Thread 16732104

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

Say, Doc...is it safe and effective?

https://youtu.be/Uqd9ZCiUYmQ

>in europe
>got some pain here and there
>go to doctor
>testing here and there
>takes 6 weeks
>get call
>"you have cancer, we need to make an appointment and start treatment"
>3 weeks later treatment starts
>9 months later and treatment is over
>cancerfree
>didn't pay a cent

>in america
>have severe pain everywhere
>go to doctor
>"oh, uhm, well, before we start, did you pay the entrance fee?"
>"this test will be 18000 bucks, you have to pay in advance"
>try to pay with credit card
>declined
>try one of my other 5 cards
>3 declined, one just worked up to 11000, 9000 remaining
>can't pay more
>ask bank for money
>don't get any
>slowly die and rot away
>family can't pay for burial
>they can't pay bills anymore and get homeless

>>16732159
the european one is fake, the american one isn't
good thing I live in cuba where cancer has been cured completely thanks to the supression of the biomedical model

>>16732208
wtf I love Dr Guevara now

I just learned that a friend of mine failed out. That's scary as fuck; failing out is my biggest nightmare. When discipline fails, fear is what drives me to study.

>>16732314
i didnt realize a quarter of my optometry class failed out until i was told. i didnt even realize some of my old labmates from 1st year failed out until 3rd year. i just didnt care.

3 small <2 cm pilar cysts removal on the scalp. Derm's office billed as a complex repair instead of simple removal of benign lesion/cyst, charging me over $2,000 after insurance. Took less than 20 minutes for each one, used soluble sutures. The operative notes read like a fucking heart transplant. "Extensive undermining." "Layered closure."

Refusing to pay at the moment. Am I getting robbed here?

>>16732208
No one died of cancer before (((modern medicine)))
Just go read the original sources, it's all just
>and then God took him
>died after an apoplexy

>>16732159
You conveniently left out that the european loses 50% of his income for taxes.
Healthcare is never free. You just pay through different channels.

>>16732104 (OP)
talk about the brieves you've gotten from.pharma companies as a doctor

I recently watched this film called Love and Other Drugs.
Are doctors really so dependent on Big Pharma money and get swindled by their salesmen?

>>16732575
yes, its a complete fucking industry to butter up doctors and medical professionals to your product.
these "medicine salesmen" drive flashy company cars, and are responsible for keeping all their doctors in their district happy as can be.
The doctors get "points" for prescribing the drugs or orthesis from the manufacturer and usually during christmas time the doctors and medical professionals get buttered up by an all inclusive "product info event" the company holds in some exploited shithole like guam, maui or the bahams.
Doctors have long since abandoned their patient care and have become turbojewed to the kikeymax

t. prothesis manufacturer, Prothesis parts (really simple shite) already costs thousands of dollars (made up price by companies) and then are put on insurance claim bills with a price that is at least double the price the manufacturer asks. its all a big fucking scam to rob health insurance companies.

School isn't *that* hard right? I hear that it's fine, it's easy, it's high volume but easy, or it's difficult and high volume. What the fudge is the real?

>>16732643
not much in medicine is conceptually difficult, but it is high volume.

Nurses all derive from the same 1-2 female templates, so it stands to reason the nurses in your area too are coping hard with the loss of attention since Covid allowed them to post twerking Tiktoks?

it's so over for you docs

>>16732987
Huemans had their chance...they fucked up, royally.

>>16732987
If the test that came back positive didn't find anything that is immediately dangerous, the doctor did nothing wrong. The ER is for emergencies, not minor long term nothingburgers. If you're not dying then gtfo, go to the family doc.

>>16732104 (OP)
>Aspirated a little piece of cooked egg last night
What am I in for?

>Bryan Johnson currently "exploring" metformin
>Metformin failed NIH Intervention Testing Program in 2011
>2,000 and 25
Gerontologybros, what are some hotter small molecules than metformin right now besides ZYZ-384 for all my Nature Scientific Reports readers?

>>16732985
Healthcare in general attracts 80:20 malignant psychopaths, apathetic retards, the very worst scum humanity has to offer vs. the best, brightest and kindest people alive. Nursing in particular is a microcosm of this where the ratio is more like 95:5 shitty people to decent ones. They're mostly vapid mean girl archetype midwits, managed by doctors who are either too autistic to have good bedside manner in the first place, or too burned out to care about it.

>pro tip: do NOT date nursoids. If you must fuck your coworkers, go for the goth tomboy paramedic/firefighter you're only gonna see on shift once a week

>>16732988
>censored test name despite the fact that the person is anonymised
100% they're gay and it's STI related

>>16732341
>Took less than 20 minutes for each one
If it's taking anywhere more than 2 minutes per cysts as small as you say, then I believe them that it was a complex layered closure. Something is not adding up in your story

>>16733203
>go for the goth tomboy paramedic/firefighter you're only gonna see on shift once a week
Nobody sees a paramedic outside the ED, and I have met like 4 attractive nurses in my city period

>>16732341
>charging me over $2,000 after insurance
This is like 100 wart remover kits. Cryotherapy usually wins for skin shit.

>>16732470
Good point fag

Just did my first ever prostate exam. It wasn't as bad as I thought it would be. It went by very fast.

I just did this prostate exam on this skinny faggot who started moaning. Lethal dose of morphine administered after a couple of minutes.

>Morons are now anti-doctor
thank fuck now they'll stay out of my ER and die at home.

Had this mole forever but it started sticking out. Is serious isn’t it?

>>16733639
Bite it off or goto a doctor and have it frozen off. Probably better to go to a doctor. Actually, don't bite it off. Nail biter here. The thought is more attractive than usual. I probably would bite mine off if I had one. But instead I'll goto a doctor and have it frozen off, maybe.

>>16732104 (OP)
are MD PhDs actually retarded?

>>16733640
What if I leave it there? I mean is it dangerous? Btw it’s on my back I can’t bite it off

>>16733645
It doesn't look like a healthy mole and may get caught on something. It isn't going to cause you any pain or illness as it stands. I'd get it frozen off by a doctor.

>>16733647
Fuck man I had to show it to my parents because I couldn’t see it and I think they got anxious and I can visit a doc Monday again, I shouldn’t have tell them.

>>16732341
>

>>16733647
>healthy mole
I just hit em all with prophylactic photodynamic therapy. Cryotherapy is good for non-melanoma skin cancers or big suspicious moles, but a little overkill for smaller more regular moles.

if the thalamus is the most important part of the brain then what is the least important?

>>16733683
Shouldn’t that guy just cut it off? It seems small mole

>>16733694
The brain stem is the most important thing, baka.

>>16733699
brain stem is just another part of the spinal cord

>>16733639
Stop masterbaiting

>>16733698
That probably works well too, as would radiotherapy. Unless it's melanoma, in which case adding on immunotherapy might be necessary.

>>16733644
IMO they're severely autistic but they mean well. Savants are known to be retarded with everything else other than their savant shit

>>16733694
Frontal lobes because it allows goyim to think

>>16733720
I’m on nofap day40

>>16733721
What are the chances I have melanoma?

>>16733639
i'd probably go to the doctor. im not an MD, but just go to a family doctor and get a skin biopsy. it'd also be good if you had before/after pics, but can't have everything in the world to help.

Did my first ever real life bimanual exam
It was my first time ever sticking my finger inside a lady's vagina
And she said it wasn't uncomfortable
Is there hope for me to find love one day?
>>16733731
Start masturbating

>>16733740
> it'd also be good if you had before/after pics, but can't have everything in the world to help.
I had this mole forever and I just noticed it started sticking out a few weeks ago. I don’t know if it’s from the gym because I workout a lot in the gym bench pressing or something? Because it’s on my back. I’ll go get it checked on Monday but I’m kinda panicking because grok told me it’s serious.

Residencels, how many of your colleagues are international placements?

>>16733748
>internationalsister posting
>ignores women in the workplace problems
Post boobs and asl for your virtual breast exam

>>16733742
Bro, what a coincidence. I'm >>16733621
Today was also my first time touching boobies. Can't believe my first time was with a simulated patient instead of a girlfriend.
>t. khhv

>>16733742
Bro, what a coincidence. I'm >>16733621 We might go to the same school.
Today was also my first time touching boobies. Can't believe my first time was with a simulated patient instead of a girlfriend.
>t. khhv

>>16733792
I am in clinicals. SP doesn't count

>>16733757
i just want to know if you guys have any med students from china around

>>16733844
Why

>Incel medstudents
based, but please get laid so you're not so weird. Women can tell.

>>16733872
I wish I could go back to being a virgin. I don't even want to have sex anymore. It lost its novelty. I can more efficiently coom with my hand, and my hand will never say "Big bro! Wrong hole!"

>>16733856
because stateside college is too expensive for me but chinese med school is within my financial reach and i want to be a maxillofacial surgeon for autism reasons so the US is even less affordable

>>16733872
>based, but please get laid so you're not so weird. Women can tell.
I keep to myself and study alone.

>>16733872
>based, but please get laid so you're not so weird. Women can tell.
I keep to myself and study alone. It's incredibly easy to be a virgin if you just never pursue women.

>>16733921
same. though i did have 1 receptionist for the clinic i was working at flirt with me, but didnt realize it until minutes after.
i think she got fired after that.

>>16733930
One thing I tell myself is that since I have no bitches, I don't have an excuse not to get good at my hobbies since I have that extra time not in a relationship.

Why are most "treatments" so useless and problematic for the patient in the 21st century?
You medfags get away with too much.

good morning. legalize methamphetamine

>>16733960
Sir this is a chuckle cheese

>>16732159
Checks out, this country is fucking garbage. I was telling doctors I was ready for euthanasia to stop the pain before they gave me painkillers and some cunt comes in the room with a clipboard talking about payments. I wanted to beat her with the clipboard until she needs emergency treatment, too. Fuck this place.

>>16733960
Legalize cocaine. As long as the person is not a alcoholic, it tends to give a sense of power that's more about learning and entertaining. Crack cocaine is the best way to do it. It gives a mental and physical boost (mentally you feel aware and you take a shot of paradise) for 10 minutes and then you are in an active thinking state for about 2 hours. After the first 10 minutes you want more. And it's addictive because of how much it toys with your mind making you want another shot of paradise and clear thinking.

If you're an alcoholic you may get violent because of the sharpened paranoia it produces (which could ordinarily be avoided or used rationally).

>>16733933
i wish i was good at my hobbies with all my free time.

Which year of medical school has the least amount of free time?

>>16734023
3

What do I do if I during my evaluation about if I get sent to the madhouse, all I notice is how hot my psychiatrist is?
Does he know?

>>16733872
They actually can't because I can pretend very well to be a normal human being when in reality I'm a waste of flesh brought into this world to suffer without companionship. Patients and residents and other students think of me as very normal

I have an MD but struggling in residency terribly. My fsiq is 102 wmi 115 vci 111 vsi 95 and fri 85. Am I just retarded? i am in a very hard speciality and will move to another one. Do you guys think ophthalmology suits me? planning to learn cataract surgery and then do this for the rest of my life. And if i fail to learn that too i dont mind just working in a clinic and doing just medical ophthalmo. Any advice is appreciated. I am not US based

>>16734259
>specialty is le hard
Your scope is smaller than my penis. Why are you struggling?

>>16732159
>be european
>renowned underwater helicopter mechanic
>make 40k, same as every other job
>foreskin caught in drivetrain, penis degloved
>call her royal majesty's people's healthcare service
>6 years pass
>member replaced with small brown unit from pakistani donor
>cost: 5 quid

>be american
>make 500k as gas station attendant
>overdose on fentanyl

>>16734285
honestly many reasons. First of all I am not practicing in my mother tongue nor am i practicing in english so that is a huge barrier. Second of all, it is a surgical specialty and I never really even learned how to scrub in let alone how to throw a knot, and I had to learn when i started training and it was horrible breaking sterile field and made fun of and degraded. But i chose this field cuz my grade in the national residency exam only allowed me this and FM :)) I quit now and will retake the exam again hoping to get ophthalmology bcz i feel it is less stressful and fast paced

>>16734259
someone adviced since my wmi and vci are high i could excel in psychiatry any advice?

>>16734292
>he doesn't speak pure Latin at work, which is the universal medical language (greektards btfo)
>he doesn't call upon hellfire to scorch the nurse station
>he can't into pointing and saying "cut?" or "close?"
My man, just be confident. Residency ends eventually.

Hitting up a baddie at a med school 3 hours away

>>16734357
and what if i am incompetent by the end of residency? :))

>>16734370
Fake it till you make it

>>16734370
Get MPH or "those who can't do, teach."

>>16734044
What makes it so busy? I'm only a second year but I was thinking that second year was the busiest because of Step 1. And I heard that 4th year was the most chill. Is that true?

>>16734476
Every year is chill if you aim for "just passing"

>>16734486
That's true. My issue is that my neurotism prevents me from "just passing". I'm always studying really hard to get A's because I'm worried about a future exam fucking me up since there are only 3 exams in a block at my school. I wish I could calculate exactly how much effort is required to coast by with C's.

>>16734499
Continued. But I guess one advantage I have with going really hard on studying is that once I know I'm above the threshold for passing, I just coast. For my first year, I kind of stopped studying in the last month of school and got scores in the 20-30s.

>>16734499
Continued. But I guess one advantage I have with going really hard on studying is that once I know I'm above the threshold for passing, I just coast. For my first year, I kind of stopped studying in the last month of school and I would literally just guess answers, resulting in scores in the 20-30s.

>>16734476
Because youre expected to work 40-70 hours a week on top of studying for a shelf exam. If you care about high grades, it's very tough. 4th year is the most chill once residency apps are in and you've done your away rotations, interviews etc

>>16734566
My penis inspection day was the worst before I graduated. Applied anatomy and physiology tests are the worst. Next year I have a private oral exam. It's going to suck

Did they ever do a study on cancer rates among pathologists and other staff who work in pathology labs? Being around all that suspect tissue all the time (all patientoids are suspect tissue) can't be good for you. t. curious pleb not asking a personal question

>>16732104 (OP)
This is going to be a stupid question but ever since I was a kid I somehow tear a little (as in crying, without the emotional response) when I poop. Why does that happen? Is that due to pressure during passing stool? Is it stress? Or a vagus nerve response?

wtf is the horse OK

Good movie? Or dangerous propaganda designed to sow distrust of doctors and the medical system?

>>16734723
Sometimes it really is just a dietary or easily solved issue. The kid was not improving so the mom had to take action. Shit sucks but if you (or your kid) aren't getting better, sometimes you gotta roll the dice. It is definitely a problem, especially with neurological and psychological issues, but getting second opinions is what anyone should do if their doctor isn't treating them right.

That being said, having a chronic condition myself, the doctors from diagnosis to treatment have been pretty great.

Lastly, as a reminder, remember to always report shitters to their licensing body.

What the fuck is fibromyalgia and why are researchers so bad at researching it

>>16735391
Psychosomatic pain syndrome
No coincidence that the sx are helped with exercise and SNRIs

Also I memba that pic
Were you active on SDN a few years ago using that as your profile pic

>>16735391
its not real
still sad when someone explains it, but the thing is definitely not real and pretending also is not helping much

>>16735391
same as gulf war syndrome
fluoroquinolones destroyed their mitochondria
now theyre permanently exhausted
waddling over to the fridge feels like climbing a mountain
go through the patients history, i guarantee youll find fluoroquinolones recklessly prescribed by some (((urologist))) or (((pulmonologist))) whod kvetch or chimp out at you if you dared to link the two things

>>16735468
Saddam Hussein was burning vials of antibiotics in his retreat from Kuwait?

Does anyone actually trust doctors now that COVID proved they are all pharmaceutical salesmen and don't have a fucking clue what they are talking about?

>>16735471
no, the military preemptively, prophylactically, put all the troops on cipro during their tour of duty there in case saddam used anthrax
you fuckin retard

>>16735476
i trust other doctors like i trust anyone else. if it makes sense, i believe it. if i feel someone is trying to shill me something to make a quick buck, i dont believe it as easily and may need some convincing.
if you were a retard who believed anything anyone with knowledge told you before COVID, you were a massive fucking retard and still are.

>>16735532
How many children do you think you gave heart disease by recommending an experimental vaccine for a disease they didn't die from?

>>16735532
The real final bosses of COVID are P100 respirators and bromelain+NAC. That N95 garbage barely works at all, I got the delta variant through one, although mildly.

>open eval
>outside of patient encounters and presentations, anon is awkward
Yeah, fuck you too buddy

>>16735476
dont let stupid people (or pharma students) erode your trust and hope that their peers can fix them

>>16735476
What's wild is that there are people out there who wholeheartedly trust the government *spits*. A lot of doctors are NPCs. I've only met a few who are conscientious enough to be objective viewers

>>16734694
Suppressed memories. Book an appointment with me.

T. Freud

Urologists what’s the state of cock enhancing/enlarging therapies?

>>16734023
3 at most schools
my 3rd year was a joke though, 2nd year was worst

>>16734023
I remember falling asleep during my FM rotation in 3rd year. Really triggered the asian wagie too. Was fixing something for a conference for multiple nights.

What’s THE most badass specialty?
Not to normies but other physicians

SSRIs are causing me fatigue, docs. Apparently this is a known issue.

hello medanons,
third worlder here just got admitted into medical school in eastern europe. I didn't really expect to go to medical school, I only applied because I had the grades to do so. Is this going to be the worst six years of my life?

>>16736559
no. Med school in eastern europe is a joke. Make sure to do a lot of self studying to become competent by the end and then make sure to go into a good residency program. I went to medschool in eastern europe too and i wouldnt trust some of those who graduated with me in taking care of plastic plants

https://doctordle.org/doctordle/

we have a game now

>>16736981
>accept cookies
no thanks

>>16737020
Its lupus anyways

>>16736285
Sports med.
>>16736981
>we
Med is one person VPN hopping. This is where I leave notes for myself.

>>16736758
>i wouldnt trust some of those who graduated with me in taking care of plastic plants
kek
sad, but such is reality

>>16732159
>in europe
>9 months later cancer has metastasized and i die because treatment took too long to start and i paid too much in taxes to be able to seek other options

>in america
>have health insurance from employer so get treated immediately for a low price and survive

262 on step 2 it was all worth it now I can stop studying

>>16737606
Damn, nice score. You did a good job.

The meme that you need to memorize a lot in medical school is such a weird misconception. So many things can be thought out intuitively.

>>16737606
Hardest question you had?

>>16737633
Okay. Intuitively, which antihypertensives are safe in pregnancy?

>>16737673
>many things

>>16732494
He can't do simple math, of course he doesn't understand that

>>"this test will be 18000 bucks, you have to pay in advance"
>>3 declined, one just worked up to 11000, 9000 remaining

>>16737695
You know I don't read.

Anyways, you're right. Once you have a good foundation, a lot of medicine can be built up from principles. On the other hand, it's way faster to memorize a treatment algorithm or refer to a mnemonic in a crisis scenario, especially for newer learners.

>>16737718
Blood goes in and out
Air goes round and round
Yadda yadda. Gib MD

>>16737646
Honestly don't remember. There were only a few of those "Read this entire study and interpret it" questions, and I felt like I had plenty of time. Overall it felt very fair.

>>16737722
Do you thinks blacks can get a good score? There should be a black step 2 imo

>>16737718
>Anyways, you're right.
Yeah, you only have to remember the foundations and then everything flows from there. I brought up the misconception because the first years are about to begin their semester year at my school and the misconception that medicine needs a lot of memorization is so widespread.

>>16737729
I mean, early on memorization can help a lot while you're getting into the habit of grasping the whole picture. I used to be an anki drone hardcore before switching to practice questions and learning to reason backwards why a memorized answer is the correct one, which helped me going forwards. I still use anki to rapidfire while I watch tv, hang out with the kids etcetera, when I can't focus on practice q's.

If I was a mentor, I would advocate that students begin practice questions the moment they get into the systems-based study. Memorization is really good for the early bullshit like biochem pathways, but the usefulness falls off hard.

yeah the horse penis and vessels are maybe not studied much, unless they have less complicated bodies and cocks

>>16737673
Is the answer labetolol?

>>16737673
morphine

>>16737724
inb4 op is black

>psych eval for the purpose of a gun loicense
>request the full documentation because curious how i did on Raven's i found them pretty fun to solve
>sten score of 9
See this is why psychology is bullshit, I'm fucking retarded there's no way I'm the top 5-10%

>>16737673
The one i saw obgyn use once

>>16738180
morphine

>>16738178
Psychology is good. Neurology is good. Psychiatry is bullshit.

Psychology and neurology seek to understand the brain and the mind, but psychiatry doesn't seem to give a shit about the root causes of mental problems - psychiatry just wants to drug patients so that those patients are no longer an inconvenience.

You know how people on 4chan say "take your meds" as a dismissive insult? That's what psychiatry is. Psychiatry is where a doctor takes the attitude "this patient annoys me so I'll will drug them until they shut up".

>>16738390
Midwives should replace OB
Psychology + PharmD team should replace psychiatry
RN, PA, NP, need to go extinct

test

>>16738438
Just estrogen here Buddy

>>16737615
ty

I'm applying emergency med so I was targeting 250+ to be ~1 standard error above the average so 262 is absolutely massive.

Only had 4 weeks of dedicated, so I was a bit worried. Completely chuffed.

>>16738712
Experience with ER nurses?

Fucking biologists piss me off. I was covering half a shift tonight, doing paperwork and this BIOLOGIST comes up to me and the nurses. He was wearing a hospital gown with the back open and anti slip socks. He told us that it's time for us to touch grass and stop looking at computers so much. He would refuse to answer questions and no matter how much haldol we gave him, he stayed awake and began lecturing to sleeping patient. He kept saying that "you all listen better than my graduate students!" And laughing loudly. Sometimes he'd speak in the third person, calling himself "the professor". Get this. Last night he swiped a bug and kept it in his neighbor's denture case. I'm never working near him ever again. This is a medical floor too. Psych said he's well adjusted but enthusiastic.

>>16738712
Apply anesthesia and get paid 1.5x as much for easy ASC work with the ability to skip town for months at a time if you so wish

>>16738832
he sounds based
you wish you were a fracture of his eccentricity

>so again, really key takeaway here, ecmo is not a treatment
Fuck's sake

>>16738832
If you ever looked your nurses in the face I can't imagine the difficulty after getting alpha'd this hard

>>16738832
>He told us that it's time for us to touch grass and stop looking at computers so much.
he's right you know

>>16738832
aren't most of us bio undergrads? i will not betray my kin

I dreampt of the professor last night.

>>16732159
to be fair you can just go into medical debt and never pay it in the US. They have zero legal recourse for medical debt, can't refuse care, send collectors or garnish wages. All it does it make your credit score radioactive.
>>16732494
If you factor in VAT taxes, it's actually closer to 70% in places like Norway.

What do you think of being a paramedic?

>>16739224
Medics are chill, big like. Idk about being one, that's up to the individual.

>>16739224
Weewoo weewoo they wear cool pants

>>16739224
cool guys. i'd never want to do it due to the scheduling+pay.

>>16738837
Anesthesia is chill but I like doing real medicine

>>16738755
They're super chill, good sense of humor and good to work with if youre not a complete donut

I called a being talking to me doctors said is schizophrenia a bitch, and she said she is an arch angel and it felt like God smote my soul. I did this for a baby reason, she wanted me to say I don't think God burns everyone in a lake of fire and I was scared of the Bible. I called her a bitch and said I hate her then Smite. She didn't leave though.

I've been hit by a car and this is like a million times more fear, I fell instantly to my forehead and clutched my head and felt like eternal anhilation was upon me then it kept going and 1 second later ended.

The feeling is such intense fear I know it is God screaming at me or God gives angels a miracle to make us terrified of them.

How does /sci/ explain the smite feeling? Arch Angel is what she says she is, or a goddess of love and magick, Lilith is her name. She also wants me to point out she said many are named Lilith she aint the queen of demons.

She fucks me when shes invisisible and wrote up a marriage oath to me and also made ink dry up off a page with no chemicals.

Premeds, I regret talking to my doctor about pills now. They force me to take pills due to this.

>>16739390
Lol. I remember *my* first peyote trip. Record yourself talking on vocaroo and post it. I'll listen to everything you post. If you write one more message, I'll replace your tongue with gummy candy

>>16739403
You didn't feel the smite.

>>16739404
Tell me about conspiracy theories you like. It's my day off and I feel nostalgic for psych

>>16739416
NTA, but a real one is that unpatentable interventions are very underutilized; you see it across many different conditions where some expensive patented shit ends up in clinical practice guidelines and the cheap unpatentable therapies are buried somewhere in literature.

>>16739421
Examples?

>>16739422
Cryotherapy would be a good example. It beats a lot of chemos and biologics especially in skin conditions, but also to a lesser extent some selected internal conditions (mostly cancers).

>>16739426
Hmm. I think resurfacing the research of remote viewing and other crazy shit with a medical spin would be cool. Imagine remote viewing inside of someone's body. I don't think that can be patented

>>16739435
>>16739426
Lucid dreaming therapy?

>>16739435
>Yellow food dye found in chips and candy corn turns skin transparent in mice, study says
>https://www.cnn.com/2024/09/05/science/food-dye-transparent-mice-skin

Help bros what is this on my waifu's arm?

>>16739451
90% chance it's cryotherapy skill issues.

>>16739451
looks like a burn scar.

>>16739459
>>16739462
Then we can at least add phototherapy skill issues and enzyme skill issues and retinoid skill issues and corticosteroid skill issues.

>>16739462
I had no idea they could look like that. Thanks broski.

>>16738390
How the fuck are medfags so removed from psychiatry? they don't even understand the basic concept. People go to inpatient psychiatry because they are so mental that they are a danger to themselves or to others. You really think that treating the "root cause" is going to solve an acute mental crisis?? Please grow a fucking brain before you release the next school shooter or actively suicidal patient back into society.

Outpatient psychiatry is to maintain these types of patients, and the place that less acute patients go when therapy doesn't work. I 100% guarentee you that if an outpatient psych patient hasn't seen a therapist/psychologist, the psychiatrist will reccomend one.

The ONLY time a psychiatrist would say "take your meds" is if it is an antipsychotic for acute psychosis or mania or a mood stabilizer for mania. Please educate yourself.

>>16738397
You just spat out three of the most retarded statements I have ever read on one of these threads. Statistically, you should have been right on at least one of these statements but you weren't

>Midwives should replace OB
Ah yes, the nurse midwife should be the one treating advanced and emergent OB disorders.
Retard.
>Psychology + PharmD team should replace psychiatry
Ah yes, lets just let the pharmacist or the psychologist do all the psych meds.
Retard.
>RN, PA, NP, need to go extinct
Lets just get rid of everybody who helps out and make the doctors do 1000x more work then they already do. And don't you realize that a nurse midwife is an NP?
RETARD.

ALL LARPERS GET THE FUCK OUT!!!

>>16739472
T. Nursopsychoid

>>16739472
Ok, but to be fair when is the last time you saw a shrink even order a vitamin or mineral test?

>>16739469
If you look very closely at 0:02 seconds you can see the scar travels on her upper L torso confirming a burn, likely from a scalding liquid

>>16739478
t. retard larper
>>16739479
Every single fucking time a psychiatrist WILL order a TSH, Vit D, and Thiamine. You are confusing psychiatry with ER psych.

>>16739482
Thanks, do you think it's an old scar? I even fixed the thumbnail just because of you.

This explains why she doesn't do fully nude stuff.

>>16739485
Probably old, likely 10-20 years ago

>>16739472
Midwives are insanely incompetent at everything other than perfectly routine births to just stand there in the corner and inform the doctor if anything goes wrong in the slightest.
NPs, CNMs, and CRNAs all should be going extinct for sure - they're standard nurses with giant egos but poor performance. RNs definitely not. PAs are on the fence for me, but they are generally more physician supportive rather than replacing physicians

>>16739483
T. Mama's boy pants pisser

>>16739492
>Midwives are insanely incompetent at everything other than perfectly routine births to just stand there in the corner and inform the doctor if anything goes wrong in the slightest.
mostly true, but you can't have an OB for every single birthing patient, it is just unrealistic.
>NPs, CNMs, and CRNAs all should be going extinct for sure - they're standard nurses with giant egos but poor performance. PAs are on the fence for me, but they are generally more physician supportive rather than replacing physicians

First off, NPs are astronomically more skilled than PAs. This is backed by many statistics, such as amount of mistakes made and % sued.

Secondly, NPs, CNMs, PAs, and CRNAs only exist because there is a massive shortage of doctors that are able to support the population.
NOBODY is replacing physicians, these guys only exist because they are filling a gap, not taking physicians jobs. I swear you sound like a republican mad about some mexoid taking a low paying berry picking industrial farm job that nobody wanted in the first place.

If you really want mid-levels to disappear, increase the amount of physicians. And guess what happens when you lower the standards and take in more med students? Right, you get more unskilled retards who don't know what the fuck they are doing. So you have the same problem.

>>16739494
get a job, larper. I heard they are hiring meal staff at the local medical center

>>16739496
the limiting factor for doctor supply is, and always has been, the lack of residency positions for those students.

We already have to deal with IMGs, who all want to flood our country for our sweet sweet dollars with their subpar education and manufactured CV's. If there were more residency positions, there would be a genuine increase in the number of doctors because new medical schools could be opened with the same standards of education without jeopardizing the all-important "XX% of our students match into the specialty of their choice" metric.

If we only opened more schools, we would end up with more US MD and DO students taking gap years after graduation, not contributing to healthcare.

If we want to improve primary care specialty interest, medicaid and medicare reimbursement for primary care jobs needs to go up, which would increase private insurance reimbursements as well because insurance companies don't want doctors to stop taking their customers. People will absolutely follow the money.

>>16739522
a point I forgot to make is that residency funding allocation is a congressional issue. Until the united states government recognizes the problem, there will be no solution.

>>16739496
>NOBODY is replacing physicians, these guys only exist because they are filling a gap, not taking physicians jobs
That is the exact mission of the NP and PA lobbies at the state and national level. They are all pushing for independent practice so they can skip the line of learning medicine and go straight to opening their """"health spa"""" so they can sell snake oil like their favorite influencers.

I have found that PAs, largely, are less predatory than NPs when it comes to this idea. They largely understand their role in healthcare. NP schools, on the other hand, are designed to fasttrack new grads with an online program that has little-to-nothing to do with actual medical practice or the skills of a physician so that basically brand-new nurses can get their piece of paper and start calling themselves doctor.

Most older NPs I have met are not like this, it's mostly a problem with the last 10 years or so.
Anecdotal evidence, I know, but it's like my opinion man

This thread needs DBT and haldol

>>16739497
Post stethoscope with time stamp

>>16739541
Personally I boof quetiapine

>>16739526
I can corroborate your view. I'm currently in a BSN program and like 1/4 of the cohort are psychopath striver types that want to open medspas or ketamine pill mills while frequently getting things wrong about common stuff like heart failure and T2D. Another 1/4 are failed premeds itching at the idea of doing out-of-scope surgical procedures. It's bizarre because you would think the best students would be most interested in NP, but it's disproportionately the weakest and most dangerous students in the cohort. The AANP is unironically an evil organization.

I want to go be a meal staff at the medical center (to get experience IN a medical center) !!
if you are hiring then please email me

Any lads working in the fertility related areas or in a cryobank? Do hot women donate their eggs and do they demand massive financial compensation? I just wanto to have children using the eggs of hot, intelligent, healthy, tall, athletic women so bad bros..

i need a comprehensive textbook

Kek my state just passed a bill granting PA independence. It’s over for patients. Healthcare is a shitshow

>>16737143
Ahahahhahahahahahhaahhahahahahahhahaahha
>>16739710
PA?

>>16739224
I am a paramedic. My state separates medics from hose monkeys (although you can be a hose monkey who can try to earn their paramedic cert for promotion purposes). 911 ambulances are staffed only by paramedics. EMTs can only do IFT. Starting pay for medics was $90,000. I love my scope. I love my autonomy. Would hate being a nurse or just stuck in a hospital all day (unless I was an ED doc because of their scope). But this job would suck if I was in a jurisdiction that paid medics like shit. You will see online people talk shit about EMS and just realize a lot of them are EMTs who are getting abused or were abused. I would recommend taking a paramedic program at a community college so you get an associate’s out it (which is what I think the direction this profession will be going in the future). I went from zero to hero (meaning I did not get abused as an EMT for a year or two before AMR paid for the glorified online medic program). My community college was five semesters:
>Fall: EMT training
>Spring: AEMT training (+ clinicals)
>Summer: medic training (+ clinicals)
>Fall: medic training (+ clinicals)
>Spring: medic training (+ clinicals)
Minimum clinical hours my program graduates with is 1,000. I left with 1,300. Granted community college programs will vary by state but a lot were roughly similar in curriculum and clinical requirements. People will tell you to get abused as an EMT (so you know how to do the basics), but when you think about it: you have almost zero scope as an EMT (just glorified EMR). A good community college program will train you to be a good emt, aemt, and paramedic as long as you put in the work after hours at the program.

>>16739711
Physician’s assistant. Now they get to practice independently with only 1 year of academics and 1 year of clinic. The local EDs in my area are mostly staffed by nurse practitioners and physician’s assistants. It’s about to be the wild west with those two having independent practice working in the same space lol.

>>16739472
Holy based. Psychiatry is based. Makes autistic IM fags seethe uncontrollably.

>>16739526
>Most older NPs I have met are not like this, it's mostly a problem with the last 10 years or so.
>Anecdotal evidence, I know, but it's like my opinion man
NTA, but I think you are about right on the money.
>psychopath striver types that want to open medspas or ketamine pill mills
>It's bizarre because you would think the best students would be most interested in NP, but it's disproportionately the weakest and most dangerous students in the cohort. The AANP is unironically an evil organization.
I've encountered exactly ONE of these types during prereq coursework. She wanted to take the fastest route possible to becoming a NP so she could open a spa and administer botox injections. She was a middling IQ, at best, opportunist with fake tits, lips, and the full diaper looking Kim Kardashian ass job. My immediate thoughts were that I wouldn't trust her to pet sit let alone be in charge of a human's health and welfare. She was intellectually dim, academically lazy and incurious, but was brimming with confidence. She was the second wife to an biotech exec who she started fucking as his admin assistant, so she is a homewrecker as well. A total opportunist that would latch on to whoever could help her get through her classes the easiest.

>>16739496
>NPs are astronomically more skilled than PAs. This is backed by many statistics, such as amount of mistakes made and % sued.
Source?
>NPs, CNMs, PAs, and CRNAs only exist because there is a massive shortage of doctors that are able to support the population.
WRONG. They exist for that reason, but they aren't gaining independent practice for that reason. The reason hospitals and insurance companies push for independent practice is so they can use the cheaper labor force and pass on savings to the C-suite's bonuses.
The only place where they should be an option in independent practice is if they're so rural and underserved that there are zero doctors there. Otherwise MD supervision should be the rule.
>And guess what happens when you lower the standards and take in more med students? Right, you get more unskilled retards who don't know what the fuck they are doing
True. In the status quo if you can't make it to US DO, it's troubling.
>>16739522
The number of residency positions exceeds the number of US MD/DO apps every year nowadays. The problem is the number of positions at prestige institutions in desirable places to live rarely goes up and that's a consequence of population.

>>16739759
>>psychopath striver types that want to open medspas or ketamine pill mills
>>It's bizarre because you would think the best students would be most interested in NP, but it's disproportionately the weakest and most dangerous students in the cohort. The AANP is unironically an evil organization.
>I've encountered exactly ONE of these types during prereq coursework. She wanted to take the fastest route possible to becoming a NP so she could open a spa and administer botox injections. She was a middling IQ, at best, opportunist with fake tits, lips, and the full diaper looking Kim Kardashian ass job. My immediate thoughts were that I wouldn't trust her to pet sit let alone be in charge of a human's health and welfare. She was intellectually dim, academically lazy and incurious, but was brimming with confidence. She was the second wife to an biotech exec who she started fucking as his admin assistant, so she is a homewrecker as well. A total opportunist that would latch on to whoever could help her get through her classes the easiest.
^meant for >>16739616
>psychopath striver types that want to open medspas

>>16739224
>What do you think of being a paramedic?
The ones that I have met have said, DO NOT do it. They were underpaid, and overworked. That may be a function of >>16739719
>My state separates medics from hose monkeys
Being the opposite in my state, and fire cutting into EMT pay money. Fire makes absurd money in my area.

>>16732341
>3 small <2 cm pilar cysts removal on the scalp.
Consider yourself lucky. Last pilar cyst I had removed from my scalp, the retard surgeon fucked up, and now it is back and bigger that it was when he "removed" it.
>>16733248
>If it's taking anywhere more than 2 minutes per cysts as small as you say,
You're retarded. 2 minutes to remove a 1-2mm pilar cyst?

>>16739722
Can physicians kick PA NP staff out of the hospital if they fuck up?

Anyone here watch med documentaries? I found one about root canals = bad. It was all dentists and MDs talking about how bad they are.

>>16739698
kek

Is it true odontology is harder than medicine?

>>16739912
Yeah we look at squishy parts more often instead

>>16732341
>small
> 2 cm

>>16737606
2 people from my school failed Step 2. How is that possible if you're able to get there in the first place?

so everyone was using anki and decided not to tell me wtf

>>16739981
>t.

>>16739787
>Last pilar cyst I had removed from my scalp, the retard surgeon fucked up, and now it is back and bigger that it was when he "removed" it.
see >>16739426; almost guaranteed the ice beats the knife here.

What would happen if you tried to spank the ODD out of a kid? Would the kid submit or will the ODD intensify?

>>16740275
Maybe just be a better parent

>>16739698
I need to know how this works

Back pain? How about you go BACK home cause this isnt an emergency and youre a PAIN in my ass

>>16740769
Inb4 AAA

>>16740769
>inb4 cauda equina

>>16740814
>>16740814

Hurr durr in this case its msk pain

I know because I saw the patient

>>16740854
Inb4 nurse

>>16740854
Would you tell your mother to trust her ability to differentiate AAA or cauda equina from msk back pain?

>>16740854
>inb4 NP

>>16740878
This is a silly take, what's the point of the history at all then?
Unfortunately it looks like this is the best way to crank out money for large healthcare entities in our broken production-based system, so the history dies while the CT scan rises. Even in clinic it's easier to just take a minimal history and physical and throw a bunch of studies into the dark rather than try your best to elucidate the patient's symptoms and signs in a methodical manner - even if that manner may involve multiple visits and longer thinking, it is more efficient in terms of utilization of labs and imaging

What's the best terminal disease to die from?

>>16740923
Life

>>16740878
What you want me to send you my clinic note?

Im not typing out a case for you ms1 go study

>>16740923
autism

Time for /med/ kino
https://www.bitchute.com/video/1YTXlCzN9c31/

do DO students really just sit through their OMM lectures just knowing it’s all a fairy tale

>>16741170
Chiro is coming to a hospital near you! https://pmc.ncbi.nlm.nih.gov/articles/PMC7839851/

>>16741170
I hate myself so much for only getting into a DO school. It's such a time sink and at my school, the practicals have no more redos because the upper years would purposely fail them to instead focus on other classes and just redo the practical. That said, with no more redos, FAILING OMM is a very real threat.

>>16741152
Made me click but no I will not watch your schizo rant against psychiatry
>>16741170
I personally don't understand how DO schools are allowed to push such blatant bullshit and still be licensed by the states to teach medicine, it's meaningless pseudoscientific clutter on par with chiropractor stuff

>>16741192
>That said, with no more redos, FAILING OMM is a very real threat.
Continued. Because failing OMM is a threat now, some bros at my school who have the practical earlier give others a heads up for what's going to be tested BUT people are SNITCHING on those peeps. That's the dumbest thing ever to snitch on. I HATE IT HERE.

>>16741194
Continued again. They've also made OMM have in-person attendance now. Back then, you could view lectures remotely for attendance. THEY'RE MAKING ME GO TO AN OMM LECTURE AT 8:00 AM. I HAET IT HERE.

>>16741199
At least you don't have OMM clinicals right
This bullshit ends in third year

They clamp. Unclamp.

>>16732104 (OP)
First off, to dispel all the "they don't do that!", yes, they do still clamp the umbilical cord early. The problem has not been formally nor informally solved.
https://pubmed.ncbi.nlm.nih.gov/24215582/
https://pubmed.ncbi.nlm.nih.gov/29689745/

These are the effects.
Boys have lower fine motor and social scores at 4 years old. Significant reduction in brain myelination.
https://www.jpeds.com/article/S0022-3476(18)31079-5/fulltext
At 4 months:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259583/
And 12 months:
https://pubmed.ncbi.nlm.nih.gov/32702760/

History of cord management.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3423128/

A review of placental transfusion:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5290307/

Role of ferritin (iron stores) in free radical defense and early neurodevelopment
https://chem.libretexts.org/Courses/Saint_Marys_College_Notre_Dame_IN/CHEM_342%3A_Bio-inorganic_Chemistry/Readings/Metals_in_Biological_Systems_(Saint_Mary's_College)/Iron_Storage%3A_Ferritin

https://www.who.int/elena/titles/cord_clamping/en/
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004074.pub3/full?highlightAbstract=umbil%7Cumbilical
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD003248.pub4/full?highlightAbstract=umbil%7Cumbilical

The cord blood, placenta, and foreskin can be harvested and sold for exorbitant sums.
https://www.atcc.org/search#q=foreskin&sort=relevancy&f:contentTypeFacetATCC=[Products]
https://www.atcc.org/search#q=Umbilical&sort=relevancy&f:contentTypeFacetATCC=[Products]
https://www.atcc.org/search#q=cord%20blood&sort=relevancy&f:contentTypeFacetATCC=[Products]
https://www.atcc.org/search#q=placenta&sort=relevancy&f:contentTypeFacetATCC=[Products]

https://med.stanford.edu/newborns/clinical-guidelines/vitamink.html

>>16741224
Yeah, after the 2nd year, OMM ceases to exist. I can't wait to clear that stuff out of my brain.

>>16741226
Delayed cord clamping after a minute is standard practice at my institution. Cord blood needs to be tested to optimize care of the newborn so we can't let all of it go into the baby. We're at a public hospital so actually the placenta and everything else goes in the trash if mom doesn't want it
>>16741228
Don't forget about it for your comlex exams

tell me if im wrong but i feel like the fact that boomers have more wealth than probably any generation in the history of mankind (many times more than younger generations especially) and are willing to piss it all away to live another few months has something to do with the american medical system being completely unaffordable to everyone else

>>16741232
>Delayed cord clamping after a
Nope. You've replaced "until it's done" with a timing aspect. That's doing it wrong. And that's it.

> Cord blood needs to be tested to optimize care of the newborn so we can't let all of it go into the baby.
Whatever this is supposed to mean it's probably wrong. Though no doubt the anxiety of missing something makes it seem plausible and acceptable, when it is neither. They're just tricking you into being an accomplice.

>>16741194
>people snitching on each other
thats why i always just left it up to plain ol' he said she said. don't leave anything in writing. then again, DO school is probably more competitive than OD school lmao.

>>16741199
>remotely
stopped for us shortly after the corona craze ended. i'd say it's just a return to normalcy for you.

Vitals from my doctor's visit on Thursday morning. Didn't think anything of them at the time and doc didn't say shit about it, but apparently they're considered somewhat high? Is my heart potentially fucked?

>>16741410
Your blood pressure is high(ish) but you should take it at home, by the sounds of it you get white coat syndrome. Same with HR

>>16741478

Yeah, I have anxiety out the ass, so you're probably right. The nature of the visit can't have helped much either (I've been having really bad digestive problems for over year and I'm pretty sure I've got an ulcer now).

Strongly considering becoming a radiographer, am I making a good decision? I'm bored out of my skull working in admin and want to help people more but feel I'm to old to start becoming a doctor and nursing is definitely not for me. I've just finished a week of work experience and loved it, though obviously there's a big difference between observing for a week and a lifetime in the job.
I'm also a britbong with NZ citizenship so I'm flip-flopping on which country to study in, my main concerns are money (NZ seems cheaper overall but I could get a hefty £6k NHS study grant and keep my current job part-time) and training quality. Any opinions?

I wanna quit all this shit a just go innawoods

>>16741527
how old are you? i just started and i'm 26, not a kiwi or brit though so can't advise

>AnKing charging money for copyrighted material that you can get for free on annas archive
People will pay money just to not make their own anki decks

>>16741527
Midlife crisis? Age?

>>16741568
>>16741572
32, less a midlife crisis and more waking up from a depressed stupor.

>>16741575
I left the legal profession to go into healthcare. Best decision I have made. Was eventually going to kill myself as a lawyer ‘cause how depressed and miserable I was.

>>16741577
I always cringed at the thought of being a lawyer. How gay was it?

>>16741170
> do DO

>>16741587
Pretty fucking gay. Being a bitch to your boss, being a bitch to your client, being a bitch to the judge. The never ending mundanity of “resolving” inane “legal problems” — but to the client, it’s the end of their world as they know it if you don’t help them, so you must beckon to their call regardless of the time of day. I went from private practice (mostly doing contracts) to criminal law and both worlds fucking sucked.
>hey, anon, I know it’s 1730 on a friday, but the client just reached out and I am going to need an interoffice memo by monday morning regarding this common issue we deal with all the time but the client is incredibly worried
>umm, yes, sir, I am on it. Will be in your inbox by Sunday evening
>monday arrives and neither the partner nor client even discuss the memo during the meeting
>rinse and repeat for private practice
Criminal law was just catering to the whims and caprices of the retarded judges and prosecutors

>>16741599
You ever do anything cool? Like criminal law + occult stuff? I'm thinking stuff like this https://www.ojp.gov/ncjrs/virtual-library/abstracts/satanic-beliefs-criminal-actions

>>16741602
That’s pretty interesting. Never saw anything remotely interesting like that. Closest thing to fringe beliefs I encountered was defending SovCits and explaining to the court why my client insists I cite 19th century admiralty law all while my client kept blurting out that the judge and courtroom were illegitimate owing to the American flag behind the judge (never really understood why they thought flags in a courtroom invalidated the proceedings). I mostly handled property and drug related offenses, while one defense attorney mostly handled DUI and vehicular offenses, another violent crimes, and another juvenile. We all received misdemeanor cases (especially those we couldn’t farm out to private attorneys), and felony cases that didn’t fall under those previously mentioned categories. You get burnt out pretty quickly because you have a 400+ client case load.

>>16741613
I wanna hear more about sovereign citizens speaking over their lawyer in court, that sounds hilarious

>>16741613
I'd do a 360 and run directly home to abuse drugs and alcohol. Fuck that job. I'd rather be an Indian scammer.

>>16741616
It was like an Abbott and Costello skit. Out of my four years of defense work, I only defended 5 sovcits (despite my jurisdiction being rife with them). I hated each one of them because they all insisted they go to trial despite having a loser case. The one yelling out about the invalid court proceedings was so fucking frustrating. He was charged with breaking and entering and unlawful possession of a firearm, among having an expired license and other related charges. Entered his ex-wife’s house to steal her new husband’s hunting rifles. Was pulled over by the police on his way back to his home and started spouting nonsense about how he did not need a license to freely travel on roads. Lots of pretrial meetings to convince him his guy to take a deal. At trial, I do my objecting to the State’s evidence. But every time my objection was overruled, he would blurt out and target the judge. Judge gets pissed, admonishes me in front of the courtroom, admonishes my client and threatens him. Prosecutor is laughing behind his notepad. Eventually it culminates to the point before I even finish explaining my objection he’s yelling, especially when his ex-wife was on stand, I am in his ear telling him to stop, judge is yelling at both of us, jury is staring at us like we’re both retards. I started thinking the prosecutor was doing it deliberately to provoke my client. Judge orders him to be taken away until he calms down. I should have let him just go pro se during the trial. He was my most disruptive client. Usually, the defendant’s family were disruptive, and that was invariably at sentencing. In retrospect, the trial is hilarious, but in the moment I just wanted to die.

>>16741638
Pure psychosis
https://www.youtube.com/watch?v=82JqvIozLk4

>>16741638
that man is happier than anyone ITT will ever be

>>16741638
*laughing emoji*
https://www.youtube.com/watch?v=i4QYvXpaXlY

Hello /med/, are SSRIs a good idea? Or at least an acceptable idea? In an ideal world I wouldn't take them, but my life is shit, so maybe they're worth trying.

>>16741643
Topkek

>>16741689
we're not your psychiatrists but SSRIs are commonly known to be dogshit unless you're right about to kill yourself. they are lobotomies in a pill. do you like remembering things and having hobbies? tough shit

>>16741689
Try changing your life in meaningful ways. Smoke a cigarette, drink a beer, puff a weed, go camping, bring a sledgehammer and a weight scale into the forest to smash the patriarchy, whatever man. Try something (for a long time) other than SSRIs, anti-psychotics, and other things. Its probably normal that your life is shit and thats because we live in a shitty world. Your reaction is normal and healthy.

I'm currently going through effexor withdrawal. Is this supposed to last weeks?

>>16741806
>no PMH
>no indication
>no symptoms
>can you please give me a free diagnosis so I don't have to go talk to my psychiatrist who gave me this medication whether my specific symptoms are related to effexor withdrawal
My intense respect for psych only increases every day

>>16739496
>increase the amount of physicians

they already are, idiot. new giant DO schools open every year
HCA keeps opening new residencies too

>>16741170
DO here. yes. its all bullshit
i went into neurology where no one uses OMM, so i cant really benefit from billing for it

>>16742005
HCA residencies are a total joke, but my FM preceptor did one back in the late 90s/early 00s for his specialty and that guy is a finely oiled machine in clinic. He individually sees 40 people a day, can spend up to an hour if a patient needs it, and still has time for a leisurely 2 hour lunch

>>16742012
yeah like you said, hca residency quality varies by specialty. some of them you get enough volume that you come out a total machine
HCA's been around for over 50 years
a lot of the EM ones are bad

biggest issue is meditech

>>16741689
>Hello /med/, are SSRIs a good idea? Or at least an acceptable idea?

SSRIs make you fat and kill your orgasm.
try bupropion first (plus Vitamin D supplementation)

>>16742013
I think that the main advantage of that kind of community program in a specialty like FM is that you only NEED to have expertise in bread and butter stuff for FM, anything that doesn't respond to your treatment there - you have the option to refer out. And because he trained in the ancient time before the "hospitalist" role was really a thing, he would do both inpatient and outpatient combined for about the first decade of his career - so that only bolstered his ability to smoothly grind through patients of all acuities

>>16739961

IDK man, I imagine they didn't try.
That being said, statistically 5% of all students who take the exam are 5th percentile or lower... right?

Still, being in a US MD or DO program and failing step 2 is a profound lapse of quality. It's excusable for IMGs since their medical education is basically "watch kahn academy and write a fake CV and a million fake papers"

If I owned a hospital I would(n't)...
Finish the sentence

>>16741654
lmao

>>16742050
If I owned a hospital I would put a chipotle in the cafeteria

If I owned a hospital, I wouldn't let anyone other than Buc-ees sell coffee in the building

>>16742050
i would buy 7 wives and force them to play 4v4 matches in aoe2 with me.

>>16742058
That's actually the right answer change mine
>>16742058

>>16742058
It's all fun and games until you realize women swarm together against men and you're stuck with 7 all of the time. There'll be a hot one and an ugly one. The competition will eat everyone alive.

>>16742062
Any time they start getting feisty just turn it into a bachelorette style rose show and do a reset with 7 new women so only one survives the old batch, forcing them to consistently fight amongst each other while trying to stay on tv for the one thing all women desperately need: attention from people they'll never meet and don't actually like

>>16742067
Okay Dr. Chuck McFuck. I get it.

>>16742074
Glad to help

>>16742062
ok fine, i'll take them on in a 1v7 in aoe2. i dont think many women play aoe2, so i should be able to beat them for awhile before we need to swap to 4v4s or ffas.

About to start 3rd year and still haven’t used Anki I ain’t no sheep

>psychiatry
Lmao

Bros Im getting excimer laser/prk this sunday to correct my myopia so I can look less like chudjak. The problem is, i noticed that sly fucker had a contact lenses case on his desk, he said getting the surgery would make it difficult for him to use his "microscope", he didn't tell me about this. He didn't tell me about the pain, he just said I would be fine and pushed the surgery on me. What to expect?

>>16742601
>laser surgery on your eyes
Utterly retarded on every level. Search the Bates method, and check out hat chiropractors have to say about the relationship between posture and vision. Especially "forward head posture", the neck, and the jaw.

I crashed my car on a Friday the 13th when I was exactly 8888 days old. My glasses were thrown out the window while I was rolling. Never got another pair. Noticed, as I had many times before, that when I first woke up for a few seconds I could look around and everything was perfectly focused. Then it would defocus. This told me the apparatus of the eye was capable of focusing on its own. I trained it, now it does

You get your eye lasered you're fucked. It can caused side effects and several people sya it doesn't last.

Barbaric. Like a retarded drooling ape that does it just because it has a laser and can. Humans don't deserve technology. They are the stupidest shitpiles I have ever seen. An insect crawling into honey is smarter than them. Really disgusts me. There was this old IT guy in high school, used to be in the air force, had obvious issues with his. Turns out he'd had laser eye surgery and years later sufferred chronic dry eyes. Yes, dry eyes. Can you imagine, fucking, dry eyes? Like what the fuck? That's like having to remember to wind up your ears every few hours. Stupidest shit I've ever heard! An obscenity.

Good luck.

I forgot also, pinhole glasses can accelerate the process.

Any physical flashcards chads here?

>>16742631
Fuck notes/flashcards and fuck Anki. I just visualize the entire slide in my head.

>>16742631
I just let the nurses tell me what to do since I'm a big oaf

>>16742615
i, like 99.9999 of everyone else, had a *fantastic* laser eye surgery. suck it, schizo loser.

>>16741806
TAPER OFF YOU RETARDED FUCK.

>>16742683
Uh huh, how long ago? Expect it to still be that way in 15 years bucko? Sunk costs is a bitch. Don't fight with yourself and your potential futures through me, I'm the bulletproof messenger and if I feel like I might just obliterate you for the hell of it. Get fucked, normie.

>>16732104 (OP)
https://www.airbnb.com/rooms/1291938

Isto é entre tu e eu, nem te atreves a dizer ao jica

Mas sabias que a Helena no ano passado teve um aborto que custou 3000€?

E mais uma pergunta
Quem é que violou a Helena quando era pequena?
O Norberto, um professor de matemática ou de natação?
Foste tú? Até acredito
(Muito obrigado, pedofilo filho da puta chamada Alzira)
A pior parte é que ela deve ter gostado e isso explica tudo

Tenta não violar o bebê neto da tua gold digger, mr Ian Watkins

E também não vou tomar conta de quinta nenhuma
Quando morreres, essa quinta vai para os ciganos
Já estamos a lidar com as maldições da puta da Tia Mila
Já é triste e engraçado ao mesmo tempo ver o parvo do Tio Zé a apodrecer com as merdas dos avós
Queimam essa merda toda
"Legado de senpaiília" é um cancro

Não admira que o Jica vai ao Porto, atirar os pensos da sua mangina para outra parede

George "I built my career saying the most basic opinions and made the world more retarded" Carlin
Grande mistério que algumas pessoas são "vítimas" de violação

Quando o cocó atrai moscas, temos que lidar com as Vios e Reneés, só para alguém queixar que fez demasiados contactos
"sobre socialização" existe

Sou um gamedev com centenas de ideias, o glitterboy João Lúcio não compara

Quando a Helena se matar, lembra de onde vai ser enterrada para poderes viola-la mais uma vez

A senpaiília é a prisão original
Correntes desde o dia 1
És nascido com um perfil predefinido e informação que não escolheste
Já és obrigado a saber nomes de pessoas e levar merdas até quando és pequeno
Mas um dia, tem que haver um recomeço
Já demasiadas pessoas subiram as escadas, mando as escadas a baixo

>>16742683
>>16742686
I'm mirroring your irrational tone by the way. You don't have free will and I already chose for you, so it'll be funny to see how you (inevitably) respond.

>>16742631
No but I am a physical notes chad. I fill up notebooks and notebooks and notebooks

>>16742682
>t. Nurse
Uhhh huh

>>16742690
Do you use pocket-sized notebooks? What size?

>>16742694
Walmart dollar spiral notebooks

>>16742694
Nta. A5 is a good size

>>16742601
You'll be fine
>>16742500
Psychiatry is a legitimate science plagued by the usual suspects and the poison they distill

>>16742771
Oh yeah, everything'll be fine! Of course! If it was bad, they wouldn't be doing it, right?! lol

'ts true. Bunch of 'em are faggots and frauds, now, too.

The first years just started their first day yesterday. They don't know what's coming :(

How do you determine if you're missing a kidney?

>>16742820
Drink 10 cans of Celsius a day

Did any doctor ever managed to cure gay(top) fantasies?

>>16742783
Inb4 their first taste of work and responsibility. I've met a lot of med students and they are generally sheltered and never faced a genuine challenge before.

>>16742847
https://en.m.wikipedia.org/wiki/Conversion_therapy

There's a shared drive with 3rd-party resources among my class. Should I just use that shit or should I shell out a couple hundred bucks to pay for a legitimate subscription?

I have no idea if the resources have the latest videos or not. Or does it really not matter in the grand scheme of things since it's the same content?

>>16742873
A lot in medicine doesn't really change. You could probably make it through an entire physics undergrad with decade old books. New book/subscription FOMO comes from merchants. You'll be fine.

>>16742873
You should enter deep hypnosis and just use the Akashic records.

>>16742878
Does the emphasis on certain things (high-yield material) change every year for Step?

>>16742886
No idea. Maybe.

>>16742873
Most of it is fine, some things change but you'll encounter the minor differences in your question banks.

For example, when I started we were taught oral vancomycin for c diff. Now it's Fidoxamycin first line with Vanc reserved for those with fidox resistance

>>16742925
I didn't learn this yet. What's the tldr on the change?

>>16742934
Vanc resistance > Fidox resistance generally and, I presume, a new study showed Fidox was either superior or non-inferior.

https://www.idsociety.org/practice-guideline/clostridioides-difficile-2021-focused-update/

Here

>>16742899
>>16742925
Thanks. I'll just keep on using the shared drive then. The USMLE is such a massive test lol. I need to up my stamina. I remember getting tired near the end of my MCAT because I couldn't sleep the night before.

>>16739472
Not a chance in the world

>>16739726
Not a chance

>>16741193
Not a chance in the world

>>16742683
Not a chance in the world

>>16742771
Not a chanceee

I'm taking an antipsychotic lads, this stuff won't harm me, right?

>>16732104 (OP)
Is a homocidal rampage the only cure for psych patients?

>>16743572
You're fucking fucked. Your body is being pushed by this drug to operate faster, respond to nerve impulses quicker, and overload cardiac output. Stop taking it and say you get the runs.

How to cure stinky feet?

>>16742925
>Fidoxamycin first line with Vanc reserved for those with fidox resistance
Wat? They were teaching me oral vanc first line with fidaxomicin second line for vanc intolerance - this was in 2023/4...

>>16743834
They're probably roughly equivalent, and vanc would likely be fine. Recommendations take forever to permeate medicine.

>>16742946

>>16743737
bleach bath