Flat edition Please remember to reference clinical guidelines. Gold standards for thread are as follows:>Do NOT give medical advice>Do NOT feed the nursoids>Do NOT engage with premedsAnd most importantly>Do NOT respond to psych patientsThese guidelines are recommended by the AAFP and supported with grade A evidence.Thread question: what is your personal strategy for addressing patients who misunderstand the role of pharmaceuticals in health? I.e. "I just dont want to take so many pills" in a post-MI patient with a stent.
>>16760278>thread questioni start off understanding/empathetic, but if they dont listen to me after i try several different ways to explain something, i give up since it's not my problem anymore lol. just note in the chart they are retarded.
>>16760278>questionTell them stuff, wait for an answer, accept their choice, see next patient.
If someone tells a psychiatrist they want to kill abortionists in a abortion clinic they will be involuntarily hospitalized.If someone tells a psychiatrist they want to kill slaughterhouse workers in a slaughterhouse they will be involuntarily hospitalized.If thin person tells a psychiatrist they haven't eaten in a few weeks and have no plans to eat again for the next few months they will be involuntarily hospitalized.If someone tells a psychiatrist they want to kill a mohel who's about to circumcise an infant they will be involuntarily hospitalized. If a pregnant woman tells a psychiatrist she is about to go to an abortion clinic or take an abortion pill at home and abort her baby she will not be involuntarily hospitalized. This is true in all fifty states.If a slaughterhouse worker tells a psychiatrist he is about to go to work and slaughter some cows he will not be involuntarily hospitalized.If a abortionist tells a psychiatrist he's about to go to work and perform some abortions he will not be involuntarily hospitalized.If a mohel tells a psychiatrist they are about to circumcise an infant they will not be involuntarily hospitalized. Psychiatrists are evil hypocrites. If found guilty of treason in a court of law they should be given the death penalty.
>>16760278how do i remember diseases that mean nothing to me and ive never seen or heard of beforeAnki isn't workingAm I retarded
>>16760604Normal is the indispensable, murderous God of health, and psychiatrists are his priests
>>16760613Being a pro choice meat eater who doesn't donate to effective altruist charities is normal.
hey guys IMG here, will soon start my FM residency in eastern europe. Planning on pursuing fm in the usa? is it worth it or are the odds against me it isnt worth trying? will obv try my best to get stellar step scores, observerships, rural areas volunteering and planning on doing some humanitarian work too any advice?
>>16760630>humanitarian workDonate to against malaria foundation
>>16760609I would try to find something unique in the pathophysiology if the outward symptoms aren't unique, but i'm in drug discovery/development so thats what is most relevant to me. Maybe there is a morbid aspect or something unique to you that you can use. Makes it more fun to learn
>>16760720Is pharmd a sad life?
For common non-narcotic drugs and stuff with really short half-life, like adenosine, how much does IV push rate really matter? Almost every nurse I've seen when demonstrating a slow push, does it over 10-15 seconds while claiming 2 minutes have passed. I'm pretty sure I've seen a lot of cardiac issues rise up because of this. In the few anesthesiology procedures I've seen, the anesthesiologist more or less slammed all of their meds, but I don't really know how long they're supposed to push for their meds. The only time I've ever seen a true slow push was hypertonic saline by the neuro residents.
I tried to have a conversation with non-med people and explain the pain of midlevel creep, and they all essentially called me “elitist” and “duped by the system” and said “I really don’t care who signs off on my meds as long as I can get them”
>>16760604>talks about western social norms>this is psychiatrists' fault, actuallyWhen you die your brain should be autopsied to see what worm was infesting it
>>16760969instead of talking about midlevel creep, talk more about qualifications or lack thereof for NPs.i personally think the AMA fucked it all up, but if you discuss how NPs are wheelin and dealin more than complaining about how theyre taking 400k jobs away to people who make under 100k then they might listen
>>16760969Midlevel creep is too obscure for normies outside the profession to get. Just remind them that 1. They and their insurance pays the full price regardless of who they see at the hospital 2. Midlevels objectively have less training, experience and intelligence, 3. They're more likely to suffer malpractice or die from a midlevel and are guaranteed to suffer a worse outcome according to The Science(TM)Just narrow it down into digestible logic they can stomach one at a time
I'm a premed and I'm in a position where I have to pick between applying for a guaranteed MPH at an Ivy League that the PH lab I'm in has reliably sent countless undergrads off to before me or taking the taking the MCAT and applying DO heavyMy home life sucks and I'm miserable and the idea of taking the MPH and using the status of the school to guarantee a job or going for a PhD program after is really tempting... am I stupid?
>>16760795Yea
>>16761013I was made fun of here when I was a premed so im going to make fun of you now HAHA PREMED! HA HA HA HA1!!!!!!1but in all seriousness just take the MCAT and apply
>>16760278>thread questionI literally say: that's fine but it will decrease your life expectancy.I say nothing more and document extensively that I warned the patient of risks etc.Simple as. If patients want to be shit patients, it's not my problem. I have more people to see.
>>16761066>>16761013in all seriousness premeds should find a different career this field will be fucked once AI gets good enough in a year or twodon't be cocky just because ChatGPT sucksit only sucks for NOW but you've seen how far it has gotten in the last few years and think about how long it would take to complete med school and residency even if you started just nowhttps://www.youtube.com/watch?v=kALDN4zIBT0https://timesofindia.indiatimes.com/life-style/health-fitness/health-news/new-study-warns-routine-ai-use-may-affect-doctors-tumor-diagnostic-skills-by-20/articleshow/123280972.cms
>>16761145Premeds could also go smash up the computers with wooden baseball bats that want to take their job. It'd be pretty cool seeing roving bands of rapacious premeds on the television. They always complain about wanting diverse ECs too, so there's their chance.
>>16760278I could give her a pap smear if you know what I mean
>>16761603I don't know what you mean. Please explain.
>>16761145surgeons will outlast medicine for a few years longer only because it'll take a little bit for people to accept robots doing cases
>>16761145>indiatimes.comopinion discardedplease learn to use a toilet before posting again
suffering from hemorrhoids related problems i.e tightness, spasms, extreme pain been few months now :/
>>16762618Cool it on the bottoming
>>16760604Not exactly the psychiatrists fault, but they're retarded and not real physicians. Glorified psychologists at best.
Had my first pharmacology exam today. I only got an 80 so there's still some room for improvement but I came in thinking I was gonna bomb it. God damn, there's so many drugs. Medical school must have been so much easier in the past when those drugs weren't invented yet lol.
>>16764041imagine when all you needed was amputation, ticks, alcohol, and mercury pills for all your medical needs.
When can I prescribe (the same) hot wine mixed with medicinal herbs for various diseases? Thanks you
If patients understood the gravity of how little common sense medtards truly have, from being holed-in for half their lives flipping through anki decks eyelids clamped, they’d have quite a visceral reaction. ADAR (all doctors are retards)
>>16760969>“I really don’t care who signs off on my meds as long as I can get them”They're right tho. If you don't think this you really were duped by the system. That's exactly what the midlevels are for among other things, med dispensers.I mean shit dude I went to a derm at a hair clinic lately because the Norwood reaper is starting his harvest on me and i decided to hop on fin, after a year of min. I was hoping for him to maybe illuminate me with some obscure knowledge, being a derm at a fucking hair clinic, then he unironically argued that min inhibits DHT production too. This is exactly the kind of guy that should be a midlevel. At that point i was like "alright whatever just give me the fucking meds retard". I even double checked after the visit if maybe I'm not the retard after all, but no.
>>16760278why hot girl
>>16764922I do uworld doe, just bash my head against the questions till I get enough of them right to pass
>>16764922>if patients understood how much doctors study to try to not kill people while helping them, theyd realize how stupeed doctors are like intelligent ol me :)ok
>>16764967If you really believed in your theory instead of listening to your NP/PA betters, you would rub the minoxidil on your balls. But of course you don't because in your heart you know they're right - they have the brain of a doctor and the heart of a nurse
>>16762618Buy steroid creams and avoid sitting on hard surfaces. Drink more water. >>16764041You did amazing dude, most people in my country, when they're in med school, try to just make it through and pass the exams. It's easier for me to remember medication if I divide them on what they're meant for, or what type of medication they are (SSRI, SNRI, NSAID, etc etc) and what specific cases they're also used for.>>16764922I feel like doctors learn more on the actual job than during med school, as biased as it sounds. You'll learn more when you actively see the cases you're meant to treat.
>>16764974because hot girlalso flat hot girl
>>16766979>learn more on the actual job than during med schoolDoes med school not have students on the wards in your country? Didactics are basically useless without ward experience to complement, yeah - but that don't mean you can't learn in med school wards and clinical didactics building off your preclinical knowledge
>>16767173In Argentina yes, you gotta do residency before you're allowed as a nurse/doctor, but for most of the career you're mostly studying from seeing dead bodies, and you don't go every day of the week to college since a lot of people need to work to survive. A lot of people study from books and assignments and PDFs the professors give, and exams are eliminatory. Learning by memory is more fomented over really understanding what does what with this kind of fast, chaotic system. In some parts of the country the career is free, or paid by the state. The issue is that the system is quite flawed and you'll end up really learning better once you're working under someone.I did like one year of med school, but couldn't get through due to mental health issues, and I can't sustain myself studying for 7 years. I'll try to get a career first as a surgical assistant, which takes less years and has a decent pay, and they're in demand, for the moment.
>>16767186And in some cases if you're advanced in your career, doctors will let you be present and watch during surgeries, and there's programs from other students who have been in the system for longer that try to help newer students pass tests.
>>16767189That's insane but I've heard similar things are happening even in places like the NHS in the UK which is why their students really struggle in residency here (US). I feel like I've only heard of South Asians (Indians, Pakistanis) having a similar level of clinical experience to American med students with actual ward-based rotations and observing surgeries. Here you're expected to devote your entire waking life to medicine (and cut down on sleep for that matter) for 4 years, and even more so once you enter residency. Intern year (first year of residency) is phenomenally brutal in every specialty, but especially surgery.
>>16765276>If you really believed in your theory instead of listening to your NP/PA betters, you would rub the minoxidil on your balls.What the fuck are you even talking about lmao. Why would i rub a vasodilator with a primarily localized effect and minimal systemic absorption when applied topically on my balls when i want more hair on my head? My balls got plenty, no help needed. Just ask your mom, she knows every follicle down there by heart.
>>16766979>I feel like doctors learn more on the actual job than during med schoolThere's nothing to feel like, that's literally how it's designed to be. Med school isn't to teach you how2doctor, it's to teach you the bare fundamentals you need to even know what the fuck is going on. It's like learning traffic laws before you sit in a car to learn driving.
>>16766979Thanks for hyping me up, bro. I ended up getting an 82 in the end after some questions were corrected.
>>16767284False, people used to just go to medical school to practice straight out. Specialties are just that - additional (now mandatory) training to specialize in a certain kind of work.
>>16767557>False, people used to just go to medical school to practice straight out.Yeah and plague doctors used to just fucking wing it. Standards change. Your point?
>>16767193Oh damn, here you can't really do residency if you're not really advanced in your career or at least have your degree, you need a legal certificate that allows for you to treat patients, or else there's gonna be some REALLY BIG issues with the hospital. Private colleges are more intensive and have more days dedicated to classes, but here, at least in la Universidad Nacional de La Plata (UNLP) you sometimes had to go like... 3-4 times per month for a single assignment, and like an hour or two/three. And there's "optional" assignments you can assign yourself to, to add more experience in your career. They're "optional" but you gotta do a minimum number of them by the end of your career. So it's like 4-5 assignments in a year, and you study at your own pace. The issue is passing the goddamn tests. Niggas get raped in exams here. If you fail ONE single exam you have to retake the entire assignment next year.>>16767284In some places, like my country, yes. It's designed like that. But in other countries med students have to actually be in the hospital and treat patients together with doctors, like the US I've heard.>>16767369LET'S FUCKING GO LOCO, here in some colleges the minimum to pass is 4/10. Getting anything over a 4 is a glorious victory, fucking enjoy it man. The most important thing is to just understand what you're studying and relearning it so that you don't forget it in the future.Also don't fucking abuse caffeine and tobacco like every med student does, try to end up alive by the end of your career.
You will never hate nurses more than if you have to work for a State Board of Nursing. They are dumb, entitled, and unable to follow basic instructions.That is all.
>>16767624You shouldn't have to finish residency to build a basic community practice with medical school knowledge.>inb4 that would make you incompetentThat's exactly my point. Med school used to train you to be a competent doctor in all fields out the gate without a need for further training, but now so many students don't give a shit about learning stuff beyond the test because "hurr durr I'm going to be specializing in pediatric neurocardiac surgery so why would I need to know OBGYN thoroughly" despite being given the information to actually be a decently competent basic provider. That's why I actually appreciate the UK pathway - EVERYBODY does the same foundation training after medical school and can be a competent GP straight out. For the US, it's a fetishization of being hyperultraspecialized that keeps Type A status-driven students idiots in anything beyond their specialty - which is why you have orthobros that can't even remember their fucking antibiotics beyond ancef or how to manage diabetes despite being "the top of their class">>16767720>you need a legal certificate that allows for you to treat patients, or else there's gonna be some REALLY BIG issues with the hospitalSo how do you know what you want to do as a specialty, or do you also go through the same GP process as the UK?Also que piensa en hacer un curso extranjero en Latinoamérica para 1 mes? Mi escuela médica tiene conexiones fuertes con Cayetano Heredia en Lima y la jefe del programa de medicina global me dijo sobre una oportunidad en Bahía, BR (pero aún estoy practicando a mi portugués y tengo un poco miedo de ser robado después de oír a posters brasileños en /int/). Una opción otra es en Ecuador o Colombia por VSLOEstoy preguntándote porque no quiero viajar tanta distancia y me para en una rincón del quirófano por un mes (o peor, solo tener una semana del mes para hacer cosas en el hospital) lolEspecialmente tengo interés en anestesia global si sabes de esa
>>16768409hyperultraspecialized is what makes all the MONEY. people dont want to get out of school in their mid-thirties making "only" 200-250k as a family doctor when you could've just specialized in something cooler to make 400k+
how do egg donor & surrogacy services work? Can anyone give me a detailed breakdown of costs involved for a single man? How can I find premium egg donors?
>>16768530use google retardhow am I supposed to know where you are from and your local policies?fucking wanker
>>16768409>So how do you know what you want to do as a specialtyI guess most people just kind of pick one that seems interesting to them, I for example wanted to pick gastroenterology before I realized I would probably feel miserable 'cause I got a vomit and poop phobia. Same reason why I wouldn't be a nurse. I can handle guts and blood no issue, I love that part, but the processed or unprocessed food makes my skin crawl.>que piensa en hacer un curso extranjero en Latinoamérica para 1 mes?Mm, yo te diría que si podés tomar la oportunidad de hacer cursos o residencias en el extranjero, que aproveches la oportunidad. Al menos por la experiencia de poder ir a otro país y de paso conocer el lugar. Bahía en Brasil... Depende de cuál Bahía me estás hablando, debería ser un lugar bastante seguro, y más si van muchos extranjeros. Y el portugués es realmente muy, muy parecido al español, lo más distinto es la tonada. Colombia sería una linda opción pero no sé qué tan seguro sea para un extranjero, por ejemplo. Y Ecuador debe ser tranquilo, pero no lo sé. Brasil quizás sea la mejor opción.>>16768530You should contact a surrogacy service in your country or ask doctors in related areas in your city. Depending on the country, the laws will change, and so your legal obligations before you're allowed to conceive. I've heard that if you're a single parent it's gonna be harder for you to be allowed to conceive artificially.
>>16768475>complaining about making $200K and getting to work in a relatively low pressure setting for the amount of moneyI seriously hope you med fags aren't trying to speedrun burnout and suicide.
>>16768681im not complaining about it. im just saying thats what other people think.
>>16768684People also think that 'science is settled' is a statement that isn't ludicrous. The view of the majority is generally retarded.
>>16768633>I've heard that if you're a single parent it's gonna be harder for you to be allowed to conceive artificially.not fair m8.
>>16768689It is fair. Kids do best in a home with a father and a mother despite what social scientists say.
>>16768409That's neat that you think US medical schools don't prepare students to be a GP. The problem isn't that we aren't prepared, its that without board certification in family medicine or internal medicine, no insurance would ever agree to pay for your services so you may as well not open a practice. Its another example of insurance making Healthcare decisions without being doctors.
>>16768728To be fair, insurance shouldn't have a right to refuse. Even if they had to cover every last thing, healthcare is such a racket that they'd never lose money.
>>16768633>Depende de cuál Bahía me estás hablando, debería ser un lugar bastante seguro, y más si van muchos extranjeros.???Hermano, creé que los estados nordestes de Brasil fueron muy peligrosos con un riesgo alto de crímen violenta y de propiedades...Cuál otro estado hay con el mismo nombre y es paraíso terrenal?Y ya sé que el portugués no es tan diferente que español, pero no quiero caminar de la avión inmediatamente al hospital sin conocimiento fuerte de portugués médico>Colombia sería una linda opción pero no sé qué tan seguro sea para un extranjeroPorque? Los cárteles de cocaína han desaparecidos, no?>Ecuador debe ser tranquilo, pero no lo séLas bandas criminales y de delicuentes del año pasado ya no son activos en Quito? Porque, pienso que la Uni de Quito sería la opción provida en VSLOQue piensas de Perú? Es muy similar a tu sistema de educación médica en cuál los estudiantes no tienen nada experiencia or oportunidad para hacer diagnósticos o procedimientos?
>>16768728It's a licensing problem actually - DPC exists. But we know which came first between the chicken and the egg, residencies were established for so long before insurance and current licensing regulations came into effect that it became the standard for licensing to have completed at least a year of residency to receive your license. Same goes for that insurance coverage. It used to be a plus to have a residency. Now it's a red flag to not have one
>>16768808im glad optometry doesnt require a residency :)
>>16768806>la opción provida*opción proporcionada
>>16768808Right, honestly forgot that isolated intern year is a thing. Fair dinkum.
>>16768806Sonará racista pero no hay realmente lugar en Latinoamérica donde vayas a estar 100% seguro, y Brasil es muy famoso por... Tener casos de violencia, sobre todo robos, la verdad. Claro, estás hablando del *Estado* de Bahía, yo me confundí pensando que sería alguna ciudad (porque creo que hay ciudades llamadas Bahía, como Bahía Blanca acá).Sonará como un consejo tonto, pero si tenés el tiempo, descargar duolingo o alguna aplicación para aprender idiomas, al menos para aprender vocabulario rápido te ayude. >Los cárteles de cocaína han desaparecidos, no?Diría que no, no del todo, México debe estar peor que Colombia en términos de narcotráfico pero Colombia sigue siendo un gran productor mundial. Igual no se trata por la droga, se trata por la delincuencia. Y qué tan pacíficos sean los residentes del país con los extranjeros.Perú es bastante tranquilo y casi nunca escucho de casos de violencia viniendo de ahí, no sé qué onda pero sería una buena idea ir allá si se te dá la oportunidad. Son buenos vecinos nuestros. Ahora cómo sean las universidades de ahí, no tengo la menor idea. :/What career are you studying, anon? General medicine, a specialty, something health related?
>>16768939Muchas gracias por todos los consejosDe verdad, no onions hispanohablante nativo (yo crecí acá en los EEUU pero mis padres nacieron en Asia y emigraron acá) y de verdad solo estoy cómodo con los acentos estadounidense, mexicano, o centroamericano al límite. Entonces me parece que la opción mejora sería Perú porque su acento es más neutral, sí? Además, el país no es tan infame por el crímen como lo que me dijisteI did engineering in undergrad, here we all do MD as our medical degree. Not yet in residency, deciding between a few options with anesthesia at the top (I like vacation and want to see the world)
What’s the best specialty to pick to torture myself for the rest of life
>>16769359Probably IM or EM with a fellowship in critical care
>>16769388I want to do anesthesia -> critical care doe
>>16769410Nah too comfy of a fallback if you want to be miserable your index specialty needs to also lead to suffering In the case of IM, its patients you spend days treating for exacerbations of chronic illness only for them to discharge, never follow up, and ignore your advice leading to a slow decline that becomes increasingly frustratingly readmit and die EM is obvious
>>16768705Tf are ugly incels like me, who wish to ascend in life using Becky's or stacey's eggs, supposed to do huh??
>>16769427>EM is obviousNot obvious to me. Please explain, anon. The only thing I got is resuscitating people after a cardiac arrest and then they're brain damaged.
>>16769498>then they're brain damaged.Congrats you just made an EM attending out of thin air, no 4th yr of residency required after all
>>16769486You are not entitled to reproduction.
>>16769506Too much seethe about EM methinks.Please admit my dumpster patient thanks babe.
>>16769549Everyone is entitled to genetic survival just like we've universal right to life(entitlement to physical survival). Genetic survival is an extension of physical survival and Life's only way of beating death
>>16769724>Everyone is entitled to genetic survivalNo, the future generations are entitled to having good genetic quality. Your shitty genes will die with you and everyone is better off for it.
>>16769498>Please explain, anon.Shitty hours, high stress when shit happens, menial boring job when shit doesn't happen. What's there to explain? You're the guy who comes to work on new year's eve to pull blow fireworks out of someone's ass while the derm is drinking champagne on vacation.There are some perks though. The shitty hours can work in your favor too, there's no follow-up so you can for example work straight for 2 weeks per month and neet for the rest of it. You also don't bring your work into your home, mostly.
>>16769486Attract a woman based on your finances.
>>16769553Learn to do a physical exam before you send him to the donut of truth thanks dumbass
>>16769785>No, the future generations are entitled to having good genetic quality.here's the deal if you can't figure out still retard. You can ensure eugenics in an egalitarian fashion in the following way:You can do that by Ensuring chads & stacies breed with each other like wild rabbits while simultaneously donating their gametes to men and women in the bottom rung of the genetic ladder so that there's a sort of upward mobility for those at the bottom genetically speaking. Couple this with embryo screening and you can accelerate human evolution like mad. Such a system literally ensures a participation of all people in society because they know for a fact that their hardwork will be rewarded with genetic survival & genetic mobility and as a result you just have a lot more productive populace who inturn will have children better than them of their blood and so on. Guess you're too mentally dull to even think of this and perhaps you should be the first one to get castrated & worked to death for the overall good of the human species as your strategy is both retarded darwinistically & just downright evil.
>>16769816not possible as all women including the fat ugly ham beasts just want a 9/10 super chad who is 6'5, handsome, blue eyed, blonde haired aryan
>>16769299No hay de qué bro, if you want to speak english I have no issues, here in Argentina at least (if you can do your residency here it would be the best option, buuut... It's quite far from the US) a lot of us are bilingual, and some even fully bilingual.Sí, los peruanos tienen un acento bastante neutro y hablan a un ritmo tranquilo, no como los argentinos que hablamos casi como italianos y que aparte somos... Bastante "violentos" o expresivos al hablar. El sistema de salud acá está colapsado, pero tenemos de las mejores universidades de medicina en Sudamérica. Siempre vienen un montón de brazucas/brasileños a estudiar medicina, por algún motivo xd.Daaamn, must be the asian genes but you're smart as hell to be able to do engineering and medicine, and even anesthesiology. I remember loving anatomy in my first year of med school but at so many points I was like "how the fuck do I remember so many goddamn nerves all in this single same spot", so anesthesia docs are like masters to me.>>16769359I imagine a (good) psychiatrist or cardiologist must be stressed all the freaking time. Or neurosurgeons. The more complicated the job and patients, the more you'll suffer.>>16769498If you ever wonder how shitty people can be, you should look at this guy's channel. I always either laugh my ass off or think "Woah, natural selection really is a thing modern medicine's preventing". https://youtube.com/shorts/pwsCSk9y69I
>>16769850>stacy>chadBaby's first incel thoughts, you'll hopefully grow out of them and realize you gotta be attractive not just in looks but in personality, skills and experience to successfully mate. We don't need MORE people when we can't even manage our resources without corruption and pollution fucking everything up. We need better living conditions first, and then having kids and dating becomes a priority.And if you don't want to improve you won't get what you want, simple as. If you want the ideal woman you should offer something just as good as what you're looking for. And even then, idealizing people will just end for naught. Stop looking at the outside and look on the inside for a second.
I am once again begging patients and visitors to not completely demolish every single fucking restroom in the entire hospital. It seems like every schizophrenic with explosive diarrhea in a 100 mile radius is psychically attracted to the one closest to the resident call room.
>>16769907>t.retard with 0 reading comprehensionjust so you know, the smarter, sexier, healthier and virtuous the human race, the higher the likelihood to witness prudent & judicious resource management . the best resource we've is 'good genes' and the next best is time and other natural resources that you try to allude. The chad and the stacey caste that I was trying to highlight are not meerely someone who're chads/stacies just by loox alone retard. It's an overall composite of loox, iq, health, personality, etc.. Good genes are a vital resource that has to be rapidly mulitplied and given access to all people
>>16769837Awewwe poor baby :(((( did i not take the time to tickle his balls before I sent the PE patient to imaging? Im so sowwy:((( Now come down here there's a 95 year old with memory issues and ABCD score of 4, neurology consult indicated, I've got to go save lives and chat up the new EMT hottie.
>>16769850You do realise that women have to be pregnant for 9 months right?And you only need a fraction of men to impregnant the vast majority of women.It does not make sense to waste gestation time on inferior seed like yours. Your eugenic strategy fucking sucks.
>>16769969good fucking luck putting down an incel chimp out if that is what you want faggot . Besides, your own descendants will end up killing each other soon enough due to high selection for ultra crooked, solipssistic genes. There's also the real possibility of artificial wombs in the near future
>>16769975incels are spineless by definition. you won't do shit
>>16769981could be the case when they're a minority, but good luck dealing with them when majority of men or a significant minority of'em end up as incels
>>16769950See >>16769969 you're talking like if you're the prime of the species and that you deserve the right to mate more than any of us just because of it, but judging by your bad character and stupid mentality, you don't even qualify for your own standards.If you want better women and want to date, become better, become someone worthy of dating, and stop cataloguing people into "stacies/chads", idealizing or demonizing them.
>>16770224The femcel can take turns though. She can gestate an embryo created using an incel's sperm & stacey's egg and then she could could rear a child of her blood using Chad's sperm which the incel should bear responsibility for. The incel gets to win, the femcel gets to win, the Stacey & chad get to win via proliferation of their genes in the genepool. Only parasitic losers like you who get a kick out of genetically genociding short & ugly men would lose here though because you won't get that high dopamine hits in such a system as everyone's genes are surviving & making it to the next generation. Guess the only way you clowns will learn is by getting brutally cucked by a 6'8 stud with a 13 inch dong and forcing you to pay for child support of a bastard child that ain't yours
Will I be replaced with AI if I go into family medicine?
>>16770507probably not. jobs that can state their necessity to a law or regulation will be safer for longer. the law is slow to adapt, slow enough to get over the coming job apocalypse.
>>16770507within our lifetime? no
>>16770507Anything that involves a physical presence, it's probably cheaper to pay the person to do it than it is to pay for (or, if corpos have their way, rent) the robot, pay the guy who has to fix it and deal with customers defrauding the robot and pretending to be someone else to get medical care.
>>16770507If any, and I mean any healthcare job is automated within this century, there are much bigger problems than you losing your job we have to worry about
>>16770826At the point they're automating most jobs, I've got bad news: they're going to be instituting measures to ensure population decline, and they will most likely be ugly ones. If the mills can run with 2 people, why keep 200 in the town?
Is there an evolutionary basis for why taking a fat dump feels awesome? It's up there with having that first sip of beer with the boys.
>>16770872Anal stimulation.
>>16770873Am I gay
>>16770868Population decline is the opposite of what they want, the ultra rich will want a huge population of eternally consuming slaves
>>16770876Slightly. I mean, if you were born as a man, XY genes, you have a prostate. It can get stimulated when things enter or get out of your butt. It's like the male G-spot apparently.It's okay to be gay but in a subtle way.
>>16770887>XY genes, you have a prostateNot necessarily - androgen insensitivity?
>>16770895It's gonna be a different experience for everyone, I uh... I don't have a prostate, so I can't really tell you how it should feel for the average man to poop. But I've heard from friends that it's pleasurable until it's too big or it's too dry.Fiber, good water intake, and avoiding sitting for too long are crucial in your rectum and anus' health. Most men should be born with a prostate or else I don't know how they're supposed to reproduce.
>>16770899Androgen insensitivity means you have no internal male or female genitalia, but you have female external genitalia
>>16770900Then it's a simple answer, if you don't have a prostate then it wouldn't feel particularly different pooping. I'm speaking for the people who do possess a prostate. I personally don't know why some women like anal, I don't like it at all. It tends to be men who like anal if they feel like their partner's vagina isn't tight enough, I guess.
>>16770882If they automate everything, what will the slaves do to produce value?If they're paid to have money, who is paying the taxes to pay for them having money to pay for the luxuries the rich want the slaves to buy?
>>16770991Is this bait?
I've started forgetting stuff outside my specialty.Not even the niche stuff like ophthal etc.
>>16771124So...self-learn stuff to keep yourself sharp?
>>16771124literally what happens to everyone. who cares.
>>16771124Real talk, unless you work in both a specialized and general role, are you going to need to know shit outside of your specialty?I don't mean like if somebody comes in for an ass problem you'd recommend an ass doctor, I mean more specialized stuff like this symptom of the ass means this problem of the ass, most likely.
>>16769850>while simultaneously donating their gametes to men and women in the bottom rung of the genetic ladder so that there's a sort of upward mobility for those at the bottom genetically speakingWhy would we subject countless generations to suffer for the sake of your genetic ladder? Just do society a favor, keep those shitty genes to yourself and die, freak. Be glad you get to die peacefully at least, back in the day genetic dead ends would have just died in a war or from war/starvation, assuming your mother wouldn't just leave you in the forest to be eaten by wolves the moment she saw your malformed body. Count your blessings.>Such a system literally ensures a participation of all people in societyYou participate in society because you like participating in society. You're welcome to leave and live in the wild if that's your choice. Don't let the door hit you on your way out.>ur evilSpare me the spooks, loser. They are meant to keep rabble like you in line. Good to see it's working.
For me? It's looking at my phone
There's someone at my school posting on 4chan. I know this because I was using the school's wifi and I got hit with a ban meant for him. I think it's a first year since I've been freely posting until then.
>>16771923What was the ban for? What board or all boards?
apparently, low magnesium amplifies the negative side-effects of vitamin-D over-supplementation (or having too much of it in the blood/body) thoughts on this? do you agree or disagree?
How'd you figure out what speciality to go into. The quiz keeps giving me things I don't have much interest in besides Possibly Radiology.I have an interest in surgery mainly:>Neuro >Plastics>Trauma and Ortho (a few people assumed id be into this, whatever that means kek) >CardioBut I entered late and won't start speciality till like 31. So im not sure If surgery is the move. I just want something that's interesting, can earn big bucks, and can allow some mobility.
>>16772066>something interestingwell, which specialty do you find the most interesting?
>>16772082Very early into my med career, just finished pre clinical. I enjoy a lot of the MSK stuff the most, was more straightforward. But then I've been told that experience in the hospital is different, but the issue is for the more competitive specialities it's better to start early.
>>16760284>i start off understanding/empathetic, but if they dont listen to me after i try several different ways to explain something, i give up since it's not my problem anymore lol. just note in the chart they are retarded.not a med fag, but I've found this is good advice in general. They either learn their lesson after you've dumbed it down, or they're too retarded to be worth further associating with. No need for cruelty, just a respectful departing of ways
Is strabismus vastly more common among nurses than the general population?
>>16772102You wont really know what aspects of medicine appeal to you until some point during third year. I didnt know I hated clinic, now I do. I didnt know I hated rounding. Now I do. I didn't know I would enjoy the medicine aspect of medicine, now I do. I didn't know I would really enjoy the pace and culture of the ER. Etcetera. Every rotation I did, the parts I enjoyed were in EM and the parts I hated were not. I was between ortho and EM and realized that, if I was an orthopod, I would miss the medicine side and the ortho stuff wasn't enough. I enjoyed OB/GYN but knew I wouldn't enjoy the hospital side enough to make the clinic time worth it.I enjoyed outpatient Psych, but I wanted to do real medicine. I enjoyed the trauma resuscitation in surgery but I dont want to be a surgeon. Your experience will be different, pay attention to what you enjoy and see if you find a specialty that captures enough of the good to make the bad tolerable.
>>16760278I hurt my balls masturbating I went to the ER and the doctors there gave my balls an ultrasound and diagnosed me with varicocele on my left testicle and prescribed me liquid doxycycline 20 mls because it hurt and my leg and lower abdomen was tender. I am currently on the liquid doxycycline but the infection hasn't gone away and my balls have been hurting this whole time, before they were completely hurting, now they only really hurt if you touch them. My left testicle is swollen. I followed up with my primary care provider after the ER visit and he didn't prescribe me any new antibiotic when I run out of doxycycline and he referred me to a urologist. But I am like a week into taking my antibiotic and the infection in my balls has not gone away. I don't have the referral to the urologist yet. What should I do?
>>16772196Also, if I lose my balls I'm probably going to kms. I already can't cum anyway based on the last 2 times I masturbated and orgasmed.
>>16772200If you're concerned go back to the ER, we cannot and will not give medical advice in this thread because1) You have no idea who is or isn't a doctor2) even if we are a doctor, we are not your doctor and you have no follow up with us3) no physical, no reliable way to take a true history, no imaging, no labs4) if we did, people would come here instead of going to a doctorIf you're really worried, go back to the ER or schedule another appointment with your GP if you dont feel its an emergency.
>>16772200>>16772196Bro no one here is a doctor.
>>16772218:(
>>16771297I guess it's useful to discard false positives or negatives, or to correctly diagnose people if they come to develop a certain condition or illness. Mostly to differentiate on what to do, what NOT to do, who to derivate to, what to use... I imagine specialties like Infectious Disease might have to keep up on all the weirdest, niche'st knowledge because it's their specialty diagnosing very specific and hard to treat cases. It's good to know a decent amount of the basics of everything in case an emergency comes, or like for example if something related to neuro affected the heart, or kidneys with the heart, stuff like that. I'm not a doctor though.
>>16772196Giving advice is off limits but dude, go to the ER/doctor again, and stop masturbating for the time being. Varicose veins and inflammation of veins don't go away that quickly, maybe you might need surgery. It's common in varicocele for the left testicle to be more affected. It's probably swollen due to the nature of blood flow getting blocked in a blood-sensitive area.>>16772200I doubt you'll be unable to masturbate if you were to lose a testicle, I mean, but... It's not guaranteed you'll lose it over having varicocele. Let your dick rest dude.
>>16772235>It's not guaranteed you'll lose it over having varicocele. Let your dick rest dude.I could lose it over inflection though. And my testicles are infected.
>>16772231>A decent amount of the basicsHow basic, though?Because, 'basics' might be penetrable to laymen.
>>16772276infection*
What are some of the funniest insults you guys have received? I was once told that my mediocre ass didn't belong in medicine.
>>16772150i doubt it
What spec has the least amount of people with normie opinions? Is there a conspiracy spec?
>>16771923What an idiot. Imagine posting on school wifi.
>>16772321I was told that I was proof of the failure of the public education system.Ironically enough, it pissed off my coworker more than it did me. I don't know why. I usually get very offended when my intelligence is questioned (like an absolute retard, I admit it).
>>16772560Makes me think.Will I get in trouble for saying "I believe in flat earth" to patients? Let's say I believe everything else that's correct and it's just flat earth. If yes, could I get away with dome earth? I have intrusive thoughts some days that say 'Do it. Just say it.'.
>>16772562No one cares.
