Thread 16760278

Flat edition

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.

Thread question: what is your personal strategy for addressing patients who misunderstand the role of pharmaceuticals in health? I.e. "I just dont want to take so many pills" in a post-MI patient with a stent.

>>16760278 (OP)
>thread question
i start off understanding/empathetic, but if they dont listen to me after i try several different ways to explain something, i give up since it's not my problem anymore lol. just note in the chart they are retarded.

>>16760278 (OP)
>question
Tell them stuff, wait for an answer, accept their choice, see next patient.

If someone tells a psychiatrist they want to kill abortionists in a abortion clinic they will be involuntarily hospitalized.
If someone tells a psychiatrist they want to kill slaughterhouse workers in a slaughterhouse they will be involuntarily hospitalized.
If thin person tells a psychiatrist they haven't eaten in a few weeks and have no plans to eat again for the next few months they will be involuntarily hospitalized.
If someone tells a psychiatrist they want to kill a mohel who's about to circumcise an infant they will be involuntarily hospitalized.

If a pregnant woman tells a psychiatrist she is about to go to an abortion clinic or take an abortion pill at home and abort her baby she will not be involuntarily hospitalized. This is true in all fifty states.
If a slaughterhouse worker tells a psychiatrist he is about to go to work and slaughter some cows he will not be involuntarily hospitalized.
If a abortionist tells a psychiatrist he's about to go to work and perform some abortions he will not be involuntarily hospitalized.
If a mohel tells a psychiatrist they are about to circumcise an infant they will not be involuntarily hospitalized.

Psychiatrists are evil hypocrites. If found guilty of treason in a court of law they should be given the death penalty.

>>16760278 (OP)
how do i remember diseases that mean nothing to me and ive never seen or heard of before
Anki isn't working
Am I retarded

>>16760604
Normal is the indispensable, murderous God of health, and psychiatrists are his priests

>>16760613
Being a pro choice meat eater who doesn't donate to effective altruist charities is normal.

hey guys IMG here, will soon start my FM residency in eastern europe. Planning on pursuing fm in the usa? is it worth it or are the odds against me it isnt worth trying? will obv try my best to get stellar step scores, observerships, rural areas volunteering and planning on doing some humanitarian work too any advice?

>>16760630
>humanitarian work

Donate to against malaria foundation

>>16760609
I would try to find something unique in the pathophysiology if the outward symptoms aren't unique, but i'm in drug discovery/development so thats what is most relevant to me. Maybe there is a morbid aspect or something unique to you that you can use. Makes it more fun to learn

>>16760720
Is pharmd a sad life?

For common non-narcotic drugs and stuff with really short half-life, like adenosine, how much does IV push rate really matter? Almost every nurse I've seen when demonstrating a slow push, does it over 10-15 seconds while claiming 2 minutes have passed. I'm pretty sure I've seen a lot of cardiac issues rise up because of this. In the few anesthesiology procedures I've seen, the anesthesiologist more or less slammed all of their meds, but I don't really know how long they're supposed to push for their meds. The only time I've ever seen a true slow push was hypertonic saline by the neuro residents.

I tried to have a conversation with non-med people and explain the pain of midlevel creep, and they all essentially called me “elitist” and “duped by the system” and said “I really don’t care who signs off on my meds as long as I can get them”

>>16760604
>talks about western social norms
>this is psychiatrists' fault, actually
When you die your brain should be autopsied to see what worm was infesting it

>>16760969
instead of talking about midlevel creep, talk more about qualifications or lack thereof for NPs.
i personally think the AMA fucked it all up, but if you discuss how NPs are wheelin and dealin more than complaining about how theyre taking 400k jobs away to people who make under 100k then they might listen

>>16760969
Midlevel creep is too obscure for normies outside the profession to get. Just remind them that 1. They and their insurance pays the full price regardless of who they see at the hospital 2. Midlevels objectively have less training, experience and intelligence, 3. They're more likely to suffer malpractice or die from a midlevel and are guaranteed to suffer a worse outcome according to The Science(TM)
Just narrow it down into digestible logic they can stomach one at a time

I'm a premed and I'm in a position where I have to pick between applying for a guaranteed MPH at an Ivy League that the PH lab I'm in has reliably sent countless undergrads off to before me or taking the taking the MCAT and applying DO heavy
My home life sucks and I'm miserable and the idea of taking the MPH and using the status of the school to guarantee a job or going for a PhD program after is really tempting... am I stupid?

>>16760795
Yea

>>16761013
I was made fun of here when I was a premed so im going to make fun of you now HAHA PREMED! HA HA HA HA1!!!!!!1
but in all seriousness just take the MCAT and apply

>>16760278 (OP)
>thread question
I literally say: that's fine but it will decrease your life expectancy.
I say nothing more and document extensively that I warned the patient of risks etc.
Simple as. If patients want to be shit patients, it's not my problem. I have more people to see.

>>16761066
>>16761013
in all seriousness premeds should find a different career this field will be fucked once AI gets good enough in a year or two
don't be cocky just because ChatGPT sucks
it only sucks for NOW but you've seen how far it has gotten in the last few years and think about how long it would take to complete med school and residency even if you started just now
https://www.youtube.com/watch?v=kALDN4zIBT0
https://timesofindia.indiatimes.com/life-style/health-fitness/health-news/new-study-warns-routine-ai-use-may-affect-doctors-tumor-diagnostic-skills-by-20/articleshow/123280972.cms

>>16761145
Premeds could also go smash up the computers with wooden baseball bats that want to take their job. It'd be pretty cool seeing roving bands of rapacious premeds on the television. They always complain about wanting diverse ECs too, so there's their chance.

>>16760278 (OP)
I could give her a pap smear if you know what I mean

>>16761603
I don't know what you mean. Please explain.

>>16761145
surgeons will outlast medicine for a few years longer only because it'll take a little bit for people to accept robots doing cases

>>16761145
>indiatimes.com
opinion discarded
please learn to use a toilet before posting again

suffering from hemorrhoids related problems i.e tightness, spasms, extreme pain

been few months now :/

>>16762618
Cool it on the bottoming

>>16760604
Not exactly the psychiatrists fault, but they're retarded and not real physicians. Glorified psychologists at best.

Had my first pharmacology exam today. I only got an 80 so there's still some room for improvement but I came in thinking I was gonna bomb it. God damn, there's so many drugs. Medical school must have been so much easier in the past when those drugs weren't invented yet lol.

>>16764041
imagine when all you needed was amputation, ticks, alcohol, and mercury pills for all your medical needs.

When can I prescribe (the same) hot wine mixed with medicinal herbs for various diseases? Thanks you

If patients understood the gravity of how little common sense medtards truly have, from being holed-in for half their lives flipping through anki decks eyelids clamped, they’d have quite a visceral reaction. ADAR (all doctors are retards)

>>16760969
>“I really don’t care who signs off on my meds as long as I can get them”
They're right tho. If you don't think this you really were duped by the system. That's exactly what the midlevels are for among other things, med dispensers.

I mean shit dude I went to a derm at a hair clinic lately because the Norwood reaper is starting his harvest on me and i decided to hop on fin, after a year of min. I was hoping for him to maybe illuminate me with some obscure knowledge, being a derm at a fucking hair clinic, then he unironically argued that min inhibits DHT production too. This is exactly the kind of guy that should be a midlevel. At that point i was like "alright whatever just give me the fucking meds retard". I even double checked after the visit if maybe I'm not the retard after all, but no.

>>16760278 (OP)
why hot girl

>>16764922
I do uworld doe, just bash my head against the questions till I get enough of them right to pass

>>16764922
>if patients understood how much doctors study to try to not kill people while helping them, theyd realize how stupeed doctors are like intelligent ol me :)
ok

>>16764967
If you really believed in your theory instead of listening to your NP/PA betters, you would rub the minoxidil on your balls. But of course you don't because in your heart you know they're right - they have the brain of a doctor and the heart of a nurse

>>16762618
Buy steroid creams and avoid sitting on hard surfaces. Drink more water.
>>16764041
You did amazing dude, most people in my country, when they're in med school, try to just make it through and pass the exams. It's easier for me to remember medication if I divide them on what they're meant for, or what type of medication they are (SSRI, SNRI, NSAID, etc etc) and what specific cases they're also used for.
>>16764922
I feel like doctors learn more on the actual job than during med school, as biased as it sounds. You'll learn more when you actively see the cases you're meant to treat.

>>16764974
because hot girl

also flat hot girl

>>16766979
>learn more on the actual job than during med school
Does med school not have students on the wards in your country? Didactics are basically useless without ward experience to complement, yeah - but that don't mean you can't learn in med school wards and clinical didactics building off your preclinical knowledge

>>16767173
In Argentina yes, you gotta do residency before you're allowed as a nurse/doctor, but for most of the career you're mostly studying from seeing dead bodies, and you don't go every day of the week to college since a lot of people need to work to survive. A lot of people study from books and assignments and PDFs the professors give, and exams are eliminatory. Learning by memory is more fomented over really understanding what does what with this kind of fast, chaotic system. In some parts of the country the career is free, or paid by the state. The issue is that the system is quite flawed and you'll end up really learning better once you're working under someone.
I did like one year of med school, but couldn't get through due to mental health issues, and I can't sustain myself studying for 7 years. I'll try to get a career first as a surgical assistant, which takes less years and has a decent pay, and they're in demand, for the moment.

>>16767186
And in some cases if you're advanced in your career, doctors will let you be present and watch during surgeries, and there's programs from other students who have been in the system for longer that try to help newer students pass tests.

>>16767189
That's insane but I've heard similar things are happening even in places like the NHS in the UK which is why their students really struggle in residency here (US). I feel like I've only heard of South Asians (Indians, Pakistanis) having a similar level of clinical experience to American med students with actual ward-based rotations and observing surgeries. Here you're expected to devote your entire waking life to medicine (and cut down on sleep for that matter) for 4 years, and even more so once you enter residency. Intern year (first year of residency) is phenomenally brutal in every specialty, but especially surgery.

>>16765276
>If you really believed in your theory instead of listening to your NP/PA betters, you would rub the minoxidil on your balls.
What the fuck are you even talking about lmao. Why would i rub a vasodilator with a primarily localized effect and minimal systemic absorption when applied topically on my balls when i want more hair on my head? My balls got plenty, no help needed. Just ask your mom, she knows every follicle down there by heart.

>>16766979
>I feel like doctors learn more on the actual job than during med school
There's nothing to feel like, that's literally how it's designed to be. Med school isn't to teach you how2doctor, it's to teach you the bare fundamentals you need to even know what the fuck is going on. It's like learning traffic laws before you sit in a car to learn driving.

>>16766979
Thanks for hyping me up, bro. I ended up getting an 82 in the end after some questions were corrected.

>>16767284
False, people used to just go to medical school to practice straight out. Specialties are just that - additional (now mandatory) training to specialize in a certain kind of work.

>>16767557
>False, people used to just go to medical school to practice straight out.
Yeah and plague doctors used to just fucking wing it. Standards change. Your point?

>>16767193
Oh damn, here you can't really do residency if you're not really advanced in your career or at least have your degree, you need a legal certificate that allows for you to treat patients, or else there's gonna be some REALLY BIG issues with the hospital. Private colleges are more intensive and have more days dedicated to classes, but here, at least in la Universidad Nacional de La Plata (UNLP) you sometimes had to go like... 3-4 times per month for a single assignment, and like an hour or two/three. And there's "optional" assignments you can assign yourself to, to add more experience in your career. They're "optional" but you gotta do a minimum number of them by the end of your career. So it's like 4-5 assignments in a year, and you study at your own pace. The issue is passing the goddamn tests. Niggas get raped in exams here. If you fail ONE single exam you have to retake the entire assignment next year.
>>16767284
In some places, like my country, yes. It's designed like that. But in other countries med students have to actually be in the hospital and treat patients together with doctors, like the US I've heard.
>>16767369
LET'S FUCKING GO LOCO, here in some colleges the minimum to pass is 4/10. Getting anything over a 4 is a glorious victory, fucking enjoy it man. The most important thing is to just understand what you're studying and relearning it so that you don't forget it in the future.
Also don't fucking abuse caffeine and tobacco like every med student does, try to end up alive by the end of your career.

You will never hate nurses more than if you have to work for a State Board of Nursing. They are dumb, entitled, and unable to follow basic instructions.
That is all.

>>16767624
You shouldn't have to finish residency to build a basic community practice with medical school knowledge.
>inb4 that would make you incompetent
That's exactly my point. Med school used to train you to be a competent doctor in all fields out the gate without a need for further training, but now so many students don't give a shit about learning stuff beyond the test because "hurr durr I'm going to be specializing in pediatric neurocardiac surgery so why would I need to know OBGYN thoroughly" despite being given the information to actually be a decently competent basic provider. That's why I actually appreciate the UK pathway - EVERYBODY does the same foundation training after medical school and can be a competent GP straight out. For the US, it's a fetishization of being hyperultraspecialized that keeps Type A status-driven students idiots in anything beyond their specialty - which is why you have orthobros that can't even remember their fucking antibiotics beyond ancef or how to manage diabetes despite being "the top of their class"

>>16767720
>you need a legal certificate that allows for you to treat patients, or else there's gonna be some REALLY BIG issues with the hospital
So how do you know what you want to do as a specialty, or do you also go through the same GP process as the UK?
Also que piensa en hacer un curso extranjero en Latinoamérica para 1 mes? Mi escuela médica tiene conexiones fuertes con Cayetano Heredia en Lima y la jefe del programa de medicina global me dijo sobre una oportunidad en Bahía, BR (pero aún estoy practicando a mi portugués y tengo un poco miedo de ser robado después de oír a posters brasileños en /int/). Una opción otra es en Ecuador o Colombia por VSLO

Estoy preguntándote porque no quiero viajar tanta distancia y me para en una rincón del quirófano por un mes (o peor, solo tener una semana del mes para hacer cosas en el hospital) lol
Especialmente tengo interés en anestesia global si sabes de esa

>>16768409
hyperultraspecialized is what makes all the MONEY. people dont want to get out of school in their mid-thirties making "only" 200-250k as a family doctor when you could've just specialized in something cooler to make 400k+

how do egg donor & surrogacy services work? Can anyone give me a detailed breakdown of costs involved for a single man? How can I find premium egg donors?

>>16768530
use google retard
how am I supposed to know where you are from and your local policies?
fucking wanker

>>16768409
>So how do you know what you want to do as a specialty
I guess most people just kind of pick one that seems interesting to them, I for example wanted to pick gastroenterology before I realized I would probably feel miserable 'cause I got a vomit and poop phobia. Same reason why I wouldn't be a nurse. I can handle guts and blood no issue, I love that part, but the processed or unprocessed food makes my skin crawl.
>que piensa en hacer un curso extranjero en Latinoamérica para 1 mes?
Mm, yo te diría que si podés tomar la oportunidad de hacer cursos o residencias en el extranjero, que aproveches la oportunidad. Al menos por la experiencia de poder ir a otro país y de paso conocer el lugar. Bahía en Brasil... Depende de cuál Bahía me estás hablando, debería ser un lugar bastante seguro, y más si van muchos extranjeros. Y el portugués es realmente muy, muy parecido al español, lo más distinto es la tonada.
Colombia sería una linda opción pero no sé qué tan seguro sea para un extranjero, por ejemplo. Y Ecuador debe ser tranquilo, pero no lo sé. Brasil quizás sea la mejor opción.
>>16768530
You should contact a surrogacy service in your country or ask doctors in related areas in your city. Depending on the country, the laws will change, and so your legal obligations before you're allowed to conceive. I've heard that if you're a single parent it's gonna be harder for you to be allowed to conceive artificially.

>>16768475
>complaining about making $200K and getting to work in a relatively low pressure setting for the amount of money
I seriously hope you med fags aren't trying to speedrun burnout and suicide.

>>16768681
im not complaining about it. im just saying thats what other people think.

>>16768684
People also think that 'science is settled' is a statement that isn't ludicrous. The view of the majority is generally retarded.

>>16768633
>I've heard that if you're a single parent it's gonna be harder for you to be allowed to conceive artificially.
not fair m8.

>>16768689
It is fair. Kids do best in a home with a father and a mother despite what social scientists say.

>>16768409
That's neat that you think US medical schools don't prepare students to be a GP. The problem isn't that we aren't prepared, its that without board certification in family medicine or internal medicine, no insurance would ever agree to pay for your services so you may as well not open a practice.


Its another example of insurance making Healthcare decisions without being doctors.

>>16768728
To be fair, insurance shouldn't have a right to refuse. Even if they had to cover every last thing, healthcare is such a racket that they'd never lose money.

>>16768633
>Depende de cuál Bahía me estás hablando, debería ser un lugar bastante seguro, y más si van muchos extranjeros.
???
Hermano, creé que los estados nordestes de Brasil fueron muy peligrosos con un riesgo alto de crímen violenta y de propiedades...
Cuál otro estado hay con el mismo nombre y es paraíso terrenal?
Y ya sé que el portugués no es tan diferente que español, pero no quiero caminar de la avión inmediatamente al hospital sin conocimiento fuerte de portugués médico
>Colombia sería una linda opción pero no sé qué tan seguro sea para un extranjero
Porque? Los cárteles de cocaína han desaparecidos, no?
>Ecuador debe ser tranquilo, pero no lo sé
Las bandas criminales y de delicuentes del año pasado ya no son activos en Quito? Porque, pienso que la Uni de Quito sería la opción provida en VSLO


Que piensas de Perú? Es muy similar a tu sistema de educación médica en cuál los estudiantes no tienen nada experiencia or oportunidad para hacer diagnósticos o procedimientos?

>>16768728
It's a licensing problem actually - DPC exists. But we know which came first between the chicken and the egg, residencies were established for so long before insurance and current licensing regulations came into effect that it became the standard for licensing to have completed at least a year of residency to receive your license. Same goes for that insurance coverage. It used to be a plus to have a residency. Now it's a red flag to not have one

>>16768808
im glad optometry doesnt require a residency :)

>>16768806
>la opción provida
*opción proporcionada

>>16768808
Right, honestly forgot that isolated intern year is a thing. Fair dinkum.

>>16768806
Sonará racista pero no hay realmente lugar en Latinoamérica donde vayas a estar 100% seguro, y Brasil es muy famoso por... Tener casos de violencia, sobre todo robos, la verdad.
Claro, estás hablando del *Estado* de Bahía, yo me confundí pensando que sería alguna ciudad (porque creo que hay ciudades llamadas Bahía, como Bahía Blanca acá).
Sonará como un consejo tonto, pero si tenés el tiempo, descargar duolingo o alguna aplicación para aprender idiomas, al menos para aprender vocabulario rápido te ayude.
>Los cárteles de cocaína han desaparecidos, no?
Diría que no, no del todo, México debe estar peor que Colombia en términos de narcotráfico pero Colombia sigue siendo un gran productor mundial. Igual no se trata por la droga, se trata por la delincuencia. Y qué tan pacíficos sean los residentes del país con los extranjeros.
Perú es bastante tranquilo y casi nunca escucho de casos de violencia viniendo de ahí, no sé qué onda pero sería una buena idea ir allá si se te dá la oportunidad. Son buenos vecinos nuestros. Ahora cómo sean las universidades de ahí, no tengo la menor idea. :/
What career are you studying, anon? General medicine, a specialty, something health related?

>>16768939
Muchas gracias por todos los consejos
De verdad, no onions hispanohablante nativo (yo crecí acá en los EEUU pero mis padres nacieron en Asia y emigraron acá) y de verdad solo estoy cómodo con los acentos estadounidense, mexicano, o centroamericano al límite. Entonces me parece que la opción mejora sería Perú porque su acento es más neutral, sí? Además, el país no es tan infame por el crímen como lo que me dijiste
I did engineering in undergrad, here we all do MD as our medical degree. Not yet in residency, deciding between a few options with anesthesia at the top (I like vacation and want to see the world)

What’s the best specialty to pick to torture myself for the rest of life

>>16769359
Probably IM or EM with a fellowship in critical care

>>16769388
I want to do anesthesia -> critical care doe

>>16769410
Nah too comfy of a fallback if you want to be miserable your index specialty needs to also lead to suffering

In the case of IM, its patients you spend days treating for exacerbations of chronic illness only for them to discharge, never follow up, and ignore your advice leading to a slow decline that becomes increasingly frustratingly readmit and die

EM is obvious

>>16768705
Tf are ugly incels like me, who wish to ascend in life using Becky's or stacey's eggs, supposed to do huh??

>>16769427
>EM is obvious
Not obvious to me. Please explain, anon. The only thing I got is resuscitating people after a cardiac arrest and then they're brain damaged.

>>16769498
>then they're brain damaged.
Congrats you just made an EM attending out of thin air, no 4th yr of residency required after all

>>16769486
You are not entitled to reproduction.

>>16769506
Too much seethe about EM methinks.
Please admit my dumpster patient thanks babe.

>>16769549
Everyone is entitled to genetic survival just like we've universal right to life(entitlement to physical survival). Genetic survival is an extension of physical survival and Life's only way of beating death

>>16769724
>Everyone is entitled to genetic survival
No, the future generations are entitled to having good genetic quality. Your shitty genes will die with you and everyone is better off for it.

>>16769498
>Please explain, anon.
Shitty hours, high stress when shit happens, menial boring job when shit doesn't happen. What's there to explain? You're the guy who comes to work on new year's eve to pull blow fireworks out of someone's ass while the derm is drinking champagne on vacation.

There are some perks though. The shitty hours can work in your favor too, there's no follow-up so you can for example work straight for 2 weeks per month and neet for the rest of it. You also don't bring your work into your home, mostly.

>>16769486
Attract a woman based on your finances.

>>16769553
Learn to do a physical exam before you send him to the donut of truth thanks dumbass

>>16769785
>No, the future generations are entitled to having good genetic quality.
here's the deal if you can't figure out still retard. You can ensure eugenics in an egalitarian fashion in the following way:
You can do that by Ensuring chads & stacies breed with each other like wild rabbits while simultaneously donating their gametes to men and women in the bottom rung of the genetic ladder so that there's a sort of upward mobility for those at the bottom genetically speaking. Couple this with embryo screening and you can accelerate human evolution like mad. Such a system literally ensures a participation of all people in society because they know for a fact that their hardwork will be rewarded with genetic survival & genetic mobility and as a result you just have a lot more productive populace who inturn will have children better than them of their blood and so on. Guess you're too mentally dull to even think of this and perhaps you should be the first one to get castrated & worked to death for the overall good of the human species as your strategy is both retarded darwinistically & just downright evil.

>>16769816
not possible as all women including the fat ugly ham beasts just want a 9/10 super chad who is 6'5, handsome, blue eyed, blonde haired aryan

>>16769299
No hay de qué bro, if you want to speak english I have no issues, here in Argentina at least (if you can do your residency here it would be the best option, buuut... It's quite far from the US) a lot of us are bilingual, and some even fully bilingual.
Sí, los peruanos tienen un acento bastante neutro y hablan a un ritmo tranquilo, no como los argentinos que hablamos casi como italianos y que aparte somos... Bastante "violentos" o expresivos al hablar. El sistema de salud acá está colapsado, pero tenemos de las mejores universidades de medicina en Sudamérica. Siempre vienen un montón de brazucas/brasileños a estudiar medicina, por algún motivo xd.
Daaamn, must be the asian genes but you're smart as hell to be able to do engineering and medicine, and even anesthesiology. I remember loving anatomy in my first year of med school but at so many points I was like "how the fuck do I remember so many goddamn nerves all in this single same spot", so anesthesia docs are like masters to me.
>>16769359
I imagine a (good) psychiatrist or cardiologist must be stressed all the freaking time. Or neurosurgeons. The more complicated the job and patients, the more you'll suffer.
>>16769498
If you ever wonder how shitty people can be, you should look at this guy's channel. I always either laugh my ass off or think "Woah, natural selection really is a thing modern medicine's preventing". https://youtube.com/shorts/pwsCSk9y69I

>>16769850
>stacy
>chad
Baby's first incel thoughts, you'll hopefully grow out of them and realize you gotta be attractive not just in looks but in personality, skills and experience to successfully mate. We don't need MORE people when we can't even manage our resources without corruption and pollution fucking everything up. We need better living conditions first, and then having kids and dating becomes a priority.
And if you don't want to improve you won't get what you want, simple as. If you want the ideal woman you should offer something just as good as what you're looking for. And even then, idealizing people will just end for naught. Stop looking at the outside and look on the inside for a second.

I am once again begging patients and visitors to not completely demolish every single fucking restroom in the entire hospital. It seems like every schizophrenic with explosive diarrhea in a 100 mile radius is psychically attracted to the one closest to the resident call room.

>>16769907
>t.retard with 0 reading comprehension
just so you know, the smarter, sexier, healthier and virtuous the human race, the higher the likelihood to witness prudent & judicious resource management . the best resource we've is 'good genes' and the next best is time and other natural resources that you try to allude. The chad and the stacey caste that I was trying to highlight are not meerely someone who're chads/stacies just by loox alone retard. It's an overall composite of loox, iq, health, personality, etc.. Good genes are a vital resource that has to be rapidly mulitplied and given access to all people

>>16769837
Awewwe poor baby :(((( did i not take the time to tickle his balls before I sent the PE patient to imaging?

Im so sowwy:(((

Now come down here there's a 95 year old with memory issues and ABCD score of 4, neurology consult indicated, I've got to go save lives and chat up the new EMT hottie.

>>16769850
You do realise that women have to be pregnant for 9 months right?
And you only need a fraction of men to impregnant the vast majority of women.
It does not make sense to waste gestation time on inferior seed like yours. Your eugenic strategy fucking sucks.

>>16769969
good fucking luck putting down an incel chimp out if that is what you want faggot . Besides, your own descendants will end up killing each other soon enough due to high selection for ultra crooked, solipssistic genes. There's also the real possibility of artificial wombs in the near future

>>16769975
incels are spineless by definition. you won't do shit

>>16769981
could be the case when they're a minority, but good luck dealing with them when majority of men or a significant minority of'em end up as incels

>>16769950
See >>16769969 you're talking like if you're the prime of the species and that you deserve the right to mate more than any of us just because of it, but judging by your bad character and stupid mentality, you don't even qualify for your own standards.
If you want better women and want to date, become better, become someone worthy of dating, and stop cataloguing people into "stacies/chads", idealizing or demonizing them.

>>16770224
The femcel can take turns though. She can gestate an embryo created using an incel's sperm & stacey's egg and then she could could rear a child of her blood using Chad's sperm which the incel should bear responsibility for. The incel gets to win, the femcel gets to win, the Stacey & chad get to win via proliferation of their genes in the genepool. Only parasitic losers like you who get a kick out of genetically genociding short & ugly men would lose here though because you won't get that high dopamine hits in such a system as everyone's genes are surviving & making it to the next generation. Guess the only way you clowns will learn is by getting brutally cucked by a 6'8 stud with a 13 inch dong and forcing you to pay for child support of a bastard child that ain't yours

Will I be replaced with AI if I go into family medicine?

>>16770507
probably not. jobs that can state their necessity to a law or regulation will be safer for longer. the law is slow to adapt, slow enough to get over the coming job apocalypse.

>>16770507
within our lifetime? no

>>16770507
Anything that involves a physical presence, it's probably cheaper to pay the person to do it than it is to pay for (or, if corpos have their way, rent) the robot, pay the guy who has to fix it and deal with customers defrauding the robot and pretending to be someone else to get medical care.

>>16770507
If any, and I mean any healthcare job is automated within this century, there are much bigger problems than you losing your job we have to worry about

>>16770826
At the point they're automating most jobs, I've got bad news: they're going to be instituting measures to ensure population decline, and they will most likely be ugly ones. If the mills can run with 2 people, why keep 200 in the town?

Is there an evolutionary basis for why taking a fat dump feels awesome? It's up there with having that first sip of beer with the boys.

>>16770872
Anal stimulation.

>>16770873
Am I gay

>>16770868
Population decline is the opposite of what they want, the ultra rich will want a huge population of eternally consuming slaves

>>16770876
Slightly. I mean, if you were born as a man, XY genes, you have a prostate. It can get stimulated when things enter or get out of your butt. It's like the male G-spot apparently.
It's okay to be gay but in a subtle way.

>>16770887
>XY genes, you have a prostate
Not necessarily - androgen insensitivity?

>>16770895
It's gonna be a different experience for everyone, I uh... I don't have a prostate, so I can't really tell you how it should feel for the average man to poop. But I've heard from friends that it's pleasurable until it's too big or it's too dry.
Fiber, good water intake, and avoiding sitting for too long are crucial in your rectum and anus' health. Most men should be born with a prostate or else I don't know how they're supposed to reproduce.

>>16770899
Androgen insensitivity means you have no internal male or female genitalia, but you have female external genitalia

>>16770900
Then it's a simple answer, if you don't have a prostate then it wouldn't feel particularly different pooping. I'm speaking for the people who do possess a prostate. I personally don't know why some women like anal, I don't like it at all. It tends to be men who like anal if they feel like their partner's vagina isn't tight enough, I guess.

>>16770882
If they automate everything, what will the slaves do to produce value?
If they're paid to have money, who is paying the taxes to pay for them having money to pay for the luxuries the rich want the slaves to buy?

>>16770991
Is this bait?

I've started forgetting stuff outside my specialty.
Not even the niche stuff like ophthal etc.

>>16771124
So...self-learn stuff to keep yourself sharp?

>>16771124
literally what happens to everyone. who cares.

>>16771124
Real talk, unless you work in both a specialized and general role, are you going to need to know shit outside of your specialty?
I don't mean like if somebody comes in for an ass problem you'd recommend an ass doctor, I mean more specialized stuff like this symptom of the ass means this problem of the ass, most likely.

>>16769850
>while simultaneously donating their gametes to men and women in the bottom rung of the genetic ladder so that there's a sort of upward mobility for those at the bottom genetically speaking
Why would we subject countless generations to suffer for the sake of your genetic ladder? Just do society a favor, keep those shitty genes to yourself and die, freak. Be glad you get to die peacefully at least, back in the day genetic dead ends would have just died in a war or from war/starvation, assuming your mother wouldn't just leave you in the forest to be eaten by wolves the moment she saw your malformed body. Count your blessings.
>Such a system literally ensures a participation of all people in society
You participate in society because you like participating in society. You're welcome to leave and live in the wild if that's your choice. Don't let the door hit you on your way out.
>ur evil
Spare me the spooks, loser. They are meant to keep rabble like you in line. Good to see it's working.

For me? It's looking at my phone

There's someone at my school posting on 4chan. I know this because I was using the school's wifi and I got hit with a ban meant for him. I think it's a first year since I've been freely posting until then.

>>16771923
What was the ban for? What board or all boards?

apparently, low magnesium amplifies the negative side-effects of vitamin-D over-supplementation (or having too much of it in the blood/body)
thoughts on this? do you agree or disagree?

How'd you figure out what speciality to go into. The quiz keeps giving me things I don't have much interest in besides Possibly Radiology.

I have an interest in surgery mainly:
>Neuro
>Plastics
>Trauma and Ortho (a few people assumed id be into this, whatever that means kek)
>Cardio

But I entered late and won't start speciality till like 31. So im not sure If surgery is the move. I just want something that's interesting, can earn big bucks, and can allow some mobility.

>>16772066
>something interesting
well, which specialty do you find the most interesting?

>>16772082
Very early into my med career, just finished pre clinical. I enjoy a lot of the MSK stuff the most, was more straightforward. But then I've been told that experience in the hospital is different, but the issue is for the more competitive specialities it's better to start early.

>>16760284
>i start off understanding/empathetic, but if they dont listen to me after i try several different ways to explain something, i give up since it's not my problem anymore lol. just note in the chart they are retarded.
not a med fag, but I've found this is good advice in general. They either learn their lesson after you've dumbed it down, or they're too retarded to be worth further associating with. No need for cruelty, just a respectful departing of ways

Is strabismus vastly more common among nurses than the general population?

>>16772102
You wont really know what aspects of medicine appeal to you until some point during third year. I didnt know I hated clinic, now I do. I didnt know I hated rounding. Now I do. I didn't know I would enjoy the medicine aspect of medicine, now I do. I didn't know I would really enjoy the pace and culture of the ER. Etcetera.

Every rotation I did, the parts I enjoyed were in EM and the parts I hated were not. I was between ortho and EM and realized that, if I was an orthopod, I would miss the medicine side and the ortho stuff wasn't enough.

I enjoyed OB/GYN but knew I wouldn't enjoy the hospital side enough to make the clinic time worth it.

I enjoyed outpatient Psych, but I wanted to do real medicine.

I enjoyed the trauma resuscitation in surgery but I dont want to be a surgeon.

Your experience will be different, pay attention to what you enjoy and see if you find a specialty that captures enough of the good to make the bad tolerable.

>>16760278 (OP)
I hurt my balls masturbating I went to the ER and the doctors there gave my balls an ultrasound and diagnosed me with varicocele on my left testicle and prescribed me liquid doxycycline 20 mls because it hurt and my leg and lower abdomen was tender. I am currently on the liquid doxycycline but the infection hasn't gone away and my balls have been hurting this whole time, before they were completely hurting, now they only really hurt if you touch them. My left testicle is swollen. I followed up with my primary care provider after the ER visit and he didn't prescribe me any new antibiotic when I run out of doxycycline and he referred me to a urologist. But I am like a week into taking my antibiotic and the infection in my balls has not gone away. I don't have the referral to the urologist yet. What should I do?

>>16772196
Also, if I lose my balls I'm probably going to kms. I already can't cum anyway based on the last 2 times I masturbated and orgasmed.

>>16772200
If you're concerned go back to the ER, we cannot and will not give medical advice in this thread because

1) You have no idea who is or isn't a doctor
2) even if we are a doctor, we are not your doctor and you have no follow up with us
3) no physical, no reliable way to take a true history, no imaging, no labs
4) if we did, people would come here instead of going to a doctor

If you're really worried, go back to the ER or schedule another appointment with your GP if you dont feel its an emergency.

>>16772200
>>16772196
Bro no one here is a doctor.

>>16772218
:(

>>16771297
I guess it's useful to discard false positives or negatives, or to correctly diagnose people if they come to develop a certain condition or illness. Mostly to differentiate on what to do, what NOT to do, who to derivate to, what to use... I imagine specialties like Infectious Disease might have to keep up on all the weirdest, niche'st knowledge because it's their specialty diagnosing very specific and hard to treat cases.
It's good to know a decent amount of the basics of everything in case an emergency comes, or like for example if something related to neuro affected the heart, or kidneys with the heart, stuff like that. I'm not a doctor though.

>>16772196
Giving advice is off limits but dude, go to the ER/doctor again, and stop masturbating for the time being. Varicose veins and inflammation of veins don't go away that quickly, maybe you might need surgery. It's common in varicocele for the left testicle to be more affected. It's probably swollen due to the nature of blood flow getting blocked in a blood-sensitive area.
>>16772200
I doubt you'll be unable to masturbate if you were to lose a testicle, I mean, but... It's not guaranteed you'll lose it over having varicocele. Let your dick rest dude.

>>16772235
>It's not guaranteed you'll lose it over having varicocele. Let your dick rest dude.
I could lose it over inflection though. And my testicles are infected.

>>16772231
>A decent amount of the basics
How basic, though?
Because, 'basics' might be penetrable to laymen.

>>16772276
infection*

What are some of the funniest insults you guys have received? I was once told that my mediocre ass didn't belong in medicine.

>>16772150
i doubt it

What spec has the least amount of people with normie opinions? Is there a conspiracy spec?

>>16771923
What an idiot. Imagine posting on school wifi.

>>16772321
I was told that I was proof of the failure of the public education system.
Ironically enough, it pissed off my coworker more than it did me. I don't know why. I usually get very offended when my intelligence is questioned (like an absolute retard, I admit it).

>>16772560
Makes me think.
Will I get in trouble for saying "I believe in flat earth" to patients? Let's say I believe everything else that's correct and it's just flat earth. If yes, could I get away with dome earth? I have intrusive thoughts some days that say 'Do it. Just say it.'.

>>16772562
No one cares.

>>16760278 (OP)
I want to look like this

>>16760278 (OP)
Why doesn't the medical industry use bacteriophages more like in Eastern Europe? Start using them clinically.

>>16772927
https://www.youtube.com/watch?v=YI3tsmFsrOg

>>16772927
>>16772930
https://en.wikipedia.org/wiki/Phage_therapy

>>16772927
>>16772932
>Phages are the subject of renewed clinical attention in Western countries, such as the United States. In 2019, the United States Food and Drug Administration approved the first US clinical trial for intravenous phage therapy.[19]

Hey guys, question, I usually never experience these types of symptoms but I recently got changed from olanzapine to aripiprazole (I'm taking 40mg fluoxetine, 5mg aripiprazole, 800mg magnesium valproate) and I feel more awake, and horny than the previous month where I wasn't on aripiprazole.
Shouldn't psych meds make you more sleepy and less horny??? Why do mine have the opposite effect in me? Asking out of curiosity, not 'cause I think I'm in danger.
>>16772840
You might find idiots who unironically believe it. Or the word could spread that you're a believer of such things.

best OTC sleep aid? i always just use benadryl, but i know youre not supposed to use it too much. is melatonin the best option?

>>16773264
yes

>>16771904
You sound like a horribly trained LLM.
>Why would we subject countless generations to suffer for the sake of your genetic ladder?
my offspring will literally be far better than me if I introduce stacey's genes in my bloodline though. I'm not demanding chads to handover stacey to us. If anything, I want chads & stacies to breed with each other to produce pure blooded chad-stacey caste folks. What I'm advocating for is a sort of trickle down eugenics where chads and stacies, in addition to creating pure blooded chads & stacies, must also donate their good genes to folks at the bottom so they can create half blooded chads & stacies in generation 1, 3 quarter chads & stacies in generation two and so on. Only insecure men and women who fear that the folks at the bottom may end up creating much more chaddier or stacier children, who could inturn pose a threat to the bloodline & status of folks at the top, will fear such a system.
>You participate in society because you like participating in society
everybody participates in society for physical and genetic survival faggotard. You help others and in exchange the society helps you to survive. It's kind of like the individual helps the overall collective and the overall collective helps in the individual's physical & genetic survival prospects in exchange. It is an unwritten law that is now being broken.
>loser
says the subhuman himself who was born without a dick. penis envy is real afterall, both in women and hermaphrodites like you
Again, when I say chad or stacey, I don't mean them to be chads or stacies just by loox alone, It also includes iq, health, personality and moar

Most psych issues are conversion disorders from social media and/or from being poor

>>16760278 (OP)
just general advice sorry if this is the wrong thread
i go to a private university and i am receiving an econ degree (in 3 years)
i started working as an EMT part time about 7 months ago and since ive started 911 work (in top 5 crime rate city in the us) ive realized i dont want to be a lawyer and i wanna do something impactful i guess
i have a 3.3 GPA am I fucked applying to post-bacc premed programs (looking at tufts and columbia) or do i have shot?
outside of the emt work ive interned at investment banks and did market research in japan for a dog cafe plus a few years of rotc bc im a faggot
any advice on premed post bacc is great thanks

>>16773707
You are at no real disadvantage. In fact, many schools these days are looking for students like you who have a career change, life experience, etcetera. Look into what it takes to get into medical school, you will need to go back for some prereq classes but by no means do you need another degree. Do some shadowing, investigate the profession, learn if it's right for you and then do well on the MCAT and send your application. I am sure you could write a personal statement in a way that tells an impact impactful, interesting story.

Okay now go away pre-med

>>16773724
>>16773707
Misinterpreted a bit here. You can tack your medical prereqs onto your current degree or change majors if you really want. Fix your GPA now, though. It is not the only thing, but it's better to do well.

>>16773727
thanks. i was thinking about applying to a postbac specific premed program or DIYing it as my current undergrad is 90k (i get a lot of finaid) a year and i lose any financial aid this year (hence 3 year grad)
also to keep it medicine related, when i was working we had this homeless dude with legs that looked like a bloated corpse from l4d2. i forget the name of the disease it was "venous" something. like huge blisters and open skin, pt claimed 0 pain but it was so fucking gross

>>16773766
>90k
>a year
what in the fuck. is this some private school or ivy league?

Had a priapism scare a bit ago.

>Started taking a daily multivitamin, a magnesium tablet, and a D3 gel cap before bed a few days ago
>Libido starts increasing in addition to other benefits
>Okay, that's nice
>Wake up a few hours ago
>Raging morning wood, almost 100%
>No time to fap, get ready for work
>It still doesn't go down
>Get in car, hoping it will chill out on the road
>Half an hour later (it's a long drive), it's still throbbing and starting to hurt
>Oh fuck, I might have to go to the E.R. instead of work, lol, I don't want to get drained with a needle
>Please don't be priapism
>Driving in a remote area at night with no traffic
>Pull it out and fap while continuing to drive
>Start to nut after less than a minute, shove it back in my underwear to contain the mess
>It finally goes into standby mode

What the fuck?

>>16774025
It has to be. He mentioned interning at investment banks.

>>16773323
>You sound like a horribly trained LLM.
You sound like a frustrated retard, which you are.
>my offspring will literally be far better than me if I introduce stacey's genes in my bloodline though.
Stacey's genes won't, which is why she won't fuck you.
>What I'm advocating for is a sort of trickle down eugenics where chads and stacies, in addition to creating pure blooded chads & stacies, must also donate their good genes to folks at the bottom so they can create half blooded chads & stacies in generation 1, 3 quarter chads & stacies in generation two and so on.
You didn't answer the question, retard. There is zero point to doing this. You're dying alone and your shitty line dies with you, whether you like it or not.
>Only insecure men and women who fear that the folks at the bottom may end up creating much more chaddier or stacier children, who could inturn pose a threat to the bloodline & status of folks at the top, will fear such a system.
No one fears shit, you're harmless. No one will entertain your desperate attempts to pass on your shitty genes, we are just having a good laugh to extract some sort of value from your otherwise useless existence.
>everybody participates in society for physical and genetic survival faggotard. You help others and in exchange the society helps you to survive. It's kind of like the individual helps the overall collective and the overall collective helps in the individual's physical & genetic survival prospects in exchange.
And you like this arrangement very much, which is why you will keep participating. You iwll get no kids though. Your usefulness to society doesn't include your genes, because they suck. Get over it.
>Again, when I say chad or stacey, I don't mean them to be chads or stacies just by loox alone, It also includes iq, health, personality and moar
And you clearly have none of this to offer.

>>16772066
>How'd you figure out what speciality to go into.
The way you figutr out any other long term life choice. You usually don't because you're too young to make an informed choice at the point of making it. The safe option is to pursue whatever gets you the most money and/or the best lifestyle so that even if you end up not liking it, at least it gets you money and/or isn't too tiring.

Only good advice i can give you, don't go into shit that is known to pay worse or have a worse lifestyle if you aren't sure this is what you want to do. There's a reason people commonly say you only become a surgeon if you can't imagine doing anything else.

nurse here. should i go premed? also i have this strange lump on my thigh. any advice?

>>16774226
>should i go premed
no lol.
>lump on thigh
it's either cancer or its not.

>>16774226
>strange lump on thigh
Probability dx: a sebaceous cyst from your fat sweaty thighs rubbing together all day, nursoid.

>>16774226
>lump on thigh
Testicle?

>>16774200
>t.low iq master b8er who can't even retort with proper arguments.
KYS
Y Y
SYK
SVBHVMAN SCVM

>Stacey's genes won't, which is why she won't fuck you.
she won't fug me because I'm ugly but that doesn't mean her genes won't be able to improve my bloodline.
>You didn't answer the question, retard. There is zero point to doing this.
If you can't comprehend even after such elaboration, I think subhumans like you should resort to seppuku asap and cease wasting any more usage of oxygen than necessary. Lol. Guranteeing genetic survival for all, in a eugenic fashion, literally means you would end up with a lot more brainpower to achieve what you want as a civilization. You also end up with a diverse, and still a eugenic genepool. You also provide every man and woman a stake in society's future because children are the future and will do whatever it takes for the future to be bright. Moreover, if some random disease were to infect humans, the odds that your genepool will endure against that disease is now a lot more higher , compared to a genepool only generated by chads banging all the foids and leaving behind billions of men.
>No one fears shit
you do though which is y you seethe on this mongolian basket weaving forum rather than doing something else. Kek, what a subhuman loser you've to be to argue without any logical or factual basis.

>>16760278 (OP)
my gf

>>16774324
no she is MY gf, just like all other flat women

>>16775056
I love flat chests. I only want them to be like my report cards: all A's.

fuck me /med/
was thinking of doing anaesthetics
but hanging out with the ortho bros is slowly converting me

Is what people say about evals mattering more than standardized scores true or cope? I failed step 1 once, but since then I've had good evals on all my rotations (half are really good ones) with average shelf scores. As long as I don't want to do derm, ENT, rads, or surgery and don't fail any more tests are my match odds still okay?
I go to a US MD school, my CV is probably unremarkable compared to most of my peers but with no major red flags outside of the step failure.

i was worried about being out of school and having to practice optometry in a group practice, but it's actually comfy.
now i get to start paying back my debt...

Is it true male doctors like to get spanked and verbally abused by hot female nurses?

>>16775696
>I failed step 1 once
What happened, bro? I'm a current M2 and I'm worried about Step 1.

>>16775831
Continued. I started to do some practice questions on UWorld like 2 weeks ago and I'm usually scoring 50-60%. Like holy shit, I knew medical school needed a lot of memorization but I didn't know it was this bad.

Glad to have my med school's excellent core clerkship training, was able to manage other bystanders for a double car crash triage next to my apartment in my undershirt and shorts while waiting for emergency providers
>>16775153
Other way around for me, I am born again anesthesiology/critical care from gung ho vascular surgery
I like crashing situations that I fix quickly and go back to being lazy, not standing for 5 hours getting cancer and staring at the fluoro screen

>>16775874
Not the guy who failed, but I'm at the end of clerkships (we take step 1 after) and I'm surprised at how poor my step 1 uworld scores are compared to step 2

Why is it legal for a psychiatrist to lock someone up against their will and drug them against their will?

Maybe we should give that same "treatment" to psychiatrists to see how they like it?

>>16776137
why dont we just kill all psych patients and all psychiatrists? i'd be happy with that compromise

>>16776137
I don't know if you're joking but I'll play along. We use to remove problematic people on the political scene. After the CIA shot JFK, her wife was declared insane and we drilled a hole into her skull then stuck an icepick in there.
Problem solved.

>>16772210
Blah blah faggot faggot
I think he should cut his balls off

>>16776137
>Why is it legal for a psychiatrist to lock someone up against their will and drug them against their will?
Because laws are made for the good of the society, and involuntary commitment is intended for people whose mental state makes them disruptive or at least likely to be disrputive to society.
>Maybe we should give that same "treatment" to psychiatrists to see how they like it?
Psychiatrists are well integrated into society.

See i have issues with psychiatry too, except I'm not a mouthbreathing retard that can't understand why it is the way it is.

The fact that this nigga had a hard-on for the OR probably made him better at his job than most

>>16776266
>my body my choice
>NO NOT LIKE THAT

>>16775831
I had a very bad allergic flare during the test. It was so bad that even after passing the retake I had to take time off school to get better. But realistically, I should have been taking better care of my health and I also could have studied harder too.
I didn't wake up early or stay up during dedicated when I definitely could have. I just started studying at 8am and called it a day around 7pm. I might regret it, but at least it's a lesson learned. I wake up at 6:00 or 5:00 if I need to pre round every day now because I fucked up.
Most people pass don't worry too much about it I was both irresponsible and unlucky.

>>16776266
What law did he break?

>>16771923
Same thing happened to me in my second year bro, fucking zoomers

>>16776354
https://www.bbc.com/news/articles/c5yvpx20le2o.amp
Lied to insurance it was sepsis when he froze them off with dry ice. I recall some furfag did this to his hands a while back in almost an identical manner to permanently live with paws

>>16775962
>wanting to do crit care
When you grow up you'll realise putting in a supraclav block/spinal and flirting with the nurses is much more fulfilling.

>>16776423
I like talking to patients, it gives me someone to flex my knowledge on
Same reason why I'm considering academics, I need my ego well stroked

>>16776398
>froze them off with dry ice
holy shit, a surgeon actually knew about cryotherapy and ofc did it wrong, kek.

>>16776398
So this is the end game of fem pop chop chop

On TV it seems like doctors can look at an xray or MRI or whatever and just know exactly what the test shows. Are these things really that straightforward once you know what you're looking at?

>>16760609
What I do for stuff like that is pile on context until any otherwise meaningless details are explained. Not to memorize; just having read it helps.

>>16776163
Maybe one day a doctor will decide you're crazy and need locking up. Then you would be killed - if we were to adopt your policy of killing psych patients.

>>16776181
Lobotomies were of course barbaric. JFK's sister had a lobotomy done to her, and it destroyed her life.

Today's psychiatric methods (antipsychotic drugs, electroconvulsive therapy) aren't as bad as lobotomies, but they're still shit. They have significantly harmful effects upon the human body.

>>16776210
>Because laws are made for the good of the society
Protecting society obviously makes sense, but we don't need to completely abuse psychiatric patients in order to protect society. For example, potentially dangerous people could be locked up without drugging them. Forcible "treatment" is probably the worst aspect of involuntary commitment, rather than the commitment itself.

>>16776606
Yes and no.
You look at it yourself and you also wait for the radiologist's report.
Sometimes things are too acute to wait for a report.

Hey /med/. I was wondering if you guys could help me out with something. My grandma has some blood condition but the doctors are unable to find out what it is even after multiple bone marrow biopsy. She has progressively lower blood count (red blood cells, white blood cells and platelets). They did some CT scans and found nothing and did a genetic test that showed "a minor
change that can be seen in healthy individuals as well as in various blood cancers, and
therefore does not give us a clear answer at this time."

What could it be? Some of my family's doctor friends said it could be a viral infection but they haven't seen any of her results.

>>16776842
Just one friend of mine online said he was anemic and was given folic acid to treat it and now it's better. Wonder if that'd fix the issue, if it's some type of anemia.

>>16776886
https://www.youtube.com/watch?v=5k4Gcp4GSzk
Lmao

>>16776773
RFK Jr. needs all the psychiatry interventions, and lots from other specialties too. He looks about as mentally and physically unhealthy as Trump these days.

Grand Rounds yesterday was about our friend RFK's tard tantrum. COVID is already gone, now MMRV, Hep B, RSV, and more are on the table

Expect to see a lot more sick kids and even adults in the future

>>16776842
My guess is minor change that can be seen in healthy individuals as well as in various blood cancers, and therefore does not give us a clear answer at this time. Worst case it is cancer. Which in itself is perfectly ok, granny ain’t immortal.

>>16776773
>doctor will decide i need locking up
i have a gun lol

>>16776928
Thats your emotions talking habibi

>>16777009
shrug

Who wins in a fist fight between a psychologist and a psychiatrist? Also who wins in a debate between a psychologist and a psychiatrist? My bets on the pent up rage of the psychologist

>>16777425
Neither are real doctors

>>16777362
Will you still be shrugging so nonchalantly when SSPE becomes an diagnosis you need to expect on patients again, like it's the fucking 70s

>>16777651
shrug

Whenever I have to come across such posts, my blood is boiling. First, the mother is a monster. Second, her concerns don't even matter at this point because whatever pain now comes is just a rounding error relative to what has already been on day one.

I'm sure repeated retraumatizations are healthy LOL. Can we already start mass arrests? Charge: medical terrorism, penalty: prison for life.

Will using the same socks for too much time a day for too long induce fungus on my feet? If not, how can I induce fungus on my feet?

Sincere question to any researchers that might be ITT, how many years away are we from breakthroughs in IQ-improvement gene therapies? Is it even considered possible?

>>16777162
I'm sure America is about to get real "healthy" having some jerky-faced TRT boomer who wheezes like an asthmatic whoopee cushion as the top fascist anti-vax health minister.
>/s
Know this new "Tylenol causes autism" bullshit? Well protip: it's really partially epigenetic changes from viral infections combined with genetics, and the Tylenol is just a confounding dependent variable with the same cause.

Why are all doctors like this?
https://youtube.com/shorts/wT6xajIjy1I

redpill me on the genetics of penis size. Does the mother's vaginal cavity size play an equallly important role, if not more in the penis size of the son? what about prenatal testosterone?

>>16778602
It's torture

>>16779165
Average is only half of the picture.
Sun exposure, exercise, and early social dominance are all essential. If you're a macho preteen, successfully bully your inferiors, and slam puss early you get a big dick.
Your status (and therefore hormonal feedback) during puberty determines your degree of phenotypic masculinization.

In other words, small dick is a skill issue.

>>16778415
Help me out will ya

>>16779165
I beat Ecuador on length but I'm really tall so % of height is lower. Life's a bitch

>>16779165
isnt this all selfreported lol.

>>16779470
A woman can smell a man's penis-to-height ratio at 100 yards. It's completely over for you.

>focal seizures can spread
how exactly? it says they spread to regions that are connected to the affected area but how do more regions decide to join the seizure party? and why do some regions join but not others? does the brain have built in mechanisms to limit the spread?

>>16779550
>neuro
I should wedgie you now just for daring

>>16778292
>>16778430
>>16778496
>>16778602
>>16779269
Ok so use anesthesia and it's fine, nothingburger.
fags obsessed with other men's cocks. Sad. Many such cases.

Should psychiatry be outlawed? Yes or yes?

>>16760278 (OP)
clinicals are fucking awful. Who wants to study after working all day? Way worse than pre-clinical.

>>16780284
YOU should be locked up.
https://youtube.com/shorts/_5Elgx3bUcc
How long is it until YOU kill some white woman Jamal?

>>16780746
Clinical are easy because some rotations they just let you study. And content's better than pre-clinical

>>16779165
Penis length is correlated with total height, so taller people have longer dicks and vice versa.

>>16780853
This, would you rather be studying the vagina sign that appears solely within the 7th periosteal slice in FAGGOTS (Femoral Atrophy Guided by Gentamicin OtoToxicity Syndrome, a rare syndrome discovered in 3 children in the Kalahari in 1938 by their British slave master "physician" after he had already cut their hands off for punishment because he thought they were just too lazy to walk)

OR would you like to study the principles that'll guide your actual clinical practice for decades

>>16780861
I miss my preclinicals because that's when they had us do our OMM practicals and I would be paired up with a chick wearing leggings and I had to pretend to be embarrassed while practicing a pelvic diaphragm release on her

>>16780955
Was she actually fit/attractive or was it just the shapewear

>>16780955
>OMM practicals
OMM practicals scare the fuck out of me. At my school, there are no redos.

>>16780746
There are pluses and minuses. You'll learn to live with it. It sucks, but it's much much better learning than just studying.

>>16779996
Why do you think they don't do it, retard? Should we allow female genital mutilation because you can just use anesthesia? (actually it's difficult on newborns).

https://www.bls.gov/news.release/empsit.t18.htm
>32.7 hours
How in the fuck? I thought I landed the jackpot going to just 40 hours a week.

What is this ball thingy inside my ankle, /med/bros?

>>16780978
Why? They aren't hard

>>16780955
Mfw osteopathy was invented as a new way of raping women
>https://www.latimes.com/opinion/op-ed/la-oe-heffernan-larry-nassar-20180126-story.html
>These practices include intravaginal manipulation. Fisting. This was the “medical procedure”
>According to his victims, Nassar’s attention wasn’t on their hamstrings or ACLs; instead, he focused on their anuses, breasts and vaginas. In January 2017, one victim spelled it out in her complaint: “Nassar digitally penetrated Plaintiff Jane A. Doe’s vagina multiple times without prior notice and without gloves or lubricant.” Other victims describe Nassar’s forcing his “dry fingers” into their anuses and vaginas. The violent fisting was excruciating.
>Then came the gaslighting. When the girls blew the whistle, Nassar and his enablers tirelessly reasserted his privileges as a doctor. “We were manipulated into believing that Mr. Nassar was healing us as any normal doctor is supposed to do,” Capua testified. Just last year, the American Osteopathic Assn. released a statement to MLive.com, the Michigan news service, saying that intravaginal manipulations are indeed an approved, if rare, osteopathic treatment for pelvic pain.
>No need to fact-check that. Grabbing a young woman inside the vagina is not a first-line or thousandth-line treatment for anything. The victims knew this intuitively, but over and over they were told to doubt their perceptions, suppress common sense in favor of mystifying quackery and accept their unerring reflex to recoil from Nassar’s probes as their own failure. The takeaway was this, to paraphrase the president: When you’re a star doctor, you can do anything.

want to hear from trauma - influencer got assassinated today, in the video he shows decorticate posturing after being shot in what looks like his carotid artery. could there have been any scenario where he would've survived with immediate medical attention

>>16782044
No. And say his name.

>>16782050
nigga i don't know who the guy was, you think i have time to watch youtube videos all day? besides lectures

>>16782024
Conceptually, it's not too bad but my school puts the OMM practicals the same week as finals. I got other shit I need to study for.

>>16780955
for me, it was this one time we were practicing some hvla technique (I forgot all my OMT don't ask me what) but it involved rotating your upper body to thrust downward on a supine patient. my partner once forgot to wear her sports bra, as was customary on OMM lab days, and so I became the willing victim of unbridled, high-impact boob compression.

>>16782044
Just tourniquet the neck bro

>>16782044
As soon as that venous spurt started pouring out and he went into decorticate posturing, I knew that guy was dead within the minute. They hit the jugulars I think

How offen is it for patients to pee or poo during surgery?

>>16782323
i do it everytime so the nursoids have to clean up after me.

>>16782151
This should be the medical version of "kys" or "an hero"

>>16782044
It wasn't decorticate only his neck was hit

>>16769486
No child deserves to suffer (You) as a parent.

>>16782013
It's a deposit of AIDS

>>16782385
Then what's your explanation for the upper extremity flexion and lower extremity extension

Its medically good

i hate gooks

Face it guys, psychiatry is a crock of shit

With most medical conditions we know that something is physically going wrong with the body, right? Type 1 diabetes is where the immune system destroys beta cells which normally produce insulin, right? (Yes I just read Wikipedia)

Psychiatry isn't like that. Psychiatry claims a patient has a physical brain defect, but it doesn't PROVE they have a brain defect. Where's the medical imaging showing that a depressed person has a brain defect? Maybe their brain is pretty normal, and instead they're unhappy because of certain life events? Maybe if you went through those events, you'd be unhappy too? Maybe they don't want to tell you about all those depressing events because they might be embarrassed or ashamed about those events?

Conclusion: psychiatry is nonsense

>>16782371
Based.
>>16782323
I was 8 years old, at the middle of a surgery for a hernia, on the pubic area, when I shat on the operating table.

How is joe rogan so smart? He should have a phd

>>16783825
If Joe Rogan is so smart, why can't he figure out how to grow any hair?

My school is making us take a diagnostic exam right after finals. And when I say right after, I mean literally 1 hour after finals the same day. I want to DIE.

>>16784075
And if you don't score high enough on the diagnostic, they won't even let you sit for the exam.

Has anyone ever switched from MD to RN. Tell me why if yes?

>>16784266
Why would you do this besides as a cope for bad GPA/MCAT or being too old/poor? The jobs really aren't that similar besides working together in healthcare settings. I can't really imagine someone who was already in med school deciding to drop out and switch to doing med passes and wound care all day. If you're already in med school, the shortcut path to NP/CRNA makes no sense since you'll have to start again from scratch and take on more debt and lose more time taking nonsense BSN/MSN courses.

>>16784266
thats retarded. all you would do is take a more laid back/slightly worse paying job as an MD

>>16784579
>or being too old/poor
Is being too poor even a valid excuse? You can just take out loans for undergrad and medical school.

>>16760278 (OP)
Why does alcoholism make some people fat and turn others into emaciated ghouls?

>>16784906
didnt they recently restrict how much you can take out in federal loans?

>>16784579
No I mean a MD student or working MD who gets their RN instead.

>>16775696
Stop playing wuwa and study more.

>>16784930
Yes, the restriction is at $200k. But before the restriction, I don't see why finances would be an issue for medical school if you could just get loans for everything.

>>16784953
Like I said, it makes no sense in most situations where the bar for admission to med school is high. If you just wanted to do the nurse skills in some outpatient/prehospital setting, I'm pretty sure every basic nursing skill is already within the physician scope of practice. Also, a lot of healthcare settings would be reticent to hire a nurse who might try to practice medicine out of scope. The only situation I can think of for a current student/MD is if they know they're going to wash out of med school or at risk of losing their license. Thinking about it some more, I guess I remember reading about Caribbean grads becoming NPs after failing to match to a residency but I think that falls under cope.

>>16785169
so how do medstudents pay for school now if they cant take out a shit ton of loans?

>>16785589
I would presume they would have to get private loans. I'm so glad that I got into medical school before the restriction.

Nigga gets an Emmy for pretending to do what I already do every day

>>16785589
>>16785612
Continued. Some medical schools aren't even fully accredited yet so their students have to get private loans. At those usurious rates, I don't even think becoming a doctor is worth it financially at that point, objectively.

>>16785617
at least you don't look like a fag like he does

GIVE ME A MEDICAL STUDENT THAT ONLY TRIPLES MY WORK AND I WILL KISS HIS FEET

>>16785842
Waaaah waaaaah you took a job at an academic institution
Sucks to suck

>>16785842
you can go anywhere you want and you choose to work in academia lol

>>16781465
>Local anesthesia is too difficult
I, too, can make things up wholesale if you'd like
I didn't make up the part where you're obsessed with other men's cocks, though

is it a good idea to stop your flow of piss a couple of times every time you go to the toilet?
it hurts but also feels okay afterwards, heard it's a form of training

>>16786004
>>16786033
I WORK IN A HOSPITAL YOU RETARDED FAGGOTS
I AM A DOCTOR

>>16786209
Waaaah waaaaaah you signed a contract to work at a hospital with residents, a teaching institution. Did you not do away rotations as a med student? LMAO are you in an idiot specialty that takes any live body with a passing Step 2?????

>>16782371

poser

hey can you give me some advice about how to deal with medical professionals/how testing works? I am confused and I think I annoyed my psychiatrist without meaning to.
basically
>shit insurance
>want to get tested for ADHD/get some form of therapy (different issues)
>get referred by my insurance of in-network places that can test me
>ok
>look through list
>first 5 are all booked for months, both for testing and psychiatric help
>first guy that isnt booked for months and actually responds does tests online
>i dont know any better so I take the appointment, need to pay almost 1k out of pocket because of insurance
>go to psychiatrist after online psychologist diagnosis me with some stuff
>go to psychiatrist with this info
>he seems extremely annoyed and has a glazed over look when I tell him this
>tells me these tests are not valid whatsoever and interrupts me repeatedly when I point out the guy's credentials, the insurance referral etc

Did I do something wrong outside of being ignorant? I really didn't mean to waste his time but I left feeling like I did. I figured I went through things the proper way, idk

I think I have penis cancer. Two little red velvety patches of skin on the head of my penis. I jerk off pretty regularly, so I thought I might have skinned it a little, so I'm going to give jerking off a break for a week and see if those red marks go away.

Pray for me.

man, i feel retarded since i've started practicing in clinic solo. i feel like i've forgotten a shit ton of important stuff.

>>16786456
If it's early-stage BCC or SCC, you *might* be OK with cryo-, enzyme-, radio- and/or photodynamic therapies. They are the most common skin cancers and also the most beatable; more evidence has continued emerging for various non-surgical options.
>t. did fairly extensive research when I had a condition putting me at high risk for both of those

>>16786614
Should I just go to a dermatologist?

>>16786627
Probably not a regular one; look for one specialized in oncology with a lot of clinical trial experience and run what they say though PubMed and a second opinion or two if you want to keep maximum dick, lmao.

>>16786652
That's the joke I'd made. I have no insurance, so if the treatment is "we're going to have to amputate your dick", I'll ask, "What euthanasia treatments do you offer?"

>>16786653
Unless the spots run *extremely* deep, it's unlikely you're looking at it being that bad. But some surgeons are gonna just go for aggressive margins not even knowing the evidence of other modalities when that's not always so appropriate with lower-grade cancers, depending on exact tumor genetics.

>>16786656
Supposedly, I'm predisposed to lung cancer and heart problems. Luckily, I don't smoke, so I shouldn't have that problem. I know technically anyone can get anything, though, so I'm trying to be cautious. I'm thinking I may need to volunteer myself for medical documentation or something. I don't mind if they post pictures of my dick in medical journals if it means I can get a discount on treatment.

>>16784579
PharmD, DVM, DPM, PA are all meant as backups to mwd school if you get kicked out

>>16785617
He gets an Emmy for pretending so well that it's realistic. Can you pretend to be something wildly different than you are now and make the people around you believe it's real? Probably not

>>16786722
i can pretend to be retarded

>>16786451
adhd is a scam unironically
you just have anxiety

>>16782027
>Nassar digitally penetrated Plaintiff Jane A. Doe’s vagina
Do he did it in Minecraft? It's not a crime.

>affirmative action overturned
>following year the MCAT and GPA for all my state MD schools jumps by several percentile
>matriculant student demographics are somehow MORE in favor of URMs than last year and asians have been practically pushed out
The FUCK just happened? Check the AAMC data released this year compared to last year. I got fucking scammed by Trump.

>>16787684
Osteophile hands typed this post

>>16787775
git gud

>>16787775
>be me
>be poor
>be Asian on top of that
>get into medical school regardless
Be so good that you get in no matter what. I believe in you, bro.

Fuck psychiatrists.

I reduced the dose of my antidepressant because I want to ultimately come off it. But a few days after reducing the dose, I'm now more lethargic and I'm finding it more difficult to do things and concentrate.

Psychiatrists push you onto these shitty drugs (and they can drug you against your will if they put you in mental hospital). Then your brain becomes DEPENDENT on these drugs, so if you try to reduce the dose, like I'm doing, then you get withdrawal effects, like I'm having.

And most importantly
>Do NOT respond to psych patients

>>16787680
trvthnvke

is there any way to optimize the path to becoming a doctor so it doesnt take as long without making doctors shit?

Why does everyone say EM is dead ? Scope creep ?

>>16788640
Probably getting rid of the undergrad degree requirement in the US

Why do people with ADHD act like they're on amphetamines, and why do amphetamines make people with ADHD act like normal people

>>16760278 (OP)
>Thread question: what is your personal strategy for addressing patients who misunderstand the role of pharmaceuticals in health? I.e. "I just dont want to take so many pills" in a post-MI patient with a stent.
shout out to my newly diagnosed HIV pt presenting with ludwig angina who didnt think biktarvy was the move and told me they were going to try chlorine dioxide instead. only the afterlife can provide patient education to these ppl

did anyone else get a boner when they did a pelvic exam on a simulated patient? mine was hot and young

>>16788750
because that doesnt happen and you're a victim of pharmaceutical marketing, as many are with an unfortunately high proportion of psychiatric medication.

>>16788749
No. It filters out the retards and it ensures that most incoming physicians will be the children of existing doctors.

>>16788870
In my school they lined up our blocks so that the pelvic exam was right before an exam I had to pull an all nighter for
I think it was intentional looking back at it now

>defer pt's surgery because they are too fat
so satisfying every time

>>16788842
Imagine taking ART instead of chlorine (cleans pools) and air
ART gives you AIDS fyi

Also CD4 count?

>>16788499
Psychiatry is abuse.

If someone has cancer do you force chemo on them? No. It's their choice. Every patient should have the right to refuse medical interventions if they wish, whether they're a psych patient or any other kind of patient.

the cancer patient isnt as likely to just wake up and start stabbing people because of their weak will to resist voices in their head.

>>16789245
I bet it's a very small proportion of psych patients who are actually dangerous. Quite a few psych patients get locked up because they're apparently a danger to themselves rather than anybody else - e.g. they're considering suicide. Maybe we should be able to help such people without forcibly detaining and drugging them. I think suicide prevention phone lines are good. Someone who is considering suicide can phone someone and have a human conversation. Instead of the suicidal person being forcibly detained and drugged.

I'm hopping from general to general to ask the same question from software engineers, academics, and more and I wanna know how /med/ feels:
Physicians, would you want your kids to enter medicine, or do you think the field isn't worth it anymore, or that it won't be worth it by the time they're picking a career?

>>16789367
it'd be easier to become a Nurse Practitioner (NP) and with the way scope expansion is going, NPs will probably get even closer to MD/DOs by the time they needed to decide on a path.

>>16789379
>Get even closer
Yeah, even closer to killing every single one of their patients

>B-but muh outcomes!!
Every study on APP outcomes has been done when APPs practice under physician oversight and on uncomplicated patients, they are so full of confounding variables it's a miracle they're not considered less valuable than a poster presentation.

>>16789367
I've loved medicine so far.
Good job security, interesting work and paid well.
10/10 would make a medical dynasty again