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🧵 /med/ - medicine general

Anonymous No. 16047495

>tfw have to treat someone who posts on /sci/

Previous: >>16004526

We discuss research, DO NOT offer advice (just fucking go see your doctor), make fun of premeds and shitpost.
Keep vaccination/clamping/vitamin K/soliciting advice out of this thread and start your own because it takes a lot of space.

Anonymous No. 16047499

You really should just let the general die. I know it’s “tradition” but you’re all basically retarded compared to previous rotations of /sci/.

Anonymous No. 16047607

>>16047499
cope

Anonymous No. 16048106

>>16047571
you won't. it's extremely rare to have a psychosis from ketamine. its effects are psychotomimetic, but those are transient. just tell yourself that you are on a drug and will come down soon, although this will be difficult during k-hole doses where you may feel like you have already died. but you will come out of it very quickly, within half an hour.
it's life-changing, i think anyone with battle scars from childhood or issues relating to trauma, emotional dysregulation and a small worldview (common amongst 4chan shitters) should use it. once you become nothing in a k-hole mimicking an nde, and your brain induces massive bdnf release yada yada yada, you will see how life is all perspective, everything is subjective

beware you can fall down again easily, hence the maintenance. 3x week at first. once a week then. once a month then. think of it as meditation. 2 hours of ketamine is worth 2 months of meditating.
good luck

Anonymous No. 16048429

>>16048106
It's hard to get pure ketamine that hasn't been cut with bullshit, could an analog described as having the exact same effects (but a longer duration) like 2-fluorodeschloroketamine be used as a substitute or does only ketamine have any therapeutic effects?

Anonymous No. 16048433

is it possible to die of faecal impaction without more alarming symptoms such as vomit or pain?

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Anonymous No. 16048844

If any of you are in psychiatry, or are thinking of entering psychiatry, here's a video dispelling the myths of antidepressants, based on the latest research:

https://www.youtube.com/watch?v=j5cT-2BLWk0

The conclusion is that antidepressants are terrible drugs which harm patients more than they help patients.

Anonymous No. 16049046

Psychiatry is fucking gay

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Anonymous No. 16049089

she killed millions

Anonymous No. 16049152

>>16047495
Do Muslims actually die while fasting? Or is it because I'm not drinking water

Anonymous No. 16049193

Give me back my foreskin

Anonymous No. 16049398

>>16049193
American problems

🗑️ Anonymous No. 16049402

_______________7777777777777777777777___________________
__________77777_____________________77777_______________
_______7777_____________________________777_____________
_____7u___________________________________777___________
___717_______________________________________777________
___5___________________________________________71_______
__7n_____________________________________________17_____
_71_______________________________7_______________77____
_u________________________________7________________u____
_u________________________________7______7_________7u___
u__________________________71_____7_____7___________5___
u__________________________o867___7_____7____73o7___7u__
5__________________________71d03________7__768d5_____71_
n__________________n5777774n__u005_77_____508u________u_
1__________________6u7u34u1nnnn4d86777771u8046u777711147
u___7777777________4174u7566u77_7d807__70806qd64447__7b5
n7__7777777771nnnnub47447nu3445477d81__48073n146457___du
_5_________________16777______7u7__b4uq8q7717777117__707
_71_________________ou36964664447__67_7n3u51777_7777_435
__n7_________7_____7____7_777777nnnu_____37771n4443u467n
___7n_______7n54_77_____777____77_________1____7__7__77n
_____u______74dd7bn_____77____n7___________71___7_7____3
_____7u______ud9u51______7__77_777__________5___777___nq
______u______74dd7_77____7_77__71____7_____unn__77n7_1n_
______u7______1d5_ub7___7_7u31__7u571577_717_44_15n43q1_
______u7_______1o1q37___5u47454d088888880d3u774_1d3uu77_
______u7______7__73u4u43n076888888888888888884776q647___
______5_______7___77u0u77775888888888888888801_77db7____
_____17_______7_____u8454u4n88888888888888807_771577____
_____5______________1u_7ub67ud8888888888d6137740d7______
____17____________________ndu774d444q57773u3dd375_______
___n7______________________50b76b75uu97757q9udb7________
>Give me back my foreskin

Anonymous No. 16049487

>>16047495
I fucking HATE these thot BLM LGBTQ+ white girl med students and their tight scrubs showing their ass on instagram.

Anonymous No. 16049522

https://castbox.fm/vb/598819433

Anonymous No. 16049537

Got some new tricks

Drapetomania
Not washing hands
Bloodletting

Anonymous No. 16049617

>>16048844
This mostly has to do with 'depression' being a shitty umbrella term for a wide range of symptoms. For the most part, crippling depression results in abnormally low brain activity which is modulated more by dopamine and norepenepherine than seretonin, which has an inhibitory effect. However, dopamine is contraindicated with ppl with atypical depression and or anxiety. There's just so many possible causes that SSRIs only benefit a subset which has heavy overlap with OCD.

Anonymous No. 16049621

>>16049152
I thought muslims were prohibited from water during the day (not the night)

Anonymous No. 16049633

>patient is "suicidal"
>has parents that love him
>has a gf
>has sex
>has friends
>tried to kill himself by jumping off of a 1 story building
i just dont get normalniggers at all. i could never make it as a therapist/psychologist/psychiatrist if i'd have to listen to these niggers complain all the time.

Anonymous No. 16049645

>>16049617
Even then (from experience) SSRIs are shit at treating OCD, and absolutely kill ur libido. I've had much better results with benzos but my fagchiatrist think I'll get rlly aggressive, and he gave me fluovoxamine instead which is actually somewhat anxiolytic, fuck sertraline. Also low-dose dexamfetamine seems to quel symptoms despite OCD being correlated with abnormally high orbifrontal activity.

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Anonymous No. 16049745

>the new coffee machine in the periop tea room makes a nice hot chocolate
comfy

Anonymous No. 16049747

>>16049046
based
not even medicine
should have a /psych/gen to contain all the schizo posters and stupid management arguments

Anonymous No. 16049777

>>16049046
yeah but there are so many consultant positions offering 3k a day to wrangle the brains of minorities

Anonymous No. 16049893

>>16049633
It honestly surprises me how many posts on my uni's love letter page talk about their recent exes having mental health issues or take antidepressants.
Unfortunately, competence and stability give people the ick nowadays.

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Anonymous No. 16050008

>>16047495
how do my fellow doctor anons cope with burn out and empathy shortage? I did the math and Im currently checking 80ish patients/week, 6/7 days a week, sometimes Im just not feeling ze altruism anymore

Anonymous No. 16050049

>>16050008
Med student here
My school advises that physicians with burnout do more volunteer work for free

Hope this helps

Also I'm not joking, this is what they advised us do in the future.

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Anonymous No. 16050068

>>16050049
funny enough thats what Im doing, kinda, I have stopped charging fees to poor people, we are talking about dirt-for-floor, metal sheets-for-walls people, and while there have been a lot of happy cases, the ones that sucked stick out like a fucking abscess, you would be surprised by how entitled the most screwed over, poor guy can be, some people really believe the world should bent the knee to their will regardless of how fucked they are, really puts me out of the mood of volunteer work

Anonymous No. 16050073

Hey medfags, what are some things you've come across during your studies/residency that non-medfags would be very surprised about?
What's some shit doctors do that they don't tell patients

Anonymous No. 16050083

>>16050068
People are gonna be like that man. My least favorite patients in the hospital are prisoners. Like 1/10 of them are real bros but the rest at my hospital are recent arrest junkies with shooters abscesses and giant fucking ulcers and osteomyelitis pissing and moaning that I'm there working on them for free and not bringing them a coffee or whatever. I don't even get free coffee.

Still, it's not their fault they're fucked in the head.

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Anonymous No. 16050104

>>16050073
>What's some shit doctors do that they don't tell patients
sometimes we prescribe placebos so the patient will shut the fuck up, we dont mention it of course, Im a dermafag so I will put you an example
>patient comes for dermatosis papulosa nigra
>confirm diagnosis with dermatoscopy
>explain him that is a benign skin disease associated with dark skins
>explain that we can treat them with electrodesiccation
>"ok but is there an ointment that I can use for it"
>explain him that its a genetic predisposition and the best treatment is to cut them off
>"you sure there's no other way?"
>explain him again
>"are you sure of the diagnoses, Im kinda worried its some kind of cancer"
>offer him to do a skin biopsy so he can be at ease
>"but I dont want to be cut"
>explain that the treatment for dermatosis papulosa nigra is optional and merely for aesthetic and he can keep them if he wants
>"but I dont want them, there must be a cure or something"
>at this point Im done, Im barely holding my dermatologist persona
>explain him that we can try to use this state-of-the-art device to cut them off, but it will need to apply a "special" ointment during night so the treatment can work
>"excellent, I knew you would get me doc"
>so I ended up using a common bovie cautery to remove some of the dermatosis, the patient felt slight heat but it was tolerable
>I prescribed him the "special" ointment (basically some fancy cold cream with a slightly more expensive price tag)
>"thanks doc"
I have been working with this patient for 6 months, with great results and he is happy with the treatment, he has even recommended me to his friends for the same problem, interestingly his friends have been very reasonable and I didnt need to prescribe placebo for them. but yeah, to answer your question, we use a lot of placebo for those patients that want to feel special, pic related, its dermatosis papulosa nigra (not the patient's pic but you get the idea)

Anonymous No. 16050115

>>16050104
hey doc I got vitiligo on my balls what should I do

Anonymous No. 16050124

>>16050115
Drink more semen it increases tyrosinase activity which is the direct cause of vitiligo and I will not hear any bullshit about autoimmune destruction or otherwise

Anonymous No. 16050130

>>16050124
any other option? I'm not gay

Anonymous No. 16050133

>>16050130
I have a cream I can apply. It's $70/tube but works wonders

It's ritt dye mixed into some lotion.

Anonymous No. 16050186

i have a question

Anonymous No. 16050195

>>16049633
>i just dont get normalniggers
Honestly, being a normalnigger seems brutal, I'd probably be suicidal too if I had to deal with their average level of neuroticism

Anonymous No. 16050241

>>16050115
*Licks your balls*
>>16050083
But outcome improves when patients satisfaction is high

Anonymous No. 16050245

>>16050241
always thought it would be off putting but girls don't seem to mind, thankfully

Anonymous No. 16050329

>>16050245
I'm not a girl but it's hot (I'm not gay either)

Anonymous No. 16050338

>>16050073
we all laugh at your penis size when you get knocked out by anaesthesia

Anonymous No. 16050348

>>16050245
Many recent papers are leaning to the belief that vitiligo is more of a genetic trait rather than a disease, kinda of how cats and dogs have white spots in their skin as well. It feela a bit like a scapegoat move to not say “we have no fucking clue whats going on and we dont care to research for a cure” out loud, but ultimately it is a cosmetic problem if at all and many people live with it without real issues

Anonymous No. 16050373

>>16050348
should I even consider repigmentation treatments or is that not advisable? applying corticosteroids to my balls makes me uncomfortable

Anonymous No. 16050382

>>16049046
Infectious disease is the most based.

Anonymous No. 16050410

>>16050382
>get paid pennies to treat HIV/AIDS patients

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Anonymous No. 16050411

>>16050410
>tfw infectious diseases is one of the best paid specialities in my country

Anonymous No. 16050425

>>16050411
Do you have a lot of faggots in your country, anon?

Anonymous No. 16050438

>>16050425
a lot of poor people, they cant afford conventional hobbies so they recurr to fuck like rabbits, luckily the goverment have plenty of programs to give away antiretroviral therapy for free, but of course this comes under the premise of “supporting” the party in power during election time, and of course they need infectologists to keep that status quo, so they are handsomely paid. its all a blessing and a curse

Anonymous No. 16050451

What are the most underrated specialties?
ENT seems up there

Anonymous No. 16050457

>>16050451
radiologist, they can be the difference in the diagnosis of live-or-die diseases

Anonymous No. 16050466

Can I theoretically ace the MCAT based purely on my own preparation? I graduated 5 years ago in engineering, so I took a couple of courses of chemistry and physics, but no biology, biochem, or organic chemistry.
The med school I'm applying to say they can make exceptions in regards to premed credit requirement for non traditional applicants. I'm asking purely about the MCAT.
I'm not in the US, but in a country that has a few universities that follow the American system of education.

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Anonymous No. 16050474

what's /med/'s concensus on anki? I know normies love it for medicine but in my experience using it for medicine and other subjects there's a million pitfalls you can fall into (like memorizing cards instead of the info on the cards, cue dependency, etc) and pic related shows it's not very useful when it comes to application of knowledge. Sorry if I'm shitting up the thread but this is the only place on four channel to ask, except /lang/ I guess (in which anki is completely useless).

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Anonymous No. 16050507

4 days fasting (had energy drinks, no water) I:
keep seeing fizzy orange/blue constellations for a sec when I close my eyes UwU, probably the phosgene
Haven't felt hungry at all
Day 4 was a lot like day 1 where it felt REALLY good
Dopamine effects seem different and I'm a lot more focused
The problem with my blood flow over the chest/subclavian has gone but there's still blood pooling all around my body when I try sleep

Anonymous No. 16050509

>>16050410
I'm not a jewrat, so the pennies are fine by me. I just really love infectious disease and pathophysiology.

Anonymous No. 16050510

>>16050507
>>>/adv/

Anonymous No. 16050512

>>16049487
women gonna be women yo

Anonymous No. 16050518

>>16050510
I'm studying medicine

Anonymous No. 16050519

>>16050466!
>>>>>aDvIcE

Anonymous No. 16050524

Gotem

Anonymous No. 16050567

>>16050509
Have fun being poor.

Anonymous No. 16050583

>>16048106
Im not sure how much data there is on it but can LSD have the same mental health treatment potential of ket and psilocybin?

Anonymous No. 16050585

>>16047495
How do I acquire my own ad hd meds if you know what I mean?

radsbro !JlqooaxwbY No. 16050588

>>16050466
> purely on my own preparation?

What do you mean by this?

If you mean with no books, qbanks, youtube, etc? would be tough.

If you mean without taking formalized courses in biology, biochem, or ochem? I think it's totally do able.

There's a ton of purchasable and free resources available. Uworld I believe is the gold standard now for prep qbank.

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Anonymous No. 16050601

Lads, I think I need to supplement with iodine.
Kelp tablets? Or liquid in dropper?
I've used kelp tablets before, so I know they're safe. Never used any liquid supplement before so I'm nervous. Is the liquid that much better? Are the kelp tablets at least 'good enough'?

Not in murrca otherwise I would consider Alex Jones's lol.

Anonymous No. 16050605

>>16050588
>If you mean without taking formalized courses in biology, biochem, or ochem? I think it's totally do able.
Yep, that's what I mean.

>Uworld I believe is the gold standard now for prep qbank
Thank you

Anonymous No. 16050611

>>16050601
>>>/adv/

Anonymous No. 16050615

>>16050611
already posted on /adv/. no responses.
already posted on /fit/. no responses.
already posted in multiple casual generals on unrelated boards. no responses.

it's either /med/ on /sci/, or create a whole new thread on /sci/. i'd rather not kill another thread. i'm not asking you guys about dosing or even whether i SHOULD supplement with iodne. just asking your general thoughts on kelp tablets vs liquid drops as a source of iodine supplementation.

Anonymous No. 16050616

>>16050615
>already posted on /adv/. no responses.
lol

Anonymous No. 16050619

Doesn't seaweed have a lot of idoine?

Anonymous No. 16050631

https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=38723cb3-dfca-4c81-8c6f-63dd99929191 (water)
https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=2c203482-8a04-40fc-93d2-74b30dec7742
dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=c8af7bb5-41da-4f8c-8acd-f489892a0d72 (with Nitrogen, for the heart)

Anonymous No. 16050712

>>16050451
>What are the most underrated specialties?
neurology

family med is the "most underrated lifestyle" and "most difficult" specialty according to the basedboys on meddit
>>16050474
great for preclinical, good but not as essential for clinical years
that said, step 2 is the new step 1 and average scores have exploded so anki is becoming essential for clinical years again

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Anonymous No. 16050720

I sneezed right after orthognathic surgery while I had dressings in my nose and I felt air going into my right cheek.
Is this subcutaneous emphysema and will it go away? My cheek is swollen

Anonymous No. 16050721

>>16050474
Anki is trash because it doesn't train you to understand, only to memorize. Learn why things happen the way they do and you'll never have to learn it again.

t. scored top 10 percent on my boards

Anonymous No. 16050808

>>16050410
>paid pennies
>make over 220k
i hate this nigger shit. i guess you only make real money when you make 800k a year.

The pH is not a factor No. 16050858

Pood out a big ball of food that smells like the food did going in, the most interesting metabolic anion gap
A low metabolic acidosis,
so, therefore I am going to check the blood/body is more alkaline because I heard oncd that acidic = retarded and akaline = fast. I need to check up on that


I have read that increased CO2 makes renal salt retention higher

The pH is not a factor No. 16050860

The blood being more alkaline could suggest higher prolactin levels (or insulin release maybe, I haven't looked any.of the insulin stuff up)
Actually prelactin is acidic

The pH is not a factor No. 16050863

It's akaline is the blood (should be),
The right (left) side of my heart can barely be felt and rjhjt side / center is pumping rapidly; so the neck and jugular is expanding when I breathe IN

This means (alongside my farting and burps) the blood is higher CO2. But that doesn't align with the fast poo

The pH is not a factor No. 16050865

My poos have been the perfect size and colour (as well as frequency) now and when fasting, and I did go into prostulation - thought to balance acetylcholine - to write things in the book,
The fasting glucose (not fructose) levels must of slowed the release of hormones into the parasympathetic nervous system, helping cure my IBS which was caused by an overload in acetylcholine in the parasympathetic, fore the sympathetic to take over those functions

The pH is not a factor No. 16050866

There is, therefore, a properly balanced hormonal release in my body of Alpha hormones
And that it was probably not caused by any pH imbalance of the blood from salt or carbon dioxide

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The pH is not a factor No. 16050872

The alpha-2 hormone haa agonised the receptor, causing the blood vessel to dilate, my cardiac output has increased (though) for my heart to pump faster now, and before, my blood sugar levels and system response to that (releasing the hormones and inhibiting the receptors) was likely to have caused the blood problems I mentioned before by, like I said, inhibiting the Alpha-2 and agonising Beta receptor/s when I am at rest

The beta receptors are so engaged, in fact, I'm wanting to chain smoke, but that might dilate my vessels...

Pic unrelated

Anonymous No. 16050873

>my sweat smells like vinegar
>my breath smells like alcohol
>my piss smells like asparagus
>my shit smells like sweet rotting fruit

ahhh, that keto feel...

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Anonymous No. 16050875

Anonymous No. 16050876

how hard is it to become a mod on /sci/ and work for free so i can ban schizos and basedjaks?

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Anonymous No. 16050877

Anonymous No. 16050878

>>16050808
The few infectious disease specialists I know make around 300k a year. Apparently that's pennies, but then again, I'm not a big nosed kike.

Anonymous No. 16050879

Heart surgeons get around 300K too

Anonymous No. 16050881

>>16050808
220k is nothing when you factor in the additional specialization, lost potential earnings, cost of education, and taxes. That said, I find that many medical students and doctors have a martyr complex (probably because they most likely don't understand the value of money) and don't realize that at the end of the day, it's just a job.

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Anonymous No. 16050883

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Anonymous No. 16050888

>>16050858
>>16050860
>>16050863
>>16050865
The biggest mistake on human history was the agriculture.
https://en.wikipedia.org/wiki/Respiratory_exchange_ratio
Carbohydrate generate too much CO2 from metabolism, higher CO2 acidify the blood and kidney and lungs expels the CO2 excess.
But lungs expels CO2 means fast breathing meaning stress, mouth breathing posture at worst, this means paradoxical human body don't get enough CO2 because lungs over expelling.
Meaning organs don't get enough CO2 for O2 exchange, body is chronically acid and inflammation, high acid body increment cortisol levels and calcium get out body meaning weak bones and cavities.

https://bridgerchildrensdentistry.com/wp-content/uploads/2021/02/Our-Skulls-Are-Out-Evolving-Us-OneZero_compressed.pdf

Over pass decades increment sugar and simple carbohydrates destroy the human health.

Anonymous No. 16050893

>>16050083
anon i wanna be like you when i finish med school

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Anonymous No. 16050894

>>16050888
“What happened?” Boyd asked me and Monge, turning a mold over in his hands. “How
could all of a sudden we develop crooked teeth and narrow jaws, and impacted nasal
airways? That’s only recently happened, and it coincides with women going into the
textile mills in the industrial revolution.”
We often think of evolution as something that happened in the distant past,
transforming Cro-Magnon people into our modern selves. The “evolution of humankind”
timelines in natural history museums typically span hundreds of thousands of years and
end with the earliest evidence of written language, a few thousand years B.C. But the
truth is that our bodies are still evolving — our brains are shrinking, our elbows are
narrowing. And our faces are still changing too, leading to dramatic changes in our
teeth, noses, and jaws.
Skeletal records show that for hundreds of thousands of years, people had beautiful
skulls: straight teeth, wide jaws, forward faces, large airways. Robert Corruccini, an
emeritus anthropology professor at Southern Illinois University, found perfectly straight
teeth and wide jaws in children’s skulls from pre-Roman times among Etruscan remains
in southern Italy.
Then, about 250 years ago, our faces began to change. Boyd argues that industrialization
interrupted the ancestral patterns of weaning and feeding, with babies nursing on
demand for years while also trying solid foods under adults’ watchful eyes. Boyd says
that the widespread adoption of bottle feeding, pacifiers and soft processed food
deprived toddlers of practice chewing and distorted the shapes of their mouths. (“In
modern society you have Gerber’s baby food,”

🗑️ Anonymous No. 16050896

Test

Anonymous No. 16050898

>>16050894
Corruccini told me. “Etruscan kids had to
chew once they were getting off breast milk. Babies have remarkably powerful chewing
capabilities.”) Just like diabetes and heart disease, malocclusion — the misalignment of
jaws and teeth — followed industrialization around the globe. Meanwhile, people in
societies that never industrialized enjoyed well-aligned teeth and jaws.

Anonymous No. 16050900

>>16050888
>>16050894
Noh, if the blood was so acidic to be able to change this, you
would die
The industry putting women into the workforce didnaffect their jaws (like "phossy jaw") but what if the changes are genetics

Anonymous No. 16050905

>>16050894
He mentions genes to
Is this a part of the "did wheat domesticate humans" crowd?

Anonymous No. 16050908

>>16050900
https://pubmed.ncbi.nlm.nih.gov/9037853/
You can murder one person with very bad respiration with just high carbohydrate food.

Complications may occur when nutritional support is administered either parenterally or enterally. Inappropriate nutritional formulas with high carbohydrate loads can precipitate respiratory failure in patients with compromised lung function, induce respiratory distress which manifests as dyspnea and tachypnea in an originally normal lung condition, produce hypercapnic acidosis in mechanically ventilated patients with chronic obstructive pulmonary disease (COPD) as well as patients recovering from acute respiratory distress syndrome (ARDS) without chronic lung disease

https://ufhealth.org/conditions-and-treatments/acidosis
Respiratory acidosis develops when there is too much carbon dioxide (an acid) in the body. This type of acidosis is usually caused when the body is unable to remove enough carbon dioxide through breathing. Other names for respiratory acidosis are hypercapnic acidosis and carbon dioxide acidosis. Causes of respiratory acidosis include:

Chest deformities, such as kyphosis
Chest injuries
Chest muscle weakness
Long-term (chronic) lung disease
Neuromuscular disorders, such as myasthenia gravis, muscular dystrophy
Overuse of sedative drugs, causing decreased respiration

Anonymous No. 16050913

>>16050900

>what if the changes are genetics
Corruccini said no.
https://en.wikipedia.org/wiki/Robert_Corruccini
More than half of modern Western people have crooked teeth judged as needing orthodontic intervention (many less receive it due to economic constraints), and more than 50% of industrialized persons need refractive adjustment through lenses. Boaz attributes myopia to degeneration (self-domestication: p. 179) which is an old and disproven genetic etiology for both visual and dental anomalies (Corruccini, 1999), yet these anomalies are much closer to the “norm” for modernized people than to being an aberration. Could aboriginals have survived with such impediments more than 20,000 years ago? A majority of living modern people are relevant to the answer, which contrasts with the relatively few victims of the fatal diseases. True, the latter are more terminal, but the former have more to say about what afflicts the majority of us all, and they yield more statistical explanatory power

Anonymous No. 16050917

>>16050908
Am I okay with not yet knowing about carbohydrates and those just being the food given? And it seems like the energy should be stored, not used to make acidosis present itself, and that could be a problem with their hormones / insulin

Anonymous No. 16050920

Maybe the poor nutrition is in the processed food low in nitrates and phosphates

Anonymous No. 16051005

So I'm building a medkit for a schizo SHTF situation (as in apocalyptic scenario with no access to doctors) and I need some ideas. Before I get laughed at no I don't think or hope I'll ever need it, just feel like I'd rather have it and not need it than need it and not have it even if the chance I'll need it is miniscule. Aside the usual medkit stuff I added sutures, hemostats, scalpel + blades, basically shit for field surgery. The one thing is, that sounds like it would suck without local anesthesia and I'm not sure what's the best (legal) option here. I mean if shit does hit the fan my first course of action would be to hopefully loot a pharmacy for the good stuff. I thought about lidocaine but apparently that's prescription only where I'm from (though some stores appear to be selling vials seems like a scam or fed honeypot but idk). Maybe screw the local anesthesia and pack some small bottles of everclear lmao, though that probably won't help if I needed to do a Leonid Rogozov tier self surgery. That being said in that situation my chance of survival probably remains near 0% given I've literally never performed a surgery let alone on myself.

Anonymous No. 16051019

You can get skin staplers and some H bandages

Anonymous No. 16051069

I wandered over here from /sp/ and I can’t believe there are fellow US medfags on 4chan. A fucking dermatologist is posting on here? What other specialties are represented. And good luck in the match

🗑️ Anonymous No. 16051107

>>160500496

Anonymous No. 16051110

>>160000496

Anonymous No. 16051216

>>16048429
not sure
in essence, all NMDA antagonists should have some antidepressant effect
however, their targeting of other receptors matters a lot here
ketamine just happens to be magically dirty, in this regard. it miraculously just targets the right ones. I truly believe it's one of the compounds given to humans by God.

some NMDA antagonists also have differential psychotogenic effects, due to their binding affinity, mentioned offsite activity among other things
phencyclidine, for example, produces cognitive impairments that are consistent with schizophrenia, and it doesnt take much to do that
with ketamine, you'd have to be taking wild recreational amounts to get the same effect
ketamine is, in most cases, neuroprotective and procognitive

tl;dr: I wouldn't fuck with RC dissociatives.

>>16050583
it depends
some psychedelics and dissociatives have a psycholytic effect. this means they allow you to separate yourself from past traumas you may have undergone, giving you a new perspective and freeing you from ties to previous thought patterns that reinforce loops that lead to stress, anxiety and depression
lsd and psilocybin both are capable of this, as are dissociatives
psilocybin and ketamine, however, have profound neurobiological effects, that outshine this mentioned psycholytic effect. that is, regardless of your experience (generally), at the right dosages, K and psilocybin will promote cognition and mood in a lasting manner.
essentially, it boils down to a promise vs a guarantee

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Anonymous No. 16051227

>>16049633
It's easy. You realize they don't have MDD but say they do and give them SSRIs because rest assured, they're extremely mentally ill and have what I deem melancholic OCD. You don't give them the good stuff. Then you'll get an actual depressed NEET and realize he's getting some EMSAM or Parnate as a first line treatment. Once you view it this way it's a lot easier to go about it and also reinforces the idea that psychiatry to me is the only eugenic form of medicine. You enhance the deserving and neutralize the defective.

Anonymous No. 16051229

>>16051219
>>16051220
>>16051222
>>16051224
The shitskin of /sci/ strikes again.

Anonymous No. 16051238

>>16050720
pls respond, /adv/ is fucking clueless I don't want to ask there

Anonymous No. 16051241

>>16051216
>2-FDCK is structurally similar to ketamine, so a similar mechanism of action is expected,[10] but there has been no study done to confirm this. Due to the halogen in the 2 position not being a chlorine but a fluorine, the molecule is less polar [3] This could influence binding to proteins, such as the NMDA receptor that ketamine primarily binds to and acts as an antagonist towards.
Yeah, seems like the mechanism is similar but not quite identical

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El ArcĂłn No. 16051274

The Time Travel Interpretation of the Bible
>https://vixra.org/abs/2304.0073
We describe the Biblical work of ages as a time travel program for saving humanity from extinction. God's existence is proven as a consequence of the existence of time travel, which is supposed. We present the case that Abraham's grandson Jacob, also called Israel, is Satan. We make the case that the Israelites are described as God's chosen people in the Bible despite their identity as the children of Satan because God's Messiah is descended from Abraham through Satan. They are chosen as the ancestors of the Messiah rather than as Satan's children. We propose an interpretation in which God commanded Abraham to kill his son Isaac to prevent Isaac from becoming the father of Satan. We suggest that God stayed Abraham's hand above Isaac because preventing the existence of Satan would also prevent the existence of Satan's descendant the Messiah. The history of the Israelites is summarized through Jesus and Paul. This book is written so that the number of believers in the world will increase.

Anonymous No. 16051307

>>16048433
You won't die from that.

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Sage No. 16051430

>>16050881
It's not about the money anon, it's about being a paracelcian physician mystic.

Anonymous No. 16051443

How do you guys deal with these DSM-V grab-bag level schizos itt on a day to day basis

Anonymous No. 16051452

>>16051443
It's easy when you realize that the people railing against psychiatry in this general are uneducated and mentally ill.

Anonymous No. 16051463

>>16051452
Noted

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Anonymous No. 16051479

>family physician sent an acanthosis nigricans
>they said to the patient he has diabetes
>... without laboratories to support the diagnosis
>tfw labs are ok
>tfw he has acanthosis due to obesity
>tfw he doesnt want to do proper diet and exercise to prevent diabetes in the future
>tfw he demands a drug to stop diabetes from developing
way to start my friday, metformin to the rescue I guess

Anonymous No. 16051481

>>16051452
only psychiatry? any specialty, people here acting like good habits and prevention are the worst incoveniences and doctors should research drugs to spare them the horros of taking care of oneself

Anonymous No. 16051492

>Rotating on pediatrics
>Attending calls surgical consult for constipated teenager
>Colorectal fellow and gen surg resident show up and decide to do a bowel irrigation
>"It won't work but we should try anyway"
>Inexplicably takes them 2 hours to set up the enema
>One of the nurses is just hanging out with a crying baby right next to them the whole time
>As soon as they get it set up they realize they need a bigger needle to push the glycerin into their saline bag
>Resident has to run back to surgery to get one because the nurses worn't let her into the med room, takes her thirty minutes
>Kid refuses and they do a manual disimpaction anyway
Damn I'm really looking forward to residency rn

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Anonymous No. 16051496

>>16051492
you would be surprised by the actual knowledge gap between residents and students, not saying its minuscule but it isnt as huge as many students think, we all are humans afterall, and thats both inspiring and terrifying at the same time

Anonymous No. 16051579

I don't want to learn HIV drugs or chemo drugs. Think I'll just take the L on step.

Anonymous No. 16051771

Another day of studying zebras for an exam so I can see horses.

Anonymous No. 16051827

hey anons, does anyone have a pdf copy of goldman-cecil medicine 27th edition?
tried searching on libgen and anna's archive and they seem to only have the 26th ed.

Anonymous No. 16051853

>>16051827
Lee Goldman worked hard on the 27th edition and deserves his money. Who in the hell do you think you are to pirate his book? That is theft. You are nothing compared him. You won't believe the hell his extended family went through. Attitudes like yours are dangerous, hurt these authors and their hard work and also attacks their character and very humanity. You make me sick.

Anonymous No. 16051861

>>16051771
At least you acknowledge there are horses, try trying to explain a horse he is not a zebra after some freshman family doctor with rocks-for-brains insisted him he is indeed a zebra just to get rid of the patient

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Anonymous No. 16051865

>>16051853
cope

Anonymous No. 16051968

>kid with tinea capitis
>already confirmed with direct microscopy
>gonna prescribe antifungals
>”doctor can you prescribe him something IV”
>ok, uhm, explain why the treatment is recommended systemic and topical
>”but I want to heal faster”
>explain that hair growth rate is half inch each month and that IV treatment doesnt change it
>”wow thanks a lot doc”
The hardest part of medicine is working with those kind of patients, hope your day is going better than mine, anons

Anonymous No. 16051989

>>16051968
It's cradle cap. Give them a bottle of selenium sulfide shampoo and call it a day. Babies have had this since forever, and they needed a doctor's appointment for it? Are parents incompetent at basics now?

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Anonymous No. 16051999

>>16051989
>Are parents incompetent at basics now?
yes, and you wouldnt believe the shit they do with atopic dermatitis
>”what do you mean my kid shouldnt play with mud and wild plants?”
>”what do you mean my kid shouldnt play with the cats sandbox?”
>”what do you mean my kid shouldnt play with cowebs and junk?”
>”you are a doctor, prescribe him a cure, dont tell me how to take care of my kid”
Yes, some people really think medicine is perfect and we can solve anything with a pill a day

Anonymous No. 16052007

>>16051999
I don't envy you. How often are you seeing helminth infections?

Anonymous No. 16052018

>>16052007
Bro Im not seeing kids with helminths, Im seeing helminths with kids, Im getting paid really well but also Im overworking all the time because no one in this shithole wants to improve their health and prevent diseases and are expecting the doctor to prescribe drugs everytime a minor incovenience arises, no wonder no doctor wants to stick around here despite the pay

Anonymous No. 16052055

>>16052018
>Bro Im not seeing kids with helminths, Im seeing helminths with kids
Kek
They're also in a panic over nonissues.
>atopic dermatitis
Wash it and put corticosteroid cream on it. New parents are built different nowadays.

Anonymous No. 16052176

>>16051579
you can't. all the chemo drugs tie in to biochemistry which the usmle has a hard-on for
thats why usmle also loves lipid drugs

Anonymous No. 16052202

>>16051865
Lmao, Goldman is better than you will ever be. You're the one coping and mad enough to steal his book.

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Anonymous No. 16052215

Anonymous No. 16052219

>>16051227
Not him but
Psychologists are bad people

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Anonymous No. 16052280

>>16052055
>New parents are built different nowadays
I blame social media. Back in the day there was always one old know-better woman in the neighborhood, you know the kind Im talking about, the one that thought doctors were quacks paid by the government to ration the really good drugs and that in order to get access to them you need to demand them from your doctor, the kind that would go and pick up a fight with the assistant and the nurse because she require priority attention because “I know what I have and I need you to give me this NOW”. well guess what? that woman have evolved into countless and countless of uneducated and disrespectful new age moms giving unsolicited advice on facebook and lately on tiktok, they will pick a very mundane symptom and parrot shit opinions about how said symptom is actually oh so serious and you should bypass the family physician and get checked by the specialist: “diaper rash? Nooo thats actually lupus, toenail fungus? Its actually psoriasis, you feel itching in your hands after using dish soap? Girl thats leukemia cutis and you need chemo pronto”. Im just getting so tired and tired of these people because everytime you try to assure them that everything will be fine they give you the death stare and act like you are insulting their character, like, madam Im sorry my opinion formed from years and years of field work and experience doesnt allignate with the opinion of a literal who housemaid with 1k followers. I really really need vacations to cool down

Anonymous No. 16052296

>>16051865
>>16051827
Chad Goldman doesn't work for free.

Anonymous No. 16052369

>>16052280
This is why I want to be a pathologist.

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Anonymous No. 16052396

White coat effect? :)

Anonymous No. 16052430

>>16051968
>The hardest part of medicine is working with those kind of patients
you mean patients that ask questions? you sound like an insufferable cunt.

Anonymous No. 16052443

Tropin

Cortisol
Though, obviously not, because: atropine or
Tropazine alkaloids

Anonymous No. 16052445

Troponin .
(* inin, like inine -s, like the four types of DNA nucleotides)

Anonymous No. 16052447

So not like atropine, a trop ine
Being "a" at the start as if it was the opposite, because the other is inin, and it isn't an anaesthetic

Anonymous No. 16052449

Adenine

Adenosine
A - deno - sine (without) - ine
Ine without/an deno

Anonymous No. 16052453

Latin Deno: "give"
Cell without giving (but it does give, by the sugar (energy), with the phosphate)

Anonymous No. 16052454

Is not a cell without giving

Anonymous No. 16052457

Tropane* alkaloids

I think *ane gives energy (exo)
*ine takes energy (endo, being "within" so it takes energy from the atmosphere in thermodynamics)
So it is without giving because it takes in the energy to sequence things

Anonymous No. 16052458

And that's why tropane alkaloids speed up the heart


Not really. Some truths and a lie!

Anonymous No. 16052460

4th year Medical student waiting for match here. Teach me something new from your specialty please

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Anonymous No. 16052502

>>16052443
>>16052445
>>16052447
>>16052447
>>16052449
>>16052453
>>16052454
>>16052457
>>16052458

Sorry thread
I got the tabs mixed up and though this was the end of a different one. I was going to use those threads for these note dumps from today onwards but now it'll probably look weird
I'm so embarrassed

Anonymous No. 16052505

>>16052460
Industrial data (largely from mining
and manufacturing industries)
show that working a 10 hour shift
is associated with a 13% higher
risk of incident or injury, compared
with eight hour shifts, and working
a 12 hour shift increases this risk
by 27%.4
The degree of cognitive
impairment after 17 hours awake is
equivalent to that associated with a
blood alcohol concentration above
the drink driving limit for most of
Europe.4
Risk is cumulative: it rises
(2017)

Anonymous No. 16052540

>>16052460
if you look into someone's eye, you may see something back there.

Anonymous No. 16052545

>>16052457
>>16052458
They slow down the heart which is why they're cardiotoxic especially if they are monoaminergic too. Kill yourself, midwit.

Anonymous No. 16052584

>>16052545
Atropine speeds up the heart
(And ephedrine)

Anonymous No. 16052598

In a recent study, Barger et al. [2005] demonstrated that
the risks associated with longer shifts are not confined to
industrial accidents. They conducted a case-control study of
medical interns using a prospective nationwide, web-based
survey in their first postgraduate year (interns). Two-
thousand seven-hundred and thirty-seven interns completed
17,003 monthly reports that provided detailed information
about work hours, work shifts of an extended duration and
also documented vehicle crashes and near-miss incidents.
They reported that, compared to non-extended shifts,
extended shifts (greater than 24 hr) were significantly
associated with an increased risk of vehicle crashes (odds
ratio of 2.3) and near-misses (odds ratio of 5.9) following
their work shift.

Anonymous No. 16052640

>>16052502
are you too stupid to pirate microsoft word? i dont think youre going to make it.

Anonymous No. 16052764

>>16052640
I thought the tab was a different thread
Is what has to clean up troponin the same antibodies which cause the layers of the heart to become more permiable which then causes effusion?

Anonymous No. 16052802

>>16051005
https://youtube.com/shorts/BaYxiNN1G_M?si=PEOKaCfUangtBMFJ
Didn't watch but reminded me of you

Anonymous No. 16052811

>>16051853
The book is literally already written lol
he should have asked for payment before starting it
The italian renaissance ran on patronage, not royalties

Anonymous No. 16053014

What are the rarest cancers?

Anonymous No. 16053056

>>16053014
we haven't identified them yet
thats how rare they are

Anonymous No. 16053286

why does a scraped knee take months to heal?

Anonymous No. 16053644

>>16053014
ligma. only 1 man in history has died of it

Anonymous No. 16053665

>>16051005
>self surgery
>not even a mention of antibiotics
Unless you're talking about superficial lacerations or similar, if you need surgery in post-apocalypse, you're dead.

Anonymous No. 16053708

>was going to have a substitute attending thats annoying as hell this week
>turns out he's not going to be a substitute and it was a miscommunication
this week is already going to be far better than i thought it would. though im still behind on my studying with just 2weeks away from the national test...

Anonymous No. 16053750

>>16053014
any kind of cancer you'd have to go out of your way to get

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Anonymous No. 16053975

A stray cat I'm familiar with and not concerned scratched my hand. Not aggressive or acting weirdly but it drew blood. Superficial injury, risk of rabies? How many days to wait for the animal to die in case of rabies before I could see if I am in the clear?
Crude drawing of the scratch

Anonymous No. 16054016

Is it a flex to smoke cigarettes if you have lowered your chance of an early death with other good habits so it evens out the odds

Anonymous No. 16054072

>>16054016
What are your other "good habits"?

Anonymous No. 16054074

>>16050712
>neurology
How's the pay?

Anonymous No. 16054078

>>16053975
Bartonella thus leading to cat scratch disease. Get on an antibiotic ASAP. Rabies is unlikely. Rabbies vaccine can cause nasty side effects. If you live in a first world country odds of the cat being rabid and spreading vis scratch are extremely remote. Most ER doctors wouldn't go forward with rabies prophalaxis protocol in this situation.

Anonymous No. 16054088

>>16054072
Moving, high fiber, vitamins, low sugar, herbal jew. Basic stuff fatmericans cant do.

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Anonymous No. 16054091

Do I have symmastia? Is it fixable?

Anonymous No. 16054093

>>16054091
Based

Anonymous No. 16054096

>>16054091
YWNBAW

Anonymous No. 16054108

>>16054088
Smoking outweighs all of the those by a lot.
You will still die at 60 of lung cancer.

Anonymous No. 16054110

>>16054091
No. Your breasts are good. Great even.

Anonymous No. 16054230

I take 300mg fluvoxamine, 750mg pramipexole, 2g acamprosate a day. Recently quit my 4mg brexpiprazole and my chronic restlessness is finally banished, nicotine is rewarding enough to get me through the day without alcohol, weed and meth.

Am I correct this because the brex blocks a1b adrenergic receptors to decrease excitatory transmission to dopamine neurons and occupies D2/d3 autoreceptors thus preventing pramipexole from desensitising them??
Like fuck.. I've just wasted 3 years drinking and destroying my health because I thought brexpiprazole was good. Friendship ended with my psychiatrist.

Anonymous No. 16054242

>>16054230
Woah there cowboy
750 micrograms pramipexole*

Anonymous No. 16054426

>>16054093
>>16054096
>>16054110
I thought you guys were supposed to be doctors.

Anonymous No. 16054453

>>16054078
I described the situation a bit more here
>>>/an/4740017

Anonymous No. 16054554

>>16054426
if you want a definitive diagnosis then you would have to provide more information.
Better resolution, angle, lighting, etc.. It is very hard to determine what we are exactly looking at here

Anonymous No. 16054915

>>16054426
Even for trained, seasoned, doctors, its really really hard to give an accurate diagnosis based only on a low res pic and a vague description of the symptoms, if you want a real diagnosis you should check a doctor in person

Anonymous No. 16055913

N*rseoids should be paid 30% less.

Anonymous No. 16055935

>>16054078
>Rabbies vaccine can cause nasty side effects
Like what? I was required to get it for a trip in the tropics

Anonymous No. 16055960

>>16055913
optometrists should be paid 30% more

Anonymous No. 16056027

>>16050451
>one of the most competitive specialties
>underrated
lmao. real though probably pathology

Anonymous No. 16056414

>>16056027
Path resident I know works 30hr/WK and has a job lined up in Alaska for $400k/yr.

He's a big outdoorsman too so he doesnt mind alaska

Anonymous No. 16056483

How do you guys spend your money? I grew up a poorfag and I haven't the slightest idea of what I'm supposed to do with a $300k+ salary. Obviously, I'm going to save/invest, repay my loans, and buy a house but what do I do with the left over money? Haven't got a wife or kids so I have a lot of discretionary money. The only idea I got so far is to get private lessons for stuff I want to learn like drawing.

Anonymous No. 16056487

>>16056414
>>16056027
>path
enjoy cancer

Anonymous No. 16056786

>>16051430
Based esoteric meat wizard

Anonymous No. 16056848

>send anonymous complaint to roastie prof about her shitty med lectures
>her lectures improve on the same day
perhaps i was too quick to judge

Anonymous No. 16056851

>>16056483
Honestly? Hobbies, tech, and snacks, I have probably spent around 30k on my board game library and Im gonna keep spending on it, I also order a lot of foreign sodas and energy drinks that arent a available in my town, I also have a huge ass screen and a very comfy reclining sofa with a mini fridge for maximum comfyness

Anonymous No. 16057024

>>16056851
>I have probably spent around 30k on my board game library
How many board games do you have? What's your favorite board game to play? Mine is Risk, I used to play it all the time.
>I also order a lot of foreign sodas
What sodas are these?

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Anonymous No. 16057135

>>16047495
Does a procedure exist for gymnasts and ballet dancers and the like where you shave down the the thorns on the back of the spinal column (Processus spinosus)?
I was just spitballing this with my gf who was complaining about not being able to bend over backwards as well as she once could.

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Anonymous No. 16057352

I ate some McVities chocolate Digestives and got a little bit ill, but it might've been the alcohol, and I got loud again and punched the walls from the biscuits. So I ate some more and went to sleep for 20 hours (probably mental), collected some of my urine, two samples, and they both smell like chocolate. The urine is light but over time, or maybe because of fluids, turned darker (out of the presence of oxygen). They smell like chocolate
And it isn't the usual sweet smell of urine. The urine coming out into the toilet bowl is see-through orange / I would say tea color or grey-orange. At the start of the week i had half a bottle of lucozade
My suspect right now is palm oil
When I eat pringles (which contain it) I get all mad and start domestically abusing my walls again because I suddenly think it's a good idea to start trying to build up my bones in that moment

I think it's insulin too (with these.chemicals)

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Anonymous No. 16057407

>>16047495
How likely is for undetectable levels of hcg to be false negative if you have sudden onset of unexplained muscle growth, cystic acne and swollen painful boobas, but no hair loss?

Anonymous No. 16057412

>>16052280
How are you holding up otherwise? Hospital systems and facilities are getting bought up by investment firms with financial interests in draining them like ticks. Have you noticed any big problems aside from the epidemic of crunchy mom brainlets?

Anonymous No. 16057534

>patient has a 'history' of amblyopia
>has a high prescription so probably
>look at VAs
>theyre always taken unaided
>they never measure if the kid can see 20/20 through glasses
why..... even if you can only manage to get the little shit to call out 1-2 letters instead of the whole line, it'd be better than this.

Anonymous No. 16057640

>>16055913
I agree the norse have taken enough from good christians

Anonymous No. 16057644

Will quitting weed booze and screens cure my "insomnia"

Anonymous No. 16057943

what's the opposite of a hypochondriac?

Anonymous No. 16058019

>>16057943
there isn't a noun opposite
you'd say they are negligent or non-compliant

Anonymous No. 16058150

This general is dead as fuck why it even exist. The spaceflight one is way more active

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Anonymous No. 16058173

Second year med school in a Muslim country. Most of my classmates genuinely believe in alternative medicine and religious treatments like visiting the graves of dead ragheads. They also think disease can be caused by magic, the evil eye, or certain social behaviors, etc. I almost argued with one of them about how cupping is quackery before realizing I would be risking my life.

Anonymous No. 16058198

>>16057943
A (defensive/pathogenic) denialist. Denial is a very common reason for avoiding screening and diagnosis.

Anonymous No. 16058237

>>16057024
>How many board games do you have?
I have lost the count, but I would say 50ish
>What's your favorite board game to play?
I would say unmatched, I have all the sets to date, I also enjoy Thunder Road Vendetta, recently backed the kickstarter for the maximum chrome edition with all the high quality miniatures, I also enjoy Root (again all the expansions to date) and Nemesis (you guessed it, all the expansions)
>What sodas are these?
sodas you cant find in the convenience store, like some Ghost Energy flavors: Warhead Sour Green Apple, Sour Patch, Wide Awake Watermelon; also sodas from other countries: Puig from Spain and Tonicol and Tamarind Jarritos from Mexico

Anonymous No. 16058316

>>16052460
Morphine’s pKa is 7.9.

Anonymous No. 16058328

>>16056483
I finished my residency last month and my first job will likely pay me double. I had a similar background to yours. Right now I’m buying limited edition vans, some jordans, some AF1s, whiskey and perfumery. I have an old best up Volkswagen model 1 so I’ll put some money so it can run again, then I’ll buy a gaming PC and the rest i will waste it on a master degree, the strip club and cocaine.

Anonymous No. 16058340

>>16058173
why are you brown? or is this a sleight on some yuro nation?

Anonymous No. 16058345

>>16058173
>before realizing I would be risking my life.
Would someone really beat or kill you for just arguing about this? wtff

Anonymous No. 16058365

>>16058328
what specialty?

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Anonymous No. 16058373

>>16047495

Anonymous No. 16058473

>>16050894
>>16050888
10~ generations arent enough to make these kind of changes, its a good $hill by this dentist
to convince people they need unnecessary orthodontic procedures though

Anonymous No. 16058527

>>16058345
Beat me up certainly, they might kill me if I ran a students' club or social media group and used it to express similar opinions. Practitioners get killed all the time for sundry reasons, but they're usually smart enough to keep shtum about this topic in particular.
>>16058340
>why are you brown?
Congenital stress-induced hyperpigmentary response.

Anonymous No. 16058604

>>16058365
Anesthesia

Anonymous No. 16058734

>>16058328
Why do you want a master's degree? You've been in school long enough lol.

Anonymous No. 16058776

>>16058734
Universities ask for it as a requirement to become a professor. I'd like to spread the importance of my spec to the younger generations. Also, the healthcare institutions promote you faster if you have a master/doc.
Subspecs are cute and all but they don't give you as much professional projection as a master.

Anonymous No. 16058935

>>16050881
bullshit, let's break it down
>taxes
70k, (more or less depending on state), leaving 150k
>lost potential earnings
average college grad makes 60k times 4 years is 240k plus
>cost of education
is about 250k for a total cost of 490k, which buys a 3105/mo 20 year annuity, or 37k per year, leaving you to make 113k per year
Six figures is not pennies

Anonymous No. 16058996

>>16047495
I'm so sick of these fucking 480 MCAT 4.0 GPA faggots. They should only look at your MCAT to get into medical school. It's not fair that Shaneequa went to a retared HBCU and got all A's and came out of it a retard with her 4.0 GPA and 480 MCAT and I got put through the wringer and came out with a 3.2 and a 515.
This is a true story by the way, there are tons of these people with 3.9, 4.0, 3.85 with sub 490 MCAT scores.

🗑️ Anonymous No. 16059028

>>16058996
>This is a true story by the way, there are tons of these people with 3.9, 4.0, 3.85 with sub 490 MCAT scores.
Test anxiety is a thing you know.

Anonymous No. 16059031

>>16058996
>This is a true story by the way, there are tons of these people with 3.9, 4.0, 3.85 with sub 490 MCAT scores.
Test anxiety is a thing you know. Also, the MCAT is a bullshit test, btw. 515 on the MCAT isn't even high either if you were trying to show off.
>inb4 I scored low on the MCAT

Anonymous No. 16059050

>>16058150
>This general is dead as fuck why it even exist
because doctors and med students post on reddit instead
>>16058776
>Universities ask for it as a requirement to become a professor

just work part-time as a clinical professor for med schools

Anonymous No. 16059052

>>16058996
>there are tons of these people with 3.9, 4.0, 3.85 with sub 490 MCAT scores.

only in podiatry school would you get sub 490s regularly.
not even a DO school is gonna take a 493-496 unless they're a minority vet or peace corp

Anonymous No. 16059054

>>16059031
>515 on the MCAT isn't even high either if you were trying to show off.

its stratospheric for DO school but yes, everyone and their mother on reddit seems to have a 518+ now for MD acceptances

Anonymous No. 16059110

>>16059050
I can't. In my state there isn't a single program that contemplates anesthesia at med school. My only chance is being admitted as a pharmacology professor.

Anonymous No. 16059112

>>16058996
The exact scenario you're talking about is a big concern these days apparently. The Med school admissions people i've spoken too talk a lot about this. MCAT gets more and more important compared to GPA every year. Low MCAT w/ 4.0 is objectively worse than even a fucking 3.6 and a 521. They know the latter at least knows their shit while the first put in the minimum effort required to pass dumb ass piss easy uni courses and instantly forgot everything once the test is taken or cheated their way through this shit.

Anonymous No. 16059135

>>16058604
why anesthesia? since you dont know what to waste 600k on, i imagine it wasnt due mostly to $$$$.

Anonymous No. 16059137

Have been having abdominal pain on my upper left abdomen, can't tell which organ though, some sites tell me it's the spleen, others tell me it's the pancreas, the liver, the gallbladder, my colon, etc. No way to know for sure unless I go to the doctor which takes too long and I'm so sick of going to the doctor only to get redirected to some other doc that will take weeks or months to see me. Maybe I should just pull a boomer and ignore all symptoms until I inevitably die.

Anonymous No. 16059171

>>16059031
t. AA beneficiary

Anonymous No. 16059187

>>16059171
I'm Asian, dumbass. I have the hardest time with admissions. A 515 MCAT really isn't that impressive, considering the Asian average is ~514.

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Anonymous No. 16059437

>>16047495
I took risperidone for a week in March of 2023 after having a shroom-induced psychosis. After reading about it, I'm not sure if it was such a good idea. Did I fuck up, /med/?

Anonymous No. 16059465

>>16058173
but you are not taught quackery, right?

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Anonymous No. 16059547

>cannulated this very cute girl
>I can't just give her my phone number when I'm done and have no part of her future management
this is fucking gay

Anonymous No. 16059753

>>16058996
I got a 515 and had a 3.4 and only got into an HBCU kek. I agree though grades are so different between institutions and even between professors at the same college they're kind of a meaningless metric.

Anonymous No. 16059758

>>16059547
Close. 1 more in hindsight

Anonymous No. 16060007

>>16051452
Purely because of the chemicals you people force them on. Now they're your problem, enjoy!!

Anonymous No. 16060055

>>16059753
Are you actually black? With a 515 MCAT, you should have got into more schools despite your GPA.

Anonymous No. 16060095

What's the golden standard MCAT score? Is there diminishing returns after 515?

Anonymous No. 16060194

>>16051227
>MAOIs
>good stuff
What exactly have you been smoking?

Anonymous No. 16060195

Pass that.

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Anonymous No. 16060199

>Meta-analyses by [drug] industry employees were 22 times less likely to have negative statements about a drug than those run by unaffiliated researchers
>Almost 80 percent of meta-analyses in the review had some sort of [drug] industry tie
https://www.scientificamerican.com/article/many-antidepressant-studies-found-tainted-by-pharma-company-influence/

Why should I trust what doctors tell me about their drugs, when they get their info from meta-analyses, and those are controlled by the drug companies?

Anonymous No. 16060221

>>16060199
I can't buy out. There's no option available. I can't touch or anything. I think I'm sex locked. It's really bad. I know what it is but it's injuring my brain too badly to cognize this.

Anonymous No. 16060397

>>16059547
Anon stop.

Anonymous No. 16060417

Hi /med/, why is it legal that psychiatrists can forcibly inject people with antipsychotics against that person's will, when it's known that antipsychotics fuck up your brain and body in all sorts of ways?
>Because the patient is distressed!
Yeah but maybe the patient has legitimate reasons to be distressed? Maybe they don't want to talk about what made them distressed because it's something that makes them feel extremely ashamed? Did you ever think of that? No, instead you just thought "this person is distressed and I don't know why, therefore they must have a brain problem, and they need drugging".

Psychiatry is disgusting.

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Anonymous No. 16060604

im 27 and i'm pretty sure i have an umbilical hernia. i do powerlifting. squats / deads / bench / etc.
i plan on going to my GP next week and asking them what they think, but should i just stop lifting? i've been reading studies and forums and stuff and it seems like i shouldn't lift weights, and it's going to be like 6 weeks after surgery until i can even start back.
reading up about complications, chronic pain, recurrences... it's all really depressing. i've been trying to convince myself its something else but then i look in the mirror and feel my belly button and, nah, i'm pretty sure it is.

you google anything about it, and it's all mesh lawsuits. but, there's a lower recurrence rate with meshes and the studies look like outcomes with respect to outcomes are basically the same, except meshes are less likely to fail. and then there's laproscopic vs open surgery. there's so much conflicting stuff, and i'm sure i could find a doctor who would do any of them. i just don't want to choose wrong.

Anonymous No. 16060652

>>16060397
Stop what?

Anonymous No. 16060796

>>16047499
fpbp

Anonymous No. 16060798

>>16060652
Just stop

Anonymous No. 16060830

>fell in love w/ a girl and had high hopes for 2 months
>no acne
>got crushed in early February
>acne came back with vengeance despite getting over her last month
Can someone explain to me what happened? I’m over her but my acne is back. When I was in love and had hopes over her, pining and what not, I cleared up 100%. What the fuck happened to my skin? What am I doing or not doing?

Anonymous No. 16060870

>>16060830
Stress related acne breakout, you sure you don't have any STDs? Also, how do you fall in love with a girl in just two months?

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Anonymous No. 16060920

>>16058316
Not him but how does this play into the workings of morphine inside the body?

Anonymous No. 16060929

>>16047499
it's quite embarrassing to see how badly nepotism has affected medicine.

Anonymous No. 16060986

>>16060929
Sucks, but don't act like you won't try to give your kids a leg up.

Anonymous No. 16061035

>Sucks, but I'm a part of the problem you just mentioned you understand?

Anonymous No. 16061059

What are your nipples like? Is it normal for nipples to be pink but with white nipple tips? I'm male btw
I just want to know
Also I changed my bodywash from the one I'm allergic to ^.^

Anonymous No. 16061061

>I'm not going to try to help my kids get a better future, just because.

Anonymous No. 16061084

My nipples

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Anonymous No. 16061100

Unrelated to me but still breasts :)
Just happened to come across it

Anonymous No. 16061139

>>16057943
A sociopath.

Anonymous No. 16061164

>>16060830
In the same boat, broke out with acne over the summer (stress related). Haven't had acne for 10 years. Have tried everything short of isotretinoin, but don't want to fork out the cash to see a dermatologist.

Anonymous No. 16061443

>>16059135
Because I hate paperwork.

Anonymous No. 16061518

>>16058173
Sado??? Is that you

Anonymous No. 16061587

>>16050721
How did you learn ochem?

Anonymous No. 16061660

>>16060055
Yeah I am but I only applied to like 6 schools to stay near my gf. I also had a couple issues like a fuckton of Ws because I had no clue what I was doing early on and no research due to Covid. I maybe could’ve gotten into more but desu the most competitive thing I’d be interested in is Anesthesia so I didn’t care which MD I got into.

Anonymous No. 16061724

What's an actually impressive MCAT? One that would make an admissions committee go WOW OK let's not throw that application in the bin just yet and give it a second look. Asking for a friend. Thank you anon.

Anonymous No. 16061748

>>16061724
It depends on the school. The average matriculate is like 511 so anything at or above that is decent enough to get in and not have your app binned immediately (for most schools obviously T20s are the exception) and impressive is generally anything 520+

Anonymous No. 16061763

>>16061748
ok thanks anon

Anonymous No. 16061807

>>16061660
>stay near my gf
Shoulda impregnated her then dump her. Are you actually black?

Anonymous No. 16061817

>>16061660
>Yeah I am
Okay. I was beginning to suspect you were White and wanted to apply to an HBCU because of lower standards.

Anonymous No. 16061874

The funny attendings that everyone loves make me uncomfortable. They try to joke around with me and I'm too autistic to appropriately reciprocate. I just end up feeling bad, like I've failed them. Even though I do my work just fine.

Anonymous No. 16061939

Any nurses here? How do you like it? Just got accepted into nursing school to start this summer. I'm genuinely excited. It's a 3 semester fast track program. My plan after school is to get a year or two of hospital experience under my belt and then go be a travel nurse for a couple years. Thoughts?

Anonymous No. 16061946

>>16061724
520+ for MD
510+ for DO
480+ for podiatry (yes, scholarships too)

Anonymous No. 16061948

>>16060417
>can forcibly inject people with antipsychotics against that person's will,

because these people go to prison over and over for hurting people, so forced meds are the way to keep them safe from themselves and society safe

Anonymous No. 16061950

>>16061948
Forced sedation and medication for the mentally ill is compassion. They should be thankful they're not just shot in the head.

Anonymous No. 16062012

MATCH IN 1 WEEK AHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH

Anonymous No. 16062017

NATIONAL OPTOMETRY TEST IN LESS THAN 2WEEKS
AHHHHHHHHHHHHHHHHHHHH

Anonymous No. 16062021

>>16062017
how hard is it? also how much money you guys make? i know nothing about opto

Anonymous No. 16062136

I'M UNEMPLOYED SINCE 1 WEEK AGO
AAAAAAHHHHHHHHHHHHHHHHHHHH

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Anonymous No. 16062173

>>16062021
part1 is hard because it's a bunch of topics thrown together. part2/3 tend to be easier since part2 is all disease/treatments and part3 is just a practical(+some disease/treatments).

https://www.bls.gov/ooh/healthcare/optometrists.htm
125k national average, but where i plan on practicing the salary when getting out of school is between 130k-140k with 225k in debt lol.

Anonymous No. 16062181

>>16062173
Hmm I see :^)

Good luck friend

Anonymous No. 16062592

>>16061950
Most same psychologist

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Anonymous No. 16063118

Sup /sci/
I wrote a model to estimate plasma concentration of my ADHD meds (methylphenidate), and I need to find a way to repeatedly measure ADHD symptoms, so that I can see how the two correlate (dosage titration etc).
I tried doing some of the tests on humanbenchmark.com for 10 days, but as you can see from the charts below they are basically useless for this purpose. Do you know of any websites where I can do the same sort of tests? Preferably if you know it should work for this purpose, but also just pointing me in the right direction to check it out myself is appreciated.

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Anonymous No. 16063298

>>16061939
>Any nurses here?
I'm probably the only nurse on this board, unless I am proven wrong. I am a psych RN.
>How do you like it?
Any career in healthcare is good, but nursing is really great. Good benefits, good pay(with some experience and overtime, you can easily get into 100k. I barely have any experience and I am making 70k to 80k-ish with overtime and night shift differential.
>Just got accepted into nursing school to start this summer. I'm genuinely excited
Congrants, just don't give alot of personal information to your female classmates, or female nurses once you graduate. At best they will tell everyone and at worst, they will use it against you. Just do your job and be friendly. Master the art of talking without saying anything.
>It's a 3 semester fast track program
For an RN? Are you doing an LVN/LPN program? You need 2 years to get an ADN so you can become an RN. 4 for your BSN.
>My plan after school is to get a year or two of hospital experience under my belt and then go be a travel nurse for a couple years. Thoughts?
It is not covid anymore, so you're not gonna be making 100+ dollars an hour. You will probably need more experience too depending on your specialty. Travel nursing is not as easy as the people who shill it claim it is. If you can become a travel nurse though, you will most likely make more than the average MD/DO resident.

>>16060417
>Yeah but maybe the patient has legitimate reasons to be distressed?
Yeah, those patients are in high functioning unit, where we utilize de-escalation techniques. 9/10 we can talk someone down and help them out. Most of those people want to take their medications because they don't want to act like lunatics.
>this person is distressed and I don't know why
We do know why
>therefore they must have a brain problem
Yeah that is why they are in a BHU.
>and they need drugging
Only if it gets to the point where they are putting everyone at risk. Psych is like dominoes, if one goes off, all pts are in danger

Anonymous No. 16063312

>>16062136
i will be unemployed by April 1st i cant fucking wait

Anonymous No. 16063615

>>16063298
Nice, thanks for the input. It's an AAS program, so I will be able to take the NCLEX-RN when I graduate. Is an ADN preferable to an AAS? I know a BSN is preferred of course, and have seen as much in certain job postings, but I was under the impression there wasn't much practical difference in the different nursing associate's degrees. Also, what do you think of nursing residency programs? A local hospital offers one and that seems like a good way to get my feet wet the first year and see all the different specialties.

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Anonymous No. 16063647

>>16063615
>Is an ADN preferable to an AAS?
It's the same thing. They are the same degree, just different acronyms. I am just surprised that fast track ADN programs exist. Usually people go to LVN school and then fast track to an RN degree. I personally did not know about fast track ADNs. Make sure you pay attention and study, cause such a short program kinda seems strange to me.
>I know a BSN is preferred
You will have no issue getting a job as an ADN, that's what I currently have too. However, basically every hospital you apply to will state in your contract that you have to get a BSN by 2 or 3 years. It's a nation wide standard at this point. Also with an ADN and a BSN, you will get paid more later on. Of course, you also start work 2 years early and can just do your BSN online, so you save money and don't go broke like BSN only students.
>what do you think of nursing residency programs?
They also are becoming the standard. Overall, I think it is a good idea. The training that you will get for your specialty is invaluable. However, hospitals also use it as an excuse to pay new grads less. Other than that though, it is far better than being thrown into the frying pan, making a med error cause you have no experience, and then getting thrown under the bus.

Anonymous No. 16063669

>>16063298
Why are you a nurse instead of a doctor?

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Anonymous No. 16063680

>>16063669
I am a non-trad premed student. Initially, I was not sure if I wanted to become a doctor, so I just went into nursing for a good, stable career. After I worked as a unit secretary for a while and talked to doctors & worked with them closely, as well as working as a nurse, I decided to say fuck it and go for it.

Anonymous No. 16063686

>>16063298
>you will most likely make more than the average MD/DO resident
that's not that difficult lol

Anonymous No. 16063720

>>16063647
It's actually not as fast as it sounds, since I had to already have all the gen-ed and general science type classes done at a different school to get into this program. Do you ever feel burnt out or anything? r/nursing is full of nurses complaining about how much they hate their hospital systems and patients, but surely some or a lot of that must just be because it's r*ddit

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Anonymous No. 16063772

>>16063720
>Do you ever feel burnt out or anything?
Sure, who doesn't. A job is a job, sometimes you are tired of it all. It is what it is, it's normal. Doesn't mean I'll go to reddit and bitch all the time like the women there.
>r/nursing is full of nurses complaining about how much they hate their hospital systems and patients, but surely some or a lot of that must just be because it's r*ddit
They are right about patient staff ratios and hospitals paying like shit. They are also right about management. However, most of those people are just women cracking under the pressure and going on reddit to vent instead of looking for solutions. Learn from the experiences you see there, but don't forget you are in a place full of estrogen and hormonal imbalances.

Anonymous No. 16063862

Just finished an exam on humoral and cell-mediated immunity. Very last question was on CTLA-4. I feel good.

Anonymous No. 16064148

>>16063680
>I am a non-trad premed student.
How old are you? When will you apply to medical school then?

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Anonymous No. 16064159

>>16064148
I am 22 right now. It works out pretty well for me. I only have an ADN, so in the 2 ish years that it will take me to get my bachelors, I will also do premed courses. During that time, I also will accumulate hospital experience on top of the experience I already have as a nurse and other jobs. I should be around 24-25 years old ideally by the time I finish everything I need to go to med school. 26 at the latest if complications pop up. So a non trad student who wants to matriculate at around the same age of a traditional pre med. Not too shabby imo.

Anonymous No. 16064205

>>16064159
Okay. Best of luck with applying. I got accepted last Fall and looking back, the whole application process was actually fun, though stressful.

Anonymous No. 16064239

>>16061939
fellow RN student here, good luck anon.

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Anonymous No. 16064260

>>16064205
Thanks a bunch anon. I get what you mean about it being fun, the stress makes you come alive in a way. Rooting for you on your doctor journey!
>>16064239
Good luck to you too student nurse anon. Make sure you study test taking strategies for the nclex. It is far more important than studying content. ATI and Hurst are really good for nclex prep as well, especially if your college offers them to you. Read the rationale, study critical thinking and you both will be good!

🗑️ Anonymous No. 16064292

>>16064260
>I get what you mean about it being fun, the stress makes you come alive in a way.
Yeah, the whole studying for the MCAT and taking it wasn't fun but I'm glad that I ultimately did it.
>Rooting for you on your doctor journey!
Thank you, anon! Best of luck with your own premed journey. It can be tough at times but it has its rewards.

Anonymous No. 16064294

Im just curious, but is taking multiple drugs at once less/more effective than spacing them out over the day? assuming the all act on p450 or whatever that system is called.

i take 7 drugs every night

Anonymous No. 16064304

>>16064260
>I get what you mean about it being fun, the stress makes you come alive in a way.
Yeah, the whole studying for the MCAT and taking it wasn't fun but I'm glad that I ultimately did it.
>Rooting for you on your doctor journey!
Thank you, anon! Best of luck with your own premed journey. It can be tough at times but it has its rewards. Are you wanting to be a psychiatrist or something?

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Anonymous No. 16064339

>>16064304
Thanks!
>Are you wanting to be a psychiatrist or something?
I like psych in regards to nursing because I am good at de-escalation and therapeutic communication, but I don't think I would wanna be a psychiatrist though desu. Psych is basically just managing mental health exacerbations and trying out medications that can cause a plethora of different effects in the hope that one of them will work in a few months. I think I'll go with peds or radiology maybe. We'll see

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Anonymous No. 16064575

never seen this before. 2weeks away and everyone's here.

Anonymous No. 16065130

what happens if i immediately walk on my leg after surgery to remove plate and screws? will the bone break or just pain? doctor is saying i shouldn't walk on it for 2 weeks.

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Anonymous No. 16065179

>>16047495
i got tinnitus a couple of years ago and it completely derailed my life and drove it into a ditch.
can anyone recommend something to research or anything interesting that is related? i feel like i don't have a choice but to spend all my time dedicated to this cause, as I can't truly start living before it's gone.

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Anonymous No. 16065387

In a paid internship at a diagnostic lab. I'm learning phlebotomy in a strange way by shadowing an actual phlebotomist at my primary clinic, but I want to be the one to draw blood. I've been told that I can be hired once I learn phlebotomy since I'll serve as the acting lab technician when she's not in the office, i.e., take over and be responsible for drawing patients' blood.
Which leads me to my question: Is there a way to practice drawing blood that doesn't involve spending $100 on a dummy arm? Or do I take the hit and spend the money on a dummy arm? No way in hell am I spending over $1000 just for training, especially since I'm going into grad school in the fall which will basically get me the certification anyways plus more.

Anonymous No. 16065556

>>16065179
Tinnitus can have a variety of causes, if you've seen an ENT and your auditory system is fine it might be a musculoskeletal issue due to cervical spine or temporomandiular joint dysfunction you could adress with a physical therapist or an orthodontist, but there are also other causes that aren't easily diagnosable let alone treatable. Either way the prognosis for chronic tinnitus isn't that great, you can reduce the intensity but people rarely recover fully. You should look into CBT and integrative therapy to reduce the severity. Keep in mind that chronic disease like that come with a strong psychogenic component, they cause stress, reduce your quality of life and thus make you more susceptible to the symptoms. You'll need to built up your resilience and develop a routine that keeps you functional and your stress down to break through that cycle.
There's a lot of tinnitus research going on right now, if you've been through the regular treatment options and are desperate enough to be a guinnea pig you could also look for clinical trials in your area https://clinicaltrials.gov/search?cond=tinnitus

Anonymous No. 16065573

>>16065387
>Is there a way to practice drawing blood that doesn't involve spending $100 on a dummy arm?
Drawing blood is piss easy, you look up the basics, watch someone do it and then start praticing it on patients. Just ask the phlebotomist you're shadowing to let you practice on patients with good veins, if that's not allowed for some retarded reason get a set and practice on a friend or family member, keep it hygenic and the worst thing you'll do is bust a vein and give someone a small hematoma

Anonymous No. 16065577

>>16064294
https://drug-interactions.medicine.iu.edu/MainTable.aspx

Anonymous No. 16065743

>>16065387
Phlebotomy is quite easy.
You just need to practice.
Though the dummy arms are good at getting your sequence correct, they're not very good for actually training you to hit veins since they're a different texture and real veins are more mobile.

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Anonymous No. 16065746

>ward call one unfortunate weekend where I had to do 27 IVCs in one day

Anonymous No. 16065822

>toriyama died from "acute subdural hematoma"
who beat our guy to death?

Anonymous No. 16065834

>>16065573
>>16065743
Thanks anons. I'll ask my phlebotomist when I come in next time to see if I can practice drawing, Good news is that I'm getting the hang of finding veins, albeit with some assistance

Anonymous No. 16065844

>>16065834
I'd recommend looking up venous anatomy of the arm. Then you'll always have some good go-to spots.

Anonymous No. 16065851

>>16065822
a peaceful engineer/philosopher/scientist who hails from babylon.

Anonymous No. 16065878

>>16065851
Like 98% of people in Japan are Japanese. If he got beaten to death, it's more likely from his own countrymen.

Anonymous No. 16065895

>>16065577
>https://drug-interactions.medicine.iu.edu/MainTable.aspx
most of the drugs im on dont appear here

Anonymous No. 16065932

Gonna re-take physiology but this time not drink and actually study.