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

[jayhow92]

Best review book for 2CS?

First Aid Step 2 CS. But if you can pass your in-house exams, you can pass that.

[SazabiBrah]

Probably IT. My friends make great money working 8 - 3. In hindsight besides paying off my debt, videogames, helping the parents out and donating to animal shelters...I don't really know what I'd do with all the $ I'll be making. Had I done IT, I would've been doing that now as opposed to living like a peasant and having to bring home coffee from the hospital to microwave for breakfast the next morning

I dunno, I might be a little bit of a masochist..as I enjoy the torture. It makes me feel I am getting mentally strong. In reality I'm anxiety ridden filled with ****tic symptom disorder. As much as I hate it, I enjoy the sense of "purpose" that I don't think I can get with any other career. Dear diary

That kinda sounds like me. I’m trying to figure out what to do with a poverty biology degree though...

[jayhow92]

Best review book for 2CK?

Actually any advice for 2CK?

Step up to Step 2 + Online Med-ed + U World for 4-6wks. Should be set with that.

[WeekndOrNah]

First Aid Step 2 CS. But if you can pass your in-house exams, you can pass that.

I have to remediate my school's practice CSEs last semester for some reason lmfao. I get that my documentation/note-writing could be better but I thought I did fine given that I hadn't had much outpatient clinical experiences prior to taking it. I was on Surgery and OB/GYN

[SwiftRick]

That kinda sounds like me. I’m trying to figure out what to do with a poverty biology degree though...

Poverty bio degree checking in. I mean you're applying to med schools. Might as well go through with it.

Step up to Step 2 + Online Med-ed + U World for 4-6wks. Should be set with that.

Is it enough for a 235+? I just need a 235 and above...that way my score don't show a downward trend lol. I don't know if I'm going into anything competitive.

Right now thinking peds --> heme onc peds fellowship. If not that definitely a lifestyle choice

[SazabiBrah]

Poverty bio degree checking in. I mean you're applying to med schools. Might as well go through with

Well I’m trying to have a back up plan in case it doesn’t work out. I have a final interview on Monday

[SwiftRick]

Well I’m trying to have a back up plan in case it doesn’t work out. I have a final interview on Monday

I hope it does work out for you. If not, IT is booming. You can self study..get those IT certifications and start working. Best of luck!

[JCTWP46]

From where you brahs are at now, do you guys ever look back and wish you did something else? Whether it would be becoming a pharmacist/dentist/PA etc. or something not even healthcare related? If so, what would you be doing?

Probably a physical therapist or athletic trainer. Wanted to be an architect at one point in high school.

Is it enough for a 235+? I just need a 235 and above...that way my score don't show a downward trend lol. I don't know if I'm going into anything competitive

UWorld alone for 4 wks is enough for 235+.

[SazabiBrah]

Probably a physical therapist or athletic trainer. Wanted to be an architect at one point in high school.

You’re saying you wish you did that instead?

[Hardlifter9]

i would never want you as my doctor homie. i can confidently say that based off your posts. stay safe.

Are you an NP?

[IronILLinois]

Are you an NP?

no. just seems like he lacks compassion.

don't want the thread to get off topic. carry on.

[MakeABanana]

[img]https://pbs.twimg.com/media/DwsQcTIUwAApdkc.jpg:large[img]

NP claims MD's are killing themselves because they are only in it for money

I called her place of work and made them aware of these disgusting tweets she made

phuk this old kunt

Looks like **** got real because all her social media accounts are removed.

What a distasteful comment by her. Nurse suicide rates are also high.

[kovalchuk71]

Looks like **** got real because all her social media accounts are removed.

What a distasteful comment by her. Nurse suicide rates are also high.

Sl00ts gonna Sl00t?

[santal0l]

Looks like **** got real because all her social media accounts are removed.

What a distasteful comment by her. Nurse suicide rates are also high.

Nah she just changed her twitter handle so she could try and backpedal but a bunch of twitter users saved her tweets and kept calling her out until she made her account private. Hope she gets fired after her employer sees her garbage attitude.

[incomingbrOMS]

That kinda sounds like me. I’m trying to figure out what to do with a poverty biology degree though...

Not much. Professional school or gt paid peanuts by a college. I think we all have days where we feel like we could have done something different, everyone does. The difference is not many people are sitting around going "well I guess I could have been a doctor" and the ones who are don't have the slightest idea what becoming a doctor entails.

Well I’m trying to have a back up plan in case it doesn’t work out. I have a final interview on Monday

Apply again, broader, etc. You're going to need stubbornness to make it in medicine, dropping out at the first hurdle ain't it man, we're all gonna make it.

[incomingbrOMS]

[img]twitter beef[/img]

NP claims MD's are killing themselves because they are only in it for money

I called her place of work and made them aware of these disgusting tweets she made

phuk this old kunt

My man Vijay Singh went in DRY. "Remain human if you cannot manage remain professional" lmao.

[SwiftRick]

no. just seems like he lacks compassion.

don't want the thread to get off topic. carry on.

A little bit unfair to judge someones lack of compassion based on "misc" dontcha think?

[wildabeest]

i would never want you as my doctor homie. i can confidently say that based off your posts. stay safe.

no. just seems like he lacks compassion.

don't want the thread to get off topic. carry on.

phuck off *******

That kinda sounds like me. I’m trying to figure out what to do with a poverty biology degree though...

Yeah there's not much you can do with a poverty undergrad bio degree. Its either research or graduate education

I had a mid 60s female, non-ambulatory at baseline and uses motorized scooter who came in for ground level mechanical fall. I did CT head, C spine, CXR, pelvic xray, knee xray and everything was neg. Physical exam reassuring so I sent her home. She came back several days later to the ED when I was working for same leg pain from the fall, no new trauma. Physical exam again benign. I got a CT lower extremity...intertrochanteric fracture lmao

[santal0l]

phuck off *******



Yeah there's not much you can do with a poverty undergrad bio degree. Its either research or graduate education

I had a mid 60s female, non-ambulatory at baseline and uses motorized scooter who came in for ground level mechanical fall. I did CT head, C spine, CXR, pelvic xray, knee xray and everything was neg. Physical exam reassuring so I sent her home. She came back several days later to the ED when I was working for same leg pain from the fall, no new trauma. Physical exam again benign. I got a CT lower extremity...intertrochanteric fracture lmao

Don't you CT techs with MDs down in the ER usually just get a head to toe CT on everyone "just in case"?

[WeekndOrNah]

Don't you CT techs with MDs down in the ER usually just get a head to toe CT on everyone "just in case"?

I've heard many attendings b*tch about ER providers sending everyone straight to CT right away and being unable to answer any questions about the physical exam/patient because they still haven't laid eyes on the patient yet.

I understand the merit of catching issues early and the fine line of covering your ass as a provider in a lawsuit-happy society, but man it's pretty ridiculous how you get a scan as soon as you step in the ER basically.

[incomingbrOMS]

Scans tend to have pretty good likelihood ratios, positive and negative, so I can see why they help with liability. Problem is when something simple has a better one i.e. lipase vs. CT for pancreatitis.

[RobParks2M]

I've heard many attendings b*tch about ER providers sending everyone straight to CT right away and being unable to answer any questions about the physical exam/patient because they still haven't laid eyes on the patient yet.

I understand the merit of catching issues early and the fine line of covering your ass as a provider in a lawsuit-happy society, but man it's pretty ridiculous how you get a scan as soon as you step in the ER basically.

Don't ERs just have a ct scanner in every room?

[JCTWP46]

You’re saying you wish you did that instead?

Nah. Sometimes I question my career choice, but those thoughts seem to come about around hour 16 of a 24+ hour call.

I had a mid 60s female, non-ambulatory at baseline and uses motorized scooter who came in for ground level mechanical fall. I did CT head, C spine, CXR, pelvic xray, knee xray and everything was neg. Physical exam reassuring so I sent her home. She came back several days later to the ED when I was working for same leg pain from the fall, no new trauma. Physical exam again benign. I got a CT lower extremity...intertrochanteric fracture lmao

Time to nail it!

Don't you CT techs with MDs down in the ER usually just get a head to toe CT on everyone "just in case"?

LOLOLOLOLOL

For real though, I cringe every time we're on spine call and a trauma comes in. Cause I know they're gonna pan scan and find some **** in the patient's neck or back. Could be a compression fracture that looks identical to scans from 5 years ago. Still gonna get a call.

[santal0l]

For real though, I cringe every time we're on spine call and a trauma comes in. Cause I know they're gonna pan scan and find some **** in the patient's neck or back. Could be a compression fracture that looks identical to scans from 5 years ago. Still gonna get a call.

lmao fukin ED gonna ED.

[MakeABanana]

LOLOLOLOLOL

For real though, I cringe every time we're on spine call and a trauma comes in. Cause I know they're gonna pan scan and find some **** in the patient's neck or back. Could be a compression fracture that looks identical to scans from 5 years ago. Still gonna get a call.

Even when the radiologist calls those compression fractures old/unchanged?

The ED would cum buckets if there was a CT in every room. But maybe then they'd start to catch on that the reason they're waiting on a final read for their imaging study is because they've flooded the poor radiology resident on call.

Seriously, don't ****ing call me 5 minutes after a study is performed unless you're really worried about a patient clinically. CORRELATE CLINICALLY.

[Tabris]

Bruhs, which surgical sieve mnemonic do you like to use the most?

[MakeABanana]

Bruhs, which surgical sieve mnemonic do you like to use the most?

I use VITAMIN CDEF when really pressed for a comprehensive differential diagnosis:

V: vascular
I: infection/inflammatory
T: trauma
A: autoimmune
M: metabolic
I: iatrogenic/idiopathic
N: neoplastic

C: congential
D: degenerative/developmental/drug-induced
E: environmental
F: functional

[Shmoclo]

I use VITAMIN CDEF when really pressed for a comprehensive differential diagnosis:

V: vascular
I: infection/inflammatory
T: trauma
A: autoimmune
M: metabolic
I: iatrogenic/idiopathic
N: neoplastic

C: congential
D: degenerative/developmental/drug-induced
E: environmental
F: functional

VINDICATE is a good one too

[wildabeest]

Don't you CT techs with MDs down in the ER usually just get a head to toe CT on everyone "just in case"?

just in case

Don't ERs just have a ct scanner in every room?

that's my dream lol

/s

I've heard many attendings b*tch about ER providers sending everyone straight to CT right away and being unable to answer any questions about the physical exam/patient because they still haven't laid eyes on the patient yet.

I understand the merit of catching issues early and the fine line of covering your ass as a provider in a lawsuit-happy society, but man it's pretty ridiculous how you get a scan as soon as you step in the ER basically.

ok MS3 who has never worked in the ED please tell me more about how we do things. Lmao pls go and take your poverty step score with you *******. You dont get to talk chit about EM based on what your attendings say. GTFO

Even when the radiologist calls those compression fractures old/unchanged?

The ED would cum buckets if there was a CT in every room. But maybe then they'd start to catch on that the reason they're waiting on a final read for their imaging study is because they've flooded the poor radiology resident on call.

Seriously, don't ****ing call me 5 minutes after a study is performed unless you're really worried about a patient clinically. CORRELATE CLINICALLY.

I'll stop flooding you guys with scans when you guys stop hedging lolol

look at this chit. what am I supposed to do with this?



lol but in all seriousness I had a code the other day, we got rosc and im setting up for a central line when the pt starts coding again. My attending just tells me to do a blind fem line, while they're doing compressions. This was how I felt trying to hit the vein:



Fortunately I got it after a couple tries but the pt died anyways

[jayhow92]

Poverty bio degree checking in. I mean you're applying to med schools. Might as well go through with it.



Is it enough for a 235+? I just need a 235 and above...that way my score don't show a downward trend lol. I don't know if I'm going into anything competitive.

Right now thinking peds --> heme onc peds fellowship. If not that definitely a lifestyle choice

I think so. I did U World + both UWSAs, OME with Step up as a reference book for about 5wks and got a 251 on it. The exam felt just like U world questions in style and length.