🧵 /med/ - medicine general
Anonymous at Thu, 1 Aug 2024 03:04:44 UTC No. 16305398
Pay up Edition.
Previous: >>16283291
We discuss research, DO NOT offer medical 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 at Thu, 1 Aug 2024 03:10:29 UTC No. 16305406
Also:
If you don't feel complaints, don't ask stupid questions. Talk about patients and cases. If you need career advice ask residents or attendings.
Anonymous at Thu, 1 Aug 2024 04:20:34 UTC No. 16305476
>repeatedly make the same (minor) mistake
>ok im finally going to stop making that mistake
>focus on not making that mistake too hard
>make mistakes elsewhere
sucks that i was born a retard. maybe some day i'll grow out of it.
Anonymous at Thu, 1 Aug 2024 04:53:37 UTC No. 16305497
Why does it seem like whenever I read papers involving electrotherapy there's always important information missing? If the subject has electrodes in each hand, one is grounded and the other has a 5 volt alternating current, it'd be pretty useful to know the wave form used, or you know, the amperage. I assume it was low enough that they didn't die, but that doesn't really narrow it down enough.
Anonymous at Thu, 1 Aug 2024 05:05:03 UTC No. 16305504
>>16305497
Because bioelectromagnetics and magnetobiology, as well as electromedicine, have been systematically thwarted defunded and suppressed since the late 1800's. All that remains is nonsense like Tumor Treating Fields (Novocure), PEMF, and in limited cases diathermy. All of which are primitive garbage even by 1960's standards. The people who dominated and run your degenerate field in the 1920's saw to that.
Anonymous at Thu, 1 Aug 2024 05:21:43 UTC No. 16305517
>>16305476
What mistake was it.
Anonymous at Thu, 1 Aug 2024 16:07:18 UTC No. 16305943
>No replies
What happened, did nobody match and went to kill themselves instead?
Anonymous at Thu, 1 Aug 2024 16:12:12 UTC No. 16305944
Help, doc, I took finasteride for hair loss for over 9 years until I turn 30 and side effects appeared, I'm not on finasteride for over 3 months now but the hair loss is back, should I return taking finasteride what are the odds of the side effects returning? I time because my bold got older now and the finasteride wasn't adjusted for the hormonal profile of 30 years old dude.
Anonymous at Thu, 1 Aug 2024 17:39:36 UTC No. 16306025
>>16305944
Accept you are bald. It's a sign of manliness.
Anonymous at Thu, 1 Aug 2024 17:44:26 UTC No. 16306031
>>16306025
Only people cucked by the universe accept balndess.
Anonymous at Thu, 1 Aug 2024 20:19:06 UTC No. 16306181
>>16305517
mostly minor mistakes in charting the billion benign findings in old folks.
Anonymous at Thu, 1 Aug 2024 22:07:19 UTC No. 16306271
i have finally finisehd my next space gen and now am working on trying not to die making it there too ...
fuckin heart attacks haha
Anonymous at Thu, 1 Aug 2024 23:48:12 UTC No. 16306369
Why is my sphincter clenching when I'm trying to piss, preventing me from doing so? And afterwards it takes a while for it to go back to normal.
Anonymous at Fri, 2 Aug 2024 01:29:33 UTC No. 16306448
>>16306369
prostatitis. get a urine culture and a semen culture.
Anonymous at Fri, 2 Aug 2024 03:14:19 UTC No. 16306493
>>16305398
Can I plausibly switch to law in the middle of undergrad? I've had an ideal loving marriage with the idea of making love with math on the banks of shore in biochemistry and wasted my 20s on nonsense. I'm almost 29. Ready to get out of the denial stage of my suicide attempt and attempt life from here on out as Neo-mode.
Anonymous at Fri, 2 Aug 2024 03:33:47 UTC No. 16306507
hi /med/
penis question
penispenispenis
i have a hard palpable mass inside my penis (that is not visible on the skin but i can feel it when palpating while flaccid), maybe somewhere around a quarter cm, like the size of and consistency of a cooked quinoa grain. Its on the underside, close to where my glans meets the shaft. Its not painful, and its one of those things I don't know if I've had this forever or if its something new.
If you're feeling someone's doodle and came across something like that, what would you do or check or say?
Anonymous at Fri, 2 Aug 2024 04:03:41 UTC No. 16306542
>>16306493
>Hmmm I will ask the clinicians how to switch to law because I love math and biochem
Dude. Pay a life coach or an aptitude test. Or just walk into a job and ask to be taught how they do it.
Anonymous at Fri, 2 Aug 2024 04:11:38 UTC No. 16306555
>>16306507
Notice the size, regularity, mobility and check if it grows or changes in some way in 6 months or a year. It's not common, it's probably some gland or cyst. If it's any different go to general surgeon or urologist to check if it needs to be removed.
Anonymous at Fri, 2 Aug 2024 04:34:18 UTC No. 16306585
Fuck humans. I'm going vet med.
Anonymous at Fri, 2 Aug 2024 07:29:04 UTC No. 16306705
>>16305504
What I'm talking about doesn't seem like suppression nearly as much as incompetence. Like listening to someone talk about shapes and at some point they mention a "quadrilateral with a length of 6 inches" and you just have to assume they meant a square with 6 inch sides, because there isn't even enough context to deduce what else it could be.
>>16305944
It's caused by poor circulation to the scalp, thinning and/or callousing skin. Do cardio, get enough vitamins, massage and moisturize your scalp, and reduce your omega 6 fat consumption with increasing omega 3's.
Anonymous at Fri, 2 Aug 2024 09:38:23 UTC No. 16306806
>>16305944
>I took finasteride for hair loss for over 9 years
>I'm not on finasteride for over 3 months now but the hair loss is back
That's perfectly normal. It's common knowledge at this point that finasteride essentialy stops further hair loss as long as you're taking it. It doesn't reverse it, it doesn't cure it, it literally just freezes your hairline.
>should I return taking finasteride
Do you want to stop further hair loss? You're not getting back what you lost, by the way.
>what are the odds of the side effects returning
Most likely high. It really boils down to whether you're willing to suffer them for the higher chance of keeping your hairline as it is now. Do keep in mind that, again, if you stop in the future, hair loss will most likely progress.
>>16306705
>It's caused by poor circulation to the scalp, thinning and/or callousing skin.
It can be a factor, but that's not the main, usual cause of male balding. If finasteride stopped his balding then it's basic bitch androgenic alopecia and it boils down to your follicles' DHT sensitivity. Finasteride is a 5-alpha reductase inhibitor, it essentialy stops the test-DHT conversion. We could argue it was due to poor circulation if he took minoxidil and it helped.
>Do cardio, get enough vitamins, massage and moisturize your scalp, and reduce your omega 6 fat consumption with increasing omega 3's.
No amount of healthy lifestyle choices will stop androgenic alopecia, not even becoming a low test twink will help. If your follicles are sensitive to DHT, you're going bald unless you get rid of DHT forever.
Anonymous at Fri, 2 Aug 2024 09:45:08 UTC No. 16306808
>>16306493
>switching from med to law
>much lower job security (I personally know a taxi driver with a law degree)
>lower pay, both floor and ceiling
>basically stuck in your country forever
Please reconsider.
>wasted my 20s on nonsense
>I'm almost 29
>Ready to get out of the denial stage of my suicide attempt
Been there. Started med school after my suicide attempt, briefly considered law as well, didn't do it for above reasons and a few more. Again, reconsider. You can always do law after you finish med, it's not illegal you know.
Anonymous at Fri, 2 Aug 2024 17:58:04 UTC No. 16307349
>>16305398
What would happen if removed my hypothalamus? Would that cure my mental illness.
Anonymous at Fri, 2 Aug 2024 18:25:11 UTC No. 16307391
>>16306705
>What I'm talking about doesn't seem like suppression nearly as much as incompetence.
Yes, which is caused by suppression and defunding. Up to the early 90's papers would specify the orientation of the organism with respect to the field source in degrees, note the physical layout of the lab, would use glass fibers filled with an electrolyte for electrical pickup leads so there was no distortion by the wire, and in some cases (eg Bawin and Adey at UCLA's brain research institute) they would note the presence and character of any other fields, such as high voltage lines nearby, radio, lab wiring, magnetic fields produced by incubators with in vitro work.
That's all gone. Now half the time you see a result and don't know what the fuck was going on.
Anonymous at Fri, 2 Aug 2024 19:23:10 UTC No. 16307472
>>16306806
And why do follicles become sensitive to DHT? And what else does DHT do to the skin the hair grows out of?
>>16307391
>Yes, which is caused by suppression and defunding.
It doesn't seem like suppression anywhere near as much as overspecialization. These days I don't expect anyone with a biology background to know that volts times amps equals watts without looking it up. Sure, you could say the incompetence is part of the conspiracy, but sometimes incompetence just snowballs on its own.
Anonymous at Fri, 2 Aug 2024 19:37:23 UTC No. 16307513
>>16307472
It's multifactoral, not one or the other. My only actual point, at the core, is to address your polarization state.
Anonymous at Fri, 2 Aug 2024 19:37:41 UTC No. 16307514
>>16306952
They serve as a Hypomocholion for the tendons of the hand
Anonymous at Fri, 2 Aug 2024 19:46:37 UTC No. 16307532
>>16307472
>And why do follicles become sensitive to DHT?
Genetics.
>And what else does DHT do to the skin the hair grows out of?
Nothing relevant.
Anonymous at Sat, 3 Aug 2024 00:23:53 UTC No. 16307823
last day of an optometry rotation earlier today. was fun and learned a lot which should help when i have to take one of the national boards in just a few weeks.
home-made picture attached for your enjoyment.
Anonymous at Sat, 3 Aug 2024 02:46:56 UTC No. 16307996
I've had a condition for a few years now
One of my ears slowly becomes muffled and I find it hard to hear from that ear, also it feels like my ear is full but trying to clear it doesn't help
Usually this happens after a period of speaking, maybe 20-30 minutes
I find it annoying because in social and university situations it becomes a handicap because I find it difficult to hear what people are saying, I have to constantly ask people to repeat themselves and it's hard to explain what my problem is so I feel embarrassed and typically just stop talking and wait for it to stop
I've gone months without experiencing it when I don't have to talk a lot, it only occurs when I talk a lot
I have problems with my TMJ and have had my jaw lock up twice because of it, could there be a connection
I'm thinking about getting a hearing test but I have a feeling it won't show anything
Anonymous at Sat, 3 Aug 2024 03:10:08 UTC No. 16308023
I just started medical school and it seems like everyone has their friends groups but me :(
Anonymous at Sat, 3 Aug 2024 04:25:12 UTC No. 16308088
>>16307996
Could it be that you also snore or have sleep apnea? Sounds like some eustachian tube dysfunction and it should be best studied by an ORL, It could be caused by hypertrophy of adenoids or the tubal lymph tissue for that ear, it's treated with nasal steroids. That's where I would start.
>>16308023
You better start working on that because all of your job prospects will depend on who can hook you up with their boss once everyone graduates, and that goes for matching as well.
Anonymous at Sat, 3 Aug 2024 06:08:57 UTC No. 16308169
>>16306555
thank you for replying
Anonymous at Sat, 3 Aug 2024 06:11:10 UTC No. 16308174
what are some common mystery health related things you are aware of anons? for example
sometimes when i ejaculate, my penis / urethra burns post nut (irrelevant whether or not i pee after). turns out a lot of people experience this under varying circumstances and its not easy to find a clear answer why
Anonymous at Sat, 3 Aug 2024 08:26:00 UTC No. 16308255
>>16308088
I don't think I snore but I wake up 2-4 times a night in order to piss so maybe that's a sign that I have sleep apnea?
I'll try bringing it up to my primary doctor and see if I can get a referral
Anonymous at Sat, 3 Aug 2024 10:38:06 UTC No. 16308314
Starting my practical/clinical years next semester. Any good anki decks for clinical neurology, psychiatry, IM, dermatology, or radiology? Or other resources you would recommend now that it's not anymore just about exams but actually dealing with patients?
Anonymous at Sat, 3 Aug 2024 19:13:07 UTC No. 16308796
>>16305398
>just started MS3
>first rotation is surgery
>look at the residents and realize im gonna be a miserable wagie like them in a couple years
>want to drop out and drive door dash instead
pick a specialty for me guys
Anonymous at Sat, 3 Aug 2024 19:52:36 UTC No. 16308833
What are the biggest changes you foresee in medicine in the near future with technological advances? They don't have to be AI related, but can be if you think it's relevant. Do you guys think CRISPR is the holy grail?
Anonymous at Sat, 3 Aug 2024 21:16:58 UTC No. 16308934
>>16308796
ophthalmology
Anonymous at Sat, 3 Aug 2024 22:52:37 UTC No. 16309018
>meeting the affirmative action cohort of my class
>all the blacks are of african descent and NOT african american descent. Literally all of them
lol
Anonymous at Sat, 3 Aug 2024 23:05:47 UTC No. 16309027
Since there isn't any /psych/ gen or /mental/ gen anywhere on any board outside of maybe /vent/ threads, I'll ask here
What's the current latest research on schizophrenia/psychotic disorders? What's the latest in antipsychotic medication research? What treatment (therapy, psychiatry, psychology, naturopathy, nootropics, and related) has the highest success rates for people with schizophrenia (even if not commonly practiced or available)? What's the most recommended way to handle stress in every day life? How, other than consistently taking medications and avoiding triggers (the medical definition, not the internet slang), do you prevent a psychotic relapse? Has there ever been anyone who has had a 4+ year long psychotic episode with reoccurring symptoms who has fully recovered to the point that they were no longer considered schizophrenic?
Anonymous at Sun, 4 Aug 2024 00:14:58 UTC No. 16309112
>>16309018
I'm not doubting you but how do you know? Their names? There's only like 2-4 black people in my class of 220 but I don't know their names.
Anonymous at Sun, 4 Aug 2024 00:24:57 UTC No. 16309124
It's hard being a DO student and realizing you're stupid.
Anonymous at Sun, 4 Aug 2024 00:28:56 UTC No. 16309127
>>16309112
Yes, I've gotten to know all of them so far and they all have parents from places like Ghana and Kenya and so on. I just think that is an interesting observation
Anonymous at Sun, 4 Aug 2024 00:35:03 UTC No. 16309132
>>16309127
How many black people are in your class?
Anonymous at Sun, 4 Aug 2024 00:37:19 UTC No. 16309134
>>16309124
Stupid doctors still make cash. That DO tuition might stunt you for a bit but shoot for DO friendly high income spots. EM still takes a shit ton of DOs these days and isn't criminally underpaid
Anonymous at Sun, 4 Aug 2024 00:42:31 UTC No. 16309141
>>16309134
Thanks. It just hurts to pay the stupid tax of higher tuition, moving out of state, etc while my smarter friends are going to great schools with very generous scholarships.
Anonymous at Sun, 4 Aug 2024 01:08:31 UTC No. 16309158
>>16309148
Is there a universally accepted anki deck that they're all screeching about? Asking for a friend.
Anonymous at Sun, 4 Aug 2024 01:24:59 UTC No. 16309168
>>16309027
>What's the current latest research on schizophrenia/psychotic disorders?
People are obsessed with the ketogenic diet right now.
What's the latest in antipsychotic medication research?
There's a new antipsychotic called KarXT coming out that works on different receptors.
What treatment (therapy, psychiatry, psychology, naturopathy, nootropics, and related) has the highest success rates for people with schizophrenia (even if not commonly practiced or available)?
The only thing that really works is drugs. Everything else is a meme. So I guess the answer is psychiatry.
>What's the most recommended way to handle stress in every day life?
That entirely depends on the circumstances and cannot be answered in a general sense. Unless your looking for some lame advice like 'take deep breaths'.
>How, other than consistently taking medications and avoiding triggers (the medical definition, not the internet slang), do you prevent a psychotic relapse?
You don't.
>Has there ever been anyone who has had a 4+ year long psychotic episode with reoccuring symptoms who has fully recovered to the point that they were no longer considered schizophrenic?
Schizophrenia is a life-long diagnosis, but plenty of people recover with medication from the symptoms that earned them the diagnosis.
Anonymous at Sun, 4 Aug 2024 01:53:58 UTC No. 16309204
>>16309168
>What's the current latest research on schizophrenia
*Thing that isn't research*
Okay, cool, thanks, do you know about any research supporting a ketogenic diet helps with the symptoms?
I've been diagnosed for the last 9 years and made a recovery 5 years ago. I can already tell you that medications aren't the only thing that helps, and you can prevent a psychotic episode.
If someone in the psychiatric field or a similar field could answer the questions (again, unfortunately, there's no /psych/ gen or /mental/ gen or something similar, or else I would ask there), that would be great.
Anonymous at Sun, 4 Aug 2024 01:55:42 UTC No. 16309207
>>16309168
>People are obsessed with the ketogenic diet right now.
Which is a heuristic, an indirect way of achieving the removal of grains and dairy from the diet.
Anonymous at Sun, 4 Aug 2024 01:59:47 UTC No. 16309213
>>16309204
>If someone in the psychiatric field or a similar field could answer the questions
They don't know anything, nor do they care. They;re golem positioned there to slap a diagnostic code on the patient that insurance can process, and then to dispense brain damaging poisons disguised as medicine in order to maim the patient to the point where they will never improve. Pile on more "meds" and "treatments" as needed. Once they're all milked out, descend for the blood and the flesh. Next one is already on the conveyor.
Psychiatrists are all the worst breed of insanity this planet has ever churned out, by the way. Their suicide rate is around what you see in schizo and bipolar. Why is that? Because they're a sneaky self deluding shined up gutter trash variant of the people they claim to want to help. The rest are just evil or amoral.
Anonymous at Sun, 4 Aug 2024 02:14:15 UTC No. 16309230
>>16309204
I gave the idea. You can google search 'keto mental illness research' yourself. You think medications aren't the only things that help because your insight is lacking.
Anonymous at Sun, 4 Aug 2024 02:16:21 UTC No. 16309235
>>16309230
>You think medications aren't the only things that help because your insight is lacking.
Or in other words:
>Thinking you don't need the pills is a symptom of your illness.
Fuck off, biobot.
Anonymous at Sun, 4 Aug 2024 02:18:32 UTC No. 16309239
>>16309235
I wouldn't go so far as to say it's a symptom of the illness. Just a common phenomenon that is noticeable with the illness.
Anonymous at Sun, 4 Aug 2024 02:21:07 UTC No. 16309245
>>16309239
Your biobot lies will not work on me, angler fish.
Anonymous at Sun, 4 Aug 2024 02:21:08 UTC No. 16309246
>>16309027
>avoiding triggers
I'm reading about cognitive processing therapy for PTSD which consists on conceptualizing the triggers instead of avoiding them. Sounds rather sensible actually. For schizophrenia and psychosis specifically, I guess the problem is still poorly understood and probably heterogeneous to have an effective solution.
Anonymous at Sun, 4 Aug 2024 02:24:26 UTC No. 16309249
>>16309245
Someone with terminal cancer might feel better after meditating. Doesn't mean the meditation is treating their cancer. There are two categories for schizophrenia 'treatments'. One is actual treatments, the other is just coping methods. Medication is the only actual treatment.
Anonymous at Sun, 4 Aug 2024 02:29:27 UTC No. 16309255
>>16309249
>Doesn't mean the meditation is treating their cancer.
That's adolescent thinking. You believe there's some absolute mechanistic clockwork reality that your brain acts as a filter for, so you think ah, the brain is a machine and I must learn to use it well and distinguish between what FEELS (illusion, sensory impression) and what IS (the absolute, and objective reality, which is perceptually filtered by but otherwise unaffected by activity of the mind). In other words, you think object reality is creating you and your mind, and that you need to elarn to tap into and read the sensory channels well, and to not deceive yourself. This is an adolescent perspective. The adult perspective is actually returning to an early infancy pre-object permanence state, and realizing that none of it is real. Nothing. Mind and the senses can't be used to prove themselves nor each other, they just give you a fun little maze to run around in. If you really put them to the test, call the bluff so to speak, stop engaging and believing in it, you'll find they fail every time. Maybe not at first, but eventually, they will always break and submit, the "psychophysical" has no choice. Because it isn't real, only you are.
Anonymous at Sun, 4 Aug 2024 02:31:08 UTC No. 16309259
>>16309255
Did the schizophrenic guy post this? lol
Anonymous at Sun, 4 Aug 2024 02:40:03 UTC No. 16309269
>>16309259
I am me.
I am based.
You are cringe.
Anonymous at Sun, 4 Aug 2024 02:48:55 UTC No. 16309279
>>16309255
>>16309269
What do you mean I'm cringe? I'm not even real. Also, what are you?
Anonymous at Sun, 4 Aug 2024 03:10:39 UTC No. 16309307
>>16309255
You're posting in the wrong thread friend. >>16305456 is where you should go.
Anonymous at Sun, 4 Aug 2024 07:41:59 UTC No. 16309542
Is there anything I can do outside of exams to improve my chances of matching into a nice specialty? Still got another 3 years of med school ahead of me and messed up the last 3 years by half-assing exams. Should I go work or is there some exam outside of college that could bump me up?
Anonymous at Sun, 4 Aug 2024 17:17:05 UTC No. 16309923
>>16309542
Talking to someone who's friend with the program director in each of the hospitals you want to go. That's the only real chance.
Anonymous at Sun, 4 Aug 2024 19:01:20 UTC No. 16310087
New penis question
I have phimosis, and haven't cleaned my gun for years... Yesterday I tried pulling it after a hot shower and I could pull it a bit more than usual, and the rotten cheese stench was unreal. How can I clean this mess???
Anonymous at Sun, 4 Aug 2024 20:46:00 UTC No. 16310204
>>16310087
All tissues have an elastic:plastic deformation curve with respect to degree of stretch and how long that stretch is maintained. Same reason fat people don't burst out of their skin. Just warm water + stretching. Don't take the steroid cream bait, this is a scam to fuck your dick up so they can get you twice, first for the cream than to circumcise you later.
Anonymous at Mon, 5 Aug 2024 04:15:32 UTC No. 16310563
For the past several days I have had 3-4 white pimples each on the sides of my nose, if they go away new ones pop up, they did get popped once when I took a shower there was quite a lot of blood. I've tried both rubbing alcohol and neutragena face cleanser but I don't know if it's doing nothing, helping, or making it worse.
I fear even after they go away the sides of my nose will be pockmarked for ever
Anonymous at Mon, 5 Aug 2024 05:39:12 UTC No. 16310605
>>16310087
qtip.
>>16310563
retinoic acid at night will help. Don't pop them until it's clear they will come out or you'll scar your face with red spots.
Anonymous at Mon, 5 Aug 2024 05:39:18 UTC No. 16310606
I've heard if you work for the federal government, you can't be sued for malpractice. Is that true?
Anonymous at Mon, 5 Aug 2024 08:27:18 UTC No. 16310706
Is there a way to heal the hemorrhoids instead of having them surgically removed? There has to be a way...
Anonymous at Mon, 5 Aug 2024 08:39:03 UTC No. 16310714
>>16310706
Anon, hemorrhoids heal on their own in most cases, this is something you could have established with a 5 second google search. Simply eliminate the likely causes, such as
>sitting too much
>chronic diarrhea/constipation
>wiping too much/too hard/with rough paper
>obesity
>low fiber diet
>heavy lifting that involves clenching your asshole
>anal sex
Anonymous at Mon, 5 Aug 2024 10:13:51 UTC No. 16310754
>>16310605
damn why does every little thin require a prescription
Anonymous at Mon, 5 Aug 2024 10:48:18 UTC No. 16310782
>>16310714
>in most cases
You literally said it.
Anonymous at Mon, 5 Aug 2024 15:33:52 UTC No. 16310968
>>16310754
>vitamin A requires a prescription
bruh.
Well get salicylic acid then. What you need a prescription for tree sap too?
Anonymous at Mon, 5 Aug 2024 15:57:15 UTC No. 16310987
Is there a name for touch sensations getting 'replayed' for hours after they have stopped? Sort of like feeling like you're on a boat, but with touch
Anonymous at Mon, 5 Aug 2024 18:09:38 UTC No. 16311151
>>16310968
all the retinoic creams I see online require a prescription. What country are you from
Anonymous at Mon, 5 Aug 2024 22:48:46 UTC No. 16311470
>>16310987
Paresthesia, maybe? I tend to experience sensations of feeling touched if I think of it, or sometimes out of nowhere. I do suspect I might have some degree of synesthesia, so I don't know if that counts.
>>16310563
Have you been changing your pillow covers and your bedsheets lately, anon? You could try looking for a benzoyl peroxide cream, it's a bactericide approved for acne vulgaris or the normal, red-swelling pimples that show up every now and then. Be careful with your diet, have you been eating things with too many fat, lactose products, or chocolate?
If you feel your pimples are deep and hurt too much to touch, or your skin just flares and swells up too much, I'd recommend going to a dermatologist. Diet can alter the skin a lot, even if you're eating "healthy" things, too much of a good thing can be bad for the body. Drinking a lot of water and keeping your nose skin dry with some paper tissues, NOT alcohol (cause it'll overdry the skin and can cause more pimples/damage), and avoiding touching your face might help. Good luck with it, anon.
Anonymous at Mon, 5 Aug 2024 22:55:14 UTC No. 16311480
>>16309246
Person with CPTSD here. Apparently EMDR therapy in combination with cognitive-conductual therapy can do wonders to recognizing triggers, recognizing negative thought patterns, and helping reprocess traumatic situations the person has gone through. I'm not a psychologist or a mental health professional, but from what I get in therapy, and what I get told to research in my spare time by my doctor, mindfulness and trying to notice things you're "accidentally" doing that can trigger dysphoria or anxiety or depression and correcting them can do a lot.
In the case of schizophrenia, like >>16309027 is asking, honestly the best treatment is medication + therapy + finding a healthy outlet for the stress the condition causes. A good antipsychotic or combination antipsychotic with a mood stabilizer can aaalmost completely null symptoms in *some* people. But the condition doesn't go away too easily. I've had major depression symptoms ever since I was 10 and got diagnosed at 14 (related to the CPTSD), and although medication helps, it can't fix something if it has a strong psychological root.
It baffles me seeing how a flawed/bugged connection and transmission of dopamine in the brain can fuck up someone's mind so much, like with ADHD and schizophrenia and addictions. I'd love to try microdosing therapy myself, but I wonder what /med/ thinks about it.
Anonymous at Mon, 5 Aug 2024 22:55:50 UTC No. 16311482
>>16311470
Thx
I change them weekly.
Yes I made a bunch of cheesecake and I always drink whole milk with dessert. I had heard though that diet affecting acne was a myth? I also had a cold last week so I was eating vitamins every day, drinking oj, and eating spicy chicken pilaf for my sinuses.
What if I hold a rag wet with icy water on them all day, I figured that would help with inflation and might keep any bacteria's reproduction down.
Most of the whites heads went away this morning, in their place was dried pus and this dried clear yellow fluid. Hopefully they won't be back next morning thats been the pattern
Anonymous at Mon, 5 Aug 2024 23:39:16 UTC No. 16311534
>>16311482
>I had heard though that diet affecting acne was a myth?
If anything it's not that diet affects *only* acne, it affects all of the body. For some reason our skin is very sensitive to changes in the gastric system, and some people get skin flareups with certain foods, when overeating, intense emotional distress can trigger nausea and stomach or bowel irritation...
Having a sweet treat every now and then or eating something a bit fatty ain't no sin, but if you're constantly consuming things with too many sugars, too much salt, and too much fat, your body will eventually tell you "give me a FUCKING LETTUCE FOR FUCK'S SAKE". Lactose is a type of sugar afterall, and even if you're not lactose intolerant it can produce a lot of gas in the bowels, same with onions and spicy foods.
>wet rag with icy water all day
I'd be wary of keeping something over your face/nose all day for it could trigger further irritation, but applying a wet rag 2-3 times a day (morning, afternoon, before sleeping) could help with inflammation. Obviously, make sure the rag is clean and you're not putting direct ice on your skin!
Dried pus and clear yellow fluid... Sounds like you might've gotten a bacterial skin infection or allergy. Benzoyl peroxide cream would definitely help you out, and I would try changing some diet habits to see if maybe some food is upsetting your body. Don't overclean your skin because you could be killing your beneficial skin bacteria that fight against the not so good ones. DONT PUT SOAP ON YOUR FACE THOUGH.
Anonymous at Tue, 6 Aug 2024 01:46:41 UTC No. 16311661
>>16311470
>>16310987
It's not paresthesia, I remember there was a name for that, those phantom sensations. I don't want to dig for the neuro booklet though.
https://academic.oup.com/brain/arti
This article calls it Pallinesthesia.
Anonymous at Tue, 6 Aug 2024 06:41:34 UTC No. 16311882
>>16305398
>.
After having Covid infection, i have developed a small discomfort in my left upper abdomen. CTs with IV contrast, blood tests, stool tests, urine tests, ultrasound more than 5-6 times, endoscopy and best doctors couldn't find anything, minor gastritis was detected and treated with meds, but sometimes problem persists, mostly early in the morning.
I eat healthy and i am skinny
Its not pain but more of an sensation that something is like pushing?
Does any unexplained abdominal discomfort have any reason?
Does someone else have same sensation after Covid?
Anonymous at Tue, 6 Aug 2024 06:54:23 UTC No. 16311888
>>16311534
Diet IS a myth. Many studies on it. Acne is caused by genetics. That said, BPO cream does work but you need to apply it constantly to keep the bacteria away
Anonymous at Tue, 6 Aug 2024 06:55:51 UTC No. 16311890
>>16311882
>small discomfort
>something is pushing
>in my upper left abdomen
Not covid unless you're thinking of pleural effusion, which they would have seen in the ct. This is such a non-problem you can't even say clearly what you feel.
That region holds Spleen, stomach, large gut, diaphragm. Spleen and stomach should be fine. Maybe it's gas from something you eat and don't digest well, or it's some fiber from the diaphragm that got damaged and slightly pains you.
Anonymous at Tue, 6 Aug 2024 07:02:02 UTC No. 16311900
>>16311482
>I had heard though that diet affecting acne was a myth?
It's absolutely not a myth, it varies greatly between people, but it's a major factor. I break out hard after eating dairy or eating too much sugary/greasy foods, tested extensively with elimination diets.
Anonymous at Tue, 6 Aug 2024 07:04:10 UTC No. 16311904
>>16310782
If you have hemorrhoids that won't go away it's time to see a doctor, not ask on a zimbabwean basket weaving website.
Anonymous at Tue, 6 Aug 2024 16:54:13 UTC No. 16312356
I'm on medical leave from medical school because my liver is fucked (no I dont drink or do drugs im not gay and im not fat).
How the fuck am I supposed to stay motivated and keep up, I work out every day and task myself to study but every time I get new lab result or have another appointemtn, it just seems like the scenario im in is worse and the despair is kicking in hard.
I'm *this* close to just going full misnathropy mode and reading light novels vns and hentai all day even though thats sabotaging my entire future
Anonymous at Tue, 6 Aug 2024 18:18:33 UTC No. 16312442
>>16312356
It's tough. I dropped out from pediatrics residency from extreme labor abuse, I've done nothing medicine for an entire year and wish I didn't had to do any more, but I would starve otherwise. Now I am worried whether or not I could be employable from such a gap.
Anonymous at Tue, 6 Aug 2024 20:52:11 UTC No. 16312599
>>16305944
hair transplant.
Think about why certain hairs on your head remain while others don't
Anonymous at Tue, 6 Aug 2024 20:53:33 UTC No. 16312602
>>16307349
it would be extremely painful
Anonymous at Wed, 7 Aug 2024 02:21:07 UTC No. 16312920
>>16311888
Genetics definitely play a role in how sensitive your skin and body is to developing any kind of acne, specially if it's related to allergies or food intolerances like >>16311900 says. Diets don't fix EVERYTHING, but do keep in mind that the gastric system is one of the most important organ systems in the body, together with the kidneys and heart and the liver. And eating "healthy" is different for each person. Some people need more iron-rich foods, some people need less sodium in their diets, some people need MORE sodium because of different issues like medication or age or health issues... A diet should adapt to THE PERSON'S NEEDS, not THE person to the diet. Always. and keto fucking sucks.
>>16312356
Damn, I'm not an expert on livers but I would be concerned about maybe an abnormal growth like a cyst or a tumor or some blockage near the liver that could be messing with it. I know that med school/or a medical-related career feels like it must be finished as soon as possible, but your health should go FIRST, anon. You can't be a good doctor if your own body is pushing you into a bed. Make sure your health gets better and THEN keep studying hard. It might sound gay but overworking until your body just dies from stress is not worth it.
Anonymous at Wed, 7 Aug 2024 08:31:33 UTC No. 16313191
good guide to learning psych drugs and when theyre used? im sort of interested in the antipsychotics rn. switched to olanzapine a while ago from quetiapine and wondering when you would use the 20 or so others
Anonymous at Wed, 7 Aug 2024 09:00:17 UTC No. 16313204
>4th year med school
>have no idea what the fuck i'm studying, feel like i have to start all over again
please help
Anonymous at Wed, 7 Aug 2024 10:07:04 UTC No. 16313229
>>16313204
>be commonwealth med student
>don't really have to start studying until registrar years (PGY3-4 lel)
shit money though
Anonymous at Wed, 7 Aug 2024 11:59:38 UTC No. 16313314
What's the likelihood that conditions like CTE and Parkinson's actually have etiology from prion diseases via contaminated HgH?
Anonymous at Wed, 7 Aug 2024 15:06:40 UTC No. 16313495
>>16313204
Medicine should be reduced to 3 years. Anatomy-physio year, Semiology year and internship. You won't care about a single thing until you are seeing patients and understand that you need to look up the solution to their problem.
Anonymous at Wed, 7 Aug 2024 20:38:57 UTC No. 16314060
>have to fly across the country to take a part of boards in 1 week
>have been sick the past 2weeks and have barely studied
hopefully my prior years have built up enough memory to push me through this.
Anonymous at Wed, 7 Aug 2024 23:36:15 UTC No. 16314336
>>16308023
Somewhat afraid of this, I spoke to some people/got an instagram during an offer holder day, got an instagram etc but it seems like some cliques could form. I get the sense that'll I'll have to politik/make connections and play the social game etc which could be exhausting, but I can see its a part of life
Anonymous at Wed, 7 Aug 2024 23:38:42 UTC No. 16314341
>>16309127
I'm black, African families fit a lot of the stereotypes that Asian families have in the USA, especially with the emphasis on kids to do well academically
Anonymous at Wed, 7 Aug 2024 23:49:21 UTC No. 16314351
Fellers, I am not a doctor, so that's why I'm asking you. It seems I am passing a small kidney stone, which it's not unbearably painful, just an annoyance. How long does it usually take to be out? The pain just started today.
I just came back from the doctor, but forgot to ask
Anonymous at Thu, 8 Aug 2024 00:27:17 UTC No. 16314391
>>16314351
>How long does it usually take to be out?
The greatest mysteries of medicine.
Anonymous at Thu, 8 Aug 2024 00:28:54 UTC No. 16314394
>>16314341
Lies. There ain’t no black peoples in here. It’s all mentally ill white boys and mentally ill indians pretending to be white.
Anonymous at Thu, 8 Aug 2024 00:45:35 UTC No. 16314406
>>16314394
Can confirm.
We shit on that paki med student but secretly we love him.
Anonymous at Thu, 8 Aug 2024 01:10:16 UTC No. 16314423
>>16314406
>paki med student
I think that guy was an attending. Haven't heard from him in a bit.
Anonymous at Thu, 8 Aug 2024 01:16:06 UTC No. 16314430
i'm 27, i have -2.0 eyes and minor astigmatism. at my last exam, i was talking about wanting to get PRK and i mentioned starbursts around lights and whether or not that would get fixed with the surgery.
i was under the assumption that seeing stuff like pic related is a result of astigmatism. when i look at point light sources (notably, streetlights or headlights), there are these spikes that extend off of the light. if i squint, it gets worse, and if i tilt my head, the spikes rotate correspondingly.
eye doctor told me that everyone has this, and it's not astigmatism, and that she hates when people post shit about it on social media because it's normal.
is she right? do normal people see pic related?
Anonymous at Thu, 8 Aug 2024 02:32:46 UTC No. 16314500
>>16314430
It's not normal. Seeing gray clouds at night is not normal. I always complain about light pollution but nobody seems to care.
Anonymous at Thu, 8 Aug 2024 03:38:36 UTC No. 16314532
Reoccurring /med/ characters: (add if I've missed them; psych patients don't count)
>paki ?attending
>rads tripfag
>optometry fag
>Finnish rads apu drawer RIP
>Harold Shipman poster RIP
Anonymous at Thu, 8 Aug 2024 03:56:36 UTC No. 16314547
>>16314532
>>Harold Shipman poster RIP
Damn, I forgot about him. RIP
Anonymous at Thu, 8 Aug 2024 04:31:34 UTC No. 16314569
>>16314532
you forgot DOfag
Anonymous at Thu, 8 Aug 2024 04:51:43 UTC No. 16314586
>>16314569
>DOfag
Who? There are multiple DO fags here.
Anonymous at Thu, 8 Aug 2024 05:09:08 UTC No. 16314608
CBSE coming up soon, even with my school's low threshold for passing I don't know if I'll make it. Just grinding First Aid practice Q's and my average is still 40%
Anonymous at Thu, 8 Aug 2024 05:12:11 UTC No. 16314613
>>16314430
starbursts from astigmatism tend to have an extra bright/long streak in a specific meridian. just from the anatomy of the eye (lens sutures, Zernike higher order aberrations, etc) you will always see some starbursts from light unless you're a lucky nigger.
some more expensive refractive surgery procedures (wavefront guided/optimized) can correct for higher order aberrations, but i don't know how many places have it nor the cost compared to regular procedures.
there are other complications, but go talk to your doctor for all the upsides/downsides or if you're even a candidate for it along with the cost.
Anonymous at Thu, 8 Aug 2024 06:17:34 UTC No. 16314664
>>16314613
>extra bright/long streak in a specific meridian
that tracks. yeah the most prominent spikes i see on light sources are vertical from the bottom. this crude drawing is what the light from a streetlight outside kind of looks like. there's a "halo" or zone of light surrounding the bulb (orange in this drawing but in reality it's just less intense compared to the bulb itself).
below are a few very long spikes, and then smaller ones extending from the bulb in all directions.
i guess it's reasonable that you'd only have perfect point light sources if your eye curvature was very close to perfect, otherwise there's always going to be some anomalies.
> but go talk to your doctor for all the upsides/downsides or if you're even a candidate for it along with the cost.
i think im going to see a couple of them just to get a sanity check. from the literature i've read, the benefits of PRK compared to lasik are self-evident. a prolonged recovery is worth not having a permanent flap cut into my cornea.
Anonymous at Thu, 8 Aug 2024 08:25:38 UTC No. 16314756
I'm gonna graduate from med school in 3 months and basically be a clerk for the next year, but it'll be my first proper salaried job. Anything I should be doing in particular? (other than making good impressions on rotations, doing research/audits, crit care courses/teaching them, hobbies and travel on my dedicated leave, save cash for property).
Anonymous at Thu, 8 Aug 2024 10:19:23 UTC No. 16314831
>>16314756
marry a doctor that makes a lot of money and never work a day in your life like all the female doctors do.
Anonymous at Thu, 8 Aug 2024 11:53:37 UTC No. 16314915
Did anyone here ever consider getting into the research chemicals/bathsalts business? How do I become the guy who develops the new sketchy acid derivative?
Anonymous at Thu, 8 Aug 2024 11:54:58 UTC No. 16314918
Fellow /med/ bros, there's a guy claiming that he went through a "second puberty" once he got 30 and it drastically lowered his voice pitch.
Me, in my 6+ years of med school (europoor), have never heard of such a process, is it an american thing or what?
Anonymous at Thu, 8 Aug 2024 13:43:40 UTC No. 16315064
>>16314756
>>16314915
>>16314918
>thread by the apu poster dies
>stupid questions come flooding
Anonymous at Thu, 8 Aug 2024 15:28:51 UTC No. 16315196
I feel pressure on the left side of my rib, as if food is stuck there? Is that the case?
Anonymous at Thu, 8 Aug 2024 16:36:15 UTC No. 16315313
>>16315196
it's shit in your colon.
Anonymous at Thu, 8 Aug 2024 16:46:47 UTC No. 16315340
I'm a first-year medical student and I'm not pursuing anything competitive (pathology). Does that mean I can just chill in medical school, not striving for A's and not doing extra bullshit like "research"?
Anonymous at Thu, 8 Aug 2024 17:45:33 UTC No. 16315423
>>16315340
If you're in the US, you need to compete for residency which is mandatory. If you live anywhere else, you can look up stuff with the patient in front as long as you get the job done.
Anonymous at Thu, 8 Aug 2024 17:58:25 UTC No. 16315433
>>16315340
3rd year here in the same mood, except I am scared to death of ending up in family medicine or pediatrics.
Anonymous at Thu, 8 Aug 2024 18:01:53 UTC No. 16315439
>>16315433
whats wrong with pediatrics..? I am also 3rd year and I'm quite conflicted between internal, neuro and peds..
Anonymous at Thu, 8 Aug 2024 20:09:28 UTC No. 16315561
>>16309158
For MCAT studying It’s very very helpful because it helps integrate concepts into your working memory. Room temperature IQ premeds will use it as their only study source, actually intelligent people will use it as a supplement to books and rigorous practice. MilesDown is the most common one people use
Anonymous at Thu, 8 Aug 2024 20:45:19 UTC No. 16315602
>>16315423
>If you're in the US
I am in the US.
>you need to compete for residency which is mandatory
I was under the impression that pathology is super uncompetitive. A lot people go into medical school for patient contact and I don't want any of that shit.
Anonymous at Thu, 8 Aug 2024 22:13:50 UTC No. 16315706
>>16315439
Men in peds are either gay or pedos, often both
Anonymous at Thu, 8 Aug 2024 23:08:29 UTC No. 16315777
>>16315703
nursoids are untouchables
Anonymous at Thu, 8 Aug 2024 23:25:55 UTC No. 16315813
>>16315703
if you're a virgin in med school, you're not going to get nursoid pussy. simple as
Anonymous at Thu, 8 Aug 2024 23:32:59 UTC No. 16315829
>>16315813
Explain
>t. virgin about to start med school
Anonymous at Thu, 8 Aug 2024 23:38:55 UTC No. 16315835
>>16315829
nursoids can smell your virginity and beta hormones and will avoid you like the plague. unless they feel it's time to settle down and milk you of all your money (while still not fucking you).
Anonymous at Thu, 8 Aug 2024 23:45:13 UTC No. 16315846
>>16306952
Sesamoids give you arthritis?
>>16307514
They also serve as an extra annoyance when looking at x-rays, afaik.
>>16314336
It can be the opposite of an exhausting task, with the right group.
Anonymous at Thu, 8 Aug 2024 23:46:57 UTC No. 16315850
>>16308747
Yes, but your quality of life will be way worse.
Anyways, I fucking love MGSV.
What's impossible is to recover like venom did.
Anonymous at Thu, 8 Aug 2024 23:58:41 UTC No. 16315871
>>16315703
You can abuse your power to even get doctor pussy. Let alone nurse pussy.
>Also is doctors having relationships with nurses something that is prohibited/frowned upon?
Depends but usually not. I guess that in certain scenarios it's not a good outlook but it happens all the time.
>>16313314
I thought the link between those things were pretty well established by this point.
Still CTE is primarily driven by constant head trauma, if I'm not incorrect. Genetics play a part, but takes a backseat compared to what's obvious.
Anonymous at Fri, 9 Aug 2024 00:06:26 UTC No. 16315886
>>16315835
>unless they feel it's time to settle down and milk you of all your money (while still not fucking you).
I would unironically be fine with this
Anonymous at Fri, 9 Aug 2024 00:09:38 UTC No. 16315892
>>16315886
cuck mentality
Anonymous at Fri, 9 Aug 2024 00:10:00 UTC No. 16315894
>>16308833
Not sure if medfags get different insights than us cooks do, but CRISPR is kind of more a hack to get some more neato genetic engineering, and manufacture biopharmaceuticals with mammalian/human rather than bacterial yeast cells that are more immunogenic and therefore need more post manufacture treatment
Anonymous at Fri, 9 Aug 2024 01:39:42 UTC No. 16316052
>>16315340
Are you USMD? then yeah you don't need research or top tier grades to match Path. I mean maybe you should do one paper or something just because it wouldn't hurt, but it's totally possible to get into T20 Path programs without research as a USMD. Just don't get any red flags like failing Step 1 or something.
Anonymous at Fri, 9 Aug 2024 01:43:30 UTC No. 16316060
>>16316052
>>16315340
I would also add as an addendum you should still try your best and not just "chill" because the better you do, the more likely you get your pick of the litter out of Residencies, but you don't need to a hyper gunner sperg autist like someone going for Derm or Ortho and freak out if you do poorly on an exam or something.
Anonymous at Fri, 9 Aug 2024 01:46:19 UTC No. 16316072
>>16316060
>ortho
Why would anyone need to be an autist to become a fucking carpenter?
Anonymous at Fri, 9 Aug 2024 01:47:52 UTC No. 16316078
>>16316072
because it pays a shitton of money and has a better lifestyle than most surgical subs once you're an attending so a bunch of people want to get into it, so they get to choose out of the best, namely the autists. same reason why you need to be an autist to get into Derm
Anonymous at Fri, 9 Aug 2024 02:01:00 UTC No. 16316102
>>16316078
I fucking hate the US medical culture. Complete bastardization of what medicine really is. You prostituted the field to lawyers.
Anonymous at Fri, 9 Aug 2024 02:03:25 UTC No. 16316104
>>16316102
not sure how lawyers have anything to do with it. the field got prostituted to insurance admin bureaucrats and equity owners not lawyers because doctors didn't want to be physicians and also be owners.
Anonymous at Fri, 9 Aug 2024 02:04:05 UTC No. 16316105
>>16316102
competitive specialties have no relevance to legalisation of medicine
Anonymous at Fri, 9 Aug 2024 02:04:05 UTC No. 16316106
What percent of docs are scummy paycheck chasers vs empaths who like saving people?
Anonymous at Fri, 9 Aug 2024 02:06:12 UTC No. 16316111
>>16316106
everybody stops being an empath eventually. it's a job like any other. obviously though it depends on the specialty, you'll probably have more scummy paycheck chasers in privately run clinics trying to push procedures on you you don't really need vs a hospitalist who gets paid regardless of if you take your medication or not
Anonymous at Fri, 9 Aug 2024 02:09:41 UTC No. 16316116
>>16316111
That rings true
Once had a proctologist who insisted on zapping my hemorrhoid with a lazer forever instead of banding it. The rectum heals fastest, behind the eyeball and he tried to tell me he wanted to reduce trauma to my ass. No im not gay with aids.
Anonymous at Fri, 9 Aug 2024 02:13:17 UTC No. 16316121
>>16316052
>Are you USMD?
I'm a poor DO fag.
Anonymous at Fri, 9 Aug 2024 02:30:48 UTC No. 16316147
>>16316121
ah, I mean you can still match pretty reliably still as DO, Path even takes IMGs but might need to be slightly autistic to match into the top tier residencies
Anonymous at Fri, 9 Aug 2024 02:38:45 UTC No. 16316163
>>16316147
>but might need to be slightly autistic to match into the top tier residencies
What exactly is the benefit of going to a top-tier residency? I don't really want to do anything academic.
Anonymous at Fri, 9 Aug 2024 02:44:33 UTC No. 16316175
>>16316163
Easier time matching into a Fellowship which a lot of Path people do. It might be that you end up wanting to do Dermpath or something which is fairly competitive so going to John Hopkins or Upenn or w/e would help, better connections, get to see more interesting cases, better resources as in they probably have a bunch of PAs and shit do to scut work and grossing, there are a lot of low shit tier Residencies for Path that just use you as a lab monkey to do menial labor while teaching you jack shit, you can normally spot these ones by them having a ton of IMGs though.
and of course pedigree for jobs in the future I guess
Anonymous at Fri, 9 Aug 2024 02:46:42 UTC No. 16316178
>>16316163
This is a good guide if you're interested yeah yeah I know, reddit
https://www.reddit.com/r/pathology/
Most important thing really is aside from avoiding red flags is to just demonstrate an interest in Path by taking electives/doing a rotation in it. it's easy to match but even still they don't like people who obviously just do it as a fallback from Rads or something.
Anonymous at Fri, 9 Aug 2024 02:51:05 UTC No. 16316183
>>16316175
>>16316178
Thanks, guys, I'm barely even done with my first week of school so I don't know anything. I appreciate the help.
Anonymous at Fri, 9 Aug 2024 02:52:39 UTC No. 16316189
>>16316183
i'm also an M1 trying to get into Path. the pathology reddit is probably the most helpful place to ask desu
Anonymous at Fri, 9 Aug 2024 02:53:53 UTC No. 16316191
Can i survive on a 6 pack a day, toast with salmon and a multivitamin
Anonymous at Fri, 9 Aug 2024 03:00:07 UTC No. 16316206
>>16316189
Wow, it's nice to see a fellow first-year wanting to pursue pathology too. It's not a popular specialty from what I understand. Only 3 people go into pathology at my school each year out of 220-ish people.
Anonymous at Fri, 9 Aug 2024 03:02:57 UTC No. 16316208
>>16316206
yeah I'm in a class of 100+ and literally the only one who put an interest in Path. which is great because we don't want it to end up like Rads or Anesthesia where it gets competitive, and it means you get a lot more attention from any Path faculty.
Anonymous at Fri, 9 Aug 2024 03:14:25 UTC No. 16316229
>>16316208
What made you want to pursue pathology? I know it sounds shallow, but for me, I want the good lifestyle I've heard about. I just want to enjoy the rest of my life with my hobbies and not be so busy.
I also don't want any patient contact - I don't want to deal with them lol.
Anonymous at Fri, 9 Aug 2024 03:30:42 UTC No. 16316242
>>16316229
Basically similar to you. Lifestyle, relatively easy matching, and I really enjoy having control of my schedule/having a task focused job where I can fuck off and go home once I'm done and working more independently. I also don't want patient contact. I don't have much of an ego and don't give a shit about being "seen as a doctor" that turns people off from it so that con wasn't a big deal, plus I think Forensic Path seems really interesting.
I was originally thinking Anesthesia, but honestly the idea of having my schedule strapped to the whims of the surgeon and the OR staff and having to take a bunch of call sounded kind of rough.
Anonymous at Fri, 9 Aug 2024 04:49:10 UTC No. 16316288
>>16308813
Fucking the dead people is strictly forbidden, you degenerate.
Anonymous at Fri, 9 Aug 2024 11:01:16 UTC No. 16316595
>>16305398
>DO NOT offer medical advice (just fucking go see your doctor)
I don't think this is overly serious, and I don't want to call my family doctor because his new secretary refuses to set appointments unless I call for a week straight and get on her backside.
I was about to go to sleep last night when I felt a sharp, tingling pain on the 5 o'clock of the area surrounding my urethra if it touches something like my underwear. It's still here this morning, but it's the pain is greatly dulled so long as my penis remains flaccid.
The last time something similar happened was when two years ago the area near the bottom of my penis' head/tip was burning (chafed?) due to masturbating 6 times in a single day. I had only masturbated once yesterday morning.
Another cause could be that I haven't showered for two days in a row, but that hasn't led to pain anywhere before.
I have also been using a sheet of toilet paper to get the final drop of pee out (cover it flat over my penis head). Maybe a paper bit came out?
Due to this seemingly sourceless development, I worry that I suddenly have penis cancer (no family history of cancer in general).
Anonymous at Fri, 9 Aug 2024 14:37:55 UTC No. 16316943
>>16316595
You got an infection from using toilet paper on your dick. Wait a few days to see if it resolves on its own. If there's pus go get a smear and a urine test. Cancer wouldn't hurt until after it becomes obvious.
Anonymous at Fri, 9 Aug 2024 15:04:52 UTC No. 16316998
>>16316943
Should I be taking zinc supplements to fight it off?
>pus
Fingers crossed this never happens. I become nauseous when thinking about the inside of my penis.
Anonymous at Fri, 9 Aug 2024 15:35:12 UTC No. 16317043
>>16316595
samefag here
I took a shower and the general area no longer tingles if touched. Only the one, concentrated spot.
I am unaware if this indicates anything.
Anonymous at Fri, 9 Aug 2024 15:46:58 UTC No. 16317065
First-year medical student here. I'm getting a lot of lectures about physicians having to be held to a higher standard and about "professionalism". Is it just me or is this all bullshit? Being a doctor is just a job.
Anonymous at Fri, 9 Aug 2024 16:57:21 UTC No. 16317198
can i apply for research positions in another country while i'm still in med school?
Anonymous at Fri, 9 Aug 2024 17:50:47 UTC No. 16317309
>>16317198
Can you?
Anonymous at Fri, 9 Aug 2024 21:44:59 UTC No. 16317646
>>16317065
This thread is for the big guys. First year fags need to shut the fuck up and go back to hitting their biochemistry books
Anonymous at Fri, 9 Aug 2024 21:54:39 UTC No. 16317658
>>16315703
Why would you even want that? I see them start drama over nothing, backtalk and bully each other all the time even during work, it's the grossest and most offturning shit ever
Anonymous at Fri, 9 Aug 2024 22:24:32 UTC No. 16317696
>>16317646
>and go back to hitting their biochemistry books
Shut the fuck up, fag. I got a 130 on my B/B section on the MCAT. I know my biochemistry.
Anonymous at Sat, 10 Aug 2024 00:10:27 UTC No. 16317893
>>16317696
>MCAT
This is the medicine thread, not the highschool thread. Get the fuck out of here.
Anonymous at Sat, 10 Aug 2024 00:37:39 UTC No. 16317940
>>16317646
i think my knowledge of the citric acid cycle could contribute a lot to the discussions though
Anonymous at Sat, 10 Aug 2024 02:33:54 UTC No. 16318073
What handbook do you guys use to look up drugs? I need an adult medicine equivalent of Harriet Lane which has a drug index with presentations, dose and adverse effects.
Anonymous at Sat, 10 Aug 2024 02:51:45 UTC No. 16318092
>>16318073
the internet
Anonymous at Sat, 10 Aug 2024 03:00:52 UTC No. 16318104
>>16318092
I don't have time for googling shit if the patient's in front of me. The internet is specially an awful place to look up stuff these days.
Anonymous at Sat, 10 Aug 2024 03:01:23 UTC No. 16318105
>>16318073
Epocrates does most of that
Anonymous at Sat, 10 Aug 2024 04:46:58 UTC No. 16318214
Otherwise healthy and non-obese 25 yo patient reports slight chest pressure/'wheezing feeling' for the last week and comes to ER following a self BP measurement of ~180/110. ER confirms BP. EKG, chest X-ray, and labs are normal except slightly low potassium. Upon later followup, BP remains in the 150/100 range. Aldosterone/renin and T4 are normal. Potassium on the lower side of normal. Reported alcohol intake is worse than ideal but not terrible (5 drinks/night).
What do?
Anonymous at Sat, 10 Aug 2024 04:47:16 UTC No. 16318215
>>16318214
not my problem
Anonymous at Sat, 10 Aug 2024 04:49:07 UTC No. 16318216
>>16318214
N I T R O P R U S S I D E
E N E M A
3 Q D
S T A T
Anonymous at Sat, 10 Aug 2024 05:01:06 UTC No. 16318220
>>16318073
Australian Medicines Handbook
Anonymous at Sat, 10 Aug 2024 05:04:33 UTC No. 16318224
>>16318214
Check the thyroid. Check familial hyperlipidemia. Check renal USG and Doppler. It's either some renal arterial dysfunction or pheochromocytoma.
If not it's one of those brain diuretic fuckery.
Anonymous at Sat, 10 Aug 2024 05:12:02 UTC No. 16318229
>>16318214
Do ambulatory BP monitoring.
Probability diagnosis is that it is anxiety. What sort of healthy 25 y/o measures their own BP?
Anonymous at Sat, 10 Aug 2024 06:04:04 UTC No. 16318273
>>16318214
perform a refraction and soft contact lens fit. collect my payment. if she dies while leaving my practice, turn her body around so it looks like she was coming to the practice. malpractice: avoided. money: collected.
Anonymous at Sat, 10 Aug 2024 06:09:34 UTC No. 16318288
>>16318229
How the fuck does psychogenic BP elevation bring you to hypertensive crisis tier levels
CV/pulm sx seem to be exacerbation of HF to me - maybe HFPEF considering age and HTN in absence of any aortic stenosis.
I wonder if there was any JVD on exam - could be portal HTN 2/2 CAH too which would dilate the L atrium, easy to miss on bad Xray
Anonymous at Sat, 10 Aug 2024 06:27:16 UTC No. 16318298
>>16318288
>180/110
>hypertensive crisis tier
lmao. are you preclin?
Anonymous at Sat, 10 Aug 2024 06:32:34 UTC No. 16318301
>>16318298
Saar, do not redeem the nitroglycerin, is not hypertensive crisis saar, are you prostitute?
Anonymous at Sat, 10 Aug 2024 06:45:23 UTC No. 16318303
>>16318301
That's a yes. You'll understand when you see some real patients, kiddo.
Anonymous at Sat, 10 Aug 2024 06:50:53 UTC No. 16318308
>>16318298
Saar do not redeem the nitroprusside SAAAR DON'T PUSH IT SAAR THE BLOODY BITCH MITOCHONDRIA
Anonymous at Sat, 10 Aug 2024 07:27:41 UTC No. 16318338
>>16316943
>toilet paper on pp causes infection
oh no. im going to get AIDS.
Anonymous at Sat, 10 Aug 2024 12:19:15 UTC No. 16318485
>>16317198
No, very bad idea. Friend of mine did that, now he is dead. RI+pjhsP
Anonymous at Sat, 10 Aug 2024 13:07:13 UTC No. 16318542
How are 24+ hour shifts a thing? I had one last week and it felt like I was being tortured. Let's make you extremely tired and then have you cover 4 times the patients you normally do all while taking non stop admits and nurses yelling at you for shit day team did that you have zero clue about. Oh and buy the way I'm going to pay you 10 bucks an hour while your almost half a million dollars in debt. Fucking SHIT
Anonymous at Sat, 10 Aug 2024 15:54:17 UTC No. 16318743
>>16306705
>Do cardio, get enough vitamins, massage and moisturize your scalp, and reduce your omega 6 fat consumption with increasing omega 3's.
Great advice if you want to look like Heihachi from Tekken. All the hair on top will fall out since genetic hair loss has nothing to do with the factors you listed, but the hair on your sides will be fabulous
Anonymous at Sat, 10 Aug 2024 16:32:06 UTC No. 16318797
>>16318298
It's pretty much at threshold
Anonymous at Sat, 10 Aug 2024 17:44:40 UTC No. 16318882
>>16318542
should've chosen a lifestyle specialty
Anonymous at Sat, 10 Aug 2024 18:59:12 UTC No. 16318961
>>16318797
>120 diastolic
>got pushed 10mmHg
Did americans adapt to survive higher pressure in the recent years?
Anonymous at Sat, 10 Aug 2024 19:04:07 UTC No. 16318964
>>16318961
>and/or
We live rent free in your tiny little Yuropoorean heads. 180/110 is actually surprisingly weakly supported by the literature iirc
Also yes, we are evolving into the perfect organism.
Anonymous at Sat, 10 Aug 2024 21:12:33 UTC No. 16319144
>>16318542
You should have went into veterinary medicine and skipped residency.
Anonymous at Sun, 11 Aug 2024 03:13:59 UTC No. 16319456
>>16318542
zero reason for it to be a thing and it objectively endangers patients when you have half-retarded sleep deprived doctors trying to make important decisions, just slave labor
Anonymous at Sun, 11 Aug 2024 06:37:57 UTC No. 16319582
>>16305406
>If you need career advice ask residents or attendings.
Where to find them?
Anonymous at Sun, 11 Aug 2024 07:04:16 UTC No. 16319591
>>16319456
what if slave labor is considered important, as it "saves publicly funded healthcare investment from the state" while meeting the demand for quality healthcare from the population? (the loss of quality being blamed at the doctor anyway).
Surely the population will complain if they are being made pay for their health, and bars them from a human right. It will make that government unpopular as well.
Where I live residents sign a contract saying they must pay back every salary they got in terms of "scholarship" if they quit as they are not recognized as workers but "students with responsibility of workers". You get paid $3 an hour for 80 hours week in average, not counting mandatory attendance to classes which may be situated in the late hours of a postcall day, or emergencies that happen while you are in the hospital near the end of the call.
Anonymous at Sun, 11 Aug 2024 16:30:56 UTC No. 16320138
>>16317198
If you do an internship in Italy chances are you'll get your name on a few papers if you help translate or spellcheck
Anonymous at Sun, 11 Aug 2024 16:31:58 UTC No. 16320139
Working in a nursing home here in Italy and honestly pretty comfy doctor job. Not sure if I even want to specialise at this point.
Anonymous at Sun, 11 Aug 2024 17:27:28 UTC No. 16320255
>>16317043
Update: The tingling is entirely gone.
I suppose it was just a temporary infection like >>16316943 said. Guess it's back to the ol' hand-shake.
Anonymous at Sun, 11 Aug 2024 19:32:04 UTC No. 16320437
I know steroids are bad for you but would just taking one cycle of steroids actually be beneficial in the longterm? Apparently, you're able to grow muscle faster permanently after taking steroids. I guess you can use that benefit to not become immobile as you age.
https://www.bbc.com/news/science-en
https://academic.oup.com/jcem/advan
Anonymous at Sun, 11 Aug 2024 19:34:16 UTC No. 16320442
In order to be a good doctor you only need to be good at memorizing right?
Anonymous at Sun, 11 Aug 2024 19:45:28 UTC No. 16320464
>>16315850
Venom doesnt look that bad. Def never being spec ops again but no mostly fine
Anonymous at Sun, 11 Aug 2024 23:28:10 UTC No. 16320665
>>16306507
Stop playing with your penis
Anonymous at Sun, 11 Aug 2024 23:30:05 UTC No. 16320667
>>16309124
Try being an FNP and smart.
Anonymous at Sun, 11 Aug 2024 23:51:05 UTC No. 16320675
>>16306507
Penile cancer
It’s so over
Anonymous at Mon, 12 Aug 2024 03:00:24 UTC No. 16320871
>>16305398
What the fuck did you just fucking cry about me, you little bitch? I’ll have you know I graduated top of my class in obstetrics, and I’ve been involved in numerous high profile births, and I have over 9000 confirmed early clamps. I am trained in induced labor and I’m the top vaccinator in the entire US. You are nothing to me but just another piece of meat for the pipeline. I will rip you the fuck out of your mother with precision the likes of which has never been seen before on this Earth, mark my fucking words. You think you can get away with trying to incarnate into a functional body? Think again, fucker. As we speak I am contacting my secret network of Ob/Gyns across the USA and your soul memory and genetic vulnerabilities are being traced right now so you better prepare for the vitamin K, mercury, and aluminum, immunological storm. The storm that wipes out the pathetic little thing you call your neurodevelopment. You’re fucking epsilon'd, kid. I can be anywhere, anytime, and I can clamp, vaccinate, and circumcise you in over six hundred threescore and six ways, and that’s without even having my morning coffee. Not only am I extensively trained in infant behavior modification, but I have access to the entire arsenal of the global medical-industrial complex and I will use it to its full extent to wipe your brain activity off the face of the astral plane, you plantation animal. If only you could have known what unholy retribution your little “clever” attempt to incarnate was about to bring down upon you, maybe you would have miscarried. But you couldn’t, you didn’t, and now you’re paying the price, you goddamn idiot. I will scrub off your vernix and drip erithromycin all over your eyes and you will drown in it. You’re fucking CLAMPED, kiddo.
Anonymous at Mon, 12 Aug 2024 03:12:41 UTC No. 16320874
>>16320442
The main skill is negotiating with a stubborn or ignorant person to make him take his medication or to stop doing something stupid.
Anonymous at Mon, 12 Aug 2024 03:16:41 UTC No. 16320877
Should I quit my stupid PhD and become a traveling radiology tech who makes $150-200k per year? I'd be lucky to ever make that much as a scientist or even engineer.
Anonymous at Mon, 12 Aug 2024 03:20:32 UTC No. 16320879
>>16320874
Are you talking about the clamp golem doctor or the clamp golem patient?
Anonymous at Mon, 12 Aug 2024 03:25:33 UTC No. 16320881
>>16315850
>>16308747
I got mocked over my looks again, tell me more about the skullface plan
Anonymous at Mon, 12 Aug 2024 05:37:12 UTC No. 16320956
Would it be autistic to thank my GP after an appointment?
I mean say something like 'you're the best doctor I've ever had'
Anonymous at Mon, 12 Aug 2024 06:04:55 UTC No. 16320985
>>16320956
You should tell him he is unclamped amidst a sea of the clamp. He stands nearly alone against the omniclamp.
Anonymous at Mon, 12 Aug 2024 06:23:32 UTC No. 16320997
>>16320956
No? Bee yourself anon.
Anonymous at Mon, 12 Aug 2024 06:26:53 UTC No. 16321000
>>16320437
>I know steroids are bad for you, but are steroids good for you?
Anonymous at Mon, 12 Aug 2024 06:44:58 UTC No. 16321009
>>16320956
It is autistic to ask this question. Yes, it's socially acceptable. You will boost his mood, but may also not feel deserving of it (if he's autistic).
Anonymous at Mon, 12 Aug 2024 11:28:46 UTC No. 16321184
If you're a Canadian doctor or even better IMG please read this.
I'm PGY1 in Australia and planning to match in Canada in a few years. Moving to Canada is very important to me but so is working a speciality I enjoy. From my own research it seems like the most important factors are results from the written & OSCE exam. Still I want to maximise the odds of me getting a match.
Any advice on what helps with getting a match for IMGs?
Also for anyone who knows, do physician specialities all go down the pathway of internal medicine before branching off later, or do people match with a particular physician speciality (eg infectious disease, geriatrics, nephrology etc...) from day 1?
Anonymous at Mon, 12 Aug 2024 13:46:44 UTC No. 16321339
>>16321000
Okay, do any anti-aging medications exist out there to supplement an exercise routine?
Anonymous at Mon, 12 Aug 2024 15:52:49 UTC No. 16321512
>>16309148
Both. Anki is an ugly, inhuman, miserable program that is extremely good at organizing your time. It's real. Use it.
Here's my old deck. use it with the kaplan review guides (get em from library genesis) https://archive.org/details/onsmcat
Good luck
Anonymous at Tue, 13 Aug 2024 02:48:05 UTC No. 16322791
>>16308023
Hang out with the older non-trads, we don't bite. Also most of those cliques will fall apart once the shit hits the fan during clinicals, you'll make friends with the people you're going through that shit with for sure.
Anonymous at Tue, 13 Aug 2024 03:39:15 UTC No. 16322847
I went to the urologist today. After 8 doses of fosfomicyn every 5 days, the shit in my prostate still remains and now it's resistant to cephalosporins, which I'm now allergic to.
The urologist told me to take Amikacin 1g/d IM for 5 days. Last time I felt slight suprapubic pain was 2 weeks ago.
Is this worth it to become deaf for? I think not. It's fucking over for me anyways. What do you guys think? Your word is worth as much as his at this point. Should I take it? Should I rather stop treating it until sooner or later I get a genuine reason to use the amikacin?
Anonymous at Tue, 13 Aug 2024 03:47:59 UTC No. 16322852
>>16322847
Turpentine and boron.
Anonymous at Tue, 13 Aug 2024 04:03:37 UTC No. 16322857
can i get a sanity check on this? i'm 24 and maybe a few months ago i felt like my eyes looked exotropic when i looked in the mirror. i had an eye doctors appt for contacts and i mentioned it to the doctor and he said he didn't think i had strabismus, and that it's that your eyes move when you look from eye to eye, etc.
i've been really paranoid about it since. i was taking pictures like a week ago and i felt like my eyes looked weird. i asked some friends and they all said they've never noticed anything.
no one has ever said anything about it to me. if i look dead straight, my eyes are fine. but if i look out of the side of my eyes, they look exotropic, to me. and it's symmetrical. both eyes do it. and it's even worse if i lift my chin up.
like, look at this picture. this is about as bad as i can make it. i'm planning to make an appointment to i guess.. get my eyes measured or something.
i don't have any double vision as far as i can tell. but i don't know if i'm imagining this or not.
Anonymous at Tue, 13 Aug 2024 05:00:54 UTC No. 16322882
>>16322857
>no double vision
>eyes look fine in image
>neurotic writing style
yep, it's psych patient time
Anonymous at Tue, 13 Aug 2024 05:05:00 UTC No. 16322884
>>16322882
Kill yourself immediately.
Do not pass go.
Do not collect meds.
Straight to kys
Anonymous at Tue, 13 Aug 2024 14:35:28 UTC No. 16323429
Do I really have Wilson's disease like my neurologist suggested in 2019?
when I was 16 i began to lose my memory and freaked out and attempted suicide repeatedly because I was convinced I had brain cancer and was subsequently accused of hypochondria for my belief that I was suffering from brain damage,
several years later as my cognition continued to decline I developed the neurological disease POTS which was diagnosed by multiple neurologists at UCLA, the specialist who works with dysautonomia patients told me that I had wilsons disease and needed to complete full genome sequencing which cost 10,000$ through UCLA.
my parents refused so I waited and bought nebula full genome sequencing
on the nebula website 2 pathogenic mutations were found in my DNA one which is known to cause colon cancer incidence and one mutation on the wilsons disease gene.
it is a heterozygous mutation which is said to have uncertain pathogenicity
is it possible this heterozygous mutation, which is suspected of causing Wilson disease, explains my brain damage and POTS, as my neurologist said?
Anonymous at Tue, 13 Aug 2024 15:23:58 UTC No. 16323475
>>16323429
Are KF rings not an obvious indicator? You either have it severely enough to cause neurological symptoms, or if it's a single gene with no clinical symptoms then I doubt mixed dominant Wilson's could cause severe symptoms like you describe. I'm a /stem/fag though so disregard this, I suck cocks.
Anonymous at Tue, 13 Aug 2024 16:47:38 UTC No. 16323616
>>16322847
Help me out. I now realize that fosfomicyn regime he pulled out of his own ass. Fosfomicyn regimes used for prostatitis are daily for 1 week, every 2 days for 6 weeks. The stupid laboratory didn't put fosfomicyn or macrolides in the antibiogram.
I guess the amikacin sensible strains will go nowhere, so should I use the high frequency fosfomicyn regime before nuking my ears and starting my new life with tinnitus?
Goddammit. What the fuck, why does nobody know how to treat prostate? Why the fuck are there no new or safer antibiotics? We're using shit from 50 years ago.
Anonymous at Tue, 13 Aug 2024 17:40:25 UTC No. 16323685
>>16323616
Anon we already told you that fosfomycin was a very strange choice considering their resistance chart didn't even check its resistance.
There's no point using newer shit because doctors are supposed to be trained in responsible use, alas Mexicans are creating fucking superbugs behind our back. How the hell do you turn simple UTI into nearly pan-resistant EColi
Anonymous at Tue, 13 Aug 2024 18:35:02 UTC No. 16323817
>>16323685
It was sensible to fosfomicyn <=16MIC last culture.
I'll fucking die if it's not sensible anymore. I'll try getting a new culture. Fuck it I'm actually scared of this shit. This experience with that urologist reinforces the idea that surgeons are nothing but assholes.
Anonymous at Tue, 13 Aug 2024 18:44:58 UTC No. 16323828
>>16323817
Also
>Third world shithole where everyone eats shit and takes amoxicillin, trimethoprim and cipro for runny nose
>surprise surprise, they're all useless
>silent infection that clings to the most god forsaken place in the body
>nitrofurantoin doesn't reach it.
>Try ceftriaxone
>I'm allergic to it
>One fucking dose is enough to turn it ESBL
>Surgeon hasn't read a single paper in 20 years
>Scolds me for using ceftriaxone
>fucks up fosfomicyn treatment
Am I hated by god?
Anonymous at Tue, 13 Aug 2024 20:03:35 UTC No. 16323949
>>16323828
No, you're simply dealing with the maim and dreain allopathic medical industrial complex. That are inherently good for nothing, incompetent barbaric and backwards to the core, and actively harmful. Stop dealing with them, you'll have better health. Keep going to them, expect to be maimed more and more.
It's what they are. The sooner their particular breed of mind virus is wiped off the face of the Earth, the better.
Anonymous at Tue, 13 Aug 2024 20:26:08 UTC No. 16323995
>>16323828
Living in thirdieland is a curse, but never fear. This time, just ask him for something cheap and double check his prescribed regimen online.
>>16323949
>pseud enters the thread
>starts seething at real doctors out of nowhere
Keeping eating your sugar pills and doing your massages and head crack, bud.
Anonymous at Tue, 13 Aug 2024 20:47:37 UTC No. 16324030
>>16323995
>prescribed 15mg/kg QD x5
>checked amikacin regimens for prostatitis
>only intraprostatic injection single dose shows up
>chance of hearing loss/tinnitus 10%
>no specific durations for prostatitis so it may fail anyway.
>if treatment fails, will officially become a superbug carrier
Anonymous at Tue, 13 Aug 2024 21:10:11 UTC No. 16324058
>>16324030
Best of luck anon. Let's hope for all of our sakes that your doctor isn't pulling these regimens from thin air
Anonymous at Tue, 13 Aug 2024 22:18:24 UTC No. 16324143
>>16324058
If I develop a superbug, I'll start a whore trip through europe or something. Gotta do something for God's good earth and treat the parasite killing it.
Anonymous at Tue, 13 Aug 2024 22:46:10 UTC No. 16324190
>>16320871
>newborn ends with polycythemia and necrotizing enterocolitis
not my problem
Anonymous at Tue, 13 Aug 2024 23:05:08 UTC No. 16324214
>>16323616
>Why the fuck are there no new or safer antibiotics? We're using shit from 50 years ago
Because dumb shit skins use copious amounts of frontliners for colds (dumb whitoids do as well but don't get as many sick in the first place/won't shell out to visit the doctor). The chinks then dump our reserve line antibiotics into their pigfeed. Making an entire new class of antibiotics is ridiculously expensive, especially when profit margins are razor thin because it's
>For poor markets
>For a tiny reserve medicine sales space
>No real regulatory carrot on the stick(genetic disorders can get orphan drug classification, can't really use the " no existing treatment for lethal disease" excuse to speed run clinical trials when the problem originates from us having a working treatment and fucking it up)
>Instead of standard me-toos, you have to come up with an entirely new bacterial pathway to inhibit, which must be essential enough to the microbe to stop/kill it without it adapting to salvage pathways, specific enough to the bacteria that it won't really fuck up the patient.
>Even if you get your treatment approved 15 years down the line, sales are probably going to be rubbish enough, as you can't perform as much price rape for small molecules (like most antibiotics) as you can for biosimilars
I don't think there's a single blockbuster antibiotic, the record setter are statins and GLP-1 agonists for treating fat fucks, and SSRIs and Antipsychotics for treating sad/mad fucks (making them fat as a side effect)
Anonymous at Tue, 13 Aug 2024 23:09:54 UTC No. 16324222
>>16324214
What the fuck bros, I thought capitalism worked and was getting us towards singularity.
Anonymous at Wed, 14 Aug 2024 00:57:49 UTC No. 16324389
>>16324190
>polycythemia
You're a modern bloodletter, you braindead bag of rocks. Knowing some Greek / Latin word root compoundings doesn't change that.
Take your meds buddy.
Anonymous at Wed, 14 Aug 2024 00:58:50 UTC No. 16324392
>>16323995
Are you fit?
Anonymous at Wed, 14 Aug 2024 01:23:50 UTC No. 16324417
>>16324294
>immunocompromised patient gets another MSM-associated disease and gets a pandemic URI
wow it's fucking nothing
>>16324392
Yes, but I'm not /fit/ (lonely incel who uses the gym as a physical coping method)
Anonymous at Wed, 14 Aug 2024 01:28:47 UTC No. 16324418
>>16324417
>Yes, but I'm not /fit/ (lonely incel who uses the gym as a physical coping method)
Be more specific.
Anonymous at Wed, 14 Aug 2024 01:30:18 UTC No. 16324419
>>16324418
I have SEX with WOMEN.
Anonymous at Wed, 14 Aug 2024 01:40:15 UTC No. 16324426
>>16324419
Deflecting means you don't want to lie. You aren't fit, you're just normal. You are not remarkable in any way. Your lifestyle is subpar or ambiguous, you lack knowledge about nutrition and lifestyle (not to mention environmental toxicity and total body burden), and you know you're just a drug dispenser golem. A petrochemical derivative pez dispenser in human form. A useful idiot. A toy.
Anonymous at Wed, 14 Aug 2024 13:26:37 UTC No. 16324951
>>16323828
Fellow thirdie here. A spine/neurosurgeon surgeon put my mother on meropenem 2g IV daily & rifampicin PO b.i.d for a thoracic discitis he pretended to diagnose with an MRI (well-defined T2 hyperintense, T1 hypointense orb lateral to vertebra, insignificant deformation to disc), and after a 10-day follow-up he claimed she had made excellent progress and took her off the meropenem although the lesion had stayed the same size if not grown. Thirdie doctors are no better than shamans. Thirdie patients deserve them, I figure; no offense. My heart goes out to you anon.
Anonymous at Wed, 14 Aug 2024 13:37:21 UTC No. 16324969
>>16305398
High school science teacher here. After helping many of my students prepare, I also took my country's national admission exam to medicine for shits and giggles. I passed and now I am cautiously considering a career change. I'm 30 and unmarried. While medicine in my country is nearly cost-free, the prospects of having a family, private life and not becoming self-loathing weigh into the equation as well.
I know no one here can choose for me, but so far I haven't met any medical student after their 3rd year who doesn't say "well if I knew, actually, I'd have chosen differently". It's not as gruesome as say, medicine in the US, but the potential of this decision to occupy 10 years of my future time and energy are well worth considering.
Anonymous at Wed, 14 Aug 2024 14:04:46 UTC No. 16325003
>>16324969
>It's not as gruesome as say, medicine in the US, but the potential of this decision to occupy 10 years of my future time and energy are well worth considering.
It's probably not worth it unless medicine specifically is something you really want to do. The grass really isn't greener, the money isn't worth the time for most of your careere and getting in this late doesn't make that calculation any better. If your current careere and lifestyle are dead ends anyways you might as well go for it, but if you've got some shit going for yourself you better hold onto that.
Anonymous at Wed, 14 Aug 2024 14:11:39 UTC No. 16325010
>>16324214
>I don't think there's a single blockbuster antibiotic
They run "super bugs" messaging every once in a while and when ressistance patterns really start getting third-world-tier we'll probably get another schizopanic-newscycle that ends in big cash outs and regulatory easing.
Anonymous at Wed, 14 Aug 2024 14:14:16 UTC No. 16325013
>>16325003
>It's probably not worth it unless medicine specifically
Is it ever? It's been my impression that generally, medical students are not happy with their decision.
Anonymous at Wed, 14 Aug 2024 14:25:35 UTC No. 16325023
>>16325013
In the 1000* greater than your greatest, soldier, thinker - at your service.
If I was to leave, I'd make a greater nation - I'd be fitter.
I could defeat many nations by myself.
I FORTED, srsly
Anonymous at Wed, 14 Aug 2024 14:27:58 UTC No. 16325028
>>16325023
What?
Anonymous at Wed, 14 Aug 2024 14:31:53 UTC No. 16325036
>>16325013
Look, the job is about sitting in an office, remember some hyperspecific thing and hoping the person never comes back. Some like the simplicity of it, others like pretending they are collecting pokemon by seeing patients with every different disease, others like to feel superior by performing dangerous procedures and pretending the lucky outcome was their doing and the unlucky outcome someone else's fault.
That's the kind of people who are happy with medicine. Very few actually feel like helping anybody and out of those many feel overwhelmed by the amount of people they can't help.
It's really best not to do it. Nobody respects doctors anymore. They don't usually win money, the work is usually irregular hours and travelling far distances for night shifts. Best to learn business and work in advertising, even though i hate that a lot.
Anonymous at Wed, 14 Aug 2024 15:00:52 UTC No. 16325105
>>16325036
>Best to learn business and work in advertising, even though i hate that a lot.
Easy to understand why. It seems very unproductive, in the literal sense you're not producing anything of value and you just make people want something. I've no saviour complex to entertain about making the world a better place and finding cures to cancer, but medicine generally interests me.
I really like sciences, and kind of shy away from anything further than adjacent to it so it feels like that narrows my options.
Anonymous at Wed, 14 Aug 2024 15:12:45 UTC No. 16325126
>>16320871
OGs know. Kek.
Anonymous at Wed, 14 Aug 2024 17:59:22 UTC No. 16325419
>>16325126
Those were the days.
Anonymous at Wed, 14 Aug 2024 18:02:53 UTC No. 16325426
>>16325013
>medical students are not happy with their decision.
Because most people that get into medicine are fags and women, I went for it expecting it to be shitty, but I'm also pretty sure I would've already killed myself had I become an accountant or something. It's really just something you should do if you can't think of a more sensible career choice for yourself
Anonymous at Wed, 14 Aug 2024 18:29:02 UTC No. 16325491
>>16325426
>It's really just something you should do if you can't think of a more sensible career choice for yourself
That's a bittersweet feeling since I have a stable life now and giving in to the itching would mean no stability for the next 5-10 years. On the other hand, it's hard to imagine myself growing old as a teacher. It's comfy but unchallenging, we are underpaid and there's not much room for career advancement.
Anonymous at Wed, 14 Aug 2024 19:32:16 UTC No. 16325600
>>16325491
>>16325491
NTA but for all it's worth I was convinced by some anon here in /med/ to go to med school at 28 at a second world country. I have just finished my 1st year so so I might be of help. Expect to memorise a lot, workload can get frustrating but as other anon said, medicine has to be the only option for you. Don't expect to get pussy unless you are really handsome and even then...young chicks see a 30 year old as much older, it's just how things are. Also remember it's a long road and money isn't much until you have finished residency, so be ok with living like a student again for the next 10 years. All of that said, your future self 10 years on from now looks back. Is that person happy with the path you chose?
Wish you the best anon, I personally think it's a worthy endeavour, just know the reality of what you're getting into.
Anonymous at Wed, 14 Aug 2024 19:42:31 UTC No. 16325619
>>16325600
>Don't expect to get pussy unless you are really handsome and even then...young chicks see a 30 year old as much older
Lad I teach last grade, I can't parse the rest of your post with the same reflection as on this statement but 18 year olds absolutely drool over men significantly older than them. At any rate, I don't want to shag girls that barely entered adulthood, my mind is on the grades kek.
>I personally think it's a worthy endeavour
Were there moments that made you doubt? If you could do it all over, what would change?
Thank you for your posts anon, God bless
Anonymous at Wed, 14 Aug 2024 19:48:02 UTC No. 16325629
Anonymous at Wed, 14 Aug 2024 20:47:35 UTC No. 16325740
50/50 chance i passed my national optometry test. the patient cases were easy, but the actual skills on unfamiliar equipment and their strict settings (light level low, no adjustment of height of light etc) made it much tougher than need be. if i fail, its solely because of that.
Anonymous at Wed, 14 Aug 2024 20:51:30 UTC No. 16325746
Can someone please help me out with this? When I go to the toilet my stool is normal and everything is fine which results in really easy wiping but after a few days, usually around five I have to expel like double or triple of the normal amount and usually like the last stool would be more slimy(I guess undigested food) and I have to wipe for a significantly longer. What's causing this, constipation or something and how can I fix it?
Anonymous at Wed, 14 Aug 2024 20:53:19 UTC No. 16325750
>>16325740
Fuck you, optometryfag.
Anonymous at Wed, 14 Aug 2024 20:54:34 UTC No. 16325751
>>16309158
Anking
Anonymous at Wed, 14 Aug 2024 20:55:35 UTC No. 16325753
>>16316106
it depends on the specialty
psych and derm are 100% paycheck chasers
Anonymous at Wed, 14 Aug 2024 21:31:54 UTC No. 16325818
>>16325750
ok, where do you want to meet?
Anonymous at Wed, 14 Aug 2024 21:46:08 UTC No. 16325850
>>16309148
Anki got me through school. It doesn't work for everyone, but I can't study well without some sort of card-recall system.
>>16309158
There are some premades for STEP1 and 2 but I think you have to pay for them now because the creator got greedy. AnkiHub is the website, I think.
Anonymous at Wed, 14 Aug 2024 22:33:06 UTC No. 16325944
>>16325753
>100% paycheck chasers
Why is this supposed to be an insult? You wouldn't work for free, faggot.
Anonymous at Wed, 14 Aug 2024 23:29:10 UTC No. 16326059
>>16325944
derm is not work.
Anonymous at Wed, 14 Aug 2024 23:35:21 UTC No. 16326065
>>16326059
Just accept my card faggot.
Anonymous at Wed, 14 Aug 2024 23:43:59 UTC No. 16326080
I have a sus looking dark patch of skin on my back that appeared recently. I'm worried about it being cancer or something so I want to get it checked out. Unfortunately where I live, I can't just see a dermatologist, I need to go to a GP first to get a referral and the referral process takes months (or even years) (I live in Canada). Is it appropriate to ask the GP to do a biopsy to put my mind at ease? Is that something they can do? Is a biopsy basically definitive for finding out whether something is skin cancer, or do derms do some special process to investigate and diagnose that GPs cant do?
Anonymous at Thu, 15 Aug 2024 00:21:08 UTC No. 16326111
>>16325740
You'll pass, optometryfag. I can feel it
Anonymous at Thu, 15 Aug 2024 00:29:52 UTC No. 16326125
>>16326080
>growth speed
>border regularity
>homogeneity
>fixed or mobile
>vascularity
>presence of pain
The GP asks for derm referral or biopsy depending on these characteristics. Go have it checked.
Anonymous at Thu, 15 Aug 2024 00:59:32 UTC No. 16326161
>>16326125
im definitely gonna get it checked out doctor anon, i was just wondering if i can insist my GP do a biopsy over referring me to a derm. like I said, in canada where i live derm referrals often take half a year and beyond. and personally it just seems silly to me to get a derm involved if there is such a huge backlog and shortage of dermatologists. the thing is we have a normal GP shortage too so i have to just go to a random walk in clinic to speak to a random GP and if I run into a situation where he says 'ok ill refer you to a derm' but wont do a biopsy if others GPs would. but if no GPs do them, like its a special derm only thing then i guess im at the mercy of waiting to see one.
i had a really bad experience with the last derm I saw (6 month wait, saw me for a 15 min appt, gave me a $300 cream that didnt do anything at all, said i had to use it for 3 months and it did nothing, then finally did a biopsy after me repeatedly asking -- concluded it wasnt cancer but it wasnt something they treated either and that was that. 9 months of BS and lots of health anxiety that was resolved with a 10 minute procedure and a 2 week wait for results. so yeah i dont want to go through that again.
Anonymous at Thu, 15 Aug 2024 01:15:31 UTC No. 16326176
>>16326111
thanks, brother. i dont want to have to fly back to north carolina.
Anonymous at Thu, 15 Aug 2024 01:48:37 UTC No. 16326213
>>16326161
>All this neurotic shit
Sigh. If you want a biopsy done, get a doctor friend and have him sign it for you.
How do you expect the doctor not to make you buy some $300 shit if you keep pressuring him for it? I'll be honest with you. Get a psychiatrist, go to therapy. All your problems will be fixed that way.
Anonymous at Thu, 15 Aug 2024 01:53:01 UTC No. 16326218
>>16326166
>public health
Not medicine.
Anonymous at Thu, 15 Aug 2024 04:18:30 UTC No. 16326306
>>16326213
its neurotic to not want to wait months to see a specialist?
Anonymous at Thu, 15 Aug 2024 06:01:09 UTC No. 16326389
>>16315703
>>16315813
nurses only gush over chad doctors, as in they could be unemployed and the nurses would still gush over them
ideally you'll want nursing students as a medical student but surprise surprise if you are an incel chud then they still won't like you, [spoiler]and neither will your patients[/spoiler]
Anonymous at Thu, 15 Aug 2024 06:33:06 UTC No. 16326465
>>16326306
>They did a biopsy after me repeatedly asking
>was nothing
>9 months of health anxiety until they punched a hole in my skin (which was not needed)
>now I have a new dark patch, im worried again
>I want to have it punched again
Yes, it's neurotic to pester the doctor until giving you what you're asking. You're a problem patient. Everyone who has to handle someone like that has a bad day, it's a whole hour of negotiation about a system nobody is capable to change, and the only way to get rid of you is to give you something that doesn't work or yield to your demands until upper manager comes and punishes the worker for misusing resources.
It's not normal to think every spot in your body is potential cancer, much less normal to want to get scarred for piece of mind. You really need to solve those issues with a psychiatrist and a therapist.
Anonymous at Thu, 15 Aug 2024 06:38:38 UTC No. 16326477
>>16326465
Wasn't the dark spot on his back new and not the spot that was biopsied?
>>16326306
Is it textured? Irregularly shaped? Could it be from recent sun exposure? A recent wart?
Anonymous at Thu, 15 Aug 2024 07:23:53 UTC No. 16326531
>>16326465
>with a psychiatrist
Anyone who would deliberately go to these quacks IS insane. ALMOST as insane as the psychiatrist themselves!
Anonymous at Thu, 15 Aug 2024 08:14:46 UTC No. 16326591
Any doctors here want to make a friend, getting very lonely in a foreign country and am starting to realise I don't like most of the people around me for either being too dumb or too big an ego.
Anonymous at Thu, 15 Aug 2024 08:48:13 UTC No. 16326630
>>16326591
>being too dumb or too big an ego
doctors are both lel
Anonymous at Thu, 15 Aug 2024 11:21:19 UTC No. 16326749
>>16321184
I'm not Canadian but they do it basically the same as us burgers in that a lot of specialties you listed start with IM and then branch off after Fellowship.
Nephro, Cardiology, I.D ( can also be done through Pathology ) etc. Others have their own specialty seperate from IM. you'd have to look it up.
Anonymous at Thu, 15 Aug 2024 14:05:52 UTC No. 16326983
>>16326306
other anon here, you really are a boring dumbfuck, there is nothing special about you or your shitty skin
stop pestering people, you are not having le cancer, I am sure in your head there you glamorize people having a pitty party because of you having cancer
Anonymous at Fri, 16 Aug 2024 00:08:03 UTC No. 16328233
I never learned to manage ventilated patients.
Anonymous at Fri, 16 Aug 2024 00:39:26 UTC No. 16328266
>>16328233
That's okay, sweetie. Your role in primary care is very valuable.
Anonymous at Fri, 16 Aug 2024 05:43:56 UTC No. 16328587
>>16328233
don't worry, most of them die anyway on the hands of professional ventilators
like in the pandemic when the STUNNING AND BRAVE doctors ventilating people for a common cold basically killed them
Anonymous at Fri, 16 Aug 2024 05:59:31 UTC No. 16328600
>>16328587
Don't talk about that shit. All could have been prevented if the jewery of airlines wouldn't have meddled. Family of mine died from that shit in a bullshit tale worthy of greek tragedy.
Anonymous at Fri, 16 Aug 2024 06:12:46 UTC No. 16328610
Have you guys read A Young Doctor's Notebook by Bulgakov?
I'm confused because it seems that a lot of his cases are hopeless and then he decides to do some surgery and wow they're saved
Anonymous at Fri, 16 Aug 2024 06:17:38 UTC No. 16328611
>>16328610
You ever read Black Jack? He's this miracle surgeon, never fails. He asks a big sum of money to operate a crook, a subplot is resolved, and when it's time to do surgery the chapter ends.
It's all bullshit, surgery always ends up wrong unless it's simple stitching shit. Also these stories never deal with the real challenge of surgery which is having the patient not die from sepsis (the challenge of the field of surgery, not of surgeons).
Anonymous at Fri, 16 Aug 2024 06:22:04 UTC No. 16328613
>>16328611
Yeah I know that medical fiction is bullshit but Bulgakov was a medical doctor and published his novel in a medical journey bizarrely
I guess it could just be his own fantasies
>girl arrives at hospital with her body cut up and a leg mangled
>body has practically no blood and barely any heart beat
>he thinks she's going to die but injects her with camphor and then amputates the mangled leg
>somehow she survives despite him thinking she'll die
Anonymous at Fri, 16 Aug 2024 07:39:59 UTC No. 16328670
>>16328613
Tezuka was a medical doctor as well. Creative people just like bullshit. Meanwhile what you gossip with fellow doctors is how X fucked up the patient, how Patient Y developed an untreatable complication, which new pokedisease you got to add to your pokedex this afternoon, etc. They make the tragedy mundane, while they set themselves as the heroes of the story in their minds.
Anonymous at Fri, 16 Aug 2024 08:18:20 UTC No. 16328700
>>16328613
I read most of A Young Doctor's Notebook.
It is difficult to suspend your disbelief.
One scene I'll always remember is when the nursoids were discussing how pregnant women were shoving sugar pv as a form of induction lel
Anonymous at Fri, 16 Aug 2024 11:34:43 UTC No. 16328830
>>16305398
what the fuck is clamping
and why is vitamin k a meme
Anonymous at Fri, 16 Aug 2024 13:43:37 UTC No. 16328956
why don't you people reply
i paged you
Anonymous at Fri, 16 Aug 2024 13:55:41 UTC No. 16328970
Can I fake a flu shot? I need one for my hospital and I don’t want to get it. Is this stuff seriously cross checked or can I try to forge a note that I got one ?
Anonymous at Fri, 16 Aug 2024 14:29:19 UTC No. 16329009
>>16328611
Haven't read Bulgakov but had to drop Blackjack when the first 2 stories I saw skipping through stuff was where he did discount face off on a nepobaby and the one in Africa where everything turns into Warwick Davis and shrinks to death. Sorry but I need med fiction to at least have some realistic theory behind it, even if it bends the truth . On an aside, Bulgakov wrote Master and Margarita, and was also a doctor? Stalin really loved that guy.
Anonymous at Fri, 16 Aug 2024 16:08:17 UTC No. 16329188
>>16329009
>wanted to show a certain chapter
>whole fucking library is gone because some faggot scanlator decided the english publisher deserves to get money decades after the guy's death
Fuck copyright. Fuck paypigs. Fuck them all.