/sci/ - Science & Math

What to read more about right now

1-3 oncology
4-6 Hematology
7-9 pharmaceutical
0 (please god no) Pathology

never seen these threads, this is so gay

*ahem*
FUCK NURSES

>>10716153
Rolling for 7-9

>>10716169
Based

>>10716169

Can I trust /lgbt/ for my endocrinology matters?

Not sure where to ask this
What's the best programming language to go with a /med/ degree?

>>10716208
>can i trust /board/ for *anything serious*

no

>>10716208
Kill yourself mentally ill freak

Is there one place i can get list of every possible spec in medicine with general summary of them?

>>10716281
fuckin premeds i swear

>>10716281
https://www.sgu.edu/blog/medical/ultimate-list-of-medical-specialties/

Now go have a blast premed.

>>10716169

Based!

Aspiring Murse here from a few threads ago.
Thank you Anesthesiology Anon for your thoughtful insights on CRNA vs AA and NP vs PA routes. I am still figuring it out but have completed a Nursing Assistant course and am looking at doing EMT training next. What you said about working with specific demographics in NP vs a more general population route has me leaning towards PA at the moment, especially after my NA clinical experience in a Post-Acute center.

To the thread in general, do you believe there is an advantage to understanding both the nursing model and the medical model?
Is scribing worth the time for a career changer or should I just focus on shadowing/volunteering?
Who does what administrative wise in larger healthcare environments? (I.E. What do doctors manage, what do nurses manage, and what do pure administrators manage?)
Does anyone have any experience with Nursing Informatics? I am having trouble understanding their day to day work.
What is working in a Pediatric Ward like?

>>10715611
Anon, don't let the thought of people laughing at you stop you from doing nursing if you think you would find it a fulfilling career. There will always be people who laugh at you for whatever you choose to do, but I've found most people are too self-involved to care either way what you are doing with your life. If you really feel like doing something more male focused you could try being a firefighter paramedic. Your community college more than likely has a fire academy you can apply to and do paramedic training if you get in.

>>10716205

Another evening, more frogs.

>>10716334
Jej

>>10716334
noice

Urology rotation anon here. There are some pretty sinister cases in this field holy shit. Saw a woman with pyonephrosis due to lithiasis. Her kidney basically turned into a pus filled bag. Infection spread to the retroperitoneum (retroperitoneal phlegmona) and it fistulated to her gluteus. That's how she actually got diagnosed. She was in general surgery first for the gluteus. They drained 800 ml of pus from that gluteal abscess, made a CT and saw what the hell is going on. BTW her bloodwork was normal all over. They're gonna operate her tomorrow, I'm gonna try to take some pictures.

Some replies from last thread
>>10712336
Words like quiet and calm are forbidden in the ER, lul.
>>10712597
NSAIDs are awesome what the hell are you talking about.

>>10715611

It's only too late if you don't have the patience or the finances to spend your early 30's in education.
But you're missing the point if you think its a timing issue.
You probably have the same personality deficits (lack of motivation, inability to follow through, inability to commit to hard work) that caused you to flunk in the first place.
If the initial circumstances were out of your control and you have the intellectual capabilities for it, then its worth considering.
Make up your own mind about it you mong

>>10716168
why the homophobia?
>>10716334
this is pretty based

>>10716334
>>10716337
keep em comming

>>10716355
In the words of the wise Avicena "if crp and wbc are normal, there aint no infection action going on"

Jokes aside, what complaints did she come with the first time?

>>10716169
BASED

Going to an eye surgery laser shop tomorrow to get checked if my eyes can be fixed with a no cut method please stop me

tfw no evidence based gf

>>10716650
Based and feelspilled

Varying the same pic a little

>>10716687
B A S E D
A
S
E
D

>>10716506
absolutely based and medpillled

Do you guys know what a double blind study is?

>>10716208

please don't do this

>>10716208
>mfw trannies pharmamaxx and surgerymaxx and 99% of them still look like men in dresses

>you will never drive home, through the snow, to her

>>10716890
DELETE(exclamation mark)

Incoming m1, how ez gg is it to get laid as a future doc :-)

Daily reminder that nurses are just drones that follow a doctors orders and can’t think for themselves. Nurses can’t give a blanket to a patient without an order LOL

>>10716890
G...get outta here l..loser

>>10716920
it's funny to read nursing forums and watch them begging for help w. homework problems like "if the patient weighs 30 kg and the drug is dosed at 5 mg/kg, what dose should you give?"

>>10716890
>>10716897
>>10716928
I-I thought med students were supposed to get lots of pussy, bros...

>>10716915
>ez gg
For you, sadly...not that soon.

>>10716915
*crack* SIP ahhhhhhhhhhhhh, I remember being an m1. Now THAT was an easy year

How important is it for a FM applicant to have research under my belt? (UK based, want to apply to US)

>>10717637
None

I'm an Australian in an Australian medical school, if I destroy STEP 1 should I have a good chance of getting into some surgical program in the US?

>>10717183
As someone that has to complete 6 years instead of 4, the first two years were he'll on earth for me with their shitty histology and a fuck ton of useless biochem.

>>10716243
Sanskrit

>>10716243
R

>>10718192
>biochem
>useless

You were one of more dumb one, weren't you?

>>10718583
I aced all of them but honestly, it's useless and haven't done anything related to it on clinical/surgical rotations, you dumb premed.

>>10718583
i have no actual experience yet, but i'm pretty sure that writing the krebs cycle from memory isn't part of any established therapy for any disease.

>>10718583
>biochem
>useful

>>10716169
Ahem, ahem, yeah...
Ahem...
Harrumph, huah...
Umph... Yeah, yeah...

Fuck nurses who focus only on their purses.
Sicker than these rhymers focus only on their verses.
No love or art or passion for their work just makes them worse.
Killin' all these niggas preachin' "culturally diverse."

Phthalmological and cynical,
Dermatological and pinnacle.
Psychological and critical.
Radiological yet minimal.
Pathological and clinical.
Turning up the anesthetic like oncologizing minerals!

Heart attack. Take it back. Put the patient on the rack. Like patrol takin' bodies back. On the stack. Big mac. Bypass. Kickin' ass 'till the last laugh.

See you at the hospital...Homie. Yo' iz gonna need stitches...
Man fuck bitches.

Been having pain behind right eye for two months now. On and off. Dull ache. No issues the Optometrist say, optic nerve looks fine. Wtf else could it be? Wisdom tooth? Sinuses? I've never heard of a mild infection for either, let alone lasting two months.

>>10718602
I...I feel so btfo...

>>10718607
How often are you farting?

Someone motivate my lazy ass to do my reps

>>10716169
absolutely based

Why are there so many frogposters here?

>>10718707
I was just joining in

>>10718707
/med/ is a right-wing thread.

>>10718707
Because this thread avoid jannies like hiv avoids being killed

>>10718707
We are the spirits of all the dissected frogs that all biology students had practice on.
-.-

Anyone tried minoxidil for beard growth?

>>10718814
oh nonoNONONONO

AAHAHAHAHAHAAHAHAHAAHA

Update on the woman with the pyonephrosis.

https://imgur.com/UGzjOEo
https://imgur.com/DzrH44p
https://imgur.com/qdBw9Ga

They took it out. It was filled with pus and it basically fell apart in the process. I couldn't take pictures while they were working, you have to take my word for it. There wasn't pus in the retroperitoneal area, but it there was a lof of sclerosis. They drained the majority of it in general surgery. You can see the stones in the upper part. Sadly rotation is ending tomorrow so I won't know what happens with her.
>>10716522
The formation on her gluteal area. Apparently the stone wasn't bothering her.
>>10716852
Two surgeons reading an ECG.

>>10718830
The joke here is two traumatologists lel

>>10716169
Haha, well put friend. I'd like to also add

*ahem*

FUCK GUNNERS

>>10718871
>FUCK GUNNERS
I have nothing better to do than work my ass off though

I have a patient with internal jugular vein thrombosis, a collegue mentiond giving her dexamethasone

I think I hear somewhere else this meme? why? I can't find this use for it on pubmed/uptodate

>>10718910
Fuck you. Get a life.

>>10718933
>dude stop working hard
I don't have any time-consuming activities, so why should I not do my best to get into a good specialty?
Am I supposed to actually start slacking? What the fuck kind of mentality is that

>>10718910
Doubt you're a gunner then, just a hard worker. IF you gun for preferential treatment in rotations and try to undermine your peers, THEN you're a gunner.

>>10718945
Nah man I'm not an asshole. I just spend most of my free time working.

>>10718949
That's fine then. Your kind pissed me off a little in undergrad because they set an unrealistic precedent due to all being rich asian kids who didn't have to work part time so just studied 24/7, making it more difficult for working students to get through.

>>10718938
It’s called the ‘don’t be an autist’ mentality. If you need to study all the time to get good grades you don’t know how to study. So fuck you. Learn to study and get a life.

>>10718954
I don't need to study all the time to get good grades, but it's always nice to be excellent, not just good. Plus the specialties that interest me are all competitive.
You sound like an angry and unpleasant guy.

The USMLE is so much harder than UK med school exams holy fuck

>>10718929
Brainlets give corticosteroids for everything. Anticoagulants and antiagregants and even fibrinolysis are in order IMO.
>>10718966
>feeding the trolls
Are you like 12?

>>10718587
all actions and interactions of medicaments are based on biochem knowledge.
I don't know what they thought you in medschool, but if you understood the base you wouldn't need too learn everything damn thing.

Hell, even as a surgeon you need to know what the principle behind the treatment of ileus is for example. Ever heard of reperfusion syndorm you cunt?

I understand it's cool to be edgy to impress all the ladies here, but don't pretend you don't know it is important stuff.

https://www.youtube.com/watch?v=fFoXyFmmGBQ
thoughts?

>>10719030
>biochem
>medication interaction
Have you heard of pharmacology, pre-med?

>>10719041
nice try, but pharma never goes into that deep, there is simply neither the right time nor enough time. and whats about the other example I gave you? should probably be done in pathology, right?

I like your logic though.
Hell, why learn anatomy? there is surgery!

I finished med school without being a faggot like you it seems, maybe you gonna achieve also something and start using your brain a bit more before you type in something.

>>10719057
>being this edgy
Kek. Pharmacology is at the base of medication you dickhead, there's no biochem that you use in that shit. You have pharmacokynetics and pharmacodynamics which tell you how the medication is processed in the body, where it is absorbed, its mechanism and excretion.

Looks like you finished medschool for nothing, bro.

>>10719068

>>10719102
>>10719103
>he thinks he needs biochem to learn medication
Seething, brother. If you want to develop and create some meds then yeah, biochem is somewhat useful, but pharma is still on the first spot. On the other hand, if you want to give treatment, you won't need biochem. Now pls stop posting wikipedia shit that not related to this discussion as you may already know.

>>10719115

well, it seems is like it's trying to explain cheese to a guinea pig: no matter how hard you try and how many examples you make, he still just gonna shit on your board.

If you don't understand how you gonna meet all this stuff from >>10719103 somewhen and somehow in your "career", than there is no help for you.

Slowly I understand why the MCAT and GPA needs to be so high if someone like this gets into med school.

>>10719135
Nice argument, premo. Try harder next time, I'd really like to see how much is going alpha helix and beta sheet help you with meds, kek.

>>10719135
>that one retard that knows autistic facts with no clinical impact thinking he is somehow makes better decisions

yikes

>>10719152
last try, from a doc to a cretin like you:

what happens if you apply local anesthetic into an inflammated area?

Explain without the useage of biochem principle. it is useless after all.


Btw:
>6 years
>histology
Slowly I get the impression you are a german. need to learn for the first state exam and frustrated?
Or just one of this private university Australian?

>>10719197
>apply local anesthetic into an inflammated area?
Well, you didn't specify if it's injected or just topical lidocaine.

As a medstudent to a future patient like you: It makes the pain go away.

Now try to explain what happens when you tell the patient the biochem principle you fucking dumbass premed.

>>10719197
>from a doc
Post grade and specialty

>>10719205
ah, very well. taking every word very specific, you must be fun.

lets say we inject it (not that it matters, you are already wrong) does it make the pain go away big doc? even if it is inflammeted?

you are as dumb as it gets.

>>10719212
1,8 and Nuclear

>>10719218
It just decreases the efficacy of the anesthetic. I hardly believe this will be a situation we will find ourselves, especially for an anesthesiologist. Why would it even matter what biochem shit is behind it if you're going to study all about it in pharma?

Not him btw.

>>10719223
>Nuclear
Having a bad day on those scintigraphies?

>>10719218
>inflammation affects the blood vessels so the anesthetic is less effective I just learned this 2 weeks ago I feel like House!

>>10719257
well, believing is not knowing, and I saw during my rotation it several time: sometimes it barely works then. and also simply injecting more is not the solution then.

And why you need to know? because the principle behind it (buffering and acidosis mechanism) are only understandable if you understand biochem.

and the principles comes again and again (e.g. why does koagulation doesn't work so well during pH disbalance? why is the binding curve of oxygen at hb like it is?)

Of course, you can ignore the principle behind it, just learn every fact and case for itself. but then you would be what they often STEM mayors tell about med students: apes, only able to memorize, not able to think for themselfs.

has nothing to do if I have a bad day or not, it is just simply stupid and ignorant. But hey, some of us want to be good docs and some just want that white coat.

>>10719308
>I just memorized an entire chain of biochemical events and mechanism that I will forget in 3 months anyway but I am much more logical than all the other sheeps around me why can't anyone see how big brained I am!

>>10719308
Please tell me you don’t practice in an English speaking country?

>>10719308
>acidosis
You learn about that in physiology more in depth than in biochem. Idk , imo is kinda unless since I've never used it during my rotations. The stuff I've used the most is pathophysiology, physiology and pharmacology. I'm shit at microbiology so pls don't flex on me, always hated it.

>>10719306
it is (like often) a bit more complicated.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3218719/#__ffn_sectitle

Fun fact: I don't know how it is in your country, but my friend got asked this stuff in his final exam.

>>10719314
no stress, I don't. but I don't need to put more effort in here and check my spelling/grammar, wasted enough energy on cretins.

>>10719313
if you forget stuff after 3 months maybe you want to consider another job?

Attention please!

Romanon here. This is the best edition so far of the thread that I could think of. Pls no hate. Family medicine is the purest and most comfy spec.

Thanks for your attention.

>>10719335
Why do you like it?

>>10719364
Because it's "general" and you can take care of a ton of conditions. Chronic diseases are cool, some patients are nice and actually cooperative, lifestyle is great even if it's the lowest paid spec. Rural is better than urban (even lifestyle wise)

Lmao at all you insecure premed and med students. Do you really think nurses want to date some likely short pajeet when they could have this 6’1 chad nurse banging them in the decontamination room? Lmao no one fucks with me in the hospital, I bench 315 for reps, squat 450, deadlift 500. Docs like you faggots stay SEETHING because you weren’t born with my genetics and think “well I’ll become a rich doc and get all the girls and get back at my high school bullies!” Tfw your high school bully still wins by taking all the Stacys. Tfw your patients think my advice is better than yours because “that doc was really weird and wouldn’t look me in the eye”. Tfw I still make a good living and get to enjoy all my hobbies while your lives are centered around sick patients. Just last weekend I went water rafting with the X-ray tech and her two best nurses. Ended up fucking 2/3 even tho they’re all married. Last one wouldn’t do it because she found out I fucked the other two.

Face it, nurses like me are the true Alphas of healthcare.

>>10719415
>chad
>nurse


anyway, where is our big ball medstudent from >>10719205 ?

Didn't knew shit, gone now?

And: How is the distribution of male/female med students in your country?

>>10719379
>Rural is better than urban (even lifestyle wise)
you are retardad

What is neurosurgery residency (and attending) like in Europe? Is it different from America in terms of subspecializations, responsibilities and hours/lifestyle?

>>10719441
Why? I always liked the quietness of rural areas and having my own house with a nice little garden and enjoy life. I really don't know what you like about cities that much.

>Love physics more than any subject besides maybe math
>Too brainlet to succeed in those fields so considering going into med which is my 2nd option
Anyone been in a similar situation?

>>10718602
The complete non sequitur of the last couple lines had me dying.
Nice one, Doc

>>10716337
have a labfrog

>>10719438
C O P E just mad this nurse gets more puss than you. I’ll take your girl you beta cuck

What is the opinion of the resident urologists on genital piercings?
I'm thinking about getting one but not yet 100% sure.
>>10718607
Perhaps you should consult an opthalmologist instead of just an optometrist.

>>10719728
>gets dabbed on by docs
>gets dabbed on by PAs
>gets dabbed on by paramedics
the absolute STATE

Just diagnosed myself a varicocele to my left nut, explaining why it is so small compared to the right one.
It's not such a big varicocele but still I have it.
I won't be infertile after they remove it right? Even if one of the balls is small?

>>10719415
>tfw you get paid 60k to get shit and pissed on while i get paid 300k to sit in my comfy office with my microscope

I don't want to do family medicine purely because of pride. It's a completely illogical, I know. Id rather be a surgery slave than be a comfy family physician.

And yes I do have the step score to choose

Is it worth having an iPad (alongside a laptop and desktop) in medical school, or is it a meme?

>>10719904
>ipads
Cringe and nursepilled

G'day scrubs.
I'm looking for placebo/sham trial study's for treatment of back conditions from early records. I'm thinking around the 1960's in bongland as I'm lead to believe it originates from there. It may be the following to have originated if the trails of such aren't existent.

I'm particularly after the name of the method used to induce trauma.
It's for giving the impression that an invasive lower lumbar intervention had happened to subjects. But also has the happy side effect to try and force a correction of posture.
The way of inducing this trauma is by situating the patients hip on a folding platform lower than the hinge. An then inclining the upper half to grip upon the shoulders thus creating a significant force down the column with curvature in the lumbar bending backwards.
Typically done to/for those with straightening of the lumbar. With the right control the aim is to dislocate spinal disks strongly enough that the body attempts to protect/correct itself with extreme stiffening of the muscles in the back. And with further physiopractic measures after discharge, to have a lasting correction.
I believe it was part a gag piece in that old black and white? show of medicals students in Brittan. Some fat wog comes in with a towel wrapped around his waist as a way to stabilize hysteria, that he thinks his back had suffered a severe injury merely weeding the garden. The the doctor gets him on the table. Quickly folds it and walah!. Cured!
Cant for the life of me remember if the method was named.

Also any other subjects or relevant information in the field would be nice. It's hard to find people that can discuss the shady side of treatment where ethics are a danger and implications of aspects. Particularity where you may be handing a diagnosis that's down right facilitating insurance fraud. But lol state sanctioned. No guilt admissible or attributable to or consequences there of. Fuck I love my job.

Quick question:

What are, in your opinion, the more obscure specs? The ones that people specialize rarely and rather than doing them, they give residency another shot.

>>10719919
In Australia there's not really a discipline that's unused because of our demographic, population and lack of over saturation of higher learned professions.
But if I'd have to guess it'd be the I wasn't event bothered trying to get a higher effort qualification. Such as nutritionist, or something else as useful to someone that's never received a formal or implied education before.

If I'm wrong there, I'd say probably something that'd induce fear of failure such as plastic augments other than the cut and shut boob jobs. But still isn't much call for that.

>>10719919
Occupational Health

Why am I shedding alot /med/? It’s noticeable on the hands. Also why do I have a wound on my hand that isn’t healing effectively even though I’ve given it a week?

I’m uh, I’m pretty scared actually.

>>10719947
Well, I wouldn't turn that down tbqh.

As for you >>10719919

I'm thinking Sleep Medicine and maybe Aerospace? But those are subspecs.

>>10719955
How often are you farting?

>>10719955
With presence of small pustules, or itch?

As for the other. It's probably naturale eius debent manus.
Nothing to really worry about yet.
If it lasts for any more than another two days, I'd suggest consulting an Iatromantis. The first time this happens we're all a little concerned. But it'll regulate normally in time as hormonal pressures stabilize.

>>10719980
Not frequently..?

I would like some help figuring out what the name of a particular genetic disease. From what I know it causes mental retardation in boys but does not affect girls, although girls can carry it. I have heard conflicting accounts that both the father and mother need to pass it on for the boy to be retarded, but I have reason to believe only one parent needs to pass it on.

Apparently it's rare, and of course it's not guaranteed someone who has it that has a son will pass it on, but it seems to be much more common that the boy is retarded than isn't.

>>10720008
browsing 4chan.

>>10720054
i don't want to ask reddit, I don't have an account.

>>10720008
It sounds like you're trying to describe an X-linked disorder. Fragile X syndrome is the most common one of those, but there are a lot of them. https://en.wikipedia.org/wiki/X-linked_intellectual_disability

>>10720071
It seems like it would be similar to MASA but MASA can apparently still affect girls less severely than boys, and to my knowledge and anecdotal experience this disease does not affect female carries at all.

>>10719996
Itching actually

>>10718192
Where r u from?

>>10719970
>Sleep Medicine
Now this is a prick of a field to be in in a diagnosis point if given non typical or symptoms that aren't persistent. Sure the work hours aren't bad if you're the sitter.

But the problems with patients not getting results to their problem because they fluked normal sleep for 5 days must be both irritating. And saddening in some cases.
Then on top of that. Dealing with the few that expect results to say near brain death events. Even tho they're just shitty sleepers or stressed.

A lot of time invested for seemingly low pay offs.
Does their field have application else where? I'd think the lucky bastards in research doing experiments to visualize dreams and such would have some really crack pot approaches and theory's.

I'd given some thought to dream's purpose in past and concluded it's a semi-byproduct of randomized data analysis for creating obscure/lateral connections. Using visual input as a way to broaden detection as perspective may be hard in a raw data format without proper binocular calibration. Or for emotional response to be created initiating pathway variances because of elector-chemical unpredictability and travel of substance and their reactive predictability of fluids released in a closed system of complex fluid composition.

Typically it's of data collected during the day that's the main focus. As expressed by dream journalists.
But I dare say if a 'research path' is found warranting dropping need for randomized data calls and analysis. I'd guess that a recurring dream sequence may initiate as to not disrupt expected sleep pattern when processing power was reduced to a more linear task, Basically a screensaver mode.

But I'm bored as fuck and applying computer science to biological elements. That I don't even think run on impulse alone anyways. Birds can react to 600+fps projectiles. And I can seemingly always blink just right whist grinding. There's got to be more data bandwidth than suspected.

>>10720120
Nobody’s going to read all that yer poofter

>>10720158
Yeah.
I really should have posted an image.
I've failed not only you, and the greater user base as a whole.
But I have also failed myself.

Hey /med/ I'm strongly considering PA school so what are your thoughts on the profession?

>>10720218
Better than a nurse. Fuck nurses, get them preggers.

>>10719867
>yfw I'll be a CRNA making 200k/year doing nothing but easy ASA 1 cases working 40 hours/week while you'll be making 300k stuck in a dark room all year looking at your micropenis from under your microscope

C O P E

Anesthesia intrigues me, but can't get over the fact that if I choose that route I'll be doing 99% boring shit/managing CRNAs, etc. What do bros? Is critical care an option here? Then again working trauma would probably suck ass as far as lifestyle goes... guess I cant have my cake and eat it like a fat nurse

>>10716028
I have hemorrhoids (don't cause much trouble yet). Is there anything I can do to avoid surgery?

>tfw figuring out that anti-vax sentiments are primarily coming from fear of needles (childhood trauma, 99% of babies cry during shots) or motherly feelings of not wanting to harm your baby.

Brainlets have too much cognitive dissonance pairing "thing is good" with "thing makes immediate harm". They are ashamed that they have so many negative feelings against something that is universally good for society and potentially themselves, so it's easier to delude oneself with the notions of conspiracy and harmfulness to get rid of that pesky cognitive dissonance.

first year residency here btw

>>10719379
My mother is a family doctor and the municipality physician of a ~4k souls community spread around 5 villages (middle europe). It's so comfy and she wants me to take her practice, but that metropolitan university life just got me senpai

It's 4am here and didn't manage to get any sleep. I don't feel tired at all but I'm pretty sure I'll get sleepy during the day. I'll try to stay awake so I won't fuck up my sleep cycle because friday I have my last exam and then I can welcome summer practice in my life again.

>>10720389
Mom is a family doc too and has like 1,1k patients. I don't want her practice, just want to look for some old geezer that's retiring and can get his practice for cheap instead and be on my own.

>but that metropolitan uni life just got me
Not for me, friend. Just the thought of having to work in a hospital drives me crazy since I don't like ass kissing the attending or having to become competitive with other residents. Imo, it just sucks.

>>10720389
You know when a regional practitioner starts looking for a successor for their clients. It's typically because of debilitating ailment.
I'm sorry you had to find out like this Anon.

>>10720372
Don't strain when you shit, eat more fiber, and don't stay on the toilet for too long

>>10716169
I work part-time in emergency ward (still early medfag, not a resident) and really conflicted what to think of the people that work in medical field.
There's stress & poor management at the workplace of course that fuels all that, so I kind of understand where they are coming from, but still. kind of killing my /med/-boner and sapping motivation lately.

>>10720372
>>10720396
Also, do "finishing touches" with wet wipes (or go full baby-wipes).

>>10720411
>"finishing touches" with wet wipes
So basically a nurse's job? If this keeps going on, they won't have a job in the near future.

>>10720403
Two methods of surviving A&E.

Basic bitch method:
Start sucking clit of the whore that controls your shift times. The rest of the hen house hierarchy will land before your feet.

Wait he's worked here for how long?:
Just shut up, do no more than your job. And never have a personal interaction with anyone because eit'll ultimately lead to "who's side are you on Anon?"

Secretes unlocked hidden pathway:
Do what's ever required for paramedics. It's sadly a less stressful environment.
Even with the incidents involving children quickly diminishing many's perception that road scraping would be the traumatic part.
But also para's are just better people. You're working together not only for stabling a patient. But in some cases working as detectives. So any personal social bullshit quickly loses relevance.

>>10720441
That was rather substantial, thank you, based med-sempai.

Entering m1. I have extreme social anxiety and come off unconfident, even tho I’ll proy end up AOA and >250 step 1. Choose my field.

Clinical nurse specialist here. I'm gonna make the jump into medicine hopefully in the next 2-3 years 'cause I'm losing confidence in this profession. Unfortunate to see the hate from you guys, but I can see why we're looked down on.

>>10720481
Don’t worry about it, a bunch of autistic resentful virgins post here. Better off going to /r/medicalschool or /r/residency.

>>10720481
>but I can see why we're looked down on
I know a nurse that questions and pesters a doctor, even in front of patients, when asked to do something she doesn't want to or think isn't necessary.

>>10720461
Oh and the only pitfall to paramedics is that it's potentially a dead end job. But if you do your recursive study correctly and use your extracurricular time creatively. You can put yourself into a very good position for exotic paramedic services.
The obvious being helicopter/air rescue. But say for instance you put some effort into rock climbing that even knots make you semi erect as a result. You can open up options to danger zone operations that are really rewarding in terms of thrill, despite the lack luster pay rate jump.

But a proficiency in small arms and survivalist tendency's with the other interests on top with as little as 5 years in the meat wagon.
That would put your foot so far in the door for high end armed services and law enforcement roles, you'll be negotiating pay rates than conducting interviews.
After the first acceptance to such a role because every nigger has to do basic. You can't bypass basic.

Can someone fill me in on how continuing education works? Psychologists in my state have to do a certain number of credits continuing education in order to maintain licensure. Are there deals with universities for this? Are you expected to be continually enrolled at a university? What determines which classes are acceptable to satisfy the requirement?

>>10720481
Before you do, for the love of "Do no harm". Record the failings in your current place of work. Every little shitfit and failure to follow procedure. catalog them and try to define why things aren't working. Those that are usually entrusted for the checks and balances of the system are severely limited in their vision. Because they're only ever often witness to work process where knowledge of their attendance is known. And of course are not there on any regular basis to create laxness to their presence or even gain familiarity with staff. So that a perceived trust can exist for them to feel safe exposing stuff, that may lead to loss of employment.

I'm currently on the back end on a self immolation study of sham procedures in Australia. The failings I found in general conduct let alone in terms of methodology and detection of secondary conditions was fucking atrocious.
The staff I've come to learn are not disclosing adverse reactions. Or even vaguely conducting the variable and risk factor checks outlined in the trial licensing agreement.

They are even using a technique I cannot find to be a disclosed in any documentation let alone prescribed in any future renewals. A thing that is actually a induced trauma event. And not a measured application of which.

These major and incriminating breaches would not be known if it weren't for a boots in the trenches approach.
Even the agreement as to subject selection and notification of a blind blind study is breached.

Now this is with the Surgical Neurology dept's. God knows what horrors the common raffle a involved in. Oh actually on that I do. The local levels A&E departments in rural vic are severely dysfunctional. One in particular. They have developed a superiority complex, or such hyperactive profiling of admittance's that the locals of that facility will travel a hour away to get care. Because of it.

I'm currently waiting from SYD Uni response to my initial findings.
Please, help us all.

>>10720528
consider it like a heavy combinations drivers log book(bendy truck and trailer). Because you're entrusted to be of a high end. You need to fill out this book to provide evidence of ongoing interest in the field and want for best case practices. Normally this is easily done with a week at a expo to the desired field.
As such a system for the ongoing education of professionals via this method in your country of operation. The expo organizers should they be conducting correctly will have presented their event to an authoritative body for general confirmation that no obvious misinformation is going to be presented. Or that topics that can be misconstrued are correctly formatted for concise and clearly defined risks/misconceptions to be easily and quickly identified.

Upon approval for the event to take place, and host talks approved. The authoritative body would issue a stamp per item that is considered something to be acknowledge of being studied, and a weighted value there of. So that picking up a pamphlet isn't given points, as who's checking you read it?

In a more modern system the practitioners would have a Referral code that is entered to a governmental system for their ease. But the stamps still persist as a back up measure.
DONT LOSE ANYTHING TO DO WITH ONGOING STUDY POST QUALIFICATION.
You will get ass fucked eventually if you do.

>>10720528
>Are there deals with universities for this?
Some years there are and some there aren't. It's in part as to not step on the toes of expo's. But also to prevent campus problems with hosting regular and large attendance events. As to accommodate them would either be to the displacement of students. Or a large building constructed that's intermittently used.
Then there's also the issue of retaining professors for such teaching events.
Unless there's a need for University facility to be accessed like a medical ward room, Unis have no real place in ongoing study in non surgical fields. Even then it's typically just to display some corpse stitched up with a new suture.

So if really left to professionals in the field presentations at a Expo. The knowledge to be gained in that system is generally more accurate than what a Uni could devise.

Now I know that flying off to another City for a week every year sounds like a fuck off. But the tax break almost pays dividends,. And in non self employed cases. That week isn't docked off your holiday allocation or wages.

>Pediatrics exam in 6 days
>Bareli touched the books

FUGG

>>10719326
Pill pushers like yourself are why this country is looked down upon. Don't sully our history with false claims of "our big ol brains saved ass in WW2" because you know that a white lie is still a lie. You just had the stuff on the tip of your tongue.

>>10720120
https://en.wikipedia.org/wiki/Summation_(neurophysiology)

It's a start.

>>10720381
Being a poster child for doctor apprenticeships is tough. I hope you make us "losers" proud.

>>10720779
Woah. I cant even be arsed to into all the interactions possible of a neuron for my computer to determine switch state count. And that's just with rudimentary chemical knowledge and assuming either on or off for electrical state.

But just a brief look-over, the bandwidth potential is high. However alternate generation of energy other than surface level electrons seems unlikely. But the voltage gates seem to be very variable. With 5 different types. Alongside voltage measurement points. So it would seem it's far from impulse being worker. But all sorts of pattern form.

Ahh fuk. Of course this would end in a brick wall. Nuron refractory timing isn't mentioned in terms of time between discharge rates. Or bursts.

And I'm getting the vibe that the gates are more related to each others function than as a independent actor. Probably in wave form shaping. But I could be so wrong it's not even funny.
Such shaping would be highly sensitive to influence. And apparently high induction alternating magnetic field doesn't cause a critical error when used on the ol' chrome dome.
So I'm at a loss. Short of a new induction being found.

>>10720441
How do you deal with the crazy bitches who everyone hates but still have to get along with because they're slightly higher on the hierarchy? Last rotation I was insulted and belittled by these two cunts worse than I have been by random drug addicts on public transport.

>>10720915
Not really much you can do short of body camming if they're obviously abusive . Or flat out planting drugs in their locker.

Only other course of action would to counter clique. Make them selves think that they are the outsiders.
It seems hard to implement. But if you've got other staff that can 'fake it to make it' as it were. It's really just a matter of faked group laughter in the bitches approaching or passing presence. If questioned as to what's funny. It's always a you had to be there moment. Create the illusion that everyone is hanging out and having a good time except for them. Even fake planning of outings around them in the latter stages.
If you've timed it right. AND HAVE NOT ENGAGED THEM IN FRIENDLY SOCIAL DISCOURSE. You should be able to pull off an un-challenged response to if they ask to participate. Being that of slight disgust that they'd even think they were worthy of asking. The who the fuck are you to even try look.
That's if you want complete degradation of their perceived standing. Otherwise enguage them sooner. Bot you have to keep a period of isolating them. Or they'll attempt to seize control of this new 'in' group that was all to willing to welcome them into.
They'd soon bend to the social grouping pressure.

If that's not helpful. Aged care has the same problems. So someone from the field may have a more practical solution.

>>10720952
I'm pretty socially retarded and still a student so I'll always be the outsider of these groups, so I doubt that'll work. I'm guessing reporting them is the worst thing you can do? I also tried a method of asking other coworkers if they were okay, or getting too stressed, which seemed to help get them treated like the mentally ill cunts that they were.

>>10720120
Thats too little can’t only be that

>>10720276
As anestesiologist you can also specialize in critical care, pain managment, paliative etc.

>>10720954
For social inadequacy. Remember they bleed as you do. If moving trough say a crowd in a mall you can make others move out of your way. Simply by looking trough them to the horizon. They don't even realize you've mindraped them in to submitting to your dominance. That you're not even registering their existence. Let alone that they're even an obstetrical to you in this collision course.
Also as a student. You get a bonus for hip new young thang if you go for clique subversion.

As for reporting them. Yeah it's considered a dick move. However if they're detrimental to staff more broadly it may not be as much an issue.
But and a big BUT. You've said to be a student. A report from a student would be seen very negatively with exception of malpractice, violence or sexual abuse. Not because of your claim is lesser, or you're upsetting the apple cart. But is shows lack of suitability for the sector. Sadly intra-staff pressures in these departments aren't unknown. Therefore it must be expected to put up with such for a reasonable time.

A body cam is still a advisable idea. Should escalation and maintained escalation of a abusive interaction be taking place. The kind that's can been seen as unwarranted. Or initiated from an instance but had continued far beyond reason.

Jesus this dude writes like an insufferable melonhead

>>10719450
Bump

>>10721031
Careful I may be inclined to stay to harvest your misery desu~
Now if you don't mind I'd like to go back to being a pretentious twat that's also a man of the masses.

What treatment would you advise for someone with a month old scar who wants to have it removed or reduced?

I'd ask a dermatologist, but I'm concerned that I'd be rubber stamped and treated immediately even if I'd benefit from waiting a year or so (...and ending up receiving treatment with a different dermatologist, because I'd be in my home country by then. My face is a potential turf war.)

>>10721223
You'd have to give us an image of it and the location it is in. Or a extremely descriptive account of the scar and the breasts it's located on.

Explain disaster medicine.

>>10721228
My forehead's not sexy enough to photograph.
It's flat, thin, curved, neither sunken nor protruding, pink. I can't see any white scar tissue. No shininess or moisture, just a pink line, darker towards the thicker part of the curve. It required stitches, and it seems slightly raised, but as much under the surrounding unblemished skin as under the scar itself, so it's only noticeable to the touch.

How do surgeons and surgery interns deal with the possibility that they might one day become unable to keep performing procedures due to unforeseen health problems?
Clinical specs don't have to worry about that since even if you have tremors or a shitty back you can still do your job, but as a surgeon, if you can't use your hands or keep standing for long periods of time anymore, you're completely fucked.

>>10720489
She’s not going to sleep with you.

>>10720489
>shilling for plebbit
Anon...

Where do you guys download medical books for free?

>>10721291
libgen

>>10721295
Thanks

>fart while alone in study room
>crush walks in seconds later and turns her nose up
Why do I bother

>>10721237
All I know about it is that ER, Anesthesia and FM docs can practice it (from what I know).

>>10721247
>implying surgeons have this extent of forward thinking and forward planning
Lul
They don’t think about it, but I don’t think it’s as dramatic as you think it is. I’ve seen 60 year old surgeons standing around for hours on end. The question is, when you get to that age, do you still want to fuck around in theatre. Better to find something far more comfy.

>>10716355
Family doctor here but I did urology as a part of my training. I saw quite a few of these cases and my unit was very strict on initiating antibiotics in patients with a renal colic history and a temperature before the diagnosis was confirmed on CT. I’m very cautious in the community now seeing how fatal blocked, septic kidneys can be.

>>10718929
Dexamethasone is used in SVC obstruction secondary to malignancy. I’ve never heard of steroids being used in the treatment of clots. It’s usually anticoagulation and/or surgery.

>>10719866
You won't. It just stops the atrophy. Get it done, I had it too.
>>10719919
Angiology (I'm serious, there's a spec like this in my country)
TB (they're pulmologists, but work exclusively in TB clinics)
Parasitology
Forensic Medicine
and >>10719947
We also have Hygene in my counrty. Total BS of a spec full with pseudoscience and nonsense. It's even part of the national exams. No idea how it's still a thing. Not sure if there's an alternative in other countries.
>>10720276
Critical care is the shit. I wanna work that some day.
>>10721237
This I can add to >>10719919
>>10721437
Honestly I don't know if that particular case could have been prevented since she didn't have any symptoms. Her treating doctor reported today that she's fine, afebrile and doesn't even need pain management. Weird case.

Pic is from today, a bladder stone removed from a 52 y.o. woman. No one knows how the hell it got that big and formed in the first place.

>>10721491
Keep it as a pet rock.

>>10721310
>its getting hot outside and crush starts wearing summer dresses on lectures
>mfw

>>10721530
They gave it to the patient.
>>10721539
Aw yis dat feel.

>>10721584
What did it smell like?

>>10718954

Based

>>10719025

Are you an American studying abroad or what?

>>10721649
If I stuck it up me bum would it break?

>>10721491
That’s odd yet interesting. The amount of pus you’ve described and being asymptotic is odd. The old adage rings true; it’s never never and it’s never always.

>become doctor
>end up hating people more

you realize just how mentally deranged, rude, and absolutely stupid most normies are

>>10721459
>Glucocorticoids can be effective in reversing symptomatic SVC syndrome caused by steroid-responsive malignancies, such as lymphoma or thymoma. However, if a suspected diagnosis of lymphoma has not yet been histologically confirmed, use of glucocorticoids is not advisable, as they are lympholytic and may obscure the diagnosis.
>The effectiveness of glucocorticoids in patients with SVC obstruction due to other malignancies, such as non-small cell lung cancer (NSCLC), has never been studied, and they are not indicated in these situations

>>10721714

Should have chosen psyc asshole

>>10721714
>end up hating people more
Only if you're an over sensitive twat that has anger management issues.

>>10721738
Fuck off nurse

why do you bully premeds

How common are high rpr levels without actually having syphilis?

Also, what are the negatives of transitioning to basal insulin from biguanidines and secretagogues?

STOP ME FROM GETTING LASER EYE SURGERY

>>10721749

Premed are a bunch of insufferable faggots. I want to go to medical school but I never call myself a premed and stay the fuck away from premeds. I had a friend who was in his 3rd year of undergrad who *knew* he wanted to become an orthopedic surgeon and would "make 700k per year."

Premeds are a bunch of clueless faggots.

>>10721751
>How common are high rpr levels without actually having syphilis?
>Also, what are the negatives of transitioning to basal insulin from biguanidines and secretagogues?


have you tried using pubmed???

>>10721742
Not a nurse you dumb premed. If you really end up hating people, you're definitely doing something wrong you fuckhead.

>>10721757
No. Get it and gib moneyz.

>>10721766
I get money for doing it?

>>10721773
No. You gib money to us so we can get a new umbrella for our yacht.

>>10721774
But what of the risk of permanent dry eyes and varying sight levels?

>>10721761
Obviously not

>>10721247
Obviously, being conscious and careful in addition to living healthy helps. But, there are a shitton of unforeseen health problems that will prevent you from working in any specs. Or any job for that matter. It's a part of life. I see young people who thought they had atleast 60 years left reduced to vegetables or/and die every day. Do the shit you like, even tomorrow isn't guaranteed.

What does pus smell like?

>>10721965
Depends on her hygiene

>>10721966
Fuck you

>>10721966
???

I'm pretty sure any kind of pus smells foul.

Any explanation for a sudden change in fecal smell? I’ve not made a dietary change, and have no other symptoms, but my shit suddenly smells like hell. My dog normally sits with me as I take a crap, but the smell’s so bad he’s started clawing at the door after it begins to dissipate.

>>10722012
How often are you farting?

>>10722051
Beat me to it. I can tell you’re a seasoned clinician.

>>10722010
I mean for example during sinusitis when you can smell the pus because of its localization what smell is there usually? Does not pus compare or is similar to any smell at all?

>>10722012
Any change in apearance and color? Malabsorptions loke steatorea for example can manifest foul smell, is there fat drops near feces? Do they float? Hard to flush?

>>10722012
>handling ehec in the lab
>go take a shit in the evening
>mfw that e.coli smell

>>10716257
>>10716261
>>10716857
>>10716870
Thanks for the heads-up. Will definitely order order now to start treatment.

>go on rotation
>Nurses flirt with you

>>10722864
Do not fraternize with n*rseoids.

>>10722864
>its only the male nurses

>go on rotation
>middle aged Male attending is based
>middle aged Female attending makes your life a living hell

Anyone else had this happen? I am an big guy albeit, my shorter friends have the opposite problem

>>10720489
I may be a nurse, but I'm smart enough to know plebbit is shit.

>>10720555
Biggest issue here is that most employers are opting to hire the cheaper, less educated vocational nurses who just need a high-school diploma. There's been massive layoffs here of bachelor and above nurses who've been replaced with associate and trade-level vocational nurses. The associate nurses at least have 2-3 years of training so they aren't that bad, but the vocational nurses can practice after only 11 months of study, of which only 4 weeks are clinical. This has led to the vocational nurses doing shit they aren't allowed to do, then ultimately doing them wrong leading to mistakes. All fuckups have been reported with absolutely nothing having been done. Management doesn't know what the hell they're doing anymore. Answer they always give is to just always blame the budget cuts for not enough staff, oversight, etc.
Only way I've been able to keep my job is that they realized replacing my position with a resident or physician would be too expensive. I'm gonna lose my job or license at one point with management claiming I'm running my program wrong with how often I have to file incident reports for the crap I see here.

>>10722965
>how often I have to file incident reports for the crap I see here.
Please elaborate... barring HIPAA and legal issues of course

>>10723160
Not amerifat, so no HIPAA but I'll tell you a story that doesn't involve the usual stuff seen in all hospitals. First you need to understand that vocational nurses, LVNs, here can't pick up/verify orders, can't give anticoagulants, cant verify meds, administer insulin, or do any form of evaluation like the GCS, post fall, etc. Associate degree nurses, RNs, have to also supervise them.
>be charge of post-MI/cardio investigation unit
>have ambulatory services for about 20 patients a day
>today is staffed with 1 RN, 4 LVNs
>i'm busy on the phone with patients
>we're giving IV drugs, heparin infusions, doing ECGs, and teaching
>have sketchy LVN today
>does stuff without letting the RN know, goes off the unit at random intervals lasting from 2-30 minutes
>RN busy with PTT/INR checks for a heparin infusion while observing 2 other patients
>new patient comes in for evaluation of new BP meds after heart attack 2 weeks prior
>sketchy LVN goes for the patient, doesn't get a past medical or set of vitals
>gives dose of hydrochlorothiazide PO and lasix IV together despite order to space out by 2 hours
>didn't check the patient's blood pressure prior to administration despite VERY SPECIFIC orders about HTN drug administration
>turns out the patient's BP was low enough to contraindicate treatment
>essentially throws him into a hypotensive crisis
>fired immediately for violating at least 5 rules of the hospital and LVN scope of practice
Incidents like this occur here because an RN is too busy watching over the care of their patients and the LNVs, while 1 LVN will think "helping out" the nurse with orders and med administration of drugs they can't give is a good thing. We had one LVN give the wrong drug to a patient cause she assumed all post-MI patients had the same orders. Management refuses to remove the LVN position that way I can just staff RN and BSCN employees. Reason: not enough money for properly trained staff here mang.

Some people from my group don’t learn every disease because we usually have shitton to study so they just divide it within each other and one person learns only one disease instead and when prof asks the one who knows about it answerss. So that way prof thinks everyone knows everything. So i think it got in my mind and last night i dreamed they were talking with each other, conspiring and exchangin patients with each other. They each took patient of which the diseases they have learned and other chose one theyve learned and so on.
Should i tell them about this dream?

I'm about to start my second year of med school and I haven't really made any real friends. The only people I hung out with during first year were my friends in undergrad. Should I just neck myself?

>tfw no friends

>>10722932

Unironically do what you can to tap into these old hag’s mothering instinct. These career women will often subconsciously categorise you into either “surrogate child” or “surrogate ex-husband”. Being a big guy makes you imposing by default, so make sure your mannerisms give an affable, friendly and jovial impression. Most of all, NEVER let it show that a grilling has got to you, it shows weakness. Act as if everything is a welcome “learning opportunity” or whatever, don’t lose your composure.
It’s unbelievable how much of a fucking hen house (as another poster in the previous thread put it) medicine can be, very rarely do you meet a woman who is in a position of authority and well adjusted.

>>10722188
What does e.coli smell like?

>>10723740
Like shit

>>10720158
Not all of us have the attention span of a 6 year old. Also, you medfags >>10719970 can sub-spec into stuff like aerospace? That sounds awesome.
>>10720120
>>10720847
If neural interaction was only moderately difficult, a bunch of nerds would have already modeled it and be running complex simulations in order to have more cutting-edge tech spring out over night. You're going to need a deeper education into the bio world if you want a foothold. If I could go back and redo my whole education right now, this is exactly what I would be pursuing though. If you've got the time, go for it!

Two question for anyone familiar with cleft palates. I had a rather extreme case of BLCP that has been corrected throughout my life, most recent surgeries being the two-stage alveolar bone grafts and a recent rhinoplasty about five/six years ago. I still have a fistula that runs from behind my primary incisors and runs as a fissure where my left secondary incisor would be (second graft was not as successful), and had a false tooth on a retainer for aesthetics when I want it to fill the void.
First question: is some form of form-fitting retainer feasible for sealing the fistula behind my teeth that I can pop in and out when I wish to play a wind instrument or for general wear? The acrylic one I had could be bothersome after extended use, and its rigidity/surface smoothness does not seem to be very friendly to the lining of my palate.
Second question: I'm fairly certain my nasal airways are restricted due to the condition, and have a very difficult time nose-breathing. I'd say I spend +80% mouth breathing to not feel like I'm suffocating, and it is rare that I breath through more than one nostril at a time. It affects my ability to sleep fairly drastically, and I very much would like to have this addressed in some way. What general course of action should I take regarding this?

>>10723906
Aerospace medicine is cool but it's.mostly practiced in the military from what I know.

>I'd say I spend +80% mouth breathing

OHNONONONO AHAHAHAHAHAHAHAHAHAHAHAHAHAHAHAHAHAHAH

>>10723948
Check the nasal airways.

>>10723740
Indole.

>>10721611
Nothing.
>>10721661
>The old adage rings true; it’s never never and it’s never always.
My whole last year of med school confirms this. There are as much atypical cases as typical ones which leads to the question are they that typical?
>>10721714
I realised how common Duning-Kruger is.
>>10721965
Like...pus. Decaying tissues, sweat and dirty people. Anaerobic infections are very smelly. Pseudomonas has kind of a sweet smell.
>>10722188
Lold. xD
>>10722864
Never.

Finally, I'm done with exams for this year. 5th year incoming, then one more and I'll finally be a family physician.

Got an 8/10 at childcare today and that marked the end of the 4th year session. Everybody was laid back at this exam and even if I messed the fuck up, they still gave me a good grade. Romanian doctors, man, gotta love them. They said that they're going to be more lenient about the grades because we'll repeat this shit at pediatrics next year, so I got that going for me.

>>10724102
Congrats, romanon. Enjoy your summer.

>>10724138
Thank you so much! Summer practice incoming for a month and then I'm headed to the beach and will probably get shitfaced with other med friends.

>>10719415
Have sex

6 days to pediatrics exam, still dont know shit
Green light for op. Grand Ritalin
See you guys on the other side

will I ever fucking learn

>be recovering neet studying to be a male nurseoid
>generally content with career but lonely because no bros only hens and hens in the making, even if they are nice to me

Which nurseoid specialties have more males? I think emergency, critical care, and mental health but what about ones like cardiac? Ortho?

Anyone has ideas why would seizure areas in brain appear as hypometabolic in PET scan?

>>10724316
Just follow the PA route and go into ortho or some more manly shit.

i hate uni

>>10724237
haha he said it again nice bro

>>10724316
If you want to avoid wimmin, do anything other than nursing. I can’t imagine having to be around such a high proportion of them, especially as a subordinate. Hell.

>>10724376
Unless he becomes the head nurse. From my experience, they eat med students for breakfast. The bitchiest and most despised position.

Yes hello...This is thrombus, what seems to be the problem?

>>10724499
Anticoagulant sends his regards

>>10724543
N-NANI???

What happens if I ask someone with somatoparaphrenia to clap their hands?

Hi,

I am going to med school in September. I want to keep up my study habit and prepare for the courses. What do you recommend I study this summer?

>statistics?
>anatomy?
>the doctor/patient interaction?

>>10724609
>the year 1 med student
Chill the fuck out and enjoy what;s left of your freedom.

>>10724609
Epic meme, fellow pre-med.

>>10724609
Thats the best summer of your life nigga dont waste it.

Protip any exam on a subject not based on a pure/empiric science or clinical discipline is basically a creative writing exercise.
Understand the principles and dont be a drooling retard thats it

Studying doctor patient interactions before even joining uni geddafuckouttahee

>>10724316
Other than the ones you mentioned, I see a lot in corrections, only 'cause they don't want the little 20-year old grills trying to draw bloods and general care on 250lb gang bangers. I also see a lot of guys in cardiac tele units and surprisingly oncology.

>>10724692
Not OP, but what if you’ve been out of school for 5 years? Should I review anything?

My penis head suddenly became too soft, I had my prostate checked its OK
Erections and libido are ok

>>10725195

>>10725289
How often are you farting?

>>10723720
Thank bro, I've noticed the nice ones usually say my son is around your age.

>>10716920

I thought this board might generally be a departure from the utter schizoid, antisocial, deviant content on nearly all of the rest of 4chan content. Seeing how I've been here since 2004, I had low expectations. Samefags like this little cocksucker who can't get into nursing school, Romanian retards and Europeons attempting to shit on the US health system, frankly is just a waste of time to read. The liberal retard equivalent is 10x worse; don't tell me that "you don't work in medicine" (really?) or forum junkies telling me to leave. You can keep your premed secret squirrel imageboard, you fuckers are generally pathetic and honestly, it's people like me standing behind you that are shaking their heads along with my colleagues at your utter embarrasment. You guys go back to pretending and talking about shit to which you have little or no understanding.

>>10720481

CNS is a dead-end choice and you knew that from the beginning.

>>10720219

aww, girls are icky, aren't they?

>>10720120

This post made me fall asleep.

>>10725429
t.moot’s paliative aids care nurse

Entering M1 here US MD school. How do I get a qt med school gf?

>>10725451
I got my nursing license at a time when hospitals were trying to move towards having only university level nurses working here, so you're unfortunately right because now there's tons of BScN and above nurses running around looking for jobs where no one wants us anymore. I'm lucky to still have my job considering I'm a straight white dude.

>>10716028
We clamp umbilical cords.

Section 13 of every vaccine insert:
"[Vaccine] has not been tested for mutagenic potential, carcinogenic potential, or impairment of fertility."

>>10725683
If you’re even remotely attractive and aren’t socially awkward, don’t. You’ll get bored of her bitchiness and want to fuck all the nurses and techs that will fling your way. Just fuck them instead. Don’t marry some leech who will take half your assets anyways.

>>10725429

t. retard

Daily reminder that the US healthcare system fucking B L O W S fat fucking elephant fucking DICK. The rest of the civilized world laughs at you on a daily basis.

>>10725740
They clamp our umbilical cords early, among other things. Like use of pitocin, having women lay in positions where natural birth is infeasible, subsequent use of epidurals, and then after the infant goes into distress, a cesarean. Kids finally out, oh no, their heart rate is high! They're in distress. Better clamp their umbilical cord and put them in an incubator, then increase the viscosity of the blood with vitamin K, then inject a vaccine.

Genital cutting in the US goes without saying.

>>10720218

Heya anon - I got in the 95% of the MCAT, but still decided to go to PA school.

The demand for medical providers is far exceeding the supply of MD's and DO's - so NPs and PAs have become essential. Due to this they are gaining unprecedented autonomy with each year.

Unless you really want to be a surgeon, or want to run your own practice - I would recommend PA. The role of MD's and DO's is moving more to one of a manager/supervisor, whereas PAs/NPs will have more of a pure patient/provider experience.

PA's are also able to hop from one specialization to another on a whim - in case you start to get burnt out in one branch and go to another.

PA education is condensed primarily to looking at the most relative information in a clinical setting, skipping a lot of the more detailed academic information. Of course the clinical experience between PAs and MDs/DOs is not comparable. Residency is a trial by fire and a peerless learning experience - though as a PA you can do residency if you like, but again it will not be quite the same.

Pros and cons, Anon - weigh what's important to you!

>>10725429
Having a bad day, anon? I actually like nurses and don't have a problem with them, but as you can see, most of the posts regarding nurses are just to trigger people like you and you shouldn't get so easily offended. We need you and you need us, it's that simple. I never shat on your healthcare system because I, myself am from a shithole country with bad healthcare.

Don't take it personally, and don't feed the trolls.

>>10725703
What if I'm not very attractive and socially awkward

>>10725973
Then try making some friends first and see how it goes.

>>10725976
I don't have too much trouble getting along with people in general

>>10725978
Then what's so hard about talking to girls?

>>10725983
Never learned how, I guess

>>10725195
You should rebiew a bit of of physics, chemistry, statistics and biology imo

But if you have studied them before you should be fine anon

>>10725879
>want to help patients directly
>too egotistical to be anything other than a doctor
>afraid of being a burnt out doctor who can barely provide a service for their patients
>afraid of being a grown adult with no autonomy being bossed around by some kid half my age

>>10725879
>this PA propagandist
What is this “pure” patient/provider experience you speak of? If you want to listen to their life story, go into FM or psychiatry.
I can’t imagine having zero autonomy in clinical decisions for the rest of my career. Being a PA sounds good in your 20’s, but imagine being in your 40’s and being deferent to someone 10 years younger than you with less experience. Especially when MD’s that started out at your experience level are now probably running their own practice and making quadruple the money you do for less time and effort. The patient/provider interaction and being on the frontline of contact with a patient will no longer hold novelty and bunnyhopping between specialties won’t work in practice because you would have lost the patience for the steep learning curve that comes with it.
I don’t say all the above because I’m mocking you, but because you seem to be wasting your talent because you’re too optimistic/lazy to do medicine. Reconsider now while you have the time, lest you become one of those bitter farts that couldn’t commit to medicine but realised whatever second best career they chose had a glass ceiling when it come to learning/experience/specialisation and respect. If not a single one of those matter to you then fair enough, I suppose a glorified admin role as a PA would suffice

Why do you retards do this >>10723127 ?
I thought doctors were supposed to be smart and do no harm, are you actually a bunch of retards?

>>10724282
may the procratination before exam gods be with you
>>10724499
>mfw

>>10726119
They're deprived of sleep, have malpractice drilled into their heads, then are indoctrinated with the residency program. They're trained to do what they were told, believe it's "evidence based", and not ask questions. It's a form of trauma programming.

Everything in medicine benefits the existing power structure that controls the curriculum and funding. It's about money and agendas, not the patient. People see a starched fresh pressed white coat and ascribe it a superhuman aspect, do no harm, many years of college, so on. In reality the same psychosocial mechanics and biases are at play. Though I'd be interested to hear a first hand account of how medicine consistently achieves near guaranteed mediocrity, profiteering, and upholds long term what could be construed as structural malice.

>>10726119
AS you can see these are 2018 studies. If there's enough data accumulated it will become regualr practice.

>>10726132
It's been going on since the 1950's. That's a lot of decades to do something so braindead retarded. We knew long ago. And besides, if you see an umbilical cord pumping blood in and pulsating, clearly doing something, you think ya just might leave it alone. The entire idea of a doctor delivering a baby is retarded. They're rightfully just sideliners, the mother's body and the father's presence are what deliver their baby.

We also still have no bodily integrity laws, and medicine lied about genital cutting as well. No surprise at the top of the AAP and their circumcision stance, you find Jews.

>>10726144
You know that the umbilical cord is cut when it stops pulsating, right?

Also, it's your choice to deliver at home or at the hospital, if you think that with just the presence of the mother and the father you're going to survive complications such as amniotic embolus or the newborn has an very low APGAR score, or even asphyxiated by the umbilical cord, then you're retarded. The doctors are there to make sure the delivery was without complications.

My left neck is in immense pain and I can't move it, it's saturday so I can't make an appointment. I am gonna let someone buy a neck massager, will that be fine in the mean time?

>>10726187
Left shoulder and left side of my neck*

>>10726144
At the end of the day doctors just have no respect or appreciation for the human body. Here you have a massive machine made of trillions of discrete units working in tandem. Programmable, adaptive, self maintaining, self-replicating, self assembling machinery that literally came from a sperm hitting an egg, and literally BUILT ITSELF from that point. And they actually think it's some stupid system full of blind spots that needs their finnicky, blunt, dumbass help to heal or continue to exist. I mean, are you fucking kidding me? The thing is smart enough to generate itself from 2 gametes coming into spatial proximity, and you actually think it needs are your stupid fucking synthetic petrochemical and or fluorine containing poison to function properly? Fuck no. It's absurd.

The body is generally just fine on its own. If something is wrong, it's almost always either structural/mechanical or disrupted communication. It really is that simple. Can you believe it? I was retarded and trained into this bullshit too. But when it hits you, you realize.

>>10726129
It's almost like 99% of medical personnel are absolute brainlet drones

>>10726193
I'm premed and I fucking realise this

>>10726182
You're showing exactly what I mean, and what the problem is. Look. You aren't the star. The medical team are not there to run the show and perform a service, you're not the focus, you're not the main character.

It's really, really simple. If someone has a hospital birth, the staff should not be actively trying to harm their child. Your doctor should not be brain damaging your kid and trying to force their relevance, ie, having the woman lay with her back flat where birthing cannot naturally happen, administering pitocin, epidurals, and all the rest of it. You said it yourself, doctors are there for if something goes wrong, because you already know.

The things you listed are rare.
>or even asphyxiated by the umbilical cord
This doesn't happen, and doesn't even really make sense actually. If the kid is still inside, there's a limited ability to breathe anyway. Otherwise the umbilical cord provides oxygenated blood, and is essentially a non-kink pipe. If the infant is all wrapped up inside the mother your problem is different. Where and how is this asphyxiation by the umbilical cord going to come into play? It really seems like the umbilical cord is being almost framed as a threat here, an enemy waiting to happen. Better get it off as soon as possible.

>>10726193
>>10726211
>thinking that the human body is perfect and capable of self-sustenance because it's complex

are you retarded?

>>10726227
Here, take this statin.
:^)

>>10726227
No mate, The human body is possibly the most complicated machine we know of, It is capable of healing itself to extent. Doctors are just human mechanics for when it can't repair its self

>>10726236
They're shady mechanics that break something while they're working on it so you'll be back in a month or so. And they either don't even realize, or don't care.

>>10726217
Did I say that the medical staff is the star? It's just our job to assist the mother with the birth of the child.

>actively trying to harm their child
In what way? The umbilical cord stops pulsating in 10 miuntes and it's safe to cut it afterwards. The medication given to the mother is to ease the pain and make the baby come out faster because it's not that cool to be in labor for hours, you know? Looks like you're the one who hasn't evolved. It's the decision of the parents in the end, if they want to give birth at home, fine by me, I have nothing against it, but complication can happen. Note that women used to be stronger in the past, most of them are some snowflakes like you that look for minor and rare issues and make a fuss about it.
The umbilical cord is useless after 10 minutes of the child's birth, that's why it's cut. It's better for both parties. I really don't know where you're going with this subject honestly.

>>10726240
>Did I say that the medical staff is the star?
You don't have to.

>The umbilical cord stops pulsating in 10 miuntes and it's safe to cut it afterwards.
That's right. A message from ancient Greece: "The cord shall be left until all pulsations have ceased, it lies flat, and has become white."
And hopefully this will happen without trying to use the child's head like a battering ram, by giving pitocin. Which also net reduces transplacental blood flow and causes transient spikes in intracranial pressure in the infant, also net reducing cerebral perfusion. More brain stress. And after that, not giving it vitamin K which inhibits trafficking of stem cells and makes its blood more viscous.

>It's the decision of the parents in the end
No. Having birth done wrong in the hospital is not an acceptable decision for the parents.

>I really don't know where you're going with this subject honestly.
The subject is "early" or "immediate" clamping. ie, kid comes out, cords is pulsating, and you clamp it <= 1 minute later.

Wow doctors truly are the biggest retads in STEM, at least the pay is good...

>>10726263
Yes. They should be ashamed of the mediocrity and evil they have been party to.

>>10726251
>and you clamp it in less than a minute
Well, that's just bad practice, I guess. I thought they cut it after 5 minutes, I haven't had OBGYN classes yet, I was answering from my embryology knowledge.

>>10726263
>truly the biggest retards in STEM
Don't call the emergency service when a loved one has a stroke or MI, then. We'll see how "retarded" we are.

>>10726263
>>10726268
>t. jealous brainlet snowflakes
Please kill yourselves. While we relax and drink alcoholic beverages under an umbrella in our huge houses, you talk shit because that's the only thing you're capable of, kek. Now go back to >>>/x/ , exactly where your shitty posts belong.

>>10726283
>Well, that's just bad practice, I guess.
It's evil. They're stupid to the point where they've maimed 70 years of people.

>Don't call the emergency service when a loved one has a stroke or MI, then. We'll see how "retarded" we are.
I've seen what you guys do with strokes after you give the clot buster.
-No magnesium in the drip
-No antioxidants, NAC, Co-Q10, ALCAR
-No calcium channel blockers
-No post-stroke dietary guidelines.
-Shitty food
-A hospital full of pulsed microwave emitters.

>>10726289
>I've seen what you guys do
No you didn't, kek
>>10726263
>medical school
>STEM
oh no no no

>>10726289
Not him but I get where your coming from, there are just bigger problems to deal with. The only thing you do as a doctor is defend your own honor

>>10726291
>No you didn't, kek
Grandfather just had a stroke a few months back. So yes, I did. Fortunately I know the pattern with the medical system, and happened to be a guy that knows some stuff. Zero faith in the system, and even less. It's a real shame because they're not bad people and I generally get along with them, but the ultimate fact is, they're incredibly dangerous and a major threat to the general public welfare.

>>10726287
I don't know if you have an issue with reading comprehension or something. But I implied being relieved by the pay being good because I'm going into medicine myself, I just don't like that so many people in medicine are actual brainlet.

>>10726303
>major threat for the general public welfare
First, I'm sorry to hear about your grandfather and I hope he is doing alright.

Second, what country are you from? Doctors see to be treated like shit there, from what you tell me. There are doctors that don't deserve to be doctors but please do not generalise and make all of us look bad. I'm from a third world shithole where doctors are indeed unappreciated but when people have an emergency and need us, they suddenly become very thankful even though that's our job. I think you're being a bit too dramatic about this whole subject. The population simply needs healthcare, otherwise we would've been in the medieval times again when people would've died from a mild flu or something similar.

>>10726314
If people are dying from the flu, they're malnourished and or living in squalor. This is another modern myth.

I'm in the US and there's nothing dramatic about it. These motherfuckers are complicit in incomprehensible human misery, making this place a mediocre shithole, and essentially bringing us to our knees from the inside Though the real source is on a much large scale, the role of the weaponized morons in the medical system is undeniably key.

>>10726317
>if people are dying from the flu they're malnourished and/or living in a squalor
That looks false to me, to be honest with you. How much you try to escape disease you will still get sick no matter what. I guess I gave you a pretty bad example. What about cancer, then? And don't tell me that cancer is a new disease because even Hippocrates mentioned it. Or what about infections? All of these with no medical knowledge because we don't exist anymore. Let's face it now, there are indeed problems with healthcare in general, but there's no need to be so incisive about it and make the whole community look like shit because it's simply not true. We're really trying to help our patients the best we can and I understand that some of us shouldn't be working in healthcare for some reason (i.e laziness, superficial and the examples go on) but I'm pretty sure US has its fair share of great doctors that appreciate their profession and respect their patients.

>>10726325
There are better solutions to every problem modern medicine thinks it's treating. Anything not profitable or market destroying is ruthlessly suppressed or strangely unused. Electromedicine for the former, herbalism for the latter. The genesis and nature of many diseases is misframed, like cancer. Cancer is a big spectacle, a multi-billion dollar industry. The treatment is nothing more than barbarically maiming the patient. Historical methods of curing it of course were wiped out by the medical-chemical complex and Rockefeller in the early 1900's, no attention is given to prevention.

There's too much to say. Pretty much, unless it involves surgery or resetting a compound fracture, a doctor may well do more harm than good. How much the patient is harmed depends on their level of knowledge and ability to say no. It's obscenely overpriced. That's a pathetic system, right there. Overpriced and doesn't get results.

>>10726339
>herbalism
That's taught in any self-respecting pharma program, in Europe at least.

>>10726344
Not in the US. MDs at most know that herbs are biologically active and some common herbs related to their specialization. Some treat them like vegetables, ie, like rocks that happen to grow and are edible. Inert, "weak". Very bizarre considering their learning organic and biochemistry, and the sheer mass of drugs derived from naturally occurring compounds. My main interest is bioelectromagnetics, but of course that's ssppoooookkkkyyyyy pseudoscience CoNsPiRaCyyyy!~ Don't even bother telling people we can, very likely, cure malaria with magnetic fields. Or trying to discuss it. Or anything meaningful.

Anyway, I've gotta go. Enjoy Europe.

>>10726339
>overpriced and doesn't get results
Too far again, anon. Looks like we can't have a balanced discussion then...

>>10726353
There's nothing to talk about. The young ones have been played and are being used. The old ones are killers and frauds. The overarching system and the parasite power structure that created it, kills people. They KILL PEOPLE. How long are we going to pretend this is a legitimate system doing the best it can? How long are we going to remain their cattle?

There is nothing to discuss. Hope you find interesting and substantive conversation.

Leaving the recent discussion, anons. Tell me why did you choose medicine? What's the story behind it?

I'll start. I was 10 or something like that and a man in anaphylactic shock came in rushed by his son. (The hospital is 12km away and they stopped here) I was in my mom's office fucking around with everything I could put my hands on and I remember being very scared shitless when I saw this guy looking like a balloon ready to explode and his tongue outside, barely conscious. All I could hear was his son's voice in panic saying that "HE WAS STUNG BY A BEE" and mom gave him epi and hydrocortisone hemisuccinate afterwards. I can't remember what, how, when, this is what she told me after I asked her again about this. The man got better but mom still kept him under observation for 1 more hour before saying he is going to be fine and let him go.

The next day, a man came in, I could swear I never seen him. He said "thank you so much for saving my life" and brought my mom flowers, she cried after she finished work and I said to myself that I want to do what mom does.

I know this story is a bit bland but this is what got me into medicine. Now share yours.

Is there such a thing as interventional neurology or is it just covered by neurosurgery and interventional rad?

>>10726467
https://touchneurology.com/interventional-neurology-recent-advances-and-new-applications/

Yes, there is such thing apparently.

Due to a failed exam and one I'll probably have to take at a later time, I'm gonna be done with med university at 28 at the earliest.
I got absolutely no frame of reference and everyone breezing through these exams makes me feel like garbage.
Is it acceptable to finish that late? Or should I just neck myself

>>10726481
What exam did you fail?

>>10726481
Patho/Pathophysio/Pharma 1
The one I'll have to retake later is the follow-up module because the exam is in two weeks and I am nowhere near prepared enough. Don't wanna throw one of my attempts out the window.

>>10726472
Interesting, thanks.
I was wondering if there existed something more procedure-heavy than neuro which I thought was 100% clinical but rad is boring and neurosurgery sounds like a very bad life choice.

>>10726488 was meant for >>10726484 and also my brain is too fried to remember that you can't spoilertext here.
Just fucking shoot me already.

>>10726488
Holy fucking shit anon. 3 of the most important and big ones. I feel bad for you, bro, don't want to burst your bubble but you should've started studying earlier.

>>10726492
>3 of the most important and big ones
It's one exam my dude.

>>10726495
Soo...path/pathophys/pharma all combined or what?

>>10726502
Yeh. You get 3 different stacks of papers with questions, one for each subject. They're all graded and the points you get are pooled together, only the total sum matters.
Would've passed in Pathophys, failed by a bit in Patho and kinda shit the bed in Pharma. A slight increase in all 3 wouldÄve probably given me enough points.

>>10726508
Have no idea what to say about this situation kek, it's very different from what I'm used to anon. And also looks harsh like fuck.

>>10726129
>starched coats

AHAHAHAHAHAHAH
this nigger lmao
who the fuck even irons his coat

>>10726512
Just give it to me straight, is 28-29 too late to even get out of university?

>>10726533
Not that late, especially if you choose a short residency.

>>10726533
Theres people joining at 25-26 in my uni, you will be fine anon

>>10726352
Can you post a link to somewhere with info on the curing malaria with magnetic fields thing?

Lets discuss it bud

>>10726035

I'm actually a psychiatric PA! So I guess that worked out well. Nowhere else is a mid-level going to get their own office.

As far as the 'deference' part goes, I've never really experienced that. I've always been treated like a colleague/peer and never like a subordinate. But maybe I've just been careful in the places I've chosen to work.

And as far as prestige and money is concerned - I could not care less. 100k starting is more than enough for my simple needs, and I'm in this for helping/teaching others first and foremost.

Check back in 20 years though and I may very well be singing a different tune. But the PA profession is very very much dependent on how much work you put in it on staying up to date and choosing the places you work carefully.

>>10726015

When I was volunteering in an ER, I had a lot of doctors there to guide me. Even after I got my bananas MCAT score they all urged me to go PA - that they wouldn't wish their own career on their kids.

I sheepishly replied. "What about all the prestige though?"

The doc donned a face of contempt and then started making the jerk off gesture.

"That prestige shit gets old real fast."

>>10726416

Osmosis Jones.

I fucking hate drug reps.

This faggot had the gall to call some IM anti psychotic the "cadilac of bipolar drugs."

Give me your paltry offering of snacks and give me some handout that explicitly explains the drug trial methodology and then fuck off you fucking used car salesman hack.

>>10726564
Henry Lai, ~2000. WSU.

A large range of cancers were also cured by Royal Rife in the 1930's. Morris Fishbein, the AMA, and the medical-chemical central banker cabal behind them, crushed his work repeatedly. Gosset of France, and Schereschewsky of Harvard reported similar results, along with several Eastern European authors. Want to understand Schereschewsky mysterious sudden 180 away from nonthermal effects? There ya go. They tell you to this day that Rife is a snake oil hack, while tumor treating fields and Novocures devices, shitty Rife machines, are FDA approved. The fourth modality, the new frontier.... something we did 100 years ago that you didn't get right because how would the patient take the drugs THEN?

They of course ran Hoxsey out the US, to mexico.

They told you amygdalin was super dangerous and "contained cyanide", meanwhile giving you synthetic vitamin b12 that also "contains cyanide".

Deal with it.

>>10726785
>Henry Lai, ~2000. WSU.

https://www.ncbi.nlm.nih.gov/pubmed/21115894

Thats some implication implying right there son
Whoever gave that a greenlight deserves to be flogged in the public square


CONCLUSION: -some bullshit- MAY cure cancer

haha
A timeless classic

simply epin

>The history of artemisinin brings to mind an Indiana Jones story. In the early 1970s, Lai says, Chinese leader Mao Zedong issued an order to develop an anti-malarial treatment. At the same time, a farmer in central China discovered a 2,000-year-old tomb that contained three coffins. One coffin contained a silk scroll describing various prescriptions, including artemisinin to treat malaria. The Chinese followed the directions and thus rediscovered an ancient remedy.

BASED MAO HAAHA

Can you imagine being a member of the team working on that and the public narrative becoming "comrade farmer found ancient wisdom while cheerfully working"

JUST

>>10726885
Chad farmer, kek

NEW BREAD

>>10726947
>>10726947
>>10726947
>>10726947
>>10726947

>>10725307
Almost only during defecation

>>10725603

i lol'd

more like hirashimoot's psych nurse

>>10725740

so then why are you fucking third world shitholes begging and sucking cock to get a US residency? oh that's right, you are utter shit and you still kill mothers during labor and can't stop a heart attttttttaccck unless you're reading the ACLS cheat sheet. give me a fucking break.

>>10725912

you're one of the good ones. you know where the strengths and weaknesses lie

kek
can someone tell me what disease this is?
https://www.reddit.com/r/confession/comments/c11din/im_putting_my_extremely_profoundly_disabled_7/

>>10726352
>bioelectromagnets
What better way to confirm the suspicion that you’re a knuckle dragging mongloid

>>10726646
Why didn’t they quit their jobs then and become PA’s themselves?
Why didn’t they take a demotion?
It’s all very well giving dramatic advice but they didn’t follow it themselves. They wouldn’t trade their job for yours, they’re only working themselves to death because they need to keep up with their extortionate mortgage or whatever.
You’re a very impressionable individual if you’re taking what some jaded doctors told you as basis for discounting a profession. Good luck to you.

>>10727597
It doesn't really fit any of the more common chromosomal deletion syndromes. Maybe an anon with a background in genetics can shine some light