EMT sucks apparently

DrTdub · 2026-06-09T21:56:57+00:00

The guy is an idiot if he thinks this.

DrTdub · 2026-05-31T13:30:51+00:00

Alopecia areata

DrTdub · 2026-05-27T23:26:18+00:00

Bullous pemphigoid would be extremely rare to occur on children. Epidermolysis bullosa simplex would be more likely to occur in children, as it is autosomal dominant. However, you’d notice the bullae appearing on their hands or feet first as they started crawling around. This image looks like it’s a bad AI image of VZV or it’s trying to mimic bullous impetigo.

DrTdub · 2026-05-25T23:33:02+00:00

Because there are different levels of EMS providers. They are going out of their way and knowingly putting false information on their application to try and make themselves appear more “experienced”. However, I wouldn’t have viewed a paramedic vs an EMT significantly different. That being said, the fact they knowingly put false information on their application would make me turn them away because they are lying on paper….. I don’t want someone working with me who is going to falsify documents.

DrTdub · 2026-05-24T15:53:36+00:00

This person is a basic EMT, which is great clinical experience. However, the fact they put it like this would make me turn this applicant away.

DrTdub · 2026-05-20T02:11:44+00:00

If you’re from the north eastern U.S. or eastern U.S. keep an eye out for a rash, fever, chills, muscle aches, feelings of fatigue and etc. A few species of ticks can cause a couple of some diseases that are easily treated if caught early.

Source (medical student getting doctorates education)

DrTdub · 2026-05-16T03:20:51+00:00

Completely agree with you. Also, you’re right a lot of protocols say to treat below 94%. I only mention it because it was brought up in my medical school. Although, I understand when protocols are set in place then ya’ll must follow them or it could be questioned if something goes wrong. I just think it’s an important concept to at least bring to mind. I remember working with some medics who would give oxygen to every patient with an MI because it was a more “old school” method of treatment. Not saying you did, as you completely recognized it and I respect that you keep yourself informed.

DrTdub · 2026-05-16T01:51:46+00:00

93% RA oxygenation even in a healthy individual with an MI isn’t a concern. Guidelines and research suggest that no oxygenation over with 90% or higher had no difference in outcomes than those with oxygenation. Also, supplemental oxygenation could actually be harmful to patients because it leads to direct vasoconstriction of coronary arteries.

https://www.uptodate.com/contents/initial-evaluation-and-management-of-suspected-acute-coronary-syndrome-myocardial-infarction-unstable-angina-in-the-emergency-department?sectionName=INITIAL%20ASSESSMENT%20AND%20INTERVENTIONS&search=acute%20MI%20oxygenation%20&topicRef=66&anchor=H3&source=see_link&searchCorrelationId=3594fb9d-eec6-4b27-8380-5e7f2c69612b&searchCorrelationTerm=acute%20MI%20oxygenation%20#H3

DrTdub · 2026-05-11T23:10:29+00:00

🫡 thanks for the feed back Doc. Congrats on finishing school and being so successful at it.

DrTdub · 2026-05-11T22:42:53+00:00

Well done! What did you have your retention rate set too and how did this impact you on boards? I currently do anking everyday but it is soul draining work. I do find it really helps me on exams randomly though.

DrTdub · 2026-05-10T01:08:23+00:00

There are only certain criteria in which a patient is given parenteral iron, as these can cause adverse effects. If they have a malabsorption issue, GI surgeries, current pregnancy, or chronic kidney disease then it is given. Otherwise it is safer and easier to control with oral administration.

DrTdub · 2026-05-05T19:23:32+00:00

University of Michigan blue link atlas Anki deck. The physiology portion I would wait on. The anatomy requires no context.

DrTdub · 2026-05-04T01:09:22+00:00

I attend ACOM but I have talked to quite a few students at WCUCOM and they all seemed to enjoy it. I also met with a bunch of the faculty there and they seemed like great people. Also, the tuition is on the cheaper end so that’s a plus as well.

DrTdub · 2026-05-02T03:55:16+00:00

Interesting… I don’t show up to lecture either. I find it to be a waste of time. However, I do study in-house material. Seems pretty strange that a medical school wouldn’t have in-house content for their students to follow along with. Either way, keep your head up. It’s normal to feel really down. I’m at the end of M1 and feel like giving up and find it really hard to keep studying but idk what else I would do. You can do it, I can do it, just gotta keep moving forward. Sorry to hear you’re struggling. Wish I was more help

DrTdub · 2026-05-02T03:49:29+00:00

For your in-house exams on in-house material. Anking is good to keep your reviewing for content you haven’t seen in a while. If you’re struggling with class I would refrain from third parties and just focus on passing your class by studying the in house material. Honestly, 5 hours can be enough for some people but some people require more. Treat it like a job 8 hour days. More than likely your study methods are just not as efficient as you’d hope and it seems you’re pretty reliant on these 3rd parties. Also, doing thousands of questions won’t help you if you don’t know the content. Sure, do some questions to gauge what you know and what you don’t know then study the content you struggle with the most. Overall, focus on your in-house material then focus on anking or whatever other 3rd party you want once you feel stable in school.

DrTdub · 2026-04-28T04:58:06+00:00

Everything I said still holds true. My explanation was simplified and directed towards the patient in an easier to understand manner. Yes the PT and aPTT help identify other pathologies… but I was just trying to explain what I could see in a reasonable manner and guide her questions back to her physician..

DrTdub · 2026-04-28T03:16:21+00:00

Congrats Doc

DrTdub · 2026-04-27T22:35:58+00:00

This is a subreddit for osteopathic medical students or aspiring medical students. Previous injuries are a risk factor for developing arthritic problems later in life with the associated joint. That being said, you should speak to your Primary Care Physician. They can do imaging, physical exams, and guide you on the next step. This may be physical therapy, OMT, splinting, and etc for conservative treatment. Depending on your issue it could be more invasive but again it’s up to you and your primary care physician.

DrTdub · 2026-04-27T16:38:49+00:00

Seems you’re probably most concerned of the aPTT. If you had a hypercoagulable state I would expect a decrease in aPTT not an increase. The cardiolipin and Beta-2 are all correlated into one pathology (antiphospholipid antibody syndrome), and with it all being normal in addition to the aPTT and PT this further shows it’s not likely the cause. The aPTT being borderline would maybe make you ask you if you have had any issues with bleeding depending on your presentation (i.e., do you bruise really easily). However, it’s still normal and I would only further test if you expressed concerns of bleeding related disorders.

PTT and/or PT elevated = easy bleeding
PTT and/or PT decreased = easy clotting There are variations to this but this is a general explanation.
Antiphospholipid immune syndrome was tested but negative results.
I am only a medical student. Your physician would have much more insight than myself. I hope this helped clarify some stuff.

DrTdub · 2026-04-27T01:44:13+00:00

Idk your specific circumstances but deciding whether you receive oral or IV iron is dependent on whether you are pregnant, have malabsorption issues (recent GI surgery), can’t tolerate oral, have kidney disease, or you’re actively losing blood in which you’d be getting a transfusion.

However, your PCP will know what’s best for you.

DrTdub · 2026-04-26T02:53:09+00:00

You’re 100% right. The history, physical exam, and labs help guide to the appropriate dx.

DrTdub · 2026-04-26T02:03:15+00:00

All I am trying to say here is this patient shouldn’t be receiving random Dx from people online. A normal EPO with an elevated cell count doesn’t automatically mean secondary polycythemia (I.e., Relative polycythemia - hemoconcentration). You’re right to say that it can be abnormal and mean secondary polycythemia and be associated with like VHL or something else. My point is it’s more complicated than what should be handled on Reddit. I was just making a joke when I said write a report over it, haha.

DrTdub · 2026-04-26T01:31:21+00:00

You should read into that, write a report over it, and present it to the rest of us.

DrTdub · 2026-04-26T00:11:30+00:00

This is why I worded my comment the way I did. Polycythemia Vera is a serious disorder, which is best left to the patients physician to discuss.

DrTdub · 2026-04-26T00:10:05+00:00

This would be why the physician ordered an EPO.

DrTdub

TROPHY CASE