/sci/ - Science & Math

Please don't fill the thread up with medical questions.

If you're worried, you should still get it checked out, but don't panic - you should know that it's really, _really_ hard to die before you're at the very least 50-60 years old.

/vet-med/ where we at boys

I would bet good money (that in the West) the average MR exam is at least 50% as long as it needs to be 99.9% of the time. Maybe 2x as long in America.

Everyone's scared of the 1-in-10,000+ chance of missing something and getting sued so all exams collect more contrasts / resolution than is required leading to MRI being used inefficiently overall in healthcare for everyone.

Everyone thinks about that rare time that maybe it could miss something, but few think about all those times that MRI could be used for positive clinical impact where it currently isn't often (or ever) used.

What are your thoughts as clinicians?

>>9883343
Also there is a degree of irony due to the fact that the acceleration methods used by all modern MR systems (Parallel imaging, and recently Compressed Sense) inherently add noise/artifacts/inhomogeneity, but the medical community has decided that the benefit of them far, far outweighs the rare cases where it has a negative impact.

If one were really autsitic about "perfect images, no chance of artifacts and no visible noise" every MR exam would take hours

We can agree radiation therapy is how we'll cure cancer, right? New antibodies and kinase inhibitors chemo is a hit-or-miss and has a bunch of problems.

For the first time, I saw seizures that presented as extreme moments of anger today. The guy is on an epilepsy investigation unit on 24-hour EEG.
He was totally fine one moment then just began yelling at nothing in particular, clenching his fists, stomping his feet and nearly throwing his chair. Gotta give props to the nurses who rushed in and evaluated him right then and there.
He's not my patient so I can't look into his diagnosis, but I'm thinking frontal lobe tumor/epilepsy or some other. It was legitimately a scary experience. Poor guy didn't remember a thing post-seizure.

Any mexican medbros here?

Asking this again because I only got a partial answer in the last thread:
>Chemistry major here. Everything was going great until I semi-botched Diff Eqs. in senior year and I took an overall GPA drop from 3.65 to 3.58 squarely in the BCPM. How fucked am I? I have a 520 MCAT, but it's a retake, and I'm applying to mostly 3.7-3.9 median schools.

>>9883503
Nice, more details, I want to be a neurologist.

>>9883313
More of a medschool/future kind of question.

I've been doing a mix of engineering and kinesiology with the the goal of going into some kind of biomechanics research thing, but I'm starting to get a little disenfranchised with the idea of academia; I've been working on getting a paper published and presenting at conferences and it's a lot less satisfying than I expected. I reflected on things, and I'm leaning more toward medicine.

Now, I haven't taken organic or biochem and I didn't have to take general bio to do a pretty substantial series of anatomy and physiology classes. Is there any chance of me being able to study for the MCAT for like 3-6 months and be admitted somewhere? I'm not opposed to another year or so of prereqs but I'd rather not if I they'd be fine with me just teaching it to myself.

>>9884071
You have any clinical or research experience? It's not all about them numbers.

>>9884554
Yeah, I have two first-author publications in MOF crystallography and about 4 years worth of hospital work as a patient sitter.

What a wrong with my pemis?

>>9884071
>>9884565

So long as you are applying to top 40 NIH allopathic programs it literally doesn't matter where you go to med school, though if you can go to a Texas school the tuition is ORDERS OF MAGNITUDE cheaper, so instead of graduating with a quarter mil of debt you graduate with like... 80k including living expenses if you know how to be cheap.

Those numbers don't matter, I got in to my top choice with a 35 MCAT and a 3.5 gpa (white male so no AA but I also didn't get fucked like all the Nguyens). Volunteer and leadership experience are all the rage right now with adcoms and so long as you can sing some bullshit song about medicine as a team based sport I don't see any reason why you would have trouble getting into a good program.

>>9883503

Why are you excluding the inframedial temporal lobe? Mass effect on the amygdala could easily lead to emotional (read angry) outbursts and considering its proximity to CN II as well as its radiations its not outside the realm of possibilities that he could have been having visual hallucinations as well. Not to mention that temporal lobe seizures are FAR MORE common entities due to the neural architecture of the hippocampus. Pure frontal lobe tumors don't generate symptoms like that.

Are you an MA?

>>9884531
Why? Neurology is far and away the most depressing specialty. Its all the philosophical conjecture of psychiatry with even less ability to treat. You have like... 3 drugs that can be given chronically and 3 drugs you can only administer in monitored acute settings. Almost all of your patients die slowly and tragically.

Neurologists are cool (except the stroke doctors, who make suggestions on consult so fucking obvious it makes ER doctors blush), but other specialties offer so much more ability to fix pathologies and generally have better hours and pay too.

>>9884604
I'm just fascinated about the nervous system and I like the fact that you take time with the physical examination and listening to the patient/family, I'm not much of a talker myself but I'd like to bring comfort to people just doing a proper job.

>>9883313
Help me lads.

Since morning, I'm feeling this urge to pee, and I pee, and a minute after I pee, I feel like I have to pee again!

I'm peeing non stop and I feel a little tickle on the tip of my wee wee. Please help.

>>9884675
Not a doctor but sounds like prostate enlargement/prostatitis
source: going through the same thing myself

>tfw fucked up physiology
>gonna have to repeat class

>>9884692
Is that something to worry about too much? What the hell should I do?

>>9884550
The way I understand it is there are no true prereqs for the MCAT - those are only for applying to the schools themselves. That being said, these class prereqs will help you on the exam and should probably be taken first. It depends entirely on your comfort with cramming material.

What's your favourite organ/organ system?

For me it's the cardiovascular system. Something about it satisfies my autism.

being a doctor is just about showing complicitness, as it's a bureaucratic position as well, and memorization

Just read through an MCAT study guide and it looked piss-easy. The engineering job market is pretty shit, so should I just become a doctor instead?

>>9884865

Hearts are fun. I really considered cardiology but one of the attendings looked at my hand and noticed that I was married when I asked him about how to go about becoming a cardiologist and he said "do you like your wife? because if you want to become a cardiologist you had better figure out which one you like more".

So I picked something else.

>>9884975
Which country are you from anon? I've thought about becoming a cardiologist but if it means I'll have no time for my wife I'll explore other options.

Glad to see you put her before your career.

>>9884531
I can't give too much, but he had 3 seizures in the span of 8 hours. It would go from being normal to flat out rage in a couple seconds. There was no warning aura that he could describe before the onset of the seizure. Weirdest thing is that after his seizure, he'd be able to correctly identify those in his room calming him down, what questions/comments were directed to him, but just not remember what he himself was doing. Pretty amazing really.

>>9884604
>Why are you excluding the inframedial temporal lobe?
I always think frontal lobe when it comes to behavioral changes, but absolutely it can be a temporal lobe issue. All the temporal lobe seizures I've seen so far presented as the patient having odd sensations; numb hand, suddenly smelling something, feeling hot, having deja vu, heaviness in an arm, etc., so I habitually think behavior change is frontal lobe. Great explanation anon!
And I'm a BScN working on becoming an NP. Please no bully.

>>9883393
Define "cure"

>>9884675
You may have diabetes. But it may also be a urinary infection.
You shoud (you guess it) go to your doctor

>>9884865
I don't like how the vast majority of hearts have trace regurgitation.

I also don't like how something like 90% of people have at least a couple of PVC/PAC's per day

it should be perfect but it's shitty instead

costochondritis is the most annoying thing

Is this melena /med/? I'm a med student, but I haven't seen real melena. It was blacker IRL, the picture is kind of lighter. I don't have any other symptoms.

>>9885663
I know your pain anon.
I was studying at my desk for Med (with shit posture) and felt sharp pain in my chest. After an ER trip along with several consultations the diagnosis was costochondritis. I had to deal with on and off sharp chest pains for 8 months. After 8 months I decided "fuck it" and started doing light chest exercises and stretches. 4 years later it's just an annoying dull pain that only occurs when I haven't stretched my chest for a few days.

>>9883503
Aren't behavioural changes associated with temporal epilepsy? I'm a newbie pls don't get mad at my question.
>>9884675
Urinary infection most likely.
>>9884698
Well it won't go away by itself probably. See a physician.
>>9884865
Kidneys. The fine electrolyte regulations fascinates me.

>>9885663
>>9885696
I also have this shit. I get it when I stay in a pose for a long time or when I do triceps dips.

>>9885046

US

>>9885110

Ah, nurse, got it. Look up a paper on localization and lateralization of seizures. Should be about 12 pages or so long but has most of the information needed to think more clearly about that kind of stuff. Its a much more complicated process than simply "behavior lives in the frontal lobe (it doesn't as far as we can tell its mostly just executive functioning, but not behavior per se) so with behavior changes it must be in the frontal lobe".

>>9885652
Trace regurg does not induce symptoms, dilation, or hypertrophy. It is an engine that literally runs 24 hours a day since roughly 2 months after conception and has its own built in redundancy systems that prevent egregious charge displacement. PACs and PVCs are normal and literally have no morbidity associated with them unless your heart is already fucked from all the shit you have done to it.

>>9885699
Nephrology is dope. I wish I could work with those guys more often, they are some of the smartest docs.

>>9885716
>Look up a paper on localization and lateralization of seizures.
Will do. It's unfortunate that I'm only getting more exposure to neurology and the science behind seizures and other pathophysiologies because I got a position on a multi-disciplinary neuro ward. I'm really interested in the field and hope to specialize in it.
Thanks to docs like you though, I'm learning a lot more from nursing school. Thanks again.

Going into my Senior year of college here. I’m on track into getting accepted into a med school, I’m confident I’ll do well on the MCAT.
Any medfags do the HPSP to pay doe med school? I plan on talking to a recruiter soon but I want to hear from others.

I want to get a bs in CLT but im afraid the classes might be too intensive for me. The only experience I have in bio courses is taking human anatomy in community college and I thought that was a pretty decent work load I cant imagine stacking that with 3 other comparable workload classes. Should I just pursue something else?

>>9883503
Reminds of this old lady who was well known to get in a bad mood before she would have her seizure. She would get angrier and angrier for a whole week until she eventually seized.

>>9884695
>Implying you won't get funneled into residency anyways.

>>9885716
>Trace regurg does not induce symptoms, dilation, or hypertrophy. It is an engine that literally runs 24 hours a day since roughly 2 months after conception and has its own built in redundancy systems that prevent egregious charge displacement. PACs and PVCs are normal and literally have no morbidity associated with them unless your heart is already fucked from all the shit you have done to it.
I am well aware, but I am also an Engineer, so it pisses me off that it's inefficient and `buggy`

>>9885696
>>9885701
most annoying thing is you can't really diagnose it so all you can do is exclude everything else (and do a quick check to rule out MI when an acute attack happens)

>>9885716
>built in redundancy systems that prevent egregious charge displacement
What do you mean here? Escape rhythms or ?

I've never heard of cardiac charge displacement.

You guys have probably already seen/heard of this

https://www.bmj.com/content/362/bmj.k2817

Are <35 year olds really drinking so much that they're dying of cirrhosis and liver cancer, or what the fuck?

Wouldn't you typically have to be drinking 10+ drinks/day for an extended period of time for this?

Or is something else going on here?

>>9886231
>Are <35 year olds really drinking so much that they're dying of cirrhosis and liver cancer, or what the fuck?
You would be surprised. Hell, there are colleges/universities in my area already offering alcohol cessation programs for 18-25 year olds. Even the high-schools are being vigilant. This is in Canada, where it seems some feel it's okay to start drinking at 13-14 to get ready for when they're considered legal.

>>9886433
jesus christ

should give people memantine, since it makes 1 beer feel like 2-3. will cut down on liver damage while people get wasted

>>9884675

Sounds like prostatitis. If there is a burning or a pain I would go to a urologist.

If your having some trouble you might have some nutritional deficiencies. You might wanna try these.

Quercetin: 2 pills in morning and 1 at night
Urinozinc: 1 pill in morning 1 at night
Zinc 25mg: 2 pills in morning 2 pills at night
Apple Cider Vinegar: 1 pill a day
Serenoa: 2 in the morning and 1 at night

Take this regiment for a week with food and don't drink soda. You should feel better, If not go to a urologist.

>>9884550
Why not go industry or biotech for great salary without wasting years and incurring 200k debt

help I cant stop studying radiology (brain / cardiac MRI) cases even though I have no experience or education in medicine

jk I don't need help it's a fun hobby

So tired of my acne bullshit I decided to start a very aggressive treatment with doxyciclin and isotretionin, combination that apparently rises considerably the risk of intracranial hypertension. I've read on the internet that everyone is against it yet in 2 weeks of treatment this shit has made wonders on my face, almost no acne in just 2 weeks of treatment.
Any medfags there what do you think? should I stop this or not? don't tell me to go ask my doctor since I'm doing this on my own.

lel

>>9885916

Depends on whether you are fine with the military determining what you specialize in. I couldn't make that choice because one of the main reasons I went towards the MD and not a PA or something much, much easier is because I wanted to have the freedom to tell people to fuck off.

All you tho man, no one directs your ship but you.

>>9885895
Np hope it is helpful!

>>9886205
>a literal engine that maintains extremely specific range of pressures and firing sequence with 99.9% consistency (24 hours a day 7 days a week 365 days a year over the course of multiple DECADES) in function despite being in a soft container that moves around and feeds it salt all day is inefficient. This is not even mentioning the fact that it can literally lose half of its circuitry, infarct half its tissue and STILL FUCKING RUN with relative ability to maintain homeostasis.
>anything an engineer has created can even begin to compare to that.

There is no dynamic motor on earth more efficient and durable than the heart. I am amazed an engineer of all people would not be able to remark on this fact.

>>9886211
almost all the myocytes in the heart have internalized pace makers by use of leaky potassium channels which cause spontaneous depolarizations in the event of a failure of the sinus rhythm system. However, they have built in refractory periods that make it so these systems are reset each time they depolarize, so the literal solution to something like an occasional ectopic pulse (as in not originating from the SA node) just fires one shitty depolarization that doesn't cause a problem and because of the retrograde action potential moving up the atrium, it resets the SA node, which then picks up rhythm again. It literally fixes itself by fucking up.

>>9884675
I think you've become addicted to peeing. Urination can be a gateway to a runaway cycle of behavior in which peeing becomes all you want to do, and something that you have to do to feel normal.
Saying no to peeing is the only solution, even if others pressure you to let loose your urine into the toilet bowl or ocean.

>>9886713
>There is no dynamic motor on earth more efficient and durable than the heart. I am amazed an engineer of all people would not be able to remark on this fact
Well, much like I was coerced by birth to have to deal with government, so too am I coerced to deal with the body.

I don't trust the government and I don't trust the body.

You are clearly very educated in the matter however so I very, very much appreciate your insight.

>mfw i just learned about the merck manual
holy fuck

hloly fuck
fuckf
fyuck
fhuck

jews fucking up medicine goes back prior to america

burn it to the ground

we'll have to build it anew

Comfy jobs in medicine/health care? Don’t want to be a physician.

>>9887050
If it helps, I’m currently working as a vet tech and loving it, but the pay isn’t something I’d be happy with as an adult (junior in college)

>>9886231
That's suspicious. Why aren't all the balkans and Russia with cirrhosis then?
>>9886689
Two weeks of doxyciclin is enough. Continue with the isotretionin. My derm prof reported cases where people took it for months. And it really does wonders.
>>9885670
So no one wants to say whether I have internal bleeding or not? Today's poop looks the same. Smells like regular poop. Still no other symptoms. I've been going to a rock festival where there was a lot of dust and smoke, can it be related. Comfort me fellow medfags.

>>9885670
See
>>9883317

>>9887006
>>> /pol/

>>9887569
Probably because america is full of mutts and slavs/whites are more resilient to pathology associated with alcohol use

>>9883313
Is it canon that pepe has four fingers ?

>>9887703
Definitely not

>>9887688
>it's ok for a medical textbook to be written by people who profit from pharmaceuticals

americans

Currently a rising senior at a good university with a 3.9 GPA about to take the MCAT in 3 weeks. I've been getting 510 consistently on Next Step practice full lengths, but I can't score higher than a 126 on CARS. I got 17/53 yesterday on my Examkrackers CARS practice. It's really discouraging, and I'm starting to question if I should postpone taking it or just taking an extra year at uni to do a comp sci/economics degree. I'm taking the AAMC tests starting tomorrow to get a better idea. Any advice?

>>9887709
take the AAMC tests for sure before you make a decision. I got a 511, 125 in CARS and was able to get into a canadian medical school.

Being in the 510 range with that GPA should definitely make you competitive, so long as the schools youre applying to dont have CARS requirements (I couldn't apply to some schools here in Canada because all they care about w.r.t the MCAT was CARS score and mine was well below their cutoff).

My advice is to probably take the MCAT in 3 weeks, unless you absolutely bomb all AAMC CARS practice stuff. IMO CARS is more hit or miss than other sections. I have no stats to back this up, I just feel that you're either lucky that certain passages in CARS resonate with you or unlucky that they don't (I had a couple on art history which were so f boring that I barely retained anything, and of course you don't have time to reread).

Good luck

When do you think they'll add an ICD code for internet addiction?

Will they have a corresponding code for website (facebook, reddit, 4chan)

PLease someone tell me how to tackle the physics/chem section for the MCAT

>>9887863
git gud

>>9884912
What a shitty reason to get into med. Please consider to kys

>>9883313
How do you guys recommend me go about studying immunology, i am reading the book Kuby

>>9887916
the majority of doctors are in medicine for the combination of money (and guaranteed occupation) + prestige. don't be naieve

that's why ROAD specialties are so competitive

>>9887953
>ROAD specialities

I'm always surprised to see radiology in there. I've never heard anyone say they want to do radiology or anesthesiology; it's always opthalmology, orthopedics, neurosurgery. I guess people realize later that those tend to "better." I also hear urology is pretty good too.
On the subject of neurosurgery, is that the specialty lots of pre-meds choose to aspire to if they have no idea what they want to do? Seems during undergrad that's what everyone who has no idea what they want to do wants to do.

>"what field do you want to go into"
>"oh, idk, neurosurgery"

t. aspiring interventional radiologist

>>9887961
rad is great because you don't have to deal with patients

hours are usually pretty good too, sure they're overworked a bit but who isn't? (answer : cosmetic dermatologists)

though ~maybe~ they'll get automated or semi-automated and salary cut.

>>9887973
>>9887961
oh btw, interventional rad is a very good choice in my view.

We (that is, the R&D part of the MRI community) are making good inroads into doing more and more procedures under MR or Ultrasound (or even hybrid like prostate biopsy where you take an MR image but do the procedure under ultrasound and have the MR data connected)

It's a massively underutilized field, and it's kind of unfair because i understand the reimbursements can be stupid high (they get to bill for both MR and ultrasound). I despise the american reimbursement system but it's part of life, like taxes and death

I want to study IBD but the path to become a gastroenterologist is something like 13 years long... I would be 36 by that time

>>9887973
>don't have to deal with patients

My sister is an orthopedics PA, and she said if she could go back and do it again, she'd go MD/anesthesiologist or nurse anesthesiologist. The latter, from what I've seen, does nothing, makes really good money, and doesn't have to deal with patients. Seems like rad, path, and anes. are the best ones for avoiding people.

>>9887961
People say neurosurgery because they read somewhere online the median salary is pretty high. Later they realize that only an idiot goes into neurosurgery for money when other specialties will make far more, far easier.

>>9888059
It's the sexy specialty. You get to say you're a brain surgeon.

>>9888067
I'd rather say I'm a pediatric cardiothoracic surgeon. Nothing gets girls going like working with kids, maybe saving their lives, and working a job with a lot of words in its name.

You're all sick and tired of med school questions, but I was wondering. Does what uni you attend make a difference in your specialty?
For example, there are 3 med schools in my area. One is affiliated with a level 1 trauma center, another has a cancer research center, and the last is well known for it's cardiac emergency center. Say I wanted to go into emergency medicine/trauma, should I attend the school with the level 1 trauma center instead of the one with the cancer research facility?
I would ask an academic advisor, but my uni isn't known to have it's graduates go into med school, so they're no help. It's mostly a business/management place.

>>9888053
anestheisologists / surgeons don't normally have to deal with patients, but they do have to deal with emergency situations, which rads don't.

>>9888131
then you should work in pediatic psychoneuroimmunology

>>9888143
Anon I'm always happy to help.

So short answer is yes. Going to a school with a department your interested is helpful for a two main reasons.

1. You're more likely to get into your home program then anywhere else. So by going some place with a home program in a specialty you like your setting yourself up well.

2. Level 1 trauma centers will have better doctors (based on things like research in field and name recognition). This doctors can be your letters of rec and make unofficial phone calls on your behalf to help you find your way into programs.

These two factors are mitigated by one point prestige if your choosing between harvard which doesn't have a level 1 tramua center and some random school that does you pick harvard.

Last but least tramua is a little tricky to get into but em is very doable from any md/do school so where you get in presuming your not looking to match the top program will be fine. You have to see what med school you get into. Sadly it's a lot of luck that determines it.

>>9888021
It's not like your a janitor for those 13 years. Each year you're learning about what you like as you become an expert. If it's really that strong of a dream and you don't have like familail pressures I say go for it.

>>9887953
if you look at top schools less are pushing into road

the r and a are also seen as less competitive then they were.

Though derm is still insane

>>9888059
Such as?

>>9887953
>Prestige
Only in America, and not for long

>>9886231
I used to study HCC, from the metabolic side--not hepB/C infection induced--and obesity and diabetes are the major issue here.

>>9886433
It's the link between fatty liver / NAFLD and fibrosis that leads to cirrhosis and/or HCC, not alcohol consumption generally

>>9888508
Not that anon, but I wouldn't say "far more." Assuming all things equal, I'd bet that NS makes the most. But from a cost-benefit perspective, it's not worth it - to me that is. But concerning far easier: there are many other specialties that don't require as demanding, hellish, lengthy, whatever residencies and will still allow a comfy lifestyle after. Sure any surgery residency is going to suck, but NS has to be the worst. But at the end of the day, it depends on the kind of lifestyle you want and if you think NS residency is worth it.
I was actually the divorce papers of a NS today, and at one point, iirc, he was making $4m a year. But the amount he was working - not worth it to me.

https://www.courts.wa.gov/content/petitions/90043-4%20COA%20Respondents%20Brief.pdf

>>9888508

neurosurgery isnt difficult because it requires a high amount of skill, no specialty in medicine requires an exceptional amount of skill
some specialties are just retardedly time consuming to the point that the only people who stay in them are driven by their egos rather than a rational mind

for time vs money : rad, derm, cosmetic surgery

can't give you statistic for the US since im from EU but it should be consistent since the salary differences don't really account for how shitty each specialty actually is


surgery/neurosurg is a huge meme, and you have extreme difficulties finding people who want to not only go into it but also stay in it for a long enough time

>>9888604
>>9888508
>>9888059
>>9887961

only a spergie would go into neurosurgery with automation RIGHT around the corner. Why do you think a 40+ hour surgery wouldn't be immediately replaced by a more efficient supervised algorithm once failsafes are implemented?

I suggest all you who idolize surgeons to do yourself a favor and do a fellowship in a deep learning/machine learning lab if you want to make yourself marketable long-term.

>>9888621
Surgery will probably never be automated since the only experts in surgery are surgeons, and all surgeons want to keep operating.

>>9888703
Surgeons are people, too, and people want to get really, really rich. Surgeons will work together with tech companies to make these programs

Any actual med students itt? Not just people trying to get in.

I got a 256 on step but I have 0 idea what I'd like to get into. Just started clinical rotations and I'm not super into anything I've seen so far. Of the stuff I've observed, ENT, neurosurgery, urology were the most interesting on the job but I also genuinely like having long-term relationships with patients like in family med. Anyone else experiencing similar aimlessness or could speak to how they eventually came to a decision on what they wanted to do?

What do you guys think will be the third disease humans eradicate?

Does anyone know anything about the AAMC question packs? Can't really find a consensus on them.

>>9888718
I doubt this will help but here's a flow chart

>>9888718
Any tips damn how did you prep?

>>9888779
>>9888779
Use all AAMC material to do well though section banks are the most valuable resource then offical tests then question packs

>>9888774
Antibiotic resistance will be the end of mankind

What do you guys think about clinical pathology?

I'm graduating with a bachelors in astrophysics, I've met all the requirements for medical school and my gpa is solid. I have published work but it's not related to medicine. How badly will this hurt my chances for medical school?

>>9888804
Why astrophysics and not something more practical for medicine like biology or chemistry?

>>9888810
I wanted to make sure I had no chance of being employed after graduation like everyone else in the physics department. In all seriousness, I was a transfer student that got into a better school than I should have but only in this major.

>>9888703
>being this dumb
get back to pre-med classes. Just about any regular scientist can get on an AUF and start developing methods for rodent models of disease.

>>9887822
I think they added gaming addiction to the latest DSM.
>>9887931
Immunology is the future of medicine. There are so much unanswered questions and so many deseases that affect it. It's also great for research if you're into that.
>>9887961
Literally every pretentious bastard from my class wanted to be a neurosurgeon. Every damn douchebag. I myself want to do anesthesia, but it's because I can't imagine myself doing anything else. I just like the specialty.
>>9888774
Polio probably and hopefully.
>>9888801
Freaking awesome, but we have residency problems in my country. If you don't in yours I don't see why not to go in it. Salary is good, work is not straining, hours are good.

>>9888780
This is missing gastroenterology, which is more important than all of those.

>>9888774
Homosexuality.

jk, really polio.

Do you think that studying pharmacy is worth it? Is it a waste of time or really important branch of med?

>>9884675
Is the pee clear or not? Does it sting when you pee? If it's clear and you keep drinking tons of water while peeing huge amounts, it's diabetes. If it's small amounts and it hurts, probably a urinary infection

>>9888780
How is pathology simultaneously for people who are huge nerds with good grades and anti-social people with poor grades?

>>9888579
Interesting -- I didn't realize that obesity or diabetes taxe sthe liver.

So generally speaking people who are thinner / don't have diabetes can drink more / drink for longer before developing liver problems than people who are overweight / do have diabetes?

Any idea how much?

>>9888703
>Surgery will probably never be automated since the only experts in surgery are surgeons, and all surgeons want to keep operating.

As if some surgeons wouldn't jump at the chance if a company pays them a measly 1-2M (or same money/less money but less hours) to help automate it

never underestimate the likelyhood of people selling each other out.

>>9888774
Some genetic disease where it only occurs when both people with a recessive gene have kids, since everyone will know about this situation in the future. (and some governments may mandate this testing)

Are there any problems associated with drinking cold water?
My doctor said that it is the cause of my chest pains and also said that drinking cold juice with your lunch and eating dinner past 7:00 pm is bad. Is he full of shit?

>>9890692
Yeah. Is he Indian? That's a common belief among parts of South Asia

>>9888788
>Any tips damn how did you prep?

Basically once the 2nd half of the year started, I never stopped studying any new learned material (cardiopulm, endo-repro, psych) and started restudying material from earlier in the year (dermatomusculoskeletal, GI, renal, heme) with some of the foundational stuff (immuno mostly) sprinkled in there.

Then I started dedicated and I went through micro, neuro, and biochem while continuing to study some stuff from the systems previously mentioned as well as pharm, behavioral sciences, etc. I did about 6 weeks of that before taking my test.

As for material, I mostly relied on pathoma+FA+sketchy+uworld and surprisingly enough, a not-insignificant amount of the super specific shit my school's faculty taught us ended up being relevant on exam day too.

I should also mention I only took 3 practice tests during the school year (2 nbmes and 1 uworld) and then did 1 at the end of every week of dedicated except for the last week, during which I took two as well as the free 120.

My scores from tests taken during dedicated more or less averaged out to my real score but I can tell you that the real thing felt like something of an entirely different dimension. I was genuinely concerned that I had failed. Just know that the nbmes etc. are predictive, so if you're happy with your practice average, you'll probably be happy with the real thing.

>>9890002
Very important. Much respect to pharm bros and also much better suited to certain people. Had a girl in my med school class drop out to pursue pharm instead and she was immediately happier.

>>9883313
Does anyone know of any neurological disorders that effect ones send of time or flow of time?

>>9890002
Of course it is important..what kind of question is this

>>9890872
He is from South America actually. So he is full of shit? Are you an experienced doctor though?

holy fucking shit it just hit me the burden of truth in medicine is slightly lower than the burden of truth in Philosophy and Physics, isn't it.

>>9891094
>Does anyone know of any neurological disorders that effect ones send of time or flow of time?
Aging.

>>9887569
go to your DOCTOR YOU TWAT

>>9891138
I presume you mean "death"

>>9891149
no, death is the treatment to the disease of aging.

>implying bones was a good doctor

the first decent doctor in trek was bashir
the first good doctor in trek was The Doctor

feel free to disagree and subsequently be destroyed

>>9891152
Death is the cure to all illnesses, go kill yourself and you'll see i am right
>>9891156
I disagree

>>9891158
how seriously do you hold the opinion that bones is a better doctor than bashir or the EMH, because i didn't say when i would destroy you but it won't be this day -- and i don't want to overdo it if your incorrect opinion is only held in a flimsy sense - perhaps because you never truly watched DS9 or the good parts (aka the parts with The Doctor) of DS9.

>>9891161
fuck my stupid ape brain for accidentally saying DS9 instead of the abortion known as voyager

sometimes i wish we weren't just slightly evolved ape brains driving meat machines around

when will the glorious cyborg revolution come

>>9891161
My dude, i have never watched star trek or any of it's movies/ series.
I am just curious regarding how you are going to intellectually destroy me

>>9891165
i'll give you a preview:

bones is objectively and subjectively far inferior to bashir (who is enhanced by both genetic engineering and The Flynn Effect) and The Doctor (who is basically an amalgamation of thousands of Subjectively and Objetively Good Doctors, each of which are also enhanced by The Flynn Effect when compared to bones)

since you've never watched trek you don't have properly invalid opinions on the topic so i'll skip over why TOS was necessary but absolute fucking shit compared to later versions, much like Hippocrates in medicine.
all this said, bones is a fucking based nickname

also bones (stand-in for all doctors in this regard) alcoholism is the reason synthale is a thing in the shows after TOS

>>9891171
Sounds dope as fuck, thanks for sharing your objectively true facts with me.
I will of course proceed to enlighten the entire internet with these arguments from here on out

>>9884912
Yea sounds good.

>>9883313
Can I memorize facts for 7 years and call myself a doctor too?

>>9891174
sorry you're a brainlet anon

don't worry, there's a whole world of your kind out there

>>9891174

>dope
How is that affectation of insouciant self-assurance working for you? How do you manage to stay so grounded despite your incomparable erudition? I feel like I can connect with you on a deeply personal level. Thanks a lot!

>>9890514
Look into NAFLD and recent NIH annual reports to the nation on the status of cancer. I believe 2016 was when HCC was the hot topic

>>9883313
>tfw fucked up my future with a GPA of 3 because I played video games onstead of studying
I wish I could do it all again and do the right thing. I was young and immature.

What exactly happens to a flaccid penis after death and in cadaver preparation? Just asking because we got shown a section of a man who seemed medium height and weight but was absolutely HUNG.

>>9889937
It isn't. It contains internal medicine.
>>9891148
Nah it's ok, I'm having normal stools now. It was shitty food and paranoia.
>>9891453
Immediately after death there can be a post mortem erection due to gas build up in the penis, but that means decay should have started. Cadavers for educational purposes are fresh and preserved in formaldehyde, not sure if the penis tissues get changed in the process. Chances are the guy was just hung.

Thread is pretty boring, anyone have an interesting story to share? I just finished my exams and I'm unofficially an intern now. I'm expecting to be the coffee boy and paperwork boi for my internships.

anyone here know anything about familial hypocalciuric hypercalcemia?

>>9891094
sleep

>>9891599
I agree, threads boring as hell
Someone share their med stories

>>9891620


>working in the Alzheimer ward
>old man thinks he can walk
>cant actually walk
>hes ancient as fuck
>keeps falling out of his bed because he thinks he can use his legs still
>nurses leave him on the floor
>hes scooting around on his ass in his giant shitty piss filled adult diaper
>sees me walking past
>am a strong manly looking guy
>"HEY MATE HELP ME"
>"I CAN WALK I CAN WALK I CAN WALK"
>"HELP ME UP"
>"MAAAAAAAATE...HELP HELP HELP HELP"
>goes on like this all night
>everyone laughing

I felt sorry for him but it was funny as fuck.

is medical research the most useless, boring and with no clinical impact whatsoever field?
I mean don't tell me someone here actually is subscribed to some elsevier journal or whatever

>>9891638
Did you just leave him there lul?
>>9891997
Why do you think there's no clinical impact?

>>9892016
>Why do you think there's no clinical impact?
because at the end of the day the fact that some slightly modified beta blocker molecule has a 4% more efficiency in lowering the blood pressure than the beta blocker everyone uses is kinda useless

>>9892016
>>9891997
There isn't no impact, but the discord between research and practice is a well documented problem. Evidence-based practice is just too cognitively resource-intensive to keep up with everything at all times

About to enter first year med next year. What systems/whatever should I be studying in the meantime to give myself a little knowledge buffer for next year?

>>9891210
yes, but only if you get a diploma from a university

>finished med school
>the only genuine crush and infatuation I had for my entire uni period was for this doctor in her early 40s, she is married
>I'm considering choosing my residency just so I can work as her resident

if it's one thing I learned, is the fact that the people you will work under as a resident will make or break your life and career
How fucked up is my decision? I went one summer for clinical practice and worked for her, and it was one of the few times I actually enjoyed getting up from bed and going to the hospital.
I wish I could feel bad for having such a "petty" reason that decides my future but I don't

>>9892083
my dude, you gotta remember that she ain't gonna do you, so you are better off doing your residency with someone else.
Daily reminder that your brain falls in love with whoever it's easier to fall in love with.
Don't let your dick decide your future

>>9883313
I'm a 24 year old man and I recently got diagnosed with renal colic. It hurt like a bitch and had to leave work and drive in a furious sweat to the doctor. I waited an hour for me to get attended (we have socialized healthcare in spain, that's what we get) and they told me what I had. I thought it was the appendix but it turned out to be a renal colic, they put me a sedative intravenously and the pain went away.

So I ask you this. I've been doing intermittent fasting for more than a month. I usually eat the first 8 hours of the day and then fast until the next morning. In those afternoons and nights that I fast, sometimers I forget to hydrate myself, and this accident got me thinking about this.

Could this dehydration have caused the renal colic? Apparently I didn't have a big stone since the pain went awy ina couple days by drinking weakly mineralized water and taking the antiinflamatories and paracetamol the doctor prescribed me.

My mother has apparently suffered from this stuff a couple times already so I might have a genetic disposition to it.

I seriously don't want to get this again. That 20 minute drive to the doctor was the most painful and reckless thing I've ever done.

>>9892095
kill yourself, that is the only way to guarantee you will never have it again

>>9892095
- drink lots of liquids
- and that's about it

seriously, no matter what the theory says, you can't really prevent it that much and you are just screwed
people don't realize that doctors don't really know that much or sometimes really can't do much more, not because they don't want to, but that's the level of knowledge we have

How do you deal with armchair researchers, or whatever you want to call them? Essentially those that go on Google, do "research," get info from unreliable sources, and then suddenly become more qualified than you as a doctor?

>>9892335
I am more qualified than you to perform surgery, because i performed surgery on Space Station 13

>>9892335
It's true, soon there wont be a need for doctors. A helpful online resource for diagnosing yourself and then just nurses and techs to pull lab work and imaging. It used to be only cardiologists could read EKGs but know anyone can do it. The information isn't locked away in some expensive degree anymore.

>>9892095
Tenés que tomar mucha agua, eso ayuda a que los minerales no se precipiten, después hay muchas causas para la litiasis renal, la mayoría de los casos son idiopáticos (no se sabe por qué), pero es verdad que hay cierta predisposición genética, de repetirse los episodios deberías consultar con un nefrólogo. Y otra cosa, de tener un cólico renal no tendrías que esperar nada, a estos pacientes en la guardia se los clasifica en amarillo y pasan directamente.
¿Por qué escribo en español? Porque puedo y porque quiero.

>>9892394
me encanta que nadie te va a entender

>>9890526
Basically you'd have that 1 surgeon saying how great his hernia repair device is, and then a cabal of surgeons saying "oh, I have 2,000,000 hours logged in the OR for hernia repair... this device is unsafe for blah blah blah reasons." Which has actually happened in the past, at least in anesthesia.

It's totally reasonable that you could automate certain surgeries or parts of surgery within the next 30-40 years, but the fact that the whole field is largely controlled by practicing clinicians makes widespread implementation problematic.

>>9892423
>>9890526
Surgeons will never be replaced until the day we all morph into cyborgs or some shit and we lose all of our fleshy bits, until then we'll be fine

>>9892406
>implying that no one else on a Tibetan midget wrestling forum can speak or read Spanish

>>9892344
I watched all of Grey's Anatomy so I'm a surgeon and have lots of sex.

You know it fellow surgeon bro :D XD

>>9892394
Me hicieron esperar igualmente. Claro que yo no sabía lo que tenía y tampoco me diagnosticaron ahí mismo. Se trata del ambulatorio de mi barrio.

Apenas comenzare a ir a las clinicas, algunos tips o recomendaciones?

Has anyone here taken a CASPer test?

>>9893144
Yes. The questions were fairly straightforward but I felt I was really rushed for time and that had somewhat of a negative effect on a few of my answers. For instance, there was a question about a conflict I had experienced. I gave my example, but then further down it asked how I could have better resolved the conflict. The particular example I gave was one where I settled it quite well and had already stated as such in that part of the question, so further down where it asked how I could have BETTER resolved it I was kind of stuck because I didnt have time to go back and change my previous answer.

Someone answer pls
>>9893160

Someone answer pls
>>9893129

>>9890357
grades don't matter, nerd.

>>9892077
Oh okay, does the diploma have to be in medicine?

>>9893195
It doesn't have to be in medicine, but if you don't do it in medicine you have to write a book that no one will ever read.

>>9893144
>>9893169
I'm studying for the MCAT now and have never heard of CASPer, what the heck is that?
>>9893190
Yes they do, even if I get a good MCAT score my relatively low GPA automatically excludes me from many med schools.

>>9893207
It's an online SJT. A few schools like U of M require that you take it.

>>9892052
You're generalizing "medical research" though, and you must recall that research is fundamentally incremental. Truly groundbreaking research is few and far between, but look at the advances that some 30,000 cancer researchers have made over the past 20 years. The kinds of molecular assays and tools and clinical insight we have now is tremendous and growing faster than the clinicians and even researchers can utilize.

t. PhD

>>9886231
>Are <35 year olds really drinking so much that they're dying of cirrhosis and liver cancer, or what the fuck?


Porbably too much beer is causing coeliac disease or IBS in many people,.

So what dangers are there associated with use of Cerebrolysin? Anyone here had any experience with it?

https://www.youtube.com/watch?v=n2IHbHTqjLo

>>9892052
Well, yeah, that's a meme, but that's just poor quality research. That's just big pharma shilling their new molecules.
>>9892064
Aren't congresses and conferences exactly for that? Where someone spoon feeds you the latest therapeutic strategies and you don't have to read a page of research.
>>9892072
I dunno man I did fine with my basic biology and chemistry knowledge from the preparation for uni. You can revise some molecular biology and organic chemistry before you start.
>>9892083
Eh, I can't see anything good coming out of this, anon, objectively speaking.
>>9892095
Just drink a lot of water and that's it.
>>9893182
I would if I could.
>>9893643
Nootropics are a meme.

>>9883640
UNAM fag here

>>9893839
I know this is hypothetical, but just because the effect size is small means it's a result of low quality research?

I sure hope you're just another delusional pre-med, because practicing physicians should consider more than just phenotypic improvement when assessing practical efficacy of new therapeutics and the overall contribution it may have on the field

>>9883313
hey /med/ i just started on my degree. I'm looking to specialize in a field already though. I really really want to solve the obesity crisis in America or at least uncover why our whole society changed in size in a drastic manner because it cannot be just one thing causing this collective weight gain.

I want to look at food as an addiction, because for obese people, it is in ways. So I want to see if i can isolate an exact food or type of food that is causing this, like a fat, carb, or protien, or even if it's just sugar which i think it likely is. I want to show people how it affects the brain when people ingest these foods over time and show with because i think educating people and creating a stigma around that thing would also reduce obesity.

I also want to study pedophilia, that said i doubt i would get any findings i would be happy with

Should i specialize neurology or psychiatry? both kind of hit areas i want to explore and i thought i'd ask for your advice

>>9895313
you should actually probably do a PhD in psychology and focus your research on eating disorders. You could work in collaboration with schools for medical research. Alternatively, if you're set on doing an MD, you could maybe look into Addiction Medicine. Neither Neurology or Psychiatry are what you're looking for.

>>9895313
literally me but nurse form

>>9895323
out of curiosity, do you think i should get an NP in psych or just try for nursing researcher anon? I really have a desire to look at behaviors of people, like with the Internet and see if we can figure out why people act so different. Do you know if i even have those opportunities?

I'm going to a surgical tech school. am I welcome here?

>>9895397

yes

>>9884675
go to your doctor and take a prescription for antibiotics and next time wear a condom you dipshit

>>9885670
bad foods or ulcera can causa this color you stupid twat

>>9895417
how low on the totem pole am I in the medical field though? will the surgeons bully me?

>>9892095
more liquids
no coffee
no flours or bread
no coke cola
you are fucked anyway but if you want avoid that shitty pain read above and also do sport you fat fuck

>>9892406
wrong, pajero

>>9883313
I let a random girl blow me last week. What are the odds I got herpes?

>>9895559
yes, sexually

>>9895564
90/100

>>9895564
How random? Tinder random or girl off the street random? If Tinder, there are more questions that must be asked. If off the street, 110/100.

>>9895335
Do a PhD in psych if you're interested in that kind of stuff.

Neuroanatomy is a fucking bitch. That is all.

>>9895313
Recent research shows that the combination of fat+simple carbs (sugars) bear the addictive nature of some foods. A combined fat+sugary food beats only sugars and only fats. It's a dopamine bomb basically, since evolutionary we're wired to search for the most caloric foods and fatty, sugary foods are exactly that.
>>9895901
We all can agree on that.

>>9895313
>I really really want to solve the obesity crisis in America or at least uncover why our whole society changed in size in a drastic manner because it cannot be just one thing causing this collective weight gain.
You're going into socioeconomics, culture and shit like that. The medical side of why people get fat is pretty simple, all the personal reasons that encourage the types of foods and behaviours that make somebody more likely to become obese aren't really medical.

getting into med school without having a regular gf or without the ability to attract girl was the worst decision of my life
it's a certain kind of hell when I have to study for days and days and the sexual frustration and loneliness gets to me in every way at every part of the day

Note that I studied immunology, I have a question:
WHAT THE FUCK DO VACCINES HAVE TO DO WITH FUCKING AUTISM? HOW CAN ANYONE EVEN MAKE THIS SHIT UP? Seriously, how is that even a thing?

>>9896250
Now*

>>9896064
Sugar, obviously.

>>9896250
You were obviously vaccinated...

>>9896453
This.

How important s research for residency mathcing?

>>9887961
ROAD refers to quality of life, not necessarily how lucratige (Otherwise, orthopedics and plastics would be on there).

I would throw in Psych in there as well, it is a bit of a sleeper specialty. They have similar hours, stress, and pay as dermatology but people don’t think about going into it.

serious question

i just graduated high school and i already have to take a 5k a year loan for college (bio major) and im doing pre med, its always been my dream to do medicine and i can't see myself doing anything else. i don't really care about my specialty at this point, but how expensive is it? my family won't help me pay anything. i heard texas schools are cheaper and i live in arkansas.

also im an incoming freshman

>>9883313
If both a guy with zero antibody memory and another guy with antibody memory for all known viruses get infected with an alien disease, which one would have the best chance to survive? Can your immunity to diseases make you weaker in general for new diseases?

I don't really understand how the heart changes with exercise / sedentary lifestyle -- what is changeable and what isn't

ok, out of shape people get dyspnea on exertion (which is itself poorly defined, when does it go from 'normal to be out of breath' to 'abnormal'? many people get winded climbing stairs)

whatever

just even basic shit

average dude, HR 80bpm, EF 60%
if average dude becomes dutch and started cycling every day, what does his EF become?

>>9893546
>coeliac disease or IBS in many people,.
what the fuck does that have to do with the fucking liver

>>9893546
Ah, yes. IBS and celiac, very similar diseases. Both directly caused by consumption of alcohol- this is well attested in the literature. Looking forward to your work as a NP able to treat the root cause and not just the symptoms!

>>9897436

lmao nurse practitioner is a thing? i thought this was a running gag

>>9897529
They're a sad joke.

Are there any PA’s here? I’m torn between that and veterinary school.

>>9896250
I think it could be a good thing. Helps erradicate the uneducated and stupidness from the world. The wrong part being it affects other children.

Does anyone regret their current path? These are long pathways that leave a lot of time to regret the decision. I am strongly considering gastroenterology and it is a very long path.

>>9896142
>sexual frustration.
Have a fap and move on.
>loneliness
Spend time with your friends and family. More importantly hang out with the people in your cohort, it might get you a gf mate.

>got rid of my giant, ugly and extremely bothersome plantar wart with only salicylic acid and duct tape

safe to say dermatologists are useless

>>9896250
They say the triple viral vaccine is too heavy for the immunological system to resist

>>9885670
You would smell melena

>>9887863

It is literally the easiest section bruh.

Just learn basics and do a ton of practice problems. (scored in the 98th percentile on that section back when MCAT was out of 45, no idea what the new scores mean).

>>9887961
Anyone who claims they want to do neurosurgery and doesn't at baseline sleep only 4 hours and spends the rest of their day working or exercising has no idea what they are talking about. That shit is fucking insanity. Plus fuck the idea of never being allowed to live more than 30 minutes away from a hospital, to which you will be called in the middle of the night, frequently...

>>9888021
Why not just do GI pathology? its more time researching and less time mindlessly prescribing remecaid.

>>9888143
Seeing as almost everyone's sample size is 1, I would worry about taking any answers you get with a grain of salt.

Truthfully there are just certain cultures in various specialties and the notion of "finding your tribe" is more or less the strongest driving force to go after a specific specialty. I went in absolutely certain I was going to do psych or ER, and ended up in pathology because I liked the work and the colleagues the most.

>>9888582
Alcohol intake in excess amounts directly damages hepatocytes and leads to desmoplasia e.g. cirrhosis of the liver.

Don't fucking talk about shit you don't know about.

>>9888621
I love that people genuinely think anything that currently requires a doctor would ever be automated despite the fact that fucking EKGs still don't know how to read simple lines on a fucking page more than 20% of the time.

>>9888718
Clinic sucks, patient mills are the worst, rounds are a waste of time. Surgery, rads and path are the only specialties that don't have these problems (mostly).

If you like a ton of stuff figure out which shit you can't stand and move away from that.

>>9888801
last bastion of true medical science. And it is fucking fun. People don't suck, hours are good.

>>9888804

works in your favor, you won't be compared directly to the army of other students who took traditional routes to pre-med. Just make sure you have your pre-reqs and a decent MCAT and you are golden.

>>9890357
Because pathology is one of the only specialties with a bi-modal distribution of its applicants and residents. Meaning that either a) people with great grades, publications and an MD/PhD apply for it because they don't want to stop doing science or b) people with meh grades get into it because no one else applies so it isn't competitive.

Its a shame but im not complaining that a specialty with hours as good or better than Derm with equivalent or better pay (depending on sub-fellowship and willingness to move) is somehow orphaned from most peoples options.

>>9891609

Its a godsend. has no longstanding deleterious effects and prevents the vast majority of kidney stones. Would like to know what its effects are on cardiac function over the life and see if they are less or more arrhythmogenic but haven't found it yet.

>>9895313

>I really really want to solve the obesity crisis in America

hahahahahahahahahahahahahahaha....

Start working with patients and see how hard it is to make them take their LIFE SAVING MEDICINE on fucking time. Then ask yourself how easy it will be to change a habit they have had literally their entire life.

>>9895901
Start with a filled model of the ventricles and start sticking things you can remember to it going from inside to out. Then add the limbic system, etc...

It becomes really intuitive and easy after that point.

>>9897405
put a bag over your head for a minute. Try to breath normally. You will quickly and easily see the difference between being "winded" and having dyspnea.

EF goes up, resting heart rate goes down. Heart gains inotropy and your maximum tolerated heart rate goes up. On top of that, your peripheral vascular system lowers resting pressures decreasing heart strain.

>>9895313
If you want to understand obesity, do a PhD in something like social psych or epidemiology, not an MD. The obesity epidemic is a complex phenomenon which has a little bit to do with everything from geography to endocrinology. MDs can't do much for extremely obese patients because they all have BPD, are noncompliant and surround themselves with horrible people who encourage them to be 800lbs.

>>9888213
Thank God for Hong Kong radiologists to decipher all our late night labs for us am I right

really hate every time i accidentally inhale a bit of water and have to monitor my o2 sats

I'm starting my first year of medical school next week. The first thing my school does is throw us with a bunch of 3rd years to shadow. I got assigned to the internal medicine ward at my local VA. Does anyone have an idea of what I'll be seeing? I'm kinda excited to be at the VA because I like military things and I think it will be easy to get along with the vets.

>>9900018
Mental illness and amputations

>>9900018
>internal medicine
>VA

COPD, heart failure, diabetes, and >>9900035

>>9900018

>>9900038 is right to a small extent. VA patients have an overwhelming predisposition towards cancers, but at the end of the day they are chill old white dudes who generally will be the first person you have talked to in the last year that unashamedly likes trump and thinks liberals are all faggots.

Me and the vets got along fine.

Treat em well and they will be the best patients you ever have in your medical school career. They love teaching students and generally aren't huffy assholes. They know you need to learn and will even put themselves in harms way at time to make sure you become a good doctor. Thank them and be good to them.

Once you get into the general hospital setting where its nothing but immigrants and/or fat fucks that can't or simply wont speak english, you will learn to miss the VA.

>>9900603
based

What are the personal characteristics of a good doctor?

>>9900667
white (or jewish), male, not fat.

>>9900667
Willing to explain things that a patient may not be aware of

Doesn't get offput or mad about patient doing their own research or being knowledgeable

>>9900603
okay, this is epic

anyone here overcome squeamishness? I can handle most things, but every once in a while something will get me feeling pretty nauseous.

>>9883313
Who is the ultimate doctor? And dont say a tv celebrity like Dr. Oz like last time, is there no real best doctor in the world?

>>9896970
>Can your immunity to diseases make you weaker in general for new diseases?
Nope. Though on a related note, injection with multiple "inactivated" viruses, along with several other highly toxic "adjuvants" such as heavy metals; doesn't take a genius to see that health will be greatly diminished as a consequence.

http://whale.to/vaccines.html

>>9900910
Does your body's immune system have a memory limit as to how many things it can be effectively immune to at one time.

>>9900915
There's no known limits to the immune system can 'remember'. The immune system requires tremendous energy expenditure to develop immunity to a single infection. Venture a wild guess as to what artificially injecting multiple strains of virus at once does to the immune system?
Hello 'healthcare' profit!

>>9900910
>>9900915
>>9900932

before this thread gets way out of hand...

please note the questions you are asking as well as the inane and obvious anti-vaccine implications, are representative of a complete lack of how the immune system works in the first place.

https://en.wikipedia.org/wiki/B_cell
https://www.roswellpark.org/sites/default/files/holstein_b_cell_lecture_11-13-14.pdf

read above links and then if you still aren't absolutely certain why what is being said is literally pants on head retarded, buy a fucking immunology textbook and learn how hematopoetic stem cells form and how the entire system of major histocompatibility complexes, antigens and anti-bodies, and antigen presenting cells work.

After you do that. Then you will know why this conversation is literally only held by morons and people trying to sell something.

>>9900958
>have no substantial argument for vaccine safety
>accuse the opposition of having an agenda
>to sell something
>for attention
>of being morons for not automatically accepting the non-existent, or paid, fraudulent "science" which supports vaccination safety
Shills getting lazy.

>>9901057
Do you even know what polio is?

Can anyone explain me what does internal medicine even do these days? Do they just take the boring craps from gastro and cardiac? Is it even worthwhile to be one these days?

>>9896250
The original claim was because of a paper published in The Lancet. The paper has been deducted and the author's license taken away. But the damage was already done and it just circulates like a myth now. Numorous studies have shown there is no link between autism and vaccines. Autism is believed to be a flaw in the development of the nervous system. I still can't understand how did they allow the original paper to get published anyway.
>>9896970
The alien desease is equally unknown for both immune systems so it shouldn't be a difference. That's assuming we're talking about healthy immune systems.
>>9899500
That's what I thought.
>>9899966
W-why?
>>9900869
Good doctors aren't celebrities.
>>9901095
Internal medicine is about threating the symptoms of the desease until your patients die. Seriously you can cure only infections. You can only manage high BP, IBD exacerbations, asthma etc. This has always bugged me about IM. Surgical specialties have the upper hand in this situation.
>>9900910
>>9901057
Get the hell out of here you degenerate. Take your anti-vax shilling to /pol/ not here in /med/. If you had any clue how the immune system worked like the people on here you would understand how important and safe vaccines are. God, I'm mad now REEEEEE

BTW /med/ have you heard of prolotherapy? They inject joints with irritative agents and the aseptic inflamation helps the degenerative processes. Sounds like a meme to me, desu. A buddy of mine just went to a workshop about this.

>>9901364
never heard of it until now, but I think you can check here about it
https://www.ncbi.nlm.nih.gov/pubmed/26500703

>>9901360
>Good doctors aren't celebrities.
I just said that, but i'm still don't know the answer, is there really no ultimate doctor?

>>9901417
Like any specialist, a doctor can be good in his field, maybe even the best by some arbitrary metrics, but he has to rely on other specialsts who are better than him in their field. So no, I dont think there is an ultimate doctor, there are just good and bad ones.

>>9900671
Genuinely curious, what's wrong with female doctors? My female docs have been really good.

>>9901423
Thanks for the insightful answer, I appreciate it and will stop asking about there being an ultimate doctor in the future

>>9900671
What's wrong with a fat doctor? Its not a sign of being successful enough to afford to eat that well?

>>9901436
my gyno and obstretics clinic had lots of women and the people there said that in the past it was mostly men, now mostly women
women need a paper trail for everything and don't want to take too much responsability, autistic about the protocols, can't handle banter, are bitchy to each other
meanwhile guys just joke to each other and get the job done with no hassle

Looking for some advice anons.

I’m an automotive mechanic with a mechanical engineering degree, and I’m just going to be honest: It’s awful. There’s definitely some decent pay, but I hate my job. I feel stuck and like I’m in repetition, like I basically work at a factory that’s just a little more complex than an ordinary one. Other humans look at me less as a person with personal interests unrelated to their job and more as just, “Hey, can you check out my car some day?”
So I’m done. I’m quitting soon. I’ve had enough.

For ages, clear back to when I was in HighSchool, I had an obsession with medicine. Everything from pharmaceutical chemistry, to radiology, to just working at a clinic or working as a paediatric nurse just put me in awe and wonder, and being a Nurse Practitioner was my dream job.
Even right now, that interest still sticks out, as my personal hobby is writing up papers and filling notebooks with ideas for new medical procedures and technology and research on new problems.

So I come basically begging for two things:
What would I be the best at in the medical field?
What’s the best approach for starting to pursue a job in the medical field?

>>9901527
>ideas for new medical procedures and technology and research on new problems.

This is a very bad thing if you get into medicine, unless you can accept that it was just to sustain your interest in medicine while you were forced to work as a mechanic.

The thing is, medicine is not about creativity or coming up with new ideas. It is about rigorous adherence to protocol and procedures.

There is such a thing as being too smart to be a doctor. However, perhaps since you have an engineering degree, something in pharmaceutical research might suit your obviously more problem-solving and creativity-minded nature. I would not recommend you go into general practice or nursing because these are not really fields that utilize problem solving in the way that I feel as if you want to be involved in.

>>9901527
the medical field is a large meme, be very careful
be a surgeon if you want to an actual difference, or you either need to become a pill pusher or an academia autist

Is being able to memorize study materials such as facts and numbers a useful skill to have for going into medical school?

The only thing i'm really talented at seems to be rote memorization

>>9901555
it's very useful, but you will get sick of it after 2 or 3 years if you remain autistic with your studying
medicine is actually interesting if you can find a doctor or two to collaborate with during university, or go to a volunteering program

they should put a big fat sign that med school is a good idea mostly
1. you come from a family with doctors
2. you are attractive and are a very ambitious extrovert
I ticked neither of those two and it's a constant uphill battle

>>9901360
>W-why?
just checking that i don't develop aspiration pneumonia

>>9901511
Let me guess you are from Russia or somewhere in East Asia?

In the West, food is much more plentiful and inexpensive and has been so for many years. Therefore, it is a sign of laziness and especially poor self control to be over-weight.

>>9899656
Are you just clinical or are you also an anatomical pathologist too, because I plan to go into pathology and I don't see any negatives of going into general pathology, because what I read said that it's only like another year of schooling or something to be able to do general pathology?

>It's time for your circumcision, anon.

>This is America. All males have to be circumcised. If you don't, you're discriminating between yourself and the Jewish community. Discrimination falls under hate speech laws so if you refuse this procedure, we'll have to call the cops. You'll go to prison for hate crime and the prison doctors will probably end up performing the procedure on you there anyway (for prison health and safety), so it's best to not make a fuss and just get it done here this afternoon.

>Oh don't be scared, sweetie. It's a totally painless procedure, and wait til you experience all the health benefits! Plus the ladies like it better. Your sex life is about to improve a lot, trust us. Don't believe everything you read on the internet. Those silly European doctors all have anti-semitic bias. Europe currently has an epidemic of male urinary tract infections - something the biased 'lame stream media' won't tell you. Plus they can't even afford to do this procedure on a wide enough scale because their healthcare is dead broke - soshalism doesn't work. We have the best healthcare system in the world. By the way the total cost will be six gorrilion dollars, plus taxes (the taxes go to Israel), plus a 'tip'....heh heh. Our system says your insurance that you pay $500 a month for won't cover this procedure so you're going to have to pay out of pocket. We accept Visa, Mastercard, Amex, Diner's Club, UnionPay, JCB and Discover.

>Ok! Here's your gown, take the second right down the hallway and get changed. The nurses will prep you. We'll begin the procedure by standing for the Pledge of Allegiance to the flag (of Israel) and by saluting Our Beautiful President, The God Empress of the United States, our first Jewish president, Ivanka M. Trump!

>>9901819
Why do they use those disgusting embroidered coats in the US? Looks cheap and cringy.

>>9901819
If this isn't copypasta there is something wrong with you, my goy.

>>9901872
It was originally for infection control but we know now that the coats are basically just vectors for disease. All they do is identify certain types of clinicians. Plus it's a pretty deeply ingrained status symbol for NA physicians.

>>9901882
Yes I know what a goddamn doctor's coat is but the embroidered name looks cheap and unnecessary.

>>9901886
Why does it look cheap? What do European doctors wear?

>>9901057

>doesnt know how immune system works
>still make comments based on the heuristics you gained from grade school to make claims about biomedical pathophysiology
>dont understand when an actual fucking doctor is trying to educate you so you don't look like such a fucking moron
>call them a shill instead

You know that vaccines are far and away the lowest profit margin in the entirety of medicine right?

Like the walgreens down the street makes more money off the generic ASA they sell you than they do in the process of giving you vaccines.

>>9901095
a lot of postulating. Mostly that. And rounds. Can't forget rounds.

Some IM docs are mind-blowingly brilliant. Others are so fucking stupid they couldn't tell you what adenosine is despite the fact they literally stopped a patient's heart with it yesterday for 3 seconds.

>>9901624

its almost categorically a bad idea not to go into a combined program of anatomic and clinical path.

So both. Unless you are absolutely deadset on academics and have a good idea of where you will land, the extra year makes a big difference in your ability to land a job at the end of your training. Its one of the reasons very few residencies even bother to offer strict anatomic or clinical path as an option.

>>9901819
its literally an option. the consenting process I saw during my pediatrics rotation specifically mentioned a lack of evidence supporting its implementation. On a pure pathophysiological level I think it makes sense to do it, but I literally could care less what you do with your baby's foreskin.

>>9901872
NPs and other sub-levels started wearing lab coats around the hospital and it caused issues with people thinking they were docs. So now names are embroidered on them with titles and degree.

And everyone wears them... because thats way less confusing than just telling the fucking sub-levels to back off the white coats.

>>9897578
How so?
Truth be told though, I only see them working in small clinics handing out antibiotics to people with infections, and doing very minor things.

>>9901886
The big reasons I can think of for the embroidery:
-Having name and title identifies docs vs. other coat wearing randos in the hospital (MS's, DPM students, social workers, infection control). A lot of people hide their badges or badges get flipped the wrong way, so having it on their uniform is nice.
-If the institution is prestigious like the Cleveland Clinic, a lot of docs will wear that coat in their other work, like if they work for a nursing home or part time in a clinic.
-Serves as advertisement for the hospital system in the second case
-Personalized embroidered name is kind of a corporate lip service to "caring" about their employees.

>>9901986
lol they wear scrubs cuz Europoors are afraid of sleeves

When are we rolling out new hip replacement procedures? There are new lubricants from Japan that help with friction and preventing wear and tear between materials and there's been several procedures with 3D printing a socket that fits more naturally

I feel like joint replacements in general are stuck in the 80s

>western retards don't get vaccinations because of autism about autism
>chinese can't get vaccines because they're all counterfit

i wonder if there are any derivatives i can invest in that will pay out in event of mass disease

What percentage of medical students do you think take amphetamine?

I heard that (similar to pilots and ATC) doctors aren't allowed to see psychiatrists/practice if diagnosed with any mental illness, so i suppose they can't legally be presribed it.

chubbyemu, based or meme?

And do you agree with his assessment on medical practicing and our healthcare system?

https://www.youtube.com/watch?v=jPElFn11OaQ

I promise it's 98% medical talk 2% Deux Ex references

>>9902184
dude if i was a doctor i would just prescribe all the drugs to myself lol

>>9902199
Doctors obviously can't prescribe themselves anything scheduled, but are they even allowed to prescribe themselves anything? what about ordering tests?

Any tips for medschool other than the usual fearmongering? please dont do that, ive already heard that shit with engineering and ive done it.

>>9901819
kek that's my undergrad

Do my homework, /sci/.

Labia minora pudendi:
A) are made by fatty tissue
B) border pudendal cleft
C) are supplied by branches of internal iliac artery
D) are supplied by uterine artery

Body of penis:
A) is immobile part of penis
B) consists of crus and bulb
C) is connected to urogenital diaphragm
D) contains spongy part of urethra

Ureter:
A) passes posterior to genitofemoral nerve
B) passes posterior to testicular/ovarian vessels
C) has 4 anatomical constrictions
D) is supplied by inferior mesenteric artery

Ovarian fimbria is connected to:
A) free border of ovary
B) uterine end of ovary
C) mesovarian border of ovary
D) tubal end of ovary

>>9901986
(In a hospital setting) scrubs + non-embroidered lab coat with sleeves rolled up to the elbow, pic related.

Who would be the members on the ultimate team of doctors?

Anyone know anything about the USPHS? I have always wanted to work for the CDC and wondered if that would be a good route instead of trying to apply for a GS job.
I'm in the Navy right now and fucking hate it but got about two and a half years left before separating and I was thinking of going back to school for medicine to later go work at the CDC. I was wondering what I could do to prepare for the fact that i've been out of school for the past few years and haven't studied anything. Would it be a good idea to take some classes at a local school as a refresher and pay for the MCAT training classes

3.75GPA (cc and uni average) in Biochemistry, never took the MCAT or did much besides research in college so I don't know how competitive I'd be anyway.

>>9901527
You sound like a huge faggot with how you type, holy shit stop typing so fucking gay-ly

year ll GI fellow

>>9902445
>sandals and socks
must be german

>>9896953
I'll bite.
Texas really prefers it's students to be in-state for public schools. Baylor does it's own thing though since it's private. You're better off studying something that you enjoy instead of straight bio (unless you like bio that much). Most med students take loans for med school, so you wanna minimize your undergrad expenses. Just do well, get your EC's in and enjoy undergrad.

>>9887777
Next Step tests are very deflated past 505. I consistently got 510-511 on them but got a 518 on the real thing. The level of detail really helps with BCPM and PsychSoc, and IMO CARS was somewhat similar to the real thing. ChemPhys was hit or miss- definitely do all the AAMC exams and practice sections to get a more accurate reflection of your score. Also, my friends who used Examcrackers said that it's the most heavily deflated of all test prep systems so I wouldn't be concerned based solely off that. Also, the Princeton Review CARS workbook is helpful

>>9902509
I hate you, you're going to do this until someone comes up with a team of the best doctors in every specialty aren't you?

>>9902732
Canuck here. Why do you need to take so many tests? At least at the uni here, all you need to do is the MCAT and CASPER, along with having a GPA of 3.8+
Is it really that competitive down south?

>>9902509
Me, me, me, and me

I want to make at least 400k a year writing opioid Rx. What did you find to be the cheapest path?

>>9902732
That helps, thanks. I took my first AAMC on Saturday and got a 510 on that. But I also made beyond retarded errors, at least 3 to 5 on each section. The first question on the whole thing asked what kind of bond forms when two amino acids are joined and my stupid ass put amine. That's how I knew the rest was going to be a train wreck when going through the solutions. We'll see how this goes this weekend. I ended up getting the question packs instead, since I don't think I'll have time to do CARS from Princeton by the 18th.

>>9902910

I was referring to the subsections of the MCAT and the respective companies that make study materials for it- just one exam though. I actually have to take CASPer because one of the 25 schools I'm applying to requires it- what kind of studying does it require?

>>9903157
go work in west virginia as a rheumatologist

>>9901819
Why are americans making such a huge deal out of this? I got circumcised at age 14 due to medical reasons and I remember what it was before that. Very little has changed, honsetly. You're not missing anything special, anons. DISCLAIMER: I understand that doing it after birth without the child's consent is bad and I don't approve. Wait until your kid is old enough and ask them.
>>9902391
Be consistent. Literally the only thing I can advice. If you study every day a little you remember a lot of shit and it's very easy for exams.
>>9902509
Hi, dr.House.

>>9903303
Oh fug, sorry about that.
I still have years to go before I start prepping for the MCAT so I thought those were all different tests.
I'm a non-science bachelor student getting all my science prereqs and was thinking of going to an American school, and I see tonnes of tests like PSAT, SAT, ACT, MCAT. Think I'll just stay on this side of the border.
Good luck to you though anon.

>>9901384
Basically it's a meme.
>>9901566
You can't develop aspiration pneumonia from a few drops of water. I mean you can, but it's unlikely.

do you listen to music when you study?

>>9883313

What's the most efficient and practical way to kill every living human being, thus effecting the extinction of the human species?

>>9903784
others are more devilish and subtle than you we already started

>>9903696
PSAT, SAT, and ACT are all college admission tests, you only really need to take either the SAT or ACT to get into college but it's recommended you take both, also you have to pay to be able to take these tests, but you can retake as many times as you like provided you have the money to pay for it

Any other pharmacy bros starting their P1 year soon? I'm pretty excited since I've been out of academia for a couple of years so it's nice to finally get back into the swing of things.

Asking for a friend:
How bad is a kidney stone 1.3cm Diameter

>>9904249
I myself had a kidney stone, and it was a micro one, but when that one motherfucker started to come out it hurt like when someone punches you in the testicles but multplied×5 and it doesnt stop, had that pain for 10 hours

>>9904249
Bad.
>There is less than 10 percent chance of passing a 1 cm stone.
>If you have a 11 mm (1.1cm) stone in the ureter, you are at high risk to lose the kidney if you don't get it treated. The pressure can lead to renal failure.

https://my.clevelandclinic.org/health/transcripts/1572_symptoms-treatment-prevention-of-kidney-stones

How can you visually see if another person has cataracts by looking at this person's eyes? I tried looking at an eye with a high degree of cataracts, and an eye with no cataracts, and I could only see an extremely slight difference in the "cloudiness" in the pupil. The eyes belonged to two different people.

>>9904655
To clarify, I meant by only using your eyes, no instruments allowed except for a flashlight.

what to tell my psyc if i want him to keep prescribing benzos but without sounding like im bullshitting? its an old guy, pretty tough but i need benzos for a few more months. im not a dealer or a junkie

dull testicular pain is the absolute fucking worst for a hypcondriac

could be anything from referred groin/muscle pain to varicocele aka guaranteed untreatable infertility

simply epic as hell

>almost 1 in 10 men are infertile
wew lads

>>9903784
create a stable singularity

>>9903697
>You can't develop aspiration pneumonia from a few drops of water. I mean you can, but it's unlikely.
i know, i've tried like 4 times now in 2 years because i get distracted easily

>>9883313
I start studying medical engineering with 25, any tips?

>>9904821
not a doctor, but wikidoc and radiopaedia have been very helpful resources for me,

today i learned about how a huge amount of people have retention cysts in their sinuses (esp maxillary) after seeing a growing one in my own scans that i never noticed and investigating the phenomena

not sure if there's any medical wikis for specialties besides rad

>>9904671
ive had it for five years, nothing showed up on ultrasound and no blood in urine so whatever. i just treat it as chronic pelvic pain syndrome and live with it.

>>9904957
it's not a real diagnosis without an mri

Thinking about going into interventional cardiology. The q3/4 call doesn/t bother me as long as I am doing legit and meaningful work. What are your thoughts on the future of the field? Where will coronary catheterization be in 10 years? Any realistic fear over losing turf?

>>9904972
i had a pelvis/abdominal MRI that showed normal prostate and bladder for an unrelated case of appendicitis, but in any case, the gold standard for unexplained pelvic pain would really be cystoscopy not MRI. i don't personally think cystoscopy is worth the hassle and cost without blood in the urine, so i haven't done it. i doubt it's worthwhile doing further testing- cpps is a lot more common than you think and the treatment is mostly garbage.

>>9905022
sorry i didn't really mean it.

well, i kind of mean it, since too many diseases have absolute shit diagnostic criteria compared to what there could be.

but i didn't mean it in your case
i just like that line and i'm going to re-use it in the future

>>9888577
>Only in America, and not for long

lol... third worlder detected. lol

ffs someone else make the next thread at least

>>9905344
Look at literally any other developed/developing country.
Only in murica are doctors put on such high prestige because former generations could get rich quick off of private practices. Unless you want to move to middle-of-nowheresville, USA to treat fat idiots, don't think you'll end up anything like doctors on TV.

On the other hand however, great job security desu

>>9904821
Get PhD

>>9905350
considering the only other people from the first world (Euros) are asleep, gonna go ahead and call you out on being an assblasted thirdie, especially as they are the most OBESSSED about America.

America vs Europe is friendly banter, but your post reeks of a seething non-white

>>9888801
>What do you guys think about clinical pathology?

I'd let it slide.

>>9888804
Thank you. Hello. We will be dealing with F-5s and A-4s as our MiG simulators. Now, then, as most of you know, the F-5 doesn't have the thrust-to-weight ratio that the MiG-28 has. And, it doesn't bleed energy below 300 knots like the MiG-28. However, the MiG-28 does have a problem with its inverted flight tanks. It won't do a negative G push over. The latest intelligence tells us that the most it will do is one negative -- Excuse me, Lieutenant, is there something wrong?

>>9891165
>>9891164
>>9891161
>>9891158
>>9891156

** NERD FIGHT **

>>9891609
>anyone here know anything about familial hypocalciuric hypercalcemia?

yea... yo pappy gots that and so do his that make you piss weird and them minerals build up all aplastic in yo renal pelvis mang

puttin on levis for a jog, shit nigger that be running in yo jeans

>>9901057
I'll accuse you of being a lazy shit for not even trying to read about immunology before trying to poke holes in it.

If you read through it and showed you understood it but disagreed with it, then you'd have some base to stand on. Instead you look like someone who is lazy, paranoid and uneducated.

You probably think the big pharma doesn't want to cure cancer lmao.

>>9895335
>>9895335
>out of curiosity, do you think i should get an NP in psych or just try for nursing researcher anon? I really have a desire to look at behaviors of people, like with the Internet and see if we can figure out why people act so different. Do you know if i even have those opportunities?

do you wanna pass pills and interpret DSM5 or sit in a lab with electrodes like Dr. Spengler and his parapsychology?

>>9897436
>>9897529

nursing assistant faggot that couldn't get into ADN program. look at him and laugh.

>>9902116
>NPs and other sub-levels

Properly known as midlevels. I know you're only 20 and clueless how life works yet, but show some respect please.

>>9902445

Unit Director immediately reports to his attending, executive committee recommends suspension with Infection Control signing off. Plus this fuck looks like a janitor (nothing wrong with that crucial role).

>>9902184
Not sure how it works in America for mental illness and practice. In more humane countries with better functioning mental health services, a hospital/clinic would get sued into the ground for discrimination if they didn't hire someone who is qualified because they have a mental health illness.

>>9904249

hello hydronephrosis. i kid i kid...

>>9905354

absolutely spot on.

>>9897529
>>9897578
>>9902120

Are you niggers fucking kidding? You must be from Indonesia or some related shithole.

>>9905474
NPs are ruining healthcare and lowering standards basically across the board, pushing misinformation and pseudoscience

>>9904343
>>9904343
>>9905451
... How bad is it if its been there for about half a year and its currently blocking the entrance to that kidney?

>>9905534
I know you are the friend and goddammit do you not care about your fucking health?

How the flying fuck do I get better at reading handwritten request forms and reports? For some examples I can't decipher ANYTHING.

>>9904671
>>9904957
Oh, this is common? Same thing happened to me, ultrasounds showed nothing. I pretty much ignore any consistent pain these days because I know it's just my mind making up shit. Only flares up when I have time off and have nothing to occupy my mind.

>>9903730
Sometimes only. Can't enjoy it that much. Not that I get distracted.
>>9904249
I don't think a stone that big can start migrating in the urether. If it just stays there it creates ground for infection and it might grow in size.
>>9904994
>Any realistic fear over losing turf?
Don't think so. There's oversaturation in my country and anyone that wants to work this has to have connections. If you don't have these boundaries go for it. It's a very interesting specialty. It combines cardiological knowledge with surgical manipulation (not exactly but you get what I mean). It has a little bit of intensive care medicine too. Pay is good. Your balls get fried though. Take this into account if you want to have kids.
>>9905349
I will later in the day.

>>9903730
The less lyrics the better. Instrumentals, classical or anime/game OSTs are my go to for study. I find it hard to concentrate when someone is singing.

>>9905563
I had no symptoms that pointed to me having a kidney stone. No exceptional pain or visible blood pee-ing.
I complained about aches in the right side of my abdomen and had an ultrasound scheduled. In the ultrasound I was diagnosed with a 1.2cm kidney stone blocking the entrance and causing severe hydronephrosis, and sent immidiately to the hospital where I had a CT scan done. After meeting with an Urology doctor he told me that most of that kidney is pretty much dead and that stone was probably there for a long time and he advised to have that kidney removed.
I didnt think I might have kidney stones since Im only 19 years old

>>9905747
Doesn't matter how old you are. It's important to chemically test it after they get it out to see if there's an actual reason you made it or you're just some of these folks that just get them. BTW consult another urologist or a nephrologist. Working nephrons are found even in the most severely damaged kidneys. Nephrectomy is indicated in tumors and irrepairable trauma.

>>9905353
Dunno, if I focus and study well enough, I have my bachelor with 28, I doubt that I will do a phd.

Pretty simple thing here I assume. I haven't taken a shit for maybe a week and a half, that wasn't just a tap turning on. I feel the same as ever though.

>>9905747
>asymptomatic kidney stone causes a kidney to die
love the human body

>>9905789
I consulted with a very experienced Urologist today which presented and to explained to me another option which will be to first crush the rock by inserting a " double j" stent and using laser. And after a recovery period to check whether or not the kidney functions well enough to keep it (I think he said 15%)

>>9905902
Take some bowel softeners like lactulose. Fecal impaction is no joke unless you want somebody manually removing your shit.

>>9905902
take stool softners
exercise
you don't want to cause diverticulosis by straining too hard

>>9906091
>>9906091
>you don't want to cause diverticulosis by straining too hard

Slow down, sir! You're going to give yourself skin failure.

>>9905514

Only the pure online graduates and RNs who had very little experience before obtaining prescriptive authority. Same argument made for J2 third worlders flooding the market with cheap labor, no people skills, autistic levels of recall. Same argument made for chiropractors. Same argument made for PAs. The only true misinformation is that the doctor is always right and that everyone has a right to healthcare.

>>9906270
did you go to hollywood upstairs medical college too?