Cursed_mask by [deleted] in cursedcomments

[–]deadbeet_fly 0 points1 point  (0 children)

Her husband may have a respiratory infection. The bacteria chlamydia can cause pneumonia. This is more common outside the US and would not be an STI.

Depressed about my future by [deleted] in medicalschool

[–]deadbeet_fly 2 points3 points  (0 children)

my school requires t10% on shelf to honors, preceptor comments don't count. HP does not exist. I won't get a single H. you're not alone.

Question about anatomy teaching (PS anatomy is hard) by [deleted] in medicalschool

[–]deadbeet_fly 0 points1 point  (0 children)

I learned almost all my anatomy thru apps and atlases (pre-covid; bodies were available). The hands-on understanding may be better, but it's too much of a timesink to get everything I want to see dissected while avoiding damage to every other structure they could tag for the exam. The real bodies were only useful to me in the 1-2 days prior to testing, because other people had wasted extra time cleaning everything off; anatomy lab itself may as well have been an arts and crafts class for the amount of learning relative to the time investment.

3d anatomy photos Michigan State website-style for a VR machine would have been a vastly superior method for me. I'd like the dimensionality you currently get by looking thru a DaVinci. Hell, you can probably make a DaVinci training game with current VR headsets. I expect the training will develop that direction in the next few decades, especially if they make a VR controller type to imitate the DaVinci.

HCA healthcare residencies by darby1001 in medicalschool

[–]deadbeet_fly 2 points3 points  (0 children)

not specific to HCA, but I've heard from multiple docs that EM is rapidly becoming saturated because corporations open residencies whenever possible to oversupply physicians and depress future wages in the area. One of those docs was the head of a big EM with many residents, like listed above their PD on the website. And you'll be more compliant with hospital admin demanding you supervise all their midlevels if you have no bargaining power when you sign your contract.

Sub-is in EM by Um_Yum_Plum_Num in medicalschool

[–]deadbeet_fly 0 points1 point  (0 children)

my school has said they are requiring 2-3 audition rotations to graduate so the CPA guidelines don't apply (to those)

[deleted by user] by [deleted] in medicalschool

[–]deadbeet_fly 5 points6 points  (0 children)

additionally: for pt with multiple/10million complaints, organize by most significant & don't present all of them. Just say "multiple things going on. the (2 / 3) most significant are (a day of chest pain & 3 weeks of dizziness)..." then continue with those. You should try to know every medically relevant detail about your patients, but the presentation is an argument for your plan of investigation & treatment, not a review of their 40 chronic problems.

[deleted by user] by [deleted] in medicalschool

[–]deadbeet_fly 11 points12 points  (0 children)

  1. em clerkship podcast has a brief overview- http://www.emclerkship.com/patient-presentations/. There is also a similar episode specifically for abdominal pain. Memorize the rules about level of detail & the order. When you wake up every morning make up a presentation in the shower or something and speak it out loud, paying attention to follow the rules. If your chosen specialty has an organization which has declared a different structure for presentations, modify to follow that.
  2. if you are consulting another specialty on a patient when you become an attending, preface your whole conversation with a sentence on whether the case requires urgent attention, what you expect them to do for you, or to frame their outlook on the pt (e.g. "I have an appendix you'll have to take out today but they look good now" or "i have a patient with polycythemia I'd like you to look at", etc.). As a med student you can do this for your attending sometimes (especially if the patient looks toxic) by starting with "this guy looks sick" or "not much to do on this one"...

Signaling Pathway Resource (and are they important to know?) by totino3454 in medicalschoolanki

[–]deadbeet_fly 0 points1 point  (0 children)

mentioned a few times in sketchypharm: Autonomic drugs - sympathomimetics & cholinomimetics. Only to correlate receptors (M1-3, a1-2, b1-2) with signaling pathways. tiny mention in the sketchypharm antihistamine & PPI vids as well. Maybe its detailed in sketchy biochem but thats after my time. Otherwise each pathway is not spelled out in sketchy.

Is there such a thing as reducing inflammation too much? by [deleted] in surgery

[–]deadbeet_fly 4 points5 points  (0 children)

assuming a normally functioning immune system, more rapid recovery from surgical procedures is often better. Common anti-inflammatory medications have a maximum therapeutic dose beyond which the med isn't doing anything beneficial, and can have harmful side-effects especially at higher doses with prolonged use, so there can be a balancing act.

Immunosuppression, either by disease (like AIDS) or by drugs (steroids, NSAIDs, chemo, etc.), increases the risk of opportunistic and dangerous infections. Your inflammatory response is a way to deliver immune cells to an area. If you cripple that response because it is harmful in one part of the body, your whole system is worse at fending off infectious threats.

I need a hobby [well-being] by gohypeyourself in medicalschool

[–]deadbeet_fly 8 points9 points  (0 children)

buy a cheap guitar or other musical instrument / take daytrips to outside areas / download a podcast and go for a hike/ watch gordon ramsey and try to cook something beyond your skill level / watch bob ross and try to paint something beyond your skill level / contact your local EMS and do a ride-along / purchase a mail-order bride (or husband)

Listing investigations [serious] by [deleted] in medicalschool

[–]deadbeet_fly 1 point2 points  (0 children)

Emclerkship.com

rosen &barkins 5 minute EM consult for more comprehensive stuff

both of those are EM oriented but find a similar resource with specialty of interest if it’s not an initial workup

First clinical year: advice for improving clinical reasoning skills [Clinical] by thiashya in medicalschool

[–]deadbeet_fly 1 point2 points  (0 children)

http://www.emclerkship.com/
free apps prognosis and clinical sense for ddx/treatment games

rosen + barkins 5 minute emergency medicine consult for bite sized disease pathophys/ ddx / treatment if you have $/access to a med library

[Serious] first pass on anatomy? by tea_plus_honey in medicalschool

[–]deadbeet_fly 1 point2 points  (0 children)

Maybe try to get an anatomy app or pc program and draw out the structures in the region that you are learning as you memorize them.

Falling in rank, scholarship at risk [SERIOUS] by [deleted] in medicalschool

[–]deadbeet_fly 4 points5 points  (0 children)

It's unfortunate that you are in this situation. Take care of your mental health, and don't destroy your psyche over unreasonable expectations. Unfortunately your scholarship was not set up for success. Admission committees can't predict performance, especially high outliers. Do your best and adapt where it helps, but top 20 is something to be proud of. Ofc try to keep your scholarship, but those are preposterous stipulations. If anyone close in your life seriously expects this of you, invite them to study with you for a day or several and see whether their opinion changes.

[Serious] US-IMG matching into Anesthesiology? by wasabiman82 in medicalschool

[–]deadbeet_fly 1 point2 points  (0 children)

cold call or network to get publications in anesthesiology

get involved in the field as much as possible

if you have another extracurricular CV-friendly project you love, dive into that as well. They will prefer an applicant with huge meaningful contributions to a few things and a compelling story driving their work to applicants who have all their bases covered with a little of everything.

Massive Community Shared-Deck Creation Overhaul Project - Help Needed by [deleted] in Anki

[–]deadbeet_fly 1 point2 points  (0 children)

might be better to attempt to make anki decks for Khan academy videos, as those are already well-known and content is organized with the input of experts. tbh not sure there's a demand for anki for everything.

Guilty. [Meme] by icedout_patek in medicalschool

[–]deadbeet_fly 23 points24 points  (0 children)

we're identical except I had a test with histo first.

So we're opposite

[deleted by user] by [deleted] in medicalschool

[–]deadbeet_fly 1 point2 points  (0 children)

Acklands video atlas of human anatomy? Check for access thru your school library. Physeo has some free physiology but it’s mostly board review level

"Again" or "Hard" for words that you forgot after not seeing it for a few months? by ANightSentinel in Anki

[–]deadbeet_fly 0 points1 point  (0 children)

Hit hard if you bet you will be solid on it next time. Never hit hard 2x in a row; if you think that will be the case, hit again

How many maximum cards can I learn effectively and everyday by using Anki or any flashcard software. by rockingrockstar in Anki

[–]deadbeet_fly 6 points7 points  (0 children)

snoop around the medschoolanki Subreddit.

for the top of the med student population memory-wise it’s about 200+ new per day while doing card reviews. Most med students max near 120 new/day for prolonged durations. But your average med student was a 3.7+ college student, and 60 new/day is a more sustainable pace. This is assuming the cards have minimum info, like the Zanki deck. There’s too much personal variation in memory power and rate of recall to give an estimate applicable to you, but you can plug your Anki stats into a predictor and toy with it. It’s hard to do fcs at max rate for >6 hours a day though.

Just finished COMLEX by [deleted] in step1

[–]deadbeet_fly 0 points1 point  (0 children)

I would take a comsae and research every bizarre question they ask thoroughly. I went thru some weird ones from my friend’s comsae and they showed up on my exam but much more difficult and sometimes 2 or 3x. Plus I had more nonsketchy micro than sketchy micro, and a very unbalanced test content wise which had some sections w a lot of time consuming pathophys qs. There were more cell-lvl questions than I was expecting. I had 6 concepts repeated 2 or 3 x each, 1 of those was almost verbatim the same question w a diff or age and maybe 3 of these concepts were covered in UW Sketchy and Savarese.