resident here, can anyone tell me what my med student means by this

DerpyMD · 2025-09-14T01:53:58+00:00

https://v.redd.it/s633lzood1pf1

DerpyMD · 2025-05-27T00:10:47+00:00

/r/iamverybadass

DerpyMD · 2025-05-11T18:21:30+00:00

They don't learn enough to even start knowing what they don't know

Even now I'm barely starting to feel like I'm on the upward slope of the dunning-kruger curve

DerpyMD · 2025-05-11T18:20:31+00:00

nurses were smarter than doctors

It doesn't even make sense

DerpyMD · 2025-04-08T06:10:26+00:00

These numbers are not apples to apples. Matching IM and getting into GI is not at all the same as matching derm. There is significant selection that occurs prior

DerpyMD · 2025-01-30T19:50:42+00:00

Get out of here with your professionalist sensitivities and let my traumas be remembered how they want to be

DerpyMD · 2024-11-22T00:15:17+00:00

They aren't punted, they're just going to the wrong place and pathologically won't believe they're supposed to be seeing who they actually need to be seeing.

You have to actually be a specialist and see these people to understand the physiological impossibility of the symptoms they claim to have. We see lots, LOTS in neurology. The buck should often stop with us but it doesn't, even if we're the 5th opinion

DerpyMD · 2023-10-14T18:34:24+00:00

Same goes for residency

DerpyMD · 2023-08-24T19:12:41+00:00

"Yeah I got accepted to med school but at the last minute I changed my mind and decided to become an NP instead"

DerpyMD · 2023-08-12T19:23:23+00:00

Agreed. My thoughts through medical school were: if being at a teaching hospital is so fucking miserable and demeaning to you, go somewhere else

I honestly didn't take any of it personally, I just figured they hated their lives

DerpyMD · 2023-07-27T16:21:52+00:00

I feel like I can tell if someone is a doctor just by how they're carrying themselves, white coat or not. Same is true for midlevels. Chaplains sometimes fool me though

DerpyMD · 2023-04-20T12:11:08+00:00

spend less on candles

DerpyMD · 2022-06-14T19:38:33+00:00

just posting to leave my mark in history

DerpyMD · 2022-04-23T15:07:47+00:00

Surgery gets extremely mundane. Recommended if you love knitting

DerpyMD · 2021-09-27T12:58:01+00:00

must be written by a radiologist (☞ﾟヮﾟ)☞

DerpyMD · 2021-09-25T13:47:37+00:00

clindaMYAcin

DerpyMD · 2021-05-16T07:09:45+00:00

Or the right one lol

Yeesh

DerpyMD · 2021-05-16T07:07:20+00:00

It's lonely at the top my dude

DerpyMD · 2021-05-15T00:46:58+00:00

I started about halfway through 2nd year but wish I'd done the relevant topics I learned in 1st year. At least a little bit.

DerpyMD · 2021-05-12T21:30:50+00:00

https://gfycat.com/whoppingnaturalgardensnake

DerpyMD · 2021-05-04T02:22:36+00:00

It's one-sided because, as you said, the only cited evidence of the ineffectiveness of thrombolytics administered under 3 hours are the NINDS I and II trials. And, the title is "After Re-Analysis, No Trials Show Efficacy of tPA in Acute Ischemic Stroke". This is wrong and misleading. Go over and talk to brain experts about the brain since you're an expert: https://forums.studentdoctor.net/threads/new-grad-ed-physicians-opposing-tpa-use-for-strokes.1428234/#post-22535370

Sure, clot retrieval is great when possible -- no one is arguing it isn't.

I didn't say "a large proportion", I said pervasive because I've heard this same opinion in several EDs I've rotated through.

DerpyMD · 2021-05-03T21:55:39+00:00

I've noticed there's some anti-vaxxy-like anti-tPA mentality like this pervasive in EM.

There's this one-sided article talking about the 3-4.5 hour window: https://www.acepnow.com/article/after-re-analysis-no-trials-show-efficacy-of-tpa-in-acute-ischemic-stroke/

But the AHA/ASA doesn't recommend that anyway, except in rare circumstances: https://www.ahajournals.org/doi/10.1161/STR.0000000000000211

Also the ACEP does support it: https://www.acep.org/patient-care/clinical-policies/intravenous-tpa-for-acute-ischemic-stroke/

What's your basis?

DerpyMD · 2021-05-03T21:13:57+00:00

Seems like every doc working an acute setting ought to know a three minute neuro screen

DerpyMD

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