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obstetrics edition
prev: >>16451314
>>
Used bolt cutters to cut apart a cadavers scapula today to expose the muscles underneath. That was fun.
>>
long day of nearly no patients. it's nice, but also sucks.
>>
>>16474196
Is it possible for a bacterium that typically causes acute fever and vomiting and then passes like yersinia to become endemic to the intestine and ultimately exist in some kind of balance with typical gut flora producing symptoms proportional to it's total colonization of the GI tract ?
>>
Give me more reasons why I shouldn't do emergency
>shitty lifestyle, shift work with night shifts
>no continuity of care
>shit pay (though this apparently isn't always true, been getting conflicting information)
>dealing with drunk retards
I'm fine with these
>>
>>16474511
>all other specialties think you're a retard
>not that much room for problem solving/highly algorithmic based/refer when anything gets too complicated
>psych patients
>>
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>>16474196
i thought platelet count was 10,000-to the power of 14
or maybe its 19 now that i doubt it. but no its -14
maybe its red blood cells (14m) but im pretty sure its platelets
>>
100,000 *
common haemotology values (non-pregnant) is to the power of 9: 150-400 x 10(to the power of 9)/L
>>
>>16474578
litre versus micro litre
>>
>>16474370
I think this is a very silly question.
>>
>>16474582
i thought that you said "virus" here, and in the context it would be the decrease white blood cells when there is a bacterial infection, and increase in lymphocytes in viral infection
>>16474196
ohh
>TENNESSEE
so is this some kind of abortion thing of classifications for what level of danger either are in??
>>
>>16474370
maybe this is a silly question because its actually two questions and the second half might not have anything to do with the first, and/or is a different mechanism
you can make e. coli do basically anything and thats the most known bacteria i mean thats why i knew it
>>
Has there ever been any research on the effects of artificially increasing a woman's testosterone levels while she's pregnant? I know it might even cause termination but I still wonder if it's ever been actually done. And supposing the child survives would it just result in exaggerated masculine qualities or a husk from a destroyed hormone balance?
>>
Are there cliques at your guys' schools? There are at my school but I'm not included :(
>>
what is TSH
>>
i mean the other one to FSH
and the placenta secretes estrogen
>>
i havent eaten all day and had 250mL of energy drinks a few minutes before a walk, and then eating (with my body in keto) some bread, makes it taste like jam (fruity) !!
its nice too, that the bread all bundles up in my mouth like a ball if i chew on it all properly

even though it is just the body in keto for me i know - why does the diabetics breath smell fruity (in hyperglycaemia or in that without diabetes)? what IS the fruity smell (is it insulin?)
>>
>>16474536
99% of specialists are useless outside of the 3 patient types they treat. Congratulations, specialists have some of the easiest jobs on the planet. Hyper-specialization is a meme job and it's shameful.
>>
>>16474745
Aromatase hypothesis

Captcha TAR HPV
>>
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>>16474770
Become a physicist instead
>>
>>16474919
>omfg my patient has a neurological symptom wtffff ct scan is normal wtffff do I dooooo
>>
>>16474511
it's grunt work
also there's no reason it should be its own specialty desu
>>
>>16475220
>ct scan is normal wtffff do I dooooo
Try an MRI scan
>>
My nipples sometimes ache. I am male, 42. I tried to press them and felt a tiny lump (in both of them) that aches as fuck. Should I be concerned about cancer?
>>
>>16475220
>be any other specialist
>on a plane
>someone loses consciousness
>"OMG IS THERE A DOCTOR ON BOARD"
>spaghetti spills out of pockets, too specialized to resuscitate, not my field
>stay quiet
>emergency saves the day
>>
>>16475467
I had a lady have a heat-stroke related seizure on a spirit airlines flight because the fucking airplane AC was doing jackshit
And this nerdy ahh neurologist stands up to "localize the lesion"
By the time he actually gets there the ictal period is over and the lady is just sitting there blinking at him in post ictal brain fog
So he just asks her if she has water to drink and sits back down until EMS escorts her off

What a joke man
>>
>>16475467
>being a physician prevents you from doing BLS
>>16475501
What else was he supposed to do?
>>
>>16475501
god damn. did she have nice tits?
>>
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Just finished my last exam of medical school.
>>
>>16475568
congrats.
>>
>hot new nurse fresh out of school
How to approach this as a med student on rotations? Don't want to fuck with my grade in the slightest, is it worth trying to hit on her? How do you even do that in a hospital context
>>
>>16474770
we have a mormon clique
as a white catholic that's also single, i feel left out

we also have a clique of people who did the pay2win masters program, and a clique of EDM asians that all snort coke
>>
>>16475566
>What else was he supposed to do?

file paperwork to the DMV if he lives in a "physicians must report" state, lol
>>
>>16475633
>we have a mormon clique
There's one at my school too.
>pay2win masters program
Explain more. Are the SMP students more prepared for school?
>clique of EDM asians that all snort coke
LOL
>>
>>16475566
>>being a physician prevents you from doing BLS
In theory no, in practice the average specialist will either be capable of half-assed BLS or none at all. If you got into a car accident and suffered from femoral arterial bleeding, blood is spraying out of your leg as if someone was squeezing a water bottle, would you trust a nearby random psychiatrist to stop it, or would you rather have the nearby emergency grunt/retard/whatever give it a go?
>>
>>16475467
I recognize this.
>"Halp halp, is there a doctor on the plane"
>"Hi mr Patient, I'm anonymous, a radiologist, I hope you've got a life insurance"
>>
come on guys you all know CPR and would do it as if it is 2nd nature if you did it
>>
cries
>>
>>16475864
you have no equipment???
the best someone could do is fashion a tourniquet from a belt or something (assuming femoral artery hasn't gone bye-bye into pelvis - you're fucked then even if you're EM)
a psychiatrist could easily do that
the rest is just bls and waiting for help
it's not as complicated as you're making it out lol
>>
>>16475637
>Are the SMP students more prepared for school?

yep. it basically puts you on auto-pilot mode for 1st year, and our admin is absolutely obsessed with class rank so if your GPA is high you look better to the admin.

however, we also have had a few cocky SMP students drop out. but the majority of them are at or near top of the class.

our SMP is generous, they take a good chunk of the students into our DO program. they also have a 500 mcat requirement but have secretly accepted students with like a 498
>>
>>16476648
>yep. it basically puts you on auto-pilot mode for 1st year,
Does your school reuse exams? I would have forgotten shit.
>>
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>Your new boss
read it and weep MDcels, 4 years of undergrad + 4 years of med + 4 or more years residency is fucking nothing compared to Mr. Cantankerous. Drink up your seed oil while you still can
>>
>>16476837
they re-use practice questions from powerpoints. im not sure about old exams. its identical content though

we aren't allowed to review exams but we do get a question/learning objective breakdown.
>>
>>16476969
but im an ODcel
>>
>the bitch optometrist is still in this general
>>
>>16474770
all of the cliques at mine are solidly down the racial lines. The indians only speak to each other, the asains stick to themselves, the white bitches clump together. For all the diversity and inclusion essays I had to write to get admitted, it is ironically more de facto segregated here than undergrad was
>>
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peds surg be like
>>
>>16474196
>obstetrics
Why don't they make an if/else function to automatically notify the doctor?
>>
>>16474578
>Whygena jpg
It's odd, does med school have that many people who idealize simplified versions of reality? Are there a lot of those "Hello Kitty girls?" I should have known when I took orgo lol
>>
>>16474874
>fruity smell source?
acetone I think, as the cells fail to utilize sugars and produce ketone bodies for fuel

I recommend beef jerky for keto
>>
>>16475350
>nipples ache
>in both of them
odds of lumps in both are unlikely if it were breast cancer, check your hormones.

Hormone problems could however be indicative of cancer somewhere else, perhaps the brain? IDK
>>
>>16475568
How would you recommend Eastern European medical schools for a US citizen at a T40 uni?
>>
>>16474370
Isn't this similar to SIBO?
>>
>>16477368
why do you think I'm from Eastern Europe?
>>
>>16477131
hello :)
>>
>>16477365
Thank you for response. (Confession: recently I got a bit fat and apparently fat cells secrete estrogen.)
>>
>>16477678
probs just gyno
lose some weight and they'll go away
>>
>>16477368
Would not recommend, the school treats english language students solely as money source (they pay more in most countries, in my country they are the only students who pay at all) and doesn't give a shit about actually educating them, you are not learning anything here if you study in English and probably getting kicked out after several years (no refunds). Also there's a lot of pajeets, and retarded brown people from Germany and Austria who are to dumb to be accepted in schools there.
>>
guys I just inhaled a load of paint fumes and now Im coughing up a lot of mucus what to do
>>
>>16476108
>the best someone could do is fashion a tourniquet from a belt or something
See this is the exact point I'm making. Belts are notoriously crap for making TQs, they will almost surely not help at all and are even likely to make shit worse, especially in case of bleeding as severe as that from a femoral artery, it doesn't really get much worse than that.

Most belts are too narrow to effectively stop the blood flow, they will just bite deep into tissue. Even if the belt is wid enough (at least 5 cm/2" wide) you also need to construct a windlass for it to be tight enough and leather is too hard and bulky for that to work. You MAY have a chance if it's a tacticool nylon belt and it's not too thick, but typically t-shirts are the garment of choice for making improv TQs out of. And it actualy takes skill and a lot of practice to make them effective, while also making and applying asap under stress.
>a psychiatrist could easily do that
Yeah, I can see that. They would attempt their shitty belt TQ, manage to block only the venous return (now blood can only exit through the wound) and speed the blood loss even more. Great job.
>it's not as complicated as you're making it out lol
the ironing
>>
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>rads applicant
>sent out some IM prelim apps in addition to a bunch of TYs just in case
>now have to actually do IM prelim interviews
fug. I'm going to have to start putting booze instead of coffee in my thermos if I'm going to have to sit through another five hours of a program talking about how they're totally not a carbon copy of every other prelim/TY in the country.
>>
>>16475467
>emergency fumbles because no right tool for right job
>rural FM enters the scene
>*kicks you while wearing a tweed suit and pocket watch*
> move aside...townie.
>uses buck knife to decompress pneumonia
>drinks piss and diagnoses diabetes
>spits piss on emerg
>HAHA I bet you're used to that one, eh Mr House?
>sits back down and smokes comically large tobacco pipe
>nobody says anything out of respect
Yeah... The true speciality is rural FM.
>>
>>16475566
If I ever see a doc using an AED on automatic mode I'll send him back to elementary school
>>
>>16475622
Don't. Fuck. The. Wildlife (nursoids).
>>
>>16475633
Just hang out at a TLM church, anon.
>>
>>16477940
>decompress pneumonia
?????
>>16477944
Why not? She's not bogged like the older ones, fresh out of college and her scrubs hug her ass well
>>
>>16477940
>The true speciality is rural FM.

only reddit says this crap
and the argument is moot because midlevels have the same autonomy in the rural areas
>>
>>16478079
>midlevels have autonomy
Lmao lol
>>
Can trannies be explained as widespread autogynephilia or what is the cause?
>>
>>16477940
Emergency was originally meant to be a subspec of family. I guess it makes sense.
>>
>>16478430
Could comments like this be explained as widespread TDS or what is the cause? Moreover, why are people cis? Is it because they sublimated a bizarre homoerotic fetish?
>>
>>16478430
at the start it was originally pushed by fetishists who intended to live out their AGP without judgment, but at this point it's been massively overcrowded with easily impressionable adolescents who need a sense of counter-culture community. Add on politically-encouraged identity politics and you have the tranny soup we see today.
>>
>>16478436
>Moreover, why are people cis?
Because at the end of the day, in the real world, sex = gender.
>>16478438
Good kids are dying because of this shit. And dying not before making fools of themselves. I man I love now thinks he's a woman and it's driving me insane. But besides that I am really itching to understand why to attack the root of the problem
>>
>>16478436
reddit moment
>>
>>16477768
I am embarrassed by my ignorance.
Godspeed EM anon.
>>
>>16474511
They’re secretaries.
>>
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>>16477940
Holy based.. i kneel... us city slickers could never even stand a chance against
rural CHVDs...
>>
What the shit? I was just making an appointment for some unrelated shot, and they first phrased it that I "need to get a covid and influenza vaxx", but after checking back with the doctors this was haggled down just to "strong recommendation".
I live in a country where Covid vaxxes weren't pushed very hard (Switzerland), which makes it very suspicious.
I guess when I get the actual unrelated shot, the probability they will stealthily give me one of these vaxxes is near 0, right? I would say it's logistically highly improbable. But it still makes me paranoid they were asking for that in 2024 for a young man.
>>
>>16480117
It's so strange seeing doctors make posts like these.
>>
>>16481561
It's hard to believe but we are people too.
>>
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Does everything look normal in the chest X-ray, or is there any issue that could explain the slight chest pain and breathing problems I’m experiencing?
>>
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Good morning lads.
I'm thinking about becoming certified to do DOT physicals. Anybody have any experience with that? And advice/pitfalls?
>>
>>16481554
>But it still makes me paranoid they were asking for that in 2024 for a young man

why are you such a pussy? scared of a needle?
>muh microchip
they already do that in sweden. it would go in your muscle in your hand. your phone tracks you everywhere you go anyway
>>
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>only a matter of time until an Ai model can pilot this better than you
>>
>>16478430
Television and attention seeking.
>>
>>16482248
I'll play devil's advocate. Why are you scared of a benign disease that has been historically used as a mild stressor in research? I'd personally rather chad my way through diseases rather than get poked by diversity-hire developed medicines.
>>
>>16482340
yeah I don't know why surgeons use it
literally giving the company their hard-earned skill as data
>>
>>16482050
There is a white dwarf star trapped behind your clavicle anon ï¼¼(^_^)/
>>
which type of hep b vaccine is best in your opinion? which one did you get? which has least complications?
>>
>>16482340
As usual, surgeon gets cucked. I'll worry the day a machine can intubate and place cvcs.
>>
>>16482900
no machine will replace ANY doctor during our life time
>>
God I fucking hate my school's HR. This new they/them obese HR dyke wrote me up for a professionalism warning last week because I addressed her as "ma'am" in an email. I have one more goddamn semester until I'm out of here with my degree and we're still being pushed around by the mentally ill. Istg I did not enter this school as redpilled as I am by now
>>
>>16483413
just think to the future that you'll be making 3x her lifetime net worth per year, and by then she will have either an hero'd because heckin' transphobia or have a heart attack from daily McDonalds seed oil
>>
>>16483413
Tell her she looks like zero rizz in human form.
>>
>>16483413
>did not enter this school as redpilled as I am by now
Just wait until you start questioning vaccine dogma
>>
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>>16483413
>>16485321
https://archive.cdc.gov/www_cdc_gov/healthywater/drinking/history.html
>>
>>16483413
>professionalism warning
Why would you be professional? Studying isn't a profession. You're at school, not at work.
>>
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>>16475350
You should get that checked out if you feel constant aches and little bumps. It could be cancer or it could be some probably benign growths under your nipple tissue.
>>16475501
That's terrifying, yikes. I've heard that apparently introducing ice or cold water through someone's rectum can actually lower their body temperature. Is that real or is that just some insane idea?
>>16475568
Congratulations bro!
>>16477944
don't fuck the nurses, they're all whores by default
>>
>>16482906
what's to stop big pharma from shilling for AI medicine? They already shill NP's
as long as the profits grow and the number of prescriptions grow they could care less if a human signs the order or a machine - outcomes be damned lol
>>
>>16486762
>what's to stop big pharma from shilling for AI medicine?
Liability. When a doctors fucks up and harms/kills the patient, you blame and punish the doctor. Who do you blame and punish when AI fucks up and harms/kills the patient? The developer? They are not going to take that risk. Easier to sell their AI shit to hospitals instead and make doctors using it take the responsibility for any mistakes.
>>
hey doctorbros
i bought some multivitamins and the label says
>consult your doctor before using if you have a history of non-melanoma skin cancer
do you guys know why that's on the label? I googled and saw some articles about a potential link between increased vitamin D and some forms skin cancer, is that why?
>>
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Wanna start watching a medical drama series. Narrowed it down to ER and House. Which is better?
>>
when kids start talking about bluey, gyatt, etc, i feel like an old man with a foot already in the grave.

>>16487512
house
>>
>>16487512
watch Scrubs instead
>>
>watching medical tv shows during your free time
>>
>>16474202
Not planning on going into surgery but did enjoy bisecting the head for the pharynx dissection. Cut through the occipital bone with a jab saw.
>>
>>16477368
If you can't get into a US MD/DO program don't bother with medicine at all. Eastern Europe sounds like an even worse idea than the Caribbean programs.
>>
>>16487385
There were a few studies that demonstrated high serum levels of vitamin D were associated with basal cell carcinoma. In itself I'm not convinced that vitamin D supplementation causes skin cancer--it's more that high serum vitamin D is a proxy for prolonged sun exposure:

>An increased baseline serum 25-OHD level was significantly associated with an increased NMSC risk. This association was positive, though nonsignificant on less UV-exposed body sites, and UV exposure remains a likely confounder.

t. med student not a doctorbro yet
>>
>>16487518
had an interview with a PD recently at a program thats in a big music city

neurology interviews are pretty conversational so we talked about concerts
>last show i went to was the bluey musical with my kids...the residents would know more!
lmao
>>
Doctor, is it serious?
>>
>>16486671
You're cool
>>16487228
Well it's not like corporations nowadays aren't legal tanks.
>>16488249
it rarely is.
>>
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>>16487518
I'm a zoomer and I still don't fully know what is a gyatt, aside from something related to butts.
>>16487385
Maybe the overproduction or overdosing of vitamin D in the body could be unhealthy long run, but if it's a low dose vitamin meant to be taken once per day or per a couple of days I doubt it'll be too detrimental. Make sure to not overdo it, symptoms of vitamin D overdose can be nausea, dehydration, kidney issues and hypercalcemia from what I browsed. I'm not a doctor though. Always be careful with overexposure to ultraviolet rays and excessive tanning, those are more dangerous than vitamin D pills.
>>16488017
I once managed to point out the eustachian tube perfectly at first glance in anatomy class and I felt like Dr. House. I unironically remembered it because I had been having some horrible sneezing fits and my ears felt like they were opening and closing over and over these days lol.
>>16488273
Thank you!
>>16488249
lil bro got some tumors on his feet, praying for him.
>>
I wonder, just how many peds are pedos?
I'd say it's a 50/50 chance between male ones.
>>
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>>16488334
Back when I was on peds rotation I'd regularly drop the spaghettis with them adolescent patients.
>>
I feel like im to old and stupid for med school. I always thought i might have a shot because my uncle got in when he was in his 30s with a criminal record but talking with him its like a different world when he applied.
>>
What repercussions do you guys think Ozempic will have long term in celebrities and people who use it to lose weight quickly?
>>
Why is everyone saying not to fuck the nurses? Do you all have low T?
>>
>>16487518
>>16487706
i went with ER
2 eps in, i like it so far

i was hesitant about house despite the rave revews because in every preview clip or short vid of the show ive seen the guy is insufferable (i know he's meant to be 'cool' insufferable but im not a teenager any more, it's not cool to me he's just an ass), and how he's like the bggest genius in the world and comes up with the answer every time effortlessly is just too unrealistic to me, it's like superhero capeshit in cripple doctor form.

i remember watching a few scrubs eps back in the day, the comedy is too much, and too forced, too 'reddit' zany

and gray's i imagine is too roastie audience -focused, too much romance and sex drama. i anticipate there'll be some of that in ER too but not to the same overwhelming degree.
>>
>>16488666
ER is the best.
The problem with House is that most of the conditions are just ridiculous. The best parts of it are when he is in clinic treating basic shit.
JD is too cringe for me.
gray's is too normie for me.
>>
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>>16488541
Weak men fear the borderline ICU RN baddie. Yeah she'll ruin my life, that's half the appeal.
>>
>>16488814
She'll ride you into a coma and end up looking after you in ICU
>>
I wish doctors were paid less.
There are too many doctors who chose the profession just because of money, they don't care about patients at all, they like to prescribe any patient with unusual/hard-to-diagnose condition a small dose of go-fuck-yourselfin.
Even software engineers tend to have better work ethics than most doctors.
>>
>>16488977
Just pursue a lesser paid spec that money-obsessed docs don't want. Be the change you want to see in the world. Pediatrics have lower pay across the board and you get to fix kids.
>>
>>16488977
shut the fuck up faggot
I get paid less than a teacher and I just graduated med school
>>
>>16488977
By the time I get my first actual legit job I'm already 30 years of age. Then I'll have my lifespan cut short because I'm exposed to secretions, x rays, stress and volatile anesthetics.
I deserve double of what I'm already making. Go fuck yourself if you disagree.
>>
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Any doctor from Germany? With the new Krankenhausreform are residency spots expected to change significantly? Wondering as a future IMG.
>>
>>16489172
>By the time I get my first actual legit job I'm already 30 years of age.
I don't think legit intelligent people get into med for the money, they could use their intelligence to earn a lot more sooner. To go into med for money you gotta be a midwit with a decent memory, and it's these that turn out to be shitty med dispensers.
>>
If my poop smells bad does that mean I'm dying?
>>
when i pee, it smells like popcorn.
>>
>>16488249
It’s not Mr Squatson. Being 5’6 is perfectly normal.
>>
I'm balding. Apparently it's fairly normal while you're getting old BUT WHY THE HELL DID I SIMULTANEOUSLY BEGIN TO GROW HAIR FROM MY EARS?!
>>
>>16488977
I think the profession shouldn't be allowed to dictate the number of doctors they will train, outside of that its fair to let the market decide what doctors earn. We have a huge shortage where I live (Canada) and it takes a toll on your mental and physical well being when you can't get care. But since medicine is a regulated profession (as it should be) they can set targets which I think is wrong. The number of people that can train to become doctors should be based on available capacity in school and residencies and not a shadowy council propping up their wages which seems like its against the hippocratic oath (I will do no harm and injustice).

In fact the regulating bodies should be advocating for more health care professionals to join the field and for building more hospitals etc. I highly doubt there's any downward wage pressure on any kind of doctor in the west because of oversaturation.
>>
I'm writing a novel in which a character is a med school dropout. I prefer the "tip of the iceberg" approach to writing, where there's much more going on than is actually shown or explained, so I want to read some of the books this character would have read, understand some of what he would understand, to add depth. What should I read?

And also, what's a med school dropout like? Have you known any? Is there a "type"? Are they overachievers who bite off more than they can chew, or can you tell right away that their heart isn't in it?
>>
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>>16490517
> regulated profession (as it should be)
>>
>>16490540
all i meant by regulated is you shouldnt be able to practice medicine without a license. doesnt have anything to do with admin bloat. im an eng for example (not a 'real' engineer, just someone with an engineering undergrad), and i strictly believe anyone building some technology or infrastructure that can harm someone must be licensed. like the people that sign off on buildings, bridges. in medicine even people who design imaging machines
https://en.wikipedia.org/wiki/Therac-25
>>
>>16490544
> Therac-25
This is a good example of why licensing is pointless. FDA approved Therac-25.
All the licensing does is creates a bunch of cover-your-ass paperwork. Good for admin bloat, bad for the actual practice.
Transparency and liability are the only things that matter.
>>
>>16490539
I'm in the process of dropping out. I'm dropping out because I simply don't want to work hard anymore. I'm tired bros.
>>
>>16490646
Have you tried stimulants? This isn't a suggestion so much as a genuine question.
>>
>>16490706
>Have you tried stimulants?
What kind of stimulants are you trying to suggest? I drink the standard coffee and that's it. Besides, I'm more mentally drained more than anything. I feel like I've missed out a lot in my life because I've always been working and quite frankly, I just want live a quiet and peaceful life now.
>>
>>16490711
I have heard that medical students go in for ritalin or adderall if they can get it, and wondered if there was some truth to that. These drugs could either alleviate burnout or make it worse (later on).
>>
>>16490752
>I have heard that medical students go in for ritalin or adderall if they can get it, and wondered if there was some truth to that.
I dunno if Adderall abuse is common either but I remember having a lecture about motivational interviewing and the scenario involved counseling a student abusing Adderall. I always suspected that lecture was a dog whistle for us lol.

Besides, does Adderall even work for people without ADHD?
>>
>>16490765
It would certainly work, but you'd be more likely to believe that the wallpaper is watching you at higher doses, or that knots of wood are moving around when you're not looking.
>>
>>16490765
Anon, Adderall is just a bunch of salts of amphetamine. if course it works on people without ADHD.
>>
>>16490375
how.
>>16489307
Nah, becoming a doctor just for the money is simply not that profitable. You have to study like 7-10 years and more if you want to specialize in something just to get paid a decent payrate in a fucked up country. Lawyers, programmers or people in simpler careers make more money quicker than some doctors. If you're like a neurosurgeon or surgeon alright, I can say those might gain a good amount of money. But even then, they had to train for a long amount of time just to get where they are.
I wonder what the main motivation for students nowadays is to enter medicine.
>>16490478
Dwarfmaxxing maybe.
>>16490765
It would absolutely affect you, but now depending on the dose and when you use it and what other things you're taking with it, the reaction could be different.
If you feel you can't concentrate anymore just try to pass off as if you have ADHD or something to get prescribed with adderall or ritalin, it's not the best suggestion ever but med school is hell. You'll need all the energy and concentration you can take just to pass through.
>>
Turns out K of 8 makes your EKG look like silly string, finally got to see it irl
>>16490922
The motivation for students today is the fact that you can essentially be learning until you're 30 and delay the graduation to full adulthood till then since you're still in training
Medicine is still a very apprenticeship-heavy hold-your-hand kind of field compated to anything else
>>
>>16490922
>how
idk. it just does. maybe im diabetic or have butter reserves in my bladder.
>>
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>>16490941
I would get that checked out if you unironically do smell popcorn. I haven't heard of anything similar before, aside from some people smelling sweet urine somehow.
>>16490940
I mean, at least in my country doctors NEVER stop going to classes and have to constantly retake courses to keep their knowledge up to modern standards. I wanted to study medicine but you pretty much have to study all your life, and I don't have enough money to sustain a just-study-until-your-eyelashes-burn-off kind of life.
>>
>>16490949
Cost wise I'm here on merit scholarship friendo, my parents make just enough to not get me any financial aid but not enough to actually pay for anything. It was either this setup where I get paid to attend or get fucked by loans

Me personally, I could have just gone down engineering and started a decent job. But all my internships felt so soulless compared to what I'm doing now
I genuinely enjoy working with patients and talking to people and would gladly study the rest of my life to be able to continue talking with people
>>
>>16490539
normies would insist on reading House of God
Generally, it takes a lot of persistence and work to get into medschool. Usually, the ones who drop out derive that persistence from strict parents or other external input rather than from within. Your most statistically likely dropout is the Indian/Asian who never liked medicine but was forced to do it by parents.
>>
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>>16490959
>It was either this setup where I get paid to attend or get fucked by loans
Damn, guess it was kind of lucky on your side to be able to get classes even when your economy is not the best. I fucking suck at maths so engineering would fuck my ass, but I love medicine because I love biology, I love helping people, and it's fun getting to do something nobody else can do. Wishing you the best of luck in your career man, enjoy it to the fullest. It's got it's highs and lows but helping people in the end makes it all worthwhile, at least for me.
>>
Called around 3-4 places for 'space atoms ' and still am getting turned down. It's been 100 years of space and they're still putting this head down?
>>
>>16490949
i dont have any money or time to get it checked out. let's hope i dont keel over from undiagnosed diabetes or something.
>>
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Things like this happen? Truly, cruelty of demiurge knows no bounds!
>>
30+ people: *thumbs up*
>>
20+ people
>>
i retained from yesterday the following: https://www.nhs.uk/conditions/sudden-infant-death-syndrome-sids/#:~:text=sudden%20unexplained%20death%20in%20childhood
^.^

where that if the child is over 1yr, it is SUDC
>>
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>>16491289
The demiurge is your externalised ego.
>>
0.0 maybe it causes (fagets sign, cause of) relative bradycardia and - especially because of the immune response - fever
in the NHS link i included at >>16491459
it suggests that some may have SIDS because of problems with the managing their heart rate
>>
i mean because of white matter lesions and that is one cause of fagets sign
>>
do some cells look like that or is there soething wrong with the dent? it looks like invaginis - but cells use osmosis! and it is eating its way to the nucleus and nucleoli in that cell even though if you squint your eyes the picture even looks like the BBB with E and C being the housing for it where the ball sits in the joint to protect the brain
>>
nevermind it is a brain cyst maybe
thank you AI. downvote med - minus 1 point fro you and myself
>>
>>16490922
i just found out that dentists in the UK earn £100K/yr
as dentistry consultants
>>
this paper has only 2500 views but has been cited 50 times. a paper which sited it, which is https://app.dimensions.ai/details/publication/pub.1045346951
has been cited 100 times
this other paper: https://app.dimensions.ai/details/publication/pub.1070926214
has a citation ratio of 15 (it says the average or normal is 10-11)
>>
women ruin the camraderie in medicine, everything they do has ruined the romance of the medical profession
>>
>>16491485
I'm dating a female doctor, she's wonderful.
>>
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>>16491201
Are you overweight or do you perhaps go to the bathroom to pee a lot? You could check if you have like, more than 5 symptoms typical of pre-diabetes and ask your boss to allow you to go to the doctor some days. Diabetes can be shit if you don't control it quick enough.
But if your metabolism is doing good and you feel overall okay I doubt you're sick.
>>16491462
My younger brother had seizures as a kid. And now he's mentally disabled. Sometimes I wonder if those affected his brain and left him less functional.
>>16491468
I was just talking with a british friend and he told me dentists are needed with urgency in the UK. I feel like I could never be a dentist, I can handle looking at tumors and cysts and getting people under the knife, but I can't handle teeth. I guess I got a phobia to root canals as a kid.
>>16491485
I don't mind female doctors, I tend to feel confident and calm with them. Who I don't trust is female nurses. They tend to be assholes.
>>
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>>16491609
a paper did that that on infant developed learning difficulties at age 7
>>
>>16490961
I snagged a copy from libgen, but I'm also interested in introductory textbooks. Maybe these would be what you read in "pre-med". In my country we go directly into medical school after passing a poorly disguised IQ test.
>>
>>16491620
I've met other people who had seizures as a kid but I remember my brother had a huge tonic-clonic seizure during one of my birthdays. It fucked me up a bit mentally. I've been interested in neurology and mental health medicine, and general medicine ever since then.
>>
>>16491609
>could never be a dentist
same but for different reasons. i feel i wouldnt have the dexterity to jam my hands in mouth and perform procedures that need finesse is the main one.
>>
>>16491707
Oh, in terms of dexterity and delicacy I feel I could be good at that kind of work. I'd love to study dermatology for example. I just have a fear of the sound of drills, and would feel too bad for the patients, specially if they were kids.
Although going by that logic I should be scared of all medical procedures, hmm.
>>
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Year 1 here
I have 4 exams this week, two of them are spotter exams, and I haven't started studying yet. I need to cover the entirety of pharmacology, immunology, haematology, and microbiology. How over is it for me
>>
Year 4 Optometry student here.
I have 1 national exam in less than 2 weeks and I forget everything I've read and constantly make the same mistakes on study material. How over is it for me?
>>
>>16492056
I just checked and it's even worse than I thought. I also need to learn off chempath and anapath. I'm so fucked
>>
Kino doctor movies?
>>
>>16492102
why did you make such a poor decision to study so late then, retard?
>>
>>16492121
The Fugitive
>>
>>16492121
young frankenstein
>>
>>16492140
I was just enjoying the journey bro. I think I can still make a comeback
>>
>>16492140
No but to seriously answer you question. I never got rid of my bad study habits and brought them with me into med school. I'm a "study the night before and pass" type of guy even though I know I can't do that now
>>
>>16475568
Congrats, now comes the difficult part
>>
>>16482278
So you are saying that more shots lower the risk of complications?
>>
>>16482900
Based anestesiabro
>>
>>16492102
Yeah, you are not going to make it. Sorry man, maybe next year
>>
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>>16492229
>I'm a "study the night before and pass" type of guy
Well either you drop that habit or you are dropping from medschool
Personally I'd say to start doing anki and stick to it focusing on keeping a streak. And most importantly grow up.
>>
infectious diseases anon: https://sci-hub.st/https://doi.org/10.1099/vir.0.19456-0
https://sci-hub.st/https://doi.org/10.1099/vir.0.19456-0
Japan
>>
>>16493043
It's not that serious, bro.
>>
>>16492121
Akahige
>>
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>tfw good evals on clerkship for specialty i'm interested in
>"He incorporated himself well as part of the team and will do great in whatever specialty he chooses."
>"He was proactive in identifying opportunities for growth, including selecting patients to follow, offering to see new consults, asking for regular feedback."
WAGMI
>>
>>16493572
Nice anon. keep contact with that consultant if you can.
All my evals were like 4 words:
>Highly proactive and competent student
>>
>>16493432

i dont know the subject well enough yet but i think this paper is garbage. there are other papers with better info (i think), and this paper has the oldest patient out of the ones that i have read so far
infections disease


Emerg Infect Dis. 2005 Jan;11(1):103–107. doi: 10.3201/eid1101.040606
Human Parechovirus 3 and Neonatal Infections
Canada
>>
>>16493577
I'm super happy they wrote actual whole paragraphs, but at the same time short notes can mean that they felt good enough about you that they didn't need to repeat themselves beyond the top level of commendation in a few words
>>
>>16481800
checked (vital)
>>
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these snippets are useful
if you maybe want to search (Bing) a bunch of conditions and take screenshots of them to use as flashcards
>>
>>16492121
I ended up watching Patch Adams. Wasn't bad.
>>
Any /physio/ here?
>>
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I'm ill, /sci/, make it go away NO MORPHINE
>>16493650
>if you maybe want to search (Bing)
kek nice try bill
>>16492121
Not a movie but I liked The Knick (tv series).
>>16492056
How do you manage to get so much shit on your back?
>>16490765
May even work a tad bit better on normies, depending on the case
>>
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>NO MORPHINE
>>
hi freindos
i have airplane ear / barotrauma(?) from a recent trip where i basically had two back to back flights. i dont fly often but ive never really had much of an issue before. my ears get blocked pretty bad during descent and then i would do the valsalva maneuver to pop them and it would gradually get better and be fine in a few hours.

this time however, it seems one of my ears is still messed up (its been 5 days since the flight). every time i swallow i can hear that ear (left) crackle/pop. i can also do the valsalva thing and that ear will occasionally pop. i read you shouldnt overdo the valsalva thing so ill stop (i dont use a lot of pressure). anyways, do you guys have any cool doctor tips to unfuck my ear. i can hear fine from it, it just feels a tad off and like i said i hear it creak/crackle when i swallow - very annoying. getting a bit paranoid since its been nearly a week.
>>
i thought i escaped the spics but im starting to see them again. kill me please
>>
i have a spot in my inner-ear
its the same ear as its always on, but the yearly spot normally appears on the dangly bit under the ear and not inside it. i dont really know what to do to be honest
>>
>>16491609
>Who I don't trust is female nurses. They tend to be assholes

female nurses are venomous to female residents for some reason, yet treat male residents much better
>>
>>16494826
It's just natural competition for the available males.
>>
Why does ethanol more effectively bind to adh than methanol?
>>
>>16494685
It's called a goy spot
>>
>>16495156
go back to pol
>>
>>16495152
Don't quote me on this but I think it's because in case of ethanol, R group is CH3, which is large enough to bind, but R group in methanol is only H, which is too small.

You got me interested in the topic, so now i have a question too - when ethanol is used as an antidote to cure methanol poisoning, ADH binds to ethanol, and methanol is excreted by the kidneys without creating harmful metabolites. Does that mean it's literally pissed out in unchanged form? Could methanol be extracted from such piss?
>>
>>16495357
Ask an aboriginal.
>>
>>16495883
Somehow i doubt they could answer this question
>>
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>>16492094
>>16492056
owari da... medsisters it's over...
>>16494256
Yawning can help with barotrauma, maybe massaging the area near your ears where they connect with the zygomatic bone. I would go to a doctor to get your ears checked out if it's been 5 days and you still feel like your ears are hurting/annoying you. Maybe you got a bit hurt from overdoing popping techniques.
>>16494826
What >>16494842 said. I don't know, female nurses seem to be less empathetic and more cold and dismissive towards patients because they've already seen a lot of shit. I never understood just how difficult it can be for them to be nice to someone.
>>
>>16492121
Morphine
>>
>>16496007
If the piss had metho in it they'd drink it, 100%
>>
>>16496334
Not if they don't know it does
>>
>>16474196
Honest question, how to medfags cope with the fact that they have no clue how the hardware they're trying to diagnose actually works most of the time?
>>
>>16496343
Here's an example, SSRIs. Almost all of them have some disclaimer like "The exact mechanism by which SSRIs [something it does] is not clear".

This is the medical equivalent of that software engineering joke of using a piece of code that somehow behaves correctly, according to all tests, but that no one in the team knows how it even works.
Sometimes this gives me the impression that the only reason modern medicine even works is because of all the testing and regulation, because we still have zero fucking clue how the human body (specially the brain) actually works.
>>
Working in the ED this Thanksgiving. This blows, bros.
>>
piss
>>
>>16496379
thanks for your service emergbro
>>
Least ethical profession on earth. Hope you're all replaced by AI.
>>
have a question about teeth if that's ok

my friend talked to me about his bruxism recently, and now it's all i think about. i find myself consciously checking whether my teeth are touching and whatnot, even though it's never been a problem before and they don't even touch, really. now i've noticed that when i start drifting off to sleep, my jaw shifts ever so slightly so that my teeth lightly touch. maybe it's my head position or maybe it's because i'm constantly thinking about it so it's just happening, i don't know. i don't clench my jaw or grind my teeth, i know that much, and when i wake up it's not like i have jaw pain or headaches or whatever. my question is, should i just stop worrying about this like a little bitch? is it ok if your teeth are lightly touching?
>>
>>16496481
Appreciate it. We're bed-blocked now lol.
>>
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>>16477944
>>16486671
ICU nurse said yes to a lunch date
Where to take her
>>
>>16496590
strip club. nursoids love going to strip clubs.
>>
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>>16496139
>1week until the test
>>
>>16496590
MacDonald's
>>
>>16496590
Hospital cafeteria
Get her to buy you chips
>>
>>16490539
i dropped out after 1 semester. i liked undergrad because it was a mix of concepts and memorization at a reasonable pace. i hated med school because it was 90% memorization at an insane pace. i hated it and wasn't good at memorization. i did mediocre in my first block of classes and was on track to fail second block of classes (gross anatomy was killing me) so i said fuck it and quit.
>>
>>16496644
>>16496747
>>16496751
Going to split the difference and treat her to hotpot (she's Asian)
>>
>>16496840
>she tells HR you're racist for taking her to the doghotpot
ruh roh...
>>
>>16496841
Scooby would be in the meal though, Anon.
>>
>>16496841
I thought hot pot and rock climbing was what all socially upward Asians in their 20s did tho
>>
>>16496866
>rock climbing
holy fuck this is so accurate
>>
bros... i want to specialize in psychiatry (luv my schizos) but at the same time i'm terribly afraid that i'll have to confront the evergrowing social and political parts of it (see: you MUST diagnose me with the FOTM disease or else i'll sue you).
what should i do?
>>
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>>16496359
Beautiful way to put it. It's basically like "if it works, it works". I wonder just how much of psychiatry is just placebo effect.
>>16496379
Thank you for your service. I'm not from the US but apparently I've seen that turkey burns, or burning your skin with oil when trying to cook frozen turkey is a thing during Thanksgiving.
>>16496537
Hey, we could be brokers or apartment owners, it could always be more inhumane.
>>16496554
Honestly I have the same type of worry every now and then. I do clench my teeth and I've had caries throughout my life probably due to the fact I clench my chompers like a fucking cat. If you feel your teeth hurt or anything unusual, or your gums bleed too much, try scheduling an appointment to the dentist. It's normal to clench your teeth when you're carrying heavy stuff or are stressed, but if you notice symptoms that's when checking in with a doctor could be good.
Same if you suffer from headaches, maybe it could be related.
>>
>>16496590
Café would be my best bet. Or somewhere non-work related.
>>16496683
Tests are hell. Pure hell. In my country if you fail at least one single test you lose the assignature. Aka if you want to proceed in med school you can't lose any tests.
>>16497124
I'm sure there'll be new types of mental health illness fads when you get to graduate and get the right to work as a doctor. Just go for it and do your best, the patient will decide if they follow your advice or if they want to troon out.
>>
>>16497319
>brokers or apartment owners
Those people are more ethical, yes.
>>
>>16494842
lol, i feel like most female residents are married or in a relationship
>>
>>16496877
rock climbing is an EM resident stereotype
>>
>>16496840
Miscegenation, or are you also I need of blephoplasty?
>>
>>16497124
Psychology >>> psychiatry. I've never met a psychiatrist who wasn't a stereotypes fulfilling pill pusher.
>>
>>16498294
>I've never met a psychiatrist who wasn't a stereotypes fulfilling pill pusher.

psychiatrists all push pills because insurance doesnt cover talk therapy well

psych residency is 4 years because the 4th year used to be for getting therapy experience but now its more vestigial scutwork
>>
If I make a /physio/ /occu/ thread which board should it be?
Physio could go to /sci/ or /fit/. Occu could go to /sci/ and /diy/
>>
>>16499129
Physio as in physiology or physiotherapy? Sci if the former and fit if the latter
>>
>>16499129
I thought /occu/lt belongs in /x/?
>>
>>16499129
Just come spam your stuff here. /med/ is /dead/ slow. I'll talk to you about your yoga degree.
>>
>>16499129
Just make an /allied health/ thread.
>>
>>16499334
i prefer /axis health/
>>
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>>16499425
Based
>>
>>16474196
I am about to be done with my undergraduate degree in molecular biology. My plan this whole time was to go to medical school. However, my stats are pretty mediocre, about a 3.0 cGPA, a 3.3 sciGPA, and an average MCAT. I'm retaking the MCAT this Spring. I was going to take next year totally off and go to Europe using the money I had saved up. But I could also go to grad school next fall and do a masters with linkage to a medical school, which is expensive, but risky, because if I do bad then I'm fucked.
Part of me feels like I don't even want anything anymore, I used to be so passionate about medicine and science but I've grown uninterested and despondent. I don't even care about graduating that much. I wish I could just play piano forever and live somewhere nice in Europe. Should I apply to grad school and start next fall? How do I rekindle the passion I once had? Don't get me wrong, I still want to be a doctor, I genuinely like it, but I feel like I might just be too stupid for it and I'm just chasing a pipe dream.
>>
>>16499636
Were you trying hard to get those mediocre results? If yes, then you shouldn't do masters.
Regarding being checked out, I'm sure you are well aware of all the normie self-help techniques, but really this motivation needs to come from within. Whether that's because you are no longer interested in medicine anymore or some other reason is up to you.
Btw, don't use run-on sentences. They make you look like a retard.
>>
>>16499661
I didn't study nearly as hard as I should have been during my undergrad. The sad part is, my GPA is like that from non-prereq courses. I did good in genchem, orgo, and biochem, physics, my biology courses, etc. I failed English 101 and had to retake it (I was extremely depressed and I didn't hand in any assignments) and that happened also with an online community college philosophy and marine biology class, and art history course. It makes me sick thinking about those failures, because if it wasn't for me being depressed and self destructive I'd have a pretty decent GPA, and now I feel paralyzed from my past mistakes.
>>
>>16499668
You must pull yourself out of the mire. There will be no ground for you to push off. Get to it or drown like many before you.
>>
>>16499754
How?? I might go do a bunch of ketamine while listening to Richard Wagner at the psych clinic again, that's helped before.
>>
>>16499756
The answer is circular. To pull yourself out of the mire, you must pull yourself out of the mire.
Not even by spending 10 years in psychotherapy will you get such a clear succinct answer.
>>
>>16499756
Eat healthy, lift weights, get good sleep, try to forgive yourself and others who have wronged you. Focus simply on being better than you were yesterday.

I believe in you, Anon.
>>
>>16499668
>filtered by electives
>English 101 failure
?????? What
>>
>>16499754
>>16499762
based esotericist
>>
>>16499769
Thanks, I'll try
>>16499770
I have a nasty habit of self sabotage, I'm my own worst enemy. I failed English 101, the class that Chinese kids who literally can't speak English manage to get A's in.
>>
>>16499334
I would love a place to talk about psychology desu
>>
>>16500035
Unfortunately, psych patients always derail such discussions. You'll note them here if you hang around long enough.
>>
>>16500100
probably why a allied health thread would be better
>>
which is THE doctor specialty? I'm thinking IM, maybe General Surgery..
also any IM residents here? what is your day like at work?
>>
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What are your guys' exam schedules like? We have 5-6 exams every 2 weeks. I HATE it here.
>>
>>16487512
it doesn't get better than house
>>
>>16488405
cardiovascular related deaths will go up
>>
>>16488541
fuck her all you want just don't fall for one
>>
>>16489237
change in what way? i am planing to move there and work as a doctor, possibly complete my residency there.
>>
>>16490478
because you are a coomer and masturbate too much
>>
>>16490539
>What should I read?
mein kampf
>>
>>16500439
I'm jewish
>>
>>16491462
>>16491463
i remember one type of herpes virus caused this too
>>
the iron-clad cliques of desi kids do nothing else but gossip and conspire drama against everyone else. God i miss my whitebread undergrad
>>
>>16499792
Not responsible. Go be a nurse.
>>
>>16491485
women are more readily influenced by archons
>>
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>>16500492
>archons
>>
>>16500444
protocols of learned elders of zion
>>
>>16500302
its literally IM.

now if you ask the liberal retards on /r/medicalschool, they'll tell you its rural family medicine
>>
>>16500510
>now if you ask the liberal retards on /r/medicalschool, they'll tell you its rural family medicine
Are you the same guy that's been saying this for the last couple of months? I dunno why you have such a gripe with rural family medicine.
>>
>>16500302
THE modern doctor specialty? IM.
THE past doctor specialty? gensurg.
>>
>>16500510
>>16500539
alright, now...
which is the most reddit specialty?
>>
>>16500562
what specialty are you in?
>>
>>16500562
>which is the most reddit specialty?
Anesthesiology.
>>
>>16487518
>>16500375
House is so dogshit.
The only good parts are when he is in clinic treating day-to-day things. The 1 in a billion inpatient diagnoses are just retarded.
>>
>>16500566
I am personal Gynecologist of your mother
>>
>>16500503
>>16491485
Based x2
>>16500685
Based x3
>>
I seem to be having neurological symptoms. What do I say to my gp? Gait issues, headaches on the top of my head on occasion, urinary issues, hand tremors, cloudy thinking, no appetite, constant fatigue.
>>
>>16500503
All copies I had saved on my computer disappeared
>>
>>16500839
>hey, doc. i feel like i've been having gait issues, headaches on the top of my head on occasion, urinary issues, hand tremors, cloudy thinking, no appetite, constant fatigue. i may just be a hypochondriac, but i'd like you to double check for me. thanks.
>and hey, here's your $200 tip for putting up with my retarded ass.
>>
>>16500841
Tonight i will beam symbols into your dream. all will be clear.
>>
File: 62332001231_2.png (310 KB, 600x600)
310 KB
310 KB PNG
Hello /med/

Is venlafaxine (Effexor) a decent antidepressant, or would I have tons of shitty side effects?

I'm interested in it because apparently it doesn't negatively affect fertility, whereas SSRIs do.
>>
>>16501076
All antidepressants fucking suck and have plenty of side effects, generally. Some do on some people and some don't. Psych fags can pull all the stats they want but the truth is that it's a shit roulette. If you really want to beat depression without the side effects just do it the hard, natural way. It's not like it's impossible.
>>
>>16501076
I take desvenlafaxine, not sure the differences beyond des being the main metabolite or something but it works really well for me compared to the others I took. the side effects at the start sucked (I had to take odanzatron to quell the nausea) but now it's ok. apparently coming off it is a super bitch though and I'm on a relatively high dose (150)
>>
>>16501076
The only side effects I had so far were constipation (I was briefly taking lactulose) and cinematic epic dreams (sometimes I think my life in dreams is more interesting than my real life. What does it say about me?)
>>
>>16501076
Look into hallucinogenic therapy. Shrooms or something idk. Take the mad-scientist pill.
>>
>>16501116
>>16501128
Thanks for these answers. Maybe I should just take an SSRI because I think they're meant to be much less bad for side effects and withdrawals (I've taken an SSRI before and hardly had side effects and the withdrawals weren't too bad)

>>16501112
>It's not like it's impossible.
Maybe it is for some people. Some people end up literally jobless for the rest of their lives, or they end up killing themselves. It's pretty common but most people choose to ignore it as a problem.

>>16501199
Eh that's probably just going to create more problems
>>
>>16501112
>If you really want to beat depression without the side effects just do it the hard, natural way.
Are you referring to exercise?



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