claims he quit steroids
look at dr mike jewsraels diet or the countless other "body builders" and you can see how little it matters what you eat when you're on steroids
>based retard takes like half the NIH ITP drugs that work and is now adding metformin... which already failed.don't know about any of this but bryan johnson is a retard because he thinks he can eat 100 pills everyday and inject himself with pharmaceuticals to live long, it's delusional and every faggot who parades him as a longevity expert is inevitably gonna eat their own words
>Liver King and his liver habit.another roidtranny fwiw
>constant hand movements
>several camera angles
>zooming in and out
what a dickhead
>>16729674everyone can tell you're a boomer btw if you didn't know that
>>16729676>getting it this wrongI really hope you're not anyone's doctor.
Endoanal ventilation it's going to be big
Okay, med fuckers.
I know, your arts are arcane and definitely require twelve years of training to learn.
What would you recommend the average person learn how to do for themselves so they don't have to either wait six hours for the NHS to do it or overpay for an American doctor to do it?
>>16729778>What would you recommend the average person learn how to do for themselvesstop eating seed oils
>>16729780I asked for med's advice, not fit's.
But since you're here and you're recommending, what oils would you recommend in alternative unless you're going to recommend a full boiled in water food life?
>>16729774oh that's funny, i was just thinking about it a few days ago
>>16729778dont go to the doctor for every little ache and pain. dont go to the doctor everytime you get a little sniffle.
otherwise just commonsense shit like dont be a fat retard who gets diabetes. take OTC fever meds when youre sick. etc etc.
>>16729785I rest and take cold meds when I'm sick. I'm pretty lazy.
>>16729778If you have an actual problem, you're not going to be waiting in line at the NHS or overpay for the doctor at the hospital. Just eat healthy (no alcohol, cigs, minimize red meat and ultra processed foods), exercise, wear sunscreen, etc.
Doing all these things will make it less likely that you end up in the doctor's office in the first place, which is the crux of the advice we give every time
>>16729780Kys this is /med/ not /fit/ we don't do bro science here
>>16729789So wait, are seed oils bad or not? I've heard everything from just boil everything in water to 'oils are fine in moderation'
>>16729790why would seed oils be bad, anon? Or, more importantly, why would they be significantly worse than other oils? Broscience isn't real.
It's more important that you minimize the amount of shit in your diet and eat more lean meats, green leafy vegetables, whole grains etcetera.
>>16729790nutrition is nearly impossible to get good studies out of. comes back to commonsense of dont each too much crap while trying your best to eat a decent amount of vegetables/fruits/etc and you'll be fine.
>>16729790All oils are bad in excess because they're calorie dense and most people lead sedentary lifestyles. Tallow, lard, butter, etc. are worse because they are also chock-full of saturated fats and high saturated fat diets have been correlated to increased incidence of ASCVD
Olive oil, canola oil, etc. are more unsaturated which makes them less bad for you - but again, because they are liquid and commonly used for things like frying or topping it's easy to go overboard. Measure your oils, it's the easiest way to make a dent in your weight
>>16729797Since you guys are here, if we can figure out that HDL and LDL cholesterol are different things, why aren't they listed on nutrition facts labels as separate?
>>16729849Because lipid metabolism doesn't work like that anon
>>16729849Do... Do you think we're eating lipoproteins? Do you know what a lipoprotein is?
>>16729644I am convinced every single person in this thread that hates on NPs and PAs is a retard who hasn't even been to college let alone worked with a mid-level practitioner. Also, the only people who should maybe be worried about AI is radiology and even then, nobody is going to want a flawed program to be making life or death decisions reading radiology reports.
>>16729907The issue isn't midlevels, it's the absurd idea that they have the training to practice independently
Actually, now that I think about it, it's also NPs in general
>>16729912>The issue isn't midlevels, it's the absurd idea that they have the training to practice independentlyNPs and PAs still have to pass board exams and do extensive clinical rotations even if they didn't go through the greatest program. There are plenty of MD and DO schools that are joke programs too. Why does an MD/DO deserve to be independent but a mid-level can't?
>Actually, now that I think about it, it's also NPs in generalFrom 2005โ2014, physicians had 11.2โ19.0 malpractice payment reports per 1,000 providers, far higher than NPs (~1.1โ1.4) and PAs (~1.4โ2.4 per 1,000).
A study of nearly 75,000 prescribers found rates of inappropriate prescribing nearly identical: ~1.66% for NPs vs. 1.68% for physicians.
The fact that anons on this board have such a superiority complex over mid-levels is insane when 90% of them won't ever even make it to medical school. NPs and PAs are just as competent and statistically there really isn't much of a difference in prescribing.
>>16729916>physicians had 11.2โ19.0 malpractice payment reports per 1,000 providers, far higher than NPs (~1.1โ1.4) and PAs (~1.4โ2.4 per 1,000).No shit, NPs and PAs are only shunted the most braindead cases on purpose and even there they are mostly practicing under their MD/DO's license so their fuckups get counted under the MD/DO
>>16729919You obviously have no fucking idea how any of this works so let me explain it to you.
PAs sometimes work directly under a physician so their fuckups sometimes get counted under the physician, who also should have caught the fuck up. Many are collaborating with a physician. This means that when they are collaborating, their own mistakes count against themselves, not the MD/DO.
In all but 10 states, a nurse practitioner DOES NOT work under the physician and is either independent or collaborating.
>NPs and PAs are only shunted the most braindead cases on purpose You seriously have no idea how this all works, do you? You aren't assigned a patient based on complexity. In inpatient, you typically see the same 30-40 beds a day and you are usually on a team of many different healthcare providers. The doctors don't just get the hard patients you get what you get and it is typically random.
In outpatient you don't assign a patient based on complexity as well. you get what you get and theres no sort of triage system there for that.
Even in the ER, the only time a physician would get a more complex patient is when they are a trauma admit
>>16729781beef tallow, butter, ghee, olive oil, avocado oil
bro if hemoglobin is so good why isn't the hemoglobin content listed on the product label???
god damn corrupt big pharma
>>16729792>why would seed oils be bad, anon?Calorie dense, low in antioxidants, low in MUFAs, prone to oxidation and creation of trans fats/aldehydes/etc. when heated, poor O6:O3, chemical extraction does leave trace solvents like hexane and while supposedly the concentration is negligible, there are few long term studies and consuming hexane is always undesirable.
None of this goes against the scientifc consensus. Seed oils aren't healthy, they're just less unhealthy than animal fat. This is much like back when doctors recommended smoking a few times per day instead of smoking a full pack, they knew full well it's still bad, just less so. EVOO is pretty much the be alll and end all of oils, but even that should be consumed is huge moderation.
>>16729925>Statistically there isn't a difference between NPs and PAs and PhysiciansWow, anon, it's almost like those studies that look at NP and PA safety are done in places WHERE NPs AND PAs WORK UNDER A PHYSICIAN
There is 0 proof that midlevels provide equal or adequate care because there has never been a study on how they operate independently. Every single "BUT WE ARE SO SAFE AND GOOD AND PHYSICIANS ARE EVIL" study has been done with physician oversight.
You are wrong.
chuck
md5: fd21a40f7901b9ec70c21048c651fb04
๐
sneed oils
>>16729916>90% of them won't ever even make it to medical schoolWow, so 10% more than NPs or PAs
>>16729955I'll never stop saving and using my bacon fat for other recipes. Same with butter and olive oil. I don't understand why everyone wants to lifemaxx when this world suffers from hyperhomosexuality
>>16730244Nigger you either like life and want it to last or you don't and kys, make up your mind if there's anything gay here it's you getting assfucked by that fence you're sitting on.
>>16730371One who has a fulfilling life wouldn't react this way. You okay sweatie?
>>16729781>I asked for med's advice, not fit's.enjoy your atherosclerosis then
>what oils would you recommendnone, OILS are not food
all you need is butter, tallow, lard or ghee
>Kys this is /med/ not /fit/ we don't do bro science hereenjoy your heart disease, retard
>>16729899Listen man, there are two different kinds of cholesterol.
They measure it in the blood and label it as HDL and LDL cholesterol?
Why can't they measure how much of it goes into food.
>>16730399>cry about life being bad>someone calls you a huge faggot for it>accuse them of finding life badYou couldn't be any gayer if you wanted to right now.
>>16730583>all you need is butter, tallow, lard or gheeyeah i can tell you're gheey alright
>>16729925>You aren't assigned a patient based on complexityyes they are
>>16730818Post cars score
>>16731041Sorry Anon i don't have that. Contrary to what your mother told you to make you feel better about getting tested, not every child gets tested.
>the premeds are actually squabbling over MCAT subsection scores I haven't even thought about in 5 years
>>16731861why are you willingly talking to premeds?
>>16731861Why did you give up on med 5 years ago?