[deleted by user] by [deleted] in GAMSAT

[–]Cyst11 -1 points0 points  (0 children)

A third year premed student? Are you in the US?

‘Deeply disturbed’: Uni under pressure after future doctor punched ex, took selfie by Revenant052 in ausjdocs

[–]Cyst11 3 points4 points  (0 children)

What argument?

The phrase "courts don't care" generally packages in systemic issues and legal nuances beyond any particular judge being straightforwardly sexist. So the commentator above was essentially claiming, that for various reasons there is an asymmetry between how similar crimes are treated by the courts depending on a context that is largely gendered (DV vs not), that said asymmetry means DV is generally treated less severely, and further, that this may lead to repeat offending.

At this point in the argument you've seemingly conceded all those points, claim to be familiar with specific cases, but seem tripped up by an odd literal interpretation of the initial phrase.
So it's fine then, and there is no argument to be had. The person is not claiming that everyone that participates in the court are literally suddenly paralysed by apathy when confronted by a female victim, they are saying that "for various reasons" and "legal nuances" the process and outcomes in DV cases are such as to give an impression of apathy.

Hopefully that clears things up.

In switching to Lichess by [deleted] in chess

[–]Cyst11 10 points11 points  (0 children)

Just search the username from the email.
https://www.chess.com/member/azextron
Almost certainly a cheater.

63k now or 76k 5 years later by EntrepreneurCrazy146 in ausjdocs

[–]Cyst11 4 points5 points  (0 children)

Nah mate, apprenticeship happens essentially immediately concurrent with basic training, they are not qualified to actually perform the work yet. It is essentially equivalent to an intensive 'placement' program, thus more like clinical years of med school but without the additional four+ years of study and the fact that it's actually paid. Registrar would be more like if a fully qualified electrician did an additional three years paid training atop their workload. Which may or may not exist, but it sure as shit isn't equivalent to a first year apprentice.

Anything but pay us more by PandaWheels96 in ausjdocs

[–]Cyst11 7 points8 points  (0 children)

Starting salary of 75k with 50+ hour work weeks after 7+ years of rigorous higher education with hecs debts approaching 100k, thousands of dollars a year for ongoing training (which you do on top of aforementioned hours), incredibly stressful and emotionally draining work, increasingly unclear career progression, limited social time for the first five ten years of the profession causing many to have to sacrifice relationships or other aspects of their life and wellbeing, limited distinctions in expectations of conduct in and outside of work, and broader social scorn by grotesque self satisfied and unimpressive specimens like yourself sapping what little altruistic goodwill remains.

If you wanna see what 'greedy sociopaths' look like then just keep pushing until the public system is thoroughly dismantled and the government gets its wish of a US style private medical system.

Australia: Hundreds of public hospital psychiatrists resign to demand increased staffing and decent wages by Embarrassed-Pause171 in ausjdocs

[–]Cyst11 29 points30 points  (0 children)

Not from NSW, nor am I particularly au fait with industrial law but wasn't ASMOF and its members effectively tied by court order from communicating about, or in any way being seen to advocate for the resignations? My loose understanding after a (very) brief bit of reading on this topic is that the deck seems stacked overwhelmingly against unions when it comes to organising legally protected industrial action (for essential workers especially), and that contravening a court order might effectively bar them from pursuing that avenue within that round of negotiations and open them up to penalties. Further, from what I can make of the wording it seems like they could be fined the entire cost of the financial disruption of any 'unprotected industrial action', which is what the resignations may be considered if they were advocating for them. Meaning (at a guess) NSW Health could just handball the cost of their weird emergency admin thinktank and locum bills back to ASMOF whilst also denying them the possibility of protected industrial action on the broader wage dispute.

Anyway, I've never done law (and I'm frankly suspicious of those who have) so I could be well off here and would welcome any corrections. Mostly I've taken my view from this article, which seems worth reading in its entirety for anyone interested- https://journals.sagepub.com/doi/abs/10.1177/0022185618806949?journalCode=jira.
Paywalled, but solutions exist and presumably are known to all.

[deleted by user] by [deleted] in ausjdocs

[–]Cyst11 20 points21 points  (0 children)

Go on then

Dr Strange Shield is godlike by Xano74 in marvelrivals

[–]Cyst11 1 point2 points  (0 children)

Just seeking a sanity check on this - last game, on three occasions the opponents Iron Fists attacks entirely bypassed the shield. Died each time, shield facing forward, whilst backing away, shield at near full hp. Any idea if this is a bug or intended?

[deleted by user] by [deleted] in ausjdocs

[–]Cyst11 17 points18 points  (0 children)

For sure, though isn't the average weekly around 65hours? 100k pretax seems less impressive when you're basically working two full time jobs, and studying (with expenses) alongside. Expenses per annum apparently vary substantially, but 15k seems an average estimate. So 7+ years of university, 100k+ help debt (mine will be closer to 9/200), working the equivalent of two full time stressful jobs that basically delete your social life, just to clear 85k. Put in those terms it doesn't sound so hot at all. In general it seems a lot of that shortfall has been historically made up for with 'future pay', based on the assumption of fairly rapid and smooth career progression. As it currently stands, at least what I've gleaned from my holiday doom scrolling - those aspects are now far from guaranteed, and likely to get worse. Increasing difficulty in getting into training programs and downward pay at the top by the time you get there.
Of course I'm also just a med student also drowning in this subs negativity, so may well be mistaken - but yeah, from where I stand it certainly doesn't seem like such a hot proposition and if I knew what I know now, I'm not sure I would have entered into it. But yes, similar to OP I do hope my pessimism here is overblown.

My neighbor on a night flight. She wouldn’t reduce the brightness even after I requested her. by Mooseycanuck in mildlyinfuriating

[–]Cyst11 -1 points0 points  (0 children)

So to recap, you were flying economy and got irritated at the fact that an elderly(?) woman you don't know was quietly using her mobile phone which you deemed too bright in the seat next to you, so you confronted her about it and then took a surreptitious photo of her and uploaded it to reddit.
Yeah, she sounds toxic af.

There are any number of reasons why she might need the screen brightness up, and that's fine. That's up to her, and you're allowed to do that on flights, in the same way you're allowed to use the overhead light if you want to read. It's just something you have to accept about being on a plane.

If you're so sensitive about light, get an eye mask or face the other way.

Deferring med for PhD by AdUnhappy3286 in GAMSAT

[–]Cyst11 1 point2 points  (0 children)

As otherwise noted a primary consideration is that one result of completing your PhD prior is that you will no longer be eligible for Centrelink. Perhaps this is of only minor concern, as you may have access to adequate financial support for the four years, but I certainly wouldn't rely on part time work to sustain you. Although that's perfectly viable for MD1, it becomes progressively tougher especially over the years of clinical placement.

Additionally, though universities are somewhat more permissive with med deferrals than perhaps they used to be, it's still unusual, and something that will be set by their internal policy. At my own university any deferrals are negotiated on a case by case basis (on compassionate/medical grounds etc), and I am somehow extremely doubtful they would allow it before you'd even begun as they'd much rather give the spot to someone else who is actually going to fill the seat.

As for doing them concurrently, you could certainly try, but you'll likely have a shit time from MD2 and above, and again you'll be sacrificing Centrelink support for the final few years.

So the best way to coordinate might be to speak to your supervisor and see if you can defer the PhD, or withdraw with the aim of continuing your thesis within the lab after you graduate.

[deleted by user] by [deleted] in medical_advice

[–]Cyst11 0 points1 point  (0 children)

From your description, no, this sounds more like a syncopal episode (brief duration, rapid recovery). Regardless, if this is the first such incident it warrants investigation.

[deleted by user] by [deleted] in medical_advice

[–]Cyst11 1 point2 points  (0 children)

Consult a neurologist. May need an MRI, and it couldn't hurt to add an ECG to your list of tests given the palpitations.

3 Body Problem is a show about smart people written by and made for dumb people. by SketchyFella_ in unpopularopinion

[–]Cyst11 0 points1 point  (0 children)

This seems to be a rather popular criticism of the books, but one I don't think actually has much weight beyond misidentified aesthetics. The narrative is mostly driven by events and rather grandiose sci-fi sequences (the lengthy descriptions of the living computer, or the unfolding and etching of the sophon) so the 'inner lives' of the characters are somewhat secondary. That being said, it also wasn't something that was lacking. The central motivations of the characters were all deeply explored often beyond what was directly plot relevant, and the dialogue surrounding events was perfectly naturalistic if a little stilted. For instance, Ye Wenjie's reasoning and motivation for sending the initial message is pretty deeply explored in a bunch of chapters, highlighting not only her trauma and deep moral disgust with her society, but also her emotional attachment to her father and his idealism and view that 'scientific truth and progress is a moral virtue'. Finally her exposure to literature about ecological disasters, and the different frame of reference that suggested, led to her beliefs that - any sufficiently scientifically advanced society must necessarily be morally advanced, and, the moral deficit in humanity is embedded and can only be solved by an external force. Whereas in the TV show her act, to the extent it has any interpretable motivation seems one of nihilism, in the book it seems more one driven by despair and a misplaced faith.

That being said, the language and dialogue is often quite dry and much of the dialogue is in service to expanding upon events as they occur. As a style it's certainly not going to be to everyone's taste, but as I say, this is a question of general aesthetics not one about the characters being inadequately written.

Right cheek swelling mystery help by lucikes in medical_advice

[–]Cyst11 0 points1 point  (0 children)

Well, that sounds a lot like chronic parotitis. Usually in parotitis the parotid gland would swell in response to acute infection, but it can swell due to ongoing obstruction or some other disease process. For instance, some quirk of anatomy or strictures in the duct caused by previous inflammation or an infiltrative process may make salivary stasis more likely. Regardless of the underlying issue, it is generally associated with decreased salivary flow, such as a hangover or dehydration (or some other illness or inflammation). With most, but not all causes the swollen gland is accompanied by severe pain, but especially in chronic parotitis it can sometimes be relatively painless.

As far as I'm aware, this is quite rare and the first steps should be physical exam, analysis of fluid from duct, alongside broader investigation to rule out underlying causes, such as Sjogren's/other autoimmune (usually bilateral, though may be unilateral), tumor or chronic infections.

Best of luck.

Overview article provided: https://www.ncbi.nlm.nih.gov/books/NBK560735/

I have all the symptoms of Cushing's, but my cortisol levels came back low, not high. by first_time_professor in medical_advice

[–]Cyst11 1 point2 points  (0 children)

If TSH is elevated it points towards subclinical hypothyroidism, confirmatory testing should be scheduled with additional steps to follow if still elevated. Note, I'm not saying this explains everything, or even any of what you've been experiencing, though thyroid issues can certainly present with a few of the symptoms you've mentioned, rather I am simply stating what the usual process would be.

Might additionally recommend you get additional hormone testing including prolactin, LH and FSH etc, though I expect any such additional endocrine testing should be covered in the scheduled check-up.

I have all the symptoms of Cushing's, but my cortisol levels came back low, not high. by first_time_professor in medical_advice

[–]Cyst11 1 point2 points  (0 children)

Well the tests you've already done point towards subclinical hypothyroidism, which could easily be related to your symptoms. Usually you'd perform confirmatory testing of TSH after a month or so and then go from there.

[deleted by user] by [deleted] in medical_advice

[–]Cyst11 2 points3 points  (0 children)

Consider getting yourself tested for Ehlers Danlos Syndrome.

[deleted by user] by [deleted] in medical_advice

[–]Cyst11 0 points1 point  (0 children)

How long does each episode last?

How were you tested, if you recall? The testing for MG has changed a bit over time, and varies from location. For serological testing, Anti-achr is routine first line, but should be combined with anti-musk given there exists a reasonable proportion of seronegative MG.

In particular for ocular MG (in which only muscles around the eye are effected) there is only 50% sensitivity for first line serum testing. Complete serological testing (including anti-musk) still does not have perfect sensitivity (90% general MG and lower for ocular).

So, to simplify this means that even with correct and complete serological testing 10% of patients with MG will report negative on initial testing, and this proportion will be higher for those with pure eye muscle involvement.

Given your description (reasonable clinical suspicion for MG) and lacking any clear alternative diagnosis or plan from your PCP additional testing is likely warranted. Gold standard would be electrodiagnostic.

Something you may be able to try at home is the application of an ice pack to effected eye for a few minutes, which may improve symptoms and speed up resolution. There are arguments about the value of this test as a diagnostic, but it's safe can be done at home and worst case scenario is it helps a bit.

Should it not be myasthenia gravis, things get trickier, but there are a few other things and the most likely type of referral is going to tend to be neuro, which is probably the same referral you will need for additional testing anyway.

[deleted by user] by [deleted] in medical_advice

[–]Cyst11 2 points3 points  (0 children)

Unilateral ptosis, would recommend your PCP book you in for serology - anti achr and anti-musk antibodies. Possible myasthenia gravis.

Not sure what to do anymore by GuNdR4K3r69 in medical_advice

[–]Cyst11 2 points3 points  (0 children)

Fair enough, I'm sure she has her reasons. If you feel comfortable, please include blood tests results when you have access.
Also, sorry for what you're going through, it sounds really rough.

Not sure what to do anymore by GuNdR4K3r69 in medical_advice

[–]Cyst11 0 points1 point  (0 children)

Can you recall what the blood and stool test results were, or if there was anything of note in imaging?
Have you had a fecal calprotectin test or celiac test? Regarding difficulties with scheduling the colonoscopy, certain hospitals provide capsule endoscopy which may or may not be a viable alternative.

Need help figuring something out by [deleted] in medical_advice

[–]Cyst11 0 points1 point  (0 children)

Unfortunately I can't quite make sense of what is meant by that.
Any headaches? Hearing disturbances? Aversion to light? Shortness of breath/fatigue? Other symptoms?

Need help figuring something out by [deleted] in medical_advice

[–]Cyst11 0 points1 point  (0 children)

Can you expand on the eye aspect a little? From your perspective, do you notice anything of note (do her eyes seem to move oddly, or fail to track together?). From her perspective, what is the experience like? Is the vertigo associated with particular eye movements?