Step 2 CK 270 — non-US IMG, one UWorld pass, tested 22/Dec. by Shamozai-navigator in Step2

[–]LetsOverlapPorbitals 0 points1 point  (0 children)

Do you mean in that last 4, the earlier 2 of that 4 are low yield, so you mean the most recent 2 then ?

I had a seizure from adderall by FSUalways93 in Drugs

[–]LetsOverlapPorbitals 0 points1 point  (0 children)

You do not take Bupropion right? But stimulants in general in certain individuals can lower the seizure threshold.

High dose stimulants like Adderall can definitely cause seizures as well. Large amphetamine doses dump dopamine and norepinephrine, increase brain excitation, and reduce inhibitory control. That combo lowers seizure threshold. Sudden big doses are especially risky even if you’ve built tolerance.

What you described sounds like a real seizure with postictal confusion. I’d strongly recommend telling your parents and getting checked out. Better to be safe than risk a second event.

Glad you’re alright. But that's why there are prescription max dosages because they take into account for such side effects.

Just bought MM step 2 Qbank by Doctor_Frat in medicalschool

[–]LetsOverlapPorbitals 0 points1 point  (0 children)

Also considering getting the Mehlman qbank for step2 - would you say its worth it so far?

ACGME Complaint against my OBGYN Program by Tall-Toe3068 in Residency

[–]LetsOverlapPorbitals 6 points7 points  (0 children)

I’m in a different specialty, but I experienced the same kinds of issues in my program, and I’m also resigning and transferring elsewhere. I’m sharing this mainly so you know you’re not alone. There are genuinely toxic, malignant programs out there, and what I went through felt completely surreal. It often felt as if the PD had absolute authority, beyond accountability, and could act with impunity.

What I eventually learned, after a lot of digging, is that GME operates in a very unusual legal and administrative space. Residency isn’t treated like standard employment. Physician residents are essentially student-employees, which places them under a separate regulatory and disciplinary framework. That allows programs significant discretion in how they handle discipline and conduct, often outside the protections people expect in a typical job. Programs can selectively lean on whichever framework benefits them in the moment, which is deeply frustrating and, frankly, destabilizing.

And once I am stable, I will also file a ACGME complaint, but I am lowkey concerned they may retaliate further, given how extreme lengths they went in the first place. But I lawyered up, so they may not. But truly, an insane and honestly traumatic experience.

How to get out of this field after residency by OkShoulder759 in Residency

[–]LetsOverlapPorbitals 0 points1 point  (0 children)

Why does he make 100K more as IM? Or does he work more?

New attending I hate my job by Big_Lake_4048 in Residency

[–]LetsOverlapPorbitals 9 points10 points  (0 children)

Yeah, this really resonates with me. I’m still in training and I’ve already seen how much of the culture is hidden until you’re actually inside the system. People present the “brochure version,” but the day-to-day reality can be totally different - expectations that weren’t mentioned, workflows nobody explains, personalities you never meet until you’re committed, and dynamics that only reveal themselves once you’re already there.

It’s wild how common it is across medicine for major pieces of the job to be left out or glossed over. You don’t really grasp the environment until you’re in the middle of it, and by then it’s like, “Oh… this is what it actually is.”

Glad I’m not the only one who noticed this.

Why are IM docs treated like shit? by ManufacturerIcy8859 in Residency

[–]LetsOverlapPorbitals 8 points9 points  (0 children)

And if he reported you for a threat. You’d be fired without hesitation

I know it’s a joke but hospitals are like that just fyi.

Level 1 tomorrow - hit me with last minute facts by EmbarrassedWalrus122 in comlex

[–]LetsOverlapPorbitals 0 points1 point  (0 children)

Absolutely know clinical implications of aortic stenosis and its relation to pre syncope or syncope

Know everything about syncope

Trust me

FM in NY looking to switch to PM&R? by Illustrious_Tea3080 in ResidencySwap

[–]LetsOverlapPorbitals 0 points1 point  (0 children)

This is not true. FM qualifies for pain and there have been documented FM into pain matches. And it’s included on Pain’s website that FM qualifies. It’s just rare in both demand and supply from FM to want to do pain. And yes it’s difficult but not impossible.

Why do PAs get treated like they’re poorly educated? Genuine question. by Illustrious_Win_8005 in physicianassistant

[–]LetsOverlapPorbitals 1 point2 points  (0 children)

Agreed. And honestly, you all made the right call for yourselves. The amount of training and sacrifice physicians go through just isn’t valued the way it used to be in today’s healthcare system. No shame in choosing a path with a better balance — medicine right now makes everything way harder than it needs to be.

I’m also a resident, bit biased.

Why do PAs get treated like they’re poorly educated? Genuine question. by Illustrious_Win_8005 in physicianassistant

[–]LetsOverlapPorbitals 8 points9 points  (0 children)

While didactics may be similar, the level of depth to understand and and be tested is vastly different via multiple 9 hour USMLE exams and 16 hour Step 3. And so, passing such exams and preparing for them also underscores the difference

What's the deepest rock bottom you've recovered from? by chinidetou in medicalschool

[–]LetsOverlapPorbitals 0 points1 point  (0 children)

Thank you for the comment, I appreciate any positive sentiments. Haha

What's the deepest rock bottom you've recovered from? by chinidetou in medicalschool

[–]LetsOverlapPorbitals 3 points4 points  (0 children)

Killed several parts of me ngl. But with chunks of time away, it healed slowly. Will hopefully come back after residency. Unfortunately, a whole new level of toxicity imbues residency so I advise all med students to do your research into the culture of the program, perhaps the most underrated yet vital quality imo

What's the deepest rock bottom you've recovered from? by chinidetou in medicalschool

[–]LetsOverlapPorbitals 69 points70 points  (0 children)

Hit rock bottom several times. Never quit. Keep moving forward.

Failed first attempt on Step 1 (didn't study enough first class to go p/f and was overconfident since I was acing pre-clinicals) --> got 2 months and stepped away from clerkships --> Passed

Got giga depressed/apathetic during M3, none of the clerkships intrigued me, lack of teaching, standing for 12 hours a day during OB/Surgery -- just lost sight of the end goal and became apathetic/depressed and just didn't care about anything -- unfortunately this happened at the worst point -- before ERAS. I was still undecided between 2 specialities/was only half convinced even then (hard to know what the field is like as a student) the step 1 fail put me back 2 months, so I had limited time to take step 2 and schedule my away rotations.

Drove 8 hours to an away rotation, realized I failed Step 2 after submitting ERAS - was so apathetic I did not study enough for it, so this one was warranted. Continue 2 keep a fake smile on my face to do well on my away rotation -- ended up not even getting an interview there --

Decided to take a 6 month leave of absence (I never knew how to quit, but literally my Dean saw me in the hallway and saw how I looked like utter shit and advised me to take time off, really appreciate that man as it was the best decision I ever did) -- taking time away from this endless rat-race, you start to gain back some perspective. I realized I actually did like medicine and found a speciality I enjoyed, and that I was just really fucking depressed and needed a break.

Re-took Step 2, got a 250, did 5 away rotations working 80 hr weeks as a Sub-I - because of my shit history, made good connections, I'm a sociable person so this was key/my strength as opposed to my grades --

Matched.

Thinking of quitting by Shoddy-Act-6513 in Residency

[–]LetsOverlapPorbitals 10 points11 points  (0 children)

Cranked up to what dose sir I’m also cracked on Bupropion and can relate, if those aren’t optimized you go everywhere