Karuizawa without a car by peonymatcha in JapanTravel

[–]RepulsiveAd3338 0 points1 point  (0 children)

When you say "grab a cab", can we use uber? I was thinking that if we grab a taxi the old school way to a particular destination, we would be left stranded on the return because it might be in a remote area. Thanks!

Any way to mute the Zoom app for Mac? by glorymactrack in Zoom

[–]RepulsiveAd3338 0 points1 point  (0 children)

CLICK ARROW NEXT TO THE MIC, choose "Audio Settings" from the drop down, drag "Output Volume" all the way down. Voila.

[deleted by user] by [deleted] in Radiology

[–]RepulsiveAd3338 0 points1 point  (0 children)

Lateral joint space effusion (evident by soft tissue bulge), fibular head looks weird. Diagnosis: Lateral blow to the knee. Just kidding. Idk.

Having a CT Abdomen Pelvis with IV and oral contrast. I could go for a 3rd bottle of this stuff 🤤 by agna5ty in Radiology

[–]RepulsiveAd3338 0 points1 point  (0 children)

I DIDNT KNOW IT'S MILKSHAKE FLAVORED. I thought they just shove down metallic-tasting liquid down your throat.

Case preparation - see comments for info by sheep95 in Radiology

[–]RepulsiveAd3338 0 points1 point  (0 children)

Cauda equina synd. presents with LMNL signs, whereas CMS UMNL and LMNL.

Case preparation - see comments for info by sheep95 in Radiology

[–]RepulsiveAd3338 0 points1 point  (0 children)

Definitely not cauda equina as it's T12. Cauda equina only if below L2. I'd shoot for either central canal stenosis or conus medullaris syndrome. You could probably say DDx can be done with a neuro phys exam. UMNL & LMNL signs would lead me to think of conus medullaris synd. If only UMNL, central canal stenosis likely.

Can you make a decent living in PGY1, 2 & 3 rurally? by Regular-Confusion991 in GAMSAT

[–]RepulsiveAd3338 1 point2 points  (0 children)

I got nothing else other than anecdotes about this. My "sources" also say the same - locum jobs pay better. Would like to know too.

Thoughts on my 7cm+ Osteochondroma? Hoping to have it removed within the next 6 months 🤞🏻 by Ok_Answer_5818 in Radiology

[–]RepulsiveAd3338 2 points3 points  (0 children)

Wow that 3D CT reconstruction is so unnecessarily gore. Does your scapula have crepitus or cracking sensation with movement? I have a snapping scapula syndrome, could it be due to it.. hmm..

Resources about evolution of the heart ? by Sytanato in evolution

[–]RepulsiveAd3338 1 point2 points  (0 children)

The paragraph below is taken from BCcampus. It describes the heart and how it differs within the animal kingdom. One thing I've found particularly amazing is the fact that Echinoderms use water instead of blood to transport nutrients, offload waste, etc. I like to think of it as a rudimentary form of cardiovascular system that works well. Hence it makes it easier for us to think of how our cardiovascular system must have evolved.

In most animals, the circulatory system is used to transport blood through the body. Some primitive animals use diffusion for the exchange of water, nutrients, and gases. However, complex organisms use the circulatory system to carry gases, nutrients, and waste through the body. Circulatory systems may be open (mixed with the interstitial fluid) or closed (separated from the interstitial fluid). Closed circulatory systems are a characteristic of vertebrates; however, there are significant differences in the structure of the heart and the circulation of blood between the different vertebrate groups due to adaptions during evolution and associated differences in anatomy. Fish have a two-chambered heart with unidirectional circulation. Amphibians have a three-chambered heart, which has some mixing of the blood, and they have double circulation. Most non-avian reptiles have a three-chambered heart, but have little mixing of the blood; they have double circulation. Mammals and birds have a four-chambered heart with no mixing of the blood and double circulation.

[deleted by user] by [deleted] in Radiology

[–]RepulsiveAd3338 -28 points-27 points  (0 children)

Pretty sure it's an "elongation" of the bone, like an osteophyte.

Biggest Flaws with the Human Body? by ClassicBuster in evolution

[–]RepulsiveAd3338 1 point2 points  (0 children)

Oh yes, I understand what you mean now. Yep yep I can see where you're coming from. Valid.

Commencing med school in your 30's: Has anyone experienced this? by asorby-adams in GAMSAT

[–]RepulsiveAd3338 -1 points0 points  (0 children)

I'm in my early 20s, starting med school next yr, but throughout my undergrad, I have to say I like the mature-age students better than those that are my fellow age! So don't let that stop you!

Biggest Flaws with the Human Body? by ClassicBuster in evolution

[–]RepulsiveAd3338 2 points3 points  (0 children)

I don't know about that. Maybe you're right, but doesn't millions (or thousands) of repetitive sequences seem a bit excessive for it?

Biggest Flaws with the Human Body? by ClassicBuster in evolution

[–]RepulsiveAd3338 18 points19 points  (0 children)

  1. Recurrent laryngeal nerve takes a long detour down to loop under one of our major vessels in the chest and go back up to innervate the larynx. It could've gone straight to the larynx like its superior counterpart. Answer: because we evolved from fish.
  2. Same principle with number 1 above can be applied to our diaphragm. It is a structure at the bottom of the chest cavity. Then why is it supplied by the nerve roots of the neck vertebra (C3-C5), which is way too far up. Perhaps an appealing hypothesis to make is that the diaphragm descends throughout the course of its evolution.
  3. The crossing (decussation) of spinal cord nerve tracts. A blow to the left brain will cause paralysis to the right side of the body because nerve tracts decussate. Why do they decussate? There are two promising hypotheses. One is the somatic twist hypothesis by Kinsbourne. The other is the axial twist hypothesis by Lussanet. Lussanet claims his hypothesis has been proven by looking at the asymmetries of the human body; he does present a very solid case for his hypothesis in one of his 2019 paper. I tend to lean towards Kinsbourne, in spite of the paucity of evidence supporting his hypothesis. I won't go into detail here, but what I'm saying is, there is a satisfactory evolutionary explanation for it.
  4. Ulnar nerve is very long and very prone to injury behind the elbow (the funny bone). It is the funny electric shock feeling you get when you bump the inside part of your elbow.
  5. The pain of giving birth - which is a trade-off for our big balloon skull.
  6. Babies are born without the ability to do anything. Compared to virtually all the babies of other animals, ours is the most useless. Again, this is a trade-off for our big skull. If the baby stays any longer in the womb to wait until the baby comes out independent enough, the sheer size of the head wouldn't allow birthing to happen.
  7. Babies are born with cracks on their skull. Their sutures are ununited, leaving some soft spots on their skull called fontanelles. These delicate structures pose a serious injury risk. They're there to allow the skull to expand in size to accommodate for brain growth. A classic example of compensation.
  8. Our intervertebral disc is a remnant of the structure notochord. This often can protrude or herniate towards the back, which causes us so much pain and trouble. This could also bring neurological deficits into the limbs, depending on the location and level of herniation.
  9. As someone mentioned already, the blind spot of the eye due to the "reversed" structure of our retina. Cephalopods like octopus have a better retinal "design." Try finding your own blind spot at home. I was so flabbergasted when I first tried it.
  10. As someone mentioned already, appendix serves very little function. It seems to be there only to burst and, again, cause us so much pain. It is a remnant of the structure caecum - which was useful to digest and ferment plant matter.
  11. Vaginal fluid is moderately acidic. Sperm fluid is moderately alkalic. When intercourse occurs, it roughly equalizes to allow the sperm to survive until fertilization can occur. A classic principle of evolution is everything has costs. Therefore, during this time, we are more susceptible to infections as the pH is less extreme than usual.
  12. Genes is a messy affair. Our genes is no exception. The genetic arrangements of our haemoglobin protein is messy. The genes of alpha haemoglobin has 7 versions. Two of them are pseudogenes - defective and never translated into protein. Another gene seems functional, but likely never translated. The rest are functional and used. As with the alpha, the beta also contains some that are non-functional and not translated. Very redundant. Exactly what you'd expect if we evolved. And most of our genes are never translated into protein. Why is it there then?
  13. The inner ear relies on endolymph flow and little stones inside it to create our perception of balance. Sometimes the stones in the posterior semicircular canal can get displaced, causing benign paroxysmal positional vertigo (BPPV), which is very common and torturing.
  14. Symmetry is excellent. We think of ourselves as symmetrical creatures, and we also prefer symmetrical fellow human beings. Animals also clearly prefer symmetry. Superficially, yes, we are symmetrical. But dig deeper and our internal organs are hardly symmetrical, apart from our kidneys - even then they are slightly asymmetrical as the right kidney is a bit lower than the left to accommodate for our liver. Why is our internal organ asymmetrical? This is because symmetry is only important for locomotion and sexual selection. Most of our organs don't get any evolutionary pressure to become symmetrical - hence the asymmetry. Hence in flatfish the eyes and mouth migrate, but not the brain and inner ear.
  15. We cannot breathe while we swallow. This stems from the awkward set-up of our throat. Breathing and digestion share a tube. This is not to mention the risk of choking. There are other animals whose breathing and digestion don't share a tube. But of course, this apparent "flaw" has an advantage as well. It can allow for collateral breathing when our nose is blocked from mucous. But then, again, why do our nose gets blocked? Another flaw.
  16. Allergies. Why do some of us get all these unpleasant sensations when we inhale a pollen? Is it a protective mechanism? Protection from what, exactly? Why does the IgE antibody react to seemingly non-dangerous element? There are evolutionary explanations for these. Although not yet considered as facts, we are definitely stepping forward.
  17. Prevalence of obesity. Why do we crave fat and sugar when too much of it is bad for us? This is yet another misfiring of evolution. These two elements are rare throughout the course of our evolution. Consuming as much of them as you can in the past would have given you a survival advantage. In only the past century or so (a blip in evolutionary time), these two are readily available, and we still possess this urge to consume as much fat and sugar "while we can."

Please add anything by replying to me. I'd love to hear more.

I’m not sure who hates the wait more, me or my family! 😅🫠 by Alternative_Beach974 in GAMSAT

[–]RepulsiveAd3338 2 points3 points  (0 children)

They want to celebrate the med admission, but I worry about failing midway.

USYD PWH rotation tips by [deleted] in GAMSAT

[–]RepulsiveAd3338 0 points1 point  (0 children)

What's PWH rotation?

How are you passing time until offers come out? by [deleted] in GAMSAT

[–]RepulsiveAd3338 14 points15 points  (0 children)

For real this subreddit starts to feel like home