What goes on in the call room stays in the call room
>>16967974
>>16967975You need a dentist, I would get my knees capped by a periodontist's golf clubs if I answered
Hello, admit the patient
>>16968151>redheadPatient definitely fucks the Nazi lady
I have a day full of exams tomorrow that decide if I get into medical school or not. I have never been this anxious in my life
>>16968192Good luck, now go away and come back when you're in
>>16968192GOOD LUCK NIGGA I BELIEVE IN YOU
>>16968192good luck friend :)
I have some neck vein distension and it originates from the neck up to the ears. I have objective tinnitus or ear sounds but only 20 times a minute-ish. I have fullness of the ears and dry eyes.The most problematic symptom I have that is that I can't sit or stand upright for long without chest pain getting worse.This is not a test I need some treatment right now...
>>16967975Rinse it out with some salt water and it'll probably be fine.
>>16968456>>16968514>>16968571thank you anons i absolutely crushed the exams and i will be starting medical school this summer.
My whole fucking class is on "ADHD" "meds". Fucking junkies. But here I am drinking copious cups of coffee and eating zyns, but IM THE ONE WITH THE PROBLEM?! Should I just get on the amphetamine train like everyone else? Anyone can get le heckin ADHD diagnosis these days. My fuck. I'm not sure what happened to the curriculum but even young grads are saying that our current workload is higher than what they had 5-10 years ago. The content isn't hard either, but my fuck the volume is h i g h. Even Anki-ing for up to 600qd is just keeping me at pace for content.
>>16969103Did you get a conditional acceptance?
>>16969105just a normal acceptance
>>16969107Why were you worried about getting good marks on the exam then? Med school is «minimal effort club» you dork. Just get by. Learning extra punishes you on exams. Go hard in Y3/4 and especially residency for the pedantic shit.
>>16969108I am just finishing an SMP program with a strong linkage and automatic acceptance if you keep above a certain GPA.
>>16969109Man. This American culture shit is crazy. Medical school isn't even that difficult. Actually, the masters/PhD people don't "get" medicine because they're trying to master irrelevant pathways in hyperfocused detail. I've met some simple people who have been crushing exams and the dorks have been failing them. You only need a 110-115IQ to do medicine lmao. These fucking hoops are insane. I-i mean... Medicine is hard desu! Be glad you're joining the ranks of HIGH SOCIETY. You better be a good student, iron press your white coat and watch THE PITT™®©. I fucking hate this culture and gatekeeping, but at the same time the gatekeeping is necessary somewhat. I'd hate to have a wide-open lottery, or have a diluted perfession. I just wish people would be less interested in medicine. Most people shouldn't even be in university. THEY SHOULD BE LOCKED UP INSTEAD
>>16969104Yeah, the widespread use of Adderall meds is wild. If someone is diagnosed with ADHD as an adult and they made it all to medical school, it's unlikely they actually have ADHD.
>>16969148And as an aside, it's awful that so many medical students have a Type A personality; they will do whatever is necessary to increase their scores. It explains why a 250 Step 2 score is no longer impressive (it's the 47th percentile now).
>>16969115>only need 110-115iq to do medicineidk about that. i've seen a lot of female doctors...
>>16969104Just watched an M1 who I had this exact same conversation with crash out over about a month of marathoning his tele-NP 40mg/day adderall prescription and failing an entire block despite staying up for days at a time making thousands of cards. The entire time he was certain he was crushing it. Take that as you will
>>16969115>perfessionbrown non-/med/ hands typed this post
>>16969273I'm brown and /med/ so it cancels out and I spell everything correctly
Crazy how I can get 80th percentile on step 2 but still can't talk to a girlWhat's the point
>>16969295you spell like a nigger who dropped out of high schoolyour Caribbean degree will never make you /med/
>>16969297i wonder this too often. why am i sacrificing so much for society just to continue being a rizzless incel chud.
>>16969297>>16969325You guys will get girls when you get your money up. Especially you, 80th percentile guy. You will match into a competitive speciality and BRING IN THE BIG BUCKS.
>>16969334thats such bs though and you know it. or once i get a lot of money then yeah all the 30-40 yo women who didn't give me the time of day in hs, undergrad, or medical school will want me then and ill say fuck off
>>16969335Yeah obviously you're not gonna roll up with attending check in hand and "beat it chick!" your way into epic ownage. If you're looking to milestone and achievement your way into having people who you don't mesh with overlook the things they don't like about you you're going to grind yourself into suicide.What are you looking for in a woman? An equal? A best friend?
>>16969338i dont even want a woman anymore because im just an anxious wreck
>>16969334I'm going into anesthesia, trying to match in new york>>16969339Picrel
>>16969378all women will do to you is distract you from what matters, report you for antisemitism to your school/hospital, and divorce you and take all your money
>>16969379Stop negging me, niggaI need a bad bitch in my life
Hypothetically, if you had to kill yourself and you didn't have access to opioids, how would you do it ?i was reading about japanese people making and breathing concentrated hydrogen sulfide in the early 2000's and it got me thinking.
>>16969393We nuh wife bad gyal...we pass dem for di team bro
>>16969509>Hypothetically, if you had to kill yourself and you didn't have access to opioids, how would you do it ?Liver failure s/p acetaminophen overdose. That or a slow death from liver failure secondary to being an alcoholic.
>>16969509Probably lidocaine and propofol bolusPass out, go apneic, and never wake up
>>16969338>Women>Your equal>Befriending a womanHoly equality batman! XD>>16969509I stay alive out of spite. Rustling the jimmies of normies is delightful and I'll do so until I'm dead. I'm also not letting a NP/PA replace me. I'd sooner go full Dr. Ted than Dr. Dead
>>16967964How much longer until bioprinted transplants are available?
>>16969704The technology is already available, but not for lowly goyim
>>16969680>Holy equality batman! XDYeah, I was gonna make that point. Stopped having women-related angst once I dropped my age range to 24 year old college grads who aren't bitter and ruined, but you also end up having to be their mentor lolI haven't seen someone say rustling jimmies in a while.
>>16969509Take as many pleasurable substances as I can get my hands on then ride out in a suicide bag
>>16969804i did a complete inverse in my mid 20's and only dated women between 40 - 60.i even dated a glamma gran aged 67.those were weird times but i enjoyed them.
>>16969806people will ruin their lives to the point they want to die and then become mechanics, meticulously crafting their heaven chariots.maybe if they applied that sort of initiative and drive in their own life they wouldn't be in that situation huh !one of the EMT's was telling me about a guy who made a nitrogen suffocation chamber in his bedroom.
>be me>30s>shingles apparentlyI could tolerate the grey hair but this is bullshit.Not only do I have pretty severe ear pain randomly, it's wrapping around my neck and head; started from side of neck, now on lower chin / beard area, behind ear, back of head, and now even my forehead tingles. It's the second fucking day.(I got valacyclovir already, be honest with me, I need Prednisone too don't I)
>lost relative to a cancer in the 90s>detected around December>3rd biggest city in the country>shit ton of tests done, even bbeing sent to a different city for a test not available locally>get scheduled for surgery in 6 months (lol)>top surgeon does the surgery. looks like an English scholar with whitebeard and stick.>open the patient>does nothing because it looks too bad "the worst i've ever seen">ragequits for the day>patient offered paliative chemo and sent home to dieIs oncology still this retarded, considering the image tests available are essentially the same?
Any actual attendings here or is it just pre meds and med students
>>16969804Women should be married at 16 and I'm tired of pretending otherwise. At least then you can have spare time to get them up to speed on basic human skills. Their parents clearly do nothing to teach them skills.>>16970131Palliative and oncology is just heavily medicating people without killing them faster than the disease does. That's it. Onc Surgery is for the mentally fragile. They can bad outcomes on "wow this is bad" reasons.
>>16970199yeah, im actually attending your mom lmao
>>16970218>Onc Surgery is for the mentally fragile. They can bad outcomes on "wow this is bad" reasons.Are oncologic surgeons more prone to give up on a patient than their colleages in other areas?
>>16970199indian ayurveda practitioner here.i make all my customers call me doctor.
Tomorrow is my last day of pre-clinicals. These past 2 years have gone by so fast. Feels like the end of an era.
>>16967964>What goes on in the call room stays in the call roomNigga don't you know how entropy works ?
>hentaivirusHere we go again. I'm tired of this shit
>>16968626Goes to show that all of you are scumbags. Doctors will hang of the trees first.
>>16972560Yes let me just telepathically treat your mystery disease from across the world based on 3 sentences on a tibetan top-spinning forum
>>16972584Do no harm, don't forget that you dumb piece of shit.
>>16972587Yeah not giving out random diagnoses to people based on shit they say on an internet forum is doing our level best to not do harm
>>16972588>our level best to not do harm3rd most cause of premature death b t wGo to hell.
Also the Hippocratic oath is pure larp, it doesn't even acknowledge cholecystectomies as valid let alone the rest of surgery
did a doctor rape this guy? he seems mad
Involuntary psychiatric treatment causes patients to distrust doctors and disengage with treatment:>Three quarters of the youth reported negative impacts of IH [involuntary hospitalisation] on trust>Hospitalization may... diminish trust in providers... detrimentally impact self-worthhttps://pmc.ncbi.nlm.nih.gov/articles/PMC10105343/Medicine is supposed to be evidence-based. So look at the fucking evidence and realise that psychiatric care needs to be better, instead of the current system, which harms the people that it claims to treat.
how do i tell what medical specialty i want to do? i'm stuck between family medicine since I can do a DPC practice and general surgery. I wish I could some how do both or even family medicine with more procedural intensity. Missing out on the OR and abdominal organs forever would be a loss, but idk if I really want to give up my time and body to a hospital system for the rest of my life.
>>16972632Family docs can do surgical assist. It used to be quasi mandatory decades ago.
Hi /med/, I'm looking for some advice. My father was just diagnosed with a large mass in his lung. He's scheduled to receive a biopsy to determine what sort of cancer it is specifically (e.g. lung vs something else that travelled) and begin treatment asap. I'm already aware that the biopsy and potentially NGS and IHC are going to be necessary to put together a treatment plan. In the meantime, I'm trying to find data on anything he should be doing in terms of diet and exercise (or anything else really) to help improve his chances since he's already started losing weight and muscle mass. There's the obvious stuff like fruits, vegetables, nuts, and lean protein, but I'm wondering if there's something else he should be doing. If anyone has gone through this or is aware of any resources or papers I'd love to read them and would really appreciate it.
>>16972589Wrong you ignorant retard
>>16972835>I'm trying to find dataAnna's archive or PubMed. Diet and lifestyle is preventative not curative. Don't fall for homeopathy memes either. Some stuff is real, most is sake. A real example is Ginko being a pretty good blood thinner.
>>16972782yeah but how realistic is this as an attending? and is that in Canada or the US? I'm in the US.I think if I can be a DPC FM doc and get one good day a week of real procedures where i actually cut and stitch then that would scratch my procedural itch enough. and as FM doc I don't want to do contraception or vasectomy or circumcisions so when I say procedures I mean like dermatologic stuff. or maybe i should go FM with obstetrics? is FM DPC with obstetrics privileges realistic? I'd love to do C sections but don't i need so many a year just to break even? and no ones even having kids anymore esp not an educated middle class DPC panel.
>>16972587Mad. I know the answer to your ailments but choose not to say because I'm an evil jew.>>16972632There are rural surgery fellowships for FM docs that are 1-2 years.
you ever feel like your brain is near max capacity of memory? that's kind of what i've felt like lately. i'm like halfway into my residency right now and i feel like i'm approaching the maximum storage for my brain and it's harder to internalize new information. i used to be really quick at recalling stuff. numbers, names. i could remember all the details about a thing days or weeks later. now it feels like less details are recorded and able to be called back. it's like i'm at 80 or 90% of the functionality i had a year ago.i've been trying to figure out what the fuck is going on. is it stress? i had a "difficult" septoplasty like 6 months ago and i was attributing these mental symptoms to a post-anesthesia thing but that was a while ago now. i even quit drinking and doing any drugs other than adderall back before the surgery.am i getting old and this just happens in your late 20s? . i feel like my brain is damaged. do i just keep trucking and maybe it fixes itself? i'm at a loss here.
>>16973185Isn't there someone at your school you can ask instead of here?>>16973381According to the Talmud, all physicians go to hell
>>16973509I diagnose you with the tired
>>16973509You might want to get tested for ADHD.
>>16972632Look into FM on the west coast, specifically WA. FM scope is pretty broad and has a lot more procedural work, even some OB.
press 3 to kill an internist 33333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333
>>16970199Radfag here. Life is good. Rads is so in demand here people are getting insane offers, like daytime 8-5 shift working on week on one week off.
>chronic idiopathic tinnitus with normal hearing>all extended hearing tests normal, OAEs normal, QuickSIN normal>haven't taken ototoxic drugs like wellbutrin or duloxetine in several years WHERE THE FUCK IS IT COMING FROM PLEASE HELP MEDID THE ANTIDEPRESSANTS FUCK SOMETHING UP? WAS IT ALL THE WEED I USED TO INDULGE IN? MODERN SCIENCE HAS NO ANSWERS FOR THIS I AM SUFFERING
how do i, as a patient, get good boy points with the clinicians and make them believe i am smart and "oh, he's not like the *other* patients" and how do i know if my andrologist thought my penis was impressive during my ultrasound
Can’t wait to get that Dr surname
>>16975875>antidepressants>weedyou were always a dysgenic schizonothing can be done
>>16975893IMBIBE SODIUM NITRATE AND PRESCRIPTION STRENGTH ANTI-EMETICS
>>16975876Make sure to show up fully confident about what your diagnosis is, the more obscure the disease the better. Have tabs of WebMD and Cleveland Clinic at the ready in case they voice any skepticism. Around nurses, be confident and lecturing (they're nurses, they don't *really* know wgat they're talking about). Around doctors, second guess everything they do. If he recommends one test, question him on why and request alternatives. And nitpick him on treatment options and differential diagnoses. They love that shit.
>>16975899Every nurse and doctor clapped in reverent joy as I walked through the hallway on my way out to the lobby. Thank you man. They said I speak like a Harvard man. The black nurses said I have a lot of flavor for a white boy.
Some people will hallucinate being sexually assaulted while under anastesia. What's the evolutionary benefit of this?
>>16976469Do you think that evolution anticipated general anesthesia as a concept? It looks like sleep but it's the most unnatural state in all of human physiology that the body constantly fights against. And then we almost always pair it with intense sympathetic stimulation from stabbing knives and pulling apart tissues. No wonder people, especially on dissociative anesthetics, can have hallucinat
>>16970199Anesthesia attending with 3 years of practice. I hate women.
>>16976585Evolution is a Jewish fever dream you retard. Darwin was a nobody before he got loads of attention for no reason. Ugly fucker, too. >Hits bluntPanspermia>Eats foreskinBro. We were monkies. I saw it in a dream. Did you ever notice birds? SCIENCE™
>>16969104That reminds me a friend who obviously doesn't have ADHD recently got a script for it and im like, wtf is this increasing corruption?
No one can heal unless he understands what purpose sickness seems to serve. For then he understands as well its purpose has no meaning. Being causeless and without a meaningful intent of any kind, it cannot be at all. When this is seen, healing is automatic. It dispels this meaningless illusion by the same approach that carries all of them to truth, and merely leaves them there to disappear. (https://acim.org/acim/en/s/541#1:1-5 | W-136.1:1-5)
>>16976947>wtf is this increasing corruption?Adderall makes studying for long hours a lot more bearable.
Sickness is a decision. It is not a thing that happens to you, quite unsought, which makes you weak and brings you suffering. It is a choice you make, a plan you lay, when for an instant truth arises in your own deluded mind, and all your world appears to totter and prepare to fall. Now are you sick, that truth may go away and threaten your establishments no more. (https://acim.org/acim/en/s/541#7:1-4 | W-136.7:1-4)
Was reading on Reddit that apparently the (now former) chief of cards at UMich who looks like a fucking turtle was fucking a final year mdphd 40 something years his junior, got her into the program and fast tracked into cards where she is extremely lazy and incompetent, and then got her pregnant. They wanted to have the baby shower at their university hospitalWhat a wild world we live inMeanwhile I still can't get laid
>>16977480>They wanted to have the baby shower at their university hospitalThis is the strangest part of the story.
>>16977493Apparently some other extremely senior faculty told them in a reply all to fuck off and not celebrate adultery and illegitimacyThe chief's wife is still alive and in dementia memory care in Ann Arbor iirc, according to Reddit the intern even posted about visiting the wife with the chiefNever ever going to the Midwest
>>16977499>The chief's wife is still alive and in dementia memory care in Ann Arbor iircThat's so sad :(
I graduated today now I am Chud, MD
>>16978154>and my priority is money over the health of the patients
>>16978154damn, im chud OD
>>16978184Gz homie
>>16978154Grats
>suspect I may have SIBO>plan to self-treat with refried bean therapyThe idea is that by eating a huge portion of refried beans a large, fibrous and sticky bolus will be formed that barrels through my small intestine entrapping and removing the excess bacteria
>>16978329You're just giving the bacteria more food. The correct solution is copious amounts of whiskey.
>>16978329Beans are high FODMAPYou are feeding the bacteria and making things worse
Good morning, admit this patient please I promise it's an interesting consult
I'm reading how all these doctors are miserable practicing clinical medicine and are having shorter careers. How do I prevent this? Is DPC the only solution at this point?
>>16979127It's a headache doing the same thing for 40 years day in day out after starting your career as a 30 year old receiving abuse like you're 8 without the right to complain or talk back + having to deal with insurance bullshit and the hassle of writing copious notes to CYA + talking to the modern hypochondriac patient (normally foid) who thinks they have some ultrarare dysautonomia because their heart rate goes to 140 when they go walking instead of it being a consequence of their BMI being 50Also the root cause bullshit that "naturopaths" have somehow popularized means that nobody takes physicians seriously anymore about lifestyle changes or medication recs and generative AI has made it so that everybody's an "expert"
>>16979127dont be a woman. it's that easy.
Are any of these bullshit classes im taking in undergrad actually useful in med school? Why the fuck am I supposed to care about plant apical meristems or the anatomy of a fucking leaf???The path to being a doctor is so fucked up in this country.
>>16979553>Are any of these bullshit classes im taking in undergrad actually useful in med school?no. anatomy + phys is worth taking in undergrad that will actually help.
>>16979557Seconding this. You will cover all the important parts of your undergraduate degree in the first 3 classes, and it's all downhill from there. A&P foundation will offload some mental work later.
>>16979577And by "in the first three classes" I mean in the first 3 days of 1st year, if not faster than that. Okay now go away premed.
Why is a premed hereOnly idiots take an actual biology degree for medicine when you have to do the prereqs anyways, do engineering, math/physics, or business so when you end up like the 60% of premeds every year that don't even get into Mt. St. Bumfuck School of Medicine you aren't begging on the street to pipette for cash
Also new york residencies, rate em for me guys
>>16979553if you want to keep PhD opportunities as backup or want to enter into a prestigious MD + PhD, it gives you more choices when finding professors that may align with areas that you know
Please help me out guys, 20 something boy, since i was 8 years old i had some sort of sinus infection, I have been blowing my nose 24/7 365 days non-stop producing access mucus even when im not sick, and I'm fucking sick and tired of it.I don't even remember what my life was before this, no doctor seems to have a clue what's going on because im still not cured of it despite going to the family gp for unrelated, I wish this was put on higher priority. What is my next course of action?
>>16979669You go to the doctor with this as your chief complaint or get a second opinion from a GP or ENT
>>16979616Plant anatomy is in Gen Bio 1&2. A pre-req for all med schools.
>>16979862Gen Bio 1 and 2 are for rubes. Anyways, if you can't even memorize the anatomy of >a fucking leaf how are you supposed to memorize human anatomy
>>16979970What the fuck are you talking about?
>>16979970All the American pre-reqs aren't in my country. I never took a single American pre-req and I'm doing just fine without the pedantic hoop-to-jump-through shit. Fucking Americans and their undergrad trauma need to shut it. For all of medical history, all of these bullshit classes never mattered, and THEY STILL DON'T! If you want to master the pre-reqs, go be a fucking high school teacher. The courses only exist to filter people. If I had to do them I wouldn't get in because I can't force myself to learn retarded shit I don't care about. Take your cis trans chemistry and shove it up your ass (and let me x-ray it).
>>16979553Yes they're bullshit. It's hazing mixed with a humiliation ritual mixed with "us Admins can't figure out how to filter the undesirables so we will just add a greater work load!" Btw medicine has been easier than undergrad so far. I literally study for maybe 1-3 hours a day and I've passed everything so far. I get lauds, too. Guess what? I have no pre reqs that they use in America
Looks like a seething thirdie came out of the woodwork to complain about the only country that mattersYou should put two and two together and realize that maybe the reason why you don't have such basic education is because the expectation is that America does all the paradigm advancing clinical research while your country sits cradling its micropenis in its hands with an army of poorly trained worker bees
no one cares, non-American. come back when you arent scared to name what country youre in.
>>16968626>Jugular Vein Distention>Chest pain when sittingI'm no doctor, but I'd be worried about some form of heart failure
Thoughts on antidepressants, docs?I bet a lot of patients who go on them could actually fix their lives without them. They need self-belief and perseverance. Instead of a negative attitude like "you can't succeed without pills, you need them".Then when a patient is on antidepressants, it's hard to get off. Stopping the drug causes withdrawal and the patient's functioning declines, which some people interpret as evidence of an underlying "mental illness", when actually it's just withdrawal.Do you agree?
>>16980726i agree to a degree
>>16980677>I'm no doctorWe can tell
>>16980924Alright, but if heart racing and JVD doesn't raise even cursory concern for you, Rajesh, unfortunately I can believe you are
>>16967964I want to pursue a career in medicine because I think it will always be relevant. I'm currently in Germany and have the opportunity to enroll if I do well on my exams. I'm considering either medical or psychological studies. How difficult is it really? I'm not super smart (110 iq midwit) and have given up any scientific shit for several years; I'm already 26 and don't particularly like math. Some people say it's VERY difficult. Is it even worth trying?
>>16980957Not even bait, this is just unfiltered seething>>16981005If you have to ask it isn't for you, now go away premed
>>16981005psych is a meme
>>16980325America is the only country that matters to Israel lmao. Once you're bled dry, they'll move onto another host.
>>16981993I know, but it seems their salaries aren't that bad. Besides, neuropsychology is supposedly a science.
The concept of premed is as retarded as prediabetes.
the only men in medicine are either faggots (the boring normie kind rather than cool agp femboy tranny kind) or narcissistic psychopaths who want to be worshippedgoing into this field was the biggest mistake of my life
>>16984280>the only men in medicine are either faggots>going into this field was the biggest mistake of my lifeI think I know which camp you fall under :^)
>>16984280shouldve went into optometry
>left foot balloons every time it's above 77F and I consoom artificially sweetened sodaI don't understand the science behind why I can't have anything nice in life
>>16984372For all we know it's an hypergamous foid comparing that xe can't find the Chad of her dreams in med school