Thread 16744592

Please remember to reference clinical guidelines. Gold standards for thread are as follows:
>Do NOT give medical advice
>Do NOT feed the nursoids
>Do NOT engage with premeds
And most importantly
>Do NOT respond to psych patients

These guidelines are recommended by the AAFP and supported with grade A evidence.

What was your weirdest interview experience? Med students, residents.

>>16744594
A school asked me what I would do if I would take a leave of absence if a family situation occurred. I said yes, since medicine will always be there, and I guess they didn't like that answer, since I was later rejected.

>>16744592 (OP)
>>16744688

>>16744592 (OP)
>Do NOT respond to psych patients
Psych patient reporting in.
You are ALL a bunch of hacks.
Medicine is a joke.
Everything is placebo.
You are just placebo enablers.
Also I have achieved immortality and don't need you anymore.
So long suckers.

fuck this shit man
>>16744755
nigga we used to tie fuck ups like you to poles

>>16744592 (OP)
>These guidelines are recommended by the AAFP and supported with grade A evidence.
USPTF got gutted by this retard government and now we really depending on the fucking PCPs for preventive guidelines
God save us all, America is totally fucked

Fr though, apparently one of the specialty-specific committees for infectious disease prevention that an attending of mine sits on hasn't had the CDC rep show up in months, they just disappeared one day

Feels good knowing every single medical school in the country is likely in a complete panic over today’s new memorandum :)

>>16744906
Why?

Post your most ordered labset, guess the specialty

CBC
CMP
UA
Trop
Urine tox


Easy mode: most commonly ordered non-lab study

EKG

>>16744966
Nurse

>>16744592 (OP)
>anatomical snuffbox
mom taught me that one

>>16744970
Funny, but wrong

>>16744755
>Everything is placebo.
>You are just placebo enablers.
Placebo literally works so what exactly is the problem

>>16744974
IM
t. nurse

>>16744978
You gave me the ick

>>16744980
Hospitalist same difference

>>16744978
Not quite, the easy mode and one of the labs in particular should give you the answer

>>16744966
emergency medicine probably

>>16744966
EM
>CMP
Sorry, wasteful EM. Ordering BMP alone is cheaper and then you should order LFTs separately if a liver pathology is actually suspected

>>16744592 (OP)
Dis tread remind me of a good question my brudda ask in anadda tread... let me link it!
>>16745068

Anyone else sit the acem primary today? First paper was easy, second was pretty brutal. The difficulty of the questions was all over the place, some brainlet level qs combined with the most obscure medical trivia known to man

i start my first solo optometry job in less than a month, and i'm a little spooked. shouldn't be that bad (i hope), but it will take some getting used to.

>>16745150
Don't poke the eye or pick the nose. You'll be fine. You could also throw in a joke like "hey, do you need glasses for your third eye, too?" Let me know how that joke goes.

>>16745003
Bingo
>>16745072
Sure, let me go ahead and do that when the admitting physician is going to needlessly jerk me around and make me order it later anyways when I have a full waiting room.

>>16745270
I hate bingo

Is AI gonna giga cuck radiology? I'm a med student rn but I don't wanna work towards something that's not going to have jobs in the future.

>>16745471
Welcome to capitalism lmao

OBGYN is too stressful for me
>>16745270
IM knows more than you, CT monkey
>>16745471
Rads does procedures too you know

>AI engineer arrives at ED
>midnight in rural 3.0
>only you and one nursoid
>you SOAP him up
>oh it's a massive PE
>"by the way, my AI would have fixed the problem by now. We will replace you"
>hold his life in your hands
What's your choice? Treat or "oops"?

>>16745621
pull out a gun and say
>can your AI fix this
then shoot him

>>16745621
kek
cope and seethe
We WILL replace you
and you KNOW it
or you wouldn't be conjuring up imaginary stories to cope

hello all, i just got admitted and the older students are saying that anatomy and histology are supposed to be the weed out classes. they both have a 50% fail rate. i think this may be a skill issue because they're not giving any specifics

how do i train my nursoid and pa into doing follow ups

>>16745621
I don't understand this sentiment. By the same logic, AI engineers will also eventually be replaced. In fact, the singularity that they all jizz about everyday requires them to be replaced.

But yes, death cultists should be killed.

>>16745621
I order a D-dimer and put him on 2L NC just like his AI would. If he can still talk after sitting for 50 hours on his goon chair jerking it to the idea of robot waifu or whatever the fuck it's clearly not massive enough for heparin - we HAVE to make sure it's actually PE, wouldn't want his AI girlfriend to freak out over HIT
>>16745691
I encourage you to read up about eff/acc, Thiel's mask off moment is just the tip of an iceberg that extends all the way down into the fundamental driving questions of society

>>16745696
dw I'm aware. I read Nick Land extensively back in the day.

>>16745669
Race, age, sex, geography, school type for an answer.

>>16745669
>histology are supposed to be the weed out classes
I've never understood the meme that histology is hard. It's literally just looking at something and recognizing it.

>>16745091
nice to see another aussie.
I'm an intern but may consider EM in the future.
wish you all the best mate

>>16745735
You're so cute and smart.
Good girl.
*pat*

>>16745776
Thank you. I make straight A's.

>>16745735
I read this with a man's voice

>>16745775
As an intern, ED is the only time you do any medicine. Don't get trapped into thinking you like it just because of that. See how you feel in pgy2; check out a few other things. If you still don't hate it, can deal with being looked down on by every specialty, random hours for your entire career, and bouncing between a slightly higher acuity GP and more acute issues than half the ICU admissions, then the gates to the college are open

>>16745823
Why can't you ever be nice to the cute trannies?

>>16745204
>dont poke the eye
that's perfectly within my scope of practice, so i look forward to poking as many eyes as i can and as often as i can.

>>16746030
Your sussy SENPAI.

>>16744688
>>16744693
/med/ confirmed RETARDED.

>>16746315
Whaaaaaaaaatttt???
No waaaayy...

How to get access to top tier stacey eggs and what's the price? I've heard they are sold at 10s of millions of dollars in the black market. what about surrogacy services?

Who here uses Zotero?

Bad week on L&D, one death is especially hanging over me this weekend

>>16746959
Death is never the worst outcome, objectively. Worldly people think otherwise, though.

>>16746973
Still doesn't stop me from feeling like I fucked up somewhere

>>16746990
Of course. Time will dull the feeling. You'll have many more deaths in the future. Try to detach from the feelings before they engrain in your behaviour. Mourn a bit, but this type of thinking *does* eventually consume you.
T. Psychology

>>16745674
Classical conditioning, feed them a treat with a dog training clicker, but unironically.

Quit my job. Got depressed since 2 months ago, haven't worked for shit and kinda stopped reading. Scihub apparently got rekd. Anyone knows how to access the brand new shit?

>>16747208
Local libraries sometimes have academic subscriptions iirc

McGee's Evidence Based Physical Diagnosis

>>16747502
I hate ebm. Too many changes too fast.

Should they just make everyone who fails to become a doctor in medical school become a nurse anyway? At least then the odds are the nurses would be kind of smart instead of people who are like "I NEED ACCOMODATIONS FOR A TEST BECAUSE I HAVE TESTING ANXIETY".

so do trannies have female brains or not?

>>16747752
Women pretending to be men do, yes.

>>16747754
not what i asked bub

>>16747756
Not all trannies are biological women, so not all will have female brains.

>>16747759
not what i asked bub

>>16747731
>"I NEED ACCOMODATIONS FOR A TEST BECAUSE I HAVE TESTING ANXIETY".
How is testing anxiety diagnosed? Don't most people feel a bit anxious before a big exam?

>>16747914
You send a form to a doctor and they say they diagnosed you with the appropriate forms.
I assume you just cry to your doc and he says, "you paid for this appointment, right?" and then writes that you have test anxiety.
Yes, I feel like it's fairly normal to have some anxiety.
Do I think you should be in charge of life saving care if a test scares you badly enough that you need anxiety accommodations, though? No

What’s the best specialty if i hate people but kinda not really and don’t wanna get cucked by AI

>>16747925
>Yes, I feel like it's fairly normal to have some anxiety.
>Do I think you should be in charge of life saving care if a test scares you badly enough that you need anxiety accommodations, though? No
Yeah, I feel anxiety before big exams but I know I just have to do it anyways. Being an adult means you just have to do stuff you don't want to do.

>>16747930
Pathology if you don’t care where you live kek

>>16747930
Whatever specialty does prostate exams.

>>16744688
>>16744693
>
>>16746315

>>16746670


this is very bad though, or not?
really need to figure out what is expected (for what we know) before I get started again, again

>>16744592 (OP)
Post your most ordered labset, guess the specialty

CBC
BMP
LFT
Mg +/- Phos
UA

Easy mode: most commonly ordered non-lab study

ID consults :’)

>>16747995
test levels (I am stealing HRT from the hospital), and im trying to get swole. hoping I get caught once I stop looking so natty

>>16747995
IM?

I'm learning the coagulation cascade again. This shit blows.

>>16748314
it doesnt blow. it coagulates.

A profession with a 100.00% failure rate.

>>16744594
U Penn. Interviewer conducted entire interview with his chair facing the cement block wall, back facing me. For an hour.

>>16744906
Merit needs to reign supreme!
Return to meritocracy!

>>16748420
lol. Did you get in?

>edema again
fix it medjannies

>>16748489
It's oedema, you philistine. Start with the Greeks.

>check teams
>nothing
>check on my laptop
>12+ unread messages
>check again
>nothing
There's a special place in Hell for Microsoft codemonkeys

>>16744592 (OP)
How would you treat Post-Finasteride Syndrome? Asking for a friend.

>>16748656
literally doesn't exist - it's all in your head
>t. former finasteride user without any issues

>>16748512
AI vibe coding "Asians"? Yeah probably. They use cow poop and pee as sacred materials. Disgusting.

how many hours a day do you need to study in year 1... it might be over for me

>>16749254
however many you need to remember stuff

going into surgery tomorrow for umbilical hernia.
i've not been put under before and i'm anxious about it. i don't like the idea of being totally in the hands of other people and trusting them to not fuck my shit up.

There's a pain in my left scrotum.

kind of want AI to replace most of our work. it is smarter than most mds

>>16748660
>former finasteride user
So are you bald?

>>16749394
good luck anon
be nice to the nurses

What happens when a doctor gets operated on at his own hospital and everyone learns he has a tiny penis?

>>16749472
nice try, Larry Ellison.

>>16749488
They already know, anon.

>>16749394
RIP in piece, shouldn't have skipped ab day.
>t. knows like 5 DYELs who all got hernias, never had one cuz swole and don't strain extra.

can someone with an iq of 100 become a good doctor?

>>16749529
There are no good doctors. They are all golem.

I got blasted by a ball on the side of my shin a month ago and it immediately formed this big golf ball sized knot where I got hit. It's painless now but the big knot hasn't gone away. Is it permanent or what the hell?

>>16748420
We really do live in a society.
Did you win?

The self-segregation at this school is ubiquitous. I think of it like nations in avatar the last airbender

>>16749475
>>16749494
just got home. weird communication with the surgeon. i had wanted to do an open mesh surgery, and i thought that was agreed upon, but i get up there and they're talking about a robotic one.
i'm 28 and i just don't want a bunch of holes in my abdomen that could end up as incisional hernias. problem was, by the time i was talking to the surgeon they'd already given me midazolam and i wasn't fully mentally there.
so, ultimately i got open suture repair. i don't know how likely it is that it'll cheesewire my muscles, but that was my concern and why i wanted to do mesh in the first place. but whatever. i guess if that does happen i can do it next time.

out of pocket was 2400$ with insurance. fucking wild.

What is the most hated speciality based on the collective personality.?

Isn't there a single anon who works in the area of fertility or reproductive health care here? I need da fuggin eggs>>16746837

>>16744592 (OP)
nice thread, thanks for the reminder OP

I am not even in medicine but lurking here is very fun

>>16750109
That’s at least 50% of the posters in this thread anyway

>>16750183
Zero people here are in medicine lmfao. Doctors would never post here.

>>16750369
>Doctors would never post here.
You'd be surprised.

>>16750369
There's a doctor in here who likes to take viagra for fun.

>>16750424
It's for my blood pressure

>>16750369
im a doctor (of optometry)

>>16745621
Great argument for replacing human body wrench monkeys.

>>16747930
Pathology/Dermatopathology aren't a bad choice. There are Path labs in every town and hospital with endless work and virtually no patient interaction. It's pretty geeky and your head will be buried in a microscope most of the time, but it is the most fundamental form of disease analysis and there is always cool new tech coming along every few years.

If they can train AI to read slides, that would be incredible, but I doubt it's going to happen any time soon.

>>16747995
Private practice Mohs surgeon....no "labs" for us, Pleb ;) Just cut, cut, slides, slides, stich, stich. I can get layers on any biopsy I take in real time from my in-house frozen section lab too and/or using our Dermpath office across the street.

Enjoy your time in Hospital Hell!

>>16748420
Really? That seems rather odd. Either he was a total sperg, or they were "testing" you in some way, I suppose :/

Regardless, my uncle and great-grandfather both went/taught at Penn Medical School. Oldest one in the country, but it seems to have fallen on relatively hard times, lately. I also noticed that it is now the "Pearleman" school of medicine. It's all so tiresome......

Go Fightin' Quakers!

>>16748420
90% of getting into Penn and the other Ivies is being a legacy. There is/was an entire section on the application dedicated just to listing them. Being a "regular alumni" wasn't enough. You needed to have given LOTS to the school, or your chances are pretty slim, regardless of grades. Everyone there has perfect grades too, so that's not really the deciding factor, sadly.

>>16749254
You should actually WANT to learn this stuff, Anon. Yeah, it's time consuming, but it's fooking cool too, and it won't get any easier with time, so enjoy the fact that "all" you have to do is study. You'll be begging for those days again in a few years.

>>16749254
I don’t study at all and I’m doing okay

I need a tsundere who scolds me to study harder.

>>16750576
Seriously. I just got hit with having to learn anti-coagulants, anti-arrhythmics, and all these other drugs. I AM TIRED

>>16750440
you aint a real doctor nigga thats some bullshit ass shit lmao

>>16750428
just carry nitroglycerin with you everywhere and spray it once an hour to seem edgy for the systemic vaso dilation effects nigga

>>16750597
The boner pills assert dominance. SL sprays are for nancies.

>>16750621
A long time ago, physicians were looked down upon for being fake doctors by PhDs. Don't worry, anon. It only take a few thousand years to fit in.

Has anesthesiology truly been cucked by redditors? I just want a comfy job and minimal notes bros

>>16750493
That sounds great, thank you anon. I’ll look into path further

I'm a Freemason and my lodge says they guarantee me any residency I want. Where should I go? I want to end up in management eventually.

>>16750787
Lmao

>>16750796
Now they think they're the only ones allowed to be called doctor. Not based on the evidence of a PhD, but vernacular. It really makes you think, yes, it certainly does

>>16751281
>Being THIS intellectually dishonest
psych patient?

>>16744592 (OP)
Anyone want to play House?
My primary has been trying to figure out what’s wrong with me for years
(For some reason my specialists are ignoring my tumors - I’ve had two removed from my nose and mouth, squamous papilloma they’ve since grown back. One on my adrenal gland, a few hyperechoic on my Hashimoto ridden thyroid and cervical lymphatic system - largest lymphedema is 3.9cm, it’s like a thumb in my jaw. Two small tumors in my right lung as well.)
Incredible fatigue, weakness to the point of exertion tremors when doing simple activity, sleeping for 12+ hours regularly, unable to be roused.

I don’t want to die bros.
It’s been going on for four years - this last year has been the worst thus far, have had concurrent infections - in the middle of one right now (apparently I have silent sinus syndrome from the constant infections throughout my life)

Will readily give access to any and all medical information

>>16751453
Addendum: on my “good days” I feel GREAT.
But they’re few and far between - it’s been about a month since I last had one, and it was during a course of azithromycin for a sinus infection(that’s since travelled to my left ear, urgent care doctor didn’t want to put me on yet another antibiotic fearing creating resistances or furthering them - wants me to wait to see my primary / ENT)
I see doctors constantly - but they juggle me around and it takes months to get into specialists, it took a year and a half to see a neurologist for my “wasting and gait issues” - I’m in PT for it now, clinicians are tying to help guide the specialists on where to look - the PT hasn’t helped my strength or fatigue. A lot of the time they send me away because I either have a fever, or “look like I’m going to pass out” - which I regularly feel like.

I check my sugar because the feeling of “passing out” feels like a sugar crash. And I was diagnosed with a prediabetic condition about ten years ago.
I do OMAD, so I’m almost always fasted - glucose levels don’t dip below 110, but I’ve nothing to compare it to, as it’s only been being done the last 5 days.

I can’t tell if this is a “too many cooks” situation - but I can say my cognitive function has been in a steady decline as well. I feel like a rambling schizophrenic when trying to explain my issues.
But the fact I’m regularly seen and treated / studied tosses malingering out of the window - well that and the fact I fucking miss being an athlete.

I don’t think anyone would lose their house and nice cars to pretend to be sick for four years.
But I’m also not a physician. I’m just some asshole who wants to feel better.

Regardless, I love you all, and wish you all the best

>>16751453
Vax status?

My discipline has failed. The prospect of getting a blonde gold-digger wife is the ONLY thing pushing me forward to study now.

>>16751473
Basedment poster

>>16751463
C-19? Denied.
Had a confirmed case of it in 2020 - the year my health started deteriorating rapidly.
Childhood necessaries? Approved.
Tetanus, last done in 2009.

>>16750900
go to NP residency, I heard they know more than physicians ever could

He's really been made to think

>>16751473
People like you are why
>>16751453
People like this exist.

No better than a jeet, pussy is easy. That said, you don’t want a nurse for a wife, they’re all drug addicts.

Did anyone here have a turretes patient who said the N word all the time?

>>16751491
I'm actually a pretty good student. I make straight A's.

>>16751453
Picrel has some evidence for SCC so not an exact match, but it's one of the few chemos safe enough and cheap enough that I just eat it prophylactically.
>protip: meclizine also looks like a good way to potentially avoid GBM

>>16751511
My diet is the cleanest it’s ever been.
I subsist on white and brown rice, chicken, and fruit - loads of pineapple included.

I take multivitamins rotationally - day on day off for multi , day between is D, B-complex, and omega369 complex. (Doing my best to not overload my liver).

All the same, I do have brittle nails with “the lines”, I also have uniform hair-loss, not pattern. There’s barely perceptible recession at the temples, but it’s 90% thinner throughout - all while the hair on the rest of my body is in places it’s never been.
My ass has become a jungle in the past three years, despite 25 years of having it be completely bare, my beard is much thicker, and higher than what it once was, as well. I presume it’s from the adrenal tumor? It’s been tested thrice, but each time there was a failing issue.
First two times were protein levels? Or acidity? And the third had the test being done improperly. As was my DXM suppression test, they did the bloodwork backward and learned nothing thanks to it. Tested my DXM on the day it wasn’t taken, and the cortisol on the day it was.
The cervical lymphatic tumor has been biopsied twice, both times were invalid assays due to scant cellularity.
Second test noted “no presence of metastasis, but this may not be representative of the sum-total due to scant cellularity”.
It took one year for the first biopsy to be done, six months for them to admit the first was in invalid assay, and another year after that to get the second biopsy.

So, it’s either malfeasance or ineptitude.

Addendum : there’s also bone and cartilage dissipation? in my mid spine. It feels like there’s possibly another tumor near my scapula? - I can’t imagine a knot in a muscle lasting six months with PT. - but I can also say I’m terrified about the tumor stuff - so it’s immediately where my mind goes.

If a doctor tells me “if only we’d found this sooner” I’m not going to understand it.

>>16751528
>I subsist on white and brown rice,
gluten. Orzenin

>patient comes in
>im already sitting down in my swivel chair, palms apart and fingertips pressed together
>tell him to have a seat
>ask whats wrong
>patient begins
>cut him off before hes even finished with his first sentence
>pause
>iron deficiency
>he stares
>lean back and cross my arms
>i stare
>he nods before getting up and leaving

>>16748877
i thought when asians sell their soul they worship jesus because they arent accepted by society and shieeet lmaoooo


white people if they do too much they become hindu

indians get a free ride

im cucked i have to fuck an indian pajeeta that has 1m+ followers

>>16751281
all doctors do now is treat chronic disease which is fucking fixable through lifestyle its fucking hilarious they still manage to fuck it up with all the niggers becoming doctors getting in med school with their 495 mcat scores lmaooo

>>16752156
there are plenty of good black doctors. Stop being racist please.

>>16752167
>stop being racist
you are def room temp iq

>>16752167
i've never met a black doctor since i live in oregon.

>>16752239
Thank you for inventing oregano

>>16751654
What to cut or what to add? Lately I’ve been cutting the rice by half to add more vegetable to see if there’s any affect on the “sugar crash” feeling. (Which has really been ramping up the last week, seems tied to the ear infection? Maybe?)

>>16752167
I know one who knows about most of the cutting-edge supplements/biohacking stuff, but he thinks Vitamin A is a fake psyop. Whenever I discuss medical stuff with people now, I just take notes of what to PubMed later for B.S. detection.

>>16752635
Microbiome nuking --> autism

>>16752721
Vaccinations alter antigen presentation in the gut -> microbiome nuking
Vaccinations cause ear infections and chronic sickness -> Retarded doctors blindly prescribe antibiotics repeatedly -> Autism
Kid gets sick ( due to being vaccinated etc) -> Parent is programmed to go give them tylenol -> depletes glutathione and directly damages the brain -> autism

I purposefully give myself moments of orthostatic hypotension for fun. It’s like a safe way of doing whippets and to black out and completely forget who I am or what this world even is

>>16752737
Boss bitch mommies demand antibiotics for their spawn's viral infections or else they report you to the medical board. It's fear not stupidity.

>>16752803
I know there are nuances and killswitches built into the system. But in the end it doesn't matter, as a professional you are supposed to accomplish the mission you purport to be on. They have failed. This "medical board" trash goes back to Morris Fishbein and the AMA in the 1920's. Read "quacks on quackery", or "murder by injection" by eustace mullins.

>>16752737
>>16751528
It’s pretty hilarious that you’re describing me.

I was diagnosed autistic in ‘00 , as I’m here complaining about all of this.

Unless your mouth is GENUINELY fucked, getting braces is a scam, right? A cosmetic procedure shilled like a necessary one

>>16753019
It's not only a scam, it often causes irreparable damage. I was led into it by my mother and went along with cattle-like docility. I had them taken off early, around a year later. Stupidest shit imagineable. Orthodontics is a scam. It's also probably part of a mind control program, if you study the modulation of cognition by deformation of the plates of the skull.

Good lord, I don't want to study anymore. Reading EKGs piss me off so much.

>>16752847
Learn more conspiracies. You sound like a normie.

>>16753252
It's easy though

Came off OBGYN yesterday
Had a big bowl of tsukemen yesterday and just vegged out today, zero work done period
Might buy a pack of American spirits after so many years and have a go

>>16753272
I'm tempted to start smoking. Should I?

>>16753274
I smoked like 1-2 cigarettes a month when I did smoke and haven't touched one in a year, so I wouldn't know
Food is my addiction, I have binge eating disorder

>>16753276
>Food is my addiction, I have binge eating disorder
Are you a girl?

>>16753279
No I'm a man, purging is for women so I'm just fat

>>16753290
Damn, is this like a stress thing related to medical school or has this been ongoing?

>>16753292
Ongoing since I was a kid, worse since starting medical school. I used to smoke with this girl at another med school, I think she still smokes as a future oncologist btw lol

>>16753306
Thanks for sharing. I think my bad habit will be smoking. Medical school is fucking stressful.

>>16753307
Don't be retarded and make it a habit
I almost got into vaping when on vacation so I could bond with this Aussie girl, but then kicked it once I left the country and realized that vaping is also stupid

I will say, vaping with her let me hit so not all bad

>>16753314
>Don't be retarded and make it a habit
Or better yet, I should just never start it. But yeah, a lot more people at my school smoke cigarettes or use Zyns at my school than I expected. One of my friends in particular is sort of a functional alcoholic.

>>16752970
Look at n-acetylcysteine if you don't have any contraindication; got some pretty good clinical trial data for that indication recently, among many others.

>>16753026
What do you think of the invisalign type shit if you have only have one slightly crooked tooth? Is it safe/worth it if you're not really moving teeth around very much?

>>16753319
I am of the opinion that every doctor should try these substances at least once in their life to understand where their patients come from
Doctors should have gone on a weight loss journey
They should have struggled with an eating or body image disorder
They should have gone through psychological trauma

Experience is the best teacher to empathize with the patient

Blackpill me on med

>>16753462
Piss is not stored in the balls

Attention

Take your lithium and get out

>can buy research authorship
https://www.youtube.com/watch?v=4P8FIauLMB8

>>16753462
some doctors are very good, some are very bad.

>The 5-year survival rate for children with ALL has increased over time and is now about 90% overall.
:^D
>The 36-month median cost was $394,000 (USD) (interquartile range, $256,000-$695,000 [USD]), and 64% of the total cost was incurred during the initial 8 months
FUCKING KIKES
I'm glad that faggot got aired in NYC

>>16753345
>What do you think of the invisalign type shit if you have only have one slightly crooked tooth? Is it safe/worth it if you're not really moving teeth around very much?
I don't know enough about it. All I know is if I could go back I wouldn't get involved with orthodontics at all.

>>16753639
Enshittification will continue until the p-values improve

>>16753639
Cathartic to see someone put into well-thought out words what literally everyone is thinking yet never want to admit. Not that it will change anything. I laughed when he mentioned all the people putting down their “in-progress” projects on their apps, never to be touched again after match day.

Salt sheriff definitely posts here.

>>16754205
who

>>16754234
40-something year old microcelebrity (emphasis on micro lmao) who is a peds nephrologist in the daytime and makes woah jack puppet videos heckin exposing the medical school rat race at night (as if admins don't directly benefit from having students dance like monkeys for their pleasure in the status quo)

It's ridiculously cringe

>>16754205
>>16754234
>>16754286
And lo and behold this is him samefagging 3 times right here in this very thread

>>16754288
>samefagging the 4th time award

>>16754286
is there any med-related youtuber that's any good to watch besides glaucomflecken? all the others seem gay and/or retarded.

>>16754302
>he doesn't know about John Campbell

>>16754306
i prefer the blue cans of soup over the red cans of soup.

>>16754302
PresRo is my favorite but he appeals more to the Gen Z med student/resident/recent grad attendings crowd rather than boomer attendings like sheriff of salt or the general basedence cheerleader public like glaucomflecken

>>16754306
I am not listening to a nurse, much less a British nurse, much less a male British nurse, much less a boomer male British nurse, much less a right-wing boomer male British nurse.

>>16754314
>random workout shit
>all this long podcast shit
>constant preaching
>this video
https://www.youtube.com/shorts/X7i8svWZRjM
yeah. i dont think so.

>>16754321
Just watch the skits, you square
https://youtube.com/shorts/_0jgjZN4sis

>>16751511
Any onco-bros wanna hazard a guess if that's literally the most broad-spectrum chemo out there? It doesn't always look to have the highest potency and is usually being clinically studied in cocktails, but seems to have activity against almost every cancer cell line.

pre-medfluencers are so fucking funny also

>pre-med influencers
They have those? That's hilarious. Medfluencers are generally harmless, and if they trick more impressionable youths into making the mistake of a career in medicine then I'm all for it.

>PresRo
He's a resident at my hospital, I remember being super confused when I walked past him on the way home from lecture one day, I think he was an MS4 on an away. His skits were hilarious, I don't like his new stuff but that's because I know all psychiatrists are coping about throwing away being actual medical doctors to prescribe the same 15 meds and work from home. I get it though seems cush.

Glaucom is funny when he's not beating you over the head with "insurance bad" but constant exposure of the insurance scam is a net positive.

if you could go back in time, would you choose medicine again? what would you have chosen instead?

>>16754486
NEET cashing in unemployment

>>16754486
Yeah I'd choose it again. I wouldn't be happy about it but it's the only pathway I see for myself to get a good income without sustaining too many moral injuries. Sure there's more money elsewhere but I'm sure as hell not going to find it.

>>16754482
>He's a resident at my hospital
What's with all the Texans specifically on this general?

I've been jerking off 2-3 times a day for a month straight and now my dick hole stings after this last fap. Am I going to die?

>>16754559
Go show the nurses your pepe and ask

Ok I have some crystallized lymph nodes on one side of my neck. They swell up for weeks at a time and make yelling painful. Sometimes they swell up in high pollution season.

Should I try and massage them to make the swelling go down?

Can they be hampering blood flow. That side of my face and jaw muscles are noticeably smaller.

>>16750809
>I just want a comfy job

have fun supervising 4 CRNAs at once that all think theyre better than you

>>16744966
im guessing EM
but most EM docs i work with only order BMP

>>16754716
>t. seething MDA
Nurse anesthetists have literally been around longer than MD anesthesia, we are the backbone of the advances in this specialty

Pharmacology makes me want to kill myself. Who is that dumbass in these threads who says that medicine isn't about memorization?

>>16754868
Yeah, bro, I just deduced which drugs are NCC inhibitors through pure logic.

>>16754873
Yeah, bro, I just deduced every indication and adverse effect for the antiarrhythmics

>>16754873
Post moar breastia

When my school starts doing wellness lectures, I know shit is about to go down. They had us meditate today.

>>16754868
Pharmacology is just about str8 rote memorization, but also requires a real understanding of how different pathways interact.

It's fascinating shit though, you're gonna see proteome-modulating drug cocktails coming out that have mice living 10+ years soon.

>>16754959
>It's fascinating shit though, you're gonna see proteome-modulating drug cocktails coming out that have mice living 10+ years soon.
Will doctors be able to afford that? I want to live longer to make up for the time spent studying.

>>16754965
If you look at some of the better-proven small molecule interventions with positive NIH ITP mouse lifespan data already...
>GlyNAC = cheap as shit
>Meclizine = also cheap as shit
>Astaxanthin = little bit bougier

>>16753345
>got some pretty good clinical trial data for that indication recently
Huh? Acetylcysteine for autism?

>>16752635
>>16752737
>Completely ignoring the fact that Autism testing has also increased significantly
Correlation does not imply causation. Go take your psych meds, please.

>>16754996
>GlyNAC and Astaxanthin
My only issue with those is that they're sold as supplements. Due to a lack of regulations regarding supplements, there's no guarantee that any particular brand actually has the correct dosage on every package at high enough purity to be safe for long-term use.
>Meclizine
Wasn't there a few studies recently which showed that long-term use of anticholinergic drugs significantly increases your risk of Alzheimer's?
>with positive NIH ITP mouse lifespan data already
If mouse models accurately represented how things worked in humans, we'd already have achieved LEV. A majority of drugs tested on mouse don't work on humans though. Where are the actual clinical trials for these anti-aging treatments?

I'm impressed that we're still at the "snake oil salesman" phase of anti-aging treatments. Every single intervention either does nothing, or actively harms the patient. Surely there must be something we can do about it, besides recommend a bunch of crappy supplements and antihistamines.

>>16754959
>proteome-modulating drug cocktails coming out that have mice living 10+ years soon
Can we see those research papers?

>>16754760
If we replaced nurses with nun nurses, like what used to be common place, we wouldn't have these attitude problems, and we'd have cleaner hospitals.

>>16755069
Yeah

>>16755036
>Every single intervention either does nothing, or actively harms the patient. Surely there must be something we can do about it, besides recommend a bunch of crappy supplements and antihistamines.
No, GlyNAC and Astaxanthin have already had some pretty positive data in a human trial short of lifespan extension...
>Supplementing Glycine and N-Acetylcysteine (GlyNAC) in Older Adults Improves Glutathione Deficiency, Oxidative Stress, Mitochondrial Dysfunction, Inflammation, Physical Function, and Aging Hallmarks: A Randomized Clinical Trial
>https://pubmed.ncbi.nlm.nih.gov/35975308/
>Astaxanthin Supplementation as a Potential Strategy for Enhancing Mitochondrial Adaptations in the Endurance Athlete: An Invited Review
>https://www.mdpi.com/2072-6643/16/11/1750
GC-MS every last pill if you're really a paranoid freak.

>showed that long-term use of anticholinergic drugs significantly increases your risk of Alzheimer's
Don't be an APOE4 carrier and/or catch herpes, air pollution, or vitamin A plus vanadium skill issues. Also, stay away from Gabapentin recently came out. Care to suggest any "cleaner" mTOR inhibitors than Meclizine though? Cuz Rapamycin ain't fit the f'n bill.

>>16755039
No, you'll see them dropping probably in Geronology after researchers get deeper into multi-target proteome modulation past le Schizo Yarmuckle factors.

>>16755123
>Geronology
Gerontology. IL-11 and GAS6 are two of the hottest targets rn.

>>16755039
>>16755123
all anti aging is a meme follow food pyramid fast for 3 days of the week eat kimchi bone broth like MGK and megan fox they know wassup nigga

follow food pyramid and optimize bmi

>>16755146
get your fasting glucose a1c and lipid panel tested frequently with strict diet regime if you want to optimize to not develop atheromas


all in all preventing CVD and diabetes can be a meme too since your brain will rot faster than atheromas increasing in side or lesions causing larger plaques calcification is a risk so you're fucked if you have that bad cvd genetics nigga

>>16755123
You missed my point on the supplements. It might show those positive effects on research grade GlyNAC and Astaxanthin. People aren't getting research grade supplements. They're getting the shitty one from your local supermarket, or worse, from Amazon.
>gas chromatography mass spectrometry
Ah yes, I'm sure everyone who wants to take good quality GlyNAC has the necessary lab equipment for that...

>Cuz Rapamycin ain't fit the f'n bill
Do you mean Sirolimus? Rapalogs, like Everolimus, have more favorable pharmacokinetics than Sirolimus (Rapamycin).
At least there's some potential cancer prevention with those when well tolerated, even if it does nothing to slow down aging.
With Meclizine there's a risk of developing Alzheimer's, so how is that cleaner?

I don't know why the supplement addicts became so fixated on the older (worse) drug, and why you still keep calling it Rapamycin. It's like none of you know that rapalogs are a thing, and that it's not just one drug.

>>16755159
>Rapalogs, like Everolimus, have more favorable pharmacokinetics than Sirolimus (Rapamycin).
Uh...
>Everolimus, sold under the brand name Afinitor among others, is a medication used as an immunosuppressant to prevent rejection of organ transplants and as a targeted therapy in the treatment of renal cell cancer and other tumours.

While Bryan Johnson's infections might have been partly caused by his various metals skill issues and over-chelation with NAC, are Rapalogs *actually* side effect-free enough for prophylactic use?

In terms of the Sleepy Joe syndrome, your APOE4 status is really the single biggest factor.
>https://www.health.harvard.edu/blog/common-anticholinergic-drugs-like-benadryl-linked-to-increased-dementia-risk-20150128812
>Taking an anticholinergic for the equivalent of three years or more was associated with a 54% higher dementia risk than taking the same dose for three months or less.
>Approximately 1 in 9 people (10.8%) aged 65 and older have Alzheimer's, and this percentage rises with age: 5.0% for those 65-74, 13.1% for those 75-84, and 33.3% for those 85 and older
>People who carry two APOE4 copies, called APOE4 homozygotes, have been estimated to have a 60% chance of developing AD dementia by age 85.
With the amount of research currently going into Sleepy Joe syndrome, scrupulously avoiding anticholinergics is probably only necessary for old APOE4 carriers these days. You can already find lots of potential targets for AD in the literature if you really want to do some kinda chemoprophylaxis, but occasional cycles of low-dose metformin-vanadium are already looking kind of attractive, along with quite a lot of jeet plants.

>>16755176
>While Bryan Johnson's infections might have been partly caused by his various metals skill issues and over-chelation with NAC
Why did Bryan Johnson decide to use the oldest one, with the strongest immunosuppressive effect, from all the available mTOR inhibitors?
>are Rapalogs *actually* side effect-free enough for prophylactic use?
We need more clinical trials, obviously. There's not enough studies on the safety for prophylactic use, but mTOR inhibitors (rapalogs) have a massive potential for cancer prevention.

>your APOE4 status is really the single biggest factor
If your goal is to live longer and/or achieve LEV, then why would you take the risk of using a drug that increases your chances of developing Alzheimer's?
Yes, APOE4 + anticholinergics is going to make it much more likely, but anticholinergics alone will increase your risk significantly even without the mutation. The risk is simply not worth it.

>>16750369
you aren't, but try me ;)

>>16755225
Were you a teenager when you started using 4chan and you're an attending now?

Doctor’s disillusionment of their own careers is a genuine public health detriment.

>other medfags trying to extend their life with meme biohacks
>I just want to go hard and die at sweet 60
you must learn to embrace your mortality, plebs

>>16755225
Post proof

>>16755296
Based

>>16755296
>I just want to go hard and die at sweet 60
>embrace your mortality
People trying to extend their lifespan are the mentally healthy ones who don't wish to die, and aren't giving up on life after only 60 years.
Those who *want* to die of old age (60 isn't even that old) should be diagnosed with suicidal ideation. It could cause people to not take care of themselves in old age, and becomes an actual health problem.

>>16755296
>I just want to go hard and die at sweet 60
>embrace your mortality
People trying to extend their lifespan are the only mentally healthy ones who don't wish to die, and aren't giving up on life after only 60 years.
To be honest, 60 isn't even that old. You just spent half of that growing up and studying. It's ridiculous that we have to live such short lives.

>>16754667
Do you mean ossified? Or is it just general lymphedema? Regardless, see an ENT.

>>16753345
NAC used to be a part of my supplement stack - took it for two years straight after I’d been off Vicodin (abused it relentlessly for 7 years - gave myself acetaminophen poisoning countless times, up to and including acute liver failure where I would vomit bile after my body would reject the Vicodin. I’m lucky to be alive, frankly - I used to take doses, daily, that my mother has seen kill people in the ER. I’d take up to 12,000mg a day, for sometimes weeks straight. Admittedly I didn’t start off that high, or I’d surely be dead - but somehow I don’t have liver issues. Apparently my liver and kidneys are fine, or they’re so dead that there’s no cells left to give off for bloodwork? I pray it’s the former)

I’m back to feeling like my sugar is crashing, but it’s fine.
Still have the 99° - 100.8° temp that’s not gone away since February. If my AC isn’t on my night-sweats are relentless, but not enough to soak the sheets.

Seeing my primary today, I’m going to ask her flat-out if she holds the same belief I do, that I’m CTD.

I was discharged from PT yesterday, masters degree girl feels “I’m too sick to be there, and it’s doing more harm than good, as the time passed has proven there’s been no improvement in pain-level, no abatement of exertion tremor, and no change in the sinus tachycardia with the lightest of movement.

Give it to me straight bros..
Do you think I’ll make it another year or two? I want to make it to forty.. but I don’t think I have another ten left in me. Two is enough to accomplish my last goal, maybe even one.

(Waiting on disability backpay to buy a plot of land, lost my last house, I refuse to lose my final dream)

>>16751528
>>16751459
>>16751453
>>16755981

All me, if you’re interested in my failing body

>>16755981
Addendum: I phrased the APAP explanation wrong
At my worst the bare minimum of a day was 12,000mg - 6 5x500’s, every six hours was my highest baseline, did that for about two years - after getting sick like that I admitted to my primary I was heavily addicted to them, so he cut me off. I’ve been clean since 2018, but taking the taking the Vicodin that relentlessly that stopped around 2015.

It’s usually around here that older doctors stop caring about my case, I’d love to omit this information but I firmly believe it played a role. So unfortunately I need to admit that I went bananas with the Vicodin. Funny I lost a house over getting sick, but not over addiction that intense.

Life is full of little jokes like that.

>>16755981
I’d suspect you have cancer, i truly have no clue why your specialists aren’t thinking the same. A man in his 30’s with more than one tumor is a bit of a red flag, anyone at any age shouldn’t have more than one imo. I could understand being dismissive with a hypochondriac who has one tumor. But anyone with more than one seems a bit suspicious if they’re actively feeling awful and it’s getting worse as time goes on. Is there weight loss? Weight gain? Appetite?
Testing should’ve been furthered on the adrenal tumor, they should’ve removed the lymphatic chain in your neck after the first failure, especially if you’re vocal about how you’ve been feeling progressively worse. Which, it sounds like you are.
I mean I’m only in community right now, I’m still an idiot. I may be wrong and completely out of my depth, but the hoofbeats and horses saying exists for a reason. Not sure what your zebra could even be? What’s your bloodwork like? As in what levels are abnormal?

Also, if anyone with a degree wants to chime in to explain how my thinking is incorrect or where I’m off it would be great! Thanks for doing so, these are the exact kinds of cases I want to solve, and cure. Speaking of.. regardless i do hope you get better, man. Stay clean and stay your course. You’re an idiot for being an addict, like that. You should’ve gotten help sooner than you did. But you’re clean almost ten years so that shouldn’t be a factor.

>>16755981
>no abatement of exertion tremor
>>16756011
>A man in his 30’s with more than one tumor is a bit of a red flag, anyone at any age shouldn’t have more than one imo.
Anon, I hate to break it to you, but you might need to get on the Meclizine for a glioblastoma multiforme... hopefully I'm just trolling kek.

>>16756049
Am I that retarded? I start CC soon, why am I wrong for thinking him having multiple tumors is a red flag for cancer?

>>16755914
I have heaven to emabrce. Enjoy the dirt you heathen

>>16755981
Have you considered dying and not fighting it?

>>16756161
>>16755990

Saw primary today, this is what I’ve been doing the last few years. I have specialist appointments almost every day of the week.

Seeing ENT tomorrow, primary is quite concerned - but thinks the ENT will hold some kind of answer. Also scheduled bloodwork
Infection in ears confirmed, throat doesn’t look great. Nothing outside of that beyond “make it to your appointments and scans we’ll figure this out”

>>16756011
I’m incredibly vocal about how awful I feel, and I presume I’m being written off due to my abuse history - but I’m not saying I’m in pain? I just explain I feel weak and sleep too often, too much, and too easily.
Weight gain, and then loss
Bloodwork is ~mostly~ normal outside of TSH, HCT, and a few others I can’t remember.
TSH is sensible my thyroid looks like shit it’s “pitted” from hashimoto, apparently.
The nodules/tumors next to & all over my neck aren’t related, apparently.
Appetite is fine, I do OMAD, don’t get hungry-hungry but I can eat well, no nausea. Only thing that happens there is my heart-rate rises after eating up to 120/130, but that’s been going on since before this - it’s how I fell into OMAD.

I dunno man.. just promise me I’ll live ten more years.
Please.

>>16756161
Why would you say that? He clearly has thanataphobia, which is psych, yeah yeah, I know. But on top of all of these legitimate issues it’s not very kind. What’s your rationale?

>>16756149
he said tremors, not tumors, LOL.

>>16756158
>Refusing anti-aging treatment due to religious beliefs in an after-life.
That's why I ignore the doomers who claim that age reversal technology will cause overpopulation.
The religious will refuse the treatment, and because that's the majority of the population, it means that age reversal will have little to no effect on population growth.

>>16756199
>>16751453
Reading comprehension
He has exertion tremors and tumors further reiterated and expounded upon in following posts.

>>16751453
>>16751459
>>16751478
>>16751528
>>16752270
>>16755981
>>16755987
>>16755990
>>16756181
>>16756186

Read the entirety, fuckin hell. To think you may have a degree and I don’t. Frightening concept, I pray I never become as careless as you are. Shit like that is 100% how the dude wound up where he is. Well that, and his history of addiction, which I firmly believe shouldn’t be held against patients if they’ve demonstrated 5 years clean.

>>16756204
>The religious will refuse the treatment
Are there actually any Bible/Torah/Quran verses reasonably interpreted as prohibiting anti-aging therapy?

I can see some people maybe still believing in an afterlife but necessarily being thrilled about going there ASAP.

>>16756213
>but necessarily being
*but not, obviously in addition to.

>>16756212
Wait til you work around them.
You’ll change your tune. That incessant rambling he’s doing? Imagine that going on for an hour and a half taking the time of other patients because his urine was slightly darker than usual as you’re forced to look at his Apple Watch metrics and explain HRV is just that, variable.

>>16756212
Reading all that, I'm wondering if he has a current cancer. This reeks of some sort of mixed picture of MEN Type 1 and Type 2 (especially those lung nodules in the setting of so many tumors). This many mutations should seriously warrant evaluation, potentially genetic testing for common mutations. Some of these community docs baffle me

But then again this is coming from a patient, so idk if he has actually had the nodules proven to be cancerous or not - e.g. hyperechoic nodules on hashimoto's thyroid is more likely benign compared to hypoechoic nodules, etc.

>>16756217
That's also a fair point, it's possible he's calling every bump and lump on his body as a tumor or lymphedema or something and he's just become fat and poorly compliant with his levothyroxine so bounces between being tired and tremorous

>>16756218
>>16756219
Diagnosed tumor on adrenal gland, diagnosed lymphedema.
I wasn’t ordered to take a thyroid med until my TSH hit 9 - my endo believed it wasn’t necessary prior to, and in combination with Levo throwing me into afib. Now I’m on armor - 60mg, haven’t missed a dose since I started 4 weeks ago.
Cervical lymphatic area is the actual lymph node - not the thyroid. Thyroid is pitted, I don’t think there are nodules there.
Lungs are listed as nodules as well, I’m in something called the STARE program for them where they evaluate all the CTs I’ve had in the last four years against their own, and add in my overall health & complaints to figure a step forward regarding them. However it’s ONLY for the lungs - adrenal and cervical lymphatic aren’t part of their process.

The tumors removed from my nose and mouth were squamous papilloma. Both have grown back in the last two years.
The one in my nose burns like a bitch.

Weight gain was from hypo and bad diet, diet is CLEAN now, dropped to 150ish (ten pound variance above) from 210 in 8 months.

I wish they’d check something bros, I truly do not feel well. I thought the last three years were bad, but these previous ten months? It’s insanity.

>>16756218
Addendum: small city oncologist’s words you’ll find amusing
The first oncologist told me
“The tumor is small though” in regards to getting it looked at more seriously in early 2024. The second referral told me
“Unfortunately I can’t take you as a patient until the tumors are confirmed malignant”.

I’d happily share my data if you’re interested, honestly. I want ten more years..

>>16756226
Do you smoke? Have you smoked in the past? How old are you? Any family history of cancer? Any history of HPV? When was your last colonoscopy? Have the lung nodules grown or was it just a single CT? What was the indication for CT?
Any changes in appetite, unintentional weight loss, night sweats, fever, sustained unexplained leukocytosis?

>>16756230
33m I picked up smoking at the age of 24 like an idiot - I’m in the process of quitting, now at the behest of my cardiologist. I smoked HEAVILY during active addiction, like 3 packs a day.
I quit for a year in 2019-2020, started again in 2021. Was always trying to quit and switch to vaping because it’s a disgusting habit.
Long family history of cancer, lung confirmed in great grandfather and grandmother, biomarkers for lymphoma on my mother’s side. Fathers is unknown, all I know of him is that he had issues with his pancreas. I’ve never had a colonoscopy, though I’m seeing a gastroenterologist, soon because my ass was bleeding for a bit. The tissue itself, nothing internal that I’m aware of.
Lung nodules are an unknown as it stands, my CT to check them and three other things is next week.
Indication for the CT that found them was the yearly CT checking for growth of the adrenal tumor - found just over a year ago.

No changes in appetite that are ongoing, I often don’t feel hunger but it’s been that way for a few years - presumably due to OMAD? However I never, and I mean never feel thirsty. I don’t even remember what it feels like to be, I stay hydrated out of necessity. Same thing with eating during the phases when I don’t feel hunger.
The weight loss from 210-160 was completely intentional, all I did was stop eating slop, but the caloric amount didn’t change. I did gain 5 pounds since my trip to urgent care last week, though.
I’ve had a low-grade fever 99-100.8 since February. But I’ve also had concurrent infections with it. I’ve had night sweats for about three years, I don’t soak the sheets, but the creases of my arms, my chest, and the backs of my knees are always wet when I wake up. I’m typically “clammy” throughout the day as expressed by friends and family.
My cell count is typically normal, but it hasn’t been checked in about a year.
The blood ordered by primary includes that, so I’ll let you know.

>>16756232
Two of great grandfathers brothers died of cancer, as did he himself.
Mother’s father died of a combination of colon cancer and Parkinson’s. Grandmother has lung and thyroid cancer, currently. Mother had pre cancer removed from cervix.
Mom had gene testing done, she thinks I have lymphoma (she’s an LPN, but more importantly my mother though, so there’s no one who could possibly care less about the issue - she doesn’t want to believe it’s happening is my guess)

schizo moment
sounds to me like they're all unrelated
nasal tumors - inverted papillomas, HPV related, high rate of recurrence, 5-15% chance of malignant transformation
lung nodules - happens, possibly smoking related, just Fleischner this shit
systemic symptoms + lymph nodes - thyroid shit
what you need is a psychiatrist for illness anxiety disorder and drug abuse

>>16756234
I do indeed have horrendous anxiety. True thanatophobia - but I can discern what’s physical and what’s mental.
It’s not like I’m sitting here thinking I have naegaria fowleri because of my sinus issues.
I’ve been sober for almost a decade, but I am on clonazepam for my anxiety. I take 0.5 3x a day, well that’s what I’m prescribed. I typically take one and a half per day - I have about 300 of them sitting in a nightstand.

I understand the stuff in my nose is nbd, ENT who cut it out told me it would come back.

>>16756234
Addendum: I do not think they’re all related, I think I have multiple issues in multiple areas - the adrenal tumor exists so I feel it’s relevant. But is it an issue? It hasn’t grown in three years, so that’s very unlikely - however the one in my neck has gone from 1.2cm to 3.4cm since 2022, along with the appearance of more which are hyperechoic.

>>16756235
everyone has thanatophobia
you just trick yourself into not thinking it and get by with life

>>16756232
I think while there's a chance of an active malignancy, a temp of 99-100 for a 33 yo doesn't seem super crazy. 98.6 is considered average normal remember
The lung nodule seems to have been just an incidental finding, but you should see if it's grown over the past year - it may be smoking related but low likelihood considering you actually haven't been smoking for super duper long (can't have been more than 30 pack-yrs). The fact you're gaining weight and losing it at will also lowers cancer risk in my eyes.

I think there's a lot of things you need to just continue following up on, but I think you also need to see a psychiatrist about managing a potentially psychosomatic illness anxiety disorder that's causing your malaise and managing your abuse of medications.

>>16756238
Disclaimer that this is bored medical student rumination, not actual medical advice

>>16756237
Grow a bunch of tumors and start sleeping for 12 hours unable to be roused going from easily carrying 200lbs to being unable to lift 25 without shaking like a leaf
(While being on testosterone; necessary, caused by a testicular injury from my ex)

And tell me if you’re able to just ignore it
And I mean that alone, not counting everything else.

>>16756238
Cutting the meds is primary’s idea, she thinks it’ll help specialists take me more seriously - she informs all of them that the lowered dosages I take vs. what’s prescribed is because I don’t want to be on any medication that can alter how I feel to better understand where to look I.e. not a side-effect.

But I’ll do all that, I haven’t had a psych for about 3 months now because having 3/4 appointments a week had me missing a lot of them from the exhaustion.
I’m also medically disavowed from driving, making it harder (sleep issue, undetermined atm, waiting on sleep study follow-up in October; long list of specialists is due to severity changing over time - so at first it was sleep doctor and endo, out to cardio’s and oncos as time went on.

Thanks for your input, as stupid as picking up smoking at 24 was.
It’s better than at 15 like most idiots. I was smart and downed thousands of Vicodin *eye roll*.

Appreciate you more than you know, brother, truly. I hope you lead a long, and beautiful life

>>16756246
Hey man, anything I can do to make a brother feel better. Ultimately we all entered this field to help, i wish you all the best in continuing the struggle to quit smoking.

>>16756213
>any Bible/Torah/Quran verses reasonably interpreted as prohibiting anti-aging therapy?
There doesn't need to be one, people refuse all sorts of treatments while claiming religious beliefs.
The thing is, that accepting to go through age reversal means you don't need to die of aging, you could live indefinitely (assuming no accidents), but that goes against the whole idea of having to die and go to heaven to meet the deity. The reward is only obtained after death, the after-life is the end goal for most religions.

So you'll eventually witness a lot of "Why would I want to avoid going to heaven?" from religious people.
You can already see that attitude in the post I replied to, with the "I have heaven to embrace".

These people won't accept permanent age reversal. Maybe some will get a mild lifespan extension, but most will refuse a permanent treatment.

>>16756248
I wish I would’ve stuck with it, and not chose the pills. The degradation to my mind bothers me more than whatever it did to my body. Though, honestly I feel gabapentin did the majority of it. I know opioids aren’t great, but GABA drugs are the devil for grey-matter.

Stay your course, you’ll be great at whatever you choose to do.
Cutting by 5 a month, down to a steady 5-10 a day right now. Can’t wait to be done, the hours throughout the day where I can smell it in my hair? Fuckin’ disgusting.

Dunno if this matters, but I have a full head of hair as well. Not exactly medical (that I’m aware of), just a thing I’m happy to be able to say.

>>16756234
>just Fleischner this shit
>Guidelines for Management of Incidental Pulmonary Nodules Detected on CT Images: From the Fleischner Society 2017
You can find all sorts of schizo-tier experimental chemos that have dropped since then including even NAC, turmeric and ecdysterone. I cycle all of em just prophylactically cuz ain't tryin' to end up like Walter White. Also, selenium supplements are the best studied chemoprophylaxis of all for lung cancer.

alright psych patients time to make your own thread, call it biohacking or whatever you want just take it elsewhere you're shitting up my thread for posting about how much i hate nursoids

>>16756272
CRNAs and NPs do anesthesia and medicine better than MDs with the heart of a nurse and the brain of a great doctor.

>>16756280
I have the heart of a doctor and the brain of a nurse.

I ate the brain of a doctor and a heart of a nurse. When can I expect results?

>>16756581
i hate that big granny glasses are back in style, but just like everything else, optical fashion goes in ~20 year cycles.

>>16756612
I can't wait for the boxxy style's return

>>16756572
>I ate the brain of a doctor
>When can I expect results?
Prion disease in less than a decade.

>>16756831
I'm fucking terrified of prions. How do other medfags cope with the knowledge that prions are untreatable and 100% fatal?

>>16756837
The worst part is the long incubation period before symptoms show up, so it's not even possible to determine exactly where you got it from.

>>16756837
Parasites make me squirm. No pun intended.

Is it worth doing a 6-year MD program in Europe starting at age 30 after moving to Europe from the States? I did a humanities BA at an Ivy+
school a while ago, so perhaps I'm smart (but not really because lol basketweaving). I'm just worried that I wouldn't get anything but family medicine (if I'm lucky) coming back to the States as an old IMG. Thoughts? I'm not rich or a legacy person, either. Just a pleb.

>>16757002
Go to school in the place where you want to work.

>>16757016
Normally I would do that. However, I don't live in the States at the moment, nor do I have pre-med requirements done. This is the fastest and cheapest option without really being great. Is it true that IMG citizens get screwed anyway in terms of successfully getting residency if this is my only realistic option? If so, I'll just return to what I'm doing. Thanks for your input.

>>16757002
>Ivy+
lol. I'm hope the "Ivy+" you're referring to is either Stanford, MIT, Caltech or UChicago .

>>16757105
Yes.

>>16757055
Yes it is harder
No youre not going to be limited to family medicine.

The reason IMGs have it harder is because they usually got a shit education and/or they dont speak English well enough to succeed at licensing exam questions.

If you're fluent in English and study hard and dont go to a shit school and accept that almost all European medical education is shit and send me $5 you'll be fine.

>>16750499
>or they were "testing" you in some way
obviously testing if they would ask why they are doing it, which they didn't, and failed the test

>>16757190
whats your account and routing number along with your SSN, mother's maiden name, and cock length and girth?

>>16756212
Patient here : if you’re interested in learning what was discovered today, let me know - I may be ~near~ sepsis. I have to get all that bloodwork tomorrow, today’s appointment took too long to be able to do so, there wasn’t a lab on-site. It’s a pretty interesting issue that’s actually emergent above anything with the tumors (though the cervical lymphatic chain is likely being removed for testing during the surgery I need)

Premed here. Can someone give me some advice on what drugs I should do to experience life-changing hallucinations?
Also I'd like a prescription for those fentanyl lollipops, I've always wanted to try some.

>>16757447
overdose on benadryl

>>16757447
You mean prefed?

>>16757447
Datura

>>16744592 (OP)
>
heheh, another psych patient hereee! You should totally reply to me, I pinky promise I'm super nice. Definitely mentally stable, and also would tooootallyyy never steal your address and watch you sleep >:D

>>16757531
alright, break into my house. my address is 1000 Colonial Farm Road, Langley, Virginia

How do I get the hottest nurse to nurse my pp?

>>16757531
Me next. 341 Monument Drive
Millbrook, AL 36054

>>16757603
>the hottest nurse
Get your dick bitten by one of those spiders whose venom causes priapism, then find a nurse suffering from very high fever.

>>16750497
ill take a cirrhotic baddie constantly flirting with circulatory collapse over running back and forth between a scrap of geriatric flesh and a microscope for hours on end

>>16756011
> I’d suspect you have cancer, i truly have no clue why your specialists aren’t thinking the same. A man in his 30’s with more than one tumor is a bit of a red flag, anyone at any age shouldn’t have more than one imo. I could understand being dismissive with a hypochondriac who has one tumor. But anyone with more than one seems a bit suspicious if they’re actively feeling awful and it’s getting worse as time goes on.
> I may be wrong and completely out of my depth
yeah you dont know what youre talking about

>>16756236
pulmonary nodules, adrenal incidentalomas, thyroid nodules are usually nothingburgers and three nothingburgers does not a zebra (MEN) make

>As was my DXM suppression test, they did the bloodwork backward and learned nothing thanks to it. Tested my DXM on the day it wasn’t taken, and the cortisol on the day it was.
kek this i would believe, this is why the place where i work has order sets for adrenal workups bc people who arent used to ordering them will fuck it up

agree with the psych referral, never had a patient in their 30s on chronic benzos who didnt make me want a prn xanax

>>16758632
Yeah, it’s likely I’ve been focusing on the wrong shit because of my thanataphobia ; learned a lot in the last few days, I finally have a few specialists who don’t immediately write me off - despite really seeing an ENT, the new one was astonished about this
I need surgery for the SSS “asap” because the chronic infections, turns out my silent sinus syndrome and sugar issues are what’s most emergent right now. Apparently I’ve had a sinus infection for some number years to varying extents (and it’s been visible on the CTs and MRIs ordered by previous ENTs) which that has me “at risk” for sepsis atm. Given the constant and unalleviated bacteria in my right sinus, coupled diabetic issues

(very likely diabetic at this point diagnosed pre in 2011, endo said my a1c is fine, so I’m fine. But, my shitty ridged nails, urine smelling like buttered popcorn. (used to be variable/reproducible, endo blamed it on levo, not my nightly dirty bulk ice cream at the time). Now , it’s daily - and my fasting (15 hours) sugar can be as high as 137, which my primary and cardio think screams “untreated diabetes” - Actually, when asking about my sugar today my opthal explained to me if it’s ever above 140, fasted, it’s about as alarming as >200 post-meal.

Getting all of that sorted, now. Surgery is in April if infection is abated. Still feel awful - finished my 5 day course of azithromycin. Before you think it - I’m allergic to penicillin. And no, not the psych patient allergic you’re thinking of - closes my throat/turns my tongue into a rock.
So this infection is a bitch to treat.
I’ve been on and off antibiotics for months swapping between grannys, azithromycin and doxycycline, each time feeling “stable” while on, and going back to “feeling like I’m going to collapse” while off. Blood was done today - will let anyone that’s interested know.
Sorry if you need a benzo after reading this, I’m trying my hardest bros :(

>>16758713
All that said, given the duration of this and my sugar fuckery - is it possible I have gangrene in my head and that’s what’s turned me into an idiot the last few years?

If that ENT missed all of that, I’m sure he could’ve missed that too…
I’m just fucking with you, I know I’m good.
Still worried I’ll die, but more because of how resistant the bacteria in the back of my skull is to everything my body can handle.

Can’t take flouroquinolones, either, a stint with those is what gave me constant and unrelenting anxiety.

>>16758632
An addendum you’ll enjoy is how three specialists needing an abdomen and pelvis CT have me getting 5 of them next week.

They all want a picture of that, with and without contrast - and for reasons no one can seem to understand they won’t just take yanno
An abdomen/pelvis w - w/o contrast and let 3 specialists share it because some are from competing conglomerates.

It’s okay though, I’m sure what.. 0.8mSv at once won’t do any harm to my DNA.

As far ans I know, the best course of anction would be only letting them take the one image, telling them to send it to once specialist, and for the others just have it sent?

Love all you bros, thank you for dealing with my spiraling, and helping more than you realize.
I appreciate all of you more than you’ll ever know, frankly.

If you ever want tickets to a HEALTH show, let me know I can get you in the VIP booth - there’s gunpla & shit for free in there.

Is this the alternative to asking AI?

>>16758724
You can refuse any treatment or procedure. Literally just get one and ask them to send it to another, or print your report and bring it with you.

>>16758724
Update for fun : White cell count is normal - auto diff was all borderline low - protein (always detected), crystal structures(?) esterase, and bacteria in urine with no ordered culture

>>16758739
Thank you so much for the info, that’s exactly what I’ll be doing - it seemed senseless to do 3 sets of the exact same CT order.

>>16758726
its better than AI if you dont get meme answers

>>16758817
finally someone with common sense

>>16752153
poonjeeta

>>16758817
>>16758836
Asking AI will make you seem like a hypochondriacal lunatic if you bring any of what you learned up to a doctor. Better to read med and research papers yourself, understand what you can - and question what you don’t with said specialists. Leads to either respect, or the knowledge that whatever physician isn’t for you if they find problems with it.

T. Senõr infection

>>16758869
GPT always be tellin me shit like...
>"While there is limited evidence about the LOLWTFBBQ signaling pahway, turmeric and resveratrol have documented pre-clinical studies of activity on it."
...even when that shit just str8 fake.

>>16759354
why is his skin brown?

>>16759693
Hyperpigmentation syndrome
an unfortunate genetic condition
the syndrome also includes inability to use toilets
many such cases

how can i match as a non us img into FM? I will be starting FM residency in my country 1 year after grad (yog 2024) planning to become ALS adults and peds certified, some international volunteer opps, and work here in rural area, i have 2 cardio pubs, many presentations and posters in student conferences, ranked 8 in my class, will hopefully be active in the FM society here in my country, planning to obv do observership and participate in the midwest fm conference, any other ideas? do i have a shot or am i wastng time and money?