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2023-11: Warosu is now out of extended maintenance.

/sci/ - Science & Math


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11811539 No.11811539 [Reply] [Original]

SMURD edition


Last thread: >>11793568

Thread for the discussion of allopathic evidence-based medicine. We discuss research, offer advice (the best one is to see your family physician), make fun of premeds and shitpost.

>What's the best spec for research?
Path, onc, anesthesia, neuro, rheumatology
>Best spec lifestyle wise?
Psych, ophtho, derm, rads, family medicine

>> No.11811629

Fuck premeds

>> No.11811644

>>11811629
dangerously based

>> No.11811705 [DELETED] 
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11811705

>>11811539
The medical system can be described in one word, a predator. An abuser. A rapist. They watch, they test, they feel it out, they filter out the vulnerable, the isolated, the weak, the one's with parents that don't push back, and the ones no one will miss. They groom them, they break down their sense of self, they fill them with fear and dependence, they tie their mind into knots.

And they have their way with them.

You are being groomed by trauma programmed rapists.

Clamped, vaccinated, circumcised, tolchoked with their vek rookers right in the gulliver.

>> No.11811739

Alright boys, how do I gun for cardiology now that step doesn't matter?

>> No.11811753 [DELETED] 
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11811753

>>11811539
You float in a million lights, but the one you seek is not there.
You fight in a million fights, but it's yourself you cannot bear.
You think you are a leader, but you turn everyone away.
You think you are a preacher, you can't turn night, into day.

There is something inside of me, and I know that it's growing. The thing that will forever be, and I feel its shadow calling. It's the fear that drives you mad, it's the fear that makes you blind. It's the fear that keeps you sad, it's the fear that kills your mind.

You think you can make things grow, but in truth, you are like a desert.
You think it's not your ego, and that others make you hurt.
You have learned how to deceive, and yourself is all you can hear.
You think you really believe... but deep down, you are only fear.

There is something inside of me that makes me run up against the wall. The thing my eyes don't want to see, that will obliterate my soul.

Everyone's afraid, but that's no excuse.
Everyone's afraid, but that's no excuse.
Everyone is afraid. But that's no excuse.

>> No.11811764
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11811764

Just had some blood work done and everything was fine except the bilirubin was 1.7 mg/dL. I'm going to get a physical next week, what should I expect the doctor to say about the bilirubin? Is it really bad? I'm 183cm/75kg/34/M. Thanks.

>> No.11811771

>>11811539
Uk med anons rise up

>> No.11811791

>come back to my thread
>schizo runs rampant and shits in it
>jannie probably banned him but he evades

Such is life.

>>11811771
Are you the 1st year guy who nobody cares to reply to?

>> No.11811795
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11811795

>classes open back up
>guys you have to catch up on your clinical hours and they have to be caught up by July
>sure it's 100ish hours and there's only a single clinical site open with limited slots but it's your problem
>also, the site wants a number of blood work tests done before you go there, roughly a week for results
>also you can only sign up for clinicals a week out in advance

>>11811764
depends if it's causing any other health issues

>> No.11811802

>>11811795
>classes open back up

Lmao, you guys are doing great. Yesterday we had another day of 300+ new cases of coronachan and the govt wants to close up everything again. But nothing besides small stores opened before that.

>> No.11811825
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11811825

>>11811739
>gunning for cards

Can you do that? Isn't cards like the boring shit that no one wants?

>> No.11811828 [DELETED] 
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11811828

>>11811539
Threadly reminder.

>> No.11811831

>>11811791
At least the fucking jannies came through this time.

>> No.11811834
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11811834

>>11811791
>>11811831
My posts are important and necessary. They shouldn't be, but they are.

>> No.11811836
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11811836

>>11811831
They do most of the times, but schizo is really persistent.

Look at him go, dude. He's like our little thread pet.

>> No.11811886

People in my shithole country are abusing dexamethasone because of the stupid media reporting on that one pre-print.

Fuck journos.

>> No.11811894

>>11811886
What country?

>> No.11811906

>>11811894
Philippines desu

>> No.11811913

>>11811825
It pays very very well in NA

>> No.11811980

>>11811739
Get a 210 on step, do internal med and cardio fellowship, like they do it now. Cardio isn’t even competitive lmao

>> No.11811981

>>11811913
I think it pays very well everywhere, but money (at least for me) is in the second place. I can't work in a field I dislike.

Seeing hypertension and HF everyday must be a chore and bores me only thinking about it. The occasional WPW and emergencies are what makes cards kinda fun, the day-to-day stuff sucks ass.

>> No.11811986

>>11811791
Yeah

>> No.11811992
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11811992

>>11811986
Welcome to /med/, then.

>> No.11811997

>>11811791
Schizo anon gives good practice for patients with drug seeking behavior, they are kinda like him

>> No.11812010

>>11811913
family med pays well in Chicago, just move to south side and live in the hood. A prof I know worked in hoods of Chicago and north Chicago (white area) and was making like a million per year easily kek

>> No.11812024

>>11811981
I think mostly you’d get 50 year old laq’esha and 60 year old Lamar coming in with hypertension and diabetes, some HF cases, some MI.. some with blockages and such

You could probably close your eyes and pick one of the top 3 cardio diseases and you’d probably guess the diagnosis right, I don’t see myself doing that for 25-30+ years

>> No.11812026

>>11811539
Why are /med/ generals so fast now?

>> No.11812027

Anyone have any recommended books to read around the topic of medicine and surgery? (non-textbook/academic)

I've read When Breath Becomes Air and hated it.

>> No.11812032

>>11812026
Because of me

>> No.11812035

>>11812027
>breath became air
Now read fart became air freshner
You’ll like it

>> No.11812036

>>11812026
The romanian guy replies to everyone but he is also based

>> No.11812049

Are all tumors caused by genetic damage/change?

>> No.11812061

>>11812036
Thanks, but I'm not replying to everyone. Just a good 70% of the thread.

>>11811997
I don't think out schizo can be compared to a type of patient. Maybe bipolar mixed with some gypsy curse but that's it.

>> No.11812065
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11812065

>>11812061
Our*

FML

>> No.11812093

>>11811886
My country also has this problem for the same reasons and its also a third world hole.
interasting

>> No.11812096

>>11812061
drug addicts aren’t patients, they are scum, then and faggots who only come in hospitals to sue and try and get some money out of you and your hospital

>> No.11812105

>>11812049
More like cellular damage, repeated cell damage increase chances of cells turning cancerous overtime. Examples: smoking: lung and kidney cancer, esophageal cancer as well, hepatic cancer, frequent sunlight exposure with no protection = melanoma, working in a factory where they use asbestos or zinc or silicone= lung damage and lung cancer

It can also be generic.. some people have genes that predispose them to certain cancers like Ulcerative colitis, FAP genes, Li fraumeni syndrome etc

>> No.11812185
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11812185

>>11810149
Can you go from PA to "regular" doctor? Because PA seems kinda like a cope.

>> No.11812194

>>11812036
NO I HATE HIM

>> No.11812223
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11812223

>>11812194
B-but georgianbro, pls. :( It was just a misunderstanding.

>> No.11812337

>>11812105
Don't forget that bladder cancer is also mainly caused by smoking. Sorry, just had to say it. My uro prof was very strict about it.

>> No.11812345
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11812345

>>11812185
you have to start over if you're a PA trying to become a doctor
also it is absolutely a cope
I doubt there are people that actually wanted to become a PA all along. I'm sure there are exceptions, but this is generally the case

>> No.11812353

>>11812345
Most of them say that PA is the new MD because you "actually spend time with the patient".

Didn't see anyone cope harder than this in my life.

>> No.11812389
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11812389

>>11812353
MD is simply the best job in the entire field
All other cope jobs can suck my balls (preferably a female nurse with a cute butt)

>> No.11812398

>>11811981
>>11812024

You can do internal med stuff too as cards

>> No.11812420

>>11812389
>Laughs in DO

>> No.11812422

>>11812420
>cursed to be primary care forever

>> No.11812423

>>11811539
I thought that was a tide mobile

>> No.11812429

>>11812420
I'll admit american DOs are the lowest form of cope
but it is still cope nonetheless
MDs still have a lot more options in their careers

>> No.11812430
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11812430

>>11812422
>implying primary care is bad

>>11812423
Shut up

>> No.11812440
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11812440

>>11812389
>(preferably a female nurse with a cute butt)

>> No.11812465
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11812465

>>11812440
what would an MD incel general or subreddit look like?
what would they post about?

>> No.11812471

>>11812465
>Why won't my female colleagues fuck me even tho the f/m ratio is 7:3

>> No.11812482

>>11812465
Me on the left

>> No.11812560

>>11812471
>f/m ratio is 7/3
>in cadavers

Fixed.

>> No.11812603
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11812603

Bros, I read the Wikipedia articles about the diseases with the cool sounding names, when can I expect my M.D to fly in?

>> No.11812614
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11812614

>>11812603
They deliver it with amazon prime now
Come shower in the cash with us brother
Lmao it's never lupus amirite?

>> No.11812634

>>11812603
>diseases with cool sounding names
The only disease that sounds cool is Wolf-Parkinson-White syndrome.

And maybe torsades de pointes.

>> No.11812650

>>11811802
>Yesterday we had another day of 300+ new cases of coronachan and the govt wants to close up everything again
where?

>> No.11812695

>>11812634
>The only disease that sounds cool is Wolf-Parkinson-White syndrome.
No, the coolest sounding disease is Syphilis.

>> No.11812730

>>11812695
Actually, it's Gout. GOUT GOUT GOUT GOUT!

>> No.11812823

For all the enki users, how do you guys avoid making cards for every detail? Also how to avoid the backs of cards having literal paragraphs as answers?

>> No.11812952

>>11812823
Download the ones they have on reddit..especially for uworld and first aid

>> No.11812955

>>11812695
>not Neurocysticercosis
not gonna make it

>> No.11812956

The sole confirmed COVID patient in my city hanged himself in the hospital. The nurse had just left him to eat. It's really fucking sad that his family and grandkids won't be able to see him.

>> No.11812967

>>11812956
>grandkids
Nothing of value was lost.. these old fucks caused all this lockdown bullshit

>> No.11813045

>A 34-year-old man was found down in a parking lot after huffing fifteen cans of Dust-Off. Though lucid during the initial hospital evaluation, the patient experienced a generalized seizure followed by a torsades de pointes arrhythmia and was resuscitated. An echocardiogram revealed left and right ventricular dysfunction with an ejection fraction of 25%. This unique outcome of inhalant abuse has scarcely been reported in similar cases. The patient fully recovered and had a normal ejection fraction prior to discharge.
hey found me

>> No.11813057

>>11812967
Ok, edgelord.

>> No.11813124 [DELETED] 
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11813124

>>11811539
Threadly reminder.

>> No.11813137

>>11813124
BASED

>> No.11813138

>>11812952
What if I need to make cards to study for in-house exams?

>> No.11813146 [DELETED] 
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11813146

>>11811539
Threadly reminder. What sort of system sanctions this evil? What kind of clamped cock cuck does it take to do this to another living being? They're probably stiff through every operation. When they go home and sit down with their wife, and kids, everyone knows that he cuts cocks. When he cums he thinks about his circumcision scar and lack of foreskin. He has to. It's like the tetris effect.

This is what goes on. All that exists.

>> No.11813164 [DELETED] 
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11813164

>>11811539
Threadly reminder

Section 13 of every vaccine insert, as its sole content, contains a variant of the following:
"[Vaccine] has not been tested for mutagenic potential, carcinogenic potential, or impairment of fertility."

Inserts are here:
https://www.fda.gov/vaccines-blood-biologics/vaccines/vaccines-licensed-use-united-states

Purported vaccine content is here:
https://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/B/excipient-table-2.pdf

>>11813146
And I think some people get so mad because the sheer contrast and how fucked up everything is, it's at a scale where they mind just can't even. they need everything to be on the level. they don't want to lose their normal. They just want to be born, do their deal, get a job, act within the overarching predefined cultural framework, and they want to think no more. the definition of slave morality.

Your world is a fast fading truth. Get ready for a rude wake up. It's time to lave your mother's womb. It's time to stop relying on Big Daddy State for everything you are. It's time to grow up.

>> No.11813202 [DELETED] 
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11813202

And I bet through your entire education you were never educated on conditioning and the use of systematic trauma to control human behavior. I bet you were never trained on the effects of torture.

The communist, globalist, split minded authoritarian collectivist model. Equalize (by reduction, hence vaccinationa dn clamping), standardize, manufacture.
https://www.bzga-whocc.de/fileadmin/user_upload/WHO_BZgA_Standards_English.pdf
Teaching children 0-4 to masturbate. WHO. You are a product.

>> No.11813203

>>11813202
>>11813164
holy fuckin based and redpilled

>> No.11813394

Who is schizo and what does he want?

>> No.11813417

>>11809138
> I would imagine the answers to the cards would be large then, no? Otherwise you would have to break up everything into separate cards.
> How do you make sure not to make cards for every single detail though?

Sorry for the late reply. Before making the cards i take notes from my textbook in a BRS kind of style notes. My notes usually look like this:

1) Main idea
A) Sub-idea
i) Example or fact from sub-idea A
B) Sub-idea
i) Example or fact from sub-idea B

After i take the notes, i make a question based on the main idea and write an answer in text format, with my own words, using the info i collected as a source.
I also leave some reminders and observations in the question text in order to remind me about certain topics or parts of the answer. I tend to forget the relevancy of certain parts. So far this has been working really well for me.

>> No.11813429 [DELETED] 

>>11813394
They will all know.
They will all admit.
It will not happen anymore.

>> No.11813452

>>11813124
Remider that if you wait longer than 3 minutes you increase the chance of Jaundice due to hemoglobin increase.

Reminder that if you wait longer than 60 seconds the chance of obtaining efective UCB decreases.

>> No.11813462 [DELETED] 

>>11813452
Not so, old myths. Refer to the Cochrane review on the matter.

>> No.11813579

>>11813394
>Who is this schizo
https://pastebin.com/B2mmisWm
>What does he want
Attention and people to caress his nuts while telling him how smart he is

>> No.11813701 [DELETED] 
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11813701

>>11813579

>> No.11813779

would the PAs ever change their names to cope? what would it be?

>> No.11813791 [DELETED] 

>>11813779
Clampengoldbergschmeckelstein.

>> No.11813856

Can epilepsy affect one's personality?

>> No.11813888

any tips for taking step for a retard who literally failed most exams but goes to t20 so they just let it slide.

I was lazy af and didn't study at all but b/c corno im now scheduled to take it in january but have to study with rotations any tips on how to prep

>> No.11813893
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11813893

>>11813856
Yes.

Check
>>11813202
>>11813164
>>11813146
>>11813124

He's our schizo pet btw.

>> No.11814151

>>11811739
Wait, what is going on with the exams?
Why doesn’t it matter anymore

>> No.11814169
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11814169

>typing progress notes on computer
>physical therapist walks up to one of the nurses
>”hi I’m Dr. SoAndSo, I’m here to assess the patient in 275”
>mfw

This shit happen anywhere else? I’ve heard DNPs and DPTs address themselves as Doctor and it drives me nuts.

>> No.11814172

>>11812096
>drug addicts are ~~n’t patients~~ good customers and friends of pharmaceutical bros

>> No.11814174

>>11814169
Lol as a PT i cringe at them too. I remembered my professors hated it too. I also cringe when my patients call me doctor just call me by my first name dude

>> No.11814193

>>11814169
>This shit happen everywhere else?
Nope, only in America

>> No.11814220

>>11814174
As a hospitalist I prefer people address me by a first name basis because my last name is hard to pronounce (Japanese).
Only a few older docs prefer formality

>> No.11814265

>>11814220
Hey Dr. Fumihisa, what's up.

>> No.11814287

Should I be at all worried about leg paresthesia? For the past few days I've been getting this energetic feeling from my lumbar that goes to the sides of my pelvis and then down to each knee. It's not affecting everything in that zone (just those three spots really) and it hasn't affected movement in any way. It's not exactly painful either but it's very distracting and I don't know what's causing it, are there any potential root causes for something like this? It's inconsistent (comes and goes for a few hours) and it doesn't seem to matter whether I'm sitting, walking or lying down.

>> No.11814318

>>11814287
Start exercising, could be a pinched nerve (assuming you're a desk jockey?)

>> No.11814371
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11814371

>janny saves the thread again

Bros, we need to get this guy free healthcare and lots of cute nurses.

>> No.11814376
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11814376

>>11812823
Use LOTS of cloze cards, some topics are easier than others. I have lots of cards that are just one line split into 2 cloze cards with one word answers.
My weakness is that I have lots of big lists especially when I try to memorise DDx

>> No.11814384

>>11814376
>memorize DDx

Lmao, brainlet. Why would you memorize differentials when you can just think of other other diseases that are similar to your diagnosis? I've never heard someone memorizing DDx holy shit.

>> No.11814395

>>11814384
DDx probably wrong word to use, maybe "cause" instead. Anki makes studying really easy though even if it might be a brainlet tactic

>> No.11814428

UK Med students - any advice for getting publications, audits, etc?
Gunning for surgery and want to be competitive. I'm currently 2nd year. Every bit of advice I see if so nebulous and unactionable.

>> No.11814509
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11814509

>>11814220
If a 10 year old kid with the name Johan comes to you with a bullet wound in the head
Do whatever you can to let him die

>> No.11814516
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11814516

>>11814509
Kenzo was not a hospitalist, anon.

>> No.11814518

>>11814516
what’s a hospitalist

>> No.11814519

>>11814516
oh shit yeah I forgot it's been a long time since I watched monster
but kill all johans just in case

>> No.11814525

>>11814518
Internal med physician. Had no idea until I googled it.

>>11814519
How could you? He was the the prodigy, the best neurosurgeon in the entire...Germany?

>> No.11814529

>>11814525
I watched monster when I was a kid
All I remember is how much johan freaked me out

>> No.11814548

>>11814151
P/f soon

>> No.11814556

>>11814428
Latch onto someone that publishes a lot and work hard.

>> No.11814558

Is it true over time anti psychotics make you more psychotic? What I heard was
>psychosis may be linked to excessive dopamine
>most anti psychotics block dopamine receptors
>over time because of the blocking you form more dopamine receptors
>when you go off anti psychotics if the underlying problem isn't solved and you still produce excessive dopamine
>now you produce excessive dopamine and have more dopamine receptors

also are there any good books on the science of psychosis and schizophrenia

>> No.11814581

>>11814556
>suck their dick so they can let you gun for a spec

The post

>> No.11814594
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11814594

In oncology, "Primum non nocere" is not applied in order to try and save the patient.

Fight me.

>> No.11814616

>>11812823
Whats your total new cards per day

>> No.11814654

>>11814594
Every drug has potential side-effects, so you could potentially harm any patient with any treatment. It's just that oncological treatments have more serious side-effects.
You weight the cost of potential short-term harm for the benefit of long-term QALY gain.

>> No.11814657

>>11814556
What if I don't want to invest in kneepads and act like a sycophant? Even if I do that, there's no guarantee I'll gain first authorship or a publishable project, surely?
Is there any advice on this topic other than "find a mentor"?

>> No.11814658

Roller coaster holy roller
I got shot down, in Southern California

>> No.11814671

>>11814654
>have more serious side effects

Why? And we're talking about chemotherapy with no target, just systemic effect.

>> No.11814677

I'm in the military as a combat medic. Flirted with the idea of becoming a doctor however this would mean leaving and I have a family to support. I have the opportunity to move into environmental health with a fully paid for degree. I really want to go into radiological protection and I'm trying to plan out doing health physics/similar at postgrad level.
Have you guys ever worked with environmental health or people working in radiological protection?
I had the option to go radiographer as well however I don't want to be stuck doing x-rays all day.
7 years experience as a combat medic doing primary healthcare and trauma.

>> No.11814686

>>11814671
Are you asking me to explain the MOA for chemotherapy drugs? How does that relate to your original question?

>> No.11814687

How are irredeemable mental patients usually treated? I mean the cognitively impaired and the insane. On what grounds do medical ethics require psychiatrists and neurologists to keep them alive and not test on them? What's the pont?

>> No.11814689

How do doctors cope with all the shit you'd surely see in hospital without going insane? Are you guys all faking the sane bedside manner?

>> No.11814690

>>11814687
>Why do we not exterminate the mentally ill?
I think you should pursue a different profession

>> No.11814693

>>11814690
I am not a doctor.
>>11814687
Also I guess the "vegetable" types would fall into the same category. The place where I used to get treated for a motor disability had lots of moms coming in with hopeless children whom they hoped they could somehow cure. Why prolong a miserable, senseless existence?

>> No.11814696

>>11814689
Yes. Same as how anyone who has to deal with "clients" or "customers" will fake their customer service demeanour.
And many doctors can't deal with it, that's why there's such a high rate of burnout and people leaving the profession, compared to most others.
"This is Going to Hurt" by Adam Kay explores this, if you fancy reading a book.

>> No.11814705

>>11814693
Assumed you were a med student.
Palliative care is there to ease symptoms and suffering before death. Doctors will not pretend that they can cure someone who has an incurable disease. Euthanasia is not legal in my country, and probably not legal in your country, so that's not an option. Treatment is not mandatory. Nobody is forcing these people to come in, or to stay. The doctors are just doing their jobs.

>> No.11814710
File: 56 KB, 700x757, 037fd8c0c65caa9ca6f2d1b2441f2823.jpg [View same] [iqdb] [saucenao] [google]
11814710

>>11814705
Palliative care is pretty based desu.

I'd really like to practice it on the side with FM and visit patients at home that need palliation but I'm not sure how it works, even in my country.

>> No.11814716

>>11814705
But that's of no use and costs a lot of money. It's kind of silly.

>> No.11814718
File: 73 KB, 883x883, d268ad3489d5bbf554d2ca9294a9b44e.jpg [View same] [iqdb] [saucenao] [google]
11814718

>>11814716
>no use and costs a lot of money

Zero morality, I see.

>> No.11814728

>>11814718
If you know they're just going to die, why spend so much money making the process only marginally less painful? If euthanasia were legal and I had a vegetable child, I would sooner have it killed than endure the hardship of seeing it suffer.

>> No.11814732

>>11814716
Relieving symptoms and reducing suffering is "no use"?
You're either trolling or have no empathy.

>> No.11814737

>>11814732
Yes, it is. At the end of the day, they will still have some symptoms, still suffer to some degree and be a burden to their caretakers. They cannot live life as it was meant to be lived, so why delay the inevitable?

>> No.11814738

>>11814728
Cancer patients in terminal stages for example, want palliative care to improve the quality of the life they have left. It's too morbid to think only about death. We all die in the end, why not make someone's end more pleasant than to be in constant pain? What if the patient doesn't want to die right away and wants to settle things? Why rush things with something as complicated as physician assisted suicide and fill in forms and do a ton of legal papers when you can just wait?

>> No.11814741

>>11814710
It's its own specialty here in the UK but not sure how it'd work or if a GP could have it as a special interest. But that sounds like a nice idea mate.

>> No.11814747

>>11814738
I see what you're saying, but cancer patients are different. They're conscious and able to enjoy the life they have left if they're cared for appropriately. I'm mostly talking about utterly hopeless categories, like the insane, the dumb, quadriplegics, etc

>> No.11814755

>>11814737
So if they still have some symptoms, the treatment is of no use? What a baffling, buffoonish take.
There are treatments for most diseases and illnesses which will leave the patient with some symptoms.
I suppose if someone has Crohn's disease and their steroid treatment means they have to shit 6 times per day instead of 12, it's useless?
They can't live life as it was meant to be lived, as they have to plan their entire day around their condition. So I guess they should just top themselves, by your logic?

>> No.11814759

>>11814755
See >>11814747

>> No.11814774

>>11814747
>Palliative care is useless
>Treatment which doesn't eliminate all symptoms is useless
>If you have a terminal illness just euthanise yourself
>Not for cancer though, one of the most common uses of palliative care, ignore everything I said for that
Ok

>> No.11814779

>>11814741
Here in Romania it's a small "fellowship" and it's available to all specs but mostly FM and Onc choose it.

I've finished doing some research on the matter and apparently there are some physicians that do it (the way I said it, with house visits), not many and the fellowship is obviously longer for FM than Onc by 6 months. Sounds pretty darn good, I must say.

>>11814747
In that case, I agree on physician assisted suicide and mostly Americans do it, from what I've seen.

I assume you're referring to people that are not able to behave rationally, etc. so I'm going with it. You can't possibly make the patients life better, but as I said, the family decides and their beliefs do matter in this instance. Not because we think it's utterly pointless of keeping a 90 y/o dement patient in the ICU, but because if we do it without consent, a pretty big lawsuit may follow.

That's how I see these things, at least.

>> No.11814785

>>11814774
The very first post I made concerned mental patients, and then I made a case for euthanasing vegetables. Why are you moving goalposts to shit like cancer and Crohn's?
>>11814779
Bazat medic roman rational.

>> No.11814807

>>11814785
I've not said anything about cancer and Crohns. I had issue with you saying palliative medicine is of "no use", and then just backpedalling. And you're clearly not talking about solely "irredeemable" patients since you said
>they will still have some symptoms, still suffer to some degree and be a burden to their caretakers
You fail to actually talk about specific conditions, just saying "the insane, the dumb, quadriplegics, etc" as if it's 1940.
Quadriplegics are not "utterly hopeless", nor are schizophrenics, and nor are people who can't speak.

And, as I said in my first response to you, it's not the doctor's choice, it's the patient's and their family.

>> No.11814848

>>11814807
>I've not said anything about cancer and Crohns
Except you have.
>You fail to actually talk about specific conditions
I'm not a doctor but you can get the gist of what I'm talking about: severe mental retardation, organic brain disorders, genetic diseases, shit like that. As I said, I used to go to a sanitarium and I encountered mothers with severely retarded children, to the point where they couldn't move their limbs or speak, hardly ate and were in a constant state of delirum so I lost sleep because of their spastic screamimg. At one point I saw a deformed girl with Down Syndrome and some kind of blood issues (that's what her mother called them) and she had a shock or something and had to be taken to the hospital. Judging by what the poor woman said she had been through, I wouldn't be surprised if the damned thing died on the way.
Why keep those things alive?

>> No.11814850

>>11814689
Depends on the mood I'm in. As a person, I'm very cheerful and most of the times I'm sincere and don't put up a facade. On the other hand, if I have one of those bad days, I might be more "serious" and "emotionless", I guess.

>> No.11814853

>>11814657
Self publish then, but you'll have a much harder time.

I don't understand this edgy notion of not wanting to find a mentor or be a bitch for the higher ups. You entered a hierarchical profession, you know what you signed up for.

>> No.11814862
File: 648 KB, 1022x767, IuOhmmI.png [View same] [iqdb] [saucenao] [google]
11814862

>>11814853
I think he watched too much anime and wants to be the one and only, the prodigy, the best of the best, the creme de la creme, the arrogant but smart student.

But it's only cool in anime, otherwise people will consider you a dumb, pompous fucker.

>> No.11815030

>>11814169
MDs and DOs should be the only persons that have the right to call themselves "Doctor" in a clinical setting.

Fuck anyone else. (Especially busty nurses in their 40s with big ass)

>> No.11815070

>>11815030
>DOs
ha GAY

>> No.11815123

>>11815070
>tfw I'm not from US so idk what the fuck I am

Such is life, anon-chan.

>> No.11815140

>>11814853
Because I've already got enough on my plate trying to balance getting a top decile ranking, teaching other students, committee work, and my other commitments without doing months of grunt work for a consultant which will give me no reward.
I'm only in medical school for another 3 years, with time to do maybe 3 or 4 projects at most - I don't want to waste my time.
How is it "edgy" to want to actually do something, and get something in return for my efforts? I'm sorry if you settle for a pat on the head and nothing to put on your CV.

>>11814862
No, I just want to get a competitive application later down the line, and am looking for something a bit more actionable than "get a mentor". Not sure how that makes me a weeaboo.

>> No.11815145

>>11815140
Anything else than sucking a dick won't really work, anon.

>> No.11815153

>>11815145
If you say so. How many publications are you up to?

>> No.11815161

>>11815153
>implying I want to make any publications

I just want to finish and live a comfy rural life as a GP. Why would I need to suck dick to get there? Instead, for surgery (asides from general), you gotta be able to slurp on that dick. Good luck.

>> No.11815180

>>11815161
Sounds fucking boring but each to their own.

>> No.11815299

>>11815180
You're only a 2nd year mate, I doubt you have even seen much surgery let alone had enough experience to want to do it for life. All the mongs in 1st and 2nd year want to be surgeons then realise they are brainlets and burnout. If you really wanna be a surgeon in UK:

Look up the CT1 self scoring potfolio document for core surgery and go from there.

1. Join the surgical society at your uni and work your way up from conference rep or year rep shitty posts to core commitee (President,Treasurer, Secretary). This is how you get to arrange teaching sessions which give good points on self scoring. Ask the speakers after the talks that are put on about projects.
2.Make sure you intercalate and try and go for a research based degree that you can get projects from like an MRes.
3. Go to a surgical conference if you can afford it. Talk to surgeons there and mention that you are interested and would do work for them. These can somethimes count as courses but only last 5 years so book them early for 4th/5th year.
4. Straight up ask consultants that you like about projects (audits, pubs)
5. Young surgeons gunnning for decent ST3 or consultant posts will have projects you can get involoved in.
6. Submit a pitch to student BMJ for an article every week, you will eventually get one. Make it fluffy mental health tips shit.
7. Arrange any student selected placements and your elective in surgery.
8. Go on surgical skills course ran by the royal colleges.
9. Project Cutting Edge is a good youtube channel and website ran by a guy who was a massive gunner for surgery.
10. Start a elogbook to track everything you see in theatre, even as a student.

You have to be a bitch and do the grunt work to get your name on shit as you are just a student. No one will publish you without a consultant or regs name next to yours. You don't need to get published in the surgical field for it to count.

After all that realise that surgery is shit in the NHS and gun for anaesthetics like me.

>> No.11815357

>>11811539
any irish medanons

>> No.11815389

>>11815357
How many potatoes does it take to kill an Irishman?
0

>> No.11815394

>>11815357
Chicken Supper

>> No.11815425
File: 48 KB, 312x373, 1560398885739.jpg [View same] [iqdb] [saucenao] [google]
11815425

>>11815299
>wall of text
>killed some 2nd year's dreams

Damn

>> No.11815434
File: 17 KB, 500x325, Béla Lugosi laugh.jpg [View same] [iqdb] [saucenao] [google]
11815434

>>11815357
Ya hear about the Irish fella who tried to blow up a car ?

He burned his lips on the exhaust

>> No.11815516

>>11815389
>>11815394
>>11815434
ok

>> No.11815548

>>11815299
Seems like a lot of work, I’d rather go senpai medicine and live a decent life with decent pay

>> No.11815623
File: 329 KB, 1008x1156, sugoi.jpg [View same] [iqdb] [saucenao] [google]
11815623

>>11815548
>senpai medicine

Is this some kind of brand new revolutionary spec? Sounds sugoi

>> No.11815698

I don't want to make my own thread so Im just gonna ask here.
Yesterday the area on the bottom of my jaw around my salivary glands was a little swollen and hurting and I was producing a lot of saliva. Today it hurts a little less but now my throat is burning and there's a tightness in my throat that makes breathing feel a little weird (no difficulty, just strange feeling).
I fucking hate going to doctors unless I absolutely need to and I dont keep meds in my house. Should I be concerned?

>> No.11815713

>>11815698
>Should I be concerned?

Yes. Now go see a GP.

>> No.11815813

>>11815713
I sucked on an icecube and my throat feels better now. Problem temporarily averted.

>> No.11815866

>>11815698
Gargle vodka

>> No.11815924

>>11815698
Wash your mouth thoroughly with alcohol based mouth wash or drink and gargle some gargle some vodka or strong alcohol

also floss your teeth

>> No.11815977

>>11815924
I do these regularly.

>> No.11815984

>>11815977
And by regularly I mean daily. I also have some cordosyl lying around, would that help?

>> No.11815995

>>11815299
I appreciate the sentiment in what you’re saying. Just because I’m a second year doesn’t mean I’m ignorant, I’ve already done a BSc and I’ve had more experience on the ward than most at my stage.
I’m aware of everything you’ve said and I’m already doing most things - on committee, doing teaching, will be intercalating with a masters, been going to conferences, etc etc.
I was just looking for more actionable advice and information about how to get opportunities for research and audits other than “get a mentor”. I understand I can’t just find the cure for cancer all on my own and publish it in the NEJM, but surely there’s more options than doing a consultant’s grunt work for months for no reward.
Good luck with anaesthetics, always seems like a good option.

>> No.11816136

>>11815548
Very interesting post.

>> No.11816202

>>11815299
Based destroyer of dreams

>> No.11816351

>>11815140
>>11815153
>>11815180
Holy fuck you're insufferable. I genuinely hope you're like this irl so your attendings and residents can hate your guts.

>> No.11816428

>>11816351
cringe

>> No.11816580

>>11811539
how do you guys take notes in lectures? do you really need expensive ipad for max efficiency? pls someone guide

>> No.11816721
File: 202 KB, 1024x1325, 1592544242180.jpg [View same] [iqdb] [saucenao] [google]
11816721

How well would this guy's hand work after the usual stitches, surgery, possible cast (?) and healing?

>> No.11816733

>>11816721
real good

>> No.11816827 [DELETED] 
File: 5 KB, 300x168, download.jpg [View same] [iqdb] [saucenao] [google]
11816827

>>11811539
Robert F Kennedy (4 parts)
Part 2 Vaccines
https://www.youtube.com/watch?v=WqzNoZNpdxA
Part 3 Vaccines and 5G
https://www.youtube.com/watch?v=X9xJW0Lc2nI
Part 4 Bill Gates and the WHO, Polio
https://www.youtube.com/watch?v=X3OAlkxcRQc

>> No.11817173

>>11816351
>Suck your superiors’ dicks and follow my shitty advice despite my lack of experience and obvious contempt for you
>No
>Fuck you’re insufferable
Sorry that I’m not a bottom feeder and actually have ambitions.

>> No.11817178

>>11815995
>I've already done a BSc
Intercalating in a masters seems like a waste of time if you already have an undergrad BSc. You may also get fucked on your NHS bursary funding if you are on a grad entry course, you may have to pay out of pocket.

The return on your investment of doing grunt work is worth it mate. You get a least 2 points on the CT1 self scoring if you get your name on a pub and at least 3 on a audit. That is equivalent to your planned masters (1 year and £5000+), 2 courses (£300+) or half a PGCert (£1000+).

If you spend 40 hours coding papers for a systematic review or MRI images or formating figures or filing in spreadsheets your rate of return will be very high, think of it as cost per hour.

Also, realise that only 1/3 of your overall score is based on portfolio the rest is at interview. I know a couple lads who got competitve run through ST1 ENT posts with shit portfolios but they turned it on at the interview. Honestly, invest a lot in your appearance and how you present yourself it counts for a lot.

>> No.11817203

>>11817173
Not him but you really are insufferable.

>> No.11817214

>>11816580
Guessing you’ve been watching some Ali Abdaal videos or something?
You can take notes however you want. Paper, laptop, iPad, whatever. Just make sure you go back and consolidate your notes. Revision is more important than the initial note taking

>> No.11817248

>>11812603
Sauce?

>> No.11817260

>>11817178
Good advice, thanks.
The masters I’m thinking of doing should get me points in a couple of categories, and from talking to people who have taken it before me, there’s a good potential for publication as well.

You make a good point. My main concern is getting shafted and it actually wouldn’t end with my name on anything. But if it’s the only way, then it’s the only way.

I have a lot of time before I need to worry about the interview itself, I’m more worried about the portfolio now because it’s something I can work on while at uni. The more I can tick off while I’m here, the more time I’ll have after uni for things like working on interview technique and anything I might have missed.

>>11817203
Thanks.

>> No.11817470
File: 490 KB, 1366x768, 4d765c2ed36cd7eaf8437622e8b79719.png [View same] [iqdb] [saucenao] [google]
11817470

>>11817173
>Imagine being so frustrated that you think that anyone who replies with something "rude" is me

At first I was joking but had no idea you can get this assblasted. Enjoy sucking dick to get your name on a paper, then.

>> No.11817507

https://pubmed.ncbi.nlm.nih.gov/15157457/#:~:text=The%20most%20biologically%20significant%20property,active%20motility%20of%20eukaryotic%20cells.

Guys, I can't even...

>> No.11817525

>>11817507
Chuckled heartily. Thanks, anon.

>> No.11817531
File: 83 KB, 478x352, 1336626771161.jpg [View same] [iqdb] [saucenao] [google]
11817531

>>11817525
https://pubmed.ncbi.nlm.nih.gov/28575493/

Found another one. These titles are crazy.

>> No.11817551 [DELETED] 
File: 644 KB, 1494x1672, Foster_Bible_Pictures_0074-1_Offering_to_Molech.jpg [View same] [iqdb] [saucenao] [google]
11817551

>>11811539
Part 2 Vaccines
https://www.youtube.com/watch?v=WqzNoZNpdxA
Part 3 Vaccines and 5G
https://www.youtube.com/watch?v=X9xJW0Lc2nI
Part 4 Bill Gates and the WHO, Polio, population control
https://www.youtube.com/watch?v=X3OAlkxcRQc

>> No.11817593

>>11812027
This is going to hurt was good

>> No.11817631

>>11817470
Alright, thanks.

>> No.11817648

>>11817551
>youtube
Do you also have an actual source for your shitty opinions?

>> No.11817661 [DELETED] 

>>11817648
Watch the videos. I'm not filling out 10 captchas to post anything. You don't deserve the effort. Even two captchas for a pastebin and this post is too much when you consider the ultimate effect of my posts getting deleted or bombarded by "responses" from golem automaton quasi-lobotomites.

https://pastebin.com/PRxSuZUD

The truth is we are all damaged, incomplete beings. It all finally makes sense.

>> No.11817665

>>11817661
>You don't deserve the effort

No one is asking for anything from you, schizo-chan. You just post stuff that no one cares about except you but at least you're bumping the thread so there's that.

>> No.11817668 [DELETED] 

>>11817665
You will get what you are given.
You will take what you are given.
You will have nothing.

>> No.11817672 [DELETED] 

>>11817665
CVC.

>> No.11817689

>>11817668
>>11817551
Do they clamp? Do they tramp? Do they stamp the butt of dem good ol tranps?
gramps gramps tell me what did at your summer camp
did you clamp, did you stamp? Did you get raped by a tramp
Tell me gramps, oh tell me gramps

>> No.11817707

>>11817665
It's best to ignore him. It is funny seeing him reply to his own posts in a desperate attempt to get engagement when the number of unique posters in the thread stays the same.

Anyway, someone dump more papers with ludicrous titles.

>> No.11817710
File: 44 KB, 301x267, 1336933098707.jpg [View same] [iqdb] [saucenao] [google]
11817710

>>11817707
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1032576/

Here. The title is not that crazy, but the paper is indeed one for the meme gods.

>> No.11817712

>>11817710
Fucking hell. I know a cuber friend of mine who'll get a kick out of this. Based anon.

>> No.11817720
File: 228 KB, 485x505, 1379550971838.png [View same] [iqdb] [saucenao] [google]
11817720

>>11817707
http://imj.ie/semenly-harmless-back-pain-an-unusual-presentation-of-a-subcutaneous-abscess/

Also this.

>We report, with review of the literature, the case of a patient who developed a subcutaneous abscess after intravenously injecting his own semen in an attempt to treat longstanding back pain. He had devised this “cure” independent of medical advice.

Fucking paddies

>> No.11817727

>>11817707
There was a paper I read once of a guy who got Vibrio keratitis after getting smacked in the eye by shrimp while fishing.

>> No.11817735

What the fuck is "organic personality disorder, caused by epilepsy" supposed to mean? I am epileptic but not crazy. Is that some kind of catch-all diagnosis for any mood swings and shit I might have? My psychiatrist diagnosed me with it but prescribed no treatment.

>> No.11817748 [DELETED] 

>>11817727
>>11817720
>>11817710
>>11817707
>>11817668
>>11817665
>>11817661
>>11817648
>>11817551
take your meds, schizo

>> No.11817752
File: 105 KB, 426x545, 1592657549415.jpg [View same] [iqdb] [saucenao] [google]
11817752

>>11817748
There's a schizo in all of us.

>> No.11817774
File: 33 KB, 392x395, Capture.png [View same] [iqdb] [saucenao] [google]
11817774

>>11817748
You must be new

>> No.11817777

>>11817727
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6820971/

Found it.

>> No.11817788

>>11817748
Imagine calling people schizos while mass replying

>> No.11817794

>>11817774
>>11817788
lmao deleted

>> No.11817841

>>11817531
Best titles, Anon. uwu

>> No.11817896

>>11817661
Where is the evidence-based in all of this shit, didn't you read the title of the thread.
You poor sick fuck, I think of people like you when ever I hear about hospitals that get attacked by ignorant people... All around the world.

>> No.11818081
File: 262 KB, 559x540, 1353457506497.gif [View same] [iqdb] [saucenao] [google]
11818081

>>11817896
How new are you, dude?

The number 1 rule is to not reply to schizo unless you want to make fun of him and are ready to get some free (You)'s with "woke" info.

>> No.11818166 [DELETED] 

>>11818081
Lol @ all these toolz responding as though I'm screaming heresies in their church.

>> No.11818233 [DELETED] 

>>11817896
I think about sick fucks like you, and your perverse system when I see morbidly obese waddlers slowly making their way across the parking lot. You truly are brainwashed degenerate scum who think the world is just going to keep ticking.

Without a certain ratio of lazy airheaded cattle (you), and men who want to watch the world burn (a bit), the whole structure collapses.

>> No.11818364

>>11818233
k keep me posted christcuck
you fags have been crying about ye apocalypse since antiquity
Also a schizio like you shouldn’t be name calling others

>> No.11818368

>>11818233
Are you muslim too my brother? Inshalla you are beyond wise

>> No.11818392 [DELETED] 

>>11818364
You need to be namecalled.
"What we think about the things we do, is about who has watched us."

>>11818368
I'm not religious. Depending on definition of religion.

>> No.11818469

>>11817214
ipad or laptop? isn't it annoying to take notes typing?

>> No.11818495

>>11818469
Get yourself a surface go or surface pro, buy a pen and dl the OneNote app. It works wonders.

>> No.11818891

I've got a dumb question related to the OR and music.

Why is it that every time the surgeon listens to music, the atmosphere is more relaxed in the OR? Not a specific genre, any kind of music. The rest of the team is more relaxed, hell even the anesthesia team sits and reads the newspaper in a corner.

Is the music a signal of: "No worries, this operation is easy." ?

>> No.11819390 [DELETED] 
File: 1.10 MB, 3264x2448, F13E431E-0F53-4E60-A81C-ACE9D16E3E0F.jpg [View same] [iqdb] [saucenao] [google]
11819390

Hello /med/

I’m in a bit of a pickle. I believe I have some form of vision deterioration in my left eye, the symptoms of which are appearing more frequently. I come to /sci/ because I fear I may not be able to disclose my concerns to a doctor. I am a flight instructor; I hold a first class medical certificate and have at 20/15 uncorrected vision (last time I was evaluated). If I disclose a medical issue requiring significant evaluation, it may jeopardize my medical certificate and my profession.

My symptoms are similar to what I’m reading for macular degeneration: center-vision distortion consisting of small defined spots (usually 1 or 2) or a slightly larger smeared area. Text can be difficult to read and straight lines can appear distorted. Here’s the issue though: symptoms can vary with fatigue (more common in evening), but the spots aren’t necessarily consistent. Same general area, different size and severity. I’m 25 years old with no known genetic predisposition for MD, not diabetic, reasonably healthy, non-smoker.

Any suggestions or ideas? Should I bite the bullet and get evaluated?

>> No.11819400
File: 1.10 MB, 3264x2448, 8A33C687-B8D8-4D02-A6DA-D32A24A7DC5C.jpg [View same] [iqdb] [saucenao] [google]
11819400

Hello /med/

I’m in a bit of a pickle. I believe I have some form of vision deterioration in my left eye, the symptoms of which are appearing more frequently. I come to /sci/ because I fear I may not be able to disclose my concerns to a doctor. I am a flight instructor; I hold a first class medical certificate and have at 20/15 uncorrected vision (last time I was evaluated). If I disclose a medical issue requiring significant evaluation, it may jeopardize my medical certificate and my profession.

My symptoms are similar to what I’m reading for macular degeneration: center-vision distortion in left eye consisting of small defined spots (usually 1 or 2) or a slightly larger smeared area. Text can be difficult to read and straight lines can appear distorted. Here’s the issue though: symptoms can vary with fatigue (more common in evening), but the spots aren’t necessarily consistent. Same general area, different size and severity. I’m 25 years old with no known genetic predisposition for MD, not diabetic, reasonably healthy, non-smoker.

Any suggestions or ideas? Should I bite the bullet and get evaluated?

>> No.11819454

>>11818495
thanks a lot mate, i've been looking at the surface pro but was unsure, it's a good laptop/tablet hybrid

>> No.11819998
File: 41 KB, 800x360, npa wikipedia.jpg [View same] [iqdb] [saucenao] [google]
11819998

Question for medfags. I am putting together a first aid kit for hiking/backpacking/mountain biking. I want to include an NPA. Or I guess a few since they come in different sizes. I don't understand the sizing.
Wikipedia's NPA article says that sizes are, for example, 7mm=30FR
Whereas a thread on emtlife.com says that sizes are, for example, 7mm=21FR (where French size is always 3x the millimeters).
I have seen several sources claiming the former, and several claiming the latter.
What the fuck is up with the sizing?
And what sizes should I get if I want to have a few of the most commonly needed sizes?
According to people going by the latter sizing method, 8mm/24fr, 7mm/21fr, and 6mm/18fr would be most common sizes, but then some sources claiming the sizing is different fucks it all up, i.e. Wikipedia says typical sizes are 6.5mm/28FR through 8.5mm/36FR.
What the fucking fuck is up with this inconsistency?
Thanks

>> No.11820287

>>11819400
Give more history on the degeneration, is the vision loss permanent or temporary ?
Could be a form of early glaucoma although that’s rare for 25.

Any headaches that accompany these? Could be a possible clot given that you are a pilot and sit in one position for long times

Try rubbing your eyes gently, be careful not to hurt yourself and see if it improves your condition. Have any blood pressure issues? Family history of high cholesterol? Anemia?

>> No.11820304

>>11819998
I don’t help krauts

>> No.11820307

>>11819400
Also id suggest reading this, macular degeneration in young adults is a genetic issue not diabetes or whatever disease

https://www.webmd.com/eye-health/macular-degeneration/juvenile-macular-degeneration-stargardts

I’d suggest getting checked by a doc before you end up crashing and kill your self/others

>> No.11820334

>>11820304
I'm not German you fucking faggot

>> No.11820336

>>11820334
do your own camping research faggot kraut

>> No.11820356
File: 944 KB, 3264x2448, 000774F2-8FDF-41D5-904A-BDD43C7527DF.jpg [View same] [iqdb] [saucenao] [google]
11820356

>>11820287
I appreciate the response. About 3/4 year ago I experienced an episode that was particularly blinding, obscuring much of my vision with a strong distortion. First such incident that I can remember. I laid down and it calmed down within an hour or two and my vision recovered later that night. I looked it up and chalked it up to an ocular migraine but was still unsure because it wasn’t associated with pain. From there it has occurred infrequently and usually consisted of a small pin size dot around my left eye center vision, usually lasting several hours and gone by next morning. But I’ve started to experience them a bit more frequently and sometimes the distortion is larger but less severe.

No accompanying headache. I don’t think it is due to lack of movement because my training flights usually last only an hour and a half or so, and I’m usually not sitting when I teach ground lessons. Rubbing my eyes doesn’t cause any change, it isn’t on the front surface of the eye for sure. No family blood pressure issues, anemia or high cholesterol. My father had a small heart attack a couple years back but he’s approaching 60 years old so that may have been an age-related blood clot.

If my vision were to deteriorate in one eye I can live with that. I have taught a student who was completely blind in one eye and he was an awesome pilot with a special issuance medical. But not if this spreads.

>> No.11820383

A sharp pain above my right eye, immediately followed by numbness in the right side of my face. It only lasted a moment and subsided right away.

what do I do with this information
I don't want my cute general practitioner to think I'm a hypochondriac or send me to the coronavirus gulag

>> No.11820415

>>11820356
Sounds like you're having aura migraines. It's actually just as common to have them without pain, your first option would be to identify any possible triggers, chocolate, legumes, heat, salt, ect.

>> No.11820416

>>11819400
Get a monocle

>> No.11820430

>>11820415
I’ll be on the lookout. My older brother is very prone to migraines and has them frequently, but they are conventional and associated with significant pain. My episodes are never associated with pain, but fatigue or lack of sleep is definitely one trigger.

>>11820416
Monocle would correct vision, not restore lost vision.

>> No.11820450

>>11820430
Just try to minimize them as much as you possibly can. Depending on your genetics they can evolve into having pain with them, the fewer you have the fewer chances they have to become painful.

>> No.11820463

>>11811539
I'm starting my first rotation on peds in 19 days. I'm kinda a sperg and always struggle with my osces and interviewing patients, I like to tell myself its because the standardized patients at my school are awkward. Does it get easier or am I fucked?

>> No.11820472
File: 1.67 MB, 3264x2448, 5FEB0648-E422-4C7B-94C8-7035DA88BC59.jpg [View same] [iqdb] [saucenao] [google]
11820472

>>11820450
Will do, I appreciate the help.

>> No.11820672

>>11820336
I already did research now shut the fuck up you dumb nigger

>> No.11820970

>>11814850
Bro I literally have to pretend that I don't hate the patient every time I see one. I have to fight the urge to leave the room every time they say/do stupid shit. Literally saw a diabetic sneaking non-diet soda yesterday, still had to listen to her complain about some kind of genetic disorder she thinks she has regarding a cut on her foot that won't heal. Really trying to hold it together but idk if I can. Everyone seems to hate their health.

>> No.11820971

>>11816351
Not him but how can I get attendings and residents to like me? Is it cringe to buy them coffee in the morning?

>> No.11821006

>>11820383
Ignore it. If it happened only once, for a brief moment and on top of that you complain about it...there's your referral to psych.

>> No.11821041
File: 12 KB, 247x231, 1358096702003.jpg [View same] [iqdb] [saucenao] [google]
11821041

>>11820970
Are you a student or doctor? IM rotations/spec?

I didn't like IM one bit because most of the patients were lying about their habits (smoking, drinking, diet rich in fats, etc) and didn't want to play detective with them. Otherwise it was good old mental masturbation that comes with IM and micro-management of the patient.

>> No.11821097

>>11820970
anon they're just doing what they think they need to survive

>> No.11821409

>>11820971
>buy them coffee

Are you the farthagged pajeet?

>> No.11821591

>>11820672
You wouldn’t be asking if you did the research

>> No.11821609

For a few days, I had this weird pain in my right arm and leg akin to muscle fever / soreness despite not having made any significant physical efforts lately, sometimes in both limbs and sometimes alternatively (either an arm or a leg, whenever one would stop the other would start hurting), and as of today it's changed into this burning sensation with spells of tingling. I also haven't been able to get very good sleep in the past week.
Is this something I should see my neuro for or could it be another illness? I'm tempted to go the neurologist because I have hemiparesis and it might be acting up, but what if it's something else and she'll drug me for no reason?

>> No.11821610

>>11821409
Did that guy become a surgeon finally or did he drop out? I don’t remember what happened to him

>> No.11821612

>>11821610
I wish I knew. He stopped posting after we made fun of him. :(

>> No.11821613

>>11821609
burning/tingling sensation is typically signs of peripheral nerve erosion, plus you have hemiparesis so that might be getting worse. Take B12 supplements to promote nerve health and omega 3 fats.

Other than that, what caused your hemiparesis? What medications are you on currently and are you diabetic?

>> No.11821617

>>11821612
kek, he seemed happy serving them coffee and such, although kissing ass takes you far in medicine, I don’t think I’d be capable of doing that.

At most I be friendly with the attending and be as helpful as possible but bringing coffee and changing their kids diapers.. that’s some weird territory to be in, but I know a lot of people have done those kinda things to get ahead and sometimes get really great recommends that got them far

>> No.11821619

>>11821613
>what caused your hemiparesis
I've had it since birth probably because I was born 3 months before term. My diagnosis is "spastic, right-side, predominantly crural hemiparesis" (although I guess that's referred to as spastic hemiplegia in English, I don't know)
>What medications are you on
I take Mydocalm and Milgamma N. In theory I should also be taking epilepsy meds but I don't take those because I've never had a proper seizure and past neurologists have been conflicted whether my abdnormal EEGs come from epilepsy or my hemiparesis
>are you diabetic
No.
Sorry if what I'm telling you sounds like bad medical practice. I've always been skeptical about how my condition is treated. I live in Romania and we don't exactly have the best healthcare providers.

>> No.11821622

>>11821617
Depends how far you want to go. Honestly, it's not my type. The doctor is there to do his job and also teach me. I'm there to learn and that's it.

I can't wait for uni and residency to finish so I can stop seeing people sucking dick and kissing ass for a rec letter or something like that.

>> No.11821659

>>11821619
>Sorry if what I'm telling you sounds like bad medical practice. I've always been skeptical about how my condition is treated. I live in Romania and we don't exactly have the best healthcare providers.

Nah that’s fine, I’m thinking you are having mini epileptic attacks masked as tingling and burning sensations. From what It’s pretty common to have the combination of illness that you have (hemi+epilepsy) since birth and a small portion of them report tingling/burning/seeing white spots etc.

You are on medical relaxants and drugs that prevent nerve degradation, the only thing you aren’t taking care of is epilepsy.. if it affected a certain part of your brain, you’d have the symptoms of worsening tingling and burning.

Patients with hemiparesis are known to have these sensations anyway, add focal epilepsy to that and you will have those symptoms. My advice would be to manage the epilepsy and sleep on time if possible. Your tired brain is causing these sensations.

https://www.epilepsy.com/article/2013/6/do-you-know-what-jacksonian-march

Might want to read this as well

>> No.11821672

>>11821659
>mini epileptic attacks masked as tingling and burning sensations
Don't epileptic fits come and go? I have experienced these things continuously for the -past few days, albeit in different ways (like one limb aching, or both of them, either one burning etc. currently I only feel the burning sensation in my right hand but the overall discomfort has never really stopped)
>if it affected a certain part of your brain
Am I irreversibly fucked? My head also used to twitch but now it's gone. The epilepsy meds have a shitload of side effects and I have never taken a single one of them, so I am scared not only of the meds themselves but also about telling this whole ordeal to my neurologist. I also haven't been sleeping well since Tuesday. I unironically fear for my life.

>> No.11821679

>>11821619
>I live in Romania and we don't exactly have the best healthcare providers.

Hello fellow Romanian. You have Regina Maria, Neuromed, Medlife. All private practices with amazing doctors and some of them accept referrals so it's free of charge.

>> No.11821681

>>11820463
I think we all feel the same or feel similar to an extent at the begining. At the beginning the broad and overwhelming information you need to retrieve from patient may feel slow-paced but With practice and repeatedly interrogation your brain will start to develop specific pathway-questions for specific clinical syndromes... I felt the same way with my OB/GYN rotations. You're fine, bro.

>> No.11821689

>>11821679
My new neuro works for Regina Maria and another fancy private clinic in addition to the state hospital. Can I trust her to treat me well and not lose her shit if I tell her what's up with my meds and such? Before that I only went to commie old farts.

>> No.11821714

>>11821689
>I went to commie old farts

Commie old farts are fine, but you should really look for either:

1. Public teaching hospitals where the professor/attending works.
2. Private practices that I mentioned. Most of them are made of young physicians that are well worth it and that studies abroad/went abroad for a good part of their residency and such.

Nothing wrong with older physicians as long as they keep up with the new material, so that's why you should aim for teaching hospitals. Depends where you are from. If Timisoara - SCJUT, Municipal Hospital the two biggest ones are teaching hospitals. If not from Timisoara, aim for the biggest hospitals, those are usually teaching hospitals.

>> No.11821741

>>11821714
I'm from Brasov. When I was a kid I got treated by said commie old farts, but after I turned 18 I was transferred to my current neurologist. She works at SCJUBV, Hiperdia and Regina Maria. I looked her up and she has great reviews but no fancy foreign degree. Her degree. coursework and what have you are are from Romania, Rep. Moldova and Russia.

>> No.11821753

>>11821741
I don't know how much it matters if she went to another country for extra studies and how that affects her clinical skills, but with our diploma is safe to say she's pretty good if she got hired by so many.

Our doctors are actually decent but the rampant nepotism makes you feel like shit, I know. Good luck to you anon.

>> No.11821764

>>11821753
>if she went to another country for extra studies
She's originally from Moldova. Studied there first, then Russia I think, then came here and one-upped herself.
>Good luck to you anon
Thanks anon. Maybe I'll call tomorrow and see what's up.

>> No.11822002
File: 94 KB, 1500x1500, littmann_cardiology_iv_6155_stethoscope.jpg [View same] [iqdb] [saucenao] [google]
11822002

So my birthday was in early May and I just got my gift today thanks to corona-chan. It puts my old II S.E to shame, holy shit. I thought that it won't be much different but I tried it on my fiancee and heart, lungs, bowel sounds are much more clear.

>> No.11822013

>>11822002
what do your fiancees bowels sound like

>> No.11822022

>>11822013
Reduced sounds. But I assume that's fine since she woke up like 30 minutes ago.

>> No.11822037

>>11822022
cute also tfw no gf but i guess im too autistic for one so w/e

are the bowel sounds clearer than the usual jumbled blurred bullshit we usually hear

>> No.11822045

>>11822037
>usual jumbled blurred bullshit we usually hear

That's what I heard too, but with a bit more "complexity" to it and louder. I barely use the steth to listen to bowel sounds, so I'm not an expert but the difference is indeed there.

>> No.11822053

how do i know if i have neuralgia in chest and nothing more serious?

>> No.11822073

>>11822053
What kind of neuralgia? Chest wall? Intercostal? Where exactly does it hurt?

>> No.11822074

>>11821591
I did research and I cannot find any information on it, and you clearly don't know the answer you fucking fag

>> No.11822084

>>11822073
i have pain in chest at my right side of sternum, especially when i take a deep breath or when i lie on side/belly trying to fall asleep

>> No.11822095

>>11822084
Take a deep breath and hold it in. Then lightly push between the ribs. Don't start with the point that hurts, leave that for last.

Also, lie down when doing it. It's hard to diagnose it at home, it's usually used as a differential diagnosis. If it hurts when you push, you might have it, if not, it's deeper.

>> No.11822157
File: 70 KB, 512x384, utterly_meaningless.jpg [View same] [iqdb] [saucenao] [google]
11822157

>>11811539
How dumb is it to apply to med school as a nurse?
I'm in a competative American nursing school, I just got accepted to Honors and I absolutely despise nurses and their faggotry. If I can't make it in i guess I'll just become a CRNA.

>> No.11822168

Been using Aldara to take care of some genital warts. This shits crazy, there are sores all over my balls.

>> No.11822191

>>11822157
Not from US, but CRNA seems a pretty safe route although there's a lot of faggotry in there too. I've seen the beef between ANA and the physician's board about CRNA's that should be called "Nurse anesthesiologists" and such. I lol'd but it still seems a pretty good job.

Idk what advice I can give you, just opinions from what I've read a long time ago.

>> No.11822215

>>11822191
Yeah I've always assumed everyone was okay with nurse anesthetist. I can't even ask faculty about this because everyone gets upset if you speak about grad school.

>> No.11822376

I have pain and a lump near my tailbone, right where my buttcheeks split. It feels sore like an ingrown hair or a zit but the skin is smooth and its a large, hard lump.
Popped up 2 days ago and slowly feels worse. Wtf is it?

>> No.11822401

>>11822376
Pilonidal cyst

>> No.11822439

>>11822401
My primary doc is closed because of corona
Who should i see?

>> No.11822443

>>11822439
Well not closed but my physical got canceled

>> No.11822577

>>11822439
Still your GP but get an appointment for your problem.

>> No.11822589

>>11822157
>competative
Yeah you better don't apply to med school.

>> No.11822590
File: 42 KB, 642x432, dogtor.png [View same] [iqdb] [saucenao] [google]
11822590

>in ortho OR
>surgeon is explaining stuff to us
>Iron Maiden comes up in his playlists
>makes us shut up for two minutes so he can listen to the song

Is he based?

>> No.11822643
File: 137 KB, 880x1029, 59-594456_snout-face-facial-expression-nose-smile-head-cartoon.png.jpg [View same] [iqdb] [saucenao] [google]
11822643

If you are put on an ECMO and you're awake, do you feel like you need to breathe or nah?

>> No.11823136

>>11822157
med school is a meme, I’m going fucking crazy here. Should’ve just accepted im a brainlet and accepted some part time job somewhere

>> No.11823194

>>11823136
>I can't handle it so it must be a meme

Medschool is easy compared to what's coming afterwards. I'm almost done and I don't feel prepared at all.

>> No.11823485

What are some positions that med tech can go to when they want a promotion?

>> No.11823486

>>11823485
From missionary to doggy-style probably.

>> No.11823556

What's the occupation with the best benefits?

>> No.11823739

>>11822589
Eh, it's got a big research school with 10% acceptance rate.
>>11823136
I'm alright with memes. My work ethic won't let me fuck up.

>> No.11823783

>>11823194
Step 1 you mean? That’s the great filter for brainlets

>> No.11824016

Ive been having mucus in my stools for about 2 years now, sometimes alot some times just a little. Is it something I should be concerned about?

>> No.11824137

>>11822157
>How dumb is it to apply to med school as a nurse?
Maybe not that bad. Get experience under your belt at least. I know one guy who was a nursing officer in the armed forces for 7 years who's now in medicine, and his nursing background helped him out a lot, plus his military experience. Helped the most in taking patient histories, planning care, just communication with patients and colleagues in general. He's now in residency to be an orthopedic surgeon.
> If I can't make it in i guess I'll just become a CRNA.
Depending on where you live, this means absolutely nothing. I'm in Canada, and we never have CRNA's actually administer anesthesia, they're really just assistants. But it could just be my province.

>> No.11824368

>>11814169
>90 year old retired patient yells at scheduler for not addressing him as "Dr. ____"
>another 90 year old retired patient yells at scheduler for daring to address him as "Dr. ____"
is it legal to refuse treatment to physicians?
how do you go to harvard and still be so stupid

>> No.11824440

>>11823783
I was referring to residency since we don't have such a thing as Step 1 here.

>> No.11824484

>>11814558
no

>> No.11824488

>>11814594
primum non nocere is a stupid principle, literally everything remotely effective is a poison

t. paracelsus

>> No.11824493

>>11814687
christian ethics, gotta keep everyone alive

>> No.11824503

>>11818891
yes

>> No.11824505

>>11820971
be likable

>> No.11824517

This might seem like an oddly specific question but what software do doctors use to read EEGs? I'm not looking to self-diagnose or anything but I was curious about my latest EEG because I never really got to see those and the file came in .pak format.

>> No.11824551

>>11824517
Idk if it applies to EEG but my CAT scan results were on a CD + a PDF file with the results.

CD had the software with my CAT scan included, opened it in the software and could look at it. Probably something similar goes for EEG.

>> No.11824564

>>11824551
I see. My CD just had the results. Tried opening them but to no avail. I'll have another one done some time though, because I haven't had any serious investigations in the last 3 years, and I'll ask to have a look if possible. I guess it's just the curiosity of seeing what goes on in your brain even if you don't really have medical expertise.

>> No.11824568
File: 85 KB, 500x500, eeg.jpg [View same] [iqdb] [saucenao] [google]
11824568

>>11824564
I had neuro classes this semester and still have no idea what the fuck is going on in here (neither do I want to know) so... Good luck anon.

>> No.11824683
File: 128 KB, 360x360, 1353546827991.gif [View same] [iqdb] [saucenao] [google]
11824683

Nephro exam is coming up.

I had no problem with nephro in physiology class but...HOLY FUCKING SHIT REEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE

I hate this shit. So many glomerulonephritis types and each one of them has a different mechanism and there are so many antibodies and types of lesions.

FUCK NEPHROLOGY.

>> No.11824793

Hey guys. When I was between the ages of 12-14 I used LSD maybe 20 times because my older sibling could get it. How likely is it that this caused permanent effects and could you speculate on what it could have done?

>> No.11824923

>>11824683
Honestly learn which ones are nephritic and which ones nephrotic, their immunoflorusence, their disease associations and some basic histology and you should be good

>> No.11824935

>>11824923
Nope, it won't work. I've seen some question models from earlier years and holy shit, I'm doomed.

I'll start studying tomorrow, today I just had endo exam and don't feel like doing anything, especially after I looked into the nephro book.

>> No.11824943

Would a blood test required in the morning still be okay considered morning if I was awake for seven hours, already, but it is still just opening hours?
2) will it matter if I am drunk?
It's like thyroid and testosterone and some other hormonal bullcrap. I proofread, good enough.

>> No.11824944

>>11824943
1. It's not okay
2. It will matter

Testosterone levels are higher in the morning (after a night's sleep ofc) and lower at night. It may fuck up your results.

>> No.11824975

>>11822157
Why not? I plan to do the same if my grades and gamsat score is good enough. I already work as a LPN, so it's a longer road for me but still.

>> No.11825008

>>11824975
good luck in the GAMSAT, heard it's a monster of an exam

>> No.11825016

>>11824793
Very likely because most likely it was not pure lsd but a derivative.
Its very hard to obtain the real deal.
Only literal retards do drugs especially the street drugs.
Dont fall for the drug jew.
Stay safe

>> No.11825058

>>11824944
Thanks dude. Will comply. So, morning is relative? My bitch doctor seems to think that it is seven o'clock, no matter what.

>> No.11825093

Which one of you fuckers posted in the /fa/ thread of the dude with the severe gyno?

>> No.11825176

Are there surefire ways to know if I have MS?

>> No.11825460
File: 173 KB, 830x625, what.jpg [View same] [iqdb] [saucenao] [google]
11825460

>>11825093
>browsing /fa/ for anything other than prep/trad/ivy thread

Wat

>> No.11825642

>wasted my early twenties studying medicine
>overanalyse the health in all my relatives
>developed anxiety from exam stress
>can only communicate like I'm talking to patients
>looking down the barrel of 30 years in this career

Anyone else cry a lot more?

>> No.11825650

>>11825642
I embraced it.
By talking to other people like your patients you assert dominance.
People respect that because its the chad way

>> No.11825663

>>11825650
How do you change to talking normally to you friends or romantic interests?

>> No.11825684

>>11825642
You sounds like the autistic student that can only talk about medicine.

>> No.11825691

>>11825663
I have neither lol
>>11825684
pretty much but im actually employed
autism is hell of a drug thats for sure

>> No.11825705
File: 23 KB, 530x414, legolas.jpg [View same] [iqdb] [saucenao] [google]
11825705

>>11825691
I didn't mean it that you're not employed or something. I just hate it when I'm with some peers and talk about idk, music, cars, video games, there is that one guy that goes like "So, have you guys read the genetic heart diseases chapter? I really enjoyed Fallot's Tetralogy."

DUDE...STOP. DELET. FUCK OFF GUNNER.

>> No.11825706

>>11825684
I don't know anon. I have outside medicine hobbies I like and non-medic friends but I feel trapped in my life now. Maybe I am semi-autistic.

I just can't talk to people like I used to. I started putting on a persona to talk to patients in a confident, formal manner with small talk and tasteful jokes which has now become my manner all the time talking to everyone. I know other medics like this too

>> No.11825723

>>11825705
i dont see it that way but w/e

>> No.11825872

>>11825723
Makes sense, autistic people are usually delusional.

>> No.11825921

>>11825872
at least im not crying about it

>> No.11825944
File: 13 KB, 600x400, Hypothyroidism.jpg [View same] [iqdb] [saucenao] [google]
11825944

Will there ever be a cure, lads?

>> No.11825963

>>11825944
Are you a retard bro?

>> No.11826017

UK, got referred to a gastrointestinal unit for assessment after difficulty swallowing (throat closing up, feeling like food isn't going down, panic attacks) and they've referred me to have an endoscopy, CT scan and barium xray; what does any of this mean, should I worry?

>> No.11826038

>>11825944
When did you "acquire" such a nice disease, anon-chan?

>>11826017
>what does any of this mean?

Dude...You didn't even bother to ask WHY were they doing this?

Anyways, depending on the results, they 100% suspect a problem with your esophagus, that's why they went trough all that jazz to see inside it trough endoscopy, to check if there are any masses or if the lower esophageal sphincter is relaxing as it should. It may vary from some esophageal polyps up to achalasia.

What about the results?

>> No.11826139

>>11826038
Around 7 years ago, as far as I know.

>> No.11826142

>>11825963
What?

>> No.11826170

I've been waiting a couple days for my pft results. The therapist said I was inhaling on the low side (65%-69%) and the albuterol didn't really help (75%), but exhalation is 100%. She mentioned it was the large/medium airways having trouble and the small ones were okay.

I know those aren't exact #'s and that there are different areas of the pft, but that was the generalization she gave me. I'm anxious waiting on this phone call. Any idea of what this might mean?

>> No.11826191

>>11826139
>7 years ago

And I bothered to respond to this...You're fine.

>> No.11826206

>>11826191
I am fine. But it's annoying. That's like saying "You were diagnosed with diabetes 7 years ago? You're fine"

That doesn't dismiss the calling for a cure, or the need for one.

>> No.11826215

>>11826206
Well, you can always go to your GP and ask there, but you'd be most likely viewed as I see you now. A fucking hypochondriac. Take your meds, schizo.

Fucking talking about SEVEN fucking years old symptoms and you didn't know the results, holy shit. I hate patients like you.

>> No.11826328

>>11826038
>Dude...You didn't even bother to ask WHY were they doing this?
No I said to myself to write down questions to ask then blanked like an idiot
>What about the results?
not had the tests yet just a bit spooked about the whole thing cause the letter I got said 1 in 10 who get referred to them get diagnosed with stomach cancer

>> No.11826392

>>11826328
>stomach cancer

Highly doubt it if the only symptom you experienced was difficulty swallowing. What do you have trouble to swallow? Solids or liquids? If both, then which one appeared first?

For achalasia, they usually use the barium x-ray, but the endoscopy is the gold standard because they will certainly look into your stomach too. I don't think there is anything to be worried about. If you didn't vomit blood or had black stools, the chance of having a very unpleasant surprise are very low.

Good luck anon.

>> No.11826405

>>11826392
both with solids first, they think it's psychological since it seems to happen with some foods but not others i.e With bread I'm fine with toast I'm not truthfully I think the only reason they're doing physical checks is cause I went from 68kg to 52kg in around 10 months whilst not trying to lose weight, thanks for the responses by the way you've helped put my mind at ease

>> No.11827591

Bump

>> No.11827966

>>11826017
Myositis?