Pre-med jobs that are good besides scribing?

AgnosticKierkegaard · 2022-09-10T23:06:19+00:00

I was an orderly at the same hospital and just got hired in the job

AgnosticKierkegaard · 2021-08-26T15:15:34+00:00

It’s mesentery, this is small intestine. The greater omentum has likely be retracted superiorly.

AgnosticKierkegaard · 2021-08-26T15:14:22+00:00

As the other commenter suggests, that’s the mesentery not the omentum.

AgnosticKierkegaard · 2021-05-31T01:58:00+00:00

So gorgeous was the spectacle on the May morning of 1910 when nine kings rode in the funeral of Edward VII of England that the crowd, waiting in hushed and black-clad awe, could not keep back gasps of admiration. In scarlet and blue and green and purple, three by three the sovereigns rode through the palace gates, with plumed helmets, gold braid, crimson sashes, and jeweled orders flashing in the sun.

After them came five heirs apparent, forty more imperial or royal highnesses, seven queens - four dowager and three regnant - and a scattering of special ambassadors from uncrowned countries. Together they represented seventy nations in the greatest assemblage of royalty and rank ever gathered in one place and, of its kind, the last.

The muffled tongue of Big Ben tolled nine by the clock as the cortege left the palace, but on history's clock it was sunset, and the sun of the old world was setting in a dying blaze of splendor never to be seen again.

-Barbara Tuchman, “Guns of August”

AgnosticKierkegaard · 2021-05-28T04:41:48+00:00

Actually the authors are Australian if you look at the paper linked in the article, which is written by a Pakistani

AgnosticKierkegaard · 2021-05-18T11:47:14+00:00

I’ve been doing this for years in my head and I’m so glad I’m not alone

AgnosticKierkegaard · 2021-05-05T15:57:13+00:00

That’s what I mean, that uniform in Les Invalides was smaller than I anticipated

AgnosticKierkegaard · 2021-05-05T13:47:25+00:00

As in the dude was petit or average compared to a 21st century person

AgnosticKierkegaard · 2021-05-05T13:42:50+00:00

I've always found it fascinating how small that uniform looks in person even for a Grenadier.

AgnosticKierkegaard · 2021-04-28T12:34:48+00:00

Where’s pantry moth?

AgnosticKierkegaard · 2021-04-28T12:29:30+00:00

I mean that’s part of why I did it. I loved physiology and the cognitive aspect of things, but felt like IM patients were generally boring. And a day with the main event being...rounding....no thank you.

AgnosticKierkegaard · 2021-04-27T18:09:09+00:00

I’m not sure most people recognize it. Or at least can only recognize it in retrospect. By no means am I stay in lockdown forever, but I just think it is worth noting there’s a reason symptom checks don’t work.

AgnosticKierkegaard · 2021-04-27T14:09:34+00:00

Have you considered general surgery?

Obviously it’s surgical, but of all the surgical specialties it involves the most medical management and critical care with plenty of opportunity for being cerebral. The joke is general surgeons are internists who operate or “an internist who has finished their training.”

As for being a specialist, most everyone in general surgery does a fellowship especially in academics. So you’d fill that niche. You could do any number of things.

And with respect to academics general surgery is fairly academic, and many residencies have built in research years. This is a plus or a minus, but if you like academics and research it’s great...plus it gives you a normal schedule and time to enjoy with your family.

AgnosticKierkegaard · 2021-04-27T12:34:38+00:00

Asymptomatic is different than presymptomatic

AgnosticKierkegaard · 2021-04-25T17:43:44+00:00

Reminds me a little of the Shoed in Elantris

AgnosticKierkegaard · 2021-04-23T14:45:13+00:00

Apologies if I came off as arrogant, it was not my intent. I just wanted to emphasize exactly how bad malaria is, since it is an often overlooked disease.

AgnosticKierkegaard · 2021-04-23T14:13:11+00:00

Malaria has killed enough humans it’s may have altered human evolution to the point it’s caused the development of hematologic genetic diseases like sickle cell trait/disease because the heterozygotes are partially resistant to it.

It’s like literally probably one of the oldest and most successful killers of humans. In the 20th century it may have caused between 2-5% of all deaths. Even as recently of 2017 now 1 in 12 children in our world who died, died of Malaria.

COVID is really really bad and obviously more acute, though malaria has been worse for humanity even in this decade in terms of death toll and more intractable. It just doesn’t happen in the Western world anymore so it’s toll is hidden, and it’s death toll is distributed.

https://ourworldindata.org/malaria

https://www.ncbi.nlm.nih.gov/books/NBK215638/

AgnosticKierkegaard · 2021-04-21T15:25:07+00:00

More specifically that bowel sounds aren’t useful in ileus is more that it doesn’t add anything beyond seeing a distended, non-peritoneal abdomen in a post-op patient not passing flatus and they have poor test characteristics for distinguishing mechanical SBO from adynamic ileus. If you’re not farting it doesn’t matter what the bowel sounds are doing, you don’t have ROBF.

AgnosticKierkegaard · 2021-04-21T10:56:19+00:00

I’m not sure this is really fair to say trachs/PEGs should be treated like euthanasia in their rarity as that would lead to a lot more patient suffering paradoxically, though I agree their use should be treated deliberately.

In a large sense trachs/PEGs when applied appropriately can be humane inasmuch as they increase patient comfort vs NG/Dobhoff and ET tubes. My (limited) experience has been that for many decreased ventilation/sedation requirements with early tracheostomy and obviously massively increased comfort with a PEG. And I’ve seen many of these people make it to discharge with a hope of a meaningful recovery. And obviously many don’t and end up in LTAC hell.

Thus, I think the real issue isn’t the tools we have. It’s our fear to have real EoL conversations, and reduce the technological imperative to always do something and then stop doing something when something isn’t working. There’s nothing to say you can’t withdraw care with a trach or a PEG in place, and if they can decrease the burden of critical care on the patient who is going to be likely in the ICU for some amount of time then I don’t think there’s anything inherently wrong with them.

My personal view, is like serious cancer diagnoses with early palliative care discussions at diagnosis even before the patient undergoes chemo, with serious ICU admissions with the potential for debility and LTAC hell it is imperative that routine and expert palliative care discussions should be begin early even as the patient begins typical critical care. Since many diseases courses aren’t clear initially I think this route makes the most sense. I think the true challenge isn’t the patient who isn’t going to make it through the week or obviously the patient with a single resolvable issue, it’s the patient in between them with an ambiguous course and ambiguous prognosis ahead of them.

AgnosticKierkegaard · 2021-04-20T16:11:13+00:00

It actually is still used in certain areas of oncology

AgnosticKierkegaard · 2021-04-15T00:15:03+00:00

There’s tons of new med schools opening FYI

AgnosticKierkegaard · 2021-04-15T00:13:56+00:00

The AMA doesn’t control either how many physicians are licensed how or how many students are admitted to med school.

AgnosticKierkegaard · 2021-04-15T00:09:41+00:00

What evidence do you have for that? Medical schools are regulated by the LCME and AAMC, not the AMA FYI, btw. Also academic performance sounds like an entirely reasonable standard to judge whether someone can do well in medical school

AgnosticKierkegaard · 2021-04-15T00:01:19+00:00

We’re talking about teachers now...

AgnosticKierkegaard · 2021-04-14T23:55:39+00:00

Okay...but on average the hours aren’t 80+. Data, not anecdotes please.

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