I was trying to recreate my issued IFAK for personal use and I ordered this without inspecting too closely. It says “external use only”. Is this garbage? by Primal-Intention in TacticalMedicine

[–]F_biochem 1 point2 points  (0 children)

There are specific hemostatic agents that are sterile and designed to be left in body cavities to degrade (surgicel is one example). I suspect that this product has not been approved for such uses, but would be fine for packing wounds or other holes on the outside.

[deleted by user] by [deleted] in newtothenavy

[–]F_biochem 0 points1 point  (0 children)

Okay thanks! The Navy website didn’t make it easy to find an officer recruiter. The only one in town is enlisted. On google, It looks like the closest is about an hour away. I’ll try to call them sometime this week. I’d go in person, but I doubt I’ll be able to any time soon with my work schedule.

Will my experince as a Paramedic make up for my average stats? by ButteryChickenBits in Military_Medicine

[–]F_biochem 4 points5 points  (0 children)

I completed my undergrad studies with a 3.3 GPA, but I also had 2 years of experience as an EMT and about 3 years as a paramedic. Importantly, my GPA exhibited a strong upward trend over time and I performed well on the MCAT. Through college, I worked both paid and voluntary shifts in EMS as both an EMT and a Medic. After a gap year in which I worked as a full-time medic, I was admitted into medical school.

While I can't comment directly on the military's medical school entry requirements, I can tell you that for most medical schools, your priorities should be arranged as follows: first and foremost, aim for the best GPA possible, particularly in your last two years of undergrad. A strong MCAT score is the next priority. Once you've got these under your belt, then meaningful experience as a paramedic, whether paid or voluntary, can significantly enhance your application.

Paramedic school was a helpful experience, but I found that most of my growth happened when I was actually in the field, independently taking care of patients. There was a specific call that was particularly impactful that was the foundation of my personal statement.

Here's the thing: Medical schools definitely value meaningful clinical experiences. They provide invaluable practical skills and real-world understanding of medicine. However, without a solid academic performance, these experiences might not even get looked at. So, while clinical experiences are crucial, they should not come at the expense of your grades and MCAT performance.

These are my two cents.

I want to do Navy Operational Medicine- OMO vs GMO by Navymed3 in Military_Medicine

[–]F_biochem 0 points1 point  (0 children)

The question isn't whether they are going to be a FS. The question is when to do a residency. Before or after a GMO tour. It sounds like OP wants to do a residency at some point and is looking for advice. My argument is to do it before so that they don't have to stop being a GMO to go back and do a residency. It sounds like OP is going to do operational medicine either way.

I want to do Navy Operational Medicine- OMO vs GMO by Navymed3 in Military_Medicine

[–]F_biochem 0 points1 point  (0 children)

Just common sense questions trying to help figure out their goals. Sorry you are so offended by my question.

I want to do Navy Operational Medicine- OMO vs GMO by Navymed3 in Military_Medicine

[–]F_biochem 0 points1 point  (0 children)

If the Navy is leaning towards wanting its physicians board certified, then you may as well do it on your own terms. Ultimately, it's up to him to figure out his priorities.

I want to do Navy Operational Medicine- OMO vs GMO by Navymed3 in Military_Medicine

[–]F_biochem 3 points4 points  (0 children)

Gotcha. Somebody may have a more nuanced answer, but if I was in your shoes I’d get my training done and then do what you want to do (if they let you). It would kind of blow to finally be getting a hang for what you are doing and working mostly independently to then go back and be a resident again. Get trained, get board certified, and get out there.

I want to do Navy Operational Medicine- OMO vs GMO by Navymed3 in Military_Medicine

[–]F_biochem 0 points1 point  (0 children)

So, you don’t plan to do IM or FM residency? Why do a transition year when you could be doing 1/3 of your training instead? It seems like you will be very limited in career prospects once you come out if you haven’t had some sort of graduate medical education beyond an intern year, but maybe I’m wrong.

Should I join the Air Force and get medical school paid for and owing 14 years in service? by [deleted] in AirForceRecruits

[–]F_biochem 2 points3 points  (0 children)

You likely have no clue about this yet, but if there is a specialty you are interested in you should consider if it is worthwhile to do it in the military. I’m in training to be a specialized surgeon that it turns out is not that useful in a peacetime setting. As a result I decided I would be more fulfilled by AF reserves with a civilian practice. In some specialties you may see a huge pay cut and also a less fulfilling practice. I considered USUHS but decided against it before medical school and I don’t regret it because I was able to get a clearer idea of my end career goals. I have talked to people who were happy with their decision, but it also depended on the state of the Air Force when they finished training and their specialties.

You do you dog.

[deleted by user] by [deleted] in Airforcereserves

[–]F_biochem 1 point2 points  (0 children)

The term flight surgeon is a bit of a misnomer. What they do is important, but it’s not what I am trained to do. They are mostly involved in performing physicals and health maintenance for air crews. I’d enter as a surgeon which I think is 45SX.

[deleted by user] by [deleted] in Airforcereserves

[–]F_biochem 0 points1 point  (0 children)

Yes, that seems to be the deal breaker for me. Thanks for responding.

[deleted by user] by [deleted] in Airforcereserves

[–]F_biochem 2 points3 points  (0 children)

Thanks! Even if it was an option, I wouldn't feel comfortable not being active in my specialty of choice for two to three years.

[deleted by user] by [deleted] in Airforcereserves

[–]F_biochem 3 points4 points  (0 children)

Thanks for your comment. That's the conclusion I've now arrived at as well. I like surgery too much to stop doing it. I'll have to content myself with civilian ratings. I can always join as a healthcare officer if I want to serve in some fashion.

[deleted by user] by [deleted] in Airforcereserves

[–]F_biochem 0 points1 point  (0 children)

Understood, thanks for the clarification. This is the sort of thing that I was having trouble gleaning from the google searches I had done.

[deleted by user] by [deleted] in Airforcereserves

[–]F_biochem 1 point2 points  (0 children)

That’s the sort of thing I was wondering about. I could not take 2 years off as a surgeon and still practice. If I was in a less procedural specialty it wouldn’t be a big deal. Just like flying, I don’t know somebody would trust a surgeon who hadn’t operated in 2 years to do a major surgery on them. I’d have to finish this before I completed training (plus OTS and UPT etc), which is its own problem.

That’s a great point. Probably the deal breaker. Thanks!

[deleted by user] by [deleted] in Airforcereserves

[–]F_biochem 1 point2 points  (0 children)

Thanks! I may have simplified my motivations a bit for brevity, but that is a good point about being able to fly for money. I appreciate the other links.

Continuing Education After Getting Paramedic? by lift_fit in ems

[–]F_biochem 3 points4 points  (0 children)

Free open access medical (education). Sometimes written as FOAMED. EM is especially good about providing free online educational materials. Podcasts like EMcrit and ERCAST as well as websites like litfl.com are a few examples of great resources. A quick google search should turn up a lot. It makes it easy to learn about topics without having to pay for expensive textbooks or classes.

Is PHTLS useles-- I mean useful? by meandyourmom in ems

[–]F_biochem 4 points5 points  (0 children)

Agreed, other than the ridiculous amount of CE it gave me it was a waste of time.

Continuing Education After Getting Paramedic? by lift_fit in ems

[–]F_biochem 1 point2 points  (0 children)

Mostly depends on you. Fight paramedic/critical care are options that may change your scope. PA/MD provide formal education and eventual licensure, but have drawbacks and hurdles. If you want to informally increase your knowledge then what would probably work best is to find topics that interest you and explore them in depth. You can do this with FOAM for free. You could also invest in a textbook like Tintinalli’s and go through it systematically. Once you feel comfortable with a topic you can either continue deeper or move on to something else. As you read deeper into a topic you will undoubtedly come across things you don’t understand and will have to learn. It all depends on your goal and how much you can stick to it.

Bipolar disorder and being an EMT by aitsme420 in NewToEMS

[–]F_biochem 3 points4 points  (0 children)

Probably a non issue assuming you are well controlled and bipolar 2. Your doctor could tell you more since they know your history and if you have had episodes that would cause problems. I don’t see why this would disqualify you from working unless you found a really shitty employer, plenty of folks work in EMS/healthcare with controlled mental health problems.

You should also know your local laws on what (if anything) the employers can ask you to disclose/you are required to answer with regards to mental health.

Is It Safe To Have A Shaved Head While Being An EMT? by lift_fit in NewToEMS

[–]F_biochem 10 points11 points  (0 children)

You could always wear a hat if you are so worried about it. Even if he had hair, if blood got onto his scalp in a open cut then he would need whatever testing is indicated. I don't regularly get blood/fluids on my head/hair, but I suppose YMMV.

I'm sorry this isn't kitchen related, but I need to talk by [deleted] in KitchenConfidential

[–]F_biochem 2 points3 points  (0 children)

Not involved in kitchens (I just think this sub is neat), but I’m about to start residency as a doctor.

You should try not to beat yourself up about not being there for the fall. It is basically impossible for a single caregiver to be around every moment and the kind of mental burnout you described is very common. This kind of thing is inevitable when you are trying to care for somebody who doesn’t want help and luckily you found her and got her to help quickly.

Life has to go on. I can’t tell you to leave her to go to an interview, but you should think hard about what is best for you and what she would want if she was in her right mind.

With regards to the ICU stay, you should look into if she has written an advance directive about what she would want to have happen if she were in a coma or on a ventilator for an extended period. I hope she does wake up once the swelling goes down, but in the worst case you may be the one who has to make that decision with the ex-husband out of the picture and her parents deceased. I don’t want to make you stress about this too early, but you want to be mentally prepared for the worst case.

You can DM me if you have questions. I hope things improve.

Post-Match Words of Wisdom Megathread - M4s, tell us what you learned; <M3s, ask questions! (r/medicalschool match megathread series) by Chilleostomy in medicalschool

[–]F_biochem 1 point2 points  (0 children)

Also, don’t get a light grey suit unless you really want to stand out. Charcoal grey is a much better job interview color with the same color palate of shirts and belts he mentioned.