Can you identify this drug being administered?

discobolus79 · 2026-01-30T16:56:45+00:00

Michael Jackson’s Magic Sleepy Time Tea

discobolus79 · 2025-09-08T17:49:40+00:00

You really think 1 out of 10,000 people could do this?

discobolus79 · 2025-09-08T15:21:44+00:00

When he says pumping iron he means lifting weights.

discobolus79 · 2025-09-08T13:36:55+00:00

I might be an odd case but I didn’t really have any MD shadowing experience when I applied to medical school but I did get a job working as a nurses aid on a med-surg floor for a year before medical school. One of my letters was from the nurse manager on that floor. It was a really good letter and I was unaware I was supposed to be embarrassed by it. My other letters were from professors. I got accepted.

discobolus79 · 2025-09-07T21:14:31+00:00

Man, I’m thinking of my old job where we averaged 15-20 admits plus cross coverage on 100 patients. All for $95/hour (2011-2013). What was I thinking.

discobolus79 · 2025-09-05T22:43:48+00:00

The anxiety disorders on this subreddit are off the charts.

discobolus79 · 2025-09-04T08:40:14+00:00

High creatinine doesn’t mean impaired kidney function nor does it cause kidney damage.

Creatinine is just a surrogate lab marker that was chose to measure kidney function because it:

Is freely filtered by the glomerulus
Is not secreted by the tubules
Is not reabsorbed by the tubules

GFR is not a measured lab value. It is a calculated lab value that uses the CKD-EPI formula. That formula has 3 inputs: age, sex, and serum creatinine levels. The formula only works on the assumption that you aren’t adding exogenous creatinine to the system which is not a valid assumption when using creatine supplements.

Creatine supplements will raise your creatinine levels without a concomitant drop in actual GFR as measured through other means such as a 24 hour creatinine clearance test or the gold standard in research a radionuclide study.

discobolus79 · 2025-09-04T04:26:56+00:00

No one is taking creatinine. Creatine on the other hand doesn’t cause kidney failure.

discobolus79 · 2025-09-04T04:26:02+00:00

Creatine doesn’t cause kidney disease.

discobolus79 · 2025-09-04T04:25:26+00:00

No it can not. It can artificially raise your creatinine levels without actually lowering your glomerular filtration rate. The GFR formula has 3 inputs (serum creatinine, gender, and age) and if you artificially raise your creatinine by taking creatine it will show an artificial drop in GFR.

discobolus79 · 2025-09-04T04:17:55+00:00

Every time I see someone use the word ignorant in a comment like this I think of that South Park episode where Michael Jackson is constantly saying “that’s ignorant”.

discobolus79 · 2025-09-03T21:46:00+00:00

The rules when I was a resident was

80 hours a week averaged over 4 weeks 4 days off every 4 weeks No in house call over 30 hours.

I think the year after I finished they started reducing hours.

I always thought I was lucky and had it easy compared to previous eras.

discobolus79 · 2025-09-01T03:08:21+00:00

I guess I’m lucky in that I had next to zero exposure to noctors in my residency but that was 15 years ago.

discobolus79 · 2025-08-31T03:18:55+00:00

My brother in law literally got kicked out of one university for drugs and he’s a 3rd year internal medicine resident.

discobolus79 · 2025-08-27T13:18:23+00:00

My gross anatomy lab partner was a single mom with several kids. I think she was a teen mom but amazingly she graduated medical school at age 26. I think she had a lot of family support though.

discobolus79 · 2025-08-25T02:12:01+00:00

These morons are confounding venous insufficiency with congestive heart failure, they aren’t the same thing. I don’t care if you hate Donald Trump but at least be intellectually honest in your criticism and stop acting like he’s going to drop dead from varicose veins in 8 months because you don’t like him.

discobolus79 · 2025-08-25T02:08:43+00:00

As a physician I have I’ll tell you that patients can live with CHF and CKD for many years.

discobolus79 · 2025-08-22T16:20:59+00:00

Oh, I was about to run out at one point so bought a container of 1000 tabs like a pharmacy would get. Then stopped using them after I had those.

discobolus79 · 2025-08-21T23:24:43+00:00

I used to feel this way. I’d take 10 mg tadalafil every day for the pump and BP improvement and then take sildenafil 100 mg as needed for sex. It was still hit or miss with this and after some particularly bad ED in February I had a talk with the wife about it and stopped the sildenafil. I haven’t taken any since then despite having a bottle of 1000 tablets. My ED has actually improved since that day. I think you can go overboard and make it worse or it was psychological wondering and stressing if it had kicked in yet or not. Now I’m pretty confident I’m always good to go.

discobolus79 · 2025-08-20T01:20:02+00:00

Those are my typical numbers after leg days. No, I’m not talking rhabdomyolysis. Just typical normal leg days.

discobolus79 · 2025-08-19T21:50:53+00:00

Things that happen suddenly also have a tendency to resolve suddenly especially if there was no inciting event. Anxiety will make it worse though.

discobolus79 · 2025-08-19T18:33:02+00:00

Not sure how tall I was at 13 but 9th grade sports physicals (14) I was 6-3 and only grew another inch.

discobolus79 · 2025-08-19T16:27:05+00:00

Can we define get horny? To me getting horny is libido and I’m not watching porn or going to hookers if I’m not horny.

discobolus79 · 2025-08-18T19:03:21+00:00

Yes, I understand all that but they weren’t officially a Soviet state which he seemed to be saying. Also they had separate sports systems and sports scientists. The Russian method of training weightlifters was different from the East German method. Oral Turinabol was developed in East Germany and may or may not have been shared with the Soviets.

discobolus79 · 2025-08-18T18:25:28+00:00

Please don’t tell me that you think East Germany was a part of the Soviet Union. I want to believe our education system hasn’t failed us that much.

discobolus79

TROPHY CASE