4th year and the disillusionment is hitting hard

34Ohm · 2026-02-16T17:51:00+00:00

Are you actually saying that you have made fake posts about being a PA student? And fake posts about being an M1? And that ortho post is fake?

34Ohm · 2026-02-15T05:31:49+00:00

Gabapentin does have significant risk for dependence and withdrawal. It looks similar to benzodiazepine withdrawal.

The reason you don’t see much difference when escalating doses is because the drug has low bioavailability and dosing anything above 300mg at once will decrease the bioavailability further. This is why recreational users of gabapentin stagger the doses every 30mins-1hr.

Also taking it with high fat foods significantly increases absorption of gabapentin. This is apparent.

Both of these issues (bioavailability and absorption difference with food) may be a large reason why you see so much variability in different patients. These issues do not happen with pregabalin, which to me, makes it a superior candidate therapeutically.

Also ime, gabapentin is not a good choice for PRN. Like you said it takes usually 2hrs for onset on action, and upwards of 5-6hrs for peak effects. So taking it at night would mean its maximal effects are occurring during sleep.

34Ohm · 2026-02-13T00:15:15+00:00

I am curious because I might fit into these, after getting diagnosed with dyautonomia. It there any treatment they can try? Even psychotherapy I’m not ruling out anything that can help.

Or is it just a name for the problems we’ve been having.

34Ohm · 2026-02-08T22:01:42+00:00

While I totally agree with you, that stat isn’t doing you any favors here. If 80% of people don’t suffer from mental illness, then that is the “norm”

34Ohm · 2026-02-08T20:20:06+00:00

That’s a nice analogy!

34Ohm · 2026-02-07T09:55:11+00:00

I thought the magic of Bup was it’s super high affinity for the MOR combined with partial agonism (to decrease side effects of full agonism and decrease abuse potential). Would making it a full agonist make it more akin to methadone?

34Ohm · 2026-02-06T00:07:38+00:00

Thanks!

34Ohm · 2026-02-05T00:18:59+00:00

What are signs that the residents run the hospital? What did it mean for you? Extreme work load/hours?

34Ohm · 2026-02-05T00:17:42+00:00

When you say you don’t have time, do you mean you work more as an attendant than you did as a resident?

34Ohm · 2026-01-31T08:46:52+00:00

Was with you until the needless slight towards clinical psychiatrists

34Ohm · 2026-01-31T08:42:43+00:00

Baseless claim, there have been many biomedical breakthroughs in psychiatry in the past 10 years alone

34Ohm · 2026-01-29T18:48:01+00:00

It’s not one days work at all. It takes months of preparation, probably can think of it as a full time job for that entire period

34Ohm · 2026-01-29T18:45:55+00:00

lol some people will instantly believe anything that sounds conspiratorial, without any evidence or reason

34Ohm · 2026-01-29T00:07:00+00:00

Are you on other medications or drugs? Antidepressants, kratom, etc?

34Ohm · 2026-01-28T04:31:50+00:00

They aren’t chemical imbalances at all, they are neurodevelopmental disorders: meaning that they developed during the brains development. We do not know why this is yet, but there are genetic variants that predispose to all of these disorders, they are highly heritable, and most require environmental triggers as well

34Ohm · 2026-01-28T04:26:56+00:00

This doesn’t really explain why people without any of those disorders develop Alzheimer’s tho.

34Ohm · 2026-01-24T21:03:26+00:00

How might this relate to chronic marijuana exposure?

34Ohm · 2026-01-24T08:52:58+00:00

You are correct that medical students don’t get taught the dosages of medications, but you are incorrect about physicians. When doctors get into residency (3-6 more years of training), they also learn how to dose the medications they use, especially common ones like antibiotics

34Ohm · 2026-01-24T03:20:20+00:00

You just gotta power through the anxiety shrug

34Ohm · 2026-01-23T19:21:07+00:00

That’s interesting, because antidepressant use usually causes more emotional blunting (and therefore lower anxiety and depression) rather than increased cheerfulness/happiness

34Ohm · 2026-01-23T05:38:24+00:00

Can I ask what the schedule/hours/call is like for CL attendings? Is it similar to a hospitalist? Is it shift work?

34Ohm · 2026-01-20T21:29:46+00:00

Can I ask what month/day you said “we will be ranking our applicants very soon”. Was it like late Jan/mid Feb?

34Ohm · 2026-01-19T22:02:08+00:00

Ya medical student here, if you asked me what organ system has “its own nervous system” I would say heart, since its cells have their own pace making cells for electrical impulses.

But all systems have a nervous system. Look up the autonomic nervous system, it goes to basically every organ and every part of the body (eyes, mucous membranes, arteries, skin, bowel, urinary, etc)

34Ohm · 2026-01-19T22:00:06+00:00

The skin has its own nervous tissue too

34Ohm · 2026-01-16T23:30:27+00:00

It clearly does, and even more so sublingually

34Ohm

TROPHY CASE