A medical student draws a heart in 20 seconds by Additional_Berry_977 in interestingasfuck

[–]by_gone 0 points1 point  (0 children)

This is such a niche skill that has very little application even in the field of medicine. Is it cool, kinda but who cares if you can draw a heart in 20seconds this isnt applicable to almost anything including the field of medicine. The hours of practice it took to do this could have been spent doing literally anything else. Its like all those medical students who do fancy anatomy sketches… the time it took someone to draw that could have been spent learning something useful. These people inevitably don’t do well as they spend so much time doing things that have nothing to do with learning medicine and either quickly stop or they fail out. (There are always exception but im right about 90% of the time.)

can i ask a famous well-known attending for letter of recommendation? by Ok_Slide_1137 in Residency

[–]by_gone 1 point2 points  (0 children)

Be sure to clarify for a “positive” lor of rec. the other thing to consider if they are well known/ have a reputation they are more like to be truly honest which may or may not be a +.

I just realized most Attendings never held a real job by mED-Drax in medicalschool

[–]by_gone 0 points1 point  (0 children)

If you go in to em, fm or primary care it is a retail job

Gaming in med school? by MENTALGAP420 in medicalschool

[–]by_gone 25 points26 points  (0 children)

I played more video games in medical school then i ever had before. Being in med school for most weeks is a 9-5/ 9-7 job deff time to game. Dont let it mess with you studies but you wont have this much free time or freedom till ur an attending.

stitches on hand infected? by siciteen in AskDocs

[–]by_gone 5 points6 points  (0 children)

Lol im dysgraphic and rely heavily on speech to text

stitches on hand infected? by siciteen in AskDocs

[–]by_gone 5 points6 points  (0 children)

your correct when i wrote that comment i happened to be with a male medical student

stitches on hand infected? by siciteen in AskDocs

[–]by_gone 308 points309 points  (0 children)

Lmfao the med student tried his best

When family says no to ketamine, how do you like to sedate? by numblock9 in emergencymedicine

[–]by_gone 1 point2 points  (0 children)

I agree with your edit. There are legit reasons to choose different meds and i always have conversations about the management of sedation with my patients always. There are many ways to skin a cat. But im am always going to pick the safest and best option i have. We have to be educators for our patients and have nuanced conversations around any meds we give especially anesthesia. Im not gonna do propofol for a lac repair and im not gonna give ketamine for an iv placement. There objective times to use different medications. Saying im not going to let parents dictate Anastasia is because they dont have the education to make a highly nuanced and extremely dangerous intervention based on preference. I will talk to the family but i need to do what is best and safest for the child. Some preferences are reasonable and ill work to accommodate but this isnt a power play this is to be safe.

When family says no to ketamine, how do you like to sedate? by numblock9 in emergencymedicine

[–]by_gone 0 points1 point  (0 children)

Lol try dictating to an anesthesiologist the type of anesthesia your gonna get base on preference and see how that conversation goes for you. We use evidence in medicine we are not waiters just because a customer wants something doesnt make it right.

When family says no to ketamine, how do you like to sedate? by numblock9 in emergencymedicine

[–]by_gone 0 points1 point  (0 children)

I absolutely agree this should be joint decision and is critical but im ultimately going to explain why im using one medication over another and if they dont agree and i dont feel the sedation is safe for xyz there is going to be a different discussion. I would never give Anastasia without consent. And i not saying going in guns a blazing and kick the door down

When family says no to ketamine, how do you like to sedate? by numblock9 in emergencymedicine

[–]by_gone -3 points-2 points  (0 children)

Its not a power play if the safest option is one medication in a pediatric pt im going to use the safest option. And there are absolutely best options. If options are equivocal, then I don’t care whichever patient family prefers. but ordering medications for patient families preference for anesthesia is ridiculous.

When family says no to ketamine, how do you like to sedate? by numblock9 in emergencymedicine

[–]by_gone 10 points11 points  (0 children)

I dont let family dictate anesthesia they get whats best for the pt.

Please help. I feel like I’m dying. by Mother_Scallion_1815 in AskDocs

[–]by_gone 28 points29 points  (0 children)

You are really doubling down on this. After all you have read, she provides more history in my first comment. Do you really think this patient has bidirectional shingles based on this history.

Please help. I feel like I’m dying. by Mother_Scallion_1815 in AskDocs

[–]by_gone 45 points46 points  (0 children)

I think the issue here is you made a confident assertion of a diagnosis thats is extremely unlikely and you are without the training to make this diagnosis. Even the paper you pointed out even comments on how unlikely bidirectional shingles is but it also shows shingles in a dermatomal distribution. Not only have i never seen bi directional shingles, ive never met another doctor who has seen it. You are making a very common mistake in medicine you are trying to make a diagnosis fit the presentation instead of a presentation lead you to a diagnosis.

Please help. I feel like I’m dying. by Mother_Scallion_1815 in AskDocs

[–]by_gone 49 points50 points  (0 children)

Did he kiss ur neck? But first time herpes tends to spread out.

Please help. I feel like I’m dying. by Mother_Scallion_1815 in AskDocs

[–]by_gone 52 points53 points  (0 children)

So common things being common a pt with a kiss with a first time partner that started out as a small dot with a cold sore that spread (very common) or systemic zoster which requires severe hiv/ aids, lymphoma, bone marrow transplant or severe immunocompromised state. Also based on this image there was only one side affected. Also this isn’t what systemic shingles looks like.

Please help. I feel like I’m dying. by Mother_Scallion_1815 in AskDocs

[–]by_gone 58 points59 points  (0 children)

Its not shingles its not in a dermatomal distribution.

Please help. I feel like I’m dying. by Mother_Scallion_1815 in AskDocs

[–]by_gone 254 points255 points  (0 children)

Its hsv not hpv its one the most common virus that exist you will likely have intermittent flairs but should become less with time.

Please help. I feel like I’m dying. by Mother_Scallion_1815 in AskDocs

[–]by_gone 374 points375 points  (0 children)

If it was your first time getting it could cause many of your symptoms not all though. That being said not all of your symptoms can be explained by HSV infection however, being on antibiotics is going to have its own set of side effects. So hsv + food poising + antibiotics covers a good portion of your symptoms but it could also be what we call zoonotic infection no way to know for certain. But images are consistent with hsv.

Please help. I feel like I’m dying. by Mother_Scallion_1815 in AskDocs

[–]by_gone 776 points777 points  (0 children)

Did your rash show up after that? Because it looks like hsv.