How do we make PA NP CRNA and others fuck off?

>>16933884
>OPic
I've done that like three times in my life. It hurt like a fucking bitch.

Best books on internal medicine? The department is kind of an ass. I want to to learn all the stuff by myself. From diagnosis to treatment.

>>16933884
But he>>16934077
Will not remember that the neural network.....


Can be remapped to hallucinations therefore your enemy to the body for taking med school literally instead of augmenting the Neurofield™ lattice.

Is that a schizophrenic? What is he?
..... Your technical nightmare

>>16933884
Imagine some poor bastard with Tourette’s sees this image and then starts irreversibly ruining his wrists by doing this compulsively

I wish I could do military forensic med in like Ukraine or some shit. IDing blown up and decomposed soldiers genuinely and unironically seems so fucking cool to me.

money making scheme for carnegie freemasons

>>16934869
indisputable historical fact

>>16933948
stop admitting so many women to medschools that just retire upon graduation because they marry another doctor. then there might be enough doctors around that organizations dont have to supplement their ranks with NPs/PAs/etc.
thats never going to happen though lol

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UWorld is hard, I'm getting bodied doing practice questions. There's a lot of material I've forgotten...

>>16933884
I cant hurt myself at all when I do this. I feel left out

>>16933884
Finally feel better after having had to stop ciprofloxacin for an infection I had. Holy shit, I never take antibiotics and when I do I feel like they're worse than the infection I have to deal with usually. I can't imagine people who abuse antibiotics like they're fucking paracetamol or vitamin D gummies.

>>16934077
not the most rigorous, but CMDT is the comfiest read and reference for me. always easy to nab the newest version off anna's archive.

>>16935042
I wish I lived in a country with a shortage of doctors. In my country there's a surplus because the government can't afford to pay them. Doctors are being NEETs in their parents' basement for years and going on facebook to post "give me a job pls" type shit. I worked at Amazon at a point.

>>16935042
What's about the gays?
>>16935102
Who the fuck is getting street sourced Cipro for a buzz???????

>have to do a clinical case presentation for the entire hospital to see in two weeks
>don't have a case ready for it, all my cool cases where seen in a ER at another hospital

I am just not gonna do it, what are they gonna do? Put the powerpoint police on me??

>>16935302
Yyyyou might not believe me but it was for a urinary tract infection, I've had more than one before, (actually it was just once, the other time it was a *yeast* infection) because... um... Let's just leave it at that. But goddamn the side effects were fucking awful, it even made me struggle with my nexplanon implant.
Yes I'm an idiot because I use soap to shave and I know you shouldn't use soap near to a vagina, but if I don't I can't shave properly.

>>16935354
why not just do it on a case from the other hospital lol

u ameringgers are so lucky. Imagine finishing surgery residency and making a minimum 400k. Here everyone is paid the same, like a mentor said weirdly communist system in a capitalist society

>>16935472
It's good where you live. People who become doctors shouldnt be doing it for the money anyway.
Just become a plastic surgeon if you want money.

>>16935118
Been in the same place. I was a NEET for 2 years because of it. Greetings el hermano.

I have no appetite and my hands are shaky. Lol

>>16933884
any fm residents or attendings here? how is it

>>16935552
Dude just eat lmao

Etomidate or ketamine for RSI
Go

>>16935473
>shouldnt be doing it for the money
KYS nigger, medicine is a profession no different from any other.

>>16936174
Medicine is a calling, faggot.

>>16936183
yeah, im calling your mom (to sex her haha)

>>16936184
It's better for patients that the doctors who are only in medicine for money leave.

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It's been a super slow day at this small hospital. I x-rayed my burger and potato chips during lunch.

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>>16936283
Oh, there's this shot, too. I think I'll call this a ventral decubitus. It just feels right to designate the bun halves as such.

>>16936283
>>16936290
i hope you didnt eat that burger afterwards...

>>16936316
X-rays aren't contagious, retard.

>>16936280
Yeah, I bet it's better for you when you psyop people who provide complex services to you that they shouldn't expect monetary compensation for their work.

>>16936328
>just eat the radioactive food bro

>>16936332
How exactly do you imagine x-raying food makes it radioactive?

>>16936331
You shouldn't expect to be filthy rich as a physician no matter how complex your work, but you should be paid enough to never have to worry about money.
"Admins" should be minimized and make far less than any physician

>>16936316
>>16936332
Not how it works, I ate it afterward.

Favourite post-work indulgent meal? Mine is pizza with hot sauce.
>Inb4 anything pervy

>>16936367
Burritos with chips and salsa.

And I'm glad that I make enough money now that I don't care if stuff like guacamole and sour cream costs extra.

I'm glad the money in medicine has given me the opportunity to do extra things that I previously could never have afforded. I have an art tutor, and it's helpful to have someone guiding you.

>>16936183
>t. first year med atudent
They'll beat this attitude out of you very soon, sonny boy.

>>16936334
idk maybe the fucking X RAYS retard

>>16936380
Untrue.

>>16936370
>>16936372
I like going to this place because it's pretty much one of the places open after midnight. COVID really ruined things for night owls like myself.

>>16936381
X-rays don't turn things radioactive like people think. It's only dangerous to living cells when it ionizes atoms in the DNA. After the beam shuts off, the remaining photons lose their energies and disappear. There's more detail to it than that of course, but this explanation is good enough for here.

I also took an image of a chocolate bar and ate it after the burger.

>>16933884
i'm getting lasik in like a month, bros
how scared should i be

>>16936426
if the surgeon is good, 0%.
if the surgeon is horrible, 2%

>>16936426
20% chance of some level of permanent vision damage
no refunds

>>16936283
>>16936290
absolute kekerino, reminds me of "is this ham processed?" meme.
>>16936375
That's really cool anon, what kind of art are you going for? The good thing of studying medicine and also being an art enthusiast is studying anatomy becomes way more easy since you (should) know where every muscle, bone, and joint is located and should have it easy to imagine it.

>>16936381
damn dude this dude got like 8 (Yous) out of this shit LMAO

>>16934077
黃帝內經

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>most medical show in existence that was ever, is and will be made
>makes /med/ seethe all the time

makes you think!

>>16936788
what type of fag watches television these days? besides it taking place in a hospital (i assume in pittsburgh?) i know nothing about it. if you want to discuss your gay tv shows, theres a whole board for it that will let you discuss it with likeminded folks, or you could just talk about it with your classmates. you are in medschool right?

>>16936788
K bud

I was watching ER and they had a civil war reenactor as a patient who stayed in character while they were treating him. He refused pain meds in favor of just biting a bullet before having his toe rongeured.
Would any actual doctor comply with this request? Obviously they can't give meds without consent but would they actually proceed to grind off a chunk of bone without them?

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i have chronic tinnitus, hyperacusis, chronic insomnia, major depression, autism, and cptsd. i have no goals for the future, they are buried under unending fatigue. im broke and i have no friends. i don't really care about my family's bereavement relative to the pain that has superceded my life. i want this constant exhaustion to end and ending my life will relieve everything. i am going to look into combining these pills into my own euthanasia if it is possible

i have prepared instructions and things:
1. i am writing down instructions on how to access my passwords and get into accounts, including my phone. all data will be available to my family if they care to look.
2. i have prepared instructions on what to do with my property and labeled its secondhand sale value
3. i am leaving behind an old camcorder that has a vhs tape of me playing with toys as a toddler and my dad building legos with me and my mom holding me. there is not much evidence that i was a child. on my USB drive of data
4. i am going to record videos of me talking at length about what i felt in my life and what i thought and try to articulate how i got to where i am. i am going to leave them on youtube and archive them on other video platforms. im going to reminisce about some memories i had with my family and friends so that they aren't forgotten when my brain dies so a fragment of my person will remain. i will also leave behind some drawings and schematics for a game and a story i rarely had the spike to work on, the only sort of good vapor in the pointless ocean that was my life. my mom tells me that she doesn't understand why i am so hard on myself and that she wishes i could see me from the outside. i don't know how to reply to that i am sorry mom

>>16937041
k

>>16936283
>>16936290
lol
this is art
keep it up radsfag

studied for 9 hours today and it feels like i made absolutely 0 progress.

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>>16937053
Thanks, lol, it's been fun looking at different objects. Wish I could get the actual images from the system instead of taking phone pics. Here's random objects from later that day: a bag of gum, a mechanical pencil, a Sharpie, a torch lighter, 0.3mm lead refills, a foam mini football, a AA battery, and a mini Hershey bar.

Next shift, I'm bringing a block of Swiss cheese and a Game Boy Advance SP. Anyone have any other recommendations for interesting items? I will post them in here or the next thread.

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>>16937060
Forgot to add that after this pic, I wanted to try to see the core of the battery and doubled the power. It worked.

>>16937062
id like a comparison betwen a full and dead battery

>>16937063
Yeah, we could try that, I could drain a AA in a flashlight and compare to a fresh one. Oh, I live in an area with a lot of natural iron and as such, my property is full of rocks with iron in them. I'll search my flower bed for some good ones and image them. I think some unshelled nuts could be cool to look at as well.

I'd also like to figure out the best way to image a single potato chip when the tube can't go lower than 40 kVp. I don't think a filter would help because that would attenuate the lower-energy photons and it's the higher-energy photons that I want to mitigate. I was in the middle of trying to figure that out when a patient arrived, so I had to clean everything up quick and get their x-rays done. Maybe the mammo tech would let me try it with her machine since they're low power, a quick Google search says they use 24-32 kVp average.

how do you deal with hierarchy? i feel like as a resident im just a nurse and had a talk with the oberarzt (attending physician) and he said he feels just the same, because everything he does is questioned by leitender arzt (head doctor).
also he said unlike a nurse you cant be uppity.

>>16937105
You suck it up and deal with it unless you join a private practice where you are equals. That’s what I did, but I’m a radfag so it was easy.

>>16937172
arent radfags going to get fucked by AI? im in neuro.. went into rehab cause its way easier but every damn fucking thing i write up gets questioned by the oberarzt (attending physician). how do you think AI will affect radiologists?

>>16937105
it's like dealing with anything in life lol. did you not have parents as a kid?

>>16937423
elaborate. i did have parents, but they werent super strict or assholes, lol. so i dont understand what you mean.

>>16936643
>That's really cool anon, what kind of art are you going for?
If I'm being honest, anime. I don't even watch or follow anime anymore. I have fond memories of a series that I used to watch in my teenage years and it's pretty much irrelevant now. That said, I like to try to contribute to fan art and such. Of course, I can draw other things. In general, I think it's important that I try to have a creative hobby.

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>>16937443
It's absolutely important to have a hobby or some way to entertain and train your brain in things you like or just feel good to you, anon, I also draw in an anime-like style just because I love the aesthetic of it. I also do pixel art because I love videogames, I just wish I could've kept studying medicine but economically I'm in no position to live near a college to study comfortably. Argentina is too huge and good colleges are far away from small cities, and transport is very expensive nowadays.
At least I try to learn something every time I get sick or gotta go through a new medicament, hahah.

>>16937513
>I just wish I could've kept studying medicine but economically I'm in no position to live near a college to study comfortably.
Just to be clear, did you have to drop out or something? I'm sorry if that's the case.

And thanks for sharing your artwork. In the past, I was very upset that I had to put drawing aside due to the lack of free time and you should know how long it takes to improve at drawing. I'm trying to make up for it now with a tutor.

>>16937105
Nurses get uppity with age. Young nurses are heaven.

>nonmeds
Ew. At least go get your OD before you bother posting here.

>>16937513
How do people get so good at drawing? Whenever I try it turns out terrible.

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>>16937884
Drawing is just dedicated practice. It's my belief that anyone can get decent at drawing with continuous practice. If you're a medical student or attending, use that same dedication that got you through school into practice :)

One thing that's really helpful is to try to break down everything into simple shapes first.

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>>16937903
And always try to have fun, even if drawing can be painful at times. I really like cute girls so that's what I like to draw. Pic related.

>>16937174
It will affect rads but it’s gonna affect us all. The only people safe from AI are people who do procedures. Here’s a question, what makes you think radiology is any more at risk than people in the ED or IM? You can literally plug symptoms in and get a recommendation on what the pt needs. Radiology at least has an issue with spacial awareness that AI does not do well at.

We are a good 15 years at least from AI being able to read studies. We have it for a lot of different things but it has a lot of short comings. With a salary of 900k I’ll be able to retire before that happens and any longer I get to work is just the benefit of building my retirement more.

>>16937437
you can either sit back and take all the shit getting flung at you if you view it as not that bad and/or you think that voicing your opinion will fuck you over. you can follow their directions barely, so they hopefully view you as a lost cause and stop bugging you with extra shit thats dumped on tryhards/teacher's pets. you can voice your opinions in various ways, bitchy/nice/stern/etc and hope they listen and it doesnt backfire somehow.

i typically take the sit back and take it approach as some people find that if you whine they like to dump even more shit on you because they find it funny, or i do the bare minimum approach for more useless tasks so that i dont get more useless shit dumped on me. in the end, youll be forced to deal with whichever retard is above you, and it's up to you to figure out if its better to stay under the radar so they hopefully stop bugging you or be a giant blip on the radar in hopes they find you too annoying to deal with.

My anesthesia R1 is a neurotypical chimp that banters with the orthosimians instead of looking at the monitor like an obsessed autist. What do?

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>>16937565
I had to drop out, yep. For economic and distance reasons, there's not too many colleges around my area, and I was studying in Buenos Aires when I'm from another province.
And no worries! I kinda like what I've been able to do with my artstyle, I want to improve my anatomy and perspective of things, but you can manage to get better even if you're not actively practicing. Watching a lot of art tutorials, people drawing in videos, perspective photos, and checking what's the style you want can help a lot. I tend to take inspiration from some artists like William Adolphe Bouguereau in terms of how I like to shade things, even if it doesn't look exactly like his style lol.
>>16937884
A lot of practice and finding your own tricks and special abilities, at least myself I've been drawing intensely as a hobby since I was 12 years old at least. And now I'm 24 almost.

>>16937702
Opposite where I'm doing my surgical residency. The young ones act like they are smarter and tend to fuck up a lot, to their deserved embarrassment. They are too hyper and need to look up medical problems with help from chatgpt. The older and more experienced ones know their place and legit know their shit, with some exceptions. I like the floor when I see the nurses with at least 5 years experience. They feed me too.

Please advocate for tinnitus and hearing loss research, particularly cellular treatments that aim to regenerate the cochlea and synapses. It affects billions of people

t. tinnitus sufferer

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>go to dentist thinking this will be a quick one-and-done exam and wisdom tooth pull
>turns out the two molars next to the already painful wisdom tooth require Root canals and crownings
>$1500 PER TOOTH, and that is with Medicare, who's max for Dental is $2000
>otherwise they all must be pulled out, the doc even said the root canal pain could start as early as june
>leave with a referral for an oral surgeon and the bad Wisdom tooth still inside mouth
how screwed am I? I don't want to get my molars pulled but I know I'll never make enough money to pay out of pocked

>>16939406
I guess you can get a bottle of whiskey for both disinfecting and numbing, and a pair of pliers. That's like $30 if you buy some decent quality stuff.

>>16940345
the Price is for the RC+C, extractions are cheap

>>16939024
Multiple OTC supplements have limited evidence of efficacy already.

>>16940345
Oxidizers mog alcohols as disinfectants; I exceed the root canal SoC with my multi-oxidizer cocktail for tooth whitening.

>>16939406

you arent fucked. get a second and third opinion from a non fucking corpo dentistry.

they will literally tell you whatever they want to do whatever they want and then charge you whatever they want.

>>16940345
>>16942105
This. Dentists are scumfuck.

>>16936426
don't retard stare at some horizons

>>16937060
Anything mechanically complex would be fun to look at. Various other foods could be interesting as well. Bone-in fried chicken or a burrito would be my picks.

>>16939406
Assuming you are in the US, try and find an FQHC if you are legitimately on Medicare/Medicaid. They often do dental work based on your ability to pay, and I ended up getting a wisdom tooth removed for free at one, but you might have to abide by a tight schedule of when their surgeon can work.

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Have any of you been involved in a medical malpractice case? I'm thinking about going into personal injury law and I'm interested in hearing what it's like for the other side.

I have severe OCD

>>16938475
A neurologist must have posted this. Splendid

MMMMMMMMMMMMMMMMMM, BRAINSSSSSSSSSSS. I MUST LEARN ABOUT NEURAL PATHWAYS

Hello med students, I am feeling sad at this moment, What do I do about this medical emergency?

I apologize for my bizzare behavior, I am being swallowed whole by my psychosis

>>16937041
I will tell you what the best form of euthanasia is. What you do is you live the best and most fulfilling life you can, for as long as you can, until you peacefully pass away from natural causes in your old age, surrounded by your loved ones.

If you have problems like insomnia and depression, there are meds which can help with those problems.

>discgenics is in phase 3 trials
I hope they move quickly. Back pain sucks.
>Mean change in disc volume reached statistical significance at Week 52 (249.01 mm3, p=0.0284) and Week 104 (402.1 mm3, p=0.028), whereas control groups showed decreases in volume.
>The increase in disc volume was observed and maintained at two years post-injection, suggesting a regenerative effect rather than a temporary change.
>These results were reported in a combined Phase I/II randomized clinical trial where the high-dose group was the only cohort to demonstrate consistent disc volume growth alongside improvements in pain and function.

>>16937705
But I like it here...

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https://youtu.be/NDOPsav0QVg

>>16943635
>measuring non-patient-centered outcomes
ishygddt

I'm 28 and making like $130k doing engineering. Meanwhile brainlets I know that are my age are now officially MDs. Not sure how to feel about this lads. If only I liked biology more than physics and calculus I could've made my parents proud as a doctor instead of being some government cog kek

>>16944296
well, if you were becoming an MD you'd still be in school.

I am once again begging for the /med/cord invite link.

>>16944393
why would you want to be in a server full of premeds

im paranoid that ive damaged my penis from masturbating and im getting an ultrasound done on my penis soon to rule out incipient plaque or vascular damage, what am i in for? this sounds incredibly awkward for everyone involved

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>Unfortunately, as is true for all electrolyte disturbances, no randomized, controlled trials exist; rather, we must rely on physiology

https://pmc.ncbi.nlm.nih.gov/articles/PMC5968908/

>>16936166
etomidate if the patient is hemodynamically unstable
simple as

>>16944821
If you have a micropenis, the nurses might make fun of you once you're gone. If not, you have nothing to worry about. I had to get an ultrasound done on my balls once and it was no big deal.

>>16933884
I don't get it. I did this 50 times and nothing happened so far.

>>16944867
RCTs are a joke and a sham. all studies should be based on feels such as letting me feel up a hot woman

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>>16945160

>>16944393
Use IRC instead. It filters out zoomers

Toe spacers at bedtime wiith an aspirine after a hard dayss' work is life prolonging.

>>16945136
You're going to die.

>>16944296
>government cog
as opposed to a corporate medical industrial cog?
>>16944393
they permabanned me like 3 times now

>>16933884
how do you guys turn on the red light in your wrist?

>>16944902
This, just give it with hydrocortisone and problemo solved. They are developing new forms of etomidate with even less adrenal nuking than usual

never fun to tell a kid they might have ocular melanoma.

>>16945881
I always snort a fat line of duloxetine before giving bad news. Straight to the dome.

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>>16945881
If the eye has to be removed, try cushioning the blow by telling the kid that they can get a badass Terminator eye to replace it.

>>16944522
They were pretty cool when I was last in there. I’ve got more zany third world psych ward anecdotes. Let me in!

>>16935118
Mexico?

Well, hope everyone had a good match. Anyone get their top choice?

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>>16946428
Matched at MGH. I'm feeling like a GOD right now.

Is it worth doing more than 1 away rotation in NYC for anesthesia? I already had 1 of the big four programs locked in and just got offered another one, I am wondering if it'll worsen my chances at matching outside of NYC and my home state so idk if I should accept it
>>16946430
>Man's Greatest Hospital
>huge ego
Checks out

>>16935472
Has it ever occurred to you that that money has to come from somewhere other than a printer?

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>doctor notices an odd BLACK HOLE during a random xray and insists on 3D
>cool ~1/4 jaw and worrisome pics
>middle pic shows a partially treated canal
>"hurr durr anon your tooth is just filling. a jaw breaking titanium implant ought to fix it!"
>doctor wants to murder my tooth by extraction
>JeetGPT is highly encouraging that a root treatment would work on a tooth that already had it years ago
0% to save vs 100%. ohgodohfug save me /med/bros. I'm about to flip through various atlases right now (long live zlibrary) but how do I save my tooth from the forceps jew? and holy shit the amount of quoted jeets is horrifying. what the fuck have nippons, norwegians and even mountain jews been up to for the last 10 years?

>>16946430
lol good luck. Housing sucks there.

>>16946910
there are no dentists here

>>16947143
One of the few redeeming factors about /med/. FUCK tooth jews

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>>16946921
Sour grapes. Just let me have my moment, bro.

>>16947143
>>16947333
shid. I'm still looking for anyone who had personal experience with this type of lesion.

Why do we tell 15 year old pregnant women to kill their babies and report their boyfriend for rape? They'd have a healthy baby come out. And then we tell a 35 year old women to get ivf so they can give birth to a genetic goblin? Then everyone wants to kill the genetic dead end babies because old women are having them. What kind of fucking world do I live in? Am I awake?

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if you could turn back time and try again, would you still pursue medicine/healthcare (maybe just a different specialty) or would you choose a different career path? why?

>>16950490
I just want to go back to when I first started working and buy as much BTC as possible. I regret thinking crypto would never take off. If I had invested $3k then, it'd be worth $1B today. I thought hard about investing $20 to start that one particular night, but ended up buying weed with it, kek.

>>16933884
what's the policy regarding the Pitt fans posters?

God I'm so jealous of normal people who can move to a different country, get a job interview, and get a job
Medfags are chained slaves to whatever jurisdiction they finished their education and if you ever want to move countries you're fucked and have to essentially start all over again

>>16950490
Sometimes i think I wouldn't, but then I realize that I don't really imagine myself in any other field
>>16950491
Back in 2016, in my 4th year of med uni I had a pal who was sort of a deadbeat loser(he had contacts to get weed though) who constantly was looking for some new scam to get easy cash for beer(and weed) and there was a period where he kept telling me about this new bitcoin thing that we should get into, which I naturally dismissed as retarded nonsense even though I could buy hundreds of btc back then without a dent in my savings
He didn't become a crypto king either though, because he spent all the money he could invest on booze(and weed)

>>16950528
Is it worth watching? I still have a soft spot for House MD, but otherwise medical shows just annoy me after becoming a doctore
>>16938475
>that banters with the orthosimians instead of looking at the monitor like an obsessed autist
>implying you're supposed to do either of those and not spend the entire op on your phone

>>16936367
2 medium beef shawarmas, make it with extra cheese and spicy; +2-4 pints of cider depending on how wasted I want to be on that day

>>16944902
wdym? the whole point of ketamine is that it doesn't drop hemodynamics

>>16936166
>propanolol

>>16951222
>fucks your airway with secretions
Also no, ketamine raises hr and BP. If you have a trauma patient, you want to minimize raises in SVR and CO squeezing blood out of the vessels until you have achieved hemostasis
People use ketamine anyways since it isn't terrible for IM delivery. Problem is that unless you give glyco (again raising the HR) you are giving yourself a more difficult view

>>16951328
>take a course in neuropsychology & u'll see it's>>16951300

>>16951331
>or go ahead, get a LD Red 100 cigarette & inject fluoxetine

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>>16951331

>>16951338
>You have 0 control over your patient's nervous system-but they do, stopping a feedback loop between the stomach & brain gives them a chance to not vomit

>>16951341
Propranolol is not an anti-emetic, it's a very weak anxiolytic. Do you have a background in medicine or am I talking to a psych patient?

>>16944237
there aren't better options right now ;____________;
stuff moves at a glacial pace.

>>16951328
>you want to minimize raises in SVR and CO squeezing blood out of the vessels until you have achieved hemostasis
yeah, that's not what the discussion was about
in my personal experience though i haven't observed a major rise in bp with it(because of pt going to sleep and losing the sympathetic stimulation of panic/pain), it sort of just stays the same rather than dropping, or rises 5-10mm at most
>im delivery
what kind of nigger ass anesthesia environment does anything(except epinephrine) IM
you can always get a venous access
>you are giving yourself a more difficult view
skill issue

we don't have etomidate in my country though, so i haven't tried it out

>>16951640
They shouldn't be in pain when they come in because EMS should have already drawn up fent and versed. If you are intubating a patient who doesn't even have controlled pain, what the fuck are you thirdies doing
>you can always get a venous access
We have a lot more IV drug users than you thirdies I figure and I am reticent to start a central line on a guy we don't even have airway access on. I can sedate with IM, paralyze with IM and deliver atropine if they brady too low

>>16951727
our ambulances aren't allowed to handle narcotics(unless it's a special super turbo ambulance with an anesthesiologist on crew)
best you're gonna get is ketoprofen im, usually though it's just a glorified taxi to the ER
>IV drug users
skill issue
>sedate with IM, paralyze with IM
and then be left in deep shit if anything goes wrong intubating/inducing anesthesia without an iv access

>>16951358
>namefag
>spewing tangential nonsense
>"Could this be a psych poster??"
Bruh

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>>16934867
nothing cool about it tbqh

>>16951746
Obviously once they are induced we have more time to focus on getting IV access. I can maintain a patent airway without an IV. If we are really crashing with blood in the airway then obviously I have no qualms about a midline and have someone working on a femoral central line while the anesthesia team works on suction bougie and blood comes over

It is extremely normal in peds anesthesia to induce with gas and just maintain the patent airway with bag masking until the IV is in, then you go ahead and intubate afterwards. For short procedures you give all meds IM

>>16951358
>Oh man did u fail neuropsych

>>16952026
>you know the nervous system keeps the body ALIVE right?

>>16952028
>Start learning about the brain-blow up a balloon
>you get light-headed
>that's gaba

>>16951803
Why do psych patients find this specific general so fascinating anyways
Physics and math had a few in the pre-pandemic years from what I understand but not anymore

>>16952163
>fuck off i finished neurosurgery residency @ 22

>>16952306
>i won't just jerk off in this thread
>head trauma: you have 30 minutes to get a head ct

>>16951941
>It is extremely normal in peds anesthesia to induce with gas
well we're not talking about comfy non-emergency peds anesthesia are we
>For short procedures you give all meds IM
if you're bad at iv access, i guess
>I can maintain a patent airway without an IV
yeah you can do that with an oropharyngeal or an LMA too
>and have someone working on a femoral central line while the anesthesia team works on suction bougie and blood comes over
oooo look at mister big first world bucks over here, he's got enough anesthesia staff waiting around for a separate central line team AND an airway team at the same time

Why do doctors just say "oh that's normal" when you're clearly not okay or normal
Dentists will pull this shit too. They'll say your teeth are bad in clinical jargon to their colleagues and they turn to you and say "your teeth look pretty good, I don't think you have anything to worry about"
An ENT endoscoped my nose and immediately said "ooh, bad septum deviation" and I asked what he meant by bad he just gave a nebulous answer
Why are you like this and when are we getting better diagnostics

>>16952617
Same reason mechanics don't talk to the car while fixing it.

>>16952617
if theres a minor issue and you dont come in bitching about it, it's easier to say dont worry about it rather than waste 5minutes explaining it ultimately to say it doesnt matter we're going to do nothing to treat it since its causing 0 issues especially when theyre running behind. most patients dont remember anything drs explain anyway

Interesting question my attending posed today, would like to see how much peds CV physiology /med/ remembers:
10 d old baby with PDA, right CDH c/b hypoplastic lung and mediastinal shift, large VSD. On PDA-patency therapies.
Is oxygenation higher preductal or postductal? Why? What is the significance of the gap between the two regions closing and how to manage it?
>>16952396
Look thirdie, I may just be a resident but last I checked it's ABC, Airway Breathing Circulation
Not ICA, IV Circlejerk Airway

What shithole is this anyways that doesn't have two available anesthesiology trainees in the entire goddamn hospital that can do an emergent intubation and line
I'm guessing you're EM

>>16937041
Have u succeeded

>>16952683
>can't emergently intubate
Nah, he's ems in some shithole

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Is this medically beneficial?
Is this safe?

>>16947600
I just do dental cleanings but if you really believe there's a chance then go see a specialist. Oral and Maxillofacial Surgeon or Periodontist.

I'm just shooting out my personal experience here but DSO general dentists graduate knowing how to do fills, crowns, and only a few root canals if they're lucky. They are under much more scrutiny to overdiagnose due to being micromanaged by corporate managers. Things like implants and more advanced procedures are done on their own dime through private courses after they graduate and DSOs will hang these expensive courses and paid time off to take it in front of the dentist like a bone for a dog. They get paid a very low salary and make real money through a % cut of procedures they bring in, also known as production.

>>16952971
*head bobs*

>>16946910
It's likely a keratogenic odontocyst, which is a benign but locally aggressive neoplasm. Treatment is surgical but can reccur 20-30% of the time after surgery. The diagnosis is made on microscopic evaluation however. Source: path outlines

>>16952977

Meant odontogenic keratocyst. Made up gobidiligook ass shit. How people keep this stuff straight is a mystery to me. I'm a pgy1 path resident

>>16953262
>resident
If you were a silver spoon dentist you would have worked at your parents clinic as soon as you graduated and not done a residency.

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>>16953266
I'm normal pathology MD/DO. We're just powerful enough to know things about the whole body.

>>16944393
There you go fgt /AdcUJ3hjt

>>16953262
>I'm a pgy1 path resident
I'm interested in pathology. I'm pretty much a shoo-in since I'm an American, right?

>>16953559
And I'm not an ESL too.

>>16953570
I'm not an esl either.*

>>16953675
>>16953570
I ain't no ESL y'know wha' mmm' sayin' nigga

>>16953675
>>16953707
On paper, I'm not an ESL.

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>tfw psoriasis

>>16952683
>full thread of normies larping as physicians but nobody wants to even attempt a fun physiology brainbuster question
>>16952883
Not unexpected, his airway management skill appears to be very surface level technical skill focused rather than actual underlying knowledge

>>16954149
man im an optometrist. give me some good eyeball questions and i'll start trying

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>*click*
>*brrrrrr*
>*click*
>*beepbeepbeepbeep*

It was a fun day at clinicals

>>16955959
Last I checked there are arteries in the back of the eye which come from the heart

I'm a chiropractor student. Do I belong here?

>>16956255
No future quacks.

>>16956255
Thanks for the reminder, I'll update the OP next time.

>>16954149
It's a good question and I'd likely have to draw it all out to figure out the answer. Unfortunately I'm a post-match MS4 and am intent on letting my brain rot for a while before residency kills me.

>>16952971
How does one fire all of the immigrants that are in their clinic/care without raising suspicion? Moving to a rich white neighbourhood isn't a solution, either.

im a first year but i want to know what med specialty i should do how do i know

>>16933884
I was born without this tendon or it was fucked up and I think they moved the one from the middle of my hand over. Kind of looks freaky if I fully extend my thumb because the tendon’s straight so it juts out of my skin.

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>>16939406
>finally get wisdom tooth pulled yesterday for $125 in cash at same guy that did different tooth extraction two years ago
>The hollow molars are starting to hurt now
damn

>>16956112
no way. are you sure?

>>16933884
Every time I've had to get an IV put in, I get wigged out by the thought of accidentally yanking on it somehow. Does this ever actually happen?

>>16945136
Push your thumb in a little deeper

>>16945881
OOOOOOOOOOOOOF

>>16936839
It's the most realistic show I've seen, but that's literally the reason why it doesn't interest me. I don't want to spend my free time reliving my job. It's a good show to make your family and friends watch to make them understand what we go through, though.

>>16956919
Actually I'm not

How reliable are Oraquick HIV tests? Are false negatives an issue after the 6 month period?

>>16957057
How many times did you bottom with the HIV positive homo without a condom on, you retard

>>16957062
I blew him a few times. Didn't know he had been with guys before

>>16957069
For very recent infection, you need to go to the doctor and get the antibody blood test done ASAP. Sensitivity is only 92%, potentially worse in new infection.
I'm sure you're straight and everything but that's why we call your group MSM and not gay anymore. Just go tell your doctor and get a full STI panel done.

>>16957069
Ngl that's pretty gay fr lol

>>16957087
Already got the panel done. Waiting for results. The contact was late last summer. I'm really worried

>>16957091
Did he give you an Rx for PEP? It's very low-risk in people who are uninfected, so worth taking while waiting for antibody and viral count. What was your WBC count/differential percentages? That should have come back within a day or 2

>>16957092
I didn't get an Rx for PEP - isn't that only if it's been like a day or two? Or do you mean PREP? My WBC count was down a little at my last blood work (5ish, down from like 7). This was in February. The nurse practitioner didn't seem too concerned about it at the follow up, though that was before I mentioned HIV exposure

>>16957097
5 is fine, and no I mean PEP (Post Exposure Prophylaxis) not PREP (PRe Exposure Prophylaxis)

>>16957108
It may have been like 4.9. I'm worried about the downward trend. Also signs of inflammation like trace WBC esterase in urine and a urine pH of 8

>>16957113
Trace leuks in a UA w/o symptoms is a classic sign of phenomenoma.

>>16957122
Phenomena?

>>16957113
Dude all of those are fine
>>16957122
iirc actually it could be a pretty concerning sign of ligmadenopathy, given his history

Also I just realized you were seen by an NP lmfao, your life is basically forfeit now

>>16957132
Are they not competent?

>>16957134
They're not doctors

>>16957136
Yeah I know that.
I live in an area where it's easier to find a vet than a doctor

>>16957137
Love blossoms even among gay men in Cairo, Illinois I guess

>>16957129
> ligmadenopathy

Anon don’t do it, that’s what got him into this problem in the first place!

>>16957129
Aren't they signs something is wrong?

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>>16957209
That's what I said, ligmadenopathy
>>16957155
Ligmadenopathy balls

>>16957122
What does this mean?

>>16957069
>fag
>didnt expect him to try to fuck every other fag in a 50mile radius
lmao. first time being gay?

Why do you guys hate dentists so much?
If we move to a cash based model and made residency optional, medicine would be more profitable.
People should be taking out mortgages to pay for surgery. I say that unironically. Tired of seeing poor people act entitled to everything.

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>>16957394
You are an evil subhuman

>>16945881
>>16945989
I had my eye removed at 5yrs old. I remember them strapping me down to the bed and putting senors on me. "Hey look they are smilely faces" They havent change prosthetic eyes in 35 years. 0 advancement , the surgery has improved I hear. But basic bitch fake eye not so much. There was some film maker dude constructed a fake eye with a camera in it , looked like shit. I wish there could be some tech in it. I use to say I wanted a cam in it and i could just record banging women pov style and they wouldnt know. Or some gay spy shit. Everyone else thinks its like a prison wallet. If there is so much as an eye brow hair behind my fake eye it drives me nuts much less a bag of coke. Took me years to figure out how to maintain proper eye contact due to being self concious about it. Im prob just a weak bitch tho. Kid should not tell anyone he has a fake eye. Other kids will only know him for it. I stopped telling people once I got to high school. Its weird tho feel like Im wearing a mask and sort of lying.

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>>16957331
If you were /med/ you'd know

>>16953559
You are probably getting in with an average step 2 and ok interviews and some aways. It is trending more competitive l, but won't be competive at all for a long time if ever.

>>16952683
I will guess. Higher O2 post ductal. If the O2 difference decreases maybe flow between the left and right ventricles is reversing so you need to decrease pulmonary artery pressure.

>>16957557
Don't guess. Give me justifications for your answers. You are close

>>16957490
A doctor?

>>16957574
Big IM energy. Is it because the congenital hernia is increasing pulmonary resistance making the blood flow across the VSD reverse, so then if there are signs of that you have to operate on the hernia?

>>16936788
>most medical show in existence
nah those would be actual trauma documentaries whcih are infinitely more interesting to watch

>>16957664
Very close. Also this is peds CV anesthesia

Basically the preductal O2 is higher, although neither pulmonary nor systemic circulation has PaO2 WNL. It's a left to right shunt although again not as fast flow as it would be prior to closing in a healthy baby - the left lung is basically pulling nearly double duty for circulation and gas exchange due to the hypoplasia of the right lung, however it should at least have lost most of the associated pulmonary circulatory resistance from the neonatal period when all the alveoli are filled with fluid (creating the R->L shunt of the fetal ductus arteriosus). The L heart should therefore be receiving the blood from the pulm veins and pushing it into systemic circulation (with some going through the PDA).

Now again, neither side of the PDA is going to be well oxygenated without supplemental oxygen. But if the gap starts to narrow, that means the left lung is probably having flash pulmonary edema - increasing pulmonary resistance, reversing the shunt, and sending the baby into cardiogenic shock as the coronary arteries are malperfused
So yes you have to immediately increase ionotropy + chronotropy to get that ventricular contractility while dumping the pulmonary circulatory flow and inducing systemic hypertension before the baby starts having an MI

But shunt reversal is generally grim prognosis

i have gotten oral thrush from antibiotics (not oral sex) (unfortunately)

>>16957425
Can people tell? I assume it's the same colour as your other one, did they match it?

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what causes this

>>16958712
Clamp status?

>>16957394
Med students/doctors are absolute faggots that will rot in hell

Hi /med/bros, I've got a question.
Can any of you suggest a vascular injury that would cause death from exsanguination within approximately 15-30 minutes if left untreated? I'm writing a silly little war story and don't want to do the typical gay shit of "MC opens his jacket to reveal an abdominal wound and dies".

>>16959447
Carotid artery. And every major artery basically.

>>16958712
Being in forensics I've seen the aftermath of surgeons doing so much stupid and unexplainable shit that frankly this doesn't even surprise me anymore.

I don't get how people study every day at my school. Do people not take any breaks or get burnt out?

>>16959717
Continued. I don't study as hard as those people, but I'm still burnt out currently. Honestly, congrats to those people who just keep on pushing.

how do i match into general surgery as a DO

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>>16951358
>>16951803
>>16952163
Well let's think for a second
>Medicine actively destroys the lives of people who are involuntarily subjected to "psychiatry"
>Medics are then completely baffled about why these patients want answers from the medics who destroyed their lives
Yeah it's a real mystery isn't it?