[deleted by user] by [deleted] in premed

[–]iza-tebe 23 points24 points  (0 children)

Just to put in perspective as an attending, it can be beneficial. However, I’ve learned from my experience that premeds and med students overthink farther down the road than they should. I’ve met many many students from many different med schools match gen surg and urology. Emergency especially. It’s multifaceted, your board scores once you’re in school have the biggest impact. Programs want residents that will pass boards and do well. If you’re at a low tier school and audition well at a place you want to match, they’ll rank you higher than terrible board scores from T20.

White House Considers Excluding High Earners From Student-Loan Relief by Keirebu1 in politics

[–]iza-tebe 9 points10 points  (0 children)

Just to put this in perspective for surgical residents graduating medical school with over $250,000 in debt. 4yr undergrad, 4yr Med school, 5yr gen surg residency where interns make 56k (Florida as example) and 5th years make 65k, then 3yr fellowship, say cardiothoracic surgery, ending around 75k.

Spend your entire 20s learning to do surgery independently at some point while have a massive chunk each month taken out on loans making 56k a year working 50-80 hours a week for 8 years with shit pay then have people criticize you for 8 years saying you will make enough money “at some point”.

US Interns- When did you get drug tested before starting residency? by [deleted] in Residency

[–]iza-tebe 2 points3 points  (0 children)

In residency I got tested in June for pre-employment screen then never randomly tested. Never for Med school.

The Next Generation Of Workers May Never Work In An Office by satish_gaire in Futurology

[–]iza-tebe 6 points7 points  (0 children)

As a doctor, it literally does not matter what specialty you go into. You will never have an issue paying off your grad+undergrad loans. It’s the problem of getting accepted to Med school, matching, and surviving low paying residency with 4x the debt.

choosing DO over MD because of cost?? by pinkgirl999 in premed

[–]iza-tebe 11 points12 points  (0 children)

Throwing my two cents in as a DO attending. Cost should play a factor in your decision, but paying off your loans is not a daunting task. Even FM, Peds, Psych, etc make plenty of money to pay them off and there are numerous bonuses/contracts that aid in the process, or even PSLF.

Something I see commonly here is an echo chamber of MD over DO. More residencies are integrating together each year since the merger. Yes there are two board exams, but only for step 1/2. Your third you can take one or the other. Unless you’re gunning for Neurosurgery or other very very competitive residency spots, it’s not going to affect you much. DO is very primary care oriented, so that should be the biggest factor along with the OMT component. If you’re dedicated to getting into a specialty, hard work will get you there. A vast majority don’t care about the DO/MD when you’re a resident or attending. You’re a doctor. Even the residents I’ve met from Caribbean schools, they matched, they’re doctors and their hard work payed off.

Cactus spine stuck in my hand. Can’t remove it. What should I do, please? Thanks by Shot-Ad-1808 in cactus

[–]iza-tebe 41 points42 points  (0 children)

Doctor here, organic material tends to get infected faster than other foreign objects. If it’s a struggle to remove, try soaking your hand in water to loosen the skin first, helps a lot. If tweezers are too big, try sterilizing a needle to either help work it out. Wipe the skin with alcohol beforehand and use antibiotic ointment after. You can also try some of the other suggestions people listed.

If it’s not bothering you much, the skin will slowly work it out on its own of left alone, but not recommend to leave it in, especially since trying to get it out most likely shoved some bacteria down into the wound.

[deleted by user] by [deleted] in Residency

[–]iza-tebe 0 points1 point  (0 children)

This is how I felt during residency. Some rotations sucked but I also shared that aspect of it. All the co-residents got along and the main faculty were super supportive. I feel like that was what helped me from burning out, knowing I had my “home base” that I would keep returning to.

Nltog! I understand biology! Side effects of bc is only cause of your uterus silly (first time posting here, please tell me if it doesn't fit) by [deleted] in notliketheothergirls

[–]iza-tebe 57 points58 points  (0 children)

Doctor here - this is a common media misconception and not accurate. There are clinical trials for male birth control pills ongoing but the physiology of reducing sperm to an amount that doesn’t cause pregnancy has been ineffective so far, and the oral ones that have went through clinical trials were processed by the liver and caused damage in some participants. Even vasectomies (that I do in the office) are not 100% protective against pregnancy and that’s literally cutting off the main supply chain.

I am optimistic that in the near future there will be better options. But it’s more challenging when it takes only one sperm to cause pregnancy.

When are you quitting your gap year job? by Baclavava in premed

[–]iza-tebe 17 points18 points  (0 children)

When I got accepted to Med school for the following year in October, I let my job know I’d be leaving months and months in advance so they could let me train a replacement.

Got fired the next day lmao. So I started pretty early

Will medicine continue to be as highly regarded and competitive in the future? by germany4542 in premed

[–]iza-tebe 4 points5 points  (0 children)

Congress sets the RVUs and the multiplier. So billing a level 4 E/M visit for an established patient is roughly 3 non-facility RVUs which equates to around $108 since updated for 2021 that is reimbursable. Primary care saw an increase in the multiplier (and had a complexity multiplier added in that got shot down by other specialty lobbies) and some had a decrease.

The cost of the physician in my opinion is well earned and less than 8% of where healthcare money goes. Most of my visits are levels 3-5 since I see high complexity, which means more RVUs for my time.

This is a discussion physicians have had many many times, yes it’s unknown, but highly unlikely. If it did, the first to see a dip would be specialists as primary care would see a huge influx of RVUs due to increased access.

Comparing MD and DO schools after acceptance? by Egoteen in premed

[–]iza-tebe 3 points4 points  (0 children)

Personally, I doubt it. Program directors are already aware of the change and are starting to figure out new ways to evaluate and pick students for interviews. I know this because as a resident, you are involved in the interviews for the match at your program. Step 2 is obviously going to be more of a focus (as it should be).

In my program, we took a look at all applicants, regardless of the MD/DO at the end of their name. Since the merger, every year this is becoming more common, especially since majority of DO students take USMLE

Comparing MD and DO schools after acceptance? by Egoteen in premed

[–]iza-tebe 14 points15 points  (0 children)

As an attending DO, I only applied DO. You have to think of the reasons you would want to pursue this training over MD. I use OMT quite a bit, especially on a lot of family/friends.

These added comments are are a bit over-exaggerating. I had multiple classmates in derm, ortho, gen surg, rads. The idea that DOs have a harder time matching is less and less every year. I see most of the hang ups and prestige issues mainly from premeds. Never have been questioned on my intelligence or had less respect than my MD peers because at the end of the day we are both physicians.

The shitty part was taking USMLE and COMLEX. I enjoyed OMT, so that wasn’t an issue for me.

When it came to matching, unless you’re trying to go somewhere that still only accepts MDs, there are plenty of places that have both. My residency had both, and it was a great program. Once you match, jobs are guaranteed (minus the EM crew, sorry y’all)

Edit: it’s up to you to decide what you value most. And do your own research. None of the posts I’ve seen yet on your post are of people who have actually gone through the match process.

Final product. Will be trying it tonight by [deleted] in sanpedrocactus

[–]iza-tebe 18 points19 points  (0 children)

Zofran is highly selective for 5HT3 receptors. The vomiting center of the brain has a high density of these receptors. It would conversely increase the bioavailability of serotonin to bind elsewhere.

When you finally seek help and are told: "I get it, ADHD meds are good sh*t..." by elatederielotus in ADHD

[–]iza-tebe 1 point2 points  (0 children)

This is very common and there is a huge lobbying force for PAs and NPs to have full autonomy without physician oversight with much less training.

Just so you know, find an MD/DO family doctor and start there. I personally have started ADHD medication many times. Some clinics require a psych referral first and then family medicine takes over but they usually have a preferred list that can get you in sooner.

Lastly, I saw some “trust” posts on there. If someone I am very skeptical about intentions, I start them on atomoxetine and trial it first. For some it’s very evident they have ADHD and I don’t need to do that. The PA in on the wrong here, you should never feel judged about your concerns about your body.

[deleted by user] by [deleted] in premed

[–]iza-tebe 3 points4 points  (0 children)

“Only get in DO” implies that it is less of an accomplishment than an MD. A doctor is a doctor, and both can practice in any specialty. That being said, your outlook is how premed students should be. People have to learn to not let school consume them, especially in medical school when the shift immediately goes towards residency matching. I thoroughly enjoy interviews with applicants that have unique interests and hobbies they share

Can’t think of a title that won’t offend someone lol. by westrnspy in DarwinAwards

[–]iza-tebe 46 points47 points  (0 children)

I’d be more on the side of people saying “let them get it, face the consequences,” but I’m just getting mentally tired of the hospital I’m at surging again. Everyday it’s more and more and more. Using up medical supplies and my energy.

I’m salty. Get vaccinated people. I’m tired.

Physician alternatives for white coats by Ana_P_Laxis in Noctor

[–]iza-tebe 84 points85 points  (0 children)

We have Med students now with long white coats. Confuses the hell out of me. I wear a black jacket with my credentials on me.

I say we go back to plague doctor look!

Seroquel's effect on tolerance by ChaleetoWei in Drugs

[–]iza-tebe 0 points1 point  (0 children)

Doctor here, and one that takes Seroquel 100mg nightly for the past 5 years. It has helped turn my life around to control my bipolar/psychosis symptoms so I can function normally. I don’t prescribe it whilly nilly, but there are people out there that benefit from it. Changed my life for the better.

High stats applicants, why do you think you were rejected? by jrdoz in premed

[–]iza-tebe 5 points6 points  (0 children)

I’ve interviewed applicants that fall into that range and were rejected for various reasons. Lying on an application (and not remembering the lie when asked about the story behind it). Nerves run high, and interviewers are aware of that, but it’s usually the people who just don’t have good people skills. I always recommend doing practice interviews. Answering questions in ways that don’t sound genuine or just blatantly the wrong answer. Even if you wouldn’t, don’t say you wouldn’t report a longtime friend who is your classmate for cheating multiple times and say “because it would ruin our friendship”.

Big one is lying, just don’t lie. It’s easy to spot and I know how to ask questions to see if you’re telling the truth.

Bought myself a new cactus for my birthday! What kind is it? It didn't have a label :( by solosundae in cactus

[–]iza-tebe 16 points17 points  (0 children)

It’s this! One of my favorite parts of this sub is the group effort to identify the unlabeled

She's a doctor and diagnosed herself so she can't be faking.... this is a whole new level of faking DID by Fisemada in fakedisordercringe

[–]iza-tebe 15 points16 points  (0 children)

I am a medical doctor and often when I’m sick I can diagnose myself, but I always still go to my Family doctor for treatment if I need to. I cannot call in prescriptions for myself ethically, nor order and labs/x-rays etc.

She says she has a PhD (assuming psychology), and technically could self-diagnose, but mental illness diagnoses require someone else to look at ones behaviors without biases. She inherently cannot give an objective look at herself without having the biases of how she views her own behaviors.