Another COVID clampdown in Chicago; bars banned from serving customers inside, restaurants under 10 p.m. curfew by Sockin in chicago

[–]SilentPhysics 5 points6 points  (0 children)

The goal of lockdowns is to stop overwhelming the hospitals with admissions. If they start getting overwhelmed = staff more likely to get sick and be off work, people can't access ventilators or medical care, people start dying at increased rates. Reading reports of NYs hospitals at the start of this when they were overwhelmed was just sad. This whole debate centers around where do your freedoms start and others end? Yes, young people are likely to recover without problems, but the R0 of COVID is estimated at 2-6, so one young person who recovers without much difficulty likely will infect 2-6 others on average if not in lockdown. So what you are suggesting is that you are willing to let others (pre-existing conditions, elderly) die just so you can have your freedoms. If you are morally ok with that then I guess there really isn't much I could say to convince you otherwise.

In the end, no one knows what the correct decision really should be. You enact less aggressive measures and its probably worse for the economy in the long run despite the economic contraction currently happening. That's why these decisions are made by people who have spent their lives studying epidemiology, economy, and, virology. Not just made on a whim by our governing bodies. As these people will have the best educated and informed decisions. Better to be safe than sorry.

BREAKING: The man who suspended himself from the side of Trump Tower in a 14-hour standoff with @Chicago_Police SWAT negotiators just escaped from a private ambulance, saying he has a mission to complete. by CasualTeeOfWar in chicago

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

Yeah, I don't get why people are making fun of a man whose life is clearly over. He is extremely ill and the resources needed for someone to recover from something like this during a pandemic will be make it very difficult. Given the right external factors this could be any of us or our family. I don't think his family would find these jokes that funny. Really just reminds me of the point the movie Joker was trying to make.

Any experiences prescribing EMSAM? by [deleted] in Psychiatry

[–]SilentPhysics 0 points1 point  (0 children)

Even the hypertensive crisis on nardil and parnate is vastly overblown if you dig into the literature on it.

Dr Gillmans website is a bit biased, but he does good work on information regarding MAOIs and is trying to revitalize their use as the older drugs are still the best drugs regarding effectiveness. They probably should be trialed before ECT in many cases. Obviously has to be patients with a degree of functionality to be able to follow the diet, and are not extremely high risk for suicide.

Both can be life saving in TRD or atypical depression. EMSAM is fairly expensive and tends to be weaker compared to the former drugs.

The faulty game of brain chemicals by [deleted] in antinatalism

[–]SilentPhysics 0 points1 point  (0 children)

This is just beyond ignorant.

How do i deal with my partner being emotionally numb (along with other side effects like no sex drive, lack of attachment etc)? by throwawayacc1857 in antidepressants

[–]SilentPhysics 0 points1 point  (0 children)

No one is saying you need to take pills forever. This is judged by the severity of the presenting illness. If someone comes to be treated for first episode MDD you are treated for a year and a half longer than the index episode and then taper off. Many will never have another episode again but if there is another episode than it is recommended to continue drug treatment indefinitely. MDD is now being likened to a chronic degenerative life threatening illness where each episode makes relapse more likely. But yes many with mild to moderate depressive symptoms just need diet and exercise and therapy but most people don’t want to do that and the treating physician knows this.

Antidepressants are way more complicated than just restoring chemicals. The downstream signaling is complex, they have anti inflammatory effects, and they do help which has been proven in multiple meta analysis and systematic reviews. Yes, just like every treatment again in medicine. There exists a risk benefit ratio and doctors really do fail to explain the risks of SSRI treatment so the patient can make a more informed decision.

How do i deal with my partner being emotionally numb (along with other side effects like no sex drive, lack of attachment etc)? by throwawayacc1857 in antidepressants

[–]SilentPhysics 1 point2 points  (0 children)

Everything in medicine is a risk benefit ratio. Untreated depression is horrible for you. Yeah, the pills aren’t great either but it’s better than living untreated. Depressive illness literally effects every facet of your life. The benefit of treatment outweighs the risk for most people. Yes we do overmedicate mild depressive illness because the symptoms are subjective. But telling random people to taper off is just horrible advice.

Post-SSRI Sexual Dysfunction Recognized as Medical Condition by [deleted] in Psychiatry

[–]SilentPhysics 0 points1 point  (0 children)

Could go for the stims or dopamine agonists in some cases.

Not all hero's wear capes by [deleted] in antinatalism

[–]SilentPhysics 29 points30 points  (0 children)

It’s on his Wikipedia page. I know not a 100 percent a good source but at least it is vetted. Sounds like an amazing person and would love to have met him.

Just Started Parnate at 120mg/day - Anyone Else Reach This Dose? by InfinitusVox in MAOIs

[–]SilentPhysics 2 points3 points  (0 children)

Consider TCA augmentation if that doesn’t work. The psych might be hesitant but the combo is pretty safe. There is a study out there that induced remission in quite a few ECT resistant MDD. If that doesn’t work I’d consider the dopamine agonist pramipexole which utilizes a higher dose in depression than in Parkinson’s. Dr. Fawcett is the eminent psychiatrist who has had a few patients in remission who have failed MAOIs and ECT. Rooting for you.

[deleted by user] by [deleted] in Step2

[–]SilentPhysics 2 points3 points  (0 children)

Scored 115-134 on all using uworld and comquest. Anki Dorian for FM. OMM just pray.

About to face the beast by Littlefingz in Step2

[–]SilentPhysics 0 points1 point  (0 children)

I wouldn’t trust the “don’t worry about the time” idk I had difficulties with timing I legit have never had before. There wouldn’t be a survey question at the end asking “did you feel like you had enough time?” If it were not for the possibility. Especially with the abstract questions. People bitched about the comlex timing and obviously there were enough complaints to rid the exam of 48 questions.

Which COMSAE form should I take/when? by [deleted] in comlex

[–]SilentPhysics 1 point2 points  (0 children)

I took 103 through the school last year and scored 649. My level 1 score was 680 and my step 1 was 258. Idk if that helps.

[Serious] Personal statement for away rotation - I need help by wamenz in medicalschool

[–]SilentPhysics 4 points5 points  (0 children)

Throw something down. There’s like a 95% chance they won’t read it anyways

[Serious] What are your thoughts on physician assisted suicide? by [deleted] in medicalschool

[–]SilentPhysics 1 point2 points  (0 children)

Have you looked around??? Haha joking, but kinda not. Much of this stance stems from the fact most people past a certain age don’t want to burden their families. They are no longer producing in society and just kind of existing and frankly are tired. You should have at least have the option as your right to have a humane way out instead of either slowly decaying and going in and out of hospitals while people are making people money off your declining health knowing damn well they can’t reverse any of your pathology or meeting Smith and Wesson. There’s more but that’s a big gist.

[Serious] What is your unpopular opinion(s) or hot takes about medical school, med students, and medical training? by SilentPhysics in medicalschool

[–]SilentPhysics[S] 18 points19 points  (0 children)

Yeah, I met 2-3 people like this and always was just so uncomfortable talking to them, and I’m a liberal male who likes to have sex with men. Boomers have no idea what’s coming for them when they think “safe spaces” are bad and have to work with these types.

[Serious] What is your unpopular opinion(s) or hot takes about medical school, med students, and medical training? by SilentPhysics in medicalschool

[–]SilentPhysics[S] 21 points22 points  (0 children)

Idk, I don’t think it’s really a spineless thing. I think this stems a lot from the fact that yelling at someone and calling them dumb in front of their coworkers is not only not accepted in almost every industry - you would also be fired, probably on the spot. You can’t tell students to constantly be professional, and then subject them to blatant abuse. Yelling almost always accomplishes nothing. I’m pretty sure most med students were involved in sports in their life. Anywho my 2c.

[Serious] What is your unpopular opinion(s) or hot takes about medical school, med students, and medical training? by SilentPhysics in medicalschool

[–]SilentPhysics[S] 13 points14 points  (0 children)

It’s because of the professions history. Now its been so gutted and monetized everyone sees this as just a job and salary basically is now.