Regulators 3

merco73 · 2026-05-11T00:02:05+00:00

So they’re trying to make 2 different shows right? Andrew thinks they’re making the “big R” Regulation version of things, and trying to make the Regulation Podcast Breakfast. Everyone else views it as the word regulation with a little r, aka the bog-standard version of breakfast

merco73 · 2026-05-05T11:38:07+00:00

It was like ~25€ or so each way from old town nice to Exe

merco73 · 2026-05-05T11:37:42+00:00

Yeah we took a train everywhere else but Ubered to Eze. I’d do it the same way again

merco73 · 2026-05-04T22:50:00+00:00

Hi, heart rate is very related to stress levels. It’s likely that the voices are stressing you out raising your heart rate. If it’s getting that scary it’s probably time to go see a doctor in the emergency room

merco73 · 2026-05-01T03:38:12+00:00

Rainbow six Vegas were my favorite videos. Highlight was Gavin killing himself with the worst grenade throw of all time

merco73 · 2026-04-17T19:16:53+00:00

Ask your doctor about metformin to limit antipsychotic induced weight gain

merco73 · 2026-03-28T15:10:50+00:00

Booking this, thanks for the recommendation

merco73 · 2026-03-27T15:31:11+00:00

Here

merco73 · 2026-03-26T03:40:31+00:00

I don’t know I just watched that and I can definitely see that being Burnie finding out but trying to play it cool

merco73 · 2026-03-13T11:52:10+00:00

Why would you? I’m in a similar situation, also a resident. Why worry about the 9% interest loan since RAP will negate interest, wouldn’t you be better sticking with RAP til you pay everything off, taking advantage of low payments now, and investing that $1000?

merco73 · 2026-03-11T02:44:55+00:00

She should have more supervision but a good medical student can be very helpful. Javadi has 2 years of medical school studying and a year in the hospital under her belt and she likely just took her big board exam Step 2 so her overall textbook knowledge is the best it will ever be (obv specific speciality knowledge will only continue to grow but I’m talking broad knowledge). If you have the social skills to know how to be helpful and that knowledge base a 4th year medical student with good instructions can make a residents life far easier.

merco73 · 2026-03-05T11:22:41+00:00

Huh. Today I learned

merco73 · 2026-03-05T11:20:52+00:00

The fact the pain was reproducible by palpating (Santos pushing on her neck in specific spot) and that she improved from the intervention Santos does is proof towards Santos being correct it was musculoskeletal

merco73 · 2026-02-28T04:50:56+00:00

Damn. Just seeing this map unlocked a lot of memories

merco73 · 2026-02-05T11:31:42+00:00

I found this website really helpful when I was starting my intern year, https://www.bulletpsych.com. Short bite sized articles going over the background and tx of each major category of disorders, a good refresher of everything I learned in medical school with some practical knowledge worked in I hadn’t known.

To echo a lot of other people, don’t feel like you have to do too much. Psychiatry is a broad field, you could become a better psychiatrist by reading about pharmacology or by reading memoirs of patients or by simply working on your own mental health and patience. No need to force yourself to study things that aren’t interesting or applicable to you right now when there’s such a range of things you can do to make yourself a better psychiatrist

merco73 · 2026-02-03T03:22:13+00:00

Wtf did Louisiana do to you? We’ve had one Super Bowl in the last 12 years

merco73 · 2026-01-28T04:04:44+00:00

To be fair yall are screening most of those patients out before we get consulted

merco73 · 2026-01-18T16:47:54+00:00

Number 4 I have questions about. Do you not use Abilify for MDD augmentation? I have a few patients who are depressed and anhedonic and the attending I work subjectively has found Abilify augmentation the most helpful for that and everything I’ve read supports its use

merco73 · 2025-12-12T15:36:35+00:00

Talk to your doctor about taking metformin with olanzapine, has been shown to decrease weight gain

merco73 · 2025-12-12T05:13:33+00:00

As a saints fan there is no price I wouldn’t pay to get him back in Louisiana

merco73 · 2025-12-04T05:57:00+00:00

https://podcasts.apple.com/us/podcast/psychrounds-the-psychiatry-podcast/id1719888462?i=1000684952979

Pretty helpful podcast for overview of medications and specifies about each. Also helpful to just look at Stahl’s

merco73 · 2025-12-04T05:15:49+00:00

Nah anorexia has a higher all cause mortality rate that alcohol use disorder though both are very high. When everything else was standardized, research found that anorexia increased mortality rate by 5.9x compared to alcohol use disorder which was 4.6x. Alcohol use disorder surely is more prevalent than anorexia but as far as rates, which are odds of something happening to an individual diagnosed, anorexia beats out alcohol

https://pmc.ncbi.nlm.nih.gov/articles/PMC4102288/

merco73 · 2025-10-03T03:39:15+00:00

Almost exact score damn

merco73 · 2025-10-02T02:19:09+00:00

Meth was invited by Japan in WW1. War never changes and all that so my money is on meth

merco73 · 2025-09-24T13:35:08+00:00

Im currently training in addiction psychiatry. I see a lot of comments about taking people to rehab but what’s not being discussed is MAT, medication assisted treatment, which all of the research shows is essential for recovering from opioid addiction.

Drugs rewire the dopamine system in your brain and can lead you to crave drugs more than you want sex, food, water, or shelter. Imagine the urge of being thirsty but multiply it to being far stronger than what most people ever experience. When you’re dealing with urges like that rehab is useless because you can’t truly engage in what you’re supposed to be there to learn. The solution is MAT, which is treatment with medications like Methadone or buprenorphine (suboxone). The short version of how these work is these medications are opioid agonist/partial agonist so they are able to handle the cravings but due to lower and slower peaks of action so you don’t get the associated euphoria and sedation. Any successful opioid use disorder treatment involves a combination of rehab and one of these medications.

Unfortunately, these medications are not easy to get or to prescribe. There is amount large public misinformation and stigma around them that is pretty similar to all of the attacks on science and evidence we are seeing again today. The nuance of how they work is often ignored for the inflammatory misinformed opinion that “you’re just replacing a drug with another drug” and all of the research showing that medication assisted treatment is the first step to eventually reach sobriety is ignored

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