July 1 approaches edUnfriendly reminder:>DO NOT GIVE ADVICE>DO NOT FEED THE NURSOIDS>DO NOT ENGAGE WITH PREMEDSand most importantly>DO NOT REPLY TO PSYCH POSTERS
>>17006143Strongbadman is still a thing?
>>17006275Why wouldn't he be? We're all old here.
>>17006143Any white coat wearers here, or are you wearing Patagonia?
>>17006847Just north face senpai. T. Unc
>be me visiting the opthalmologist for a new pairs of glasses>told the bitch i just want normal lenses without blue light filters>she insisted on including those to protect my eyes or whatever>told her i already have blue light filters on my laptop and phone and i honestly dont understand why i need to block out blue lights when our eyes have evolved to see them perfectly fine for thousands of years>the bitch reluctantly agreed>picked up my glasses today>they are normal, non-filter glasses like i asked>but somehow they get dusty really easy and my eyes got sore after 2-3 hours using them when i could work for 12 hours easy with my old onesI suspect the opthalmologist bitch might have screwed with my glasses somehow to make my eyes work harder than they should, so she can sell me the reason that is because i skipped the blue light filters. otherwise other people might follow me and she wont get 20 dollars commission on each new glasses with blue light filters
>>17006143Do I stay in Europe with this woman I just fell in love with or do I go back to the US to go to medical school... I just know every exam now for the next few years I'm going to be saying wow I could've been in my favorite place in the world with a beautiful woman
>>17006915your degree cant leave you. w*men can.
>>17006915She’s gonna cuck you anyway.
>>17006895>going to an ophthalmologist for glasseslmao. those niggers rarely care from my experience since they almost always have technicians measure prescriptions. (you could also be retarded and chose the wrong options during refraction)
>>17006931>She’s gonna cuck you anyway.Speaking from personal experience?
I'm taking a diagnostic NBME soon. I know an ass-beating is coming, but I'm imagining that if I score well, I will be able to provide for my waifu as encouragement. This is where I'm at now.
>>17006143I used to be a doctor (not in the US, dropped out on 2nd year of peds).I hated the abusive and overworking environment. I didn't feel energized by the patients' gratitude. I felt awful when I couldn't tell if delaying a dangerous procedure would endanger the patient. I was hesitant at all times.I've been a NEET for 5 years since. I feel like human garbage. I feel ashamed for failing as a doctor, and any other job feels like running away from it.My youth used to be about my family hyping me up to be some great scientist, studying I postponed relationships and became socially retarded. Now I realize All my life, or any other, can amount to is Drone. I'm a goody two shoes so I can't even scam people for a living.I don't have any other skills. I would have to retrain all the years of medicine with an older mind to resume competing in residency admission contests.I don't know what kind of company would even look for someone like me.
>>17007122I got my ass beat on the NBME. My waifu and I are going to be homeless now. I'm such a bad husband :( My only cope is that NBME 30 is apparently one of the harder ones.
>>17007257>Went into med for the wrong reasons>Left medMany such cases. Go learn random skills on YouTube and maybe you'll find something you'd like to do for the rest of your life. Build furniture or something.
>Oncology hospital keeps using terminal cancer patients for their shitty trials and study grants>the treatments are useless and just prolong the suffering of the patients when they should be put down>I keep receiving 35 kg emaciated vegetables in pain on the internal medicine ward because the ambulance is obligated to take to hospital every shitty call >tell the relatives more or less subtly that the patient has no chance anymore and should be sent to palliative care, and that the oncologist is making the patient suffer more with a useless treatmentsuch is life, sometimes medicine is really REALLY ugly
>>17007259Okay, I'm sure you've talked to your medschool friends about it, but in case you don't have any (the anime pics are a red flag), let me assuage you a bit. Everybody gets gaped by the NBMEs. Studying for Step is hard. You will do poorly, study for a few weeks, and do poorly again. Keep the faith, keep studying. You will pass. Look at NBMEs as an opportunity to refine your study focus. >take first NBME, get 50% right>note all the GENERAL SUBJECTS for missed questions. Write them down.In this case, I decide to focus on OB/Gyn. >Do UWorld questions on OB/Gyn stopping to READ EVERY RIGHT AND WRONG ANSWER TO UNDERSTAND THE QUESTION AND THE TOPIC BETTER>After every day of UWorld, look at OB/Gyn performance, figure out which SPECIFIC TOPICS you are getting wrong>Spend a few hours studying those specific topics>Repeat NBME after a MINIMUM of 5 days study, the longer the better depending on your time schedule.Rinse, repeat. You will do better. You will improve and, importantly, you will actually learn clinical thinking better as you are>READING EVERY RIGHT AND WRONG ANSWER EVERY TIME, EVEN ON QUESTIONS YOU GET RIGHT. If you are an Ankidrone like I was, there are decks out there and plug-ins that can rip flashcards for flagged questions and make you a deck. These exist for UWorld and Amboss.
>>17007386As far as general study schedules, I found that 4-5 hours UWorld and 3-4 hours studying my weak topics was manageable. Adjust as needed. If you hate your study technique so much that you are looking for excuses not to study, skipping days you planned on studying, or not studying at all, you need to change your study technique. It's like giving a patient an exercise plan. If they don't do it, or do it poorly, you may as well not give them the plan. The best treatment for any condition is one the patient will actually do.
>>17007386>Okay, I'm sure you've talked to your medschool friends about it, but in case you don't have any (the anime pics are a red flag), let me assuage you a bit.I do have friends, baka! I just think anime girls are very cute. Thanks for the detailed tips, I appreciate them.
>>17007473Sure, anon. Med school is hard enough. Don't reinvent the wheel and don't take my word for everything. Ask others how they study and try them out. Good luck and remember to admit the fucking patient we've got patients in the hallways down here.
>>17007583>admit the fucking patient we've got patients in the hallways down here.Are you the EM resident from the last thread? I might be interested in EM. I used to be an EM scribe, so I know that a benefit is the shift work. I'm so over studying right now, honestly. That shit follows me home. I just want to work part-time and live life again without the constant worry about studying. I want to draw anime girls again! Plus, I'm naturally awake a night too, so I can maybe take the night shifts.
Following up >>17007257, What can you off branch into if you don't want to pursue residency?Surely there's graduates in this thread, I mean this thread has been running for years now, and specially in the US with their bottleneck training culture there must be something to accommodate those who can't pass those shitty tests.
>pull up>clinically correlate >go home>drink a fifth>jerk off>sleep
>>17007665>>jerk off>>sleepReal. Fuck Ramelteon, benzos, and barbiturates; anything else is extra.
>>17007257>I've been a NEET for 5 years since.What do you do all day?
>>17007823>Graduated 2020>Gap year because I hated medicine, excused by pandemic>Dad's wish was for me to pursue residency. Pediatrics seemed the least awful, Do 2022 and dropout mid 2023 from overwork and bad training program.>2024, look into "finding myself", want to make a videogame, get into reading fantasy and mythology, learn to draw>2025, Try to learn programming, shit school demos languages but refuses to teach design thinking or common techniques, get frustrated over CSS, java, clears up that the program kickstarts people into having a degree to be hired and learn on the job.>2026 Getting desperate, learn japanese to feel sense of progress, play flute on the side, watch old ass shounenshit I never liked but gotta be in the know because I have never had anything in common with anybody.
>>17007596I am one of the EM residents, yes. Keep it in mind but give every specialty a chance to win you over.
>>17007873>look into "finding myself", want to make a videogame, get into reading fantasy and mythology, learn to drawAre you still drawing? Drawing is all I want to do, but I'm so busy. Getting good at drawing is hard and it's hard trying to improve when my mental energy is low after school :(I totally understand why you left medicine. I often think about quitting, but one thing that helps to keep me motivated is using my doctor money to get art tutors and such. Anyways, I hope you find something that works out for you. >>17008002I knew it was you. My main interest right now is pathology, but I'll keep my options open. I just want to do something that gives me the free time and clarity of mind to draw. Even though I got an ass-beating on the NBME, I actually think drawing is harder than medicine. Anyways, I hope you enjoy EM. When I was working as a scribe, the EM doctors there were fun to talk to.
>>17006143Hi /med/, got a question, if I've been drinking for 9 years will I become significantly stupider? Because I feel like I have. Especially in the case of remembering things..
>>17008013Yeah, I still draw before sleeping. I have a hard time with perspective. Learning it is time consuming, most artists would just model and compose in blender instead of developing spatial eye. I can't really join the parts together or play with lighting yet. I don't think art tutors would help, more like an art group to cheer on each other.I didn't choose patho because I didn't want to be around volatile chemicals all day the rest of my life. I think the US way of studying focusing on flashcards is shitty, but I know the point of it all is to keep people out of training. Focus on system reasoning first and memo only the arbitrary bullshit anon, good luck.
>>17008035>Yeah, I still draw before sleeping.That's awesome. I'd love to see some of your drawings if you don't mind sharing.>Learning it is time consumingYeah, it really is. The reason why I said it's my opinion that drawing is harder than medicine is that I can learn something in medicine in a couple of minutes and I can get instant feedback by doing questions. On the other hand, it takes years to get to a good level with drawing. An issue I have with improving with drawing is that I often take hiatuses to study and every time I get back into drawing, it's kind of like I forgot everything I learned previously. That said, I occasionally just copy some drawings of artists I admire to at least keep up my observation drawing. Pic related. >I don't think art tutors would help, more like an art group to cheer on each other.I'd like to try out a tutor when I get the doctor money. I think guidance would really help me. >Focus on system reasoning first and memo only the arbitrary bullshit anon, good luck.Thanks bro, I wish you the best in whatever you want in life.
>>17008029Yes. Alcohol is neurotoxic and consistent alcohol use can cause significant brain damage, in addition to damaging every single organ system in your body. A large amount of the damage can be reversed by alcohol cessation. Talk to your doctor.
>>17008054Got nothing finished, just doodling.
>>17008069Cute, thanks for sharing.
>>17006895>>17006994>you could also be retarded and chose the wrong options during refractionThat isn't retarded, it's a retarded method, because nobody can tell, especially not people who got used to forming pinhole cameras with their tiny pupils, who may agree with lenses that leave them several D nearsighted. (they think it's just a fact of physics that your vision with dilated pupils gets blurry) People then feel the prescription must be wrong when they actually need to focus for the first time in years.
>>17008155tropicamide is a dilator and moderate cycloplegic, so it will reduce most of your overaccommodation. thing is, if they prescribe purely from your cycloplegic refraction, then when youre undilated you crank in all that accommodation again while waiting for your glasses. when you put on your glasses, it seems blurry because you need to relax which is tough after doing it for a long time. either wear your glasses and get used to it, or go back within the remake period.
>waiting for face CT to come backPicrel, it's me waiting for the face CT to come back
>>17008460damn, youre cute
>>17008490Took the words out of my mouth
>>17008268Overaccomodation would leave you farsighted. I'm talking about the opposite problem. People just can't tell if the lens is good enough on not, and they live with their focus stuck at less than one meter away, and constricted pupils, and it's good enough in bright light, and they are content with it, and think it's just the way it is.
>>17008268>>17008554I just found that this was also noticed by Lord Rayleigh himself, though he eventually admitted that he was actually nearsighted.
I'm about to start medical school and the amount of debt I'm going to be in is making me feel physically ill. I wanted to do family medicine but it seems impossible given trumps new loan rules. What the fuck am I supposed to do? This is terrible, I'm going to be so much in debt and so fucking poor forever
>>17008717>>17008717>I wanted to do family medicine but it seems impossible given trumps new loan rules. What the fuck am I supposed to do? This is terrible, I'm going to be so much in debt and so fucking poor foreverIt sucks, but I think people are being forced into taking private loans to take care of the rest that federal loans won't cover. It's my opinion that medical school and becoming a doctor are increasingly not worth the effort nowadays. All that competitive energy could go somewhere else; the average Step 2 score is around a 250 these days, for instance.
Do you guys have girlfriends? How did you meet them and how do you maintain them? I don't see it feasible with med shit, and many ended up hooking fem interns as residents when I still studied.
>>17008924>Do you guys have girlfriends?I'm a KHHV. The first time I've ever touched boobies and pussy was because I had to do a breast/pelvic exam.
>>17008554>overaccommodation would leave you farsightedpure retardation that you could check with a simple search.cool document from rayleigh though.>>17008924>gfnever have and likely never will.>>17008942too bad we dont get to do breast/pelvic exams in optometry... yet.
>>17008972>never have and likely never will.Bitch, I bet you're a fakecel. Stolen valor.
>>17008972Nigger optometrists get prime pussy, the fuck are you on?
>>17008717Could always go the military route, it's got major downsides but you graduate debt free and military residents are paid way better than usual, like 40% more.
>>17008978i wish>>17008981you might be thinking of ophthalmology.
>>17008998>i wishAre you a virgin? If not, you need to STOP the stolen valor.
god when you faggots talk about incel shit, I get second hand embarrassment
I'm filing a complaint against u in my next eval for that.
>>17008998Imagine going into a women degree and never fucking the women in it.
>married couple get to work in same area of hospital for who knows what reason>have to shadow husbandoid for my training>they get into couple fight in front of patient, wifeoid throws record book onto ground and stomps out room>have to then spend remaining 10 hours of shift under silent passive aggressive tension of them>husbando doesnt even sign my competency at the end because he's such a pissy faggotwhy is this allowed ?
>>17007257speaking from a similar perspective, i found the social care i did before medical much more fulfilling, so maybe thats something worth looking into.
>>17009305Lol what a disaster hope you reported them both
>study Comp Sci>be bad at math>forced to apply to DO schools because my math grades suckIt's a doggy dog world
>>17010152>>forced to apply to DO schools because my math grades suckGet a good MCAT score to make up for your GPA. Standardized tests are the great equalizer.
>>17009037None of us get laid dude>>17010152Such a retarded excuse. I did engineering and took up to topography, my math isn't the best but I stuck it out. Math needs perseverance and the ability to see patterns. It was your choice to choose CS despite being bad at math
>>17010346>excuseLiteracy crisis strikes yet again
>>17010406I did engineering as I said I pride myself on hating the written word while still getting a perfect score on CARS in the MCAT
happy 4th of july, anons.
I don't know who to ask, so I hope you guys can help me out. I'm taking dutasteride and I only have 3 months worth of pills left until the end of the year, I'll be able to get more then (it's complicated, and no, I just can't get more in october). If I want to maximize the effect, should I take one every other day or will that be a waste and it'd be better to simply take them normally? I've read that dutasteride stays in your system for several days, so I imagine the first option is the best, but I don't know... what's the best option here?
>>17010702Just accept that your hair is beans and toast broski
>>17010706I've been taking finasteride for years and it kept my hairline from receding, in fact I recovered some of the hair density I lost, I switched to dutasteride less than two years ago and it's been working just fine. What is there to accept? I can just keep taking the pills until I'm 60 or so and then it won't matter if I'm bald or not.
>>17010708Taking tranny chemicals that make your dick stop working just for a purely cosmetic slowing of your hairline recession is just sadJust accept natural aging and the way God meant for you to be, this isn't an actual health issue and "treating it" has more adverse side effects
Think I can finish residency debt free but the time commitment and possibility of failure is frightening. Very scared that between AI and mid levels this path won’t be worth it bros. I don’t know what else I’d realistically even do though, don’t have the connections for any other white collar work.
>>17010872>Think I can finish residency debt free but the time commitment and possibility of failure is frightening.Just to clarify, are you an incoming MS1? Are you saying you won't have any debt from beginning medical school to finishing residency?
>>17010874Yes incoming MS1, I’d have debt but I’ve got a low tuition school with some scholarships and potentially family help that keeps it minimal.
>>17010883Damn, that's good shit. Here's my opinion of the matter >>17008725
>>17010861I haven't noticed any side effects at all, and it didn't slow it down, it actually reversed some of the hair density loss as I mentioned before, try harder.
>>17008972Overaccomodation would make you pick stronger lenses than you need. (for nearsightedness)
>>17010962>I haven't noticed any side effects at allThe human body is remarkably good at passively ignoring changes from the norm. Did you know that you don't notice the peripheral blurring from open angle glaucoma until >50% of your vision is already permanently gone? Congrats though on a few strands of hair for your cosmetic preening.
>>17006143I moved back to my shithole European country from the U.S. for... uhm... reasons. Should I do a heavily subsidized M.D. here to return to the U.S. as an IMG? For context, I have both citizenships and I'm 30. I also have a pre-existing worthless degree from the U.S. The only qualm I have is that medical malpractice is the third leading cause of death in the U.S.
>>17011098You should only consider medicine as a career if you want to do medicine. No other reason is a good reason. Also, no, it's not the 3rd leading cause of death. That study was shit. They looked at deaths in one (1) hospital system and attributed any deaths where any single thing could possibly have gone wrong during the course of treatment and extrapolated the data to the entire United States. This is clearly shit data. Their estimates were also 10x that of every previous study on the topic. You only know that number because journalists LOVE eye catching controversy so they ran with it as fact. One single poorly-done study has harmed the medical community irreparably
>>17011092>The human body is remarkably good at passively ignoring changes from the normWhen your dick stops working as it usually does you notice it very quickly.
>>17011098>I'm 30>gonna do a MDBro you should already be a graduate at, like 26-28. You can't just start medicine at 30, not because it's impossible but because it's not worth it. With US citizenship you're guaranteed to compete for a residency on equal footing, but it's the same bullshit ratrace to rank in the USMLE, that isn't quite compatible with finishing your degree for the first time, it needs to be tackled with at least one year of dedicated exam scoring training.I tell you what. If You already have a wife, children, and the family is being sustained by your parents or your wife, Go ahead and waste 12 years of your life, you won't have a breather in the next 12 years. If you want to work in healthcare just go for some technical degree and get hired by a private clinic in the midwest, even if it's about selling magical magnet rocks and massages.Also, the lead cause of death is the patient coming with a destroyed body you can't do shit about, then him not listening to advice to prevent further fucking him up, after that dying from the complications of risky standardized algorithms and overseeing shit that it's simply not reasonable to look for in your 5 minute encounter with the patient, Only after that the genuine fuckups primed by loss of concentration and overwork come into play.
>>17011119>One single poorly-done study has harmed the medical community irreparablyThat one study about black doctors leading to better outcomes for black patients is another one. It went all the way to the Supreme Court, even.
oh it hurts when i put pressure there ?well what about this*punches your fractured rib full force with my clenched fists*rank that out of ten, BITCH.
>>17011314>patient ranks something 8+/10>they arent on the floor writhing in pain>theyre just talking to me normally with no problems>it's some minor irritation/dry eyei hate these little shits. did these niggers never learn how to rank something from 1-10?
>citalopram overdose that actually developed into Torsades De Pointwell today i learn that citalopram is actually the one SSRI that can fuck up your cardiac system significantly and might actually kill you if you grossly overdose on it !still, maybe were talking a threat level of 5 paracetamols in a hour and not just 3.>>17011476yep, welcome to the world of SOCRATES
>>17011476Did you ever learn to calibrate shit dumbass? How is the patient supposed to know something he has never experienced? You're the one supposed to rank his shit from his reaction and bring up comparable known injuries, besides "interferes with function" is equivalent with 7-8 and is exactly the characteristic you want to rule out.
>>17007068Yes. I used to fuck your current gf.
>>17006143Burninate the peasants, trogdor
>>17012110I'm incel, BITCH!
Is Family Medicine/primary care dead? >low salaries cause shortage>shortage causes more midlevels>NP/PA can be done in two years (online in some cases) with no prior experience>other white collar jobs hemorrhaging workforce and no new grad positions in sightIs this the new just learn to code ?
>>17012234>>NP/PA can be done in two years (online in some cases)The level of confidence to directly start seeing patients after taking online classes is wild. That level of initiative honestly has to be applauded.
>>17012238It's going to have a cascading effect after they gain more power desu. Atleast with CRNA's you still have to accrue ICU hours. They need to make more programs like NYU-LI to funnel students into primary care roles.
>>17012021>how is the patient supposed to know something he has never experienced?ohhhh my bad. i sometimes forget patients can't use their brains. my mistake.
>>17012610Yeah, it kinda is your mistake. You're the expert.Their subjective data + your objective data and evaluation = treatment and disposition.Probably just wants a turkey sandwich and a cuddle. Little kiss on the forehead from big nice doctor :^)
>clock into work>hospitalwide network outage>nothing works>everyone is worriedtime to get comfy
>>17012610>how dare the patient make me do my job that i've spent a decade learning how to do
year 3 of 6 med student from italyWent for a laser consultation and they told me my ideal procedure to ditch the glasses is Femto LASIK. 0.25/0.5 myopia and 3.5 astigmatism. Stable for 3 years, 23 yo maleAny reccomendations anons? Havent done optho to be informed in any meaningful sense.
what do you think about hospice? not about putting your grandpa in it, but as in doing it.
>>17013039>hospiceTotally unrelated, but what's hospice like? As in, what's it like living in it? I know a guy who will be living in a hospice center for his 3rd year rotations in order to save on living expenses. I wish I were making this shit up.
>>17012985shrug
>>17013024LASIK is a good option, but PRK is an equally good option with other upsides/downsides. LASIK you'll be seeing well again in just a few days, while PRK has a longer recovery. PRK is better if you do combat sports or other trauma-inducing activities as there is no flap to dislodge after the procedure unlike LASIK.i dont think ICLs would be good since i think you need more myopia to qualify for it, but im not an ophthalmologist (just an optometrist), so im not up-to-date with all the ICLs on the market. i also dont know their approval or which lenses are in yurop/italy.
>can't get accepted into medicine>get accepted into arts and science>graduate with BSc physicswhat does this say about the healthcare scam?
>>17013272Idk, something about sour grapes i reckon
>>17013272Sounds like you're jealous you didn't get into a career path you wanted. Maybe don't slack off in your next life and try to be a normal person instead of an asocial schizo?
>>17013854I am a schizoid after 6 years of wfh>>17013481grapes rape my teeth and make them sentitive
is sleep medicine a meme? I've never personally run into anyone in the field or needed to consult them, but they did fill about 200 fellowship spots recently. you just sign off on sleep studies for sleep apnea all day or what?
>>17014272everything that isnt surgery is a meme
>>17014312>t. general surgeon
>>17014312Lmao radiology is the most lucrative specialty by far (for the average specialist) with the best life style.
This is not a request for medical advice, just general curiosity.I occasionally take extra strength melatonin if I know I need to sleep now to get up early for something. I have consistently found doing so results in significantly reduced sleep duration.Normally I sleep ~8hrs, as is normal (my problem is I usually stay up until like 4 in the morning). But when I take a melatonin I naturally wake up like 4hrs after sleeping.The Google machine and AI slopinator just tell me "um, ackchually, melatonin increases sleep duration."So what gives?
>>17015752your body is retarded
>>17015752You might have a retarded soul
