Misc. Med Thread Vol. 3: caribbean diabetus strikes back

[kovalchuk71]

Finally done with Gross Anatomy, boyos. I thought I would never see the day. Ended up with a 78.2% which fuking sucks, but its done.

Now to begin Neuro. Lmao

[santal0l]

Tfw a PA who is younger than you tries to pimp you on some basic **** and you turn it around on them instead.

Feelspettybutgoodman

Also loled hard when this same PA who has been out of school for 6 months tries to tell the pgy-8 how to throw a deep dermal stitch and he just stares daggers into her soul.

[kovalchuk71]

Tfw a PA who is younger than you tries to pimp you on some basic **** and you turn it around on them instead.

Feelspettybutgoodman

Also loled hard when this same PA who has been out of school for 6 months tries to tell the pgy-8 how to throw a deep dermal stitch and he just stares daggers into her soul.

Pgy-8? Dayummmm. Vascular/Neurosurg?

[muscle beast]

Tfw a PA who is younger than you tries to pimp you on some basic **** and you turn it around on them instead.

Feelspettybutgoodman

Also loled hard when this same PA who has been out of school for 6 months tries to tell the pgy-8 how to throw a deep dermal stitch and he just stares daggers into her soul.

Fukin LOL at a PA thinking they earned the right to pimp a med student...FOH ******* assistant

[RobParks2M]

Tfw a PA who is younger than you tries to pimp you on some basic **** and you turn it around on them instead.

Feelspettybutgoodman

Also loled hard when this same PA who has been out of school for 6 months tries to tell the pgy-8 how to throw a deep dermal stitch and he just stares daggers into her soul.

Lmao gotta teach them their place. Fuking LOL at tryna tell someone with 6+ years of experience more what to do.

[alaska21]

OG misc med thread creator checking in.

Made the original misc med thread when I was an MS1, now I'm an attending lulz.

Sorry I fell off the map. What's been good?

In b4 "who the fuk are you?"
In b4 "OKGUY.jpg"

[alaska21]

Tfw a PA who is younger than you tries to pimp you on some basic **** and you turn it around on them instead.

Feelspettybutgoodman

Also loled hard when this same PA who has been out of school for 6 months tries to tell the pgy-8 how to throw a deep dermal stitch and he just stares daggers into her soul.

Those people are so dangerous. Nothing is more deadly than an arrogant dumbass who doesn't know what they don't know.

I had a patient a PA admitted with a GI bleed in shock. She continued home lasix, beta blocker, lisinopril even though he was on 3rd unit blood. I was furious and asked what her logic was and she said "o I didn't want his bp to go up Bc he tak dis et home u kno"

STRONG

[santal0l]

Those people are so dangerous. Nothing is more deadly than an arrogant dumbass who doesn't know what they don't know.

I had a patient a PA admitted with a GI bleed in shock. She continued home lasix, beta blocker, lisinopril even though he was on 3rd unit blood. I was furious and asked what her logic was and she said "o I didn't want his bp to go up Bc he tak dis et home u kno"

STRONG

Welcome back brah. Hows life? You on dat attending time yet?

And lol @ logic (or lack thereof).

edit: inb4 another 4 years before alaska21 returns to the misc

[MakeABanana]

Those people are so dangerous. Nothing is more deadly than an arrogant dumbass who doesn't know what they don't know.

I had a patient a PA admitted with a GI bleed in shock. She continued home lasix, beta blocker, lisinopril even though he was on 3rd unit blood. I was furious and asked what her logic was and she said "o I didn't want his bp to go up Bc he tak dis et home u kno"


STRONG

[stevesteve12]

OG misc med thread creator checking in.

Made the original misc med thread when I was an MS1, now I'm an attending lulz.

Sorry I fell off the map. What's been good?

In b4 "who the fuk are you?"
In b4 "OKGUY.jpg"

whasssup.

done with IM? fellowship?
married that doc chick?

[Tormoz]

Fukin LOL at a PA thinking they earned the right to pimp a med student...FOH ******* assistant

Don't hate on PA-C brah. Dream occupation status atm.

[kovalchuk71]

Don't hate on PA-C brah. Dream occupation status atm.

No hate, brah. It’s a great profession.

But to quote Lavar Ball: “Stay in yo lane.”

[codefreeze]

in & subscribed

hellbent on EM; unfortunately I've got to do a ****ing post-bacc program before even getting on that path. deterring.

anyone here done a post-bacc?

[muscle beast]

in & subscribed

hellbent on EM; unfortunately I've got to do a ****ing post-bacc program before even getting on that path. deterring.

anyone here done a post-bacc?

What's your GPA looking like? A few classmates of mine did a post-bacc, got accepted into school the following year. As long as your GPA is high enough that a post-bacc would help (and you aren't repeating classes), you should be good fam.

Also, I wanted to do EM when I came to med school, and now I'm going into Internal Medicine and potentially hospitalist or pulm/crit. Good luck with your studies brah

[RobParks2M]

What's your GPA looking like? A few classmates of mine did a post-bacc, got accepted into school the following year. As long as your GPA is high enough that a post-bacc would help (and you aren't repeating classes), you should be good fam.

Also, I wanted to do EM when I came to med school, and now I'm going into Internal Medicine and potentially hospitalist or pulm/crit. Good luck with your studies brah

In my experience it seems EM is basically the gatekeeper to the rest of the hospital no? They treat minor things/start tests if need be then decide if treating on the floor or streeting right?

But on the floor how many patients do you typically end up responsible for during a shift? Does each doc typically manage 4-5 patients if they are critical care? Hospitalists on a normal floor probably see upwards of 8-9? The hospitals I spent time in during rotations were pretty small.

[muscle beast]

In my experience it seems EM is basically the gatekeeper to the rest of the hospital no? They treat minor things/start tests if need be then decide if treating on the floor or streeting right?

But on the floor how many patients do you typically end up responsible for during a shift? Does each doc typically manage 4-5 patients if they are critical care? Hospitalists on a normal floor probably see upwards of 8-9? The hospitals I spent time in during rotations were pretty small.

EM has a lot of say in who stays overnight, gets admitted, or goes home. Depending on how good the EM department is, the types of admissions you see can vary. Of course EM was founded to treat actual emergencies, but nowadays a lot of patients use the ED as a primary care appointment (think colds, stubbed toe, splinter, paper cuts, etc) so you see a lot of dumb siht. But depending on the level of your ED (I, II), you do see some pretty emergent stuff. And even then, depending on how your hospital is run, the ED attendings/residents have varying roles when it comes to traumas. Some EDs, the ED staff handle everything, whereas others, the trauma surgery team will handle the emergencies, and then other hospitals, the patient might be split down the middle, trauma surgery handling left side of patient, ED handling right side of patient (srs).

With that said, not sure how many patients ED attendings/residents see per ****, but I imagine it can be anywhere from 10-20 depending on the severity of the case (some just need a few sutures, others need an entire stroke workup and charting).

Pulm/Crit, specifically the critical care side of it, are the ones in the ICU so they'll handle all the patients in an ICU (could be anywhere from a 6-bed to a 36-bed ICU) and may or may not be he ones who respond to code blues in the hospital. As for hospitalists, they can see tons of patients per day. Even a resident will see anywhere from 5-10 patients on their own per day (not necessarily new admits) but they are in charge of their daily care. In a private setting, an attending can see 15-20 patients easily (some even see 30+, but then you gotta start wondering about the quality of care they're giving).

Again, this all varies depending on the institution you're at. I go to medical school and train at a large academic center on the west coast, so this is what I've seen.

Other med brahs feel free to chime in to correct me or add on

[RobParks2M]

That is interesting. I was at a hospital kinda in the middle of nowhere not attached to a med school or anything. I was in the critical care unit and it seemed like there were 4 docs on with a PA as well. Seemed like they basically had a rotation where a new admit got doc one admit 2 got doc 2 ect ect. Most of the docs on the cc floor had pulm/crit but there was 1 or 2 hospitalists too. Keeping in mind this hospital had a fair amount of locums including one doc who basically did a month on and a month off so he could go back to his family in Paraguay lmao.

fuuuuu I wanna go back to hospital work again :/. I felt a lot more involved in patient care when I was actually helping docs do stuff and was making suggestions during rounds. Retail is alright because there are things you can do to help people on a daily basis, but its kinda taxing when you realize your corporate overlords continuously cut technician/pharmacist hours.

[kovalchuk71]

What's your GPA looking like? A few classmates of mine did a post-bacc, got accepted into school the following year. As long as your GPA is high enough that a post-bacc would help (and you aren't repeating classes), you should be good fam.

Also, I wanted to do EM when I came to med school, and now I'm going into Internal Medicine and potentially hospitalist or pulm/crit. Good luck with your studies brah

Is being a hospitalist as "soul sucking" as everyone says?

[S34guLL]

Is being a hospitalist as "soul sucking" as everyone says?

Depends on the gig. One of the PGY3's at my program signed a "nocturnist" contract for next year. Has to work a minimum of 17/52 weeks of the year to make ~400K, does strictly nights. Forgetting some of the details he mentioned but yeah... it depends on the gig you land.

[codefreeze]

What's your GPA looking like? A few classmates of mine did a post-bacc, got accepted into school the following year. As long as your GPA is high enough that a post-bacc would help (and you aren't repeating classes), you should be good fam.

Also, I wanted to do EM when I came to med school, and now I'm going into Internal Medicine and potentially hospitalist or pulm/crit. Good luck with your studies brah

In last semester of non pre-med track - it's ~3.44, but I'm gunning it right now and I think it'll be 3.6+ by graduation. So no pre-med courses; I'll eventually have to do the post-bacc, which feels ****ty $ and time-wise. It is what it is.

Could you elaborate on why your preferences switched? Maybe a pre-conceived view of the field changed?

I'd be interested in IM myself. I think it's tough to know what'll be a good fit for anyone until those MS4 rotations.

[ViktorFrankl]

In my experience it seems EM is basically the gatekeeper to the rest of the hospital no? They treat minor things/start tests if need be then decide if treating on the floor or streeting right?

But on the floor how many patients do you typically end up responsible for during a shift? Does each doc typically manage 4-5 patients if they are critical care? Hospitalists on a normal floor probably see upwards of 8-9? The hospitals I spent time in during rotations were pretty small.

IIRC most EM staff shoot for somewhere between 2-3 patients per hour. Hospitalists / CC staff are typically responsible for 10-20 patients during the day and double or so that at night in my experience, variable based on how busy the hospital is and what the coverage patterns are for nights

[MakeABanana]

Is being a hospitalist as "soul sucking" as everyone says?

Having to coordinate disposition sucks. It's probably significantly hospital dependent, but I expect a hospitalist job to be as "soul-sucking" as you make it to be.

Are you the type of physician who's diagnostically savvy, likes to make the decisions/treatment plans, and knows how to play the dispo game? Then it can be pretty fun although a demanding job nonetheless.

Are you the type of physician who pan-consults, makes very few of the decisions, and functions at the level of a glorified secretary? That's soul-sucking. I could never be happy like that.

[kovalchuk71]

I need to vent: I’m so fed up with my Histology professor. This class is the most difficult course I have by far, which is a joke. 25% of the class failed last semester. I’m 100% Srs. No curve on anything. I’m at a loss on how to study for this course. I’m getting B’s in most of my other courses without a lot of trouble (except Anatomy, lol). But this one? I’m hanging on for dear life with a 74. Why is something so low yield so difficult?

Lame. Hold me, brahs.

[WeekndOrNah]

I need to vent: I’m so fed up with my Histology professor. This class is the most difficult course I have by far, which is a joke. 25% of the class failed last semester. I’m 100% Srs. No curve on anything. I’m at a loss on how to study for this course. I’m getting B’s in most of my other courses without a lot of trouble (except Anatomy, lol). But this one? I’m hanging on for dear life with a 74. Why is something so low yield so difficult?

Lame. Hold me, brahs.

DUDE STFU you honestly sound like the biggest ******* every time you post something. im an MS2 and would have enjoyed posting in this thread but everytime i open it up i see kovalchuk71 bitching about something using annoying slang like chad and timothy and all that ****. you honestly ruin this thread. you sound intolerable to be around. just look at the way you talk.

[kovalchuk71]

DUDE STFU you honestly sound like the biggest ******* every time you post something. im an MS2 and would have enjoyed posting in this thread but everytime i open it up i see kovalchuk71 bitching about something using annoying slang like chad and timothy and all that ****. you honestly ruin this thread. you sound intolerable to be around. just look at the way you talk.

Lol aware

[Shortofdaybreak]

Day 2 of Step 3 tomorrow. Ready to be done with USMLE.


So much chit I've forgotten. So much chit I'll never manage as a gen surg. Lol dysfunctional uterine bleeding? Take that shyt over to the OB clinic.

[kovalchuk71]

Day 2 of Step 3 tomorrow. Ready to be done with USMLE.


So much chit I've forgotten. So much chit I'll never manage as a gen surg. Lol dysfunctional uterine bleeding? Take that shyt over to the OB clinic.

Good luck brah. I’m over here bitching about my M1 life, and you’re over here getting through 3 of the biggest exams of your entire life. Lol @ me.

You got this.

[WeekndOrNah]

Boards and Beyond is GOAT

[kovalchuk71]

Boards and Beyond is GOAT

Yeah it is. Dr. Ryan is the one of the up and coming GOATs.

In other news: LOL @ French Canadians

https://www.washingtonpost.com/news/...=.fcb564151458

In a move that can only be described as utterly Canadian, hundreds of doctors in Quebec are protesting their pay raises, saying they already make too much money.

As of Wednesday afternoon, more than 700 physicians, residents and medical students from the Canadian province had signed an online petition asking for their pay raises to be canceled. A group named Médecins Québécois Pour le Régime Public (MQRP), which represents Quebec doctors and advocates for public health, started the petition Feb. 25.

“We, Quebec doctors who believe in a strong public system, oppose the recent salary increases negotiated by our medical federations,” the petition reads in French.

The physicians group said it could not in good conscience accept pay raises when working conditions remained difficult for others in their profession — including nurses and clerks — and while patients “live with the lack of access to required services because of drastic cuts in recent years.”

A nurses union in Quebec has in recent months pushed the government to address a nursing shortage, seeking a law that would cap the number of patients a nurse could see. The union said its members were increasingly being overworked, and nurses across the province have held several sit-ins in recent months to push for better working conditions.

In January, the situation was encapsulated in a viral ******** post by a nurse in Quebec named Émilie Ricard, who posted a photo of herself, teary-eyed, after what she said had been an exhausting night shift. Ricard said she had been the only nurse to care for more than 70 patients on her floor; she was so stressed that she had cramps that prevented her from sleeping, she added.

“This is the face of nursing,” Ricard wrote, criticizing Quebec Health Minister Gaétan Barrette, who had deemed recent health-care system changes a success.

“I don’t know where you're going to get your information, but it’s not in the reality of nursing,” the nurse wrote. She later added: “I am broken by my profession, I am ashamed of the poverty of the care that I provide as far as possible. My Health system is sick and dying.”

Ricard’s post has since been shared more than 55,000 times.

“There’s always money for doctors, she says, but what about the others who take care of patients?” said Nancy Bédard, president of Quebec’s nurses union, according to Global News.

Meanwhile, in February, Quebec’s federation of medical specialists reached a deal with the government to increase the annual salaries of the province’s 10,000 medical specialists by about 1.4 percent, or from $4.7 billion currently to $5.4 billion in 2023, Canadian Broadcasting Corp. News reported. The average salary for a specialist in Quebec is already high — $403,537 annually — compared with $367,154 in neighboring Ontario, according to CBC.

“The only thing that seems to be immune to the [health-care system] cuts is our salaries,” the petition by MQRP, the doctors group, stated. “Contrary to the Prime Minister’s statements, we believe that there is a way to redistribute the resources of the Quebec health system to promote the health of the population and meet the needs of patients without pushing workers to the end.”

The petition ended by asking that the salary increases be canceled and the money be redistributed throughout Quebec's health-care system.

It is unclear what will become of the petition. Barrette, the health minister, addressed the issue shortly after the petition was started.

“If they feel they are overpaid, they can leave the money on the table,” he said Feb. 26, according to CBC. “I guarantee you I can make good use of it.”

[havoc713]

I feel like all this stress and hoops to jump through has been making me selfish. All I care about is survival. The next test, etc.
I used to genuinely care. Want to help people. Now all I care about is myself.

Really hoping it is just stress and burn out. Don’t want to forget why I’m doing this. Any advice? Anyone else go through this feeling?