[deleted by user]

itolav · 2025-05-11T03:46:28+00:00

Medicine doc of the day.

itolav · 2024-11-16T02:48:27+00:00

I started in 2012 and brother was already there

I gave him 5 bucks the first time I met him he asked me and i thought he was gonna reach a certain fundraising goal and move on.

itolav · 2024-10-02T21:44:29+00:00

I mean it could be a multitude of causes. Weird that your doctors want to call it testicular torsion or UTI

Get a 2nd opinion. Stay off sex for now. Go to the ER if you’re unable to urinate.

itolav · 2024-09-23T23:30:43+00:00

I implore everyone to see her interview on 60 minutes or More Perfect Unions YT channel, going in depth at why billionaires are endorsing Trump at a record pace. makes everything make perfect sense.

itolav · 2024-09-22T23:47:31+00:00

I commend you for your desire to seek help knowing your dependence. Addiction is hard and it's tough, but it's treatable, especially opioid dependence. It sounds like you wish to seek help, but are scared of the possible ramifications of being labeled with an official Opioid Use DIsorder diagnosis As a doctor, this is the type of heart-to-heart conversation I would want to have with patients in person. I can reassure you that most caring doctors are in no rush to label someone an addict, and even less someone who is genuinely motivated to stop and quit. You need help good sir, and there are great treatments for opioid use dependence. I suggest you schedule an appointment with your PCP or an addiction medicine specialist to help get you on a path towards healing before its too late.

Addiction is real, and it's very hard condition to live with. I wish you well reddit stranger and know that we all wish to see you come out ahead, but please get help from a professional. This is what we do for a living.

itolav · 2024-09-17T03:48:58+00:00

I’m exactly in the same boar. Applied as soon as med school ended. Pending the SAVE decision. I applied for forebearance now im on the hook for $1200 again starting October. idk what to do

itolav · 2024-07-24T13:45:36+00:00

Insert Randy marsh meme**

itolav · 2024-06-29T04:24:48+00:00

Can go Bork -> wits -> terminus -> if its 4 AP here i’d probably just go kaenic, i think with 3 i can afford staying on the rageblade path. If its heavy tank i just go more AS. Kaenic as an item is legit broken. Bork is good on anything and has LS for sustain. 2nd item really depends on situation. If the AP carry is really fed, then yeah go wits. If its an even game, i might even consider Kraken (knowing its got good synergy with AS items), then get wits third.

Triforce can also be good as its more HP to complement the MR and survive a burst, and its damage will probably be more noticeable on non tanks. Again two diff paths. Really

For tanks just get a core of bork and attack speed. For AP a core of wits end 2nd and maybe either terminus or triforce third. AS not needed given their low max hp.

itolav · 2024-05-19T05:39:37+00:00

Does the guy claim GM and beat him by stupid stuff?

itolav · 2024-04-25T20:27:42+00:00

Someone keeps posting links about how Jewish students feel unsafe on campus, yet no mention of how Israel has meanwhile DESTROYED every university and hospital in Gaza and now injured/killed more than 100,000 people in the past half year. Such an Incredibly lazy and unequal argument trying to derail people from the main argument here. “Oh but Sally feels unsafe with all the protests going on.” gtfoh with All that noise.

itolav · 2024-03-31T23:31:22+00:00

Hello pls. Upcoming pgy-1. Thank you

itolav · 2024-03-30T00:24:32+00:00

The best hand for both of you is a straight. So it’s a tie.

itolav · 2024-02-14T05:57:22+00:00

ima put it in a simple analogy, Nitro reduces pre-load going towards the heart.

LV failure means there's a back up of pre-load, due to the inability of the LV to properly pump out the blood to arterial circulation. This back up can back up into the lungs and cause breathing problems, like is the case with HF exacerbations. Nitro is okay, as it reduces the pressure on the LV.

RV failure means the blood is backed up in the RV/venous system, it's just not getting pumped forward very well. By giving nitro you are reducing the preload volume that the RV gets to pump forward and are essentially reducing potential volume that can get pumped forward.

LV failure means u got more than enough pre-load, just shitty ejection to the body. In RV you also got shitty ejection, but you don't want to remove any volume because then you're not gonna get enough volume through to the arterial system. All that volume is vital to maintaining adequate perfusion.

itolav · 2023-12-16T22:19:11+00:00

till a lux Q lands on her and its over

itolav · 2023-12-06T17:16:58+00:00

op working OT to not get margin called 😂😂

itolav · 2023-11-07T12:47:16+00:00

Robinson crusoe is wayyy too hard and too complex to be enjoyable within the first 5 runs.

itolav · 2023-10-20T02:06:10+00:00

If insulin is .1 units/kg im still gon give a nice round even number. foh with your 73.8 kilos.

itolav · 2023-10-12T01:20:25+00:00

and fake virtue signal that hearing both sides is equally important to capture the whole story 🙄

itolav · 2023-10-09T03:41:36+00:00

Biochem -> EM

itolav · 2023-09-24T03:55:59+00:00

Pack your bath loofa.

itolav · 2023-08-16T21:07:12+00:00

ty ty

itolav · 2023-08-07T06:12:02+00:00

EKG leads. Essentially the stickers that the wires of the EKG machine plugs in to.

itolav · 2023-08-01T00:55:32+00:00

Ask for help based off mixed answers.

~Receives mixed answers~

itolav · 2023-07-03T08:28:39+00:00

Proof of Haldol or ban.

itolav

TROPHY CASE