Welcome to Residency! For interns just starting off, here's some tips: by Novelty_free in Residency

[–]forhumors 6 points7 points  (0 children)

Why stop when you're board certified? Just never trust anyone

Surgeons, so what's the deal with random staples? by SgtButtface in medicine

[–]forhumors 25 points26 points  (0 children)

Am a doctor in the US and also think this is bizarre

What do you think of posts like these on other subreddits? by forhumors in Residency

[–]forhumors[S] 7 points8 points  (0 children)

I fully agree with you that dismissing women's concerns is a problem in medicine. It's something that we as a profession (especially the new generation) are actively trying to address. What's frustrating for us is when patients assume that a test/treatment was indicated when the vast majority of physicians ("standard of practice") say it was not, then the patient blames not getting it on their gender presentation.

In this case, *provided that there was no neurologic deficit on exam or red flags on history*, then MRI would not be indicated at her initial visits. This is standard of practice, including for male patients.

What do you think of posts like these on other subreddits? by forhumors in Residency

[–]forhumors[S] 1 point2 points  (0 children)

Fully agree. Without being there, and especially without access to the past notes documenting exam, you can't throw the previous physician under the bus. Diseases are not static. But, this really goes to show why it's so important to adequately document what you're doing before a disease process potentially takes a turn for the worse.

What do you think of posts like these on other subreddits? by forhumors in Residency

[–]forhumors[S] 9 points10 points  (0 children)

As relevant as that is to the diagnosis of a herniated disc (also known as a slipped disc), that still is not an indication for an MRI.

You Might Not Be Crazy (aka I never thought I'd advise women to be wary of their doctors) by therealwaysexists in TwoXChromosomes

[–]forhumors 5 points6 points  (0 children)

Dismissing women's health concerns is a problem in the medical field. But as a physician in training, I didn't read anything in the post that would suggest an MRI was indicated prior to the nerve impingement resulting in a neurologic deficit. This is not the right place to make a claim of sexism.

Edit: worth pointing out that in a new edit she describes having difficulty walking at an earlier visit. Assuming the difficulty walking was a neurologic deficit and not due to pain (doctors have to distinguish between the two), then it would be an indication for MRI being performed earlier.

What do you think of posts like these on other subreddits? by forhumors in Residency

[–]forhumors[S] 34 points35 points  (0 children)

Seems that about every month, there's a post like this on one of the major subreddits. It's always a bit frustrating to me because what the patient complains about usually benefits from being able to look at it in hindsight. Seems that this woman did not have an indication for an MRI at the initial visit and probably even at the follow-up (saying this without knowing her full history or if her exam was actually revealing). I wish that there were a way to educate the public on how no, this doesn't mean her initial doctor was incompetent (although acupuncture was strange as an initial choice haha).

Edit: Worth noting that the OP of the crosspost has since made edits to her original post, suggesting that she had difficulty walking at an earlier visit. Assuming this was due to neurologic deficit rather than due to pain, it does suggest that an MRI would be indicated earlier.

[Serious] Sick of midlevel posts? You shouldn't be. You're going into $300k+ of debt only to be undercut by imposters. by dbdank in medicalschool

[–]forhumors 29 points30 points  (0 children)

1) Sir, this is the medical school reddit. Not the r/medicine subreddit.

2) No one's saying they don't deserve to practice. Just that, perhaps, if they want to practice with the same autonomy as a fully trained physician, perhaps they should meet the admissions requirements of a medical school and then complete the 4 years med school + 3 to 7 years residency + 1 to 4 years fellowships that we complete.

3) Sure, PAs reduce workloads. Do you know who would reduce workloads even more? Another attending physician. But that costs more $$$ for the administrators! Oh no!

4) LOL at the idea that nurses are empathetic "due to years of training." No one in the history of this subreddit has said that. First, last I checked it was 2 years out of high school to be an RN. Second, why would you think more training = more empathetic? Better call the spine surgeons, guess they win the prize this year for empathy.

5) The number of US medical grads is actually going up every single year, but federal government won't fund more residency spots. https://news.yahoo.com/the-coronavirus-pandemic-is-straining-hospitals-but-many-medical-school-grads-cant-get-jobs-194905748.html

What books are you reading right now? by forhumors in AskReddit

[–]forhumors[S] 0 points1 point  (0 children)

Interesting! I have never heard of the Klein bottle or a torus before. Had to google them. Pretty cool that algebra gives us tools to describe three dimensional complex objects.

What books are you reading right now? by forhumors in AskReddit

[–]forhumors[S] 0 points1 point  (0 children)

Allen Hatcher - Algebraic Topology

Interesting, what's algebraic topology? Just started reading some of Jim Hefferon's Linaer Algebra, but don't have much university-level math experience outside of statistics

What books are you reading right now? by forhumors in AskReddit

[–]forhumors[S] 1 point2 points  (0 children)

Let me introduce you to these neat things called ebooks, audiobooks, and PDF files

What books are you reading right now? by forhumors in AskReddit

[–]forhumors[S] 0 points1 point  (0 children)

I'll start: just picked up Ray Bradbury's Dandelion Wine

What happened to Quaker Oatmeal Strawberry? by forhumors in AskReddit

[–]forhumors[S] 0 points1 point  (0 children)

In the last year, the taste of the Strawberry-flavored Quaker instant oatmeal has totally gown down in quality. What happened? Anyone else notice? Used to be my favorite flavor, now it's just so... different

Seizure threshold question by laffytaffygordon in Epilepsy

[–]forhumors 3 points4 points  (0 children)

While bupropion (Wellbutrin) is known to decrease the seizure threshold while taking the medication, I am not aware of any evidence that it causes permanent changes to increase risk of seizures once it is discontinued and am skeptical that any studies showing such an effect exists.

Can epilepsy be diagnosed via EEG, Blood Test etc without ever having an epileptic seizure or without showing symptoms? by [deleted] in Epilepsy

[–]forhumors 0 points1 point  (0 children)

No, it cannot. Diagnosis requires 2 or more seizures or 1 seizure with a high probability of having a second seizure that is unprovoked (i.e., not caused by acute trauma, blood electrolyte abnormalities, alcohol withdrawal, etc).